Venous Ulcer Iropa Chimbo Chinhu

Chironda chakaipa chinenge chirema chisina kudzika chinowedzera pamakumbo apasi apo mitsipa yegumbo inokundikana kudzosera ropa zvakare kumwoyo kazhinji - mamiriro ezvinhu anozivikanwa sekushaya simba. Vanonziwo varicose ulcer kana stasis leg leg.

Zvinotaridzika

Chiratidzo chekutanga chechironda chinopisa chinzvimbo chechivara chine ruvara rwepepuru kana ruvara rwepepuru, iyo inogonawo kuva yakasvibiswa, yakaoma, uye inopisa.

Pasina kurapwa, maronda akazaruka kana chironda chinogona kuumba. Ronda racho rinogona kurwadza.

Chimwe chezviratidzo zvokutanga kuti chironda chinouraya chinogona kuumba ndechokuti iwe unogona kugona mutsvuku kana kurwadziwa mumakumbo, kupfugama kunopera nekukwirira, kucheneswa kweganda rakapoteredza, uye varicose veins .

Zvinokonzera

Kuwanda kwehutachiona hwevangous muUnited States inenge 1 muzana. Zvironda zvepenzi zvinowanzoonekwa kune vakadzi nevakuru. Zvinonyanya kukonzera ngozi ndezvokukwegura, kusuruvara, kukuvara kwemakumbo akapfuura, kuputika kweputika , uye kupisa mvere.

Dambudziko rekudzivirira hutachiona hwemhuka hunowedzera nekuvapo kwehutano hwekuvhara ropa , pamuviri, kuneta, nhoroondo yemhuri yevaricose mitsipa, kusvuta, kudhakwa zvinodhaka, kusadya zvakashata, kana nguva yakareba yekusagadzikana kana kumira. Kuwedzera kwengozi kunogonawo kuitika semugumisiro wekuita kwekushanda kwemitambo. Chimwe chikonzero chinokonzerwa ndechokuti kana mhuru yemhuru isingabatsiri pakutsvaira sezvo ichiita basa rinokosha pakupararira ropa kubva muzasi yemuviri kusvika kumwoyo.

Kurapa

Kurapa chironda chinouraya kunoda kushandiswa nenzira dzakasiyana-siyana kunatsiridza kupararira. Pakutanga, kurapwa kunogona kusanganisira kudzvinyirira uye kurasira makumbo ako.

Compression therapy ndiyo inoratidzira kurapa zvipembenene zvevirous, sezvinopupurirwa neshoko rekuongorora reCochrane ra2009 rakawana zvipembenene zvevangous zvinoporesa nekukurumidza kuperesa nekodzero yekutengesa kupfuura kunze.

Izvi zvingave nokuti kukanganisa kupera kunoderedza kuzvimba, kunovandudza reflux yemavhu, uye kunoderedza marwadzo. Kubudirira kwehuwandu kunotangira kubva pa30 kusvika ku60 muzana mushure memasvondo makumi maviri nemasere, uye 70 kusvika ku 85 muzana mushure megore rimwe, maererano neAmerican Journal of Medicine study.

Mushure mokunge chironda chaporeswa, kushandiswa kwehupenyu kwenguva dzose kwekodzero yekurapa kunogona kuderedza dambudziko rekudzoka zvakare. Panewo humwe uchapupu hwokuti kushingaira kunogona kubatsirawo kudzivirira zvipembenene zvevirous kubva pakuitika; kunyanya kana inoshandiswa muchero nekodzero yekurapa.

Izvo pamusoro apa zvinogona kubatsira kudzivirira chirwere kuti chirege kuitika, asi kana chave chagadzira mishonga inogona kudiwa. Aspirin dzimwe nguva inoshandiswa sechirapa; asi uchapupu hwokuti hunoshanda hwakashata, maererano neshoko rekuongorora re2012 Cochrane. Imwe mishonga yemishonga ndiyo Trental (Pentoxifylline), kazhinji 400mg katatu zuva nezuva. Iyi platelet aggregation inhibitor inoderedza ropa inonzi viscosity, iyo inovandudza microcirculation. Yakave yakaratidzwa kuti inoshanda zvakajeka pakurapa kwezvipembenene zvevirous paunowedzerwa kuomanikidziro hwehutano.

Zvisinei, kana zvironda zvevhunye zvichitapukirwa kana kurwisa kuporesa kwenguva yakareba kudarika mwedzi mitanhatu, zvirwere zvinotyisa zvakadai sekubvisa mhuka uye bhakitiriya mutoro kuburikidza nehudhirodhi, kuvhidzira kuderedza reous reflux uye kudzivirira kusuruvara kwechirwere, uye kubatanidza ganda kunogona kudiwa.

Sources

Collins L, Seraj S. Kuziva uye kurapwa kwezvironda zvevirus. Ndiye Chiremba weNzara. 2010 Apr 15; 81 (8): 989-96.

de Oliveira Carvalho PE, Magolbo NG, De Aquino RF, Weller CD. Oral aspirin yekurapa mheto yemakumbo yemakumbo. Cochrane Database Syst Rev. 2016 Feb 18; 2: CD009432. [Epub mberi kwekudhinda].

Margolis DJ, Berlin JA, Strom BL. Ndeapi mavanga emakumbo anokonzera maperembudzi achaporesa nhengo dzekudzivirira mabhandeji? Am J Med . 2000; 109 (1): 15-19.

Nelson EA, Adderley U. Chikwata chegumbo chinokonzera. BMJ Clin Evid. 2016.

O'Meara S, Cullum NA, Nelson EA. Kunyunyisa kwemakumbo emakumbo emakumbo. Cochrane Database Syst Rev. 2009; (1): CD000265.