Imithambo ye-Varicose yamaphethelo aphansi kanye ne-anorectal zone (hemorrhoids) yizifo ezijwayelekile, ukwenzeka kwako okungahlotshaniswa nokungasebenzi ngokomzimba, ukukhulelwa, umsebenzi wokuhlala nezinye izinto. Ama-venotonics, ama-anticoagulants, ama-anti-inflammatory, ama-analgesics kanye nezinye izidakamizwa asetshenziselwa ukwelapha lezi zifo nokuvikela ubunzima.
Amafutha e-Heparin kanye ne-Troxevasin gel asohlwini lwezidakamizwa ezithandwa kakhulu ngokumelene nemithambo ye-varicose nama-hemorrhoids. Naphezu komehluko ekwakhiweni nasendleleni yokuvezwa, asetshenziselwa izinkomba ezifanayo.
Ngabe ukugcoba i-heparin kusebenza kanjani?
Amafutha e-Heparin avimbela ukwakheka kwezigaba zegazi, anciphisa ukuqina kwamasipha nokuphuma emzimbeni, kunciphisa ukulunywa nobuhlungu. Umuthi uqukethe izithako eziningana ezisebenzayo:
- IHeparin. Le ngxenye isheshisa isenzo se-antithrombin, esivimba inqubo yohlelo lokuhlangana, ivimbele ukunamathela kwamangqamuzana egazi futhi ibopha i-thrombin ne-histamine. IHeparin ine-anticoagulant kanye ne-anti-inflammatory effect. I-anticoagulant ekugcotshweni kwamafutha yi-100 IU ku-1 g yomkhiqizo.
- Benzocaine. IBenzocaine yinto yokubulala izinzwa yendawo. Indlela yesenzo sayo ukuvimba ukwenziwa kwethonya lezinzwa ngenxa yezinguquko kubhalansi lwe-ion kumaswidi weseli.
- I-Benzyl nicotinate. I-Nicotinic acid benzyl ester ikhuthaza ukwanda kwama-capillaries endaweni yokusetshenziswa kwamafutha bese isheshisa ukufakwa kwe-heparin ne-benzocaine. Lokhu kukuvumela ukuthi usheshise indawo ethintekile futhi unikeze ukugcwala okuphezulu kwezinto ezisebenzayo endaweni ethintekile.
Amafutha e-Heparin avimbela ukwakheka kwezigaba zegazi, anciphisa ukuqina kwamasipha nokuphuma emzimbeni, kunciphisa ukulunywa nobuhlungu.
Izinkomba zokusetshenziswa kwamafutha okugcoba yilezi:
- i-thrombophlebitis;
- i-lymphangitis;
- ukulimala kwezindonga ze-venous zangaphandle nezicubu ezihamba ngaphansi;
- ukungena futhi ukuvuvukala kwemithambo ngemijovo kanye ne-infusions ejwayelekile;
- ukudumba kwemikhawulo engezansi;
- i-elephantiasis;
- i-hematomas nokulimala;
- i-varicose dermatitis, izilonda ze-trophic;
- isifo sikashukela i-mellitus (unyawo lwesifo sikashukela);
- i-mastitis
- ama-hemorrhoids angaphandle;
- ukuvimbela ukwanda kwe-hemorrhoids engapheli ngesikhathi sokukhulelwa nangemva kokubeletha.
Umuthi usetshenziselwa i-cosmetology ukuqeda ukugqekeza nokuvuvukala ngaphansi kwamehlo.
Faka isicelo se-oyili isikhathi esingaphezu kwamaviki ama-2.
Ekwelapheni izifo zemithambo nokulimala, i-ejenti kumele ifakwe ungqimba oluncane (kuze kufike ku-1 g endaweni ngayinye enobubanzi obungama-5 cm) izikhathi ezingama-2-3 ngosuku. Faka isicelo se-oyili isikhathi esingaphezu kwamaviki ama-2.
Ukuxhumana ngokuqokwa komuthi yilezi:
- ukuzwela komuntu ngamunye kwe-benzocaine, i-heparin nezinye izingxenye zomuthi;
- ukuba khona kwezindawo ze-necrosis, amanxeba avulekile, izilonda zokulimala kanye nezinye izilonda zesikhumba nolwelwesi lwama-mucous endaweni yokufakwa kwamafutha;
- ukwelashwa ngama-NSAIDs endawo, ama-antihistamines nezidakamizwa ze-antibacterial (tetracyclines);
- ukuthambekela kokopha (ngokuqapha).
