Lymphatic extremity edema: kev kho mob

Nrog lub o ntawm caj npab thiab ob txhais ceg tsawg kawg ib zaug nyob rau hauv nws lub neej nws ntsib txhua tus neeg. Ntev li ib ce muaj zog, tsis xis nyob los yog khau tshiab - tag nrho cov uas yuav ua tau kom ib ntus "o" ntawm lub nqua. Feem ntau, cov tsos mob no tsis kav ntev tshaj li 12 teev. Lwm yam, yog hais tias tus ob txhais ceg yog tas li nyob rau hauv lub o lub xeev. Nyob rau hauv cov ntaub ntawv no, nws yog ib lo lus nug ntawm pathological qog edema - lymphostasis.

Yuav ua li cas yog kev mob nkees

Lymphostasis hu ua surplus kua uas accumulates nyob rau hauv cov ntaub so ntswg thiab cov subcutaneous cov ntaub so ntswg yog tsis tso tawm nyob rau hauv lub qub hom (yog tsis muaj outflow). O muaj peev xwm tshwm sim ob leeg rau lub sab sauv thiab sab extremities, tab sis nws yog feem ntau yuav raug kev txom nyem ko taw.

Limfostazom ntog mus rau hauv cov qeb ntawm hnyav smoldering kab mob. Cuaj kaum, qhov no tsis txhais hais tias cov tsos ntawm edema, nws yuav tsum tau kav liam. Yog hais tias koj yog cuam tshuam los ntawm lymphatic hlab ntsha , nws yuav ua rau tsawg heev raug mob rau lub cev, tab sis nyob rau hauv cov ntaub ntawv ntawm cov teeb meem nyob rau hauv lub loj ntaub ducts yuav deformed. Nyob rau hauv loj heev zaum, cov kws kho mob kuaj tus neeg mob muaj limfodemu (tus mob no yuav tsum tau ntau kev kho mob).

Lymphatic o ntawm lub caj npab yog heev tsawg, thiab feem ntau nws muaj feem xyuam rau kev ncaj ncees nrog txiv neej pw thaum lub hnub nyoog ntawm 35 xyoo.

yog vim li cas

Feem ntau cov feem ntau lymphostasis npaj tiv thaiv lub keeb kwm ntawm varicose leeg, thrombophlebitis, thrombosis thiab venous ulcers. Tsis tas li ntawd, cov pathology yog kuaj nyob rau hauv cov neeg laus thiab cov neeg uas tau ua ib tug tsaug zog, sedentary txoj kev ua neej. Lymph edema ntawm ob txhais ceg muaj ntau nyob rau hauv cov neeg uas muaj kev tsis taus. Nqi yuav ua rau tus kab mob no pw so thiab lub plawv mob.

Nyob rau hauv tas li ntawd, cov neeg no yuav raug kev txom nyem los ntawm:

• congenital tsis muaj peev xwm ntawm lymphatic hlab ntsha;
• qog nqaij hlav;
• lub plawv tsis ua hauj lwm;
• kev raug mob thiab kub yus ntawm lub Upper thiab qis extremities;
• mob venous insufficiency hom;
• arterial thiab venous fistula;
• streptococcal txhab;
• o ntawm daim tawv nqaij ntawm ob txhais tes thiab ob txhais taw;
• loj lub raum pathologies;
• kev cuam tshuam ntawm cov endocrine system.

Nyob rau hauv tas li ntawd, lymphatic povtseg edema yuav tsim vim tawg txoj kev kho zaug.

Limfostazom ob txhais tes feem ntau pom tom qab phais. Tus kab mob no tshwm sim feem ntau nyob rau hauv cov poj niam uas muaj undergone phais kom tshem tawm ib feem ntawm lub pectoral leeg.

Cov tsos mob thiab theem ntawm kev loj hlob

Muaj 3 degrees ntawm manifestation limfstaza:

