I-Phlebology iyinhlangano yomsebenzi wokuhlinzeka ngamathambo, okubhekene nokuphathwa kwezifo zemithanjeni yemigqa engezansi. Umbuzo, i-phlebologist - ukuthi ungubani, unesithakazelo kulabo abanenkinga kule ndawo, engaphansi kokuqedwa ngokushesha ukuze kugweme ukucindezeleka nokulimala kwenhlalakahle.
I-phlebologist - ngubani lo futhi yini ephilisa?
Mayelana naloluchwepheshe, abaningi bafunda, kuphela lapho behlangene nezifo zemithanjeni yemigqa engezansi. I-phlebologist ingcweti eqhuba ucwaningo, ehlonza isifo futhi ebeka ukwelashwa okufanelekile kwecala ngalinye. Izifo ezithinta udokotela zikhula kakhulu eminyakeni yamuva, ngakho-ke kubalulekile hhayi nje ukufuna usizo ngesikhathi, kodwa futhi ukwazi ngezinyathelo zokuvimbela.
Ubani udokotela we-phlebologist, wenzani?
Uma ucabangela ngokuningiliziwe, lokho okushiwo yi-phlebologist, umuntu kufanele aqale aqonde ukucaciswa nokuma. I-phlebologist ingumhlinzeki ohlinzayo we-vascular, okungukuthi, isazi esikhwameni esincane esithinta kuphela imifudlana yemigqa ephansi. Ububanzi bakhe bomsebenzi kubandakanya ukuhlola isiguli ukukhomba isifo esihlobene nephrofayli yakhe kanye nokwelashwa okuqhubekayo. Uma ucabangela ukuxilongwa ngokucophelela, ukuthi yini i-phlebologist eyenzayo ukuthola lesi sifo, iqukethe izindlela eziningana:
- I-ultrasonic angioscanning yemithanjeni. Lena indlela elula edingekayo kuphela ukuthola ama-clots egazi emikhunjini emikhulu.
- I-ultrasonic dopplerography ye-veous blood flow and veins. Inguqulo ephuthumayo ye-ultrasound yemithanjeni isiza ukucacisa isimo sezitsha kuphela, kodwa futhi nokuthi baningi kangakanani ukugeleza kwegazi.
- I-Flabonometry. Ukusebenzisa le ndlela, ukucindezelwa kwegazi kulinganiselwe ezindongeni zemvelo ezindaweni ezahlukene. Le ndlela isisiza ochwepheshe ukuba bakhethe ngendlela efanele ukuphathwa kokuhlinzwa.
- I-Phleboscintigraphy. Kulesi simo, izindlela zethula ama-radionuclides aphephile egazini, futhi ukukhanya kwazo kubonakala. Lokhu kusiza ukucacisa isimo se-microcirculation, ukutholakala kwamacwecwe nokukhanyisa emithanjeni.
- Ukuskena kwe-Duplex yemithanjeni. Lena yindlela efundisa kunazo zonke izifo ezitholakalayo futhi isimo se-valve, imikhumbi kanye nekhwalithi yegazi ukugeleza kuzo.
- I-Venography. Ukuqhuba i-phlebography, umehluko ufakwa egazini kanye ne-X-ray. Le ndlela ibonisa ukuqina nokunciphisa izindonga ezinamafutha.
Uthini i-phlebologist?
Uhlu lwezifo oluwela esigabeni, olubandakanyeka ku-phlebology, lubanzi. I-Phlebologist - ngubani lo, esizicabangile, kodwa kukhona nodokotela ohlinzayo we-vascular - nguyena osebenzelana nokwelashwa kwezinkinga ezinjalo emithanjeni yemilenze engaphansi:
- ukungabi namandla okwehla , okunesimo esingapheli;
- i-thrombophlebitis ;
- i-phlebitis;
- i-varicose veins;
- izinhlobo ezinzima ze-thrombosis ye-vein;
- izilonda ze-trophic zendawo ehluke kakhulu;
- ukuphuma kwegazi;
- "Indlovu" yemilenze (lymphaden);
- isifo sokuthutha;
- intradermal varicose veins (dilations ezincane, ama-asterisks nama-meshes anezinyosi);
- i-thromboembolism yomshini we-pulmonary .
Lapho uxhumane ne-phlebologist?
I-phlebologist izosiza ngokukhubazeka okuthile enhlalakahle ukuze kuqondwe imvelo yabo futhi ibeke ukwelashwa okuphelele uma ikheli lesiguli lisekhelini. Ukwazi i-phlebologist - ukuthi ungubani nokuthi yiziphi izifo ezithintayo, ngezimpawu ezichazwe ngezansi, ungakwazi ngaphandle kokungabaza ukwenza i-aphoyintimenti nalesi sikhungo.
