Chithandizo cha trophic zilonda zam'munsi malekezero - mankhwala a matenda

Maonekedwe a zilonda zam'mimba pamiyendo imakhudzana ndi matenda ena. Zofooka zoterezi zimatha kupangitsa kuti lymphedema, matenda a shuga, atherosclerosis. Kuvulala, kupsa ndi frostbite nthawi zambiri kumayambitsa zilonda zam'mimba. Samachiritsa kwa milungu 6 kapena kupitirira. Njira imodzi yothanirana ndi mankhwala.

Mfundo za mankhwalawa trophic zilonda

Chifukwa chosowa kwa magazi kwa nthawi yayitali, malo okhala ndi zakudya pakhungu ndi minyewa yake, zomwe zimayambitsa matenda a necrosis, omwe pambuyo pake amatsutsa kukana kwa minofu detritus (chinthu chakufa). Zilonda zam trophic zimapangidwa. Amawoneka m'zigawo zakutali (zakutali) za m'munsi. Kutengera chomwe chimayambitsa, zilonda zam'mimba za m'munsi zokhala m'munsi zimagawidwa m'mitundu iyi:

Matenda oopsa. Amapangidwa chifukwa cha kupanikizika komwe kumachitika nthawi zonse.
Arterial (ischemic). Amalumikizidwa ndi kuchepa kwa magazi m'magawo am'munsi chifukwa cha endarteritis kapena atherosulinosis, momwe kuunikira kwa ziwiya kumachepa.
Venous (varicose). Amayamba chifukwa cha kusayenda kwa magazi kumbuyo kwa matenda a post-thrombophlebitis kapena kukula kwamitsempha.
Zotsatira-zowawa. Amapangidwa chifukwa chovulala pakhungu komanso zimakhala. Zomwe zimatha kukhala mabala a mfuti, kuluma, kuchiritsidwa kwamisala ndi zipsera pambuyo pa opaleshoni, kuvulala pamalo operekera jakisoni a omwe ali ndi mankhwala osokoneza bongo.
Matenda a shuga Pangani maziko a matenda ashuga.
Matenda (pyogenic). Amayamba matenda osiyanasiyana akaphatikizidwa, nthawi zambiri mabakiteriya.
Neurotrophic. Amadzuka chifukwa chophwanyidwa kwa kutayika kwa minofu ndikugwira ntchito kwa zombo zomwe zimawapatsa.

Popeza zilonda zam'mapazi zam'munsi zili ndi mitundu yosiyanasiyana, njira yochiritsira imatsimikiziridwa kutengera zomwe zimayambitsa. Pokha pochotsa, mutha kuthana ndi foci ya minofu necrosis. Mankhwalawa amachitika ndi njira ziwiri zazikulu:

Zodzikongoletsa. Zimaphatikizapo kuchiza kwa matenda am'mbuyomu mapiritsi ndi jakisoni, kutsitsa kutentha, kuchepetsa ululu komanso kulimbitsa thupi kwathunthu. Kuphatikiza apo kumaphatikiza kugwiritsa ntchito ndalama zakomweko kuchiritsa zilonda, kuchapa, kuthira tizilombo toyambitsa matenda ndi kuyeretsa maselo a necrotic.
Opaleshoni Chithandizo choterocho cholinga chake ndikuchepetsa kusokonezeka kwa magazi, kuyeretsa bala kapena kuyang'ana pacholinga cha necrosis. Njira imagwiritsidwa ntchito pokhapokha pakufika pakukula. Pambuyo pa opaleshoni, chithandizo chimapitilizidwa mokhazikika.

Ngati mabala ndi owonjezera, ndiye kuti mankhwalawa amatha kuthandizidwa pang'onopang'ono, ngati mwakuya - mokhazikika. Chithandizo cha mankhwalawa chili ndi izi:

kusintha kwa zotuluka kuchokera kumadera akutali,
kuchiritsa zilonda
kukonza zakudya zamankhwala zowonongeka,
kupweteka
kulekerera kwa njira yotupa,
kuyeretsa kwa tsamba la necrotic kuchokera kuzowonjezera za purulent.

Mankhwala othandizira

Chithandizo chamtunduwu chimakhala ndikumwa mankhwala mkati kapena kugwiritsa ntchito mankhwala akumayiko. Mankhwala a gulu linalake lama pharmacological adayikidwa poganizira zomwe zimayambitsa kukula kwa trophic zilonda zam'munsi zotsika:

Phlebotonics (zida zolimbitsa). Amagwiritsidwa ntchito pochiza mitsempha ya varicose, thrombophlebitis, periphlebitis, ululu ndi edema ya chikhalidwe chomaliza mwatsoka. Kukonzekera kwa gululi kumalimbitsa mitsempha yamagazi ndikuwonjezera kukongola kwa makoma awo.
Ma Anticoagulants. Chochita chawo chachikulu ndikuchepa kwa magazi. Kuwonjezeka kwa coagulability ake ndikuwonetsa chithandizo ndi anticoagulants.
Antispasmodics.Anapemphedwa kuti muchepetse ululu ndi kupindika m'malo otsika omwe amayamba chifukwa cha zilonda zam'mimba.
Mankhwala osokoneza bongo oletsa kuponderezana. Amagwiritsidwa ntchito pochepetsa kutupa m'matumba.
Ma antiplatelet. Awa ndimagazi omwe amapezeka m'magazi omwe amalepheretsa kuphatikizika kwa kupatsidwa zinthu za m'magazi (gluing).
Othandizira antibacterial. Gwiritsani ntchito mkati komanso kwanuko. Amatumizidwa pakaphatikizidwa kachilombo ka bacteria, kamene kamadziwika kawirikawiri ngati zilonda zam'mapazi zam'munsi. Mwa mankhwala othandizira, ma cephalosporins ndi fluoroquinolones amagwiritsidwa ntchito nthawi zambiri.
Kuchiritsa mafuta. Amathandizira kuchotsa minofu yakufa pachilonda, kusiya kutupa, kukonza zakudya zamafuta amoyo ndikuthandizira kuchira.

Kulimbitsa zombo

Ntchito zazikuluzikulu za chithandizo cha phlebotonic: kuthetsa kukoka, kuuma ndi kupweteka m'munsi, kulimbitsa zotupa, kukonza magazi. Kukonzekera kwa gululi kumapezeka ngati mitundu ya mapiritsi, komanso mafuta. Mitundu ya phlebotonics ingagwiritsidwe ntchito pochiza zilonda zam'mimba pokhapokha kukonzanso kapena kuwonongeka kwa madera akhudzidwawo. Ndalama zotere sizimagwiritsidwa ntchito povulala. Zitsanzo za phlebotonics:

Troxevasin. Kutengera troxerutin. Amachepetsa mphamvu ya zovuta zamatumbo, amachititsa makoma amitsempha yamagazi, amachepetsa kuwawa ndi ululu m'munsi. Njira yakugwiritsira ntchito zimatengera mtundu wa kumasulidwa: makapisozi (360 r.) - 300 mg katatu patsiku, gel (350 r.) - Ikani kumalo komwe akhudzidwa m'mawa ndi madzulo, pakani pakukhutira mpaka kumizidwa kwathunthu.
Phlebodia. Chomwe chimagwira ndi diosmin. Izi zimachepetsa kukula kwa mitsempha, zimapangitsa kuti khoma lamitsempha, lithetsere venous stasis. Mankhwalawa ali ngati mapiritsi. Mlingo wamba watsiku lililonse ndi 1 pc. Mtengo wa mapiritsi 60 ndi 1,500 p.
Venus. Muli diosmin ndi hesperidin. Mankhwala amathandizira kukoka kwa m'mimba, amapangitsa kuti capillaries ikhale yochepetsetsa, imawonjezera mamvekedwe ndikuchepetsa kukula kwa mitsempha. Sabata yoyamba, tengani mapiritsi awiri, kuwagawa awiri. M'tsogolomu, mutha kumwa nthawi yomweyo 2 ma PC. Mtengo wa mapiritsi 30 ndi 570 p.

Kuchepetsa mamasukidwe amitsempha yamagazi

Maanticoagulants amagwiritsidwa ntchito kupewa komanso kuchiza thrombosis. Mankhwala omwe ali mgululi amachepetsa magazi, motero amateteza magazi kuundana. Mankhwala otsatirawa ali ndi katunduyu:

Dicumarin. Otchedwa gawo limodzi mu kapangidwe kake. Dicumarin imalepheretsa kupangika kwa prothrombin ndi kutsekemera kwa proconvertin kwa chiwindi, komwe kumapangitsa kuchuluka kwa magazi nthawi yayitali. Mankhwala amatengedwa 0,05-0.1 g m'masiku oyamba atatu, kenako 0,15-0.2 g patsiku. Mtengo - 1000 r.
Heparin. Maziko a mankhwalawa ndi sodium heparin. Mankhwalawa okhala ndi zilonda zam'mimbayo pamiyendo amapezeka mu mawonekedwe a gel kuti mugwiritse ntchito kunja komanso yankho la jakisoni. Poyambirira, heparin imagwiritsidwa ntchito kumalo omwe akhudzidwa katatu patsiku. Mlingo wa prophylactic wa jakisoni wa heparin ndi 5000 IU / tsiku. Gel imadya 250-300 r., Ampoules yankho - 350-550 r.
Aspirin Chomwe chimagwira ndi acetylsalicylic acid. Amathandizanso kupweteka, amalepheretsa kuphatikizana kwa maselo ambiri, potero amachepetsa magazi. Imapezeka mu mawonekedwe a mapiritsi omwe amatengedwa pa 300 mg ndi gawo la maola 4-8. Mtengo wa Aspirin umachokera ku 80 mpaka 250 r. kutengera wopanga.
Urokinase. Ili ndi chinthu chomwechi chomwe chimagwira, chomwe chimatha kusungunula magazi omwe alipo komanso kupewa kuwoneka kwatsopano. Urokinase likupezeka ngati lyophilisate pokonzekera yankho la kulowetsedwa ndi osiyana Mlingo wa yogwira: 500,000 IU, 10,000 IU, 100,000 IU, 50,000 IU. Mankhwalawa amalowetsedwa mu mtsempha kapena mtsinje. Mlingo amasankhidwa payekha. Mtengo wa 1 botolo la 500,000 IU ndi 5500-6700 p.

Kuchepetsa kuphipha

Cholinga chogwiritsa ntchito antispasmodics ndikuchepetsa ma spasms ndi opaleshoni, chifukwa cha vasodilation.Ndikofunika kudziwa kuti mankhwalawa okhala ndi zilonda zam'mimba sizimagwiritsidwa ntchito, nthawi zambiri amakhala ndi pulmonary embolism. Odwala nthawi zambiri amagwiritsa ntchito antispasmodics kunja kwa chipatala kuti athetse ululu, womwe ungawonjezere zovuta zawo. Cholinga chake ndi chakuti mankhwalawa amachititsa kuti chiwonetsero cha "kuba" chiwopseze cha chiwalo chokhudza, chifukwa magazi amasiya kulowa mkati mwake. Lemberani antispasmodics ayenera kukhala adokotala okha. Zitsanzo za mankhwalawa:

Spazmalgon. Muli pitophenone, metamizole sodium, fenpiverinium bromide. Amakhala ndi antipyretic, anti-yotupa komanso analgesic zotsatira. Mapiritsi a Spazmalgon amatenga ma PC a 1-2. mutatha kudya mpaka katatu patsiku. Jekeseni wa mankhwala amachitika katatu patsiku Mlingo wa 5 ml. Kutalika kwa jakisoni ndi masiku 5. Mtengo wa ma ampoules 10 a 2 ml - 280 p., Mapiritsi 20 - 220 p.
Palibe-shpa. Zomwe zimagwira ndi drotaverine, yomwe ndi myotropic antispasmodic. Izi zimachepetsa kamvekedwe ka mawu ndi kayendedwe ka minofu yosalala ya ziwalo zamkati, kukulitsa ziwiya. Palibe mapiritsi a-shpa omwe angathe kumwa mapiritsi a 120-240 mg patsiku. Mlingo wa jakisoni ndi 40-240 mg. Mtengo wa ma ampoules 25 ndi 440 p., Mapiritsi 100 - 220 p.
Papaverine. Muli papaverine hydrochloride. Izi ndi opium alkaloid zomwe zimatsitsimutsa minofu yosalala, potero kuchotsa mawonekedwe awo. Mapiritsi a Papaverine amatengedwa katatu patsiku mlingo wa 0,04-, 08 g, makandulo amagwiritsidwa ntchito mu mlingo wa 0,02 g (pang'onopang'ono umadzetsedwa kwa 0.04 g). Dongosolo la jakisoni limatengera zaka za wodwalayo. Mtengo wa mapiritsi 10 ndi 18 p., Makandulo 10 - 55 p., Ampoules 10 - 100 p.

Magulu a mankhwala osokoneza bongo

Zilonda zam'mphepete m'munsi zimawonekera chifukwa chophwanya trophism, i.e. zakudya zamagulu. Madokotala amatenga chidwi cha odala kuti adziwe kuti ndikofunikira kukhazikitsa chifukwa chomwe minyewa yamthupi imasokonezeka, ndipo pokhapokha amayamba kuchitapo kanthu kuti athetse vuto.

Pochotsa zilonda zam'mimba mwendo, magulu angapo a mankhwala amagwiritsidwa ntchito. Mwachidziwikire, mankhwalawa amapangidwira kuti azigwira bwino ntchito, koma ena mwa mankhwalawa amagwiritsidwa ntchito pongolakwitsa.

Phlebotonics

Ma phlebotonics, omwe amadziwikanso muzochita zamankhwala monga venotonics kapena phleboprotectors, ndi gulu lokwanira lamankhwala omwe amagwiritsidwa ntchito ngati zilonda zam'mimba. Izi zikuphatikiza:

Ma phlebotonics ndi mankhwala opangidwa kuti apititse patsogolo makhoma a mtima. Chifukwa cha mankhwalawa, ndizotheka kuonjezera kuchuluka kwa mitsempha yamagazi, kusintha mphamvu yake, komanso kukhala ndi phindu pakutuluka kwa magazi. Kuphatikiza apo, pali kulimbikitsidwa kwa makoma amitsempha yamagazi.

