I-Phlebology yisebe le-optic surgery, elijongene nokunyangwa kwezifo zeemvini zecala eliphantsi. Umbuzo, i-phlebologist - ngubani na, unomdla kulabo abaneengxaki kule ndawo, ezixhomekeke ekupheliseni ngokukhawuleza ukwenzela ukuphepha iingxaki kunye nokungonakaliswa kwentlalo-ntle.
I-Phlebologist - ngubani na oku kunye nokuphilisa?
Ngaloo ngcali, abaninzi bafunda, kuphela bejamelene nezifo zeemvini ezisezantsi. I-phlebologist yinkwenkwezi eqhuba uviwo, ifumanisa isifo kwaye iqeshe unyango olufanelekileyo kwimeko nganye. Izifo ezi gqirha ugqirha zifumana ukukhula kwiminyaka yakutshanje, ngoko kubalulekile nje ukufuna uncedo ngexesha, kodwa nokuba nolwazi ngamanyathelo okukhusela.
Ngubani ogqirha we-phlebologist, wenza ntoni?
Ukuqwalasela ngokungakumbi, yintoni umqhubi we-phlebologist okwenzayo, umntu makaqale aqonde ukuxhomekeka kunye nokuqhelaniswa. I-Phlebologist yi-artetic surgeon, oko kukuthi, ingcali kwiprofayili emncinci ethatha kuphela imithanjeni yemigangatho ephantsi. Ububanzi bakhe bomsebenzi kubandakanya ukuhlola isigulane ukufumanisa isifo esihambelana neprofayili yakhe kunye nokonyango olongezelelweyo. Ukuba ucinga ukuxilongwa ngokucokisekileyo, yintoni umenzi we-phlebologist eyenza ukufumana isifo, iqulethe iindlela ezininzi:
- I-ultrasonic angioscanning yeemvini. Le yindlela elula efunekayo kuphela ukufumanisa ama-blood clots kwiinqanawa ezinkulu.
- I-ultrasonic dopplerography ye-flowy blood flow and veins. Inguqu ephuculweyo ye-ultrasound of veins inceda ukucacisa kuphela isimo seempahla, kodwa nokuba baninzi kangakanani ukuhamba kwegazi.
- I-Flabonometry. Ukusebenzisa le ndlela, uxinzelelo lwegazi lugqithiselwa kwiindonga ezinobungozi kwiindawo ezahlukeneyo. Le ndlela inceda uchwepheshe ukuba akhethe ngokuchanekileyo uhlobo lokuphathwa ngokugqithisileyo.
- Phleboscintigraphy. Kule meko, iindlela zizisa ii-radionuclides ezikhuselekileyo kwigazi, kwaye i-luminescence yabo ibonwa. Oku kunceda ukucacisa imeko ye-microcirculation, ubukho beplates kunye ne-lumen kwiimvini.
- Ukuhlaziya i-Duplex yemithanjeni. Le ndlela iyona ndlela ifundisa ngayo izifo ezifunyaniswayo kwaye imeko yemigodi, iinqanawa kunye nomgangatho wokuhamba kwegazi kuzo.
- Venography. Ukuqhuba i-phlebography, umzekelo uqaliswa kwigazi kunye ne-X-ray. Le ndlela ibonisa ukunyusa kunye nokunciphisa izindonga ezinobumba.
Yintoni eyenza i-phlebologist?
Uluhlu lwezifo eziwela kwicandelo, olubandakanyeka kwi-phlebology, lukhulu. I-Phlebologist - ngubani lo, siye saqikelela, kodwa kukho noogqirha we-vascular - nguyena ojongana nonyango lweengxaki ezinjalo kwiimvini zelungu elisezantsi:
- ukungafezeki kwintlungu , enesimo esingapheliyo;
- thrombophlebitis ;
- phlebitis;
- imilenze ye-varicose;
- iifom ze-thongsis;
- izilonda ze-trophic zendawo ezahlukeneyo;
- ukuphuma kwegazi;
- "Indlovu" yemilenze (lymphaden);
- izifo zengqondo;
- i-intradermal varicose veins (i-substaneous dilations, asterisks ne-meshes);
- i-thromboembolism ye-pulmonary artery .
Xa udibanisa ne-phlebologist?
I-phlebologist izakukunceda ukuphazamiseka okuthile kwi-intlalo ukuqonda ubunjani babo kunye nokunikezela unyango olunzulu ukuba idilesi yesigulane idilesi. Ukwazi i-phlebologist - ngubani na kwaye zeziphi izifo ezithathayo, ngeempawu ezichazwe ngezantsi, unakho ngaphandle kokungabaza ukwenza ukuqesha kunye nale ngcali.
