Koj puas muaj ob txhais ceg o thaum yav tsaus ntuj tom qab sawv ib hnub tag nrho? Koj ob txhais ceg puas tsuas yog hnyav thiab mob xwb? Tej zaum daim tawv nqaij ntawm koj ob txhais ceg tau hloov xim av thiab koj cov leeg ntshav pom tseeb? Txawm hais tias koj yuav xav tias cov no tsuas yog qaug zog xwb, lawv yuav yog ib qho cim ntawm tus mob uas xav tau kev saib xyuas. Hnub no peb tab tom tham txog tus mob zoo li no, Chronic Venous Insufficiency, lossis luv luv CVI.
Hauv lwm lo lus, CVI yog dab tsi?
Xav txog cov leeg ntshav hauv peb lub cev zoo li txoj kev ib txoj kev. Qhov teeb meem loj tshaj plaws rau cov leeg ntshav, tshwj xeeb tshaj yog cov nyob rau hauv ob txhais ceg, yog txav cov ntshav rov qab mus rau lub plawv, tawm tsam lub ntiajteb txawj nqus. Txhawm rau pab nrog txoj haujlwm no, peb cov leeg ntshav muaj cov qauv me me zoo li lub rooj vag hauv lawv. Hauv kev kho mob, peb hu cov no 'valves.' Cov valves no tiv thaiv cov ntshav kom tsis txhob ntws rov qab thaum nws nce mus.
Mob Venous Insufficiency (CVI) yog ib qho mob uas cov leeg ntshav hauv koj ob txhais ceg puas tsuaj thiab cov valve uas kuv tau hais tsis ua haujlwm zoo. Qhov no ua rau cov ntshav sib sau ua ke hauv koj ob txhais ceg es tsis nce mus. Peb hu qhov no ua venous reflux . Thaum cov ntshav sib sau ua ke zoo li no, lub siab hauv cov leeg ntshav yuav nce ntxiv. Raws sijhawm, qhov no yog qhov peb hu ua CVI.
Qhov kev puas tsuaj no tuaj yeem tshwm sim rau txhua hom leeg ntshav hauv koj ceg:
- Cov leeg ntshav tob: Cov no yog cov leeg ntshav loj uas khiav tob hauv lub cev, ntawm cov leeg nqaij.
- Cov leeg ntshav sab saud: Cov no nyob hauv qab daim tawv nqaij, ze rau saum npoo.
- Cov leeg ntshav uas tawg: Cov leeg ntshav no txuas ob hom leeg ntshav uas tau hais los saum toj no.
Txawm hais tias nws yuav pib nrog cov tsos mob me me, dhau sijhawm, CVI tuaj yeem cuam tshuam rau koj lub neej txhua hnub thiab ua rau muaj teeb meem loj.
CVI thiab post-thrombotic syndrome puas yog tib yam?
Ob lub npe no hais txog tib qho teeb meem, uas yog kev puas tsuaj rau cov leeg ntshav hauv ob txhais ceg. Tab sis muaj qhov sib txawv me ntsis. Post-thrombotic syndrome yog ib qho mob ntawm CVI uas tshwm sim los ntawm cov ntshav txhaws hauv cov leeg ntshav tob hauv ob txhais ceg (Deep Vein Thrombosis - DVT). Tom qab cov ntshav txhaws tawm, ib qho caws pliav me me tseem nyob hauv phab ntsa cov leeg ntshav qhov chaw uas nws nyob, uas tuaj yeem ua rau lub valve puas tsuaj. Post-thrombotic syndrome yuav tshwm sim hauv 20% txog 50% ntawm cov neeg uas tau muaj DVT hauv ib xyoos lossis ob xyoos.
CVI muaj ntau npaum li cas thiab nws cuam tshuam li cas rau kuv lub cev?
Kab mob ntawm cov hlab ntsha yeej yog ib qho uas pom ntau heev. Piv txwv li, kwv yees li ib ntawm peb tus neeg laus muaj cov hlab ntsha varicose . Ntawm cov neeg no, kwv yees li ib ntawm 50 tus yuav muaj CVI txhua xyoo.
Feem ntau CVI cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo. Qhov kev pheej hmoo no nce ntxiv thaum lawv laus zuj zus. Zuag qhia tag nrho, kwv yees li ib tug ntawm 20 tus neeg laus muaj CVI.