Phlebotonics imagwiritsidwa ntchito bwino mu gawo la epithelialization, pamene chilonda chimakutidwa ndi chopyapyala chopyapyala cha minofu yolumikizidwa ndikupanga khungu. Munthawi imeneyi, mankhwala a phlebotonizing amateteza ndi kufulumizitsa njira yakuchira.

Direct anticoagulants

Mankhwala kutumikiridwa kholo. Amayimiridwa makamaka ndi kusiyanasiyana kwa heparin (chinthu chomwe chilipo m'thupi komanso chachilendo, kuonetsetsa kukhazikika kwa magazi) ndi otsogolera otsogolera a thrombin inhibitors.

Ma anticoagulants mwachindunji akuphatikizapo:

Otsika maselo olemera heparin.
Zosagwirizana heparin.
Exante.
Arikstra.

Kuchokera ku magazi

Ngati ziwalo zamagazi ndizomwe zimapangitsa kupanga zilonda zam'mapazi zam'munsi, ndiye kuti mankhwala ochokera ku gulu la antiplatelet amagwiritsidwa ntchito. Cholinga chachikulu cha kugwiritsidwa ntchito kwawo ndi kusungunuka kwa magazi kuwabwezeretsa kutuluka kwa magazi. Nthawi zambiri mankhwalawa amagwiritsidwa ntchito ngati mitsempha ya varicose. Otsatirawa antiplatelet akutchuka:

Trental. Muli pentoxifylline - chinthu chomwe chimachepetsa mitsempha ya magazi, kukonza ma microcirculation, chimapereka kusagwirizana kwa maselo, kumachepetsa mamasukidwe amwazi. Mapiritsi a trental amatengedwa pakamwa pakudya kapena pambuyo pa chakudya cha 100 mg. Kenako mlingo umakulitsidwa pang'onopang'ono mpaka 200 mg.Kuchulukana kuvomerezeka - katatu patsiku. Trental infusions amapangidwa m'mawa ndi madzulo pa mlingo wa 200-300 mg. Mtengo wa mapiritsi 60 ndi 460 p., Ma ampoules 5 a 5 ml aliyense - 160 p.
Nthawi. Muli dipyridamole - chinthu chomwe chimalepheretsa kuphatikiza kwa ma protein. Kuphatikiza apo, mankhwalawa amachepetsa mitsempha ya magazi, kusintha kwa ma cell. Curantyl imapezeka mu mawonekedwe a mapiritsi okhala ndi dipridamole mosiyanasiyana: 25 mg, 75 mg - komanso mawonekedwe a dragees (25 mg). Popewa thrombosis, tikulimbikitsidwa kumwa mapiritsi a 3-6 patsiku, 75 mg aliyense. mtengo - 40 ma PC. - 700 p.
Nicotinic acid Ili ndi Vitamini PP, lomwe limatenga gawo lalikulu la zochita zama oxidative zomwe zimachitika m'maselo amoyo. Nicotinic acid imasintha mkhalidwe wa minofu ya minyewa, imachepetsa mphamvu ya zotupa zam'mimba, imachepetsa kutupa, ndipo imakulitsa kuunikira kwamitsempha yamagazi. Mlingo wa jakisoni umasankhidwa payekha. Mapiritsi tikulimbikitsidwa kuti kumwedwa mlingo wa 12,5-25 mg wa patsiku. Mtengo wa ma ampoules 10 ndi 33 p., Mapiritsi 50 - 36 p.

Mankhwala osokoneza bongo oletsa kuponderezana

Zotsatira zazikulu za mankhwala osapweteka a antiidal (NSAIDs) ndi kuchepa kwamphamvu kwa kutukusira kwanuko. Mankhwalawa amagwiritsidwa ntchito masiku ano ngati njira ina yopangira ululu wokhazikika, makamaka munthawi ya postoperative. Kuphatikiza apo, NSAIDs imatha kuletsa kumamatira kwama cell ena a magazi. Pochizira zilonda zam'mimba za m'munsi, izi zimachepetsa chiopsezo cha magazi. A NSAIDs amagwiritsidwa ntchito nthawi zambiri:

Ibuprofen. Amatchulidwira zomwezo pakapangidwe. Ili ndi antipyretic, analgesic komanso anti-yotupa. Kuphatikiza apo mumalepheretsa kuphatikiza kwa maselo ambiri, kuchepetsa magazi. Mlingo wa tsiku ndi tsiku wa mapiritsi ndi 3-4 ma PC. 200 mg iliyonse, suppositories - 5-10 mg / kg nthawi 3-4, gel - mpaka 4 kwa kanthawi kotalika ndi maola 4 pakati pa ntchito.Mtengo wa piritsi la Ibuprofen ndi 15-20 p. Geloli imawononga 90-100 p., Makandulo - 70-90 p.
Diclofenac. Muli ndi zomwe zimagwira. Mlingo wa tsiku ndi tsiku umatengera mtundu wa kumasulidwa: jakisoni - 25-50 mg katatu, gel - 3-4 zina 2-4 g (gwiritsani ntchito madera omwe akukhudzidwa), mapiritsi - 50-150 mg mu Mlingo wa 2-3, suppositories - 50-150 mg kutengera zisonyezo. Onsewa ali ndi zotsutsa-zotupa, antipyretic ndi analgesic. Mtengo wamakandulo 10 ndi 90 p., Gel - 80 p., Mapale - 40 p., Majakisoni - 50 p.
Ambene. Mulinso sodium hydroxide, dexamethasone, lidocaine, cyanocobalamin, phenylbutazone. Zinthu izi zimatipatsa anti-kutupa. Ambene imapezeka mu njira yothetsera jakisoni. Mlingo wamba ndi jakisoni imodzi patsiku. Amachita tsiku ndi tsiku kapena ndi nthawi ya tsiku limodzi, koma osapitilira katatu pa sabata. Mbale umodzi umadya 600-800 p.
Lornoxicam. Mulinso chinthu chomwe chimagwira, chomwe chili ndi analgesic, anti-kutupa ndi anti-rheumatic. Mapiritsi amatengedwa pakamwa pa 4 mg mpaka katatu pa tsiku. Zingwe zimayikidwa muyezo woyambirira wa 8-16 mg, ndiye, ngati ndi kotheka, ukuwonjezeka mpaka 16-24 mg. Mtengo wa mapiritsi 10 ndi 150 r. Mtengo wa ma ampoules umasiyana 700 mpaka 900 r.

Mitundu ya zilonda zam'mimba ndi zotupa zawo

Zilonda zimakhudza mbali zamkhungu. Njira yopatsirana nthawi zambiri imayambitsa chidwi. Zina, zilonda zimadziwika:

trophicmotsutsana ndi kumbuyo kwa mitsempha ya varicose kapena thrombophlebitis ndi mapangidwe a purulent-necrotic madera pamiyendo,
ischemic monga kuchuluka kwa matenda ammimba,
matenda ashuga ndi kupita patsogolo kwa matenda ashuga a shuga, choyambirira ngati mawonekedwe a zilonda zazing'onoting'ono zazing'onoting'ono mpaka chala chachikulu ndi kupendekera kwapang'onopang'ono komwe kumabweretsa kuwonongeka kwa chidwi, minofu necrosis, kukula kwa gangore kapena angiopathy,
neurotrophic Zilonda ndi kufalikira kwa chidendene kuchokera kunjaku monga mabowo akuya komanso zotumphukira za zomwe zili mkati mwa serous. Zifukwa zake ndi izi lymphadenitiskuvulala kwa mutu kapena msana, kuchititsa kuchepa kwa minyewa, matenda a mabala ndi kudzikundikira kwa mafinya m'mabala,
venous trophic wokhala ndi lingaliro loyera kapena burgundy-wofiirira ngati fistulas wosakhazikika, zomwe zimayambitsa kusowa kwa venous kapena mitsempha ya varicose mawonekedwe akuwoneka ang'onoang'ono mkati mwa miyendo ndikukula pang'onopang'ono kukhala malo akulu akulu,
hypertonic Zilonda chifukwa chakulumpha m'magazi ndikuwoneka ngati mawanga ofiira owoneka ngati buluu m'miyendo, phazi,
pyogenic motsutsana maziko a kuchepa chitetezo chokwanira ndi mavuto a matenda: furunculosis, eczema, vasculitis, nyamakazi, lupus erythematosus, scleroderma, Reina syndrome.

Amatha kutsogolera mawonekedwe a zilonda pamapazi, zidendene, phalange cha chala chachikulu matenda opatsiranapamene mabala osasunthika okhala ndi mbali zosasinthika amawonekera ndi zifukwa zake ndizovala mosalekeza kwa nsapato zopumira, kukhala nthawi yayitali pamapazi. Zitha kuputa mawonekedwe a zilonda poizoniyu kapena kukhudzana ndi mankhwala, ozizira kapena kuzizira mapazi mukamayatsidwa kutentha pang'ono.

Chithandizo cha mafuta chimaphatikizidwa ndi zovuta za njira kupondereza yotupa, kuyeretsa malo a purifiki, kukonza minofu yamatumbo, imathandizira machiritso a bala.

Masiku ano, malo ogulitsa mafakitale amagulitsa mafuta onunkhira osiyanasiyana. Chachikulu ndikusankha mafuta abwino kuchokera ku zilonda zam'mapazi pamiyendo, potero amafulumizitsa njira yochiritsira.

Zambiri

Mawu akuti "zilonda zam'malo otentha" ndiofala muzochitika zamankhwala ndipo amaphatikizidwa mwachilengedwe. Wikipedia ikulongosola motere: "Umu ndi mkhalidwe wamavuto womwe zimapangitsa kuti kufooketsa kufooka kwa minofu."

Zilonda zam'mimba zimatha kukhala zochulukirapo, zakuya ndipo nthawi zambiri zimakhala ndi njira yotupa. Zilonda zam'mimba za m'munsi zatsika ndizotsatira zamatenda osiyanasiyana momwe ma hemodynamics a venous, arterial kapena lymphatic system amasokonezeka. Matenda ambiri apakhungu amadziwika kuti, ndikapita nthawi yayitali, zimapangitsanso kuti pakhale zovuta zama trophic komanso mawonekedwe a zilonda m'mphepete. Zomwe zimayambitsa zilonda zam'mimbayo ndimavulala a minofu yofewa, khungu ndi mitsempha yotupa. Mndandanda wazilonda za trophic malinga ndi MKB-10 L98.4.2.

Matenda okalamba a trophic nthawi zambiri amapezeka mwa odwala omwe ali ndi vuto loopsa la venous. Kuphatikiza apo, odwala omwe ali ndi mitsempha ya varicose, zilonda zam'mimba zimakhala zochepa kwambiri kuposa zomwe akudwala mitsempha yakuya. Mwa odwala, zotupa zam'mimba zimapezeka mu 15-30% ya milandu. Ndi kuchuluka kwa matendawa ndi ukalamba, ngozi ya kukulitsa zilonda imachulukanso.

Pambuyo wazaka 65, pafupipafupi zilonda zam'mimba zokhala ndi venous insufficiency zimachulukitsa katatu. Ndi matendawa, m'miyendo ndi kumapazi kumakhudzidwa, kuchepa kwa minofu kumachitika ndipo zilonda zam'mimba chifukwa cha kuthamanga kwa magazi ndizovuta kwambiri kutulutsa - matenda osiyanasiyana, izi zimatha kutenga miyezi. Gawo loyambilira la zilonda zam'mimba ndi nthawi yomwe njira zonse zimayenera kutengedwa kuti zisafike patsogolo pachilonda.

Ndi aakulu venous akusowa kukula venous matenda oopsa ndi venous stasis, omwe ndi maziko a zovuta zamtundu wa pakhungu komanso kukula kwa zilonda. Ndi matenda oopsa a venous, njira zingapo za matenda zimakhazikika m'magawo onse: ma cellular (adamulowetsa maselo oyera ndipo michere ya lysosomal imapangidwa), minofu (imachitika hypoxia) ndi mulingo wa microcirculatory. Pa microcirculatory level, maselo am magazi amayanjana kukhala "mzati", amapanga microtromboses, amasula mapuloteni m'mitsempha kulowa malo ozungulira, kudziunjikira fibrin, kupanga mawonekedwe a fibrin cuffs kuzungulira ma capillaries, ndipo izi zimakulitsa kusokonezeka kwa metabolic, komwe kumayambitsa epidermal necrosis.Kusunthika kwachilengedwe kumachitika komwe kumayambitsa kukwera kwamphamvu kwa magazi.

Chifukwa cha kusintha koteroko pakhungu, ntchito yake yolepheretsa imalephereka. Kuwonongeka kwa zigawo zake kumayambitsa kutupa ndi necrosis ya minofu yofewa ndi kupangidwe kwakukulu wokhumudwitsa (kulowetsedwa mu chilonda). Pambuyo pake, kachilombo ka bakiteriya kamalumikizana mwachangu, komwe odwala ofooka nthawi zina amakhala ndi machitidwe otupa ndipo bala yayikulu imayamba.

Momwe mungagwiritsire ntchito

Chithandizo cha mafuta chimagwiritsidwa ntchito pa gawo lililonse la matendawa. Mukamasankha mankhwala osokoneza bongo ndikupereka mankhwala othandizira madokotala amaganizira zomwe zimayambitsa Kukula kwa matendawa, zomwe zingakhale zopatsa chidwi.

Zopaka (ntchito pamaphunziro):

nthawi zina kupewa opaleshoni
kulimbitsa khungu lanu ndi zopindika,
Sinthani nzeru,
matenda a metabolism, kutuluka kwa magazi ndi magazi,
limbikitsani kukula kwa maselo atsopano amoyo wathanzi,
maselo okhazikika ndi collagen ndi michere,
mabala oyera ochokera ku necrosis, amalimbikitsa machiritso.

