Ọgwụ ọnya trophic nke akụkụ ala - ọgwụ maka ọrịa ahụ

Ọkpụkpụ ọnya trophic na ụkwụ nwere njikọ ndị ọzọ. Mmebi ndị dị otú a nwere ike ịkpalite lymphedema, ọrịa shuga mellitus, atherosclerosis. Ubi, ọkụ na ntu oyi na-ebute ọnya trophic. Ha anaghị agwọ ahụ maka izu isii ma ọ bụ karịa. Otu n’ime ụzọ ha si agwọ ọrịa bụ ọgwụ.

Principleskpụrụ nke ọgwụgwọ nke ọnya trophic

N'ihi ụkọ ọbara dị ogologo, ihe dị n'ime ahụ na nri nke anụ ahụ yana akwara dị n'ime ya, akwara nke necrosis na-ebilite, nke na-emesịa na-eduga na mkpesa anụ ahụ detritus (ihe ndị dị ndụ nwụrụ anwụ). Yabụ na-egbochi ọnya trophic. Ha na-aputa ihe n’ebe dicha anya n’akuku nile nke ala. Dabere na ihe kpatara ya, ekpua trophic ọnya nke ala nsọ na ụdị ndị a:

Ọbara mgbali elu. A kpụrụ ha n'ihi mgbadata oge ọsịse.
Ihe akwara (ischemic). E jikọtara ha na mmebi ọbara ọgbụgba na mpaghara ala n'ihi endarteritis ma ọ bụ atherosclerosis, nke akụkụ nke arịa.
Venous (varicose). Ha na ebido site n'ọbara nke ọbara n’agba ya site na ọrịa post-thrombophlebitis ma ọ bụ mgbasawanye akwara nke akwara.
Nsogbu post-traumatic. E mepụtara ha n'ihi mmerụ ahụ nke anụahụ na anụ ahụ ndị dị n’ahụ. Ihe ndị kpatara ya nwere ike ịbụ ọnya egbe, ọnya, ọgwụgwọ na-enweghị isi nke sutures na scars mgbe a wasịrị ya ahụ, mmerụ ahụ na ngbasa nke ọgwụ riri ahụ.
Ọrịa mamịrị Zụlite na ọrịa shuga.
Ọrịa (pyogenic). Ha na-eme mgbe ejikọtara ọrịa dị iche iche, na-agbakarị nje.
Neurotrophic. Ha na-ebilite n'ihi mmebi nke eriri afọ na arụ ọrụ nke arịa na-enye ha.

Ebe ọ bụ ọnya trophic nke mpaghara ala nwere etiology dịgasị iche iche, usoro ọgwụgwọ na-ekpebi ihe na-akpata ya. Naanị site na iwepu ya, ị nwere ike ịnagide foci nke anụ ahụ necrosis. Usoro ọgwụgwọ abụọ a na - ebu usoro ọgwụgwọ ahụ:

Nkwanye ugwu. Ọ gụnyere mbadamba oria na inpa, iji belata ọrịa ahụ, belata ihe mgbu na iwusi ahụ niile ike. Ihe mgbakwunye gụnyere iji ego mpaghara ozugbo maka ọgwụgwọ ọnya, ịsacha, mmerụ ahụ na nhicha nke oke necrotic.
Wa ahụ Ezubere ụdị ọgwụgwọ a bụ iwepụ nsogbu ọbara ọgbụgba, nhicha nke ọnya ahụ ma ọ bụ mwepu nke ebe a na-elekwasị anya necrosis. A na-eji usoro ahụ eme ihe naanị n'èzí ọkwa nke iwe. Mgbe a wasịrị ya ọgwụgwọ, a na-aga n'ihu na usoro nchekwa.

Ọ bụrụ na ọnya ahụ enweghị isi, mgbe ahụ enwere ike ịgwọ ya n'oge onye ọrịa, ma ọ bụrụ na omimi - n'ọnọdụ ọnọdụ. Usoro ọgwụgwọ nwere mpaghara ndị a:

mmelite nke ndagwurugwu site na nsọtụ ala,
agwọ ọnya
nri dị mma nke anụ ahụ mebiri emebi,
ihe mgbu
igbochi usoro mkpali,
sacha nke saịtị necrotic site na oke mkpokọta.

Usoro ọgwụgwọ

Typedị ọgwụgwọ a bụ ị takingụ ọgwụ n’ime ma ọ bụ iji ọgwụgwọ ndị obodo. E nyere ọgwụ nke otu ọgwụ ọgwụ akọwapụtara na-eburu n'uche ihe kpatara mmalite nke ọnya oke nke oke ala:

Phlebotonics (arịa ndị na-ewusi ike). A na-eji ha agwọ ọrịa varicose veins, thrombophlebitis, periphlebitis, mgbu na edema nke ọdịdị post-traumatic. Nkwadebe nke otu a na - ewusi arịa ọbara ma mee kawanye mgbidi gị ike.
Anticoagulants. Ihe ha mere bụ ịchapu ọbara. Mmụba na coagulability ya bụ ihe ngosipụta maka ọgwụgwọ na anticoagulants.
Ọgwụ antispasmodics.E kenyere ya iwelata mgbu na ihe na-egbu mgbu na mpaghara ala ala site na ọnya trophic.
Ọgwụ mgbochi mkpali. Eji mee ihe iji belata mbufụt na arịa.
Ndị ọrụ Antiplatelet. Ndị a bụ ọgwụ mgbochi ọbara na-eme ihe site na igbochi nchịkọta platelet (gluing).
Ndị na-egbochi nje. Ejiri ma n'ime ma mpaghara. Edere ha n'akwụkwọ mgbe ọrịa nje na-ejikọ, nke a na-egosikarị ma ọ bụrụ na ọnya ndị metụtara ọria nke ala ala. N'ime ọgwụ nje, a na-ejikarị cephalosporins na fluoroquinolones.
Ogwu otite. Ha na-enye aka iwepu anụ ahụ nwụrụ anwụ site na ọnya ahụ, kwụsị mbufụt, melite nri nke anụ ahụ dị ndụ ma mee ka mgbake ha dịkwuo elu.

Iji mee ka arịa dị ike

Isi ọrụ nke ọgwụgwọ phlebotonic: belata ihe ọdịdọ, oke na mgbu na nsọtụ nke ala, arịa ndị na-ewusi ike, na-eme ka ọbara na-aga n'ihu. Nkwadebe nke otu a dị na ụdị mbadamba, yana n’ụdị mmanu na gels. Enwere ike iji ụdị mpaghara phlebotonics gwọọ ọnya trophic naanị na ọkwa nke ịrụzi ma ọ bụ ịchacha akụkụ mpaghara nke mpaghara ala. A naghị etinye ego ndị dị otú ahụ na mmeghe ọnya. Ihe atụ nke flebotonics:

Troxevasin. Dabere na troxerutin. Na-ebelata ikike nke nsogbu trophic, na-ada mgbidi nke arịa ọbara, na-ebelata oke ume na mgbu na nsọtụ nke ala. Ofzọ nke ntinye na-adabere n'ụdị ntọhapụ: capsules (360 r.) - 300 mg ugboro atọ kwa ụbọchị, gel (350 r.) - Tinye na mpaghara emetụtara n'ụtụtụ na mgbede, na-ehicha ngwa ngwa ruo mgbe ịmịcha kpamkpam.
Flebodia. Ihe nọ n'ọrụ bụ diosmin. Ihe a na - ebelata ikike imeju akwara, na - aputa mgbidi vaskụla ahụ, na - ewepu akwara mmiri. Ọgwụ dị n'ụdị mbadamba nkume. Nkezi onwa a kwa ụbọchị bụ 1 pc. Ọnụ ego mbadamba 60 bụ 1,500 p.
Venus. Nwere diosmin na hesperidin. Ọgwụ ahụ na-eme ka mmịpụta mmiri lymph dịkwuo ala, na-eme ka capillaị belata ngwa ngwa, na-abawanye ụda ma belata ikike nke veins. N'izu mbu, were mbadamba 2, na ekewa ha abụọ. N'ọdịnihu, ị nwere ike drinkụọ pcs abụọ ozugbo. Ọnụahịa nke mbadamba 30 bụ 570 p.

Iji belata viscosity nke arịa ọbara

A na - eji Anticoagulants mee ihe iji gbochie ma mesoo thrombosis. Ọgwụ ọjọọ dị n’otu a na-ebelata viscositi ọbara, si otú a na-egbochi imechi ọbara. Ọgwụ ndị a nwere ihe a:

Dicumarin. Akpọrọ maka otu ihe mejupụtara ahụ. Dicumarin na egbochi mgbochi prothrombin ma gbochie proconvertin imeju, na - ebute mmụba n'ọbara ọbara. A na-ewere ọgwụ ahụ 0.05-0.1 g na mbido 2-3 mbụ, emesia 0.15-0.2 g kwa ụbọchị. Ọnụahịa - 1000 r.
Heparin. Ndabere nke ogwu bu sodium heparin. Ọgwụ a maka ọnya trophic ọnya n'ụkwụ dị n'ụdị gel maka ojiji mpụga na azịza maka ịgba ntụtụ. N'okwu nke mbụ, a na-etinye heparin n'akụkụ mpaghara emetụtara 1-3 ugboro n'ụbọchị. Usoro profilactic nke ịbanye na heparin bụ 5 puku IU / ụbọchị. Gel na-akwụ 250-300 r., Ampoules nwere ihe ngwọta - 350-550 r.
Aspirin Ihe na-arụ ọrụ bụ acetylsalicylic acid. Ọ na –eme ka ihe mgbu kwụsị, na - egbochi nchịkọta platelet, si otú a belata viscosity ọbara. Ọ dị n'ụdị mbadamba ụrọ na-ewere na 300 mg na oge dị ka awa 4-8. Ọnụahịa Aspirin sitere na 80 ruo 250 r. dabere na onye nrụpụta.
Urokinase. O nwere otu ihe eji arụ ọrụ, nke nwere ike ịgwagbu mkpụkọ ọbara dị ma gbochie ọdịdị nke ndị ọhụrụ. Urokinase dị ka lyophilisate maka nkwadebe nke ihe ngwọta maka infusion na usoro dị iche iche nke akụrụngwa nọ n'ọrụ: 500 puku IU, 10 puku IU, 100 puku IU, 50 puku IU, 50 puku IU. Ogwu ahu ka abanye na mmiri iyi. A na-ahọrọ dose ahụ n’otu n’otu. Ọnụahịa nke karama 1 nke 500 puku IU bụ 5500-6700 p.

Iji belata spasm

Ebumnuche maka iji ọgwụ antispasmodics mee ihe bụ iji belata spasms na ọrịa izizi, n'ihi vasodilation.Ọ dị mma ịmara na ọgwụ ndị dị otú ahụ nwere ọnya trophic ọnya na-adịkarịghị eji, ugboro ugboro na ụkwara ume ọkụ. Ndị ọrịa na-ejikarị ọgwụ mgbochi ọgwụ na mpụga ụlọ ọgwụ iji belata ihe mgbu, nke nwere ike ime ka ọnọdụ ha ka njọ. Ihe kpatara ya bụ na ọgwụ ndị dị otú ahụ nwere ike ibute mmepe nke ọrịa "izu ohi" nke aka nke emetụtara, n'ihi nke ọbara na-akwụsị ịbanye na ya. Ikwu ọgwụ mgbochi ga-abụ naanị dọkịta. Ihe atụ nke ụdị ọgwụ ọjọọ:

Spazmalgon. Nwere pitophenone, samium metamizole, fenpiverinium bromide. Ha nwere antipyretic, mgbochi mkpali na analgesic. Mbadamba mkpụrụ osisi spazmalgon na-ewere 1-2 PC. ke adiana udia ke adiana ke adiana ke adiana. Inje nke ọgwụ a na-eme ugboro atọ n'ụbọchị na usoro onunu ogwu nke ruru 5 ml. Ogologo oge nke ịgba agba bụ ụbọchị 5. Ọnụ ego ampoules 10 nke 2 ml - 280 p., Mbadamba 20 - 220 p.
Mba-shpa. Ihe na-arụ ọrụ bụ drotaverine, nke bụ ọgwụ antyopasmodic myotropic. Akụkụ a na - ebelata ụda na ọrụ nke anụ ahụ dị nro nke akwara dị n'ime, na-emewanye arịa. Enwere ike ịhapụ mbadamba-shpa na dose nke 120-240 mg kwa ụbọchị. Usoro ọgwụgwọ maka ịgba ntụtụ bụ 40-240 mg. Ọnụahịa 25 ampoules bụ 440 p., Mbadamba 100 - 220 p.
Papaverine. Nwere papaverine hydrochloride. Ihe a bụ ihe opium alkaloid na-eme ka anụ ahụ dị nro dị nro, wee si otú a wepụ ụda ha. A na-ewere mbadamba Papaverine ugboro 3-4 kwa ụbọchị na 0.04-, 08 g, a na-eji kandụl mee ihe na 0.02 g (nke nta nke nta, a na-ebute ya na 0.04 g). Oge nhazi oge na-adabere na afọ onye ọrịa. Ofgwọ nke mbadamba iri bụ 18 p., Kandụl 10 - 55 p., 10 ampoules - 100 p.

Otu ogwu ogwu

Ozigbo dị na mpaghara ala dị n'okpuru na-apụta n'ihi imebi trophism, ya bụ, nri anụ ahụ. Ndị dọkịta na-adọta uche nke ndị ọrịa n'eziokwu ahụ bụ na ọ dị mkpa iji gosipụta ihe kpatara nsogbu nke anụ ahụ na - agbagha, ma bidozie malite ime ihe iji kpochapụ ntụpọ.

Na mkpochapu ọnya trophic na ụkwụ, ọtụtụ ọgwụ ọgwụ ka ejiri. N'ụzọ bụ isi, e mere ọgwụ maka mmetụta ndị metụtara ya, mana ụfọdụ ọgwụ ka ejiri rụọ ọrụ na ntụpọ dị na mpaghara.

Phlebotonics

Phlebotonics, nke makwaara na ọrụ ahụike dịka venotonics ma ọ bụ phleboprotector, bụ ndị otu zuru oke nke ọgwụ ọgwụ eji eme ọnya trophic. Ndị a gụnyere:

Phlebotonics bụ ọgwụ emere iji meziwanye ọnọdụ nke mgbidi akwara. Site na ọgwụ ndị a, ọ ga-ekwe omume ịbawanye oghere nke arịa ọbara, mee kawanye ike ndọtị ha, ma nwee mmetụta bara uru na usoro ọbara. Ọzọkwa, enwere mgbidi nke arịa ọbara.