Thaum cov ntshav ntws mus rau ob txhais ceg raug thaiv vim yog CVI, qhov siab hauv cov leeg ntshav yuav nce ntxiv ntau heev. Yog tias tsis kho, qhov siab siab no tuaj yeem ua rau cov hlab ntsha me me (capillaries) hauv peb lub cev tawg. Daim tawv nqaij hauv thaj chaw ntawd hloov mus ua xim av liab . Tsis tas li ntawd, daim tawv nqaij tuaj yeem raug mob yooj yim txawm tias qhov kev sib txhuam me me xwb.
Cov hlab ntsha tawg no tuaj yeem ua rau:
- Kev o ntawm cov nqaij hauv thaj chaw ntawd
- Kev puas tsuaj rau cov ntaub so ntswg
- Cov qhov txhab ntawm cov hlab ntsha (cov no yog cov qhov txhab uas tsim rau ntawm daim tawv nqaij thiab tsis kho tau yooj yim)
Cov mob qog no tsis kho tau yooj yim, thiab lawv tuaj yeem kis tau kab mob. Yog tias qhov kev kis kab mob no kis mus rau cov nqaij ib puag ncig, peb hu nws ua cellulitis . Qhov no tuaj yeem yog ib qho mob txaus ntshai yog tias tsis kho sai.
Cov tsos mob ntawm CVI yog dab tsi?
Koj tsis tas yuav muaj tag nrho cov tsos mob no ib zaug. Tej zaum koj tsuas muaj ib lossis ob xwb. Cov tsos mob no nyob ntawm seb koj tus mob hnyav npaum li cas.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob thiab hnyav hauv ob txhais ceg | Xav tias mob ob txhais ceg, qaug zog, thiab hnyav. |
| Kev o thiab kev tsis xis nyob | Kub hnyiab, tingling, lossis mob qhov ncauj hauv ob txhais ceg. |
| Ob txhais ceg pom tseeb, dov hla | Mob plab, uas yog cov leeg ntshav pom tseeb hauv ob txhais ceg, tshwj xeeb tshaj yog thaum hmo ntuj. |
| Kev o (Edema) | Ob txhais ceg thiab pob luj taws o, tshwj xeeb tshaj yog thaum yav tsaus ntuj tom qab sawv ib hnub puv nkaus. |
| Kev hloov pauv ntawm daim tawv nqaij | Daim tawv nqaij xim av liab, daim tawv nqaij qhuav, tawv nqaij tawg, khaus, thiab daim tawv nqaij tuab. |
| Cov leeg ntshav varicose | Cov leeg ntshav zoo li bulging thiab sib txuas hauv qab daim tawv nqaij. |
| Mob qog | Cov qhov txhab uas tsis kho, tshwj xeeb tshaj yog nyob ib ncig ntawm pob luj taws, tuaj yeem kis kab mob yog tias lawv mob. |
Cov theem ntawm CVI yog dab tsi?
Cov kws kho mob faib cov kab mob vascular ua theem 0 txog 6. CVI yog ib qho ntawm cov no. Koj tus kws kho mob yuav txiav txim siab theem raws li qhov nws pom thaum kuaj koj.
- Theem 0: Tsis muaj tsos mob pom tseeb, tab sis koj yuav muaj cov tsos mob xws li mob ceg thiab qaug zog.
- Theem 1: Cov leeg ntshav kab laug sab tshwm sim.
- Theem 2: Cov tsos mob ntawm cov leeg ntshav uas dav tshaj 3 hli.
- Theem 3: Muaj o (edema) hauv ob txhais ceg, tab sis tsis muaj kev hloov pauv ntawm daim tawv nqaij.
- Theem 4: Kev hloov pauv ntawm cov xim tawv nqaij thiab cov qauv (piv txwv li, xim av) pib.
- Theem 5: Ib qho mob qog tau tsim thiab ib qho caws pliav tau tsim tom qab nws kho.
- Theem 6: Muaj ib qho mob qog uas tseem ua haujlwm thiab tsis tau kho.
Qhov tseem ceeb yog tias tus kws kho mob feem ntau kuaj pom tias koj muaj CVI thaum koj nyob rau theem 3 lossis siab dua . Qhov no txhais tau tias tsuas yog vim koj muaj cov leeg ntshav tsis tau txhais hais tias koj muaj CVI. Tab sis nws qhia tau tias muaj teeb meem nrog koj cov ntshav ncig. Yog li ntawd, yog tias koj muaj cov leeg ntshav tshiab, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob.
Cov laj thawj tseem ceeb ntawm CVI yog dab tsi?