Thandizo! Zotsatira zazikulu zimawonedwa poyambira. M'mibadwo yapamwamba, ndithudi, chithandizo chodzola mafuta chokha chimakhala chosakwanira.

Gulu

Pazifukwa zotchedwa:

Zilonda zam'mimba za trophic (kukulani motsutsana ndi maziko a kufooka kwa venous).
Zilonda zam'mbali za miyendo (zimachitika motsutsana ndi maziko a zovuta zakukhazikika kwa arterial atherosulinosis obliterans).
Zilonda za matenda ashuga.

Kuzama kogonjetsedwa:

I degree - pamwamba kukokoloka, njirayi imachepa ndi dermis.
II digiri - zotupa zotupa zimaphimba minofu yaying'ono.
Digiri ya III - kuwonongeka kwa fascia, minofu, tendons ngakhale mafupa ndi zingwe zamthumba lolumikizana.

Pakugawa:

Zilonda zazing'ono zimafikira 5 cm2.
Yapakatikati - 5-20 cm2.
Vast - oposa 50 cm2.

Zomwe zimayambitsa zilonda zam'mimbayo pamiyendo

Ngati tidziwitsa zomwe zimayambitsa matendawa, ndiye kuti kusintha kwa ma trophic mu venous etiology ndi 70% ya zilonda zonse. Atherosulinosis obliterans imayambitsa zilonda zam'mimba mu 8% ya milandu, ndipo matenda a shuga a diabetes ndi omwe amachititsa izi mu 3% ya milandu.

Zilonda za trophic pamwendo zimayambika chifukwa cha kuperewera kwamanjenje, komwe kumayamba ndi mitsempha ya varicose, thrombophlebitis ndi matenda a post-thrombotic. Matendawa, chomwe chimayambitsa zilonda zam'mimba ndi kupangika kwa "vertical" "vertical" komanso "yopingasa" mu venous system ya mwendo wapansi (izi zimawonekera kwambiri mkati mwa mwendo wakumbuyo) komanso kuwonjezeka kwa kukakamiza kwa venous. Madzi amtundu wotchuka kwambiri m'mitsempha amawonedwa ndikukhazikika kwakanthawi. Phlebostasis zimayambitsa kupitilira kwa kusokonekera kwa hemodynamic komwe kumakhalapo mu venous channel ndi minofu michere, gawo loyambirira lomwe limawonekera mwa kusintha kwa khungu la m'munsi khungu. Kunenepa kwambiri, kuchuluka kwa nthawi yayitali komanso kukoka kwa zinthu zakuchuluka kumachulukitsa kusokonezeka kwa malowa. Pakadali pano, odwala ochepa amapita kuchipatala ndipo matendawo amakula. Ngakhale zolakwika zodziwikiratu za khungu zomwe zidawonekera, odwala omwewo amayesa kuchitira, koma popanda chithandizo chovuta, izi sizikuyenda bwino. 50% yokha ya zilonda zam'mimba zomwe zimachiritsa mu miyezi 4, ndipo 20% ali poyera kwa zaka ziwiri. Malinga ndi ziwerengero, 8% ya zofooka sizichiritsa m'zaka 5 zikubwerazi. Ngakhale zilonda zitatseka, kubwereranso kwawo ndi 6-15%. Zachidziwikire, izi zimayambitsa kulumala, kuchepetsedwa kwa moyo ndipo nthawi zambiri zimayambitsa kulumala.
Zilonda zam'mimba zokhala m'munsi zokhala m'munsi zimathanso kudwala ochepa kusakwanira (kuwononga matenda am'mitsempha). Amapangika m'mimba kwambiri ischemia ndipo amapezeka m'malo am'mbali - pamapazi (pafupipafupi pamwendo wapansi). Mitsempha yayikulu imakhudzidwa ndi atherosulinosis obliterans, zomwe zimachitika osati mwa anthu okalamba, komanso kwa achichepere. Zomwe zimayambitsa zilonda zam'mimbazi ndi kuchepa kwakukulu kwa kupanikizika kwa kama wogona, chitukuko cha stasis ya magazi ochepa komanso kwambiri minofu hypoxia. Kupanikizika kwa oksijeni (pO2) mwa odwala omwe ali ndi kusintha kwa necrotic kumapazi ndi 20-30 mm Hg. Chizindikirochi ndichofunikira, ngati sichikuchulukira pakutsitsa miyendo pansi, ndikuwongolera sizichitika pambuyo poti chithandizire, ndiye kuti izi zimawonedwa ngati chiwopsezo chakudula. China chomwe chikuwoneka ngati ischemia ya miyendo ndi kusintha kwa ulcerative necrotic kungakhale kuchepa kwa michere ya atheromatous kapena malo ovekedwa. Chofunikira pa zilonda zamtundu wa atrerial ndizowopsa. Ngakhale kuvulala pang'ono kwa minyewa ya mwendo (kupweteka, kudula pang'ono, khungu kuwonongeka ndi nsapato) pazinthu zochepetsedwa zamafupipafupi zimapangitsa mawonekedwe a zilonda, zomwe zimakulirakulira kukula, zimayambitsa kupweteka kwambiri, ndipo izi zimafuna kugwiritsa ntchito mankhwala.
Zilonda za matenda ashuga zimapezeka mwa odwala matenda ashuga, yomwe imapangidwa ndi microangiopathy ndi neuropathy yayikulu. Nthawi yomweyo, m'munsi yotsika, mphamvu za mtundu wa "masokosi akhungu" zimatayika - zikopa zamtundu wokhala ndi zomverera zosungika ndi zotayika kwathunthu zimadziwika. Kusowa kwa ululu m'm zilonda kumachitika chifukwa chophwanya malo ogona, ndipo izi zikufotokozera kudzipereka kwakanthawi kunyumba komanso kufulumira kwa katswiri. Vuto lalikulu kwambiri la zilonda zam'mimba za shuga ndi matenda komanso kukula msanga. chonyowazomwe zimafunikira kudulidwa.
Zilonda za trophic motsutsana pachimake komanso chovuta lymphostasis.
Matenda dermatitis ndi chikanga.
Matenda azachilengedwe (collagenoses, vasculitis, magazi m'magazi) amapezeka ndi zilema zam'mimba. Livevo-vasculitis (vasculitis ndi thrombosis ya ziwiya zazing'onoting'ono) zimawonetsedwa ndi zotupa za hemorrhagic ndi zilonda zopweteka pamiyendo. Livedo - vasculitis limapezeka zokhudza zonse scleroderma, lupus erythematosus, antiphospholipid syndrome.
Zilonda zam'mimba kupangika mtima matenda ndi kuzungulira kwa kulephera ndi edematous syndrome. Mukalipira matenda oyamba ndikuchotsa edema, zolakwika zam'muna zimatha msanga.
Matenda a pakhungu oyambitsidwa ndi kusasamala kwaukhondo (asocial contingent).
Zotsatira za zinthu zakuthupi - kuwotcha ndi frostbite.
Kuvulala kwa mitsempha ya mitsempha kumayambitsa zilonda zam'mimba.
Zoyambitsa matenda (syphilitic, khate, Zilonda za Buruli, zilonda zam'minda, leishmaniasis, ratchtsiosis).
Khungu neoplasms mu mawonekedwe a zilonda zam'mimba.
Kuwonetsedwa ndi ma radiation (zilonda zam'misewu).
Zilonda zamkhungu poizoni Neellolysis wa Lyell (mawonekedwe lmankhwala osokoneza bongo).

Zizindikiro za chilonda cha trophic pamwendo

Gawo lachitatu la kuperewera kwa venous kusadziwika bwino ndi mawonekedwe a zilonda zam'mimba, zomwe sizimawoneka nthawi yomweyo komanso zimakhala ndi magawo. Gawo loyambirira la zilonda zam'mapazi pamwendo limadziwika ndi tsamba kopanira - hemosiderin (chomwe ndi kuphulika kwa hemoglobin) imayikidwa mu dermis. Pakapita kanthawi, mafuta osunthika amapangidwa pakatikati pamalopo, ndipo khungu limapeza mawonekedwe a lacquer komanso tint yoyera (monga kutuluka kwa paraffin). Gawo ili limatchedwa "khungu loyera" ndipo limatengedwa ngati vuto ladzala.

Ndikofunikira kuyamba chithandizo koyambirira, popeza pambuyo pake pakakhala "varnish" pakhungu, maselo am'mimba amwalira ndikuwongolera kwa madzimadzi. Pa gawo la zovuta zamatumbo, odwala amadera nkhawa kuyimitsidwa ndi kuwotchedwa. Madera okufa amafalikira msanga ndipo njirayo imatha ndi kupangika kwa vuto la zilonda zam'mimba zomwe zimakwiyitsa ovuta.Malo wamba okhala ndi zilonda zam'mimba ndi malo amkati mwendo wam'munsi, ndipo kuchuluka kwa zilonda kumatha kukhala kosiyana. Zilonda zam'mimba zimamera m'malire am'munsi (phazi, chidendene).

Zilonda zam'mimba zokhala ndi mitsempha ya varicose imatha kukhala kukula kwa ndalama kapena kuphimba mwendo wonse wamunsi, ndikukulira kwambiri mkati mwa fascia - izi zimadziwika kwambiri ndi chithandizo chakanthawi komanso ngati palibe chithandizo chokwanira. Zilonda za varicose zimakhala ndi mawonekedwe ozunguliridwa, exudate amamasulidwa nthawi zonse kuchokera kwa iwo: madzi omveka bwino, magazi, mafinya pomwe mabakiteriya amamangiriridwa, fibrin.

Iwo amakula pang'onopang'ono kukula kwake ndipo zotupa za minofu yofewa zimalumikizana. Ndi kachilomboka, fungo losasangalatsa limachokera m'bala. Ululu umatha. Zilonda zam'mimba nthawi zambiri zimakhala zakuya, ndipo m'mphepete mwamipanda, pansi pamakutidwa ndi zolembera ndi zokhudzana ndi khungu, khungu lozungulira limakhala loumbika, ndipo minyewa yolowerera imapindika. Chithandizo cha mankhwalawa chimatenga miyezi 1-1,5 ndipo chimatsuka zotupa kuchokera pazomwe zili.

Pakusintha kufikira gawo la granulation, chilonda chimatsukidwa pazomwe zili mkati mwake ndipo zofowoka zimawonekera pansi pazolakwika, ndipo kukula kwa zilondazo kumayamba kuchepa. Kuchepa ndi kupweteka kumachepetsedwa kwambiri.

Kutalika kwa gawo kumatengera kukula koyambira komanso kuzama kwa zilonda, pakukwaniritsidwa kwa chithandizo cha gawo lakale. Ngati minofu trophism ikonzedwa, ndiye kuti kubadwanso kumachitika mwachangu ndipo kumatha kumapeto kwathunthu. Gawoli ndi lalitali ndipo pali chiopsezo chobwereranso, pambuyo pake chilonda chachiwiri chimalandiridwa moyipa. Ngati chithandizo choyenera chikuyambira munthawi yake, zilonda zimatseka, ndikugonjera njira zodzitetezera (kuvomereza phlebotonics, kuvala zovala zopondera, kuwona boma la ntchito ndi kupumula, kuchepetsa katundu wambiri) chiopsezo chobwereranso pambuyo poti epithelization wathunthu wa bala athetsedwe.

Odwala matenda ashuga kuchuluka mtima kupezeka, kuwonongeka kwa microcirculation mapazi, ndi kuphatikiza nyamakazi zimathandizira kukulitsa zilonda za matenda ashuga. Kuwonongeka kwa khungu kumaganizira kuwonongeka ndi matenda. Zilonda za matenda ashuga zimakhala ndi njira yayitali komanso yolimbikira, nthawi zambiri zimachulukirachulukira. Zilonda zam'mimba zodwala matendawa nthawi zambiri zimakhala ndi kutengera kwina - mawonekedwe am'mapazi ndi chala choyamba, chomwe chimakonda phazi la matenda ashuga.

Komabe, pali zilonda zam'miyendo, zomwe ndizosakanikirana - chifukwa cha kusowa kwazinthu zina komanso venous. Matenda a shuga komanso kuperewera kwa mphamvu m'thupi mwake kumakhudza kwambiri machiritso.

Kuyesa ndi kufufuza matenda

Pozindikira matenda omwe amachititsa kuti zilonda zam'mimba zitha kugwiritsidwa ntchito:

mayeso wamba labotale
kuyezetsa magazi kwa shuga,
bacteriological kuwunika kwa bala
kupukusa kwa mapangidwe a mitsempha ya m'mimba, komwe kumapangitsa kuti mudziwe zambiri zamtundu wa zida zoyambira zamitsempha zakuya komanso zosafunikira,
radiopaque ndi radioisotope phlebography,
phlebotonography,
makulidwe (yotsimikizika ndi mtengo wa venous Reflux m'matumbo a mitsempha),
multispiral compute tomography - angiography kuti mudziwe momwe mitsempha imayendera kapena kuwunika kozungulira kwa msempha wamitsempha yamchiac ndi yachikazi,
vuto la matenda ashuga ndi ischemic, kutsimikiza kwa ultrasound kwa kusintha kwa mitsempha yam'munsi komanso kufinya kwam'magazi kumaphatikizidwa mu mayeso.

Chithandizo cha zilonda zam'mimba za trophic

Chithandizo cha zilonda zam'munsi zimayambira panjira yayitali, chifukwa chakuti magazi amayenda m'matumbo ndipo venous stasis ndi lymphostasis zilipo. Kuti muthe kuchiza zilonda zam'mimba, mufunika zovuta, poganizira zifukwa zomwe zimatithandizira kukulitsa matendawa. Zilonda zam'malo am'munsi ndizovuta kuchiza ndipo zimakonda kubwereranso, motero chithandizo nthawi zonse kumakhala kovuta.

