Rauni a kafa wanda baya warkewa? Yana iya zama rauni na varicose, a wasu kalmomi varicose ulcer. Yana faruwa a mataki na ƙarshe na juyin halittar rashin ƙarfi na jijiyoyi na yau da kullun zuwa na biyu zuwa varicose veins ko zuwa ci gaban phlebitis. Ko da ba shi da zafi sosai, yana buƙatar jiyya na gida masu dacewa, tare da kula da cutar ta venous da ake tambaya don kauce wa sake dawowa.

definition

Jijiyoyin varicose, wanda aka fi sani da varicose ulcers ko venous ulcers, wani rikitarwa ne na varicose veins ko phlebitis wanda yakan faru bayan dogon lokaci na ci gaba.

Yana nunawa a matsayin rauni a cikin kafa - na al'ada a cikin idon kafa - tare da asarar kayan fata, lokacin warkarwa wanda ya fi wata daya girma. Idan ba a kula da shi ba, yana iya zama kamuwa da cuta kuma ya dawwama na tsawon watanni ko ma shekaru.

An bambanta ciwon jijiyar jijiyoyi daga gyambon jijiya, wanda ke fitowa daga cututtukan jijiya na ƙananan gaɓoɓin, yawanci yana da alaƙa da atherosclerosis ko ciwon sukari.

Sanadin

Rauni na varicose yana faruwa a cikin ƙarshen zamani na juyin halitta na rashin isasshen venous. Jijiyoyin sama ko zurfin jijiya ba su sake ba da madaidaicin dawowar venous zuwa zuciya kuma jinin yana son tsayawa.

• A cikin mutanen da ke da varicose veins, akwai asarar elasticity na veins da kuma rashin aiki na bawuloli da ke ba da bango na tasoshin, wanda aikinsa shine hana reflux.
• Har ila yau, rashin isasshen jini na iya zama saboda abubuwan da ke faruwa na phlebitis (venous thrombosis). A wannan yanayin, tashewar jini da haɓakar hawan jini a ƙarshe suna haifar da lalacewar da ba za a iya jurewa ba.
• Mafi wuya, cutar da aka haifa, rashin wadataccen bawul na farko, yana da alhakin rashin isasshen jini.
• Ana kuma samun rashi na famfon tsokar maraƙi.

A kowane hali, stasis (tsawon jini) yana haifar da hauhawar jini a cikin ƙafafu da ƙafafu da kuma zubar da ruwa mai kumburi. Wahalhalun nama yana da alaƙa da kasancewar gubobi da rashin abinci mai gina jiki da iskar oxygen. Yana haifar da halakar su (necrosis).

bincike

Binciken likitancin da likitan phlebologist ya yi ya ba da damar yin ganewar asali da kuma tantance tsananin rauni. Ana iya ɗaukar ma'auni da hotuna na rauni.

Sanin tarihin mai haƙuri (phlebitis, shekarun varicose veins, da dai sauransu) yana da amfani. 

Har ila yau, likita ya nemi tabbatar da cewa lalacewar arteries ba ta da hannu a cikin asalin ciwon. Zai iya neman alamun alamun da ke hade (musamman zafi da claudication na lokaci-lokaci), don jin bugun jini da kuma auna matsa lamba a matakin idon.

Venous echo-doppler 

Ana amfani da wannan gwajin hoto don ganin yadda jini ke gudana da kuma tantance saurin sa. Ana amfani da shi don gano asalin ciwon jijiyar varicose. 

Testsarin gwaje-gwaje

Gwaje-gwaje daban-daban sun ba da damar a sake tantance cutar:

• gwajin jini,
• samfurin kwayoyin cuta,
• biopsy…

Mutanen da abin ya shafa

Yawan ciwon jijiyoyi yana ƙaruwa da shekaru. A wasu nazarin, ciwon ƙafa (wanda aka haɗa sau 9 cikin 10 zuwa lalacewar venous), yana rinjayar har zuwa 1% na yawan jama'a, 3% na fiye da 65s da 5% na sama da 80s.

Akwai bayyanannen fifikon mace game da cutar.

hadarin dalilai

Waɗannan su ne waɗanda ke da ƙarancin ƙarancin venous:

• gado,
• a cikin mata, yanayin hormonal,
• tsayin tsayin daka,
• rashin aikin jiki,
• kiba,
• shan taba,
• maimaita bayyanar zafi (wanka mai zafi sosai, dumama ƙasa, da sauransu)…

Rashin isasshen jini na yau da kullun yana bayyana ta hanyoyi daban-daban: ƙafafu masu nauyi, edema, gaban veins gizo-gizo (kananan venules purplish a saman) ko varicose veins, cramps, da dai sauransu.

Canje-canjen fata yawanci suna gaba da samuwar raunin varicose:

• ocher dermatitis (cututtukan fata);
• atrophy farar fata,
• hypodermatitis (kumburi na zurfin dermis),
• varicose eczema (jajayen itching faci).