A na-eji Phlebotonics eme ihe nke ọma na mpaghara epithelialization, mgbe ekpuchie ọnya ahụ site na akwa dị na njikọta ya na ịkpa ọnya. N'oge a, ọgwụ phlebotonizing ga-enye nchebe ma mee ka usoro ọgwụgwọ ahụ dị ngwa.

Direct anticoagulants

Ọgwụ na-achịkwa parenterally. Ihe dị iche iche na-anọchite anya heparin dị iche iche (ihe dị na ahụ ma bụrụkwa ihe dị mma, na-ahụ maka nkwụsi ike nke ihe ọbara) na ndị na-egbochi thrombin.

Direct anticoagulants gụnyere:

Heparin dị ala dị ala.
Heparin na-adịghị nke ọma.
Wepụta.
Arikstra.

Site na mkpụkọ ọbara

Ọ bụrụ na ọgbụgba ọbara ghọrọ ihe kpatara nke etolite ọnya trophic nke akụkụ nke ala, mgbe ahụ, a na-eji ọgwụ sitere na otu nke ndị na - eme ihe antiplatelet. Ebumnuche ebumnuche ha iji mee ihe bụ mgbasa nke mkpụkọ ọbara iji weghachi ọbara nke nkịtị. Ọtụtụ mgbe, a na-eji ọgwụ ndị dị otú ahụ eme ihe maka varicose veins. Ndị na - eso ụzọ antiplatelet na - ewu ewu:

Trental. Na - enwe pentoxifylline - ihe na - eme ka akwara ọbara ghara ịdị, na - eme microcirculation, na - enye ndị mmadụ platelet, belata viscosity ọbara. Mpempe Trental ka a na-ewere ọnụ site n'oge nri ma ọ bụ mgbe nri nke 100 mg. Mgbe ahụ, a ga-eji nwayọọ nwayọọ mụbaa ọgwụ ahụ ruo 200 mg.Otutu esi abanye - 3 ugboro kwa ụbọchị. A na-eme infusions Trental n'ụtụtụ na mgbede na dose nke 200-300 mg. Ọnụ ego dị mbadamba 60 bụ 460 p., Ampoules 5 nke 5 ml ọ bụla - 160 p.
Oge. Nwere dipyridamole - ihe na - egbochi agịkọta platelet. Ọzọkwa, ọgwụ a na-emebi arịa nke ọbara, mezie microcirculation. Curantyl dị n'ụdị mbadamba ụrọ nke dipyridamole dị iche iche: 25 mg, 75 mg - yana n'ụdị dragees (25 mg). Maka igbochi thrombosis, a na-atụ aro ka ị were mbadamba 3-6 kwa ụbọchị, 75 mg nke ọ bụla. ọnụ ahịa - 40 PC. - 700 p.
Nicotinic acid Nke a bụ vitamin PP, na-ekere òkè n'ọtụtụ nzaghachi oxidative na-eme na mkpụrụ ndụ. Acid Nicotinic na-eme ka stek metabolism dịkwuo mma, na-eme ka ọghọm nke akwara ndị ahụ na-aga n'ihu, na-ebelata ọzịza ma na-eme ka akwara ọbara gbasaa. A na-ahọrọ usoro onunu injections n'otu n'otu. A na-atụ aro ka ewere ya na mbadamba 12.5-25 mg kwa ụbọchị. Ọnụahịa 10 ampoules bụ 33 p., Mbadamba 50 - 36 p.

Ọgwụ ndị na - egbochi mmechi

Isi mmetụta nke ọgwụ mgbochi na - abụghị ọgwụ steroidal (NSAIDs) bụ mbelata nke mmerụ obodo. A na-eji ọgwụ ndị dị otú ahụ eme ihe taa dị ka ụzọ ọzọ maka ndị na - egbu mgbu, karịsịa n'oge ọrụ. Na mgbakwunye, NSAIDs nwere ike igbochi ịgbanye mkpụrụ ndụ ọbara ụfọdụ. N’elekọta ọnya trophic nke akụkụ ala, nke a na-ebelata ohere ị ga-enwe ọbara ọgbụgba. Nke NSAIDs na-ejikarị:

Ibuprofen. Akpọrọ maka otu ihe ahụ mejupụtara. Ọ nwere ọgwụ antipyretic, analgesic na anti-inflammatory. Ihe mgbakwunye na-egbochi nchịkọta platelet, na-ebelata coagulation ọbara. Kwa ụbọchị mbadamba mbadamba bụ pcs 3-4. 200 mg nke ọ bụla, suppositories - 5-10 mg / kg 3-4 ugboro, gel - ruo oge 4 na oge awa 4 n'etiti ngwa .. Ọnụahịa ụdị Ibuprofen nke pịnye bụ 15-20 p. Gel na-akwụ ụgwọ 90-100 p., Candles - 70-90 p.
Diclofenac. Nwere otu ụdị ihe eji arụ ọrụ. Usoro ubochi nile dabere n’ụdị ntọhapụ: injections - 25-50 mg 2-3 ugboro, gel - 3-4 ugboro 2-4 g (tinye aka na mpaghara emetụtara), mbadamba - 50-150 mg na 2-3 usoro, suppositories - 50-150 mg dabere na ihe ngosi. Ha niile nwere nsogbu mgbochi, antipyretic na analgesic. Ọnụ ahịa kandụl iri - 90 p., Geel - 80 p., Mbadamba ụrọ - 40 p., Injections - 50 p.
Ambene. Gụnyere sodium hydroxide, dexamethasone, lidocaine, cyanocobalamin, phenylbutazone. Ihe ndị a na-enye ọgwụ mgbochi mmetụta. A na-enweta Ambene n'ụdị ihe eji egbochi mmiri ọgwụ. Nkeji onwa ole bụ 1 nara kwa ụbọchị. A na-eme ha kwa ụbọchị ma ọ bụ obere oge nke otu ụbọchị, mana ọ gaghị karịa ugboro 3 kwa izu. Otu ampoule na-akwụ 600-800 p.
Lornoxicam. Ọ gụnyere otu ihe ahụ na-arụ ọrụ, nke nwere analgesic, anti-inflammatory and anti-rheumatic effects. A na-ewere mbadamba okwu ọnụ na 4 mg ruo ugboro 2-3 kwa ụbọchị. Edere inpa dị na usoro mbụ nke 8-16 mg, mgbe ahụ ọ ga - abawanye na 16-24 mg. Ọnụ ego nke mbadamba 10 bụ 150 r. Ọnụahịa nke ampoules dị iche na 700 ruo 900 r.

Uldị ọnya afọ na etiology ha

Ulites na-emetụta akụkụ anụ ahụ. Ọrịa na-efe efe na-akpatakarị ihe a na-elekwasị anya. Site n'ụdị, ọnya bụ iche:

trophicmegide nzụlite varicose veins ma ọ bụ thrombophlebitis na nguzobe mpaghara purulent-necrotic mpaghara na ụkwụ,
nsogbu dika nnabata nke oria obi.
ọrịa shuga site n'ọkwa nke ọrịa shuga mellitus, nke mbụ n'ụdị obere ọnya na ịkọwapụta na mkpịsị ụkwụ ukwu ahụ na-eji nwayọ nwayọ na-eduga na mwepu anụ ahụ, necrosis anụ ahụ, mmepe nke gangrene ma ọ bụ angiopathy,
neurotrophic ọnya nke nwere nsị ikiri ụkwụ site na mpụga n'ụdị oghere ndị miri emi na mpụta nke ihe ndị dị n'ime ahụ. Ihe kpatara nke a lymphadenitisọnya isi ma ọ bụ ọkpụkpụ azụ, na-ebute enweghị uche anụ ahụ, ọrịa nke ọnya na ọnya nnabata na ọnya,
venous trophic nwere ọcha ma ọ bụ burgundy-acha odo odo ncheta dị ka nonisting fistulas, ihe na-akpata nke venous insufficiency ma ọ bụ varicose veins na-egosi obere foci n'elu ala nke ụkwụ na-eji nwayọọ nwayọọ na-aba n'ime otu nnukwu ntụpọ,
hypertonic ọnya n'ihi oke ọgbụgba ọbara n'ọdịdị nke mkpụrụ ụkwụ dị ala na-acha ọbara ọbara nke na-acha ọbara ọbara dị obere n'ogo ụkwụ, ụkwụ,
pyogenic megide ndabere nke mbelata ihe mgbochi na ọrịa nke ọrịa: furunculosis, eczema, vasculitis, rheumatoid ogbu na nkwonkwo, lupus erythematosus, scleroderma, Reina syndrome.

Nwere ike ibu ụzọ nwee ọnya n'ụkwụ ụkwụ, ikiri ụkwụ, ịmịpụ nke ukwu mkpịsị ụkwụ systemic na-efe efemgbe ọnya na-enweghị mmerụ nke nwere ọnụ na-adịghị mma pụtara na ihe kpatara nke a bụ ịkpụ akpụkpọ ụkwụ mgbe nile, ogologo oge ịnọ na ụkwụ. Nwere ike ịkpalite ọdịdị nke ọnya radieshọn ma ọ bụ ekpughepụ kemịkal, oyi ma ọ bụ kefriza ụkwụ mgbe ekpughere ya na ọnọdụ dị ala.

A na-etinye ọgwụ otite na usoro ụzọ dị iche iche imechi usoro mkpali, sachapụ ebe nile nejikotara ọnụ nke mkpokọ mmụba, melite anụ ahụ trophic, mee ka ọnya na-agwọ ngwa ngwa.

Taa, ndị na-ere ọgwụ na-ere mmanụ dị mma na-egosipụta oke ọrụ. Isi ihe bụ ịhọrọ mmanụ dị mma site na ọnya trophic ọnya n'ụkwụ, si otú ahụ na-eme ka usoro ọgwụgwọ ahụ dị ngwa.

Ozi izugbe

Okwu a "oke ọnya afọ" na-agbasa ebe nile na-adakarị ma na-agbakọ na okike. Wikipedia na-enye nkọwa a: "Nke a bụ ọnọdụ a na-arịa ọrịa ọ na-esiri ike ịgwọ nkwarụ anụ ahụ."

Ọrịa peptic nwere ike buru oke ibu, dịkwa omimi ma na-esokwa usoro mkpali. Ọrịa ọnya ọnya na akụkụ nke ala bụ nsonaazụ nke ọrịa dị iche iche ebe ọ na-emetụta ọgba aghara nke usoro akwara, akwara ma ọ bụ lymphatic. A maara ọtụtụ ọrịa anụ ahụ na, na ogologo ụzọ, na-eduga n'ọzụ nke ọrịa trophic siri ike na ọdịdị nke ọnya na aka. Ihe kpatara ọnya trophic bụkwa mmerụ ahụ nke anụ ahụ dị nro, anụ ahụ na akụkụ akwara. Koodu nke ọnya trophic dika MKB-10 L98.4.2.

A na-ahụkarị nsogbu ọria ndị dị na trophic na ndị ọrịa na-enwe oke ume ala na-egbu mgbu. Ọzọkwa, n'ime ndị ọrịa nwere varicose veins, ọnya trophic adịghịkarị ka ndị ọrịa na-eme omimi akwara nke obia. N'ime ndị ọrịa a, a na-ahụ ọnya afọ 15-30% nke ikpe. Site na mmụba na oge ọrịa na afọ, ihe ize ndụ nke ịmalite ọnya afọ.

Mgbe afọ 65 gasịrị, ugboro ugboro ọnya afọ na-ezuru oke ume mkpụkpọ anụ na-abawanye ugboro atọ. Ọrịa a na - emetụta ụkwụ na ụkwụ ala, akụkụ anụ ahụ na - adị ala na - emerụ mmebi n'ihi mmịnye ọbara na - esiri gị ike nke ukwuu - maka ọrịa dị iche iche, nke a nwere ike iwe ọtụtụ ọnwa. Agba nke mbu nke akpịrịkpa ahụ bụ oge ọ ga - emerịrị ihe niile iji gbochie ọria ọria.

Ọrịa na-adịghị ala ala na-amalite ọbara ọgbụgba na-arịa na ajọ ọrịa stasis, nke bu ihe ndabere nke nsogbu akpukpo aru nke akpukpo aru na mmepe nke onya. Site n'ọrịa ọbara ọgbụgba venous, ọtụtụ usoro ọgwụgwọ na - etolite na ọkwa niile: cellular (rụọ ọrụ mkpụrụ ndụ ọbara ọcha na enzymes lysosomal mepụtara), anụ ahụ (pụtara hypoxia) na microcirculatory larịị. Na ọkwa microcirculatory, sel ọbara na - agbakọta ọnụ na "ogidi", na - emepụta microtromboses, na - ewepụta protein site na arịa ọbara n'ime oghere gbara ya gburugburu, na - agbakọta fibrin, na - akpụkwa fibrin cuffs gburugburu capillaries, nke a na - eme ka usoro metabolic na - akpata ọgba aghara, nke na - eduga n'ịba ọcha ikuku.Usoro ihe ọgbụgba na-ebute ihe na-ebute oke viscosity ọbara.

N'ihi mgbanwe ndị dị na anụ ahụ, ọrụ mgbochi ya anaghị emebi emebi. Mbibi nke n'ígwé ya na-akpata mbufụt na necrosis nke anụ ahụ dị nro na usoro buru ibu iwe (ịgbaze n’ime ọnya). Mgbe nke a gasịrị, nje na-efe efe na-esite na ngwa ngwa, nke ndị ọrịa na-esighị ike na-eme mgbe ụfọdụ na-amalite ịkpa agwa na ọnya ọnya siri ike na-amalite.

Mgbe itinye

Ọgwụ maka ude na-etinye n'ọrụ n'oge ọ bụla ọrịa ahụ. Mgbe ị na-ahọrọ ọgwụ na ịkọwa usoro ọgwụgwọ ndị dọkịta na-eburu n'uche ihe ndị na-akpata ya mmepe nke oria, ihe ndi puru ime ihe.

Oint (ngwa ngwa):

mgbe ụfọdụ izere ịwa ahụ
zụlite anụ ahụ na ihe dị n'ime anụ ahụ,
melite trofi,
normalize metabolism, venous outflow na mgbasa ọbara,
na-akpali uto nke mkpụrụ ndụ dị mma,
sel mkpụrụ ndụ satitoti na ihe oriri,
sachapụ ọnya na necrosis, kwalite ọgwụgwọ.