Kukonzekera mankhwalawa trophic zilonda zam'munsi

Chithandizo cha mankhwala ndi maziko ndipo mankhwala onse amatha kugawidwa m'magulu angapo:

Antibacterial. Gawo lodzikondweretsa limadziwika ndi zotupa zambiri, zotupa zomwe zimakhala pafupi ndikuzunguliridwa ndi maluwa a bakiteriya. Maantibayotiki amawonetsedwa chifukwa cha zotupa za trophic zochulukirapo zomwe zimachitika ndi zotupa za potifocal ndi systemic reaction (kutentha, malaise), komanso pamaso pa kutulutsa kwa purulent. Cholinga chachikulu cha chithandizo cha maantibayotiki ndikukonzanso chilonda kuchokera ku microflora ya pathogenic. Kugwiritsa ntchito maantibayotiki popanda vuto lililonse. Nthawi yomweyo maantibayotiki amapatsidwa mankhwala ndipo nthawi zambiri amakhala zochita zambiri: Cefoperazone, Cefadroxil, Cefazolin, Lomefloxacin, Cefamandol, Ofloxacin, Ciprofloxacin. Kuwongolera kwa mnofu kumakhala koyenera, koma kutsata mkamwa kumaloledwa. Pambuyo pozindikira chomera cha pathogenic ndikuwonetsa chidwi cha mankhwala, kukonza chithandizo kumachitika. Kutalika kwa mankhwala opha maantibayotiki ndi zotupa zambiri za purulent-necrotic, zomwe zimawonedwa ndi mawonekedwe a neuro-ischemic matenda ashugaikhoza kufika miyezi iwiri. Pa matenda ashuga, poizoni nephropathy, komanso kuwonongeka kwa impso m'matenda amtundu, osagwiritsa ntchito aminoglycosides (Neomycin, Kanamycin, Monomycin, Gentamicin, Tobramycin, Amikacin).
Mankhwala a antifungal. Mukuchita zilonda zam'mimba kwambiri, makamaka motsutsana ndi matenda ashuga, kachilombo ka HIV, khansa, zomera za fungus zimafesedwa kuchokera pachilonda (mitundu yosiyanasiyana Candida) kapena kuphatikiza kwa mabakiteriya ndi zomera. Chifukwa chake, mankhwala opha maantibayotiki amathandizidwa ndi mankhwala antifungal.
Kutupa kogwira minofu yozungulira zilonda zam'mimba komanso ululu wammbuyo kumazindikira kufunika kwa mankhwala omwe si a antiidal.Diclofenac, Ketoprofen, Movalis) Mungafunike mankhwala ochita kupangaFaspik, Ketanov, MIG-400, Ketorol).
Mankhwala osokoneza bongo omwe amasintha minyewa yam'mimba komanso michere yazakudya zimaphatikizidwa ndi zilonda zam'mimba za etiology iliyonse. Zogwiritsidwa ntchito pazolinga izi. Pentoxifylline ndi Actovegin. Mankhwala omalizawa amakhala ndi zovuta za metabolic ndipo amasonyezedwa makamaka zilonda zam'mbuyo matenda ashuga ndi atherosulinosis obliterans. Actovegin amayamba ndi kulowetsedwa kwa mtsempha kwa masiku 15, pambuyo pake amatenga mawonekedwe a piritsi (piritsi 1 katatu patsiku, miyezi 1.5).
Kukonzekera kochotsa matendaLoratadine, Ketotifen diphenhydramine, Chloropyramine-Ferein, Cetrin ndi ena).
Kukonzekera prostaglandin F1 (mu gawo loyamba ndi lachiwiri la kutupa kwamabala). Chithandizo cha zilonda zam'mimba zokhala ndi mitsempha ya varicose. Cholinga chachikulu cha mankhwalawa ndikutseka chilonda cham'mimba ndi kupewa kuti isabwerenso.

Pogona pogona.
Systemic mankhwala othandizira.
Mankhwala a Venotinizing (phlebotonics). Mankhwalawa amapanga maziko a mankhwalawa chifukwa chodwala mosalephera. Ili ndi gulu lalikulu la mankhwala omwe amachititsa kuti venous ituluke kuchokera kumapeto, kuchulukitsa kamvekedwe ka venous, kuchepetsa kuchulukana kwa venous, kusintha makina am'mimba, komanso kukhala ndi zotsatira zapillaroprotective. Mankhwala omwe ali ndi mphamvu yotsimikizika ndi diosmin (Phlebodia, Venolek, Diovenor, Phlebopha) Pamaso pa zilonda zam'mimba, kugwiritsa ntchito mankhwalawa ndikofunikira kwa miyezi 2-6. Zogwira ntchito diosmin imagwira mwachangu ndipo imadziunjikira kumalo a zilonda zam'mimba ndipo imaponderezana ndi zotupa zam'deralo. Mukamagwiritsa ntchito diosmin, kuchiritsa zilonda kumatheka ndi 61% ya odwala. Phlebotonics iyenera kugwiritsidwa ntchito kuyambira gawo lachiwiri la chilonda pakuchiritsa ndipo patatha nthawi yayitali kuchiritsa zilonda.
Gawo lachiwiri la njira yochiritsa bala, ma antioxidants amawonjezeredwa ku chithandizo (Aevit, vitamini e), Actovegin kapena Solcoseryl.
Otsutsa (acetylsalicylic acid 0,1 g Pentoxifylline, nicotinic acid) Kugwiritsa Pentoxifylline mu pachimake nthawi kumathandiza kuti machiritso a chironda chachikulu.
Mankhwala osokoneza bongo.
Chithandizo cha zilonda zam'midzi za varicose zimaphatikizapo mankhwala okhala ndi heparin. Heparin Imakhala ndi zotsutsa-kutupa ndi ma analgesic zotsatira, zikuyambitsa histamine ndi hyaluronidase. Kulowa kwa chinthu yogwira kumakhala kovuta mikhalidwe ya kufalikira kwa venous. Kuchita kwa heparin kumadalira ndende yake. Chifukwa chake, muyenera kugwiritsa ntchito mafuta odzola (kapena ma gels) omwe ali ndi ndende ya heparin ya zosachepera 1000 PIECES (Supombophobia, Lyoton, Hepatrombin) Zotsirizirazi zimakhala ndi 30,000 mpaka 50,000 IU ya heparin, motero zotsatira zake zimakhala zamphamvu. Kuphatikizikako kumaphatikizanso dexpanthenone ndi allantoinokhala ndi kusinthika komanso odana ndi kutupa. Ndikofunikira kugwiritsa ntchito mankhwala a phlebotropic, chifukwa kugwiritsa ntchito mankhwala am'deralo sikomveka.
At dermatitis ndi chikanga ndizotheka kugwiritsa ntchito mafuta a corticosteroid kwanuko.
Kuphatikiza bandeji ndi bandeji Varolast (bandeji bandeji yokhala ndi zinc) pa mankhwala, kuyambira gawo lachiwiri la bala. Poyamba, bandeji kapena bandeji imayikidwa masiku 1-2, ndipo kenaka kwa masiku 5-6. Pambuyo pachilonda pachilonda, kupweteketsa mosalekeza kwa chithandizo chamankhwala oponderezedwa kumasonyezedwa.

Kodi kuchitira zilonda zam'mimba?

Ndi chilonda cha trophic, chithandizo chakomweko chimakhala ndi phindu lothandizira, chinthu chachikulu ndikuwonjezera mamvekedwe amitsempha yam'munsi. Chithandizo chamderalo chimatengera gawo la bala

Mankhwala am'deralo amagawidwa ndi zinthu zogwira ntchito. Zodzola mafuta ndi miyala yamiyala yozikidwa pa:

Heparina ndi mankhwala osokoneza bongo.
Mankhwala osokoneza bongo - osagwiritsidwa ntchito pothana ndi ululu wammbuyo.
Mapuloteni a Proteolytic. Kukonzekera kochokera pa michere ya proteinolytic kumagwiritsidwa ntchito kuyeretsa minofu yakufa ndi fibrin kuchokera ku zilonda. Mukamagwiritsa ntchito, pamakhala chiwopsezo cha kuyanjana, chifukwa ma enzyme ndi mapuloteni akunja. Pankhaniyi, kukonzekera kwa enzyme kumagwiritsidwa ntchito ndi kuvala komwe kumagwiritsidwa ntchito munthawi yochepa (osaposa masiku 3-4), ndipo poyimitsa ndi kuwotchera pakawoneka m'zilonda amachotsedwa pomwepo.
Mankhwala a antibacterial (okhala ndi zilonda zam'mimba zopatsirana).
Corticosteroids ngati alipo chikanga ndi dermatitis.
Ma antihistamines omwe akuyabwa ndi chikanga, ngati simungathe kugwiritsa ntchito glucocorticoids kwanuko.
Zinyama Zapuloteni Wanyama (Gel ndi Mafuta Actovegin).

Mchigawo chodzikundikira, chimbudzi cha zilonda zam'mimba zimagwiritsidwa ntchito tsiku lililonse ndi siponji ya thonje ndi yankho la antiseptic. Olembapo angapo amakhulupirira kuti kuyeretsa kwatsamba lokhala ndi saline yakuthupi ndi kokwanira chimbudzi cha bala (limatenthedwa ndi kutentha kwa thupi pochiritsa bala m'gawo lachiwiri ndi lachitatu la njirayi). Pewani kugwiritsa ntchito hydrogen peroxide ndi ayodini-povidone, amene amawononga minofu ya granulation.

Komabe, mu gawo loyamba la mabala omwe amachiritsa mabala, ma antiseptics osalowerera, ma enzymes a protein ndi ma sorbents amakhala othandiza kwambiri pochotsa minofu ya necrotic komanso exudate. Kukonzekera kwa mankhwala kumagwiritsidwa ntchito ngati antiseptics (Chlorhexidine, Eplan, Dioxidine, Cital) ndi mayankho okonzekera palokha (decoctions of chamomile, yarrow, chingwe, yankho la furacilin kapena potaziyamu permanganate). Ntchito michere ya proteinolytic: hyaluronidase, nucleotidase, trypsin, chymotrypsin, collagenase.Enzyme yomaliza ndi madzi sungunuka.

Collagenase sikuwononga minofu ndikuchulukitsa nthawi 10. Ndi gawo la mafuta Iruxol, omwe amagwiritsidwa ntchito pochiza zilonda zam'mimba. Yaz sobrentov imatha kutchedwa Chikav, Diotevin ndi Chisakonde. Aseptorbis amapezeka mu mawonekedwe a ufa, pomwe wosanjikiza wowonda umagwiritsidwa ntchito kupukutira bala pambuyo chimbudzi chovulala. Pali mitundu yambiri Aseptisorba - ndi mankhwala ochita kupanga, Divinemabala a necrotic ndi Diotevin. Chisakonde - yogwira ndi calcium alginate. Mankhwalawa mu mawonekedwe owuma adalumikizidwa mu bala, pomwe amatupa ndikutenga mabakiteriya ndi bala. Zilonda zoyeretsa zimachitidwanso pogwiritsa ntchito mafilimu a collagen ndi ma hydrogels - izi zimachepetsa kwambiri nthawi yomwe imasinthidwa kuchoka pakuyamba kupita pang'onopang'ono.

Pambuyo pamankhwala othandizira zilonda, kuvala kuyenera kuyikiridwa ndi mafuta omwe amatulutsa chinyezi. Ikani mafuta Levosin, Levomekol, Solcoserylmafuta onunkhira nalimata kapena Dioxol. Mafuta a Dioxicole adapangidwira zochizira zilonda zam'mimba zoyambirira mbali ya bala. Muli dioxidine (antiseptic), trimecaine (mankhwala ochita kupanga) ndi methyluracil (kubwezeretsanso).

Mutha kugwiritsa ntchito kavalidwe kabwino ka mafuta osalala Voskosran-Doyomwe ili ndi mafuta a Dioxol. Zabwino zimawonedwa mukamagwiritsa ntchito mafuta ophatikizika Streptolavenzomwe zili miramistin (antiseptic) ndi ultralysin (enzyme). Ufa umakhalanso ndi zovuta. Diotevinyokhala ndi Copent, antiseptic (dioxidine) ndi chinthu (terrilithin). Bandeji ya elastic kapena bandeji yophweka imapangidwa kuchokera kumwamba. Zilonda zotseguka, bandeji yopanga ma multilayer imapangidwa: bedi-yopyapyala ya thonje, bandeji ya kutalikirana kwakanthawi komanso bandeji yapakatikati yapakatikati.

Kusintha kwa chilonda kupita pagawo lachiwiri (kufalikira) kumadziwika ndi kuyeretsa bala, kuchepa kutupa, mawonekedwe a pang'onopang'ono ndi kuchepa kwakukulu pakuchotsa. Cholinga chachikulu ndikulimbikitsa kukula kwa minofu yolumikizika. Kuti muchepetse kukula kwa minofu, gwiritsani ntchito zinc hyaluronate (gel Curiosin) Hyaluronic acid ndi gawo lophatikizika la minofu yolumikizana, ndipo nthaka ndiantiseptic yogwira ntchito. Kuti muchepetse kutsekedwa kwa mabala, zovala za mabala zimagwiritsidwa ntchito (Allevin, Algipor, Sviderm, Algimaf, Gishispon), kenako bandeji yodziwikiratu imapangidwa. Gawo lino, kukonzekera kwazitsamba (mafuta a dogrose kapena sea buckthorn), njira zothetsera madzi kapena mafuta onunkhira a phula (zotengera zakumwa siziphatikizidwa) zitha kugwiritsidwa ntchito.

Mu gawo la epithelialization, mawonekedwe osakhazikika, omwe amayenera kutetezedwa kuti asawonongeke kunja, ndikupitilizanso kuchepetsa kuchepa kwa matenda oopsa mwa kuvala zovala zopindika (masokosi amabondo kapena masitokosi) ndikutenga ma phlebotonics. Mu gawo lachiwiri ndi lachitatu la njirayi, mafuta opaka mafuta amagwiritsidwa ntchito pofuna kuyambitsa kukonzanso Ebermin ndi Actovegin (gel mu gawo lachiwiri, ndi mafuta wachitatu).

