Isilonda esisinyameko sisilonda esingafihlayo esiya emlenzeni ongezantsi xa umlenze wemilenze wehluleka ukubuyisela igazi kwakhona entliziyweni ngokuqhelekileyo - imeko eyaziwa ngokuba yinto engenakuthola. Babizwa nangokuthi varicose ulcer okanye stasis leg leg.
Oko Kubukeka Kwenzeka
Isibonakaliso sokuqala sesilonda esisinyameni siyinxalenye yesikhumba somnyama obomvu okanye obomvu, esinokuthi sinamathele, somile kwaye sinyame.
Ngaphandle kwonyango, isilonda esivulekile okanye isilonda singenza. Inxeba ingaba buhlungu.
Esinye sezibonakaliso zokuqala ukuba isilonda esisinyameni sinokuthi senze ukuba unokuba nobuthakathaka buhlungu okanye intlungu emilenzeni, ukuvuvukala okuphazamisa ukuphakama, ukuguquka kwe-skin ejikelezileyo, kunye nemivilini ye-varicose .
Izizathu
Ubuninzi bezilonda ezinobulunga eUnited States bu malunga neepesenti eziyi-1. Izilonda ezinomdla ziqhelekileyo kubasetyhini nabantu abadala. Izinto ezisemngciphekweni yimiba emdala, ukukhuluphala, ukulimala kwangaphambili komlenze, ukunyamezeka kweembandezelo ezinzulu , kunye neemvini ezivuthayo.
Ingozi yokuvelisa izilonda zamathambo zonyuka ngenxa yobunzima bokuqhawula igazi , ukukhulelwa, ukukhuluphala, ukunyamezela, imbali yentsapho yemilenze ye-varicose, ukutshaya, ukusetyenziswa kakhulu kotywala, ukungondleki kakuhle, okanye ixesha elide lokungasebenzi okanye ukuma. Umngcipheko okhulayo ungase ube khona ngenxa yenkqubo yokusebenza ngokutsha. Esinye isizathu esinokwenzeka kukuba i-muscle ye-calf ayinakusebenza ekupompozeni kuba idlala indima ebalulekileyo ekujikelezeni igazi ukusuka kwisiqingatha esingaphantsi komzimba ebuyela entliziyweni.
Unyango
Ukunyanga isilonda esisinyama sidinga ukusebenzisa iindlela ezahlukeneyo ukuphucula umjikelezo. Ekuqaleni, unyango lunokubandakanya unyango lwexinzelelo kunye nokuphakamisa imilenze yakho.
Ulwaphulo lokunyanzeliswa ngumgangatho wokuphatha izilonda ezinobuthi, njengoko kuboniswe ngongoma wokuhlaziywa kwe-Cochrane ka-2009 owafumana izilonda ezinobulunga ziphilisa ngokukhawuleza kunye neyeza lokunyanzelisa ngaphandle kokungabikho.
Oku kungenxa yokuba unyango lwexinzelelo luyanciphisa ukuvuvukala, luphucula i-reflux ye-venous, kwaye lunciphisa intlungu. Amanani okuphumelela avela kuma-30 ukuya kuma-60 ekhulwini emva kweeveki ezingama-24, kunye nama-70 ukuya kuma-85 ekhulwini emva komnyaka owodwa, ngokwe- American Journal of Medicine study.
Emva kokuba isilonda siphilise, ukugcinwa kwexesha lonke loxinzelelo lwe-compress kunokunciphisa umngcipheko wokuphindaphinda. Kukho ubungqina bokuthi ukukhutheka kunokunceda ukunqanda izilonda ezinobungozi ezivela kuyo; ngokukodwa xa isetyenziswe ngongoma kunye neyeza lokunyanzelisa.
Oku ngasentla kunokunceda ukukhusela isilonda ukuba singenzeki, kodwa ukuba sele seyilwe imithi ingafuneka. I-Aspirin ngamanye amaxesha isetyenziswa njengonyango; kodwa ubungqina bokuba lusebenza kakuhle, ngokubhekiselele kwinqaku lokuhlaziywa kwe-2016 Cochrane. Olunye ukhetho lwezobisi luseTrental (i-Pentoxifylline), ngokuqhelekileyo i-400mg kathathu imihla ngemihla. Le iplatelet aggregation inhibitor iyanciphisa i-viscosity yegazi, ephucula i-microcirculation. Kuye kwaboniswa ukuba yonyango efanelekileyo yokuncedisa izilonda zamangwane xa zongezwa kwi-compression therapy.
Nangona kunjalo, ukuba izilonda ezinobungozi zitsholongwane okanye zithintela ukuphilisa ixesha elingaphezu kweenyanga ezili-6, unyango oluninzi olunjengokukhutshwa kwezicubu kunye nemithwalo yebhaktheriya ngokuxubha, ukuhlinzwa ukunciphisa i-reflux ye-venous nokukhusela ukuphindaphinda kwesilonda, kunye nokuqulunqwa kwesilwanyana kunokufuneka.
Imithombo
I-Collins L, uSerj S. Ukuxilongwa kunye nokunyangwa kwezilonda zamagciwane. I-Phys Physician. 2010 Apr 15; 81 (8): 989-96.
de Oliveira Carvalho PE, Magolbo NG, De Aquino RF, i-Weller CD. I-aspalin yomlomo yokunyanga izilonda zomlenze we-venous. I-Cochrane Database Syst Rev. 2016 Feb 18; 2: CD009432. [Epub ngaphambi kokuprinta].
UMargolis DJ, eBerlin JA, Strom BL. Ziziphi izilonda zomlenze ezinobulunga ziza kuphulukisa ngeengcingo zokuxinwa kwezitho? Am J Med . 2000; 109 (1): 15-19.
UNelson EA, Adderley U. Izilonda zomlenze wesisu. BMJ Clin Evid. 2016.
UOmeara S, uCullum NA, uNelson EA. Ukunyanzeliswa kwemilenze yomlenze wesifo. Cochrane Database Syst Rev 2009; (1): CD000265.