1. Reversible txawj o (limfederma). Qhov no yog ib qho yooj yim theem ntawm tus kab mob, uas manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov kev o ntawm ob txhais ceg nyob rau hauv lub yav tsaus ntuj. Raws li txoj cai, tag nrho cov tsos mob ploj tom qab ib hmo so. O ntawm no hom yog zoo cim thiab feem ntau tshwm sim tom qab hnyav lub cev tom nyob rau nqua. O chaw yooj yim palpated. Thaum thawj zaug rau theem ntawm txoj kev loj hlob ntawm tus kab mob yog kho los ntawm conservative txoj kev thiab tsis pheev ntsoog loj heev los ntawm lub cev.
2. Irreversible txawj o (fibriderma). Rau hauv nruab nrab theem lymphostasis yus hardening ntawm daim tawv nqaij. Qhov no yog vim txoj kev loj hlob ntawm connective cov ntaub so ntswg. Tej o kom meej meej pom mus rau tus liab qab qhov muag. Lawv yog cov heev nyuaj, thaum koj nyem rau ntawm cov kub lug cheeb tsam tus neeg mob hnov mob heev vim nruj daim tawv nqaij. O ntawm no hom yog pom tias yuav tau khiav. Nws tsis mus tam sim ntawd nrog so. Vim vascular congestion bodices pib los tsim tshiab cov tsos mob - tu-sauv thiab qaug zog cov limb.
3. Irreversible edema (elephantiasis). Qhov no yuav tsis nyob ntev yog lub feem ntau nyuaj lymphostasis. Vim tus muaj zog cov ntaub so ntswg kev puas tsuaj deformed povtseg, cev ntas thiab nws yuav luag tsis txawj. Lymphatic kua yog kiag li lawm. Nyob rau hauv mob ntaub so ntswg tshwm foci ntawm fibrocystic lesion. Elephantiasis yog tsis kho tau thiab nyob rau hauv tej rooj plaub neeg tuag taus.

Koj lymphostasis txaus ntshai

Tus sawv ntawm tus kab mob yog tsis kis. Txawm li cas los, yuav tsum paub hais tias lymphoedema muaj feem xyuam rau qhov zoo ntawm lub neej ntawm tus neeg mob. Cov cov povtseg yog heev mob, coma hais tias, tiv thaiv lub keeb kwm ntawm tus kab mob tsim kab mob. Yog hais tias daim tawv nqaij nyob rau hauv lub o ceg tawg ntho, ces los ntawm ib tug mob nyob rau hauv lub cev muaj peev xwm txeem yus cov kab mob uas ua rau ib tug tag nrho "pob paj" tshiab cov kab mob.

Thaum lub protracted edema xav tau sai li sai tau mus xyuas tus kws kho mob.

diagnostics

Tus thawj kws kho mob tshuaj xyuas ib povtseg nrog lymphoedema thiab txiav txim rau theem ntawm tus kab mob loj hlob. Tom qab uas yog muab ib tug xov tooj ntawm diagnostic kev ntsuas uas yuav ntau kom meej seb puas raws li ntawm cov ntaub so ntswg kev puas tsuaj, o, txhab thiab tau teeb meem:

• zis thiab ntshav;
• leeg PP;
• ultrasound;
• lymphography.

Nyob rau hauv tej rooj plaub, ib tug CT luam theej duab los yog MRI. Raws li cov ntaub ntawv tus kws kho mob appoints lub chav kawm ntawm kev kho mob ntawm cov tshuaj thiab cov txheej txheem.

Lymphatic edema: kev kho mob

Nyob rau hauv thiaj li yuav kho tau tus kab mob, nws yog tsim nyog kom zoo rau cov outflow ntawm cov qog ntawm lub nqua. Feem ntau cov feem ntau, o muab tshem tawm uas tsis yog-phais txoj kev, los ntawm compression txoj kev kho, massage thiab tshuaj. Thaum ntau tshaj theem yuav tsum tau phais - reconstruction ntawm lub qog ib ntsuj av.

Txawm li cas los ntawm cov neeg ntawm tus kab mob ntawm tus neeg mob yuav tsum tsis tu ncua mus saib angiohirurga thiab lub sij hawm los kho mob raum, lub plawv thiab cov leeg.

npaj

Los ntawm cov qog edema ob txhais ceg, muaj ntau ntau yam sib txawv kev kho mob preparations, uas yuav ua tau tag nrho ob qho txhoj puab heev thiab ntau conservative. Yuav kom restore lub qub qog kev, txo lub permeability ntawm cov hlab ntsha thiab ua rau kom lawv ua yooj yim, nws yuav tsum tau mus coj cov nram qab no cov ntsiav tshuaj:

• "Troxevasin" thiab "Detraleks" - yog phlebotropic txhais tau tias stimulating lub outflow ntawm tshaj kua los ntawm cov ntshav thiab cov nqaij mos.

• "Wobenzym" thiab "Flobenzim" - yuav mus rau hauv qeb ntawm enzyme tshuaj uas ua rau kom kev tiv thaiv thiab txo cov o.
• "Coumarin" - ib tug benzopyrone, thiaj li o thiab ntshav thinner.
• "Limfomiazot" - homeopathic tshuaj, txo cov outflow ntawm kua. Tsis tas li ntawd, thaum nws tau txais ceev tshem tawm ntawm toxins los ntawm cov ntshav. Qhov no tshuaj yog lub feem ntau harmless. Nws tsis ntshai abtsi yuav npaum li cas rau cov kev kho mob ntawm lymphatic edema ob txhais ceg neeg laus thiab cov poj niam xeeb tub.