Posachedwa, mavalidwe amakono azilonda amagwiritsidwa ntchito kwambiri, kusankha komwe kumapangidwa poyang'anira kuchuluka kwa exudation ndi gawo la njirayi. Mu gawo la kutupa, mavalidwe oterewa ayenera kuyambitsa kukana kwa necrotic minofu (autolytic kuyeretsa chilonda), poizoni wa zilonda zam'mimba ndi zilonda zotuluka. Pochiza zilonda "zoyera" zomwe zayamba kuchira, ndikofunikira kuti chinyontho chizikhala ndi mpweya, ziziteteza kuti zisawonongeke komanso zibwezeretsenso, komanso zithandizira kukonza minyewa.

Zovala zonse ndizosavuta kugwiritsa ntchito, nthawi yambiri ndipo zimatha kuyikidwa ndi wodwala kunyumba. Mu gawo loyamba la mabala ochiritsa, mavalidwe okhala ndi ma sorbents (adayambitsa kaboni), ma protein enzymes, antiseptics (mwachitsanzo, siliva), ma alideates, ndi oyamwa kwambiri amawagwiritsa ntchito kwambiri.

Pamaso pa necrosis mu bala, mavalidwe a hydrogel amagwiritsidwa ntchito (Gidrosorb, Gelepran, Opragel)Zotsatira zazikulu za ma hydrogels ndikuti kuyeretsa ndi kulimbitsa kwa minofu ya necrotic. Ndi kukula kwa kupanga fibrin, exudation ndi matenda, mavalidwe omwe ali ndi alginates ndi siliva amagwiritsidwa ntchito (Chisakonde ndi calcium alginate, Gelepran ndi siliva Askina Kalgitrol Ag) Askina Kalgitrol Ag - wovala masanjidwe angapo okhala ndi siliva alginate, yemwe amasungitsa zochitika zoyipa kwa masiku 7.

Masiponji nthawi zambiri amagwiritsidwa ntchito pozizira kwambiri, chifukwa amamwa chinyezi kuchokera pachilonda. Koma chinkhupule Meturacol ili ndi methyluracil ndi louma collagen, chifukwa chake, kuwonjezera pa kuthekera kwambiri, imakhala ndi zotsutsana ndi zotupa komanso zowonjezera. Siponji wa siponji imagwiritsidwa ntchito mu gawo la 2 ndi 3 la ntchitoyi. Ndi mbale yosalimba yomwe imatupa m'madzi otentha. Siponji imayikidwa pachilonda, ndikugwira masentimita 1.5 kupitilira, ndikukhala. Ngati pali zotulutsa oyera, mutha kupukusa siponjiyo ndi yankho Dioxidine. Mavalidwe amatha kusinthidwa masiku atatu aliwonse - munthawi imeneyi chinkhupule chimasungunuka. Ngati sichisungunuka ndipo palibe chifukwa chovalira, sichichotsedwa.

Mavalidwe atraumatic ndi alginates ndi hydrocolloids (Duoderm, Hydrocall) Ndi mabala "oyera", zokutira za collagen ndi zovala za kuchiritsa zamafuta zimagwiritsidwa ntchito. Mavalidwe a Mesh Nthambi N amatanthauza kavalidwe ka atraumatic. Muli mankhwala a ku Peruvia (ali ndi mankhwala a antiseptic), mafuta odzola, cetomacragol, glycerin, mafuta a haidrojeni, mafuta ogwirizana. Simamatira chilonda, sichimasokoneza kutuluka ndipo imateteza chilonda kuti chiwonongeke ndi mawotchi. Amagwiritsidwa ntchito pang'onopang'ono. Kukutira kumayikidwa pachilonda, kukhazikika ndi bandeji komanso bandeji yodukiza.

Gawo lachitatu, epidermal grow factor (Ebermin), ma hydrogels, zokutira zowoneka bwino za collagen, chitosan, chondroitin sulfuric acid ndi hyaluronic acid (Bol-hit, Collachite). Zovala Voskosran ndi Parapran yogwiritsidwa ntchito mu gawo lachiwiri - III, chifukwa amathandizira kukulitsa kwa granulations ndikuthandizira epithelization.

Malonda nawonso ndi achidwi. Activetexomwe ali ndi maziko azovala zovala zopangidwa ndi mankhwala osiyanasiyana ndi polymer ya gelling. Napkins am'magulu onse amakhala ndi antimicrobial. Amapezeka ndi zigawo zosiyanasiyana, ndipo motero, amakhala ndi mawonekedwe osiyanasiyana. Mwachitsanzo, zopukutira Activetex FL muli furagin (mankhwala antimicrobial) ndi lidocaine (mankhwala oletsa ululu). Pankhani imeneyi, ndikofunika kugwiritsa ntchito mankhwalawa zilonda zam'mimba komanso kukhalapo kwa ululu waukulu. Chlorhexidine ndi furagin ndi magawo awiri a antimicrobial omwe amapukutidwa ndi HF.

Activex FHF palinso furagin ndi chlorophyllipt, Activex HFL - chlorhexidine, furagin ndi lidocaine, ndi HVIT kupukuta - chlorhexidine wokhala ndi mavitamini (rutin, ascorbic acid). Activex FOM muli mafuta a furagin ndi sea buckthorn - chochita ndikuchotsa kutupa ndikusintha kubwezeretsanso. Zitha kugwiritsidwa ntchito pagawo la machiritso.

Chithandizo cha zilonda zam'mimba pogwiritsa ntchito ulusiwu chimachitika m'magawo. Choyamba, gwiritsani ntchito kupukuta ndi antiseptic ndi analgesic zotsatira: HF (chlorhexidine + furagin), PCF (furagin + chlorophyllipt) kapena HFL (chlorhexidine + furagin + lidocaineine). Kugwiritsa ntchito kwawo kumathandizira kuthetsa kutupa ndi ululu. Gawo lotsatira ndikugwiritsa ntchito kupukuta kwa HVIT ndi mavitamini omwe amathandizira kuyenderera kwa magazi am'deralo ndikulimbikitsa machiritso, komanso kupukuta kwa nyanja ya buckthorn. Napkins angagwiritsidwe ntchito popanda kusintha mpaka masiku atatu, komabe, izi zimatengera kuchuluka kwa zotupa za bala. Chofunikira pakugwiritsira ntchito mapanelo ndikukhazikika chinyezi chawo, chifukwa zikauma, zimasokoneza zotupa ndi kupweteka kumatha kuonekera. Mutha kuwilitsa chopukutira ndi mchere kapena madzi owiritsa.

Chithandizo cha matenda ashuga Ulcer

Njira yayikulu yothandizira ndi kuwonetsetsa, ngati kuli kotheka, kupumula kwa kama kapena kupatula katundu pa mwendo, momwe muli zovuta zina. Chofunikira chachiwiri ndikuwongolera kuchuluka kwa shuga pomwa mankhwala ochepetsa shuga. Nthawi zambiri, odwala omwe ali ndi zilonda zam'mimba amakagonekedwa m'chipatala. Izi zimafunikira kwamankhwala azilonda zam'mimba.

Zokhudza chithandizo cha odwala omwe ali ndi zilonda zam'mimba:

Onetsetsani kuti mwalumikiza kukonzekera kwa prostaglandin (Vazaprostan, Vasostenone, Arteris Vero), yomwe imapangitsa kusintha kwakang'ono mu ischemic zone, kumathandizira kuchepetsa chilema ndi kuchira kwake, ndipo izi zimapewa kudula.
Mankhwalawa ovuta, kukonzekera kwa alpha-lipoic acid ndi mavitamini a B amagwiritsidwa ntchito.
Ma antiplatelet othandizira ndi anticoagulants amalembedwa, pakati pake ndikofunikira kuwunikira Sulodexide.
Kugwiritsa Gepona amalola kuchiritsidwa kwa zilonda zam'mbuyomu, chifukwa mankhwalawa amalimbikitsa mphamvu yogwira pang'onopang'ono. Chilondacho chimatsukidwa ndi yankho la Gepon (0,002 g pa 10 ml ya saline) ndipo mafuta amayikidwa, omwe amaphatikizapo Gepon.
Chithandizo chachiwiri chothandiza kuchiritsa zilonda zam'mimba ndi gel Curiosin.
M'malo mochita kupanga bandeti, zida zodulira pang'ono "nsapato" ndikugwiritsidwa ntchito.

Zilonda zam'mimba ziyenera kuthandizidwa:

Kuchiza ndi wowerengeka azitsamba

Zithandizo za anthu zimagwiritsidwanso ntchito pochiza mabala. Itha kukhala madzi a Kalanchoe kapena msuzi wa Aloe. Mutha kuchiza zilonda zam'miyendo ndi chamomile - konzekerani decoction pa supuni 1 pa 200 ml ya madzi otentha. Msuzi umasefedwa, umakokedwa mu syringe ndipo chilema chotsuka chimatsukidwa. Njira zam'deralo zimachitidwanso ndi decoctions ya mahatchi, plantain, yarrow ndi trefoil.

Pambuyo poyeretsa bala, mafuta okonzedwera pamaziko a njuchi angagwiritsidwe ntchito pofuna kuwonjezera kuchira kwake. Kapangidwe kake kama:

theka la kapu ya mafuta a mpendadzuwa,
njuchi 2-30 g,
dzira la nkhuku.

Dzira losaphika kwambiri ndikugwiritsa ntchito yolk yokha ya mafuta. Wiritsani mafuta mu mbale ya enamel, tsanulirani njuchi zowotchera, tsitsani kusakaniza mpaka sera itasungunuka kwathunthu. Fotokozerani yolk yosankhidwa ndi kusakaniza bwino. Munthawi yotentha, yesetsani kudutsa zigawo za gauze kapena nsalu ya nayiloni. Sungani mafuta mufiriji mu mbale yagalasi (imakhuthala). Mafuta ozizira sayenera kugwiritsidwa ntchito pachilondacho, chifukwa chake, gawo lofunikira la njirayi liyenera kuwotchera madzi osamba kuti kutentha kwa 38-400.

Malinga ndi njira ina yothira mafuta, muyenera kumwa 100 g:

Kutentha, kosakasa, mumadzi osamba mpaka sera itasungunuka ndi zosakaniza zonse zikuphatikizidwa. Sungani mafuta mufiriji, pang'ono pofunda musanagwiritse ntchito. Ikani zochapa mabala.

Tengani 10 g ya mummy (lumpy kapena mapiritsi), yisungunulani pang'ono madzi otentha owira ndikusakaniza ndi 100 g amadzimadzi a uchi. Mukamavala, swab ya gauze imayikidwa ndi kapangidwe kake, imagwiritsidwa ntchito pachilonda ndikukhazikika. Kavalidwe kamasinthidwa tsiku ndi tsiku.

Nthawi zambiri pamakhala kuwerengera za chithandizo cha zilonda zam'mimba pachimake ndipo izi zimachitika chifukwa vutoli limakhalapo ndipo ambiri ali ndi chidwi. Odwala amagawana zomwe akukumana nazo pazamankhwala ndi zotsatira zake. Kugwiritsa ntchito moyenera mu malingaliro a odwala ambiri, njira yothetsera mabala Dioxisole (antiseptic + anesthetic), mafuta odzola Iruxol, Solcoseryl, Ebermin (Kukula kwazinthu) Stellanin (triiod, povidone, dimexide, petroleum jelly), kupopera Berberex ndi Vitargol (kukonza siliva), gel Prontosanzonona Dermazin ndi Argosulfan (imakhala ndi sulfate ya siliva).

Kusintha kowoneka kumadziwika pambuyo povala mabala Voskosran (ndi levomecol kapena methyluracil), Collahit-FA (Collagen-chitosan zovuta ndi kuphatikiza kwa antiseptic furagin ndi mankhwala ochititsa dzanzi) Collahit-Sh (Collagen-chitosan zovuta ndi chomera antiseptic shikonin).

Ndemanga zina zikugwirizana ndi kugwiritsa ntchito boot ya Unna. Zolemba Pamanja za Unna - Ichi ndi chovala cha zinc-gelatin, chomwe chimaphatikizapo zinc oxide, glycerin, gelatin ndi madzi. Imayamwa chinsinsi bwino, ndikuyendetsa pang'onopang'ono ndi kutulutsa. Kuphatikiza apo, bandeji imakhudzidwa ndi zovala zotanuka, chifukwa chake zimasintha kutulutsa kwa venous. Njira yothandizira mankhwalawa nthawi zina imagwiritsidwa ntchito pazilonda zam'mimbazi. Kavalidwe kake kamafunikira kuwonetsetsa mosamala momwe magwiritsidwe ake amagwiritsidwira ntchito, apo ayi makatani omwe amapangidwira amakulunga ndikusisita khungu la kumapazi.

Mafuta amakankhira ndi phala lolusa umayikidwa pachilonda kuti gelatin isavutike. Mangani mwendo mwamphamvu (gawo limodzi la bandeji) kuchokera pansi mpaka kumapeto kwa bondo. Pankhaniyi, sipayenera kukhala ndi makola, ndipo zala ndi chidendene zimasiyidwa zotseguka. Pogwiritsa ntchito burashi wambiri, phikani phala ndikulipaka, ikaninso bandeji ndikugwiritsanso ntchito. Chifukwa chake, bwerezani katatu. Pomaliza, "boot "yo imakutidwa ndi zigawo zingapo za bandeji. Pambuyo pozizira phala, chovalacho chimakhala chowondera ndipo wodwalayo amatha kuyenda osawopa kuponda pa mwendo wake. Pakapanda kutupa kwakuthupi pachilonda ndi kutulutsa kwamphamvu, kuvala kungavalidwe kwa masabata atatu. Kenako imasinthidwa kukhala yatsopano. Ngati kutupa, "boot" imasinthidwa masiku onse a 7 ndi 7. Wodwala ayenera kuvala bandeji pambuyo poti chilonda chake chidachira. Zakhala zikugwiritsidwa ntchito kwazaka zambiri, kusinthana ndi kuvala zachipongwe.