Nyere! A na-ahụkarị mmetụta kachasị na mmalite nke mbido. N'ọnọdụ ndị dị elu, n'ezie, iji mmanụ na - ete mmanụ ezughị ezu.

Nkewa

Maka ndị a kpọrọ ihe kpatara ya:

Ọnya ọnya Venous trophic (na-ebilite site na nzụlite ezughị oke nke venous).
Ọkpụkpụ aka anụ ahụ (na - ebilite na ụzụ ụbụrụ na - adịghị ala ala) atherosclerosis obliterans).
Ọrịa mamịrị.

Omimi nke mmeri:

M digri - nzere nke elu, usoro a na - ejedebe site na dermis.
Ọkwa nke abụọ - ọnya ọnya ahụ na - ekpuchi anụ ahụ dị n'okpuru ala.
Ogo nke III - mmebi nke fascia, akwara, akwara na ọbụna ọkpụkpụ na oghere nke akpa njikọta.

Site na mpaghara nkesa:

Obere ntụpọ ihe ruru 5 cm2.
Ọkara - 5-20 cm2.
Vast - karịa 50 cm2.

Ihe kpatara ọnya trophic na ụkwụ

Ọ bụrụ na anyị achọpụta ihe ndị kpatara ọrịa ahụ, mgbanwe mgbanwe trophic na akaụntụ venous etiology dị 70% nke ọnya niile. Ọrịa Atherosclerosis na-akpata ọnya trophic na 8% nke ikpe, na microangiopathy na-arịa ọrịa shuga bụ ihe kpatara ọnọdụ a na 3% nke ikpe.

Ọrịa ekpenta na ụkwụ bụ ihe kpatara isi ụkọ venous, nke na-amalite oria varicose veins, thrombophlebitis na ọrịa post-thrombotic. N'ime ọrịa ndị a, isi ihe kpatara ọnya bụ ịdọpụta ọgbụgba nke “vetikal” na “vetikal” n’ọbara usoro ukwu nke ụkwụ ala (nke a pụtara ìhè n’elu n’ime ukwu nke ala ala) na mmụba nke nrụrụ venous. A na - ahụta ọnya ọbara ndị kachasị na veins na ogologo ọnụnọ. Phlebostasis na - ebute ọrịre nke hemodynamic dị adị na ọwa mmiri na nri anụ ahụ, ọkwa mbụ nke egosipụtara na mgbanwe nke agba akpụkpọ ụkwụ. Ibu karịrị akarị, ibu dị ogologo oge na ike ndọda na-ebute nsogbu trophic na mpaghara a. N'oge a, ndị ọrịa ole na ole na-achọ enyemaka ahụike yana ọrịa ahụ na-aga n'ihu. Ọ bụrụ na ntụpọ akpụkpọ ahụ pụtara ìhè pụtara, ndị ọrịa n’onwe ha na-anwa ọgwụgwọ, mana na-enweghị ọgwụgwọ siri ike, nke a enweghị isi. Naanị 50% nke trophic ọnya nke etaliosis na-agwọ ọrịa na ọnwa anọ, na 20% nọ na ọnọdụ mepere emepe ruo afọ 2. Dabere na ọnụ ọgụgụ, 8% nke ntụpọ adịghị agwọ afọ 5 na-esote. Ọ bụ ezie na ọnya emechiela, ọnụego nlọghachị ha bụ 6-15%. N'ezie, ọnọdụ a na-akpata nkwarụ, belata ogo ndụ ma na-akpatakarị nkwarụ.
Ọrịa na-adịghị ala ala nwekwara ike ịkpata ọnya ọnya nke ala ahụ akwara ike (obufu aria nke akwara). A na-etolite ya na ischemia ukwu nke ukwu ma dikwa ya akụkụ akụkụ anya - na ukwu (ukwu adighi ala ala ukwu). Ọkpụkpụ bụ isi metụtara atherosclerosis obliterans, nke na-eme ọ bụghị naanị na ndị okenye, kamakwa na ụmụaka. Ihe kpatara ọnya na ọrịa a bụ mbelata mgbali dị na akwa akwara, mmepe nke akwara ọbara na nnukwu nsogbu. hypoxia anụ ahụ. Oxygen nrụgide (pO2) n'ime ndị ọrịa nwere mgbanwe necrotic n'ụkwụ bụ 20-30 mm Hg. Ihe ngosi a di nkpa, ma oburu n’enweghi ukwu mgbe iwetula ukwu ya ala, oganihu emeghi ya mgbe onye akpachara anya mebe ya, a na-ewere nke a dika ihe iyi egwu igbapu. Ihe ọzọ na-ebute ọdịdị nke ischemia na mgbanwe akwara ozi bụ nwere obere microhebolism nke atheromatous ma ọ bụ iberibe ngwugwu. Otu ihe dị mkpa banyere ọnya ọgbụgba bụ ihe na-akpata nsogbu. Ọbụna obere mmerụ ahụ n’akpụkpọ anụ ụkwụ (ọnya, obere mkpụmkpụ, mmebi nke akpụkpọ ahụ) site na nkedo akwara dị mkpụmkpụ ga-akpalite ọdịdị nke ọnya, nke na-abawanye ngwa ngwa na nha, na-akpata nnukwu ihe mgbu, nke a chọkwara iji ọgwụ.
Ọrịa mamịrị ime na ndị ọrịa ọrịa shuga, nke microangiopathy na neuropathy siri ike na-agbagha. N'otu oge, na nsọtụ ala, amamịghe nke ụdị sọks a kara aka - achọtara akpụkpọ ahụ nwere nchebara echiche ma chekwaa kpamkpam. Enweghị ihe mgbu na ọnya ahụ bụ n'ihi mmebi nke ime afọ, nke a na-akọwa ogologo oge ịgwọ onwe onye n'ụlọ na ngwụsị ohere ịnweta ọkachamara. Nsogbu kachasị njọ nke ọrịa mamịrị bụ ọrịa na mmepe ngwa ngwa. udu mmirinke chọrọ mbepu.
Ọrịa ọnya ofufe megide oke na-adịghị ala ala lymphostasis.
Ọrịa ọrịa akpịrị na amu amu.
Oria ọrịa (collagenoses, vasculitis, ọrịa ọbara) nwere nkwarụ na ọnya afọ. Livevo-vasculitis Ọrịa ọgbụgba ọbara na ọnya na - egbu mgbu na - egosipụta ụkwụ (vasculitis na thrombosis nke obere arịa). Livedo - vasculitis pụtara na systemic scleroderma, lupus erythematosus, ọrịa antiphospholipid.
Ọrịa afọ guzobere na akwara obi na okpo iku ume na oriahatous syndrome. Mgbe ị na-akwụghachi ụgwọ maka ọrịa na-apụ apụ ma na-ekpochapụ edema, ntụpọ ọnya na-apụ n'anya ngwa ngwa.
Ọrịa anụ na-efe efe na-enweghị idebe ịdị ọcha onwe onye (otu nzukọ).
Nsonaazụ nke ihe anụ ahụ - ọkụ na frostbite.
Mbibi nke ogwe akwara na-akpata ọnya neurotrophic.
Ọrịa ndị na-efe efe (syphilitic, ekpenta, Ọrịa Buruli, ọnya ọnya, leishmaniasis, rickettsiosis).
Akpụkpọ neoplasms n'ụdị nkwarụ akwara.
Nkpughepu na oria (oria radieshia).
Ọkpụkpọ akpụkpọ ahụ na-egbu egbu Lyell's necrolysis (mpempe lọgwụ nsí).

Ọrịa ọgbụgba na-egbu egbu na ụkwụ

A na-egosipụta ọkwa nke ọnya na-adịghị ala ala site n'ọdịdị nke akpịrị ọgụ, nke na-apụtaghị ozugbo ma nwee nkebi. Ihe e ji amata mmalite ọrịa ọnya ụkwụ n'ụkwụ bụ saịtị hyperpigmentation - haemosiderin (ngwaahịa nke mmebi nke haemoglobin) na edobere na dermis. Mgbe oge ụfọdụ gasịrị, a na-agwakọta abụba dị n'etiti etiti saịtị ahụ, akpụkpọ ahụ wee nwepụta ihe ngosipụta mara mma na ọcha nwere (dị ka ebe mgbapụta paraffin). A na-akpọ ọkwa a "ọcha akpụkpọ atrophy" ma na-ahụta dịka ọnọdụ ọnya afọ.

Ọ dị mkpa ịmalite ọgwụgwọ na mbido mbụ, ebe ọ bụ na mgbe e mechara na mpaghara “varnish” nke anụ ahụ, mkpụrụ ndụ epidermal na-anwụ, ọ na-ahụkwa oghere mmiri. Na ọkwa nke ọrịa trophic, ndị ọrịa na-enwe nchegbu banyere itching na ọkụ. Mpaghara ndị nwụrụ anwụ na-agbasa ngwa ngwa ma usoro ahụ na-ejedebe site na nrụpụta nkwarụ necrotic ọnya, nke na-akpasu obere mmerụ ahụ.Ebe a na-ahụkarị ọnya afọ bụ mpaghara nkwonkwo ụkwụ ụkwụ ya, ọnụọgụ ọnya nwere ike ịdị iche. Ọkpụkpụ akwara akpụ na-apụta n'ọdịdị mgbatị ụkwụ (ụkwụ, ikiri ụkwụ).

Ọrịa ọnya ọnya varicose veins nwere ike ịbụ nha nke mkpụrụ ego ma ọ bụ kpuchie ụkwụ ala ala, wee gbatịkwuo n'ime fascia - a na-ahụkarị nke a na ọgwụgwọ oge na enweghị ọgwụgwọ zuru oke. Ọrịa varicose nwere ọdịdị gbara okirikiri, a na-ahapụ exudate na ya mgbe niile: mmiri doro anya, ọbara, nku mgbe ejiri flora nje na-ejikọta, fibrin.

Ọ na-eji nwayọ nwayọ na nha yana mmeghachi omume mbufụt nke anụ ahụ dị nro sonyere. Site na ọrịa microbial, isi na-adịghị mma na-esite na ọnya ahụ. Mgbu nwere ike ịkpa ike. Ọrịa ọnya na-adịkarị omimi, na-eji akụkụ gbara agba, akụkụ kpuchie ya na ihe mkpuchi na oghere, akpukpọ anụ ahụ gbara agba, na - emebisị ọnya dị n'okpuru. Ọgwụgwọ n’oge a dị ọnwa 1-1.5 ma mejupụtara ihicha ọnya ndị dị na ya.

Mgbe ọgafe n’ọkwa granulation ahụ, a na-asachapụ ọnya ahụ na ọdịnaya ya na-egosi na ala ntụpọ ahụ, ogo ọnya ahụ na-amalite ibelata. Uhie na mgbu na-ebelata nke ukwuu.

Ogologo oge nke oge a na-adabere nha mbụ na omimi ọnya ahụ, na arụmọrụ ọgwụgwọ nke usoro nke gara aga. Ọ bụrụ na abawanye n'ọdịdị anụ ahụ, mgbe ahụ ka ịmụghari omume ga-eme ngwa ngwa ọ ga-akwụsị na ngwụcha akpị. Oge a dị ogologo ma enwere ihe ọghọm nke nlọghachị, emesịa ọnya afọ nke abụọ bụ ọgwụgwọ ka njọ. Ọ bụrụ na usoro ọgwụgwọ ziri ezi ebido n’oge, ọnya ahụ na-emechi, ma dabere n’ihe mgbochi (mbanye phlebotonics, na-etinye akwa mkpakọ, na-ekiri usoro ọrụ na izu ike, na-ebelata oke ọnya) ihe egwu ịlaghachi azụ mgbe agbachasịchara ọnya ọnya.

Na ndị ọrịa na- ọrịa shuga ịba ụba akwara vaskụla, mmebi microcirculation nke ụkwụ, yana ihe yana arteriosclerosis na-enye aka na mmepe nke ọnya afọ. Ọnwụ nke anụ ahụ na-ebute mbibi na ọrịa. Ọrịa mamịrị nwere usoro na-adịgide adịgide, na-aka njọ. Ọrịa ekpenta na ọrịa a na - enwekarị nkọwa dị iche - ahịhịa dị n'ụkwụ ya na mkpịsị aka mbụ, nke a na - ahụkarị maka ọrịa mamịrị.

Agbanyeghị, a na-ahụkwa ọnya ụkwụ, nke na-agwakọta ya - n'ihi ụkọ akwara na akwara. Ọrịa shuga na-arịa ọrịa shuga na -agọnahụ ọnọdụ ya na-emetụta usoro ọgwụgwọ.

Ule na nyocha

Na nyocha nke ọrịa ndị na-ebute mbuze ọnya afọ na-eji:

ule nnwale ụlọ nyocha
nnwale ọbara
nyochaa nje nke ọnya ahụ
ihe anakpo ultrasound nke nyocha nke veins, nke na-eme ka o kwe omume inweta onodu banyere ala nke valvular ngwa nke miri emi na saphenous veins,
radiopaque na radioletope phlebography,
phlebotonography,
ihe nkiri (kpebisiri ike site na uru ihe ezuta ọria dịka ọrịa veins),
multispiral compatiled tomography - angiography ịmụ gbasara ọnọdụ akwara ma ọ bụ nyocha duple nke aorta nke akwara iliac na femoral arteries,
n'ihe banyere ọnya afọ ọsịsa na ọnya afọ, mkpebi nke ike nke oke nrụgide dị na akwara mkpụrụedemede akụkụ ala na brakial artery na-etinye ya na nyocha nyocha.

Ọgwụ ọnya ụkwụ

Treatmentgwọ ọnya nke ala akụkụ ahụ dị ogologo bụ ogologo oge, ebe ọ bụ na ọbara na -akwụsị yana ọnya na-arịa ọbara na lymphostasis. Iji mechaa gwọọ ọnya nkwonkwo, ịchọrọ mmetụta dị mgbagwoju anya, na-eburu n'uche ihe ndị butere dị ka mmepe nke ọrịa ahụ. Ọrịa ọnya na akụkụ nke ala siri ike ọgwụgwọ ma nwee ọchịchọ ịlaghachi azụ, yabụ ọgwụgwọ na-abụ nsogbu siri ike mgbe niile.