- izigqoko ezitholakala emini emiphandleni engezansi;
- Imilenze emnyama ivela emilenzeni;
- uma kunezinetha zamascular kanye nama-asterisks;
- ukukhukhuma, ukukhathala, ukukhululeka emilenzeni kanye nokukhathazeka;
- Uma ngabe izicubu ezingaphansi kwegazi zihlanganisiwe ngokucacile;
- Amanothi abonakalayo kanye nesandiso esiyingozi emilenzeni;
- ukuzwa okungavamile kokufudumala emisipha yemilenze ngemva kokuzikhandla okuncane ngokomzimba noma emva kokushintsha kokuma.
Kunesigaba sabantu ababoniswa ukuvakashela le dokotela ngisho nangaphandle kokuba khona kwezimpawu ezibalwe ngenhla, ukuze kuvikelwe futhi kubonakale izinkinga zemifino embusweni wabo wobumnyama.
- uma emndenini othile wayenezifo ezinamafutha;
- phambi kwesisindo esiningi;
- abathandi bokudla okunamafutha nezinongo;
- ukukhulelwa (2-3 trimester);
- labo abavame ukucindezeleka ngokomzimba;
- labo abahola impilo yokuphila;
- abantu asebekhulile abangahambisani ngokwanele;
- ukuphuza ngokweqile nokunye imikhuba emibi.
Ukuqashwa kuka-phlebologist kanjani?
Abaningi abaya ukuzobona lo dokotela okokuqala banesithakazelo sokuthi umhlinzeki wezinambuzane othole isisindo uyayithola kanjani. Into yokuqala okuzoqala ngayo iqoqo ulwazi oluningiliziwe mayelana nesiguli ne-anamnesis. Ukuze wenze lokhu, udinga ukukhumbula ulwazi oluningi futhi uphendule kangcono ukuze ungaphuthelwa noma yini ekwamukelwa.
- Isibonakaliso sokuqala sabonakala nini futhi kanjani, bazibonakalisa kanjani futhi ngaphansi kweziphi izimo?
- Yiziphi izici ezithonya izimpawu kahle noma ezingalungile?
- Wenzani isiguli, ingabe wayesebenzisa imithi?
Ukuhlolwa kwenziwa kanjani ngudokotela ohlinzayo?
I-phlebologist futhi yiyiphi isiphepho esinamandla, sasixoxa ngakho, kodwa kuyoba usizo ukuthola umbono wokuthi uhlolo luqhutshwa kanjani yi-phlebologist ukuze alungiselele ngokomzimba nangokwemvelo. Kunconywa ukuba uthathe izivivinyo nokuhlolwa okudingekayo ngaphambi kokuba uthathe, ukuze ukwamukela i-phlebologist kunganikeza izimpendulo eziphelele kakhulu kumbuzo, kuhlanganise nokuxilongwa:
- isikhathi esithathiwe se-thromboplastin (APTT);
- ukuhlola kwesikhathi se-prothrombin;
- isimo sengqondo somhlaba jikelele (INR);
- Inkomba yeprothrombin (PTI);
- i-fibrinogen.
Ngenxa yokuthi uchwepheshe uzokwenza ukuhlolwa kwangaphandle (ngokomzimba), udinga ukuyilungiselela kahle, ikakhulukazi ohlelweni lokuhlanzeka: ugeza noma ugeze, ubeke izingubo zangaphansi ezihlanzekile nezingubo zokugqoka, ubeke izinyawo zakho ngendlela efanele. Lokhu kuzokusiza ukugwema imizwa yokuhlazeka noma ukuhlazeka futhi ngeke kubangele imizwa engafanele kudokotela oqhuba lo mbuzo.
Yimiphi imisebenzi eyenziwa udokotela ohlinzayo?
Lapho isiguli siwohloka, lapho ukwelapha izidakamizwa kungenamandla, i-phlebologist yokuhlinza izidakamizwa yenza izinyathelo zokwelapha. Lokhu akuyona njalo imisebenzi ejwayelekile, kodwa izindlela ezinomusa:
- Ukuqothulwa kwama-radiofrequency / ablation (RFO). Ngalendlela, i-electrode ekhethekile ikhathazwa ngesitsha esivela ngaphakathi, esiza ukuqeda i-pathologies.