Nyob rau hauv tas li ntawd mus rau cov yeeb tshuaj, kws kho mob muab cov tshuaj diuretics, antiaggregants thiab immunomodulators. Tsis txhob yuav amiss yuav tau noj vitamin complexes (P, PP thiab E), uas txo vascular permeability.

Cov kws kho mob yog tsis tiv thaiv cov neeg tau nyiaj los ntawm o nyob rau hauv cov kev tshwm sim hais tias lawv yuav tsum tau noj nyob rau hauv nrog cov npaj cov hoob kawm ntawm kev kho mob.

ethnoscience

Nyob rau hauv thiaj li yuav tshem tawm cov qog edema nyob rau hauv lub tsev, koj yuav npaj tau yooj yim broths thiab thov compresses. Ntawm no yog ob peb zoo cov zaub mov txawv:

• Poultice ntawm zib ntab thiab dos. Mus ua noj nws koj yuav tsum tsuav ib dos thiab ntxiv mus rau lub resulting loj yog 1 diav ntawm ib. Tom qab hais tias, lub sib tov yog poured ib tug me ntsis zib ntab. Xws li ib tug Hlob yog tsim nyog los kom nyob rau hmo ntuj.
• Honey thiab qej tincture. Rau nws cov kev npaj yog tsim nyog los zom 250 grams ntawm qej. Tom qab ntawd lub tau loj yog tov nrog 300 ml ntawm cov kua zib ntab thiab infused rau hauv ib lub txias qhov chaw tsaus rau 7 hnub. Siv Txoj kev lis ntshav mus ib zaug ib hnub twg ua ntej noj mov rau 1 diav. Hoob no ntawm kev kho mob - 2 lub hlis.
• Decoction ntawm plantain. Mus ua noj nws koj yuav tsum ua 1 me nyuam diav ntawm tshuaj ntsuab khob ntawm boiling dej. Hoob no ntawm kev kho mob - 2 lub hlis. Siv ib tug decoction ntawm 70 ml txhua txhua hnub ua ntej noj mov.
• Muaj koob muaj npe jelly. Los ntawm no tej yam ntuj tso khoom yuav ua compresses los yog haus dej haus nws nyob rau hauv nws cov ntshiab daim ntawv. Thaum tov nyob rau hauv vaj huam sib proportions, muaj koob muaj npe jelly thiab zib ntab, nws yuav ntxiv dag zog rau cov hauj lwm zoo ntawm cov txhais tau tias.

Yog hais tias ob txhais ceg tas li o nyob rau hauv lub yav tsaus ntuj, nws yog pom zoo kom ua lub da dej nrog ib tug hlua. 6 dia qhuav nyom no ntxiv rau cov 2-3 litres ntawm boiling dej. Tom qab ntawd koj yuav tsum tau tos kom txog thaum lub kua tau txias me ntsis, thiab ib tug series ntawm swells. Thaum cov dej kub me ntsis txo, nws yog tsim nyog los txo cov o ko taw da dej rau 20 feeb. Ua xws txheej txheem yuav tsum muaj 3 lub sij hawm ib hnub twg, tab sis tsis muaj ntau tshaj li 3 lub lis piam.

physiotherapy

Nyob rau hauv tas li ntawd mus lam tshuaj thiab cov tshuaj tshuaj los ntawm cov qog edema zoo pab physiotherapy cov txheej txheem, uas muaj xws li:

• massages;
• compression ntaub nplaum;
• ib ce muaj zog txoj kev kho.

Massage kho mob - qhov no yog ib tug ntawm qhov zoo tshaj txoj kev uas yuav tau tshem ntawm tsis kaj siab ncus. Yuav kom ua tau txoj kev ua no yog tsis tsim nyog mus xyuas txoj kev zoo nkauj los yog kev kho mob chaw zov me nyuam. Tshem tawm me ntsis o thiab yuav ua tau nyob rau hauv tsev. Ua li no, rhythmically massaging ntawm daim tawv nqaij o cheeb tsam. Taw yuav tsum yuav tus, tsis ntau tshaj 12 tus cwj nrag ib feeb. Ua massage yog feem ntau tsis pom zoo. Ntawm cov hoob kawm uas koj xav tau rau zaws yog tsis ntau tshaj li 1 teev ib hnub twg.

Tab sis tsis tau muab kev koom tes nyob rau hauv nws tus kheej-medicate vim hais tias tej tsis kaj siab tsos mob yuav ua tau tej yam tshwm sim ntawm loj cov kab mob. Yog li ntawd koj yuav tsum tham nrog koj tus kws kho mob thiab hais seb tus pathology yog txaus ntshai.