Ntchito yovala izi zimayenderana ndi zovuta komanso zovuta zina:

Mankhwala samamupangira mankhwala,
kapangidwe kake kamakhala kosiyanasiyana malinga ndi nthawi ya chaka (nyengo yachisanu ndi chilimwe),
bandeji ndizosavuta kuyigwiritsa ntchito, iyenera kuyikidwa ndi katswiri, mwinanso, ngati singagwiritsidwe ntchito moyenera, mavuto ena amakuka.
amagwiritsidwa ntchito malinga ndi zomwe zikuwonetsa (zilonda zam'mimba zambiri za lymphedema ndi post-thrombophlebitis syndrome),
njira yodzikhalira yamakhalidwe, yomwe ingagwiritsidwe ntchito ngati kulibe othandizira ena.

Zododometsa zachindunji

Choyimiriridwa makamaka ndi zotumphukira za coumarin. Makina awo zochita zawo ndikuletsa ntchito ya zinthu zina zomwe zimalephera, zomwe zimalepheretsa kukula kwake ndikuyamba kupanga zigawo zamagazi.

Izi zikuphatikiza:

Kukonzekera kwamutu

Ndi magazi okwanira osakwanira, thanzi ndi kusungika pakhungu ndi minyewa yaying'ono, chidwi chake chokhazikika chimayamba, kenako kutsutsana ndi kunyoza minofu. Zilonda zam'mimba zimapangidwa. Amayamba kumera m'madera akumunsi: mwendo wotsika, chidendene, ndi zala. Imatha kukula mpaka ndalama 5 tambala mpaka mabala akuluakulu omwe amapaka kuzungulira shin.

Makhalidwe

Zilonda za trophic zimatha kuthandizidwa pogwiritsa ntchito fibrinolytics kapena, monga amatchedwanso, mankhwala a thrombolytic. Zowona, mankhwala aliwonse m'gululi amaloledwa kugwiritsidwa ntchito kuchipatala kokha, sagwiritsidwa ntchito kuchipatala chamankhwala chifukwa chosadziwika bwino.

Ma Fibrinolytics amawongolera zochita zawo pakuwonongeka kwa magazi. Ndiye kuti, kumwa mankhwalawa kumamveka pokhapokha ngati magazi akhungu atapangidwa kale ndikuwonetsa kuyenderera kwa magazi kapena kufinya chotchinga. Kupanda kutero, kugwiritsa ntchito fibrinolytics sikulondola.

Zomwe amagwiritsidwa ntchito pano:

Matendawa plasminogen activator.
Streptokinase.
Urokinase.

Antispasmodics

Antispasmodics ndi mankhwala omwe alibe kutchulidwa pathophysiological pochiza zilonda zam'mimba. Kuphatikiza apo, zimatha kuvulaza wodwala, monga momwe vuto la "kulanda" dzanja lomwe lakhudzidwa likukula.

Komabe, ngakhale izi, antispasmodics amagwiritsidwa ntchito pochiza zilonda zam'mimba.Izi zikufotokozedwa ndikuti amatha kuthana ndi kukokana minofu, chifukwa chake amachotsa ululu. Odwala nthawi zambiri amawagwiritsa ntchito ngati othandizira kunja kwa chipatala, zomwe zimangokulitsa mkhalidwe wawo ndikukulitsa kusintha kwa matenda m'mbali mwa dzanja.

Gulu la antispasmodics of systemic zochita limaphatikizapo:

Mankhwala osokoneza bongo oletsa kuponderezana

Mankhwala osagwirizana ndi nonsteroidal anti-yotupa kapena NSAIDs ndi gulu lochulukirapo la mankhwala omwe zotsatira zake ndikuchepetsa kukula kwa kutupa kwawoko. Masiku ano, ma NSAID amagwiritsidwanso ntchito ngati othandizira othandizira pakupweteka pambuyo pa ntchito.

Ma NSAID sikuti ndi okhometsa okha, komanso mankhwala omwe amalepheretsa ma cell angapo a magazi. Ndiye kuti, ndi zilonda zam'mimbazi zam'mimba, ndizotheka kuchepetsa mwayi wokhala ndi thrombosis pogwiritsa ntchito NSAIDs.

NSAIDs zikuphatikiza:

Mafuta a metabolism amawonjezera

Ndi zilonda za trophic, kugwiritsa ntchito gulu lotere la mankhwalawa kutanthauza kuti kusintha kwa lipid metabolism kapena mafuta kagayidwe kachilungamo. Gululi limaphatikizapo magulu ang'onoang'ono ambiri. Dokotala amasankha mankhwala oyenera kwambiri potengera zomwe wodwalayo ali nazo.

Mankhwala amathandizira kuthetsa poizoni m'thupi, komanso kukhathamiritsa mafuta kagayidwe. Izi ndizofunikira kuti muchepetse kufalikira kwa madontho a lipid pamakoma amitsempha yamagazi, omwe pakapita nthawi amatha kusintha magazi.

Gululi limaphatikizapo:

FISHant-S (enterosorbent).
Liprimar.
Lipostat.
Simlo et al.

Ma enzymes amachitidwe

Wodwala wokhala ndi trophic zilonda zam'munsi zitha kupatsidwa mankhwala kuchokera ku gulu la ma enzymes achilengedwe ndi adokotala. Zotsatira zake zimawerengedwa kuti ndizovuta: samangopereka kutenthetsa kwachilengedwe, komanso monga ma analgesics, amathandizira kupewa kuphatikizana kwa maselo amwazi, komanso kuchepetsa kupindika.

Ma enzymes achilengedwe amawonjezeranso kagayidwe kake, kamene kamakhala ndi phindu pamikhalidwe ya ziwiya zomwe zimakhudzidwa ndi matendawa.

Gululi limaphatikizapo:

Kukonzekera kwamutu

Pochiza zilonda zam'miyendo m'miyendo, chithandizo chamankhwala chadongosolo chimagwira ntchito yofunika kwambiri. Chifukwa cha kugwiritsa ntchito mankhwala omwe samachita mwadongosolo, koma kwanuko m'dera lomwe lakhudzidwa, ndizotheka kukwaniritsa machiritso abwino, kupewa kuphatikizika kwa microflora ya pathogenic.

Chithandizo chakumaloko chimatha kugwiritsidwa ntchito ndi magulu angapo a mankhwalawa. Amayimiridwa makamaka ndi mafuta osiyanasiyana, mafuta ndi ma gels, omwe ali osavuta kwambiri kuti odwala azigwiritsa ntchito.

Mankhwala a antibacterial

Ntchito zothandizira antibacterial ndizoletsa kupewa microflora ya pathogenic kuti isakhazikike pa bala. Chifukwa cha kugwiritsidwa ntchito kwawo, nthawi zambiri zimatha kuyimitsa kufalikira kwa njira za pathological. Ndikofunika kugwiritsa ntchito mankhwala a antibacterial m'magawo oyamba a chitukuko, pamene zilonda zikadali zochepa kwambiri.

Mankhwala a antibacterial samangothandiza kuthetsa microflora ya pathogenic, komanso amathandizira kupewa kukula kwa matenda apakati.

Gululi limaphatikizapo:

Ndizosangalatsa kuti masiku ano mafuta ambiri ndi mafuta othandizira othandizira zilonda zam'mimba zimaphatikizira gawo lina la antibacterial kuti apewe kugwiritsa ntchito mafuta awiri nthawi imodzi ndikuthandizira kuti wodwalayo azitsatira pomvera chithandizo.

Home Therapy

Mapiritsi ndi mankhwala ena othandizira zilonda zam'mapazi m'munsi m'munsi zitha kugawidwa m'magulu kutengera cholinga chawo:

Maantibayotiki.
Antibacterial ndi antiseptic.
Kuyanika.
Antihistamines.
Za kuyeretsa komanso kuchiritsa.
Anti-kutupa.
Ophera.

Kuphatikiza apo, pali mapiritsi a thrombolytic, antispasmodics, mavitamini, zida zowongolera zam'munsi thupi.

Wodwalayo ayenera kugwiritsa ntchito ndalama zogwiritsira ntchito mankhwalawa pafupipafupi - kuyambira pakuchapa zilonda, mankhwala antiseptic ndi kutha ndi kugwiritsa ntchito mafuta ochiritsa. Kuphatikiza pa kuchitira zilonda mwachindunji, wodwalayo ayenera kumwa mankhwala omwe amathandizira kulimbitsa magazi, kuthandiza kuchepetsa ululu m'miyendo, kulimbitsa chitetezo chokwanira, komanso kupewa kuchulukana kwa zotupa za khungu.

Magawo azilonda

Zilonda za trophic pamiyendo zimakhala ndi magawo anayi:

Gawo 1 limatsogolera kuwonongeka kwa zigawo zapamwamba za khungu,
Gawo lachiwiri ndiwowonongeka pakatikati pakhungu ndi minofu yolowerera.
Gawo 3 limathandizira kuphwanya kapangidwe ka minofu yofewa,
Gawo 4 limatha kubweretsa minofu necrosis, chotupa chozama chokhala ndi zilonda za necrotic ndi mawonekedwe akunja.

Ngakhale mutatha kuchiritsa mabala, ndiye kuti zipsera zopanda mawonekedwe zimakhalabe m'malo omwe akhudzidwa.

Mafuta zochizira trophic zilonda zam'munsi malembedwe poganizira gawo la atrophy miyendo yotsika.

Mankhwala onse ndi osiyana pakapangidwe ndi chifukwa chake osadzisilirakunyalanyaza malangizo ndi upangiri dokotala. Kukonzekera kwanuko kuyenera kukhala:

kuthetsa kupweteka
kutseguka kwa njira zamachiritso,
kusintha kwachulukidwe,
kutsika kwam'mimba,
kuyeretsa matenda a purulent, serous nkhani.

Zodzikongoletsera Zoyenera

Mndandanda wa mafuta omwe ali ndi zotupa za trophic zilonda, poganizira matendawo matendawa ndi zomwe zilipo:

Mafuta a Ichthyol Kuchepetsa kutupa, kupweteka, kuwonjezera kuchuluka kwa zotupa. Itha kugwiritsidwa ntchito pa gawo la 1 la matendawa.
Mafuta a Vishnevsky pakukonzanso kwa madera owonongeka, kuyeretsedwa kuchokera kuzinthu zabwino.
Solcoseryl Monga mafuta othandiza zilonda zam'mimbazo m'miyendo yachiwiri ya matenda kuti musinthe matenda a trophism komanso kuchuluka kwa mitsempha yamagazi m'miyendo, kukhathamiritsa ndikuthandizira okosijeni, kubwezeretsa zilonda, kuchiritsa mabala komanso kuchepetsa kutupa, komanso kulimbikitsa njira zama metabolic ndikuthandizira kusinthika kwa minofu ndi mphamvu yake 1 siteji.
Actovegin kugwiritsa ntchito zilonda zam'mimba pamigawo ya 1-2 ngakhale mawonekedwe a granerals asanawoneke, kuthetsa kufalikira kwa matenda, kulimbitsa minofu, kukonza trophism ndi magazi, kubwezeretsanso madera omwe akukhudzidwa, komanso kuwonjezera kagayidwe ka ma cellular ndi mphamvu.
Algofin mu kapangidwe kake ka mankhwala oyambitsa matenda amathandizira pamagawo a 1 ndi 2 a matenda, zomwe zimatsogolera pakuyambitsidwa kwa njira zobwezeretsanso minofu, kuchotsedwa kwa kutupa, ndi kuponderezana kwa tinthu tating'onoting'ono.
Argosulfan mu zikuchokera siliva Tingafinye, ogwira magawo 1-2 kupondereza tizilombo, imathandizira kuchira.
Levomekol Zilonda zam'mimba zomwe zimagwiritsidwa ntchito koyamba kwa matenda kupereka machiritso a bala, analgesic, antimicrobial.
Betadine ndi kugwiritsidwa ntchito kwa gawo lachiwiri la matendawa pomwe malekezero akuwoneka mabala, kuponderezana ndi matenda oyamba ndi tizilombo komanso fungus.
Vundehil monga immunostimulant yabwino yogwiritsidwa ntchito pa gawo lachitatu la matendawa kuti muchotse mawonekedwe amtundu wa necrotic, purumutsira kutupa, kuchiritsa mabala.
Bepanten Mu zikuchokera ndi yogwira panthenol ndi ogwira mu magawo 1-2.
Comfrey Mafuta wokhala ndi zilonda ndi zilonda zam'mimba pa miyendo kuti muchiritse, kubwezeretsa khungu lanu, ndikulimbikitsanso kutupa.
Mafuta amafuta am'madzi komanso kukhudzana ndi gawo loyambirira la zilonda zam'mimba kuti imathandizira kuchira kwa minofu yowonongeka, kuchepetsa kutupa.
Stellanin mafuta kuti abwezeretse magazi mu ma capillaries, yambitsa kukula kwa mtima, kutsitsimutsa ndikusinthanso khungu, kuyeretsa mabala kuchokera kuzinthu zamankhwala abwino.
Liniment Aloe ngati kwachilengedwenso kuti apange metabolism, sinthani trophism. Imagwiranso ntchito limodzi ndi mankhwala ena koyambirira kwa matendawa.
Diclofenac kuchokera ku gulu la NSAID kuti muchepetse kuwawa, chotsani kupweteketsa mtima ndikuwonetsa kwambiri venous. Kuthandiza pa gawo lililonse la matenda.
Fluorocort ndi poika mavuto a venous eczema, trophic zilonda.
Dermazin popanga ndi ionized siliva kuti muchepetse kutupa, kukweza ndi kuyeretsa mabala pamiyendo.
Iruxol ndi poikika pa gawo lililonse la matenda a shuga kuchiritsa mabala, kuponderezana kwa microflora yoyipa.