- Sclerotherapy. Yethula isidakamizwa esikhethekile esibhekene nezidakamizwa, esiza ukukhipha amanetha amancane amavulumu.
- Ukwelashwa kwe-Laser (i-EVLK - i-laser coagulation engapheliyo emithanjeni yemiphetho engezansi). Le ndlela ihilela ukukhishwa kwe-vein nokusungulwa kwe-laser, okusiza ukuqeda ukubunjwa okubuhlungu.
- I-phlebectomy yendabuko. Lokhu ukususwa kwemithanjeni kanye ne-tributaries ngokusebenzisa izinhlamvu.
Iseluleko se-phlebologist
Iseluleko esinikezwa yi-phlebologist ngeke kusize kuphela ukwelashwa kwezifo, kodwa futhi ukuvimbela ukubukeka kwabo. Izinyathelo ezivimbelayo, ikakhulukazi eqenjini eliyingozi, kuyimfuneko ebalulekile yokulondoloza impilo ye-vascular, kulokhu, emithanjeni yamalungu angaphansi. Lapho kukhona izifo, izeluleko ezinjalo zizosiza ukuthi kungabi ngcono isimo futhi kuthathe izinyathelo zokugqugquzela ukuphumula okusheshayo.
I-phlebologist yamasu emilanjeni ye-varicose
Kulabo abanemivimbo ye-varicose, izincomo ze-phlebologist ye-varicose zingasiza ekunciphiseni isimo futhi ziphuthumise inqubo yokutakula.
- Ukude kakhulu ukuma kuyingozi kakhulu, ngakho uma kungekho enye indlela yokuphuma, kufanele uzame ukuhamba nxazonke njalo imizuzu engu-30.
- Ukuhlaziya izinyawo ngezikhathi ezithile kuzokusiza ukuthuthukisa ukuphuma.
- Lapho uhlezi, imilenze kumele ibekwe egqumeni lika-15-20 cm futhi akufanele kube khona ukuphonsa inyawo ngezinyawo.
- Kuwusizo ukuhlela ishaja sokuphambene nemikhumbi, okwenza kube nokuqinisa.
- Izinwele ezinezithende eziphakeme, ezincane futhi ezingakhululekile, zingumngane omkhulu we-varicose veins.
- Uma unesisindo esiningi, kuzomele uzame ukukuqeda, ukuze unciphise umthwalo owandayo emilenzeni yakho.
- Kumele ugcine ibhalansi yamanzi ukugwema ukuqina kwegazi.
- Kudingeka udle ukuze ugweme ukuqothulwa, okwenza kube khona imivimbo ye-varicose.
- Ukusebenzisa ngokweqile utshwala nokubhema kubangelwa ukuvela kwamagciwane e-varicose.
Amathiphu we-phlebologist we-thrombophlebitis
Izincomo ze-phlebologist zesifo ezifana ne-thrombophlebitis, zifana nesimo se-varicose veins, ngakho-ke iseluleko sizonciphisa ekusebenziseni izivivinyo kanye nezincomo ezifaka isandla ekuvimbeleni lesi sifo.
- Ukuzivocavoca "birch" kuyisivikelo esihle kakhulu, ngakho-ke kunconywa ukwenza njalo.
- Ngokuzikhukhumeza okuvamile kwezingxenye eziphansi, kunconywa ukuba ufake i-roller ebusuku ngaphansi kwezinyawo.
- Ukuzivocavoca umzimba kuthuthukisa ukujikeleza kwegazi futhi kwandise ukuqina kwemisipha, imigqa nemithambo yegazi.
- Nganoma yisiphi isikhathi esikahle, kunconywa ukuba wenze ukuzungeza kwesikhombisa ngokuma endaweni ephikisana ne-clockwise.
Ukuthola imivimbo - iseluleko se-phlebologist
Kuthatha isikhathi esiningi ukubuyisela imithanjeni, kodwa konke kungenzeka uma usondela kule nkinga ngendlela ephelele. Kungenzeka futhi kuyadingeka ukusebenzisa iseluleko esihle kakhulu se-venotonic - iseluleko se-phlebologist kuleli cala sincishiselwe ohlwini lwezindlela zokwelapha ezisetshenziswayo kokubili ukwelashwa nokuvimbela.
- Escuzan;
- I-Detraleks ;
- I-Angionorm;
- I-Venoruton;
- I-Glivenol;
- I-Dopellerts;
- Shungite;
- I-Ginkor Fort;
- I-Troxevasin;
- I-Antistak;
- I-Venolek;
- Eszin.