Isilonda esinomsoco siyisilonda esingajulile esiqala emlenzeni ophansi lapho imilenze yegundane ihluleka ukubuyisela igazi emuva enhliziyweni ngokujwayelekile - isimo esaziwa ngokuthi awukwazi kahle. Babizwa nangokuthi varicose ulcer noma stasis leg ulcer.
Okubukeka Kanjani
Isibonakaliso sokuqala sesilonda esinomsoco siyingxenye yesikhumba somnyama obomvu noma obomvu, okungase futhi sibe nesigxilile, somile futhi sihlase.
Ngaphandle kokwelashwa, isilonda esivulekile noma isilonda singase sakha. Inxeba ingaba buhlungu.
Esinye sezibonakaliso zokuqala ukuthi isilonda esisinyameni singase senziwe ukuthi ungase uzwe ukuphunga noma ubuhlungu obukhulu emilenzeni, ukuvuvukala okwehla ngokuphakama, izinguquko ze-eczematous zesikhumba esizungezile, nemivamisa ye- varicose .
Izimbangela
Ukusabalala kwama-ulcers we-venous e-United States kungamaphesenti angu-1. Izilonda ezinama-venous zivame kakhulu kubantu besifazane nabantu abadala. Izinto eziyinhloko zokubeka ingozi zisekhulile, ukukhuluphala, ukulimala kwangaphambili komlenze, ukucindezeleka okujulile kwe-venous , kanye nemithanjeni evuthayo.
Ingozi yokulonda izilonda ezinomsoco yanda ngenxa yokuphazamiseka kwegazi , ukukhulelwa, ukukhuluphala ngokweqile, umlando womndeni we-varicose veins, ukubhema, ukuphuza ngokweqile ukusetshenziswa kokudla, ukungondleki okungenamsoco, noma isikhathi eside sokungasebenzi noma ukuma. Ingozi eyandayo ingase ibe khona ngenxa yenqubo yokusebenza yamuva. Esinye isizathu esingaba khona uma ngabe imisipha yenkomo ingasebenzi ekuqhumeni ngoba idlala indima ebalulekile ekusakazeni igazi kusukela engxenyeni engezansi yomzimba emuva enhliziyweni.
Ukwelapha
Ukuphatha isilonda esinomsoco kudinga ukusebenzisa izindlela ezehlukene zokuthuthukisa ukujikeleza. Ekuqaleni, ukwelashwa kungabandakanya ukwelashwa kokucindezela nokuphakamisa imilenze yakho.
I-compression therapy iyinqubo yokwelapha izilonda ze-venous, njengoba kuboniswe isihloko se-Cochrane sokubuyekezwa ka-2009 esathola ukuthi izilonda ezinobuthi ziphulukisa ngokushesha nangokwelashwa kokucindezela kunokuba ngaphandle.
Lokhu kungenxa yokuthi ukwelapha ukucindezela kunciphisa ukuvuvukala, kuthuthukisa i-reflux ye-venous, futhi kunciphisa ubuhlungu. Amanani okuphumelela avela ngamaphesenti angama-30 kuya kwangu-60 emva kwamasonto angu-24, futhi amaphesenti angu-70 kuya kwangu-85 ngemva konyaka owodwa, ngokusho kwe- American Journal of Medicine .
Emva kwesilonda sesiphululile, ukunakekelwa kwansuku zonke kwe-compression therapy kunganciphisa ingozi yokuphindaphinda. Kukhona nobufakazi bokuthi ukukhutheka kungasiza ekuvimbeleni izilonda ezinobuthi ezivela emzimbeni; ikakhulukazi uma isetshenziselwa ukwelashwa ngokucindezela.
Lokhu okungenhla kungasiza ukuvimbela isilonda ukuba singenzeki, kodwa uma sesivele sakha imithi ingadingeka. I-aspirin ngezinye izikhathi isetshenziselwa ukwelapha; kodwa ubufakazi bokuthi busebenza bubi, ngokusho kwendikimba yokubuyekezwa ka-2016 Cochrane. Enye indlela yokwelapha i-Trental (i-Pentoxifylline), ngokuvamile i-400mg izikhathi ezintathu nsuku zonke. Le-inhibitor ye-platelet aggregation iyanciphisa i-viscosity yegazi, eyenza ngcono i-microcirculation. Kuye kwaboniswa ukuthi iyindlela yokwelapha ephumelelayo yokulonda izilonda ezinomzimba uma ihlanganiswe ekwelapheni okucindezelayo.
Kodwa-ke, uma izilonda ezinamahloni zingenwa igciwane noma ziphikisa ukuphulukiswa isikhathi esingaphezu kwezinyanga ezingu-6, ukwelashwa okunamandla okunjengokususwa kwezicubu kanye nomthwalo we-bacterial ngokusebenzisa ukudonswa kwemithi, ukuhlinzwa ukunciphisa i-reflux enamafutha futhi kuvimbele ukuphindaphinda kwesilonda, futhi ukuhlunga isikhumba kungadingeka.
Imithombo
U-Collins L, uSerj S. Ukuxilongwa nokuphathwa kwezilonda ezinobuthi. Am Fam Physician. 2010 Apr 15; 81 (8): 989-96.
de Oliveira Carvalho PE, Magolbo NG, De Aquino RF, i-Weller CD. I-oral aspirin yokwelapha izilonda zomlenze we-venous. I-Cochrane Database Syst Rev. 2016 Feb 18; 2: CD009432. [I-Epub ngaphambi kokuphrinta].
UMargolis DJ, Berlin JA, Strom BL. Yiziphi izilonda zomlenze ezinomsoco eziyophulukisa ngezibopho zokucindezela izitho? Am J Med . 2000; 109 (1): 15-19.
Nelson EA, Adderley U. Izilonda zomlenze we-venous. I-BMJ Clin Evid. 2016.
U-O'Meara S, uCullum NA, uNelson EA. Ukucindezelwa kwezilonda zomlenze wegciwane. I-Cochrane Database Syst Rev. 2009; (1): CD000265.