Juyin Halitta

Raunin varicose yana zaune a ƙarƙashin gwiwa, yawanci a idon sawun, a cikin yankin malleolus. Yana iya fitowa a sakamakon tsananin katsawa ko ƙaramar girgiza.

Fatar ta fashe kuma ta samar da wani rami mai gefuna marasa tsari da jajaye, wani lokacin kamanni na ban mamaki.

Bayyanar raunin ya bambanta dangane da matakin ci gaba:

• Nama necrosis na farko ana nuna shi ta launin baki.
• A cikin matakin fibrous, raunin ya zama an rufe shi da abin rufe fuska mai launin rawaya kuma yana fita akai-akai. Hadarin kamuwa da cuta yana da yawa. Raunukan da ba su da kyau suna da kamannin kore.
• Tsarin warkarwa yana da wahala. Ya fara haifar da buds na jiki, kafin epidermis ya zo don rufe rauni.

Hakanan ya kamata a lura cewa ciwon jijiyoyi yana zama akai-akai a cikin ƙafafu, a wuraren da ake rikici.

zafi

Raunin varicose sau da yawa ba su da zafi sosai. Mummunan zafi yana nuna kasancewar ɓangaren jijiya ko superinfection.

Kulawar gida

Ma'aikaciyar jinya ta yi, kulawar gida dole ne a daidaita shi zuwa matakin juyin halitta na miki. Warkarwa na buƙatar kulawa ta yau da kullun (sau da yawa a mako) a cikin dogon lokaci mai tsayi.

An fara tsaftace raunin a hankali, ta al'ada da sabulu da ruwa ko amfani da maganin nau'in betadine lokacin da raunin ya kamu da cutar. Idan ya cancanta, ma'aikacin jinya yana yin tarkace, wato tsaftacewa mai zurfi tare da cire tarkacen fibrinous.

Ana kammala kulawa ta hanyar karya suturar da ta dace, misali:

• riguna masu kitse idan raunin ya bushe.
• Riguna masu sha (hydrocellular, alginates) a cikin taron exudation,
• hemostatic dressings (alginates) idan akwai jini ya kwarara.
• tufafin azurfa idan akwai superinfection.

An gwada suturar zuma a cikin maganin cututtukan venous, amma ba a bayyana yana da tasiri ba.

Matsawa (tsarin jijiyoyi)

Jiyya na dalilin ciwon varicose yana da mahimmanci. Ana amfani da matsawa na roba don rage edema na gida da inganta dawowar venous. Likitan ya dace da takardar sayan magani bisa ga matakin warkar da rauni, kasancewar ko rashin edema da haƙurin haƙuri.

Akwai na'urori daban-daban, waɗanda dole ne a sa su sa'o'i 24 a rana, ko daga fitowar alfijir zuwa faɗuwar rana:

• Multilayer bandeji (magungunan da aka sama da yawa) gabaɗaya sun fi dacewa a farkon jiyya,
• Sauƙaƙan makada na roba ko safa na matsawa na roba galibi ana bayar da su azaman mataki na biyu.

Jiyya na varicose veins

Yawancin lokaci wajibi ne don hana sake dawowa, maganin varicose veins ya ƙunshi, musamman, sclerotherapy da venous tiyata.

Dashewa

Gyaran fata a cikin pastilles ko raga yana yiwuwa lokacin da ƙwanƙwasa varicose ya ƙi jiyya na al'ada fiye da watanni 6.

Tallafin duniya

Likitan ya tabbatar da cewa allurar rigakafin tetanus na zamani. Gudanarwa kuma na iya haɗawa da matakan tsaftar abinci (yaki da kiba ko rashin abinci mai gina jiki), maganin rage raɗaɗi, magudanar ruwan lymph wanda likitan physiotherapist yayi, da sauransu.

Rigakafin raunin varicose yana dogara ne akan ka'idodi guda ɗaya kamar na rashin isasshen jini.

Dokokin tsaftar rayuwa suna taka muhimmiyar rawa. Ayyukan jiki yana motsa jini kuma yana hana bayyanar varicose veins. Muna ba da shawarar ku yi tafiya aƙalla minti 30 a rana, aƙalla sau uku a mako. Musamman ma, duk wasanni da ke aiki da maruƙa (kekuna, rawa, da sauransu) suna inganta dawowar venous.

Sauran matakan (barci da ƙafafu masu ɗagawa, guje wa wanka mai zafi, sauna, dumama ƙasa, tsawaita bayyanarwa ga rana ko ma matsattsun tufafi waɗanda ke hana yaduwar jini, da sauransu) suna da mahimmanci musamman a cikin mutanen da ba su da kyau. Hakanan a kula don tafiya ta iska!

Za mu kuma kiyaye jariran mu ta hanyar kiyaye nauyi mai kyau, ɗaukar daidaitaccen abinci da guje wa shan taba.