- iincampu zentsuku eziqhelekileyo zentsuku eziphantsi;
- Imilenze emnyama ibonakala kwimilenze;
- ukuba kukho iisethi ze-vascular kunye ne-asterisks;
- ubuqhophololo, ukukhathala, ubunzima emilenzeni kunye nokukhathazeka;
- Ukuba izicubu ezincinci zichanekile ngokucacileyo;
- Amanqaku angabonakaliyo kunye nokongezwa kwenyango emilenzeni;
- uvakalelo oluqhelekileyo lokufudumala kwimisipha yemilenze emva kokunyanzelisa umzimba okanye emva kokutshintshwa kwithuba.
Kukho uluhlu lwabantu ababoniswa ukutyelela lo gqirha ngaphandle kokubonakala kweempawu ezibhalwe apha ngasentla, ukwenzela ukukhusela kunye nokufumanisa iingxaki zeengxaki kwi-embryonic state.
- Ukuba kwintsapho umntu othile wayenezifo ezinobungozi;
- phambi kobunzima obunzima;
- abathandi bezonqatha kunye nokutya okunesonka;
- ukukhulelwa (2-3 trimester);
- abo bahlala bexinzeleleke emzimbeni;
- abo baphila ubomi bokuhlala;
- abantu asebekhulile abangahambiyo ngokwaneleyo;
- ukusetyenziswa kakubi kotywala kunye neminye imikhwa emibi.
Ukuqeshwa kuka-phlebologist njani?
Abaninzi abaya kumbona lo gqirha ngethuba lokuqala banomdla kwindlela abahlinzekwa ngayo i-vascular surgeon. Into yokuqala ukuqala kunye nokuqokelela ulwazi olunzulu malunga nesigulane kunye ne-anamnesis. Ukwenza oku, kufuneka ukhumbule ubuninzi beenkcukacha kwaye uphendule kangcono ukuze ungaphuthelwa nayiphi na into yokumkela.
- Isibonakaliso sokuqala savela nini kwaye sazi njani, bazibonakalisa njani kwaye phantsi kweziphi iimeko?
- Ziziphi izinto ezathintela iimpawu ezintle okanye ezingalunganga?
- Yintoni isigulane esenzayo, ingayisebenzisi nayiphi na imichiza?
Unjani uviwo oluqhutywe ngugqirha wezilwanyana?
I-Phlebologist kwaye yiyiphi iqhutyana lombulunga, saqwalasela, kodwa kuya kuba luncedo ukuba neengcamango zendlela uviwo oluqhutyelwa ngayo i-phlebologist ukumlungiselela emzimbeni nasekuziphatheni. Kunconywa ukuba uthathe iimvavanyo neemvavanyo ngaphambi kokuba uthathe, ukuze ukwamkelwa kwe-phlebologist kunokunika iimpendulo ezipheleleyo kwiimbuzo, kubandakanya ukuxilongwa:
- ixesha elisebenzayo le-thromboplastin (APTT);
- vavanyo lwexesha leprothrombin;
- isimo sengqondo esisemhlabeni jikelele (INR);
- I-prothrombin index (PTI);
- fibrinogen.
Ngenxa yokuba uchwepheshe uya kuqhuba uviwo lwangaphandle (ngokomzimba), kufuneka ulungiselele kakuhle, ngokucokisekileyo kwisicwangciso sococeko: thatha okanye uhlambe, ubeke iimpahla zangaphantsi ezihlambulukileyo kunye neengubo, ubeke iinyawo zakho ngokufanelekileyo. Oku kuya kunceda ukuphepha iimvakalelo okanye iintloni kwaye akuyi kubangela iimvakalelo ezingathandeki kumgqirha oqhuba uviwo.
Yiyiphi imisebenzi eyenziwa ngumgqirha we-vascular?
Xa isigulane siphumelele, xa unyango lonyango lingenamandla, i-phlebologist yonyango i-vascular surgery iqhuba ukungenelelo. Le nto ayisoloko isebenza ngokuqhelekileyo, kodwa iindlela ezintle:
- Ukugqithiswa kwee-Radiofrequency / ablation (RFO). Ngale ndlela, i-electrode ekhethekileyo iphathwa ngetyhuna esuka ngaphakathi, leyo inceda ukuqeda i-pathologies.