Ukusetshenziswa kwamafutha kuvunyelwe ku-trimester engu-2-3 yokukhulelwa nangokuncelisa ibele, kepha kunconyelwa kuphela izinkomba eziqinile.
Ukusetshenziswa kwamafutha okugcoba kuvunyelwe ku-trimester yokukhulelwa engama-2-3.
Isimo seTroxevasin
I-Troxevasin inyusa ithoni yama-capillaries kanye nemithambo, inciphise ukopha futhi idlule, ikhulule ukuvuvukala futhi ithuthukise i-trophism endaweni yokusebenza kwesidakamizwa. Naphezu kokuba khona kwezindawo ezisetshenziswayo kakhulu, umuthi uvimbela ukunamathela kweplatelet kanye nokuxinwa kwemithambo yegazi.
Isithako esisebenzayo se-Troxevasin yi-flavonoid troxerutin, i-semi-synthetic exivative ye-Vitamin P (rutin). Impahla ebaluleke kakhulu ye-troxerutin yikhono layo lokukhulisa ithoni odongeni lwe-vascular futhi ivikele ukunamathela kwamangqamuzana egazi, yehlise ijubane eliyinhloko le-venous thrombosis nge-phlebitis.
I-Troxerutin ibuye iqinise i-hyaluronic acid emalungeni amaseli, inciphisa ukuqina kwayo futhi inciphise i-edema.
I-Troxevasin inyusa ithoni yama-capillaries nemithambo, inciphisa ukopha kanye ne-excretion ye-exudate.
Ngokungafani nokugcoba ngama-heparin, iTroxevasin inezindlela ezimbili zokukhishwa:
- ijeli (2% wento esebenzayo);
- amaphilisi (in 1 i-capsule 300 mg ye-flavonoid).
Ukusetshenziswa kwe-Troxevasin kukhonjisiwe kuma-pathologies alandelayo:
- ukungasebenzi kahle kwe-lymphovenous;
- i-phlebitis, thrombophlebitis kanye ne-posthlebitis syndrome;
- i-varicose dermatitis, ukuphazamiseka kwezicubu zethishu, izilonda ze-trophic;
- ukuvuvukala nokugoba emilenzeni;
- imihuzuko;
- amabanga okuqala ama-hemorrhoid, ahambisana nobuhlungu, ukulunywa nokuphuma kwegazi;
- i-retinopathy ngemuva kwesizinda se-hypertension, i-mellitus yesifo sikashukela kanye ne-atherossteosis (njengengxenye yokwelapha okuyinkimbinkimbi);
- capillarotoxicosis kwezifo ezithile zegciwane (ezithathwe kanyekanye ngevithamini C).
- izifo zamathambo namajoyina (gout);
- ukuvuselelwa emuva kokuhlinzwa kwe-sclerotherapy kanye nokwelashwa kokuhlinzwa kwemithambo ye-varicose.
Futhi, umuthi usetshenziselwa ukuvikela ama-hemorrhoids kanye nemithambo ye-varicose ngesikhathi sokukhulelwa.
I-Troxevasin kumele iphuzwe izikhathi ezingama-2-3 ngosuku, kungakhathalekile ukuthi ifomu lephemisi. Inkambo yokwelashwa ihlala aze afike kumaviki amane.
Lapho welapha ngesimo somthi somuthi, ukusabela okuvela emgudwini wesisu (ulcerative lesion, heartburn, isicanucanu, njll), isikhumba (ukuqubuka, isikhumba, i-hyperemia, ukulunywa) kanye nohlelo oluphambili lwezinzwa (ikhanda, ukubomvu kobuso) kungenzeka.
Ngemuva kokumisa i-capsule, imiphumela emibi inyamalala ngokushesha.
Ukuxhumana kokuthathwa kokuthatha iTroxevasin yile:
- i-hypersensitivity to compounds-like compounds kanye nezinto ezisizayo zomuthi;
- ukwanda kwe-gastritis kanye nesilonda esiswini (sefomu lomlomo);
- ukulimala, amanxeba avulekile nokubonakaliswa kwe-eczema endaweni yesicelo (se-gel);
- ukwehluleka kwezinso (ngokuqapha).