Zoo li kuv tau hais ua ntej lawm, qhov ua rau mob CVI yog cov hlab ntsha hauv cov leeg ntawm ob txhais ceg tsis ua haujlwm zoo. Muaj ntau yam ua rau cov hlab ntsha no puas tsuaj.
- Cov ua rau muaj menyuam yaus:Tej zaum ib txhia neeg yug los tsis muaj lossis muaj cov hlab ntsha tsis muaj zog hauv lawv cov hlab ntsha.
- Cov ua rau tseem ceeb: Yog tsis muaj ib qho ua rau tshwj xeeb, cov phab ntsa ntawm cov leeg ntshav yuav tsis muaj zog, cov leeg ntshav yuav nthuav dav, thiab cov qhov dej yuav tsis kaw zoo.
- Cov ua rau mob thib ob: Kev puas tsuaj rau cov leeg ntshav vim yog lwm yam mob. Qhov ua rau mob no feem ntau yog cov leeg ntshav txhaws tob (DVT) . Cov ntshav txhaws ua rau cov hlab ntsha puas tsuaj.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob, thawj qhov uas nws ua yog kuaj koj ob txhais ceg kom zoo zoo. Nws saib seb puas muaj tej yam xws li o, kev hloov xim tawv nqaij, thiab tej qhov txhab.
Tom qab ntawd, yuav muaj kev kuaj mob Vascular Ultrasound kom paub tseeb dua txog tus kab mob. Qhov no siv cov suab nthwv dej los tsim ib daim duab ntawm koj cov leeg ntshav ntawm lub computer. Qhov no tuaj yeem pab koj pom tseeb tias cov leeg ntshav twg puas lawm thiab nyob qhov twg. Qhov no yog kev kuaj mob yooj yim thiab tsis mob.
Cov kev kho mob rau CVI yog dab tsi?
Muaj ob peb lub hom phiaj tseem ceeb ntawm kev kho mob CVI:
- Txhim kho cov ntshav ncig hauv ob txhais ceg.
- Pab cov qhov txhab kho thiab tiv thaiv kom tsis txhob rov qab muaj dua.
- Txhim kho qhov tsos ntawm daim tawv nqaij.
- Txo qhov mob thiab o.
Cov txheej txheem kho mob muaj peev xwm muab faib ua ntau ntu tseem ceeb.
1. Kev Hloov Pauv Txoj Kev Ua Neej
Qhov no yog thawj kauj ruam thiab tseem ceeb tshaj plaws hauv kev kho mob.
- Nqa koj ob txhais ceg: Nqa koj ob txhais ceg kom siab tshaj koj lub plawv li 30 feeb, li peb zaug hauv ib hnub. Qhov no yuav txo qhov siab rau koj cov leeg ntshav.
- Kev Ua Si: Kev taug kev zoo heev. Thaum koj taug kev, cov leeg nqaij ntawm lub duav pab kom cov ntshav ntws mus rau hauv cov leeg. Qhov no kuj hu ua "lub plawv thib ob."
- Kev Tswj Qhov Hnyav: Thaum koj qhov hnyav ntawm koj lub cev nce ntxiv, yuav muaj kev nyuaj siab ntau ntxiv rau koj cov leeg. Nws yog ib qho tseem ceeb heev uas yuav tsum tswj qhov hnyav kom zoo rau koj qhov siab.
2. Kev Kho Mob Nrog Kev Nias
Qhov no yog ib feem tseem ceeb heev ntawm kev kho mob CVI. Nws yuav tsum hnav cov thom khwm nruj uas tsim tshwj xeeb (compression stockings). Cov thom khwm no nias rau sab nraud ntawm ob txhais ceg, pab txo cov ntshav sib sau ua ke thiab txav nws mus rau saum toj.
Muaj ntau hom thom khwm no. Qee hom yuav tsum tau daim ntawv yuav tshuaj. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum hnav hom uas koj tus kws kho mob pom zoo, thiab hnav raws li txoj kev raug.
3. Cov Tshuaj
- Cov tshuaj tua kab mob: Yog tias cov qhov txhab ntawm daim tawv nqaij kis tau kab mob bacteria, lawv yuav raug muab los kho lawv.
- Cov tshuaj tiv thaiv kev ntshav khov:Cov no raug pom zoo yog tias koj muaj mob zoo li DVT lossis muaj kev pheej hmoo.
- Khau looj Unna: Qhov no yog ib daim ntaub qhwv tshwj xeeb uas muaj cov tshuaj pleev rau nws. Nws pab cov qhov txhab kho thiab tseem muab kev nias rau ceg.