Mafuta onenepa agawo liti

Mafuta amapangidwira kuti athetse matenda a mabala, muchiritse zofooka pamapazi. Zothandiza kwambiri, poganizira gawo la chitukuko, ndi:

antifungal, non-steroidal, antihistamines pa nthawi ya kukwiya ndi magawo otchulidwa a purulent exudate motsutsana ndi maziko a kutupa,
maantibayotiki Mukakumana ndi kachilombo koyambitsa matenda kuti muchepetse kutupa ndi matenda opatsirana, yeretsani mabala kuchokera ku zotuluka,
antioxidants, venotonics ngati mabala ochiritsa zilonda zam'mimba za trophic pakupanga ndi hyaluronic acid pamalo okonzanso kapena kuwonongeka kwa malo omwe akhudzidwa, pomwe njira yotupa ili kale pakuchepa ndipo mapangidwe a granulation mu mabala amadziwika.

Yang'anani! Ndikofunika kumvetsetsa kuti zilonda zam'mimba za miyendo siziyamba kuchira zokha, zimangoyambitsa zovuta komanso zimapangitsa kuti pakhale gangore, zilonda zam'mimba.

Mukamasankha mankhwalawa, ndikofunikira kuyesa moyenera momwe zilili, gawo ndi kukula kwa matendawo, zizindikiro zomwe zilipo kuti mukwaniritse bwino.

Ayi, ayi Simungayesere kuchitidwa nokha ndikuyang'ana njira zachinyengo. Kukhazikitsidwa kwa chithandizo chamankhwala kuyenera kuchitidwa ndi adotolo kuti apewe kukulitsa vutolo, kukulitsa chitukuko cha njira yotupa.

Contraindication

Pafupifupi mafuta aliwonse ochiritsa zilonda zam'mimba zitha kupweteka m'malo mopindulitsa, chifukwa ali ndi zotsutsana nazo. Mukamasankha, onetsetsani kuti mwawerengera malangizowo, koma ndibwino kukambirana kaye ndi dokotala wanu.

Mankhwala monga:

Levosin, Levomekol awonjezera chidwi,
Chloramphenicol, Solcoseryl sangagwiritse ntchito pogwiritsidwa ntchito mopitirira mu mabala ndi hypersensitivity ku zigawo zikuluzikulu,
Ofloxacin amatsutsana mwa amayi panthawi yomwe ali ndi pakati, popeza umboni wa kugwiritsa ntchito mosamala mankhwalawo komanso momwe mwana amakhudzidwira mwana sanaperekedwe,
Mefenate silivomerezeka kwa amayi mukamayamwitsa, imayikidwa pazifukwa zamankhwala. Zotsatira zoyipa zimatha kuyambitsa thupi,
Streptotinol sinafotokozeredwe kutulutsa kwamphamvu kwa nkhani za purulent kuchokera mabala, kumva kwambiri pazinthu zomwe zimagwira.

Zotsatira zoyipa

Mafuta onunkhira a zilonda zam'mimba zambiri amayambitsa mavuto monga ziwengo pamalo omwe amagwiritsidwa ntchito, mwachitsanzo:

Solcoseryl, Streptonitol, Levomekol zingayambitse redness, kuwotcha, kuyabwa,
Methyluracil, mafuta a erythromycin - kupweteka pamalo ogwiritsira ntchito.

Ngati zizindikiro zosasangalatsa zikuwoneka, kugwiritsa ntchito mafuta onunkhira kuyenera kusiyidwa ndipo kusankha kwina kofananira kuyenera kukambirana ndi dokotala.

Ndikosavuta kuyerekeza ndi komwe kumachokera zilonda zam'mimba za m'miyendo. Nthawi zambiri chifukwa chake pamakhala kachilombo komwe kamakhala ndi ma virus komanso mabakiteriya, kuyambitsa kwa microflora ya pathogenic pansi pa khunguzomwe zingayambitse kukula kwa njira yotupa.

Koma zimachitika kuti zilonda zam'mimba ndizovuta zamatenda akulu: mitsempha ya varicose, matenda oopsa, shugapamene zochita zakusokonekera mu hematopoietic dongosolo zimayamba kuchitika.

Zilonda za trophic zimathandizidwa zovuta komanso kwa nthawi yayitali. Zilonda zimanyowa, kuchira mosavuta, ndipo zimatha kubereka kwazaka zingapo. Zimakhudzanso zaka, kusasamala kwa matenda oyamba.

Kwa prophylaxis

Mafuta opangira mafuta amathandizira kuti magazi azithamanga komanso kuti magazi azitupa. Kupanda kutero, gangrene, osteomyelitis angayambe.

Monga kupewa, ndikofunika kulangiza:

kuti mupewe mawonekedwe amatsuka oyera ku mabala,
munthawi yake gwiritsani ntchito malo omwe akhudzidwa ndi ming'alu pakhungu ndi antiseptics,
Valani nsapato zapamwamba komanso zokulirapo,
letsa Hypothermia yam'munsi,
kuteteza khungu ku kuvulala ndi mabala, matenda, radiation ya ultraviolet.

Maantibayotiki

Mankhwala a antibacterial zochizira zilonda zam'mapazi am'munsi zimagwiritsidwa ntchito pamaso pa chilonda champhamvu kwambiri cham'mimba komanso zokhala ndi serous zomwe zikuyenda m'deralo. Cholinga cha ntchito yawo ndikuletsa kufalikira ndi kuteteza kwa mbewu za pathogenic pazowoneka. Magulu akuluakulu a maantibayotiki omwe amagwiritsidwa ntchito:

penicillin - Ampicillin, Amoxicillin,
fluoroquinolones - Ofloxacin, Ciprofloxacin,
cephalosporins - Sulperazone, Ceftazadim,
Lincosamides - Clindamycin, Linkomycin,
carbapenems - Tienam, Meropenem.

Maantibayotiki tikulimbikitsidwa kuti agwiritsidwe ntchito poyambira chithandizo, pamene zilonda ndizochepa kwambiri. Amathandizira kuthana ndi erysipelas ndi phlegmon. Ndi zilonda zam'mapazi zam'munsi, mungathe kuzigwiritsa ntchito:

Ofloxacin. Zimaphatikizanso gawo limodzi la dzina lomweli, lomwe limasokoneza kapangidwe ka DNA ndi magawidwe am'magazi, potero limapangitsa kufa kwa mabakiteriya. Mlingo wa tsiku ndi tsiku wa mapiritsi ndi 200-600 mg, wogawidwa mu 2 waukulu. Mtengo wa mankhwalawa ndi 120-150 p.
Clindamycin. Zomwe zimagwiritsidwa ntchito popanga mankhwalawa zimalepheretsa kuphatikiza mapuloteni m'maselo a bakiteriya, ndikufa. Mapiritsi a Clindamycin a trophic ulcers of the m'munsi malembedwe amatenga 1 kapisozi mpaka 4 pa tsiku. Mothandizidwa ndi mtsempha wa magazi komanso mu mnofu, amapatsidwa 300 mg 2 kawiri pa tsiku. Mu matenda oopsa, mlingo umakulitsidwa mpaka 1.2-1.7 g, ndikugawidwa majekeseni atatu. Mtengo wa ma ampoules 10 ndi 560 p., Mapiritsi 16 - 180 p.
Ceftazidime. Omwenso adatchulidwa kuti ndi othandizira popanga. Ceftazidime amasokoneza kapangidwe kazinthu zopanga ma cell, zomwe zimapangitsa kufa kwa mabakiteriya. Mlingo wa jekeseni wamkati kapena mu mnofu ndi 1000 mg maola 8-12 aliwonse .. Mtengo wa botolo limodzi ndi 70-110 r.

Mafuta a antibacterial

Chithandizo cha antibiotic cha trophic zilonda zam'munsi zitha kuchitika mothandizidwa ndi mankhwala am'deralo. Ntchito zawo: kuthana ndi kukonzanso kwa tizilombo tating'onoting'ono tating'onoting'ono ta chilonda, kupewa kuphatikizidwa kwa matenda ena, kuchotsa kutupa. Mafuta oyamba a antibacterial zochizira zilonda zam'mimbayo:

Heliomycin. Muli heliomycin - chinthu chomwe chimawonetsa zochita za antibacterial motsutsana ndi ma virus okhala ndi gramu. Zilonda zam'mimba kwambiri, tikulimbikitsidwa kuyika zovala zakuda m'mafuta awa. Nthawi zina, mankhwalawa amapaka pachilondacho osafunsira kamodzi pa tsiku. Mtengo wamafuta ndi 50-70 p.
Tetracycline. Chomwe chimapanga mafuta awa ndi tetracycline. Zimakhudza mabakiteriya okhala ndi gramu komanso gramu-choletsa poletsa kaphatikizidwe ka mapuloteni mwa iwo. Mafuta atatu peresenti amagwiritsidwanso ntchito ngati machiritso a bala. Ndi zilonda zam'mimba za m'munsi zam'munsi, wothandizirayo amagwiritsidwa ntchito nthawi 1-2 patsiku. Mukhoza kugwiritsa ntchito mafuta mpaka milungu iwiri. Mtengo - 20-30 p.
Levosin. Muli methyluracil, chloramphenicol, trimecaine, sulfadimethoxin. Chifukwa cha zinthu izi, mafuta amawonetsa disinfecting, analgesic, kusinthika komanso odana ndi kutupa. Ndi zilonda zam'mapazi zam'munsi, Levosin amamugwiritsa ntchito kupukuta, womwe umapaka mabala. Mtengo wamafuta ndi 80 p.
Argosulfan. Muli siliva sulfathiazole. Thupi limakhala ndi antimicrobial ndipo limalimbikitsa machiritso a zilonda zam'mimba, kuwotcha, zotupa za purulent.Kirimuyo imagwiritsidwa ntchito poyambira kutupa ndi wosanjikiza wowonda (2-3 mm) katatu patsiku. Simungagwiritse ntchito oposa 25 g a Argosulfan tsiku lililonse. Pamaso pa exudate, ndizoyambirira kumalimbikitsa kuti ayeretse bala ndi chlorhexidine kapena boric acid. Mtengo wa Argosulfan ndi 320 p.

Kuyeretsa ndi Kuyanika

Gawo loyamba, lomwe likufunika kuchiritsa wodwalayo, kuti amuchotsere pakusintha kwanyumba pakhungu lam'munsi, ndikutsuka zilonda zam'mimba zakufa ndi mafinya. Izi zikuthandizira kupewa kukula kwa mabakiteriya, kuwonongeka kowonjezereka kwa minofu ndi mafupa a mwendo. Njira yochizira imafunikira kuti madera omwe akhudzidwawo achotsedwe. Kuti muchite izi, gwiritsani ntchito mankhwala monga yankho la furatsilina, chlorhexidine kapena potaziyamu permanganate, decoctions azitsamba. Kusamba kumatha kuletsa kusintha kwa kanthawi kochepa, kumachepetsa ululu m'miyendo.

Njira yochizira imafunikira kuti madera omwe akhudzidwawo achotsedwe.

Pofuna kuthana ndi michere ya trophic pa mwendo mwachangu, imatha kupukutidwa ndi hydrogen peroxide. Ma antiseptic othandizira monga iodopiron amagwiritsidwanso ntchito pamenepa. Pambuyo poika Yodopiron pamiyendo, imakhuthulidwa mbali ziwalo za khungu la miyendo yomwe mabala apangapo.

Kutsuka zilonda ndi mankhwala amwambo sikukukulolani kuti mukwaniritse zonse 100% zomwe zimachitika pakuchotsa minofu yakufa. Njira yothandiza kwambiri yothandizira zilonda zam'mimbazi ndi ngati muyeretsa zotsalira za necrotic ndi kukonzekera kwa enzymatic. Wodwala uyu, mankhwala amathandiza, chomwe chimagwira kwambiri pazomwe zimapangidwa ndi collagenase (Chowona Zanyama).

Collagenase ndi mapuloteni omwe amapezeka kuchokera ku zikondamoyo. Zimathandizira kuyeretsa kwakukulu ndi kuchiritsa mabala am'munsi mwa thupi, kusinthika kwa minofu, kumakhala ndi mankhwala othandizira komanso kumachepetsa ululu m'munsi. Mankhwala odziwika kwambiri omwe amachokera pazinthu izi, omwe adatamandidwa, ndimafuta a Iruxol.

Muli chloramphinecol, mankhwala opha tizilombo. Chifukwa chake Iruxol ndi mafuta ochita kupanga kawiri. Amapangitsa mankhwalawo kukhala othandiza kwambiri - amachepetsa mphamvu ya mabala a trophic ndipo amathandizira ma microflora a zilonda zam'munsi za thupi. Pogwiritsa ntchito Iruxol, sizikulimbikitsidwa kuti mugwiritse ntchito mankhwala ena am'deralo, chifukwa aletsa ma enzyme.