Ukusetshenziswa kweTroxevasin kuvunyelwe kusukela ku-2nd trimester yokukhulelwa.
Ukuthathelwa phezulu kokuthatha i-Troxevasin kuwukuqhakaza kwe-gastritis kanye ne-ulcer esiswini (kwifomu lomlomo lomuthi).
Ukuqhathaniswa kwe-Heparin Ointment neTroxevasin
I-Troxevasin ne-heparin ointment azinazo izithako ezivamile ezisebenzayo. Lokhu kudala umehluko esikhathini sokuncoma sokwelashwa, ukusabela okungekuhle kanye ne-contraindication.
Kulokhu, izidakamizwa zinalo uhlu olufanayo lwezinkomba ezisetshenziswayo, ngakho-ke, udokotela kufanele anikeze ukugcoba kweHeparin noma iTroxevasin.
Ukufana
Amafutha ane-heparin neTroxevasin asetshenziselwa ukwephula i-venous ukuphuma, ukuvuvukala kwemithambo, ingozi enkulu ye-vein thrombosis, ukuvuvukala kanye ne-hemorrhoids. Zombili lezi zidakamizwa zilungele ukwelashwa kwe-hematomas, ukufakwa ngemuva komjovo, ukulimala kanye nezilonda ezindexekile.
Ngaphandle kokufana kwemiphumela yokwelapha, aziwona ama-analogues, ngoba abe nezindlela ezahlukahlukene zesenzo kwezifo zemithambo yegazi.
Kwezinye izimo, amaphilisi we-Troxevasin nezidakamizwa zasendaweni ezine-heparin asetshenziswa ndawonye: lokhu kuhlanganiswa kunikeza umphumela oyinkimbinkimbi we-thrombophlebitis, ukungasebenzi kahle kwe-lymphovenous kanye ne-hemorrhoids.
Kwezinye izimo, amaphilisi we-Troxevasin nezidakamizwa zasendaweni ezine-heparin asetshenziswa ndawonye.
Uyini umehluko
Ngaphezu kwendlela yokusebenza, umehluko kwezidakamizwa uyabonakala kulezi zinto ezilandelayo:
- Imali yokukhulula amafomu. Indlela yejeli yesidakamizwa idonswa kangcono futhi ishesha kunokugcotshwa kwamafutha, futhi ayishiyi amamaki wamafutha, iziguli eziningi zithanda ukukhetha iTroxevasin.
- Umthelela kwimbangela yokuphazamiseka kwe-venous outflow. I-Troxerutin iguqula ithoni yodonga lwama-vascular, kuyilapho i-benzocaine ne-heparin kuthinta kuphela imiphumela yemithambo ye-varicose (ukuvuvukala, i-thrombosis) futhi kumise nezimpawu zesifo.
- Imiphumela emibi. Umehluko ekuphendukeni okungekuhle kanye ne-contraindication ukuze isetshenziswe ubonwa ikakhulukazi uma uqhathanisa i-ointment ne-heparin nefomu lomlomo leTroxevasin.
Yikuphi okushibhile
Intengo yokupakisha amaphakethe weTroxevasin okungenani ama-ruble angama-360, futhi ishubhu lejeli okungenani ama-ruble ayi-144. Izindleko zokugcotshwa kwamafutha zingaphansi kakhulu futhi zifinyelela kuma-ruble ayi-31-74, kuya ngomakhi womuthi.
Yikuphi okungcono: i-Heparin ointment noma iTroxevasin
Ukukhethwa kwezidakamizwa ekwelapheni ama-pathologies we-vascular kuya ngesimo nokuxilongwa kwesiguli.
Kusuka ekulimazeni
Amafutha aqukethe i-anticoagulant eqinile yindlela ephumelelayo yokususa imihuzuko namaqhubu kusuka ekulimaleni. I-anesthetic eyingxenye yesidakamizwa ngaphezu kwalokho isusa izinhlungu endaweni yomonakalo.
Kodwa-ke, ngokuthambekela kokulimaza nokopha, ukwelashwa kwe-heparin okubonakalayo kuyinto engathandeki. Kulokhu, iTroxevasin, eqinisa izindonga zemithambo yegazi, inomphumela omuhle kakhulu.