- Sclerotherapy. Qalisa isilwanyana esikhethekileyo, esinceda ukulahla amanetha amancinci amancinci.
- Ukwelashwa kwe-Laser (EVLK - i-laser coagulation ye-laser ye-veins of the end extremities). Le ndlela ibandakanya ukugqitywa kwesisu kunye nokusungulwa kwe-laser, ekunceda ekupheliseni iimeko ezibuhlungu.
- I-phlebectomy yendabuko. Oku kukususwa kweemvini kunye neentlawulo ezikhutshwe ngeenotshi.
Iingcebiso zePhlebologist
Iingcebiso eziza kunika i-phlebologist ziza kunceda nje kuphela ekunyangeni izifo, kodwa nokukhusela ukubonakala kwazo. Amanyathelo okukhusela, ngokukodwa kwiqela leengozi, iyimfuneko ebalulekileyo yokugcina impilo ye-vascular, kulo mzekelo, imilenze yamalungu angaphantsi. Kukho kwezifo, loo ngcebiso iza kunceda ukuba ingabonakalisi imeko kwaye ithathe amanyathelo okukhuthaza ukuphucula ngokukhawuleza.
Iingcebiso ze-phlebologist zemilenze ye-varicose
Kwalabo abaneemvini zengqondo, iziphakamiso ze-phlebologist ye-varicose zinganceda ukuphucula imeko kunye nokukhawulezisa inkqubo yokubuyisela.
- Ukude kakhulu ukuma kuyingozi kakhulu, ngoko ukuba akukho nenye indlela yokuphuma, ngoko kufuneka uzame ukuhamba malunga nemizuzu engama-30.
- Ukuhlaziya iinyawo ezinqamlezileyo kuya kunceda ukuphucula ukuphuma.
- Xa uhleli, imilenze ifanele ibekwe entabeni ye-15-20 cm kwaye kungabikho na kufuneka iphose inyawo kwienyawo zazo.
- Ku luncedo ukulungiselela isilathisi esahlukileyo kwimikhumbi, ebangela ukuba kuqiniswe.
- Iingqayi ezinezithende eziphakamileyo, ezincinci kwaye zingakhathazeki, ngumhlobo olungcono kakhulu weemvini ze-varicose.
- Ukuba unesisindo esiphezulu, kufuneka uzame ukuyichitha, ukwenzela ukunciphisa umthwalo ongaphezu kwemilenze yakho.
- Kumele ugcine ukulinganisela kwamanzi ukuphepha ukunyuka kwegazi.
- Kufuneka udle ukwenzela ukuba ugweme ukugcoba, okubangela ukuba kwenzeke imivuno ye-varicose.
- Ukusetyenziswa ngokugqithiseleyo kotywala nokubhema kubangela ukuba kuvele imifuno ye-varicose.
Iingcebiso ze-phlebologist ze-thrombophlebitis
Iziphakamiso ze-phlebologist kwisifo esifana ne-thrombophlebitis, zifana neemeko ze-varicose, ngoko icebiso liya kuncitshiswa ekuphunyezweni kwemisebenzi kunye neengcebiso ezifaka isandla ekuthintekeni kwesi sifo.
- Ukuzivocavoca "i-birch" kukuthintela kakhulu, ngoko kuyacetyiswa ukuba wenze rhoqo.
- Ngokuzikhukhuma kwexesha eliphantsi, kuyacetyiswa ukuba ufake i-roller ebusuku phantsi kweenyawo.
- Ukunyanzeliswa kusebenza kukuphucula ukujikeleza kwegazi kunye nokwandisa ukuqina kweemisipha, iigaments kunye nemithambo yegazi.
- Ngaliphi na ixesha elifanelekileyo, kucetyiswa ukwenza ukujikelezwa kweesetyhula kunye nokuyeka kwisalathiso sendlela.
Ukufumana iimvumba - iingcebiso ze-phlebologist
Kuthatha ixesha elininzi ukubuyisela imithanjeni, kodwa konke kunokwenzeka ukuba ujongene nengxaki ngendlela epheleleyo. Kunokwenzeka kwaye kuyimfuneko ukusebenzisa i-venotonic - i-phlebologist ingcebiso kule ngxaki incitshiswe kuluhlu lwezonyango ezifanelekileyo ezisetyenziselwa unyango kunye nokuthintela.
- Escuzan;
- Detraleks ;
- IsiNgesi;
- Venoruton;
- Glivenol;
- Dopellerts;
- Shungite;
- Ginkor Fort;
- Troxevasin;
- Antistaks;
- Venolek;
- Eszin.