Imvamisa ngokungaphumeleli kwezokwelashwa, baphendukela kwezinye izindlela zokwelapha ukuthola usizo. Ngakho-ke, i-leeches ene-atherosclerosis yamaphethelo aphansi iya ngokuya idumile.
Igama lesayensi lendlela yokwelashwa usebenzisa i-leeches yezokwelapha yi-hirudotherapy. Ungayisebenzisa le ndlela nganoma yisiphi isigaba salesi sifo. Kepha ngaphambi kwenqubo, udinga ukubonana nodokotela, ngoba unezici ezithile eziphikisayo nezici.
IHirudotherapy yezifo zenhliziyo
Izici zokupholisa ze-leeches zazaziwa ngamaGibhithe asendulo kanye nabase-Asia. Naphezu kweqiniso lokuthi umuthi wendabuko ngazo zonke izindlela ezikholekayo umphumela wokwelapha, ukusetshenziswa kwale ndlela kusiza inkambo yama-pathologies amaningi enhliziyo.
Ngesikhathi senqubo, i-leech ngayinye ifaka izinto ezingama-80-140 ezisebenza egazini egazini lesiguli. Phakathi kwazo, kukhona izinto ezinempahla ye-vasodilating futhi ezinomphumela we-antispasmodic. Ngakho-ke, umfutho wegazi uyancishiswa, okuthi nge-atherosclerosis iphezulu.
Ama-leeches abuye afake izakhi ezikhethekile - ama-hirudins, avimbela ukuvela kwegazi futhi alekelele ukuncipha kwawo. Ngenxa yesenzo sabo, ukugeleza kwegazi emikhunjini emincane kanye nama-capillaries kuyinto ejwayelekile.
Ama-Hirudins asiza ukubhekana nezimo ze-pathological:
- I-hypoxia - i-oksijini enganele ezithweni ezithile;
- i-thrombosis, ekugcineni engaholela ekuqoqweni kwesikebhe;
- ama-atherossteotic plaque amaza imikhumbi futhi avale ukukhanya kwawo;
- ukuvuvukala kwezicubu ngenxa ye-microcirculation eyenziwe ngcono.
Kuyaqapheleka ukuthi i-leeches ihlinzeka ngokudonsa okungcono, isusa i-venousion enobuthi nangobuthi. Lo mphumela uyaqhubeka hhayi ngesikhathi seseshini, kodwa futhi emva kwamahora angama-24-48 emva kwawo.
IHirudotherapy isiza ukudambisa izinhlungu - esinye sezimpawu ezijwayelekile ze-atherosulinosis. Ngaphezu kwalokho, imfihlo equkethwe emathebeni e-leech inethonya futhi ilwa nokuvuvukala.
Izinkomba kanye ne-contraindication ngenqubo
Njenganoma iyiphi inqubo yezokwelapha, i-hirudotherapy inezinhlobo zonke zezinkomba kanye ne-contraindication ukuze isetshenziswe.
IHirudotherapy inezinkomba ezahlukahlukene.
Izinto ezisebenzayo ezitholakala kumathe weleeches zikhiqiza umphumela omuhle kuzo zonke izitho zangaphakathi.
Ama-Hirudotherapists asebenzisa i-leeches yezokwelapha ekwelapheni i-pathologies ye-inhliziyo:
- imithambo ye-varicose yemikhawulo ephansi, kanye nezinkinga - izilonda ze-trophic kanye ne-thrombophlebitis;
- ukwehlukanisa kwe-atherosclerosis yemikhumbi yemikhawulo ephansi nezilonda ezindexekile;
- i-encirchalatory encephalopathy - ukuhlukanisa noma ukulimala kobuchopho be-multifocal;
- i-arrososososis yobuchopho;
- i-coronary atherosclerosis;
- i-atherosclerosis ye-aorta yesisu;
- isifo senhliziyo;
- umfutho wegazi we-arterial, lapho amanani womfutho wegazi edlula i-140/90 mm Hg;
- isifo sikashukela esiyinkimbinkimbi nge-angiopathy.
Kwezinye izimo, i-hirudotherapy ene-atherosulinosis eqeda amandla emaphethelweni aphansi ayivunyelwe.
Ukuxhunyaniswa kule nqubo yile:
- Ukuba khona kwe-neoplasms enobungozi.
- Ukuhlukumezeka nokuhlinzwa ngokulahlekelwa okukhulu kwegazi.
- Isikhathi sezinsuku ezingama-3-4 ngaphambi nangemva kokuya esikhathini.
- Izingane kanye nobudala obudala.
- Ukuthambekela kokungezwani komzimba.
- Ukukhulelwa nokukhulelwa.
- I-Arterial hypotension, lapho umfutho wegazi ungaphansi kwe-100/60 mm Hg;
- IHemophilia - i-pathology yofuzo ehlotshaniswa nokuphulwa kwe-coagulation yegazi;
Futhi, ukusetshenziswa kwe-hirudotherapy kuyenqatshelwa esimweni se-anemia, isifo lapho kukhona i-hemoglobin encane namaseli abomvu egazi ngeyunithi yegazi ngalinye.
IHirudotherapy ye-atherossteosis
Ngomonakalo we-atheromatous wemithambo yemikhawulo engezansi, isiguli sikhononda umuzwa wokubanda emilenzeni kanye "nokugiga kwe-goose". Isikhumba emilenzeni siyaqina noma sibe umbala wemabula.
Ezimweni ezisezingeni eliphakeme kakhulu, kukhona ukulahleka kwezinwele, izinhlungu, izinzwane ezibomvu, izilonda eziyimidumba, ukuvuvukala.
Umphumela oyingozi kakhulu i-necrosis yokwakheka kwezicubu zezitho, i.e. necrosis.
Inethiwekhi ye-Intanethi ungathola ukubuyekezwa okungaphezu kokukodwa kweziguli ezithole umphumela omuhle wokwelapha we-hirudotherapy.
Le nqubo yezilonda zemithambo ye-atherosulinotic inomphumela omuhle emzimbeni:
- igcwalisa izicubu nge-oxygen;
- kusheshisa ukuhamba kwegazi;
- kunciphisa ukuvela kwegazi;
- kubuyisela ama-capillaries;
- kuqinisa izindonga ze-vascular;
- kunciphisa okuqukethwe i-cholesterol "embi".
Ngaphezu kwezinzuzo ezingenhla ze-hirudotherapy, umfutho wegazi kanye nenhliziyo yeziguli ngemuva kokuqeda inkambo yokwelashwa ubuyela kwesejwayelekile. Kunconywa ukuba wenze inqubo enjalo izikhathi ezingama-2-3 ngonyaka. Ngenxa yalokhu, ukukhula kwe-pathology kwehla kancane, amangqamuzana egazi ayalulama, iziguli zisusa izilonda ze-trophic.
IHirudotherapy isetshenziswe kabanzi ku-atherossteosis yemikhumbi ye-coronary. Inqubo ivimbela izinkinga ezivamile zalolu hlobo lwesifo - i-angina pectoris, ukushaya kwenhliziyo nesifo senhliziyo. Iziguli ziyakwazi ukuqeda izimpawu ezicasulayo ezifana nekhanda, ukwehluleka ukuphefumula, izinhlungu emuva kanye nobuthakathaka emilenzeni.
IHirudotherapy nayo isetshenziselwa i-atherosclerosis ye-aorta yesisu - umthambo omkhulu kakhulu emzimbeni womuntu. Indlela ye-aortic yalesi sifo iyingozi ngoba ngokuhamba kwesikhathi iholela ekuqongeleleni kwe-calcium ku-aorta, i-sclerosis ye-valve cusps kanye nokuncipha kwendandatho ye-fibrous valve.
Ama-leeches asetshenziswa kaningi ekwelapheni i-cyperal atherosclerosis, ehambisana nekhanda ngaphandle kwendawo eqondile, ukuhlangana okungahambi kahle, ukukhumbula kahle, ukuqwasha, ukungasebenzi kahle, kanye nokukhuluma, umsoco nezinkinga zokuphefumula.
Ingqondo ingenye yezinto ezibalulekile zohlelo lwezinzwa, ngakho-ke ukusetshenziswa kwe-hirudotherapy kuzosiza ukuvikela imiphumela eyingozi kakhulu ye-atherossteosis - ubuhlakani obunciphile, ubuchopho kanye nobuhlanya.
Ungayilungiselela kanjani inqubo?
Naphezu kokusebenza kwe-hirudotherapy, kungaphezu kokwelashwa okuyinhloko kwe-atherossteosis.
Isisekelo saso ukusetshenziswa kwemithi nokudla.
Ukwelashwa kwe-atherosclerosis yamaphethelo aphansi kuqala ngemuva kokuxilongwa ngokuphelele.
Ngemiphumela yokuhlolwa kuphela, udokotela angakha uhlobo olusebenzayo lokwelapha.
Ukuxilongwa kwe-pathology kufaka phakathi:
- I-ECG yemisipha yenhliziyo.
- Ukuqapha kwe-BP.
- Ucwaningo lweDoppler lwemithambo yegazi.
- Ukuhlola igazi nomchamo.
- Ukuhlolwa kwephrofayili yeLipid.
Ukwelashwa ngezilonda ezenzeka emithanjeni kuhlanganisa ukuthatha izidakamizwa ezifana nama-statins, i-fibrate, i-nicotinic acid kanye nabalandela i-LCD. Njengokwengezwa, udokotela uphinde anqume ama-sedative, ama-antiplatelet agents, ama-vitamin complexes, ama-antispasmodics, ama-vasodilators, ama-angioprotectors.
Isimiso esiyinhloko sokudla okunempilo nge-cholesterol ephezulu ukuncishiswa kwamafutha atholakala ngokudla. Ngakho-ke, iziguli ezinalesi sifo kufanele zenqabe:
- izinhlobo ezinamafutha zenyama namanoni ezilwane - ingulube, idada, ihansi, isinqe, njll;
- i-offal - isibindi, ubuchopho;
- izinhlobo zezinhlanzi ezinamafutha - i-mackerel, i-carp yesiliva, i-herring, i-halibut, njll;
- ukhukhamba, ukhukhamba, obhemayo futhi othosiwe;
- imikhiqizo yobisi enamafutha;
- amasoseji, amasoseji kanye namaqanda izikhupha;
- iziphuzo ezimnandi ze-carbonated, ikofi eqinile netiye;
- imikhiqizo yokubhaka kafulawa we-premium;
- amaswidi - ushokoledi, amaswidi, amakhukhi, njll.
Ngesikhathi sokwelashwa kwe-atherosclerosis, kuyadingeka ukucebisa lokhu kudla ngokudla kwezitshalo okuqukethe imvelo yokudla komoya. Basiza ukuguqula ukugaya, i-lipid ne-fat metabolism.
Izitsha kufanele ziphekwe kwifomu ebilisiwe, ebhakwe noma enomusi. Ukusetshenziswa kukasawoti (isilinganiso sansuku zonke - i-5g) kungcono ukufaka esikhundleni sezinongo.
Imenyu yokwelashwa kwe-atherosulinosis ifaka:
- Inyama enamafutha aphansi - inyama yomvundla, inkukhu, njll.
- izinhlobo zezinhlanzi ezingenamafutha - i-hake, zander, i-bream, i-carp, njll.
- Imikhiqizo yokubhaka enamafutha.
- Imikhiqizo ye-lactic acid enokuqukethwe okuphansi kwamafutha.
- Izithelo ezintsha, amajikijolo, amakhambi nemifino.
Futhi kwimenyu kufanele kufakwe itiye eliluhlaza kanye namajusi wemvelo.
Isikhathi sokwelashwa nendawo yokuluma
Isikhathi phakathi kwe-hirudotherapy sincike ezicini eziningi, kubandakanya nobunzima balesi sifo kanye nempilo ejwayelekile yesiguli. Lapho ungabeka khona i-leeches yezokwelapha kunqunywa yi-hirudotherapist, kepha ngokwesilinganiso ukuhlelwa kuyahlukahluka kusuka kwezingcezu ezi-4 kuye kweziyi-10.
Njengomthetho, udinga ukuhamba kusuka kumaseshini angu-7 kuye kwayi-10 sokuphumula kwezinsuku ezingama-3-4. Ngemuva kwalokho isiguli kufanele siphumule kule nqubo inyanga eyodwa. Ngemuva kwalokho ukwelashwa kuyaphindwa futhi.
Ekwelapheni isifo sokuqina kwesifo sikashukela emikhawulweni ephansi, uchwepheshe ubeka izinhlungu ezinkalweni, izindawo phakathi kwezinzwane ne-popliteal fossae. Ukulunywa ama-leech kuphephile emzimbeni womuntu. Okulandelayo imininingwane yokuthi sonke isiguli esithola i-hirudotherapy kufanele sazi:
- Ngemuva kwenqubo, amanxeba abopha ngebubanzi ka-1-2 mm kanye nokujula okufika ku-1.5 mm ahlala esikhunjeni.
- Eduze kokulunywa, isikhumba sithola ukugcwala okuluhlaza okwesibhakabhaka, kodwa ungakhathazeki, ngoba lokhu kuyinto evamile ehlotshaniswa neherorrhage engaphansi. Ngemuva kwalokho ikhava iba ophuzi, ushintsho olunjalo lungahlala amasonto ama-2.
- Ngemuva kwenqubo, ukopha kungaqhubeka, okwenzeka ngokuhlukile kusuka emahoreni angama-2-6 kuya kwayi-12-24. Kukholelwa ukuthi isikhathi eside lapho ukopha luhlala khona, kulapho umkhumbi usula kakhulu ngamakhemikhali e-cholesterol.
- Uma ukopha kuthatha amahora angaphezu kwama-24, khona-ke kufanele kumiswe ngokugqoka i-aseptic, uma kunesidingo, ngokucindezela. Ngaphambi kokufaka lesi sambatho, inxeba lisulwa nge-3% hydrogen peroxide solution. Uma kungenzeka, kungcono ukubeka isiponji esilinganayo endaweni yokuluma bese usilungisa ngebhandeshi.
Ngemuva kwezikhathi ezingama-3-5, kungabonakala isikhumba esiklwelayo endaweni yokuluma. Le nto ihlotshaniswa nesenzo semilando ekhona emathendeni weleeches. Ungasusa ukulunywa ngokusebenzisa i-napkin ecwilisa isisombululo se-soda enxebeni (1 tsp. Engilazini yamanzi abilisiwe).
Ukuvela kokuvuvukala nokubomvu endaweni yokuluma akusona isizathu sokuphazamisa inqubo. Lokhu kusabela kuchazwa ngokubambezeleka kwama-enzymes wamatheksi kwezicubu ezingaphansi.
Lapho kukhona izifo ezingamahlalakhona ezingapheli, kungenzeka ukwanda kwama-lymph node - wesibeletho, i-inguinal ne-axillary - kungenzeka. Lokhu futhi akunakubizwa njengesizathu sokuqeda inqubo. Kuhle ukubonana nodokotela ozokwelapha ozokwazisa ngemithi elwa namagciwane.
Izinzuzo ze-hirudotherapy zichazwe kuvidiyo kule ndatshana.