Amafutha aqukethe i-anticoagulant eqinile yindlela ephumelelayo yokususa imihuzuko namaqhubu kusuka ekulimaleni.
Ngama-hemorrhoids
I-Troxevasin isetshenziswa ikakhulukazi ezigabeni zokuqala zemithambo ye-varicose yemithambo ye-hemorrhoidal noma njengengxenye yokwelapha okuyinkimbinkimbi yesifo.
Umuthi ophethe i-anesthetic ne-heparin usebenza ezigabeni zokugcina ze-hemorrhoids, kanye nokwanda kwawo, okubangelwa yi-thrombosis ye-hemorrhoid.
Ngemithambo ye-varicose
Ngemithambo ye-varicose, iTroxevasin inemiphumela ebanzi nemiphumela yokwelapha. Lesi sidakamizwa sinqunyelwe ukudambisa ukukhathala nokuvuvukala kwemilenze, ukuvimbela ukunwetshwa nokulimazeka kwemithambo, ukwelashwa kwe-pathologies esevele yakhekile.
Ukugcotshwa kwe-anticoagulant kunqunyelwe ikakhulukazi ebungozini obuphakeme be-venous thrombosis kanye ne-trophic izicubu ezithweni zemilenze.
Ukubuyekezwa kweziguli
U-Ana, oneminyaka engama-35, eMoscow
Ezinyangeni eziyisithupha ezedlule, umyeni wami uthole imithambo ye-varicose. Udokotela we-phlebologist unikeze ukwelashwa okuyinkimbinkimbi okubandakanya amaphilisi we-Troxevasin gel kanye namaphilisi eVenarus. Inkambo yokwelashwa yathatha izinyanga ezi-2, ngemuva kwalokho kwadingeka ukuthatha ikhefu futhi waphinda. Ekupheleni kwenkambo yokuqala yokwelashwa, i-puffiness yanyamalala ngokuphelele, imithambo yayeka ukuvela, nemilenze yathukuthela.
Okubi ngokwelashwa ukuthi yonke into bekufanele isetshenziswe ndawonye. Uma ukhetha i-gel kuphela, khona-ke umphumela uzoba mncane.
UDmitry, oneminyaka engama-46, uSamara
Ngiqale ngezwa ngamafutha e-heparin njengekhambi lokulimala nokulimala, kepha udokotela wayibekela imithambo ye-varicose. Ngemuva kwenkambo yokuqala yokwelashwa, ngaqala ukumgcina njalo kwikhabethe lomuthi, njengoba Isiza kakhulu kusuka ekuvuvukeni, ezinkingeni kanye nasemilenzeni ekhathele. Uma ngihlela ukuhamba kakhulu, qiniseka ukushaya izinyawo zami ngamafutha ngaphambi kokuphuma: kulokhu, unyawo luyaziqinisa futhi luyavuvukala kancane.
Ukulandela imijovo kanye nama-hematomas e-postoperative asuswa ne-heparin ezinsukwini ezimbalwa, okufakazelwa nakho kwethu. Okuwukuphela kokuqashelwa okwenziwe inani elincane lamafutha eshubhu.
Odokotela babuyekeza ngamafutha e-heparin noma i-Troxevasin
Karpenko A. B., proctologist, Kemerovo
I-Troxevasin isetshenziswa ngokuningiliziwe ekwelapheni ama-hemorrhoids kanye nokungasebenzi kahle kwe-venous. Umuthi uyinani elihle ngemali. Okuwukuphela kwaso okungalunganga kungabhekwa njengokusebenza okuphansi ngokwanda kwama-hemorrhoids. Imiphumela yokungezwani komzimba iyenzeka, kepha ibonwa njalo.
UMaryasov A.S., udokotela ohlinzayo, uKrasnodar
IHeparin ene-benzocaine iyinhlanganisela enhle yokumisa nokuhlalisa i-hematomas engasasebenzi. Ugcobe osuselwe kulezi zingxenye ulungele ukwelashwa kwe-postemeative edema ne-hemorrhage.
Ukuphazamiseka okuyinhloko kwesidakamizwa kungukusebenza okuphansi kwamafutha ngama-varicose veins, angahambisani ne-thrombosis.