Nkwadebe maka ọgwụgwọ nke ọrịa trophic nke akụkụ ala

Ọgwụ ọgwụ bụ ntọala na ọgwụ niile enwere ike ikewa n'ime otu dị iche iche:

Ọgwụ nje. Ihe eji mara oge a bụ mwepụta nke ọnya dị ukwuu, mbufụt nke anụ ahụ gbara ya gburugburu na-agakọkwa ugboro ugboro na osisi ụmụ ahụhụ. A na-egosi ọgwụ nje maka ọnya ọnya na-egbu egbu nke na-ebute mbufụt na-emetụta mmụọ na mmeghachi omume sistemụ (ọnọdụ okpomọkụ, ọrịa) yana ọnụnọ nke purulent. Ebumnuche ebumnuche nke ọgwụgwọ ọgwụ mgbochi bụ imezigharị ọnya ahụ site na microflora pathogenic. Ogwu eji ọgwụ nje eme ihe adịghị arụ ọrụ. A na-ede ọgwụ mgbochi ozigbo ọgwụ ike ma na - abụkarị ọgwụ dị iche iche: Cefoperazone, Cefadroxil, Cefazolin, Lomefloxacin, Cefamandol, Ofloxacin, Ciprofloxacin. Nlekọta intramuskụla bụ ihe amamihe dị karịa, mana a na-anabata nchịkwa ọnụ. Mgbe ịchọtachara ahịhịa na ịkọwapụta ihe dị na ọgwụ nje, ana - agbazi ọgwụgwọ. Ogologo oge nke ọgwụ nje na ọnya ọnya buru ibu, nke a na-ahụ n'ụdị neuro-ischemic form. ọrịa shuga mellitusnwere ike iru ọnwa abụọ. Na ọrịa shuga, nephropathy na-egbu egbu, yana mmebi akụrụ na ọrịa ọrịa, zere iji aminoglycosides (Neomycin, Kanamycin, Monomycin, Gentamicin, Tobramycin, Amikacin).
Ọgwụ antifungal. N'ime usoro ọnya na-adịghị ala ala, ọkachasị megide ọrịa shuga, nje HIV, ọrịa kansa, flora flora bụ nke a na-agha site na ọnya (ụdị dị iche iche Candida) ma ọ bụ ngwakọta nke nje na ahịhịa fungal. Ya mere, ọgwụ ọgwụ antifungal na-abawanye.
Ọrịa ọnya anụ ahụ na - egbu egbu na - egbu mgbu mgbu na - ekpebi mkpa ọgwụ mgbochi na - abụghị ọgwụ steroid.Diclofenac, Ketoprofen, Movalis) Est nwere ike ịchọ ọgwụ enyemaka (Faspik, Ketanov, MIG-400, Ketorol).
Ọgwụ nke na-eme ka microcirculation na nri dị na anụ ahụ dị na ọnya trophic nke usoro etiology ọ bụla. Ejiri nzube a. Pentoxifylline na Actovegin. Ọgwụ nke ikpeazụ nwere mmetụta metabolic dị mgbagwoju anya ma akọwapụtara ya nke ọma maka ọnya na ndabere ọrịa shuga mellitus na atherosclerosis obliterans. Actovegin na - ebido site na mmeghachi nke intravenous infusion maka ubochi iri na ise, mgbe nke a gasiri ha bido ia mbadamba ihe (1 mbadamba ugboro 3 n ’ụbọchị, ọnwa 1.5.
Nkwadebe maka ọgwụ desensitizing (Loratadine, Ketotifen diphenhydramine, Chloropyramine-Ferein, Cetrin na ndi ozo).
Nkwadebe prostaglandin F1 (na usoro nke mbụ na nke abụọ nke ọnya mmerụ ahụ). Ọgwụ nke trophic ọnya na varicose veins. Ebumnuche bụ ebumnuche ọgwụgwọ bụ mmechi nke ọnya afọ na mgbochi nke nlọghachi ya.

Ezumike ụra.
Usoro ọgwụgwọ ọgwụ mgbochi.
Otchọ ọgwụ ọgwụ (phlebotonics). Ọgwụ ndị a na-etolite ntọala nke ọgwụgwọ ọgwụ maka ezughi oke venous insufficiency. Nke a bụ ìgwè dị ukwuu nke ọgwụ na-abawanye mmiri iyi si na nsọtụ, na-abawanye ụda venous, belata mkpọchi mkpọchi, na-eme ka mmịpụta nke lymphatic, ma nwee mmetụta capillaroprotective. Ọgwụ nwere ike gosipụtara nke ọma bụ diosmin (Flebodia, Venolek, Diovenor, Flebofa) Na ọnụnọ ọnya trophic, ojiji nke ọgwụ ndị a dị mkpa maka ọnwa 2-6. Ihe eji arụ ọrụ diosmin ọ na - agbakọta ngwa ngwa ma na - agbakọta na mpaghara ọnya ma na - egbochi mmeghachi ahụ mpaghara. Mgbe ị na-eji diosmin, a na-enweta ọgwụgwọ ọnya na 61% nke ndị ọrịa. Phlebotonics bụ ihe amamihe dị na ya itinye, malite na ọkwa nke abụọ nke usoro ọnya ahụ ogologo oge ka ọ gbasasịrị ọnya ahụ.
N'ime usoro nke abụọ nke usoro ọgwụgwọ ọnya ahụ, a na-agbakwunye antioxidants na ọgwụgwọ (Agaghị, vitamin e), Actovegin ma obu Solcoseryl.
Disaggregants (acetylsalicylic acid 0,1 g Pentoxifylline, nicotinic acid) Ngwa Pentoxifylline na oge oge na-enye aka na ngwa ngwa ọgwụgwọ nke ọnya afọ.
Ọgwụ mgbochi.
Usoro ọgwụgwọ nke ọnya varicose gụnyerecha ọgwụ ndị nwere heparin. Heparin O nwere ihe mgbochi oria na ịkọwa ihe, na - egbochi ọrụ ọgwụ na hyaluronidase. Nsonye nke ihe na-arụ ọrụ bụ ihe siri ike na ọnọdụ nke mgbasa akwara ọjọọ. Ofdị ọfụfụ nke heparin na-adabere n'ụzọ dị ukwuu. Ya mere, ịkwesịrị iji mmanu mmanụ (ma ọ bụ gels) na heparin ịta karịa opekata mpe 1000 PEEJI (Thrombophobia, Lyoton, Hepatrombin) Nke ikpeazụ a dị na 30,000 ruo 50,000 IU nke heparin, yabụ nsonaazụ ahụ ga-esikwu ike. Ngwakọta ahụ gụnyekwara dexpanthenone na allantoinna-enwe mmụghachi na mgbochi mkpali. Ọ dị mkpa iji ọgwụ a phụ ọgwụ phlebotropic mee ihe, ebe ọ bụ na iji naanị ọgwụ mpaghara anaghị eme ka uche doo gị.
Na ọrịa akpịrị na amu amu ọ ga-ekwe omume iji mmanụ otite corticosteroid na mpaghara.
Banye mpịkọ na bandeeji Varolast (ọkpọkọ na-agbanwe agbanwe na zinc mass) n’oge ọgwụgwọ, bido n’agba nke abụọ nke usoro ọnya ahụ. Na mbu, a na-etinye bandeeji ma ọ bụ bandeeji ruo ụbọchị 1-2, ma emesịa ruo ụbọchị 5-6. Mgbe ọ gbasasịrị ọnya, a na-egosipụta ọgwụgwọ mkpakọ na-aga n'ihu na hosiery ọgwụ.

Kedụ ka esi agwọ ọnya na ọgwụ mpaghara?

Site na ọnya trophic, ọgwụgwọ mpaghara nwere uru inyeaka, ihe kachasị bụ ịbawanye ụda nke veins nke ala nsọtụ. Ọgwụ ọgwụgwọ mpaghara dabere na usoro nke ọnya ahụ: usoro nke mbụ bụ exudation (ụbọchị 6-14), usoro nke abụọ bụ ịmụbawanye (usoro nke granulations, na-adịgide ruo ụbọchị 30), usoro nke atọ bụ epithelialization (ogologo oge ruo ụbọchị 45).

A na-eke ọgwụ ọgwụ mpaghara site na ihe eji arụ ọrụ. Ogwu na gels sitere na:

Heparina na ọgwụ ọgwụ venoactive.
Ọgwụ mgbochi anaghị agwọ ọrịa - a na-eji ya eme ihe iji lụ ọgụ mgbu.
Enzymes nke Proteolytic. A na-eji nkwadebe ndị sitere na enzymes proteolytic mee ka anụ ahụ nwụrụ anwụ na fibrin sachapụ ọnya. Mgbe ị na-eji ha, enwere ihe ize ndụ nke mmeghachi ahụ nfụkasị, ebe ọ bụ na enzymes bụ protein mba ọzọ. N'akụkụ a, a na-eji nkwadebe enzyme mee ihe eji etinye akwa na obere oge (ọ karịghị ụbọchị 3-4), na mgbe itching na ọkụ na-apụta na ọnya ahụ na-ewepụ ozugbo.
Ọgwụ antibacterial (ya na ọnya ọnya nje).
Corticosteroids ma ọ dị amu amu na ọrịa akpịrị.
Antihistamines nwere itching na eczema, ma eleghi anya iji glucocorticoids nọ na mpaghara.
Ihe Nkịtị Na-ahụ Maka Anụ Ahụ (Gel na Mmanụ Ala) Actovegin).

N'ime usoro exudation, a na-eji akwa mposi na ọgwụ mgbochi antiseptik na-eji mposi nke ọnya trophic ọnya ụbọchị. Ọtụtụ ndị dere kwenyere na ọ bụ naanị nhicha eji mmiri eme ka mmiri dị ọcha zuru ezu maka ụlọ mposi ọnya (ọ na-ewe iwe dị ọkụ mgbe ọ na-edozi ọnya nke abụọ na nke atọ). Zere iji hydrogen peroxide na ayodiin povidone, nke na-emebi anụ ahụ granulation.

Agbanyeghị, na akụkụ nke mbụ nke usoro ọgwụgwọ ọnya ahụ, ọgwụ mgbochi na-anọpụ iche, enzymes proteolytic na sorbents dị irè karị maka iwepu anụ ahụ necrotic na exudate. A na-eji nkwadebe ọgwụ ọgwụ dị ka ọgwụ antiseptics (Chlorhexidine, Eplan, Dioxidine, Cital) na ihe ngwọta kwadebere n'adabereghị (decoctions nke chamomile, yarrow, string, ngwọta nke furacilin ma ọ bụ potassium permanganate). Enzymes proteolytic a na-ejikarị: hyaluronidase, nucleotidase, trypsin, chymotrypsin, collagenase.Enzyme nke ikpeazụ bụ mmiri soluble.

Ihe mmebi anaghị emebi anụ ahụ ma na-abawanye mmụba ugboro iri. Ọ bụ akụkụ mmanụ Iruxol, nke a na-eji agwọ ọnya trophic. Enwere ike ịkpọ Yaz sobrentov Asepisorb, Diotevin na Balgba mkpu. Aseptorbis dị n'ụdị ntụ ntụ, nke eji akwa kpuchie iji mee ọnya ọnya mgbe mposi nke ọnya gasịrị. E nwere ọtụtụ ụdị Aseptisorba - na anestetiiki, n'ihi na purulent ọnya na Chin'ihi na unan necrotic with Diotevin. Balgba mkpu - ihe dị n'ọrụ bụ calcium alginate. Ọgwụ ọjọọ n’ụdị akpọnwụ na-abanye n’ime ọnya ahụ, ebe ọ na-aza aza ma na-amata nje na ọnya. A na-emekwa ọnya afọ site na iji ihe nkiri collagen na hydrogels - nke a na-ebelata oge achọrọ maka ntụgharị site na mbili elu gaa n'ọsọ.

Mgbe ịwachara ọnya ahụ, ekwesịrị iji mmanu na-eme ka mmiri ghara ịpụ. Tinye mmanu mmanu Levosin, Levomekol, Solcoserylotite siri mmanu gepon ma obu Dioxol. A na-ezube mmanụ Dioxicole maka ọgwụgwọ nke ọnya purulent na mpaghara mbụ nke usoro ọnya ahụ. O nwere dioxidine (antiseptik), trimecaine (anestetiiki) na methyluracil (reparant).

You nwere ike iji akwa nwere edozi ahụ mebere eme Voskosran-Donke nwere mmanu Dioxol. A na-ahụta nsonaazụ dị mma mgbe ị na-eji mmanu na-agwakọta Streptolavennke nwere miramistin (antiseptik) na ultralysin (enzyme). Uzuzu nwekwara mmetụta dị mgbagwoju anya. Diotevinnwere ihe eji eme ihe, antiseptik (dioxidine) na ihe (terrilithin). Ejiri bandeeji na-agbanwe agbanwe ma ọ bụ mpikota onu sitere n'elu. Ul nwere ọnya ndị mepere emepe, a na-ekepụta bandeeji ọtụtụ: akwa na-amị amị, bandeeji obere mkpụmkpụ na bandeeji nke ọkara.

Ejiri mgbanwe ntụgharị ọnya nkebi na nke abụọ (mmụba) site na nhichapụ ọnya ahụ, ọnya na-ebelata, ọdịdị nke granulations na mbelata mbelata dị ukwuu. Ebumnuche bụ ebumnuche maka ịkwalite uto nke anụ ahụ njikọ. Iji mee ka anụ ahụ too ngwa ngwa, tinye n'ọrụ zinc hyaluronate (gel Curiosin) Hyaluronic acid bụ ihe mebere akụkụ nke anụ ahụ jikọrọ ọnụ, yana zinc bụ ọgwụ mgbochi na-arụ ọrụ. Iji mee ngwangwa mmechi nke ọnya na-eji akwa ọnya (Allevin, Algipor, Sviderm, Algimaf, Gishispon), ma emesịa na -apụta bandị anaghị agbanwe agbanwe. N'ime usoro a, enwere ike iji ọgwụ herbal (dogrose ma ọ bụ mmanụ buckthorn oil), ngwọta mmiri ma ọ bụ mmanu sitere na propolis (a na-ewepụ obere tinctures).

N’ime akụkụ nke epithelialization, ụdị ọnya siri ike, nke a ga-emerịrị ka ọ ghara imebi ihe dị na mpụga, ma na-aga n’ibelata ọbara ọgbụgba site na iyi akwa mkpuchi (sọks ma ọ bụ sọks) na iwe phlebotonics. N’ime usoro nke abụọ na nke atọ, a na-eji mmanụ otite mee ihe iji mee ka usoro ọhụrụ dịkwuo mma Ebermin na Actovegin (gel na agba nke abụọ, na mmanụ na nke atọ).

N'oge na-adịbeghị anya, a na-ejikarị akwa uwe ọgbara ọhụrụ, nhọrọ nke a na-eme na-eburu n'uche ogo mmụta na usoro nke usoro ahụ. N'oge a na-efe efe, ụdị uwe dị otú a kwesịrị ịkwalite ịjụ anụ ahụ necrotic (nhicha nke ọnya ahụ), nsị sorbins na ọnya exudate. Mgbe ị na-agwọ ọnya “dị ọcha” nke malitere ịgwọ ọrịa, ọ dị mkpa ijigide iru mmiri na ohere ikuku, chebe mmebi na ịlaghachi azụ ma na-akpali mmezi anụ ahụ (ọgwụgwọ).

Uwe mkpuchi niile dị mfe iji, na-ewe oge ma onye ọrịa nwee ike itinye ya n ’ụlọ. N'ime usoro ọgwụgwọ nke ọnya ahụ, a na-etinye akwa ndị nwere sorbents (carbon carbon), enzymes proteolytic, antiseptics (dịka ọmụmaatụ, ọla ọcha), alginates, na super absorber na-etinyere n'usoro.

Ọnụnọ nke necrosis na ọnya ahụ, akwa hydrogel (Gidrosorb, Gelepran, Opragel)Isi mmetụta nke hydrogels bụ nhicha ọnya na autolysis nke anụ ahụ necrotic. Site na iji fibrin na-abawanye, exudation na ọrịa, a na-eji akwa na alginates na ọla ọcha (Balgba mkpu ya na alginate di ka Gelepran jiri ọla ọcha Askina Kalgitrol Ag) Askina Kalgitrol Ag - akwa akwa akwa nwere otutu alginate, nke na-ejigide mmezi antimicrobial rue ubochi asaa.

A na-ejikarị sponges maka exudation dị egwu, ebe ọ bụ na ha na-enweta mmiri site na ọnya ahụ nke ọma. Ma ogbo Meturacol nwere methyluracil na akọrọ collagen, yabụ, na mgbakwunye na ike nnwale ya dị elu, ọ nwere ihe mgbochi na nkwụghachi. A na-eji Meturakol ogbo ahụ mee ihe n'usoro nke abụọ na nke atọ. Ọ bụ efere na-enweghị atụ nke na-asọ n'ime mmiri ọkụ. A na-etinye sponge na ọnya ahụ, weghaara 1.5 cm karịa, ma dozie ya. Ọ bụrụ nzipu puruupuru, i nwere ike ime ka okpomoku kpuchie elu ya Dioxidine. Enwere ike ịgbanwe akwa ahụ kwa ụbọchị 3 - n'oge a, ogbo ahụ na-agbaze. Ọ bụrụ na ọ naghị agbaze ma ọ dịghị mkpa ịkwa akwa, anaghị ewepụ ya.

Uwe atraumatic na alginates na hydrocolloids (Duoderm, Hydrocall) Site na mmerụ ahụ dị “ọcha, a na-eji akwa mkpuchi na ọnya na-agwọ ọnya. Uwe eji mmanu mmanu Branolind N na-ezo aka na akwa akwa atraumatic. Nwere balm Peruvian (nwere mmetụta antiseptik), mmanụ jelii, cetomacragol, glycerin, abụba hydrogenated, mmanụ linseed. Ọ dịghị arapara n'ahụ ọnya ahụ, anaghị egbochi ọpụpụ ahụ ma chebe ọnya ahụ na mmebi ahụ mebiri emebi ma mechaa. A na-eji ya maka granulation na epithelization. A na-etinye ntụpọ ahụ na ọnya ahụ, ejiri ya bandeeji na bandeeji na-agbanwe agbanwe.

Na usoro nke atọ, ihe na-abawanye na epidermalEbermin), hydrogels, mkpuchi biodegradable nwere collagen, chitosan, chondroitin sulfuric acid na hyaluronic acid (Bol-kụrụ, Collachite). Ihe eji eme akwa Voskosran na Parapran eji na II - III usoro, ebe ọ bụ na ha na-akpali mmepe nke granulations ma mee ka epithelization mee ngwa ngwa.

Wip na-adọrọkwa mmasị. Activetexnke nwere ebe a na-ete akwa nke nwere otutu ọgwụ di iche-iche na otutu ihe. Napkins niile dị n'otu nwere mmetụta na-egbochi ọrịa. Ha dị dị iche iche, ma na-egosipụta ya, nwere ihe ngosi dị iche iche. Dịka ọmụmaatụ, akwa nhicha Ọrụ nwere furagin (ọgwụ antimicrobial) na lidocaine (ọgwụ ụfụ mpaghara). N'akụkụ a, ọ ga-adị mma iji ha na ọgwụgwọ ọnya na ọnụnọ nke oke mgbu. Chlorhexidine na furagin bụ ihe abụọ na - egbochi ọgwụ mgbochi n'ime hF wipes.

FHF Activex gụnyere furagin na chlorophyllipt, ActiveF HFL - chlorhexidine, furagin na lidocaine, yana HVIT wipes - chlorhexidine nwere vitamin (rutin, ascorbic acid). ActiveX FOM nwere furagin na mmanụ buckthorn mmanụ - ihe a bụ iwepụ mbufụt ma mee ka ịmụtaghachi. Enwere ike iji ha na usoro ọgwụgwọ.

Gwọ ọnya ndị na-eji irighiri akwara ndị a bụ emume dị na nkebi. Nke mbu, jiri kpochapu na ogwu antiseptik na nyocha: HF (chlorhexidine + furagin), PCF (furagin + chlorophyllipt) ma obu HFL (chlorhexidine + furagin + lidocaine). Ojiji ha ga - enyere aka iwepu mbufụt na mgbu. Ihe ọzọ ị ga - eme bụ iji hvit HVIT nwere vitamin na-akpali mmegharị ọbara na mpaghara ma na-akwalite ọgwụgwọ, yana wipes buckthorn. Enwere ike iji nhichapu na-enweghị agbanwe ruo ụbọchị 3, ka osila dị, nke a dabere na ogo ọnya iwe. Otu ihe dị mkpa eji eji akwa nhicha ahụ bụ ka ọ nọgide na-enwe mmiri mmiri mgbe niile, n'ihi na mgbe ha kpọrọ nkụ, ha na-egbochi ọnya afọ na mgbu nwere ike ịpụta. Nwere ike iji nnu gwuo mmiri ma ọ bụ esi mmiri ak nweta ya.

Ọrịa mamịrị Ọrịa Shuga

Kpụrụ dị mkpa maka ọgwụgwọ bụ idebe, ma ọ bụrụ na ọ ga-ekwe omume, izu ike ụra ma ọ bụ iwepu ibu dị n'ụkwụ, ebe enwere nsogbu na-efe efe. Ọnọdụ nke abụọ dị mkpa bụ ijikwa ọkwa shuga site na ị drugsụ ọgwụ na-ebelata shuga. Ọtụtụ mgbe, ndị ọrịa nwere ọnya afọ ọsịsa na-abụ ndị ụlọ ọgwụ na ngalaba ịwa ahụ, ebe ọ bụ na ndị ọrịa dị otú ahụ na-akpaghasị ọrịa anụ ahụ trophic ngwa ngwa ma nwee nnukwu ọnya ọnya ọnya. Nke a chọrọ ọgwụgwọ obodo nke kpụ ọkụ n'ọnụ ọnya afọ.

Njirimara ọgwụgwọ ndị ọrịa nwere ọnya afọ:

Jide n'aka na ijikọ nkwadebe nke prostaglandin sịntetik (Vazaprostan, Vasostenone, Arteris Vero), nke meziwanye microcirculation na mpaghara ischemic, na-enyere aka belata ntụpọ ọnya na ọgwụgwọ ya, nke a na - egbochi mbepu.
Na usoro ọgwụgwọ siri ike, a na-eji nkwadebe alfa-lipoic acid na vitamin B.
Edebere ndị na - egbu ihe mgbochi na anticoagulants, n'etiti ndị ọ bara uru ịkọwapụta Sulodexide.
Ngwa Gepona na-enye ohere ọgwụgwọ ọnya na ọrịa angiopathy, n'ihi na ọgwụ a na-akpali uto nke granulations. A na-eji nhicha Gepon mee ihe (0.002 g kwa 10 ml) wee tee mmanụ, nke gụnyere Gepon.
Ọgwụ nke abụọ dị irè maka ọgwụgwọ ọnya afọ bụ gel Curiosin.
Kama ịgbachi ọkpọ na-agbanwe agbanwe, a na-eji ngwaọrụ ndị na-ebugharị “ọkara akpụkpọ ụkwụ”.

A ga-agwọ ọnya afọ:

Ọgwụ ọgwụgwọ na ọgwụ ndiife

A na-ejikwa ọgwụ ndị a na-ahụ maka ndị mmadụ na ọgwụgwọ nke ọnya. Ọ nwere ike ịbụ mmiri Kalanchoe ma ọ bụ ihe ọ Aloụ Aloụ Aloe. Nwere ike iji chamomile gwọọ ọnya na ụkwụ - kwadebe decoction na ọnụego 1 tablespoon kwa 200 ml nke mmiri esi. A na-emezi efere ahụ, na-adọta ya na sirinji ma na-asa ntụpọ ọnya ahụ. A na - ejikwa usoro nke horsetail, plantain, yarrow na trefoil mee usoro mpaghara.

Mgbe ọ sachara ọnya ahụ, a ga-ete mmanụ na-esite na beeswax iji mee ka ọgwụgwọ ya dịkwuo ngwa. Ọdịdị ya gụnyere:

ọkara otu iko mmanụ sunflower,
beeswax 2-30 g,
akwa ọkụkọ.

Akwa siri ike ma sie naanị nkochi ime akwa. Mee mmanụ ahụ na nnukwu enamel, wụsa beeswax ahụ anuahade, kpoo ngwakọta ahụ ruo mgbe wax ahụ na-agbaze kpamkpam. Cemebata nkochi ime akwa a gwakọtara agwakọta. Na ọnọdụ ọkụ, gbanye akwa gauze ma ọ bụ akwa nylon. Chekwaa mmanụ na friji n'ime nnukwu iko (ọ na-agbaze). Ekwesighi itinye mmanu oyi n'ahụ ọnya ahụ, yabụ, akụkụ dị mkpa maka usoro ahụ ga-abụrịrị kpụ ọkụ na mmiri ịsa ahụ wee ruo okpomọkụ nke 38-400.

Dika ntuziaka ozo maka mmanu mmanu, ikwesiri ibu 100 g:

Okpomọkụ, na-akpali, n'ime mmiri ịsa ahụ ruo mgbe wax ahụ na-agbari na ngwakọta niile. Chekwaa mmanụ na friji, kpoo ọkụ tupu iji ya. Mee ka ọnya ndị dị ọcha.

Were 10 g nke mummy (lumpy ma ọ bụ na mbadamba), igbari ya na obere obere mmiri sie mmiri na-agwakọta na 100 g mmiri ara ehi. Mgbe ị na-eji ejiji, a na-ahụ akwa swab na ihe mejupụtara ahụ, etinyere ọnya ahụ ma dozie ya. A na-agbanwe akwa ahụ kwa ụbọchị.

Ọtụtụ mgbe, a na-enwe nyocha banyere ọgwụgwọ nke ọnya trophic n'ụkwụ na nke a bụ n'ihi eziokwu na nsogbu a dị na ọtụtụ nwere mmasị. Ndị ọrịa na-ekerịta ahụike ọgwụgwọ ha na nsonaazụ ya. Ọ dị irè n'echiche nke ọtụtụ ndị ọrịa, ihe ngwọta maka ịgwọ ọnya Dioxisole (antiseptik + anestetiiki), mmanụ mmanụ Iruxol, Solcoseryl, Ebermin (epidermal uto na-akpata) Stellanin (triiod, povidone, dimexide, jelii), sprays Berberex na Vitargol (nkwadebe ọlaọcha), gel Prontosanude Dermazine na Argosulfan (nwere ọla kọpa sulfate).

A na-achọpụta ndozi na-ahụ anya mgbe etinyechara akwa ọnya Voskosran (ya na levomecol ma obu methyluracil), Collahit-FA (collagen-chitosan nwere ya na ntinye nke antiseptik furagin na ọgwụ anilokain) Collahit-Sh (collagen-chitosan complex with plant antiseptik shikonin).

Ufodi nyocha bu ihe eji eme ihe ndi ozo. Aka Aka Unna - Nke a bụ akwa akwa nke zinc-gelatin, nke gụnyere zinc oxide, glycerin, gelatin na mmiri. Ọ na-amịkọrọ ihe nzuzo nke ọma, ma na - eme ka ngbanye ugwu na mmebi. Na mgbakwunye, bandeeji ahụ nwere mmetụta nke akwa akwa, n'ihi ya, ọ na-eme ka mmiri na-apụta dị mma. Mgbe ụfọdụ, a na-eji usoro ọgwụgwọ a maka ọnya ọnya afọ. Ihe mgbakwunye a chọrọ nlezianya banyere usoro a, ma ọ bụghị ya apịtị a kpọnwụrụ ma tee akpụkpọ ahụ ụkwụ.

A na-etinye ngwakọta Gauze na mado a gbanyere mkpọrọgwụ na ọnya ahụ ka gelatin ahụ wee ghara isi ike. Mechie ụkwụ kechie ụkwụ (otu oyi akwa) site na isi mkpịsị ụkwụ ya na ikpere. N'okwu a, enweghị oghere, yana mkpịsị ụkwụ na ikiri ụkwụ ka emepere emepe. Iji akwa ahịhịa dị ukwuu, mado na mado ma tee ya, jiri bandeeji nke ugboro abụọ ma tinye mado ahụ ọzọ. N'ihi ya, ikwugharị ugboro 3-4. N'ikpeazụ, “ọtụtụ akpụkpọ ụkwụ kpuchie” buutu ahụ. Mgbe agbaji mado, akwa a ga-adị oke ma onye ọrịa ahụ nwere ike ịga ije n'atụghị ụjọ ịbanye na ụkwụ ya. Na enweghị ọnya ọnya na ọnya ahụ dị ọcha, enwere ike ịke akwa ahụ maka izu 3-4. Mgbe ahụ agbanwe ya ka ọ bụrụ nke ọhụrụ. N'ihe banyere mbufụt, a na-agbanwe “buut” ahụ kwa ụbọchị 7-10. Onye ọrịa ahụ kwesịrị iyi bandeeji mgbe ọnya ahụ gwọsịrị. Ejirila ya kemgbe afọ, na-aghọrọ ya ihe eji eme ihe eji eme ka ihe siri ike.

Ihe eji eji akwa a nwere ihe isi ike na nsogbu ndi ozo:

ndị na-ere ọgwụ adịghị akwadebe ya ogige,
Mpempe akwụkwọ tapawa ahụ dịgasị iche dabere n'oge afọ (oge oyi na ọkọchị),
bandeeji ahụ adịghị mfe itinye, ọ kwesịrị ka onye ọkachamara kụọ ya, ma ọ bụrụ na etinyere ya nke ọma, nsogbu ndị ọzọ ebilite,
eji dịka ntụrụ aka (ọnya buru ibu nke nwere ọrịa lymphedema na ọrịa post-thrombophlebitis),
usoro omume ọgwụgwọ na - adịghịzi mma, nke enwere ike itinye ya na enweghị ndị ọzọ na - agwọ ọnya ọnya.

Anụmanụ na-agaghị emegide gị

Ngwurugwu coumarin nọchiri anya ya. Usoro nke omume ha bụ igbochi ọrụ ụfọdụ ihe mkpụrụ ndụ na - akpata, nke na - egbochi isi ike ya na imechi ọbara.

Ndị a gụnyere:

Usoro nkwadebe

Site na inye ọbara dị ogologo, ezighi ezi na anụ dị n'ime ya na anụ ahụ na - erughi ala, akwara ahụ ga - amalite ime, ihe ga - esochikwa iwe anụ ahụ. A na - akpụ ọnya trophic. Ọ na - etolite n'akụkụ akụkụ dị ala nke ala ala: ukwu ụkwụ, ikiri ụkwụ na mkpịsị aka. Ọ nwere ike ịbụ nke buru ibu site na mkpụrụ ego penny ise ruo na ọnyá buru ibu nke na-ekpuchi dum shin.

Fibrinolytics

Enwere ike ịgwọ ọnya Trophic site na iji fibrinolytics ma ọ bụ, dịka a na-akpọkwa ya, ọgwụ thrombolytic. N’eziokwu, ọgwụ ọ bụla si n’otu a na-anabata naanị ka ọ gaa n’ụlọ ọgwụ, anaghị ejikwa ya na ụlọ ọgwụ na-apụ apụ n’ihi enweghị atụ nke nsonaazụ ya.

Fibrinolytics na-eduzi ihe ha mere gbasara mgbasa nke mkpụkọ ọbara. Nke ahụ bụ, ị theseụ ọgwụ ndị a na-eme ka uche doo anya ma ọ bụrụ na eriri ọbara akpọnwụwo ma nweekwa ọbara ọgbụgba ma ọ bụ dochie arịa ahụ kpamkpam. Ma ọ bụghị ya, iji ọgwụ fibrinolytics ezighi ezi.

Taa ji mee ihe:

Tissue plasminogen onye na-eme ihe.
Ike.
Urokinase.

Ọgwụ antispasmodics

Antispasmodics bụ ọgwụ ọgwụ na-enweghị nsogbu ọrịa pathophysiological kwupụtara na ọgwụgwọ ọnya afọ. Ọzọkwa, ha nwere ike imerụ onye ọrịa ahụ, ka ọrịa nke "ịpụ apụ" aka aka emetụtara.

Agbanyeghị, n'agbanyeghị nke a, a na-eji antispasmodics agwọ ọrịa ọnya trophic.A kọwara nke a site n'eziokwu ahụ bụ na ha nwere ike belata nsụchi akwara, ya mere wepu ihe mgbu. Ndị ọrịa na-ejikarị ha ọgwụ mgbu na mpụga ụlọ ọgwụ, nke na-aka njọ ọnọdụ ha ma na-aka njọ mgbanwe ọrịa na aka a metụtara.

Otu usoro antispasmodics nke usoro eji eme ihe gụnyere:

Ọgwụ ndị na - egbochi mmechi

Ọgwụ antisteroidal anti-inflammatory ma ọ bụ NSAIDs bụ nnukwu ọgwụ ọgwụ ndị ihe ọ kpatara bụ iji belata oke mbufụt mpaghara. Taa, a na-ejikwa NSAIDs dị ka ndị na - enwe ihe mgbu na - akpata ahụ mgbu n'oge oge ọrụ.

NSAIDs abụghị naanị ọgwụ mgbu, kamakwa ọ bụ ọgwụ ndị na - egbochi ntụtụ nke ọnụ ọgụgụ ọbara. Nke ahụ bụ, site na ọnya nkwonkwo ụkwụ, enwere ike belata ohere iji toromosis site na iji NSAIDs.

NSAID gụnyere:

Abụba metabolism na-akwalite

Site na ọnya trophic, ojiji nke otu ìgwè ọgwụ dị ka ihe na-eme ka ọ dị mma metabolism ma ọ bụ metabolism abụba bụ ihe ziri ezi. Otu a gụnyere ọtụtụ obere ngalaba nta. Dọkịta ahụ na-ahọrọ ọgwụ kachasị mma dabere na njirimara onye ọrịa ahụ.

O bu ogwu eji ewepu ihe ojoo n’ime aru ya, ma mee ka metabolism di nma. Nke a dị mkpa iji gbochie idobere ọnya ụdọ na mgbidi nke arịa ọbara, ka oge na-aga nwere ike bụrụ ọbara zuru oke.

Otu a gụnyere:

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

Enzymes sistem

Enwere ike ịkọwa onye ọrịa nwere ọnya trophic nke mpaghara ala akụkụ ọgwụ site n'aka otu enzymes site n'aka dọkịta. A na-ahụta mmetụta ha dị ka ihe mgbagwoju anya: ọ bụghị naanị na ha na - enye mgbanwe nke mgbochi mpaghara, kama ha na - arụ ọrụ dị ka nyocha, na - enyere aka ijikọ nchịkọta platelet, na ibelata ogo ọzịza.

Enzymes systemic na-eme ka metabolism dịwanye ọ bụla dịkwuo mma, nke nwere uru bara uru na ọnọdụ arịa arịa ọrịa ahụ metụtara.

Otu a gụnyere:

Usoro nkwadebe

Maka ọgwụgwọ ọnya trophic n'ụkwụ, ọgwụgwọ mpaghara a haziri nke ọma na-arụ ọrụ dị mkpa. N'ihi iji ọgwụ ndị na-adịghị eme ihe ọ bụla n'usoro, mana mpaghara mpaghara mpaghara emetụtara, ọ ga-ekwe omume ịnweta ọgwụgwọ kachasị mma, iji gbochie mgbakwunye nke microflora pathogenic.

Enwere ike ịdabere na ọgwụgwọ mpaghara site na iji ọtụtụ ìgwè ọgwụ. Ha bụ mmanu mmanu, ude na gels dị iche iche na-anọchite anya ha, nke kachasị adabara ndị ọrịa.

Ọgwụ antibacterial

Ebumnuche antibacterial na-ezube igbochi pathogenic microflora ịdozi ọnya ahụ. N'ihi iji ha, ọ na-ekwekarị omume ịkwụsị mgbasa nke usoro nje. Ọ kachasị mma iji ọgwụ nje bacteria na-ebute na mmalite nke mmepe nke ọrịa, mgbe ọnya ahụ ka dị obere.

Ọgwụ Antibacterial abụghị naanị na-enyere aka wepu microflora pathogenic, kamakwa na-enyere aka igbochi mmepe nke ọrịa nke abụọ.

Otu a gụnyere:

Ọ bụ ihe na-atọ ụtọ na taa ọtụtụ mmanụ na ude maka ọgwụgwọ nke ọnya trophic gụnyere ngwa ngwa na-egbochi ọgwụ iji gbochie ojiji nke ude abụọ otu oge ma mee ka ntinye aka na onye ọrịa na-esochi ọgwụgwọ.

Usoro ọgwụgwọ n'ụlọ

Mbadamba ọgwụ na ọgwụ ndị ọzọ maka ọgwụgwọ nke ọrịa trophic na nsọtụ nke ala nwere ike kewaa iche iche na ebumnuche ha:

Ọgwụ nje.
Ọgwụ nje na ọgwụ nje.
Rykpọcha.
Ọgwụ mgbochi.
Maka nhicha na ọgwụgwọ.
Ọgwụ mgbochi.
Ihe mgbu.

Na mgbakwunye, enwere mbadamba thrombolytic, antispasmodics, vitamin, ngwaọrụ mkpakọ maka ahụ dị ala.

Onye ọrịa ahụ kwesịrị iji ego ahụ maka usoro ọgwụgwọ mpaghara - na-amalite site na ọnya ọcha, ọgwụgwọ antiseptik ma mechie site na iji ọgwụ na-agwọ ọrịa. Ọzọkwa, na mgbakwunye na ịgwọ ọnya kpọmkwem, onye ọrịa ahụ aghaghị ị takeụ ọgwụ ndị na-enyere aka ime ka akwara ọbara sie ike, nyere aka belata ihe mgbu na aka, mee ka ahụ sie ike, ma gbochie njo nke ọnya akpụkpọ ahụ trophic.

Ọbara ọnya

Ọrịa ọnya ọnya n'ụkwụ nwere 4 usoro:

Agba nke mbụ na - eduga ná mmebi nke elu epidermal,
Ahịhịa nke abụọ nwere mmebi nke etiti akpịrị ahụ na anụ ahụ dị n'okpuru ala,
Ọkwa nke atọ na - enye aka na mmebi iwu nke anụ ahụ dị nro.
Agba nke 4 nwere ike ibute necrosis anụ ahụ, ọnya dị omimi site na ọnya afọ nke necrotic nwere ihe ngosipụta.

Ọbụlagodi na ị jikwara ịgwọ ọnya ahụ, mgbe ahụ, enweghị isi ga-adịgide n'akụkụ ebe emetụtara.

A na-enye ọgwụ maka ọgwụgwọ nke trophic ọnya nke ala ala na-eburu n'uche usoro nke atrophy ukwu aka.

Ogwu ojoo obula di iche na mejuputara ya na ya emela onwe gi ọgwụeleghara ndụmọdụ na ndụmọdụ nke dọkịta gị anya. Ekwesiri igbado nkwadebe obodo:

iwepu ihe mgbu
ebighị nke usoro ọgwụgwọ,
trophic mma,
anụ ahụ microcirculation,
na-asachapụ ọrịa nke purulent, serous ọdịnaya.

Ntinye tụrụ aro

Ndepụta nke mmanụ achọrọ maka ọnya trophic, na-eburu n'uche usoro nke ọrịa ahụ na mgbaàmà dịnụ:

Ichthyol ude iji belata mbufụt, ọnya, mụbaa mgbasa na ọnya. Enwere ike iji ya na ọkwa nke 1 nke ọrịa ahụ.
Vishnevsky ude maka ịmụgharị akụkụ ndị mebiri emebi, mee ka nsacha dị ọcha ghara ịnwụ.
Solcoseryl dị ka mmanụ dị mma maka ọnya trophic n'ọbụ ụkwụ na ọkwa nke abụọ nke ọrịa ahụ iji meziwanye trophism na steeti ọbara arịa n'ụkwụ, saturate ma zụọ oxygen, weghachite anụ ahụ, gwọ ọnya na belata ọzịza, na-emekwa ka usoro metabolic dịkwuo elu ma mee ka ọ dịghachi ngwa ngwa anụ ahụ. ogbo.
Actovegin site na iji ọnya trophic na ọkwa 1-2 tupu ọdịdị nke granulations iji mee ka ọnya dị ọcha, kpochapụ mgbasa nke ọrịa, na-edozi ahụ, melite trophism na ọkọnọ ọbara, weghachi ebe ndị emetụtara, yana ịbawanye mkpụrụ ndụ na ume ọrụ.
Algofin n'ihe mejupụtara ya na mmiri ọgwụ mgbochi ọ na - enyere aka na nke 1 na nke 2 nke ọrịa, na - eduga na mmalite nke usoro mweghachi na anụ ahụ, iwepu mbufụt, na mwepu nke microbial flora.
Argosulfan mejupụtara ya na mgbakwunye ọla ọcha, dị irè na usoro 1-2 iji belata microorganisms, mee ka usoro ọgwụgwọ ahụ dị ngwa.
Levomekol yana ọnya trophic na-eji na mmalite mbụ nke ọrịa ahụ iji nye ọnya ọgwụgwọ, nyocha, mmetụta antimicrobial.
Betadine site na iji usoro nke abụọ nke ọrịa ahụ mgbe granulations pụtara na ọnya ahụ, mkpochapụ nke nje na fungal na-efe efe.
Vundehil dị ka ezigbo immunostimulant iji ya na ọkwa nke 3 nke ọrịa iji wepụ necrotic na purulent formations, belata mbufụt, gwọ ọnya.
Bepanten na mejupụtara ya na panthenol na-arụ ọrụ na arụmọrụ n'ime nke 1-2.
Ngwakọta Comfrey ya na ọnya na ọnya ọnya ụkwụ n'ụgwọ iji gwọọ, weghachi akpụkpọ ahụ, belata mbufụt.
Osimiri buckthorn mmanụ yana ikpughe na ọkwa mbụ nke mmepe ọnya iji mee ka ọgwụgwọ nke anụ ahụ mebiri emebi belata mbufụt.
Stellanin otite iji weghachi ọbara ọgbụgba n'ime capillaries, mee ka uto vaskụla, mee ka anụ ahụ dị ma nweghachi ahụ, mee ka ọnya ndị dị ọcha ghara ịnakọta ụkọ.
Liniment Aloe dị ka ngwaahịa ndu iji mee ka metabolism, jikwaa trophism. Etinyere ya na ọgwụ ndị ọzọ na mmalite ọrịa ahụ.
Diclofenac site na NSAID otu iji belata ọnya, kpochapụ nkwarụ na nnukwu ngosipụta nke ezughi oke venous. Ọ dị irè n'oge ọ bụla nke ọrịa.
Fluorocort na oge ịhọpụta nsogbu nke eczema, ọnya trophic.
Dermazine mejupụtara ya na ọla ọcha ionized iji belata mbufụt, na-akpali ma na-ehicha ọnya n'ụkwụ.
Iruxol na oge ọ bụla ọkwa shuga maka ọgwụgwọ nke ọnya, mwepu nke microflora na-emerụ ahụ.

Kedu mmanụ nke ogbo

Emere mmanụ iji kpochapụ ọrịa nke ọnya, gwọọ nkwarụ n'ụkwụ. Ndị kachasị dị irè, na-eburu n'uche usoro mmepe, bụ:

antifungal, steroidal, antihistamines na ogbo nke exudation na a akpọ oke nke purulent exudate megide ndabere nke usoro mkpali,
ọgwụ nje mgbe ị na-etinye nje ọrịa, iji belata mbufụt na ndị na-efe efe, sachapụ ọnya site na mbuli elu,
antioxidants, venotonics ka ọnya na-agwọ ọnya maka trophic ọnya na mejupụtara ya na hyaluronic acid na ogbo nke idozi ma ọ bụ ịchafụ nke mpaghara ndị emetụtara, mgbe usoro mkpali ahụ adịlarị na ọdịda ma guzobe granulation na ọnya ahụ.

Ntị! Ọ dị mkpa ịghọta na ọnya trophic na ụkwụ agaghị amalite ịgwọ onwe ha, ha nwere ike kpalite ọgba aghara ma duga mmepe nke gangrene, neoplasms ọjọọ.

Mgbe ị na-ahọrọ ọgwụ, ọ dị mkpa iji nyocha nke ọma ọnọdụ ọnya, ogo na ogo mmepe nke ọrịa ahụ, ihe mgbaàmà dịnụ iji nweta nsonaazụ kacha mma.

Ọ dịghị ma ọlị ịnweghị ike ịnwa ịme gị n'adabereghị ma jiri ụzọ ndị ama ama. Nhọpụta ọgwụgwọ ga-eme naanị site n'aka dibia bekee iji zere ime ka ọnọdụ ahụ ka njọ, mee ka mmepe nke usoro mkpali ahụ dịkwuo elu.

Ihe ngbanwe

Ihe fọrọ nke nta ka ọ bụrụ ude ọ bụla maka ọgwụgwọ trophic ọnya nwere ike imerụ ahụ kama ịba uru, n'ihi nwere contraindications. Mgbe ị na-ahọrọ, hụ na ị na-agụ ntuziaka, mana ọ kacha mma ka gị na dọkịta gị buru ụzọ gaa.

Ọgwụ ndị dị ka:

Levosin, Levomekol amụbaala uche,
Chloramphenicol, Solcoseryl emetụtaghị maka inye onyinye gabigara ókè nke ọnya na hypersensitivity na mmiri,
Ofloxacin bụ contraindicated n'ime ụmụ nwanyị n'oge afọ ime, ebe ọ bụ na enyeghị ihe akaebe nke iji ọgwụ ahụ eme ihe yana mmetụta dị na nwa ebu n'afọ.
A naghị akwado Mefenate maka ụmụ nwanyị mgbe ha na-enye nwa ara, a na-enye ya ọgwụ naanị maka ahụike. Dị ka nsonaazụ ndị ọzọ, ọ nwere ike ibute allergies,
Edeghị Streptotinol maka mmụpụ dị ukwuu nke ọdịnaya purulent site na ọnya, oke mmetụta na ihe ndị na-arụ ọrụ.

Nsonaazụ

Ogwu maka ọnya trophic na-ebutekarị nsonaazụ dịka allergies na saịtị nke ngwa, dịka ọmụmaatụ:

Solcoseryl, Streptonitol, Levomekol nwere ike ibute uhie, ọkụ, itching,
Methyluracil, ude erythromycin - ime ihe mgbu na saịtị ahụ.

Ọ bụrụ na mgbaàmà ndị ọ na-adịghị mma ga-apụta, ekwesịrị ịhapụ iji mmanu mmanụ na nhọpụta nke ọgwụ analogues ndị ọzọ ga-ekwurita ya na dibia bekee.

O siri ike iche n'echiche gbasara ụdị ọrịa ọnya ụkwụ nwere ike ịpụta. Ihe kpatara ya bu na oria ojoo na nje, iwebata pathogenic microflora n'okpuru anụahụnke ahụ nwere ike ibute mmepe nke usoro mkpali.

Mana ọ na - eme na ọnya trophic bụ mgbagwoju anya nke ajọ ọrịa: veins varicose, ọbara mgbali elu, ọrịa shugamgbe usoro nke imebi na usoro ọbara bidoro.

A na-agwọ ọnya Trophic nke ọma na ogologo oge. Egbu na-egbu mmiri, na-agwọ n'ụzọ na-adịghị mma, ma nwee ike necrotic ruo ọtụtụ afọ. Ọzọkwa emetụta afọ, nleghara anya nke ọrịa na-akpata.

Maka prophylaxis

Oint kwesịrị itinye aka na mmegharị nke mgbasa ọbara yana ịkwụsị nke usoro mkpali. Ma ọ bụghị ya, gangrene, osteomyelitis nwere ike ịmalite.

Dị ka ihe mgbochi, ọ kwesịrị ka ị nye ndụmọdụ:

igbochi ihe ngosiputa puru iche site na ọnya,
jiri oge ịgwọ ọrịa ebe a na-agwọ ọrịa na cracks na anụ ahụ
yi akpụkpọ ụkwụ dị mma ma dị nro,
gbochie hypothermia nke akụkụ ala,
kpuchie akpụkpọ ahụ site na mmerụ ahụ na ịkpụ, ọrịa, radieshon ultraviolet.

Ọgwụ nje

A na-eji ọgwụ nje nje maka ọgwụgwọ nke ọrịa trophic nke akụkụ ala aka na ọnụnọ nke ọnya na-agbapụta ọnya na ọnya si na mpaghara ahụ emetụtara. Ebumnuche nke itinye ha n'ọrụ bụ ịkwụsị mgbasa nke mbufụt ma gbochie ụtụ usoro osisi pathogenic na-elekwasị anya. Otu isi ọgwụ mgbochi eji:

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

A na-atụ aro iji ọgwụ nje mee ihe na usoro ọgwụgwọ mbụ, mgbe ọnya ahụ dị obere. Ha na - enyere aka ịnagide erysipelas na phlegmon. Site na ọnya trophic nke akụkụ ala, enwere ike iji ihe ndị a:

Ofloxacin. Ọ gụnyere ihe mejupụtara otu aha, nke na-akpaghasị njikọ DNA na nkewa, si otú a na-akpata ọnwụ nke nje. Of dailyụ ọgwụ kwa ụbọchị bụ 200-600 mg, kewara abụọ. Ọnụ ego ọgwụ ahụ bụ 120-150 p.
Clindamycin. Otu ihe mejupụtara ọgwụ a na - egbochi protein protein na mkpụrụ ndụ, na - akpata ọnwụ ha. Mpempe akwụkwọ Clindamycin maka ọnya ọnya nke ala ala na-ewere capsule 1 ruo ugboro anọ n'ụbọchị. N'ime ọbara na intramuscularly, a na-a drugụ ọgwụ ahụ 300 mg ugboro abụọ n'ụbọchị. N'ime ọrịa dị egwu, a na-abawanye ọgwụ ahụ ka ọ bụrụ 1.2-1.7 g, kewara n'ime 3-4. Ọnụahịa 10 ampoules bụ 560 p., Mbadamba 16 - 180 p.
Ceftazidime. Ọzọkwa aha ya maka ndị ọrụ nọ n'ọrụ mejupụtara. Ceftazidime na-akụghasị njikọ nke sel akpụkpọ ahụ, na-akpata ọnwụ nke nje. Usoro ọgwụgwọ maka ntụtụ ma ọ bụ ọgwụ intramuscular bụ 1000 mg kwa awa 8-12. Ọnụ ego nke karama 1 bụ 70-110 r.

Mmanụ ọgwụ nje

Enwere ike ịgwọ ọrịa Antibiotic maka ọnya trophic nke mpaghara ala site n'enyemaka nke ọgwụ mpaghara. Ọrụ nke ngwa ha: na - ebelata mmịpụta nke microorganisms nke pathogenic na ọnya ahụ, na - egbochi mgbakwunye nke ọrịa ọzọ, na - ewepụ mbufụt. Mmanụ ndị dị na antibacterial maka ọgwụgwọ nke ọnya trophic n'ụkwụ:

Heliomycin. Nwere heliomycin - ihe na-egosipụta ọrụ ịbacụ ọgwụ na-emegide ụmụ nje. Maka ọnya siri ike, ọ na-atụ aro itinye akwa ndị a gbanyere na ude a. N'okwu ndị ọzọ, a na-etinye ngwaahịa ahụ na ọnya ahụ na-enweghị ihe ọ rubụ activeụ 1-2 ugboro n'ụbọchị. Ọnụahịa mmanụ ahụ bụ 50-70 p.
Tetracycline. Ihe dị mmanu a na - ete mmanụ bụ tetracycline. Ọ na-emetụta nje gram-positive na gram na-adịghị mma site na igbochi protein protein na ha. A na-ejikwa mmanu mmanu pasent atọ dị ka ọgwụgwọ ọnya. Site na ọnya trophic nke akụkụ nke ala, a na-etinye ihe nnọchianya ahụ 1-2 ugboro kwa ụbọchị. Nwere ike iji mmanụ ude ruo izu 2-3. Ọnụahịa - 20-30 p.
Levosin. Nwere methyluracil, chloramphenicol, trimecaine, sulfadimethoxin. N'ihi ihe ndị a, mmanụ na-egosipụta ihe na-adịghị mma, na-ewepụta ọgwụ, na -eme ka ihe na-emetụta ma na-egbochi mkpali. Site na ọnya trophic nke akụkụ ala, Levosin na-emetụta gauze wipes, nke a na-emetụ ọnya ahụ. Ọnụahịa mmanụ nwere 80 p.
Argosulfan. Nwere sulfathiazole ọla ọcha. Ihe a nwere mmetụta ọgwụ mgbochi ma na-akwalite ọgwụgwọ nke ọnya trophic, ọnya ọkụ, ọnya purulent.A na-etinye ude ahụ na fotin nke mbufụt nke nwere akwa nwere oghere (2-3 mm) ugboro 2-3 n'ụbọchị. Cannweghị ike iji karịa Argosulfan gafere karịa 25 g kwa ụbọchị. Na ọnụnọ nke exudate, a na-atụ aro ya ka iji chlorhexidine ma ọ bụ boric acid hichaa ọnya ahụ. Ego Argosulfan di 320 p.

Nsacha na Nhicha

Nzo ukwu mbu, nke odi nkpa iji gwọ onye oria, iwepu ya site na oria nke akpukpo aru nke mkpochapu ahihia bu nhicha nke ọnya site n’azu na ozu. Nke a ga - enyere aka igbochi uto nke nje bacteria, mbibi ọzọ nke akwara na ọkpụkpụ nke ụkwụ. Usoro ọgwụgwọ chọrọ ka asachapụ mpaghara ndị emetụtara. Iji mee nke a, jiri ọgwụ ọgwụ dịka ngwọta nke furatsilina, chlorhexidine ma ọ bụ potassium permanganate, decoctions nke herbs. Ingsa ahụ nwere ike ịkwụsịtụ trophic mgbanwe obere oge, belata ihe mgbu n'ụkwụ.

Usoro ọgwụgwọ chọrọ ka asachapụ mpaghara ndị emetụtara.

Iji na-agwọ ọnụnọ trophic na ụkwụ ngwa ngwa, enwere ike ịme ha na peroxide hydrogen. A na-ejikwa ọgwụ antiseptik dịka iodopiron maka nke a. Site na itinye Yodopiron n'ụkwụ, a na-ete ya n'akụkụ ahụ nke aka nke aka na ọnya etolite na ya.

Ul sachapụ ọnya na ọgwụ ọdịnala anaghị ekwe gị mezuo 100% nke nsonaazụ na iwepu anụ ahụ nwụrụ anwụ. Thezọ kachasị dị irè iji gwọọ ọnya ụkwụ bụ ma ọ bụrụ na ị na-ehichasị nsị necrotic mgbe nile na nhazi enzymatic. N'ime onye ọrịa a, ọgwụ na-enyere aka, ihe bụ isi ọrụ ya bụ nke collagenase (ọgwụ anụmanụ).

Collagenase bụ protein a na - enweta site na pancreas nke anụ ụlọ. Ọ na - enye aka na nhicha ahụ nke ukwuu na ịgwọ ọnya nke akụkụ ahụ dị ala, na - emeghari anụ ahụ, nwere njikwa ọgwụ ma na - ebelata ihe mgbu na akụkụ ala. Ọgwụ kachasị ewu ewu dabere na ihe a, nke enwetala otuto, bụ mmanu Iruxol.

O nwere chloramphinecol, ọgwụ nje. Ya mere, Iruxol bu mmanu nke gbara okpukpu abuo. Ọ na - eme ka usoro ọgwụgwọ ahụ dị ike - ọ na - egbochi oke iwe ọnya ọnya ma na - egbochi ọnya ọnya nke akụkụ ahụ dị ala. N'oge a na-eji Iruxol, a naghị atụ aro ka ọ useụọ ọgwụ ndị ọzọ mpaghara, ebe ọ bụ na ha na-egbochi ọrụ nke enzymes.

Ogwu otite

A na-eji ndị regenerating ndị ọzọ adịrị na ogbo ahụ mgbe obere okwute nke epithelial anụ ahụ na-etolite ọnya ahụ, ya bụ, mgbe ekpochapụrụ usoro mkpali ahụ. N'oge a, mbufụt nke ọnya ahụ site na microflora pathogenic ka ekwesịrị itinyezuga. N'oge a, usoro ịmụba amalite, nke na-agbatị ike site na enyemaka nke ude na-agwọ ọnya. Ọ dị mma ịmara na ụfọdụ n'ime ọgwụ ọgwụ ndị a nwere ihe ndị nwere ọgwụ nje antibacterial, immunostimulating na analgesic. Ihe atụ nke mmanu dị utọ:

Solcoseryl. O nwere ihe a na-ewepụta ọbara nke ụmụ ehi mmiri ara dị mma, sachapụ na protein. Ihe a na - eme ka metabolism nke anụ ahụ rụọ ọrụ, na - eme ka trophism dịkwuo mma, na - akpali ndozi anụ ahụ na imeghari ahụ. A na-etinye mmanụ otite ozugbo ọnya 1-2 ugboro n'ụbọchị. A na-enwekwa ọgwụgwọ ọnya trophic ọnya n'ụkwụ ụkwụ site na Solcoseryl. Ọnụ ego mmanụ na-abụ 220 r.
Levomekol. Nwere dioxomethyltetrahydropyridimine na chloramphenicol. Ihe nke ikpe azu bu ihe ogwu. N'ihi ihe mejupụtara a, Levomekol na-ebelata mbufụt, na-akwalite ọgwụgwọ nke ọnya anụ ahụ, na-egbochi uto nke nje. Mmetụta ọgwụ antimicrobial na-adịgide na ọnụnọ nke ọnụnọ necrotic na mwepụ nke purulent. A na-etinyere Levomekol iji mepee nhicha ma ọ bụ ajị anụ na-enweghị ntụ, nke edoziri na ma ọ bụ bandeeji. Ejila ude maka ihe karịrị ụbọchị 5-7. Ọnụahịa mmanụ nwere 100-120 p.
Bepanten.Gụnyere dexpanthenol - ihe na - akwalite ọgbụgba anụahụ. Ihe mgbakwunye nwere mmetụta nke mmiri. Bepanten dị n'ụdị ude, ude, lotion. A na-etinyere ha na mpaghara emetụtara yana nwere akwa nwere ọtụtụ ugboro kwa ụbọchị. Ọnụ ego ọgwụ dị 280-340 p.

Ngwaahịa ndị ọzọ maka iji mpụga

Ọgwụ maka ọnya trophic, nke na-egosipụta ihe dị iche iche, nwere ike ịkewa dị ka otu iche: ọgwụgwọ ọnya, mgbochi mkpali, hemostatic, antimicrobial, painkillers. Ihe atụ nke ụdị ngwaọrụ:

Activetex. Ha bụ akwa nhicha nke akwa akwa nke etinyere na mmanụ dị mkpa, lidocaine, furagin, aminocaproic acid, vitamin C na E. Ngwaahịa ahụ nwere ọgwụgwọ ọnya, analgesic na antimicrobial. Tupu ojiji, akwa nhicha ahụ agbakwunyere na nnu, wee tinye ọnya ahụ. Site n’elu, a na-edobe ihe ọ bụla na ijiji ma ọ bụ bandeeji. A na-agbanwe akwa ahụ kwa ụbọchị 2-3. Ọnụahịa - 160 p. maka akwa nhicha iri.
Branolind N. Nke a bụ akwa uwe, nke a na-etinye ya na balm Peruvian, nke gosipụtara ọgwụ antiseptik na ọnya na-agwọ ọnya. A na-etinye ya na ọnya trophic, wee jiri anụ ahụ kpuchie ya ma jiri ya ma ọ bụ plasta kpuchie ya. A na-agbanwe akwa ahụ kwa ụbọchị. Efu 30 PC. - 1800 p.
Vitargol. Ndabere nke ịgba a bụ ihe ngwọta maka ọla ọcha na colloidal. Ihe a nwere mmetụta antibacterial megide streptococcus, staphylococcus, Pseudomonas aeruginosa. Vitargol na-enyere aka kpuchido akpụkpọ ahụ site na oghere microflora. A na-awụsa ya na ọnya ahụ ugboro atọ n'ụbọchị. ọ bụrụ na ọ dị mkpa, jiri akwa na-adịghị mma. Ọnụahịa - 240 p.

Oint nwere ọgwụ ahịhịa

Oint, nke gụnyere ihe ọkụkụ, yana ọnya nke ala ala aka enyere aka n'ikpeazụ ịnagide usoro ọrịa. N'ụzọ bụ isi, mmanụ nwere mmetụta dị mgbagwoju anya, na-enyekwa aka ime ka mpaghara ahụ metụtara emetụta kwụsịlata usoro mbufụt.

Ọtụtụ na-ejikarị vulvostimulin. Ọ na-akachasị mma ma ọ bụrụ na ọ dị mkpa iji na-emeso ụdị ọnya ịkwa ákwá.

Regenerating ọgwụ ọjọọ

Ojiji nke ihe ndị na-eme ka akwara adị maka ọnya trophic bụ ihe ziri ezi ma ọ bụrụ na obere agbakọ nke anụ ahụ na-amalitelarị na ntụpọ ọnya ahụ. Nke ahụ bụ, a kpochapụrụ usoro mkpali ahụ, ọrịa nke microflora pathogenic microflora gbochiri, usoro ịmaliteghachi, malitere ugbu a naanị ịkwalite.

Drugsụghachi ọgwụ ugboro ugboro na -ebelata ihe mgbu ma nyere aka melite usoro metabolic. Site na nke a, ịgwọ ọrịa bụ ngwa ngwa.

Otu a gụnyere:

General ụkpụrụ nke ngwa

Ebe obula ihe ngosi ihe onyonyo obula kwuru, ekwenti ndi ozo banyere oria trophic adighi adi, odi nkpa ichoputa otutu usoro iwu mgbe ị na achota ahu ogwu. Ileghara ụkpụrụ nke usoro ọgwụgwọ anya nwere ike ibute n'eziokwu ahụ na ọgwụgwọ agaghị abụ naanị na ọ nweghị ọrụ, kama ọ na-emerụkwa ahụ.

E nwere ụkpụrụ atọ maka ọgwụgwọ:

Ityga n'ihu. Usoro ọgwụgwọ ahụ kwesịrị ịdị site na mgbe enwere ọnya trophic ọnya ruo mgbe ọria ahụ zuru oke. Mgbe ịmalite ọgwụgwọ ahụ, a na-atụ aro ka e mee ihe mgbochi iji buepu nlọghachi azụ.
Sistemu na odidi. Dọkịta ahụ kwesịrị ịhọrọ ọgwụ dị iche iche maka ọgwụgwọ. N'okwu a, ihe ụfọdụ ọgwụ gha eme kwesiri ime ka ndị ọzọ zuo oke, na-emetụta akụkụ niile nke usoro. N'otu oge ahụ, a na-atụ aro iji usoro ọgwụgwọ agwọ ọrịa, nke a na-elekwasị anya n'ịgwọ ọrịa ahụ dugara na ịmepụta nkwarụ ọnya afọ.
Ityga n'ihu.Nke a bụ ụkpụrụ nke, mgbe ị na-agbanwe dọkịta, ọgwụgwọ kwesịrị ịga n'ihu dị ka atụmatụ ahọrọro. Ọ bụ ihe ezi uche na-adịghị na ya n'ihi mgbanwe nke ọkachamara iji gbanwee atụmatụ ahọrọ kpamkpam. Ọ bụghị naanị ndị ọrịa ka a ga-agwa banyere ọrịa ya. Ekwesiri ime ka ọ mata nsonaazụ nke ileghara ọgwụ dọkịta.

Ọgwụ nje na antihistamines

N'ịga n'ihu na ọgwụgwọ, ọ dị mkpa iji ọgwụ ọgwụ ndị na-egbochi uto nke nje bacteria na-egbochi mpaghara mpaghara ahụ metụtara. Argosulfan, nke na-egbochi uto na ịmụpụta microorganisms na ọnya ụkwụ, natara nyocha dị mma site n'aka ndị ọrịa. Ọgwụ a na - enyere aka belata ahụ mgbu.

Argosulfan na - egbochi ogo na ịmụpụta ihe microorganisms na ọnya ụkwụ.

Ọgwụ antibacterial - ọgwụ nje, dị n'ụdị a:

Ọgwụ
Ampoules maka iruu intramuscular.
Ampoules maka nchịkwa intravenal (maka onye na-eri nri).
Iji ọgwụ eme ihe n'ụdị ọgwụ ịgba na-ewu ewu.

Dọkịta ahụ, site na nsonaazụ nyocha nke onye ọrịa, nyere ọgwụ mgbochi oke - Tarivid, Tsiprobay, Tsifran, Kefzol, Mandol, Duracef, wdg.

Ọnụnọ nke protein mba ọzọ nwere ike ịgbakwunye mmeghachi omume nfụkasị mpaghara na akụkụ ahụ dị ala, nke na-eme ka foto nke ọrịa na-akpata trophic ka njọ. Ọgwụ nje nwekwara ike ịkpata allergies. Ọ dị mkpa iji ọgwụ ọgwụ pụrụ iche mepụta ọgwụ antihistamine. Nke a pụtara ọgwụgwọ na ọgwụ dịka Xizal, Erius, Tavegil, Suprastin. Ha dị n’ụdị a - mbadamba nkume, imi imi, ọdịda, injection.

Ọgwụ mgbochi

Edebere ọgwụ mgbochi na-adịghị ala ala (NSAIDs) iji gwọọ ọnya trophic nke mpaghara ala. Eji ha mee ihe iji gbochie ma obu iwetulata ogwugwu nke ukwu aka ya. Otu ọgwụ a nwekwara ihe ndị na - emerụ emerụ na ihe antipyretic. Ha nwekwara mmetụta analgesic n'akụkụ akụkụ ahụ emetụtara.

Dochọghị ọgwụ dọkịta iji zụta ọgwụ ndị a, dịka Ibuprofen. Mana onye ọrịa ahụ kwesịrị icheta na ọgwụ mgbochi onwe ya na NSAIDs nwere ike ịdị ize ndụ, ọkachasị ndị agadi. Ọ bụ ọkachamara a gbaziri agbazi ga-edepụtara usoro ọgwụgwọ a.

Nkwadebe maka ọgwụgwọ nke ọnya trophic, nke oge ịhọpụta dọkịta adịghị mkpa.

Ahụhụ Ọgwụ

Ọgwụ iji gwọọ ọnya trophic na mpaghara ala, dị ka Solcoseryl na Actovegin, na-enye aka na ọgwụgwọ na ọnya nke ọnya. Ojiji nke ọgwụ Branolind na-enye gị ohere ịkwalite ịmụgharị, ịmepụta epithelium n'ụkwụ ya, na-eme ka mgbapụ mmiri dịkwuo elu, ma na-abawanye ọgwụgwọ dị mma. A na-enweta ọgwụ Branolind n'ụdị ejiji. Dịka ọgwụ na-agwọ ọrịa, mmanụ buckthorn mmanụ, nke nwere akụ bara uru, enwetala nyocha dị mma. Ọ na - enyere aka ihicha ọnya trophic ma na - enyere aka belata ihe mgbu. Maka ebumnuche ndị a, mmanụ oriri dịkwa mma, nke ị kwesịrị ibu ụzọ ghaa yabasị.

Hydrogen peroxide nwere ike ịgwọ ọnya n'ụkwụ. Will ga-achọkwa mbadamba mmiri streptocide, nke a ga-akụrịrị. Iszọ ahụ dị mfe - dopu peroxide na ọnya, fesaa na streptocide. Ejiri akwa nhicha na polyethylene dị elu. A na-edobe akwa ahụ na ịchafụ ma ọ bụ akwa ọzọ. Gbanwee pad ahụ ọtụtụ oge n'ụbọchị. Ngwọta a natara nyocha dị mma. A na-enweta ọnya dị ọcha nke akụkụ ahụ ahụ mgbe ihe dị ka ụbọchị iri gachara.

Ogbugbu

Iji wepụta mgbu nke na-eyikarị ọnya ekpenta nke akụkụ ahụ niile, a na-eme ihe ndị na-egbu mgbu. Ọgwụ enweghị ike igbochi ahụ erughị ala n'ụkwụ, naanị ikpochapu ọnya ga-arụ ọrụ ebe a.Enwere ụdị nhọrọ ọgwụ dị iche iche - mbadamba, mmanụ, emulsions, balms, analgesics herbal. Nyocha banyere arụmọrụ ha dị mma, mana ịkọwa ọgwụgwọ onwe gị akwadoghị. Naanị onye ọkachamara nwere ikike dị mkpa iji kpebie otu a ga-esi na-eme ma mee ka ọnya ahụ dị n'ụkwụ nke ukwu.

Immunotherapy na ọgwụ ndị ọzọ

Iji gwọọ ọnya trophic ma belata ihe mgbu na aka, ọ dị mkpa ịghara ọ bụghị ọgwụ iji luso ọrịa a ọgụ, kamakwa ọgwụ ndị na-akwado ahụ. Ọ nwere ike ịbụ vitamin na ọgwụ iji mee ka usoro ahụ ji alụso ọrịa ọgụ. Nwere ike ịgwọ ọrịa ahụ na ọtụtụ mineral na trace akụkụ, tea herbal, nri nri, mbadamba homeopathic. Ọgwụ nje na-emebi microflora nke bara uru nke anụ ahụ, yabụ ịkwesịrị ị medicationsụ ọgwụ iji weghachi ya, dị ka Linex. Iji kpebie ụdị mmezi ọ ga-aba uru maka gị iji gbochie mgbochi ọnya, kpọtụrụ dọkịta gị.

N'oge ọgwụgwọ, ndị dọkịta dekwara ọgwụ vitamin na mineral maka ike nke sistem na-alụso ọrịa ọgụ.

Iji gwọọ ọrịa akpalikarị trophic n'ụzọ dị irè, dọkịta ga-ahọpụta gị ndị ọrụ antiplatelet ka ọ dị n'ọbara. Iji gwọọ ọnya ngwa ngwa ma gbochie ịpụta nke ndị ọhụrụ, a na-eji phlebotonics eme ihe, nke na-ewusi mgbidi nke arịa aka. Dọkịta ga-atụ aro ụzọ mkpakọ - bandeeji, bandeeji na-agbanwe, sọks.

Ọgwụ Hospitallọ Ọgwụ

Ọ dị mkpa ịgwọ ọrịa trophic n'ahụ anụ ahụ nke ala akụkụ nke ụdị nnukwu ụlọ ọgwụ. N'ebe ahụ, onye ọrịa na-enweta ọgwụgwọ kpụ ọkụ n'ọnụ karịa ma e jiri ya na ọgwụgwọ ọrịa. Edere onye ọrịa ahụ ọgwụ nje maka ojiji n'ime ya, yana n'ụdị mmanụ mmanụ maka ọgwụgwọ nke ebe mebiri emebi n'ụkwụ. Onye ọrịa na-anata ọgwụ iji belata ihe mgbu na anụ ahụ dị ala. Enwere ike ịkọwa Fibrinolytics nke na-enye aka ịhapụ imechi ọbara. A ga-ewere ọgwụ ndị a n'okpuru nlekọta dọkịta, n'ihi na enwere ike ịmalite ọbara ọgbụgba ga-amalite.

Ọgwụgwọ ọghọm mgbanwe na mpaghara ahụ kwesịrị ịdị n’okpuru dọkịta gị. Were ọgwụ naanị otu ọkachamara tụrụ aro ya. Ọgwụ na ọgwụ ndị ọzọ kwesịrị ị beụ mmanya na oge. Echefukwala ịwa ahụ ọnya na akụkụ dị ala nke ahụ, nyochaa ọnọdụ ha.