Kuchiritsa mafuta

Othandizira obwezeretsa amagwiritsidwa ntchito kale pa siteji pamene tinthu tating'onoting'ono tomwe timapanga pachilonda cha epithelial Pakadali pano, matenda a zilonda za m'mimba mwa microflora ayenera kupatula kale. Pakadali pano, njira za kubadwanso zimayambira, zomwe zimathandizidwa mothandizidwa ndi mafuta ochiritsa mabala. Ndikofunika kudziwa kuti ena mwa mankhwalawa amaphatikiza zinthu zomwe zimakhala ndi antibacterial, immunostimulating ndi analgesic. Zitsanzo za mafuta otere:

Solcoseryl. Muli ndi magazi am'magazi amkaka athanzi amkaka, oyeretsedwa kuchokera ku mapuloteni. Izi zimayendetsa njira za kagayidwe kazakudya, zimakonza trophism, zimathandizira kukonza minofu ndikusinthika. Mafuta amapaka mwachindunji ndi zotupa 1-2 pa tsiku. Chithandizo cha kulira zilonda zam'miyendo pamiyendo chimatha kuchitika kudzera pa Solcoseryl. Mtengo wamafuta ndi 220 r.
Levomekol. Muli dioxomethyltetrahydropyridimine ndi chloramphenicol. Mankhwala omaliza ndi maantibayotiki. Chifukwa cha izi, Levomekol amachepetsa kutupa, amalimbikitsa kuchiritsidwa kwa zilonda zam'munsi zam'mimba, komanso amalepheretsa kukula kwa mabakiteriya. Mphamvu yotsitsa ya mafuta imapitilira ngakhale pakakhala ma necrotic mamisili komanso zotulutsa zotulutsa. Levomekol imagwiritsidwa ntchito kuti ivumbulutse mabala ndi chopukutira chosabala kapena ubweya wa thonje, womwe umakhazikika ndi chigamba kapena bandeji. Osagwiritsa ntchito mafuta kwa nthawi yayitali kuposa masiku 5-7. Mtengo wamafuta ndi 100-120 p.
Bepanten.Kuphatikiza pa dexpanthenol - chinthu chomwe chimalimbikitsa kukonzanso khungu. Kuphatikiza apo kumakhala ndi chinyezi. Bepanten imapezeka mu mawonekedwe a mafuta, kirimu, mafuta odzola. Amamuthira kumalo omwe akhudzidwa ndi wosanjikiza wowonda kangapo patsiku. Mtengo wa mankhwalawa ndi pafupifupi 280-340 p.

Zinthu zina zogwiritsidwa ntchito panja

Gawo lina, mankhwala othandizira zilonda zam'mimba, omwe amawonetsa mawonekedwe osiyanasiyana, amatha kufotokozedwa: kuchiritsa kwa mabala, anti-yotupa, heentatic, antimicrobial, painkillers. Zitsanzo za zida zotere:

Activetex. Ndi zopukutira zopangidwa ndi nsalu ya thonje yakhathamiritsidwa mumafuta ofunikira, lidocaine, furagin, aminocaproic acid, mavitamini C ndi E. Mankhwalawa ali ndi machiritso a bala, analgesic ndi antimicrobial. Asanagwiritse ntchito, chopukutiracho chimanyowa m'madzi a saline, ndikuchiyika pachilondacho. Kuchokera pamwambapa, chilichonse chimakonzedwa ndi bandi-bandeji kapena bandeji. Kavalidwe kamasinthidwa tsiku lililonse la 2-3. Mtengo - 160 p. kwa ma 10 matako.
Branolind N. Uku ndi kuvala mabala, kosindikizidwa ndi mankhwala a ku Peru, komwe kumawonetsa antiseptic ndi katundu wochiritsa zilonda. Amamuyika pachilonda chophimba, kenako chimakutidwa ndi minofu yosalala ndikukhazikika ndi bandeji kapena pulasitala. Kavalidwe kamasinthidwa tsiku ndi tsiku. Mtengo 30 ma PC. - 1800 p.
Vitargol. Maziko a utsi uwu ndi njira yamadzi ya siliva wa colloidal. Thupi limakhala ndi antibacterial motsutsana ndi streptococcus, staphylococcus, Pseudomonas aeruginosa. Vitargol amathandiza kuteteza khungu ku microflora yochita kupanga. Utsi umapakidwa pachilonda katatu pa tsiku. Ngati ndi kotheka, ikani chovala chosawoneka bwino. Mtengo - 240 p.

Mafuta okhala ndi mankhwala azitsamba

Mafuta onunkhira, omwe amaphatikiza zigawo za mbewu, okhala ndi zilonda zapansi m'munsi amathandizira kuti pamapeto pake muthane ndi matenda opatsirana. Kwenikweni, mafuta onunkhira amakhala ndi zovuta, amathandizanso kukhazikitsa malo omwe akhudzidwa ndikuthandizira yotupa.

Nthawi zambiri amagwiritsidwa ntchito vulvostimulin. Imakhala yothandiza kwambiri ngati pakufunika kuthana ndi zilonda zamtundu wakulira.

Kubwezeretsanso mankhwala

Kugwiritsa ntchito kwa obwezeretsanso othandizira zilonda zam'mimba za trophic kumakhala koyenera ngati kupendekera kochepa kwa timinofu tam'mimba timapangira kale vuto. Ndiye kuti, njira yotupa idachotsedwa, kachilomboka kachilonda kake ka microflora adaletsedwa, njira zosinthira zidayamba, zomwe tsopano zimangofunika kulimbikitsidwa.

Kubwezeretsanso mankhwala nthawi zambiri kumachepetsa ululu ndikuthandizira kukonza njira zama metabolic. Chifukwa cha izi, kuchiritsa kumathanso.

Gululi limaphatikizapo:

Mfundo zoyenera kugwiritsa ntchito

Popeza ziribe kanthu zomwe zowonetsa kanema wa kanema zimalankhula, mapiritsi amtundu wapadziko lonse zilonda zam'mimba mulibe, ndikofunikira kutsatira mfundo zingapo posankha chithandizo cha wodwala wina. Kunyalanyaza mfundo zamankhwala kungachititse kuti chithandizo chisakhale chothandiza, komanso chovulaza.

Pali njira zitatu zofunika kwambiri zochizira:

Kupitiliza. Mankhwalawa amayenera kupitilira pomwe chizindikiritso cha zilonda zam'mimba mpaka chilema chitha. Pambuyo pakuyamba kuchira, ndikulimbikitsidwa kuti njira zodzitetezera ziyenera kuchitidwa zomwe zikufuna kupewa kubwereranso.
Kachitidwe ndi zovuta. Dokotala amayenera kusankha mitundu yambiri ya mankhwalawa. Potere, machitidwe a mankhwala ena amayenera kukwaniritsa zochita za ena, mokwanira komanso mokwanira kukhudza mbali zonse za pathological process. Mofananamo, kugwiritsa ntchito njira zochizira ndikulimbikitsidwa, omwe cholinga chake ndikuchiza matenda omwe adatsogolera kupanga mapangidwe olcerative.
Kupitiliza.Ichi ndi mfundo yomwe, posintha dokotala, chithandizo chikuyenera kupitilira malinga ndi zomwe zasankhidwa kale. Ndizosatheka chifukwa cha kusintha kwa akatswiri kuti asinthe mawonekedwe osankhidwa konse. Wodwala sayenera kungodziwitsidwa zonse zokhudzana ndi matenda ake. Ayeneranso kudziwitsidwa pazotsatira zakunyalanyaza zomwe dokotala wakupeza.

Ma antibacterial ndi antihistamines

Kupitiliza chithandizo, ndikofunikira kuchiza madera omwe akhudzidwa ndi mwendo ndi mankhwala omwe amalepheretsa kukula kwa mabakiteriya (maantibayotiki). Argosulfan, yomwe imalepheretsa kukula ndi kubereka kwa tizilombo pa zilonda zam'miyendo, adalandira ndemanga zabwino kuchokera kwa odwala. Mankhwalawa amathandizanso kuchepetsa ululu wam'munsi.

Argosulfan amalepheretsa kukula ndi kubereka kwa tizilombo tating'onoting'ono ta zilonda zam'miyendo.

Mankhwala a antibacterial - maantibayotiki, amapezeka mwanjira iyi:

Mapiritsi
Ampoules a jekeseni wa mu mnofu.
Ampoules for intravenous management (kwa dontho).
Kugwiritsa ntchito mankhwala osokoneza bongo ndikotchuka.

Dotolo, motsogozedwa ndi zotsatira za kusanthula kwa wodwalayo, amapereka mankhwala othandizira - Tarivid, Tsiprobay, Tsifran, Kefzol, Mandol, Duracef, ndi ena.

Kukhalapo kwa mapuloteni achilendo kumatha kuyenda limodzi ndi zovuta zomwe zimachitika m'zigawo zotsikira za thupi, zomwe zimapangitsa chithunzi cha zotupa za trophic. Maantibayotiki angayambenso chifuwa. Ndikofunikira kuchita antihistamine prophylaxis pogwiritsa ntchito mankhwala apadera. Izi zikutanthauza kulandira mankhwala monga Xizal, Erius, Tavegil, Suprastin. Amapezeka mwanjira iyi - mapiritsi, kutsanulira kwammphuno, madontho, jakisoni.

Mankhwala olimbana ndi zotupa

Mankhwala osagwirizana ndi ma antisteroidal anti-yotupa (NSAIDs) adapangidwa kuti azitha kuchiza zilonda zam'mimba za m'munsi. Amagwiritsidwa ntchito kupewa kapena kuchepetsa kukula kwa kutupa kwa miyendo. Gulu la mankhwalawa lilinso ndi mphamvu zowonjezera komanso antipyretic. Amakhalanso ndi zotsatira za analgesic m'malo otsika a thupi.

Simufunikanso mankhwala a dokotala kuti mugule mankhwalawa, monga Ibuprofen. Koma wodwalayo ayenera kukumbukira kuti mankhwala odziletsa komanso ma NSAID amatha kukhala owopsa, makamaka kwa anthu achikulire. Njira ya chithandizo iyenera kutumizidwa ndi katswiri wovomerezeka.

Zokonzekera zochizira zilonda zam'mimba, pomwe kukadwala sikofunikira.

Kuchiritsa Kwambiri

Mankhwala ochiritsira mabala a trophic m'malo otsikirako, monga Solcoseryl ndi Actovegin, amathandizira pakuchiritsa ndi kuvulala mabala. Kugwiritsa ntchito kwa mankhwala Wheolind kumakupatsani mwayi wolimbikitsanso kusinthika, mapangidwe a epithelium pamiyendo, kukonza ngalande, ndikuwonjezera mphamvu ya chithandizo. Mankhwala a Branolind amapezeka mu mtundu wa mavalidwe. Monga mankhwala ochiritsira, mafuta a sea buckthorn, omwe ali ndi katundu wopindulitsa, alandila ndemanga zabwino. Imathandizanso kuyeretsa zotupa zam'mimba ndikuthandizira kupweteka. Pazifukwa izi, mafuta a masamba amakhalanso oyenera, omwe muyenera kuyamba kuwaza anyezi.

Hydrogen peroxide imatha kuchiritsa mabala m'miyendo. Mudzafunanso piritsi ya Cryptocide, yomwe iyenera kuphwanyika. Njira ndi yosavuta - kukapanda kuleka peroxide pachilonda, kuwaza ndi streptocide. Chophimba chapamwamba ndi chopukutira ndi polyethylene. Compress imakhazikitsidwa ndi mpango kapena kavalidwe kena. Sinthani padalo kangapo patsiku. Mankhwalawa adalandira ndemanga zabwino. Zilonda zochizira zam'munsi za thupi zimapezeka pambuyo masiku 10.

Analgesics

Pofuna kuthana ndi zowawa zomwe zimaphatikizana ndi mawonekedwe a zilonda zam'mapazi za malekezero, zimagwiritsidwa ntchito painkiller. Mankhwalawa sangathe kulepheretsanso chisokonezo m'miyendo, kungochotsa zilonda kwathunthu ndizothandiza pano.Pali mitundu yambiri ya mankhwalawa - mapiritsi, mafuta, emulsions, mankhwala, herbal analgesics. Ndemanga za momwe zimagwiridwira ntchito ndi zabwino, koma kudzipatsa chithandizo sikofunika. Katswiri yekha ndi amene ali ndi luso lotha kusankha momwe angatithandizire komanso kusokoneza zotupa za miyendo.

Immunotherapy ndi mankhwala owonjezera

Pofuna kuchiritsa zilonda zam'mimba ndikuchepetsa ululu m'miyendo, ndikofunikira kuti musangotenga mankhwalawa kuti muthane ndi matendawa, komanso mankhwala omwe amathandizira thupi. Kungakhale mavitamini ndi mapiritsi othandizira chitetezo cha m'thupi. Amatha kuchiza matendawa komanso zinthu zosiyanasiyana zamaminidwe ndi michere, mankhwala azitsamba, zakudya zowonjezera, mapiritsi a homeopathic. Maantibayotiki amawononga microflora yopindulitsa ya thupi, chifukwa chake muyenera kumwa mankhwala kuti muibwezeretsere, monga Linex. Kuti mudziwe zamtundu wanji zomwe zingakhale zothandiza kwa inu kuti muteteze zilonda zam'manja, pitani kuchipatala.

Mankhwala, madokotala amakupatsanso mavitamini ndi michere minyewa yolimbitsa chitetezo cha mthupi.

Kuti muthandizire bwino kusokonezeka kwa khungu lamatumbo, dokotala adzakusankhirani othandizira kuti achepetse magazi. Kuchiritsa zilonda zam'mimba komanso kupewa kutuluka kwa zatsopano, phlebotonics imagwiritsidwa ntchito, yomwe imalimbitsa makhoma a ziwiya zamanja. Dokotala adzakulangizaninso kupanikizika kutanthauza - bandeji, bandeji yotanuka, masokisi.

Therppentent Therapy

Ndikofunikira kuchitira kusintha kwa trophic pakhungu la m'munsi kwambiri mwa mitundu yayikulu m'chipatala. Pamenepo, wodwalayo amalandiridwanso kwambiri poyerekeza ndi chithandizo chakunja. Wodwalayo amamulembera maantibayotiki kuti agwiritse ntchito mkati, komanso monga mawonekedwe amafuta ochizira malo owonongeka pamwendo. Wodwalayo amalandira mankhwala kuti athetse ululu m'munsi. Ma Fibrinolytics omwe amalimbikitsa kuphatikizana kwa clot angapangidwenso. Mapiritsiwa amayenera kumwedwa moyang'aniridwa ndi dokotala, chifukwa n`kotheka kuti kutaya magazi kwambiri kuyambika.

Chithandizo cha kusintha kwazinthu zazikulu kwambiri ziyenera kuchitika moyang'aniridwa ndi dokotala. Tengani mankhwala okhazikitsidwa ndi katswiri. Maantibayotiki ndi mapiritsi ena ayenera kumwa moyenera. Musaiwale kuchitira zilonda zam'munsi za thupi, kuwunika momwe aliri.