4. Kev kho mob tsis yog phais thiab phais mob
Yog tias kev hloov pauv hauv lub neej thiab kev kho mob nias tsis tswj tau qhov mob, tus kws kho mob yuav xav txog lwm yam kev kho mob.
| Txoj kev kho mob | Qhov tshwm sim tsuas yog |
|---|---|
| Kev kho mob sclerotherapy | Yuav muab ib yam kua tshwj xeeb los yog ua npuas dej txhaj rau hauv cov hlab ntsha uas puas lawm, ua rau cov hlab ntsha ntawd tsis ua haujlwm. |
| Kev rho tawm thermal endovenous | Cov hlab ntsha uas puas lawm raug kaw los ntawm sab hauv los ntawm cua sov siv cov teeb laser lossis cov nthwv dej xov tooj cua. |
| Kev phais hla cov hlab ntsha | Zoo li kev phais plawv bypass. Ib daim hlab ntsha noj qab haus huv raug coj los ntawm lwm qhov ntawm lub cev thiab tsim ib txoj kev tshiab rau cov ntshav hla cov hlab ntsha uas puas lawm. Qhov no tsuas yog ua rau cov mob hnyav heev xwb. |
Yuav ua li cas thiaj tiv thaiv tau CVI?
Qee zaum qhov mob no tsis tuaj yeem tiv thaiv tau tag nrho. Tab sis muaj qee yam koj tuaj yeem ua tau los txo qhov kev pheej hmoo:
- Tsis txhob haus luam yeeb.
- Tsis txhob nyob twj ywm tib qho chaw (sawv ntsug lossis zaum) ntev. Hloov chaw ntau zaus thiab taug kev ncig me ntsis.
- Tswj koj qhov hnyav kom noj qab nyob zoo.
- Ua si nawv tsis tu ncua.
- Txo kev noj ntsev thiab noj zaub mov zoo rau lub plawv.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog koj muaj cov tsos mob ntawm CVI lossis cov yam uas ua rau koj muaj feem yuav mob, nco ntsoov mus ntsib kws kho mob. Tshwj xeeb tshaj yog,
- Yog tias koj cov tsos mob tshiab los yog hnyav zuj zus.
- Yog tias cov thom khwm nruj uas tau muab rau koj tsis haum zoo (lawv yuav tsum tsis txhob ntswj, vim qhov no tuaj yeem ua rau cov ntshav ntws tsis zoo).
Xwm Ceev! Yog tias koj muaj cov tsos mob ntawm pulmonary embolism (ntshav txhaws hauv lub ntsws), teeb meem ntawm DVT, xws li mob hauv siab tam sim ntawd, ua pa nyuaj, lossis lub plawv dhia ceev , mus rau chav kho mob ceev hauv tsev kho mob (ETU) ze tshaj plaws tam sim ntawd. Qhov no yog xwm ceev uas txaus ntshai rau lub neej.
Tej zaum cov teeb meem ntawm cov leeg ntshav tsis yog ib qho teeb meem zoo nkauj xwb. CVI yog ib yam kab mob uas zuj zus tuaj yeem cuam tshuam rau koj lub neej. Yog li ntawd, los ntawm kev tau txais cov lus qhia kho mob kom raug thiab ua raws li kev kho mob kom raug, koj tuaj yeem tswj tau qhov mob no zoo thiab ua neej nyob kaj siab lug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob Venous Insufficiency (CVI) yog ib qho mob uas cov ntshav tsis ntws mus rau lub plawv kom zoo thiab sib sau ua ke hauv ob txhais ceg vim yog qhov tsis muaj zog ntawm cov hlab ntsha hauv cov leeg ntawm ob txhais ceg.
- Cov tsos mob tseem ceeb suav nrog o ntawm ceg, mob, hnyav, tawv nqaij hloov xim, thiab cov qhov txhab uas tsis kho.
- Kev hloov pauv hauv lub neej (tsa koj ob txhais ceg, tawm dag zog, txo qhov hnyav) yog ib feem tseem ceeb ntawm kev kho mob.
- Hnav cov thom khwm nruj uas tus kws kho mob tau sau tseg yuav tswj tau cov tsos mob tau zoo heev.
- Yog koj muaj cov tsos mob lossis qhov mob hnyav zuj zus, mus ntsib koj tus kws kho mob tam sim ntawd. Tsis txhob kho koj tus kheej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus