Pehu wāwae ma lalo ke kuli: kumu a me ka lapaʻau

Aia ka he stereotype i ka haʻahaʻa lala edema pili me ka excessive loliʻai ana, a me ka sedentary Aloha Hawaii wale, Inā 'oe i ka pehu wāwae ma lalo o nā kuli, na kumu no keia i e hou e makau. I mea, i ke alo o keia symptom hiki e formidable harbinger o ka mea'ōnaehana mānowai koko maʻi, hakuʻala maʻi, akepaa, vascular hoʻoʻino lesions,ʻeho mīkini'opihia iliac aa koko a me nā maʻi nui.

Pono 'ana i mālama lapaʻau' ae manawa e kuhikuhi i ka nń ku maʻi, a, e koho ka hoʻokō 'eleu Inc.

pono ventricular ole

uha nani paha e ma muli o ka pono ventricular ole. Ma keia hihia:

• Pokole o ka hanu, ua hoʻemi hana e hana mau physical haawe (piʻi alapii, e hele ana). Nawaliwali, a me ka luhi, kena ae la ma o oxygen deficiency ma muli o ka hemahema'aʻaʻa perfusion.
• Lower wāwae edema ana.

E mākou noonoo, no ka mea ke kumu, pehu wāwae ma lalo o ka iho me ka akau ventricular ole. No ka mea, o ka deteriorating ventricular contractility Nyos kūpono koko lako nā loko a me nā'aʻaʻa, ke hele mai i ka ho'ā hope o ka sympathoadrenal'ōnaehana a narrows ka lumen o venules a me arterioles, mahuahua i ka naau kōmi. Ma muli o ke vasoconstriction maoli he koko, haʻalele no ka renin-angiotensin-aldosterone'ōnaehana, emiʻaʻa puʻuwai koko, aia no he kali hou aku; o ka paʻakai a me ka wai, e māhuahua koko holo i loko o ka ipu, ka mea hydrostatic puʻe i loko o na aa koko.

Inā pehu wāwae ma lalo o nā kuli, nā kumu no kēia i ia i ka mahuahua vascular permeability, ka ho'ēmiʻana i loko o kumuʻiʻo hoʻololi kemikala a me ka excretion i loko o ka mimi ku i ka hakuʻala pōʻino nä lälä.

Cardiogenic edema e hoʻomōhala ana i ke kiʻekiʻe o, loa'ōlelo ai ma ka hopena o ka lā. Ua kŰlń ao keu.

Ka mua pehu wawae, he mau hoopii o ka overcrowding, he leo kamaa. Next otekaet mau pale. Ka ili He anu i ka nano, haikea-cyanotic. Aia ua i ko läkou 'o nā kī, ai nui aʻe ana, kāmaʻa buckles. I ka ikaika loa o Paulo ma ka ili lōʻihi-makahiki koe fossa.

Wehewehe aku ma ka symmetrical edema. Hooloihi ae i noho hiki i haanou ana o ka lumbar māhele.

Decompensated'ākau naau hoʻokō 'ole' edema i prevalent. Eia kahi mea akaka ascites (loli hoʻopiha i ka abdominal lua). E hoʻomōhala hydrops (nui nani o ka ili a me ka subcutaneous momona).

hema ventricular ole

No ka hema ventricular hoʻokō 'ole' mea hou e like me ka hoike ana mai o cardiac asthma:

1. Orthopnea (ka hoʻomanawanui hiki ole ia i loko o papamoe manao ku i ka loa pulmonary capillary koko lako a me ka ulu ana o loa dyspnea).
2. Paroxysmal nocturnal dyspnea (pilikia odyshechnye ho'āhewa wale e hana ana i ka hiamoe, pu ma ka maʻi o, maʻi o, loa me ka puʻu, cyanosis o ka maka).
3. Maʻi o loko o ka ia maʻiʻaʻai.
4. Profuse anu hou.

ʻike, o ka hema ventricular ole

1. Electrocardiography (oaeuiinoe pāpana a me ka conduction haunaele, imua o pathological niho).
2. Echocardiogram (ejection hapa iki o ka naau ua? Anoee, i ka mānoanoa o ka paia o ka atria a me ventricles, i ke alo o ke poho i ka nohona kiwikā paha stenoses, mall hou i loko o ka pericardium), i kela la ka mālamaʻana ECG (Holter).
3. Pahu X-Ray.
4. Hoao aku ma lalo o haawe ana, e hooholo i ka ooieoeiiaeuiiai papa o ka naʻau ole.
5. Mimi no ka kumuʻiʻo maʻiʻo.
6. A koko hoao ana me ka manao paa o ka myocardial eha hōʻailona.
7. Immunoglobulins M a G i cytomegalovirus a me Epstein - Barr mea hoʻomaʻi.
8. Ka auhau o ka nui o natriuretic peptides.

lapaʻau

Ke Inc mea no ia ana:

• ʻai kapu ka paʻakai i kulike ai me ke degere o ka naau ole;
• dosed physical haawe, i kela la hele;
• lāʻau Inc (diuretics, cardiac glycosides, angiotensin-hoʻololi ''ūhū nā mea kūpale, Hoʻokolohua-blockers, antiplatelet konohiki, antiarrhythmics).

I ka haʻalele ventricular hoʻokō 'ole' pehu wāwae ma lalo o nā kuli? Kumu a me nā koi no ka lapaʻau noʻonoʻoʻia e mākou.

hakuʻala nani

Akä naÿe, cardiac edema,ʻaʻa puʻuwai e loa hoʻopukaʻana aʻe ma ke kakahiaka, hoʻomohala mai ka luna ia. Initially, pehu lihilihi, maka. Kokoke i ka lua o ka hapalua o ka lā pehu wāwae (Main a me nā puʻupuʻu wāwae), haanou ana o ka maka i emi hai. Ka ili Ua palupalu, mahana, fossa ma hope iā i ka manamana lima, e koke nalo. Ke alo aku o ka cyanosis mea ole typical.

I ka hiki ana o haanou ana i ka "Polenekia" - he nui PalekanaEND_LINK hiʻona o kaʻaʻa puʻuwai pathology.

Ua hoʻike propensity i mahuahua ka puʻuwai.

Inā nā mea maʻi me ka hakuʻala pehu wāwae ma lalo ke kuli, ke kumu, lapaʻau, a me nā mea kōkua ma laloʻoe e loaʻa ma lalo nei.

Edema pili me kaʻawahia a me ka'ōnaehana paleʻea lesions o ka glomeruli o na puupaa elua, hoemi lākou kānana ana, loliʻana, hoomahuahua i loko o ke koko buke, koko eiiiiiaiou Haʻalele i ka wai koko i na nā'aʻaʻa aie i ka māhuahua vascular permeability, a hoemi koko oncotic puʻe ma muli o ka loa emi o ke kumuʻiʻo i loko o ka mimi.

Oia la, aka, no kekahi kumu pehu wāwae ma lalo o nā kuli? Kumu a me nā symptoms o discomfort ua hoʻopili.

Me ke hooulu o edema hālāwai hoʻolohe i ka glomerulonephritis wahi e pili ana me ka mua maʻiʻaʻai e like me ka puu nui.

I ka nephritic maʻi pale haanou emi haʻi ano hematuric maʻi pale (mimi loaʻa iā ia kekahi kala ai Slops).

Nephrotic maʻi pale ua pu ma ka papakaukau lilo o ke kumuʻiʻo i loko o ka mimi a me ka edema i hoike mai i ka hydrops.

ʻike, o kaʻaʻa puʻuwai edema

• Ke kumuʻiʻo i loko o ka mimi.
• Mimi sterility.
• Hoʻoholo 'ana o streptococcal a me ka staphylococcal nā mea'aʻaʻa i ke koko lāʻau lapaʻau.
• Ultrasonography.
• Hooponopono ana o ke koko,.
• Koko hōʻike.

General nā loina o ka lapaau

Ke Inc Ua hoʻohana:

• ʻai kapu o ka paakai, a me ka wai a kumuʻiʻo;
• moe koena;
• systemic antibiotic Inc;
• i ka hookohu o ka diuretics;
• hakumakuma ke koko;
• antihistamine Inc;
• E ho ohana i ka nonsteroidal Anati-hoʻoʻino ai ';
• anticoagulants a antiplatelet Luna (no ka Kāohiʻana a me ka microthrombogenesis kekahi glomerular eha);
• glucocorticosteroids a tsitostatitiki ma ka iapaau ana o nephrotic maʻi pale.

ake poho

No ke aha la ua pehu wāwae ma lalo o nā kuli? Kumu a me nā symptoms o kēia mau kaʻawaʻawa loa ka waiʻona ma ke ke hoike ake maʻi.

Ka ho'ēmiʻana o ke kumuʻiʻo hoʻololi kemikala ma ke akepaʻa, ma muli o ka loa'aʻaʻa pōʻino ka mea, (hopena kahua o ka hepatitis, cirrhosis, momoma, hepatocellular carcinoma) mau pu ma ka loa nani a anasarca. Hepatic edema pu e, pili maneo o ka ili, scratching, punawelewele, aa koko, capillary fragility, yellowness o ka ili a me ka hiki mucous.

ʻike, a ake mai

1. Mimi.
2. Ka ninaninau ana o faeces.
3. Koko Ka Ikepili, manao paa o ka huina kumuʻiʻo, Eia kekahi laʻana o ka hepatic (Alt, AST, GGT, bilirubin,'ākilikai phosphatase), hoʻokolokolo thymol turbidity ho'āʻo, i ka nui o ka urea a me ka creatinine.
4. 'Amelika.
5. Mea hoʻomaʻi hepatitis hōʻailona, immunoglobulin M a me G e cytomegalovirus a me Epstein - Barr mea hoʻomaʻi.
6. Koko no ka HIV.

varicose aa koko

He aha hou aʻe, aole ka kŰia o haanou ana o nā wāwae ma lalo ke kuli, i na kumu? Redness a kaha onionio o ka ili wehewehe aku ma ka varicose aa koko ma luna o nā wāwae, a ua pu ma ka hoopaa aching eha, luhi, ehaeha i loko o nā wāwae.

I loa lesions hiki trophic ili loli: dermatitis, ulcers, hyperpigmentation. Ma ka nana hiki contoured venous Nails, ia edema,? Anoe? A bulging aa koko, trophic ili hou. Asymmetrical nani, e loli iki ana oolea, ke kaumaha ma muli o ka nui o ke poho aa koko.

Ke alo aku o ka haanou ana i loko o nā wāwae ua kaʻawale ma ka ano a me ka ua i hui ia me nā lapaʻau symptoms (e. Pokole o ka hanu, cough, haanou ana o ka maka a me ke kino, kuni, a no laila, ma luna o.).

Inā 'oe e pili ana me ka varicose wāwae ma lalo o ka kuli nani, ke kumu, kiʻi a me nā pono' ike i loaʻa i loko o kēia 'atikala. Nō paha kēia, e kōkuaʻoe.

Lapaʻau o varicose aa koko

ʻoki kino (flebosklerozirovanie) e hoʻohana 'ia i loko o loa lesions.

Uluwehi O lapaau komo ai i ka hoʻohana 'ana o ka antiplatelet konohiki a me venotonics.

phlebemphraxis

No kekahi kumu, pehu wāwae o lalo ke kuli, ma ka hou ana i ka maʻi ma luna? Haanou ana mai o na kapuai ke ana a me ka phlebothrombosis. Deep aa koko thrombosis loiloi mua kahua o ka hoʻonaʻauao ana me na hoailona o ka li nui o ke aa koko pa.

redness o ka ili edema ia lŘlŘ wale kēlā wā i kēia wā. Ka ili Ua ilipoo, pono-contoured venous kumu. Eia kahi mea akaka wale haanou ana mai o ka loli ana o kona mau wāwae. Ano hoi o ka makana o kaʻeha ma luna o ka loko o ka uha. Pain iaʻoi loa ia e hele ana.

venous insufficiency

E mākou noonoo, no ka mea ke kumu, pehu wāwae ma lalo o ka iho i loko o nā mea maʻi me ka maʻi venous insufficiency. Mau i holopono nō lilo o ka venous'ōnaehana ua pu ma ka symmetrical edema, nalowaleʻana aku a me ka hōʻike 'ia ma ke kakahiaka a hiki i ke ahiahi. Redness o ka ili Main (hoohalikeia hai nani). Loa kākaʻikahi lawe ia wahi aku i kekahi-kapakahi pio.

Arthritis a systemic maʻi

Pain a me ka nani o ka arthritis pili me ka effusion i loko o ka ami lua. Ke ami Ua hoomahuahua ia ka nui. Ano redness o ka ili.

Ke Debut o nā 'ōpio arthritis (16 makahiki) pu ma ka huʻi hookahi, ke kuni, wawe ma luna o ka maka, torso, kīkala, ma na ami. Ka mea, e loli ai i ka mea maloko nā loko. No ka rheumatoid arthritis ua wehewehe aku ma ka kakahiaka oolea i loko o kona neʻe 'ana o.

Hemorrhagic vasculitisʻo Hanoka, - Schönlein

Inā 'oe i' ike i ka hemorrhagic vasculitis Hanoka - Schönlein a oe e hopohopo e pili ana i ka ninau o ke kumu i ka pehu akau wāwae ma lalo ke kuli, na kumu mākou e kūkākūkā ma lalo nei.

Typical pilina me ka mua maʻiʻaʻai, antibiotic lapaʻau, ke alo o ka loa allergic reactions.

I ka wā o ka articular palapala ua wehewehe aku ma: hoʻokano, haanou ana o ke kuli ami, Muscle eha, hemorrhagic poʻe noʻonoʻoʻole ma luna o nā wāwae, a me nā'ūhā kīkala.

hemophilia

No ka mea, coagulation kāna hana e hiki kahe ana ke koko i loko o nāʻiʻo a me ka ami pili me ka nīnūnē trauma. Edematous loli hui, he oi kaʻeha ma luna o palpation a me ka neʻeʻana, ili hyperemia, wela i ka hoʻopā.

Ka hanana o haanou ana i loko o nā wāwae,ʻaʻole pili i ke alo o ka pathologies

Inā pehu wāwae o lalo i nā kuli, na kumu no keia mea, i mau ua hoʻopili i ka pathology. Ka hanana o ka edema hiki e kena ae la ia e:

• waiʻona hainā;
• excessive hokii, a palemo iho ai, e kauoha ana loliʻana;
• aiiay muli o hyperthermia;
• hoomahuahua ae la lakou e haawe ma luna o ka wawae a me ka spine, pili me ka ua hoʻokomoʻia ke koikoi kāmaʻa, uaʻoi aku ko lākou kiʻekiʻe kuʻekuʻe wāwae;
• stagnation a me ka mea ulu ma ka puʻe i loko o na aa koko aie i sedentary Aloha Hawaii;
• physiological edema ma ka lōʻihi physical hana;
• obesity;
• haanou ana ma ka hāpai keiki (hoʻoweliweli mea pono nunui, a hoʻomaka koke ulu nani, pu ma ka nausea, kiʻekiʻe ke koko, a me headaches - i ka make māinoino o ka eclampsia);
• haanou ana ma PMS.

Nolaila, e pono e e hopohopo ina pinepine pehu wāwae ma lalo o nā kuli. Kumu a me nā 'ano o ka edema i e okoa.

E like me ke kāohi ana ua paipaiʻia: e normalize kino ke kaupaonaʻana, a me ka 'O ke kaulikeʻai, pale ka waiʻona hokii, regular checkups ma kekahi kahuna lapaau, loaʻa i ka laʻau heluna regimen o ka lā a me ka maʻamau hoʻokō. I ka wa e kaawale aku o pathology o ka hakuʻala a me ka mea'ōnaehana mānowai koko'ōnaehana e normalize i ka venous outflow ka hoʻokō Yoga (ka hulu kulou), pākōlea hoounauna (hoʻokō ' "birch").

He aha ina o ka pehu wawae ma lalo o nā kuli? Nā kumu ma mua o ka hoolaia, e pakele no ka mea, - a pau o ka mea pono eʻalo i ka pilikia. Mākou 'atikala i nā pane i kēia mau nīnau a pau.