Qhov txawv ntawm cov hlab ntsha thiab venous rwj yog cov hlab ntsha ntawm cov hlab ntsha yog vim ischemia thaum cov hlab ntsha venous yog vim cov ntshav nyob hauv siab.
rwj yog ib qho teeb meem tshwm sim. Venous thiab arterial ulcers yog ob qhov chaw sib txawv hais txog qhov ua rau, qhov chaw kho mob, thiab qhov chaw. Kab lus no yuav tham txog ob qho tib si venous ulcer thiab arterial ulcer kom ntxaws, qhia txog lawv qhov chaw kho mob, cov tsos mob, ua rau, kev tshawb nrhiav thiab kev kuaj mob, kev kuaj mob, kev kho mob, thiab thaum kawg qhov txawv ntawm cov hlab ntsha thiab cov hlab ntsha.
Vim li cas yog Venous Ulcers?
Venous ulcers yog vim ntshav siab nyob rau hauv cov hlab ntsha superficial. Cov ntshav ntws los ntawm kev kub siab los ntawm cov hlab ntsha sib sib zog nqus mus rau hauv cov txheej txheem sab nrauv, tshwj xeeb tshaj yog nyob rau thaj tsam ntawm cov perforators tas li tso rau sab nruab nrab ntawm ceg, ua rau venous dilatation, leathery induration, thiab pigmentation ntawm daim tawv nqaij vim stagnation ntawm cov ntshav. kev ncig thiab thaum kawg ulceration. Ib qho kev tawm tswv yim yog tias qhov tso tawm ntawm fibrin sab nraum phab ntsa capillose thiab ntxiab ntawm cov hlwb dawb hauv microcirculation yog lub luag haujlwm rau kev cuam tshuam kev thauj mus los ntawm cov pa oxygen thiab cov as-ham rau cov ntaub so ntswg, ua rau muaj kev hloov pauv pathological pom.
Cov neeg mob uas muaj venous leeg tej zaum yuav muaj keeb kwm yav dhau los ntawm cov hlab ntsha sib sib zog nqus, thiab lawv tuaj yeem pom muaj varicosities ntawm lub ntsej muag. Tsis tas li ntawd, raws li kev tshawb nrhiav, ntau tus neeg mob yuav pom tau tias muaj yav dhau los tsis paub txog qhov sib sib zog nqus ntawm cov hlab ntsha los yog cov hlab ntsha ntawm cov hlab ntsha vim qhov tsis muaj peev xwm ntawm cov hlab ntsha sib sib zog nqus. Cov tsos mob ntawm venous ulcers muaj xws li varicose leeg, perforator incompetence, thiab, lipodermatosclerosis.
Daim duab 1: Varicose leeg yog ib qho cim ntawm Venous Ulcers
Ntau tshaj 95% ntawm cov venous rwj tshwm sim nyob rau hauv lub distal thib peb ntawm txhais ceg ntawm sab nruab nrab. Kho txhua yam kev tsis sib haum xeeb, tshwj xeeb tshaj yog rog, plawv tsis ua hauj lwm, anemia, vitamin deficiency, mob hnyav, hnav khaub ncaws tsim nyog, siv cov ntaub qhwv compression, thiab txhawb nqa cov ceg pab kho venous rwj. Cov txheej txheem phais xws li tawv nqaij grafting, perforator ligation, thiab saphenous ligation kuj tuaj yeem pab daws qhov mob hauv qab.
Dab tsi yog Arterial Ulcers?
daim tawv nqaij ischemia, feem ntau yog koom nrog atherosclerotic peripheral vascular kab mob, ua rau cov hlab ntsha. Ulceration feem ntau tshwm sim ntawm cov ntiv taw, dorsum ntawm ko taw, anterior tibial cheeb tsam, los yog pob taws thiab tshwm raws li thaj tsam ntawm cov gangrene qhuav. Buerger's disease, ib tus kab mob pom hauv cov txiv neej hnub nyoog nruab nrab ntawm 20 thiab 40 xyoo, kuj tseem tuaj yeem cuam tshuam nrog daim tawv nqaij gangrene. Cov hlab ntsha me me kuj tseem tuaj yeem ua rau mob rau cov neeg mob rheumatoid mob caj dab thiab lwm yam kab mob collagen.
Daim duab 2: Ulcers
Arterial insufficiency tej zaum yuav tshwm sim los ntawm keeb kwm ntawm kev sib cuam tshuam claudication, so mob, lossis muaj kev hloov pauv ntawm cov ceg. Qhov tshwm sim ntawm qhov txhab qhia tias mob hnyav ischemia; Yog li ntawd, kev kho mob hauv zos ntawm lub qhov txhab tsis zoo li yuav ua tiav tshwj tsis yog tias cov khoom siv hluav taws xob rov qab los. Kev kho mob yog qhov tsim nyog vim qhov mob tuaj yeem hnyav heev uas tus neeg mob xav tau cov tshuaj tua kab mob tsis tu ncua. Kev txiav luam yeeb yog qhov tseem ceeb. Kev hnav khaub ncaws yuav tsum yooj yim, thiab thaj chaw gangrene qhuav yuav tsum raug nthuav tawm. Loose slough yuav tsum tau ntxuav, thiab cov kua dej ntws tawm. Kev phais cov hlab ntsha ncaj qha thiab lub lumbar sympathectomy tuaj yeem pab ua kom rov zoo li qub.
Dab tsi yog qhov txawv ntawm Arterial thiab Venous Ulcers?
Muaj qhov sib txawv ntawm cov hlab ntsha thiab venous rwj nyob ntawm lawv qhov ua, qhov chaw, qhov mob, thiab qhov hnyav. Ntawm lawv, qhov sib txawv tseem ceeb ntawm arterial thiab venous ulcers yog lawv qhov ua rau. Arterial ulcers yog vim ischemia thaum venous ulcers yog vim stagnation ntawm cov ntshav nyob rau hauv siab. Tsis tas li ntawd, qhov chaw tshwm sim kuj ua rau muaj qhov sib txawv ntawm cov hlab ntsha thiab cov hlab ntsha venous. Qhov ntawd yog; arterial ulcers tshwm sim ntawm qhov hnyav ntawm cov ntsiab lus thaum venous ulcers tshwm sim ntawm sab nruab nrab ntawm ceg.
Tsis tas li ntawd, thaum cov kab mob venous los ntshav ntau, cov kab mob hauv cov hlab ntsha tsis ua. Tsis tas li ntawd, qhov mob yog lwm qhov sib txawv ntawm arterial thiab venous ulcers; arterial ulcers tsis mob vim muaj mob neuropathy thaum venous ulcers mob.
Hauv qab infographic ntawm qhov sib txawv ntawm arterial thiab venous ulcers qhia tag nrho cov kev sib txawv ntawm ib sab.
Summary – Arterial vs Venous Ulcers
Hauv luv luv, muaj qhov sib txawv ntawm cov hlab ntsha thiab venous ulcers hais txog qhov ua rau, qhov chaw kho mob, thiab qhov chaw. Ntawm lawv, qhov sib txawv tseem ceeb ntawm arterial thiab venous ulcers yog lawv qhov ua rau; Cov kab mob ntawm cov hlab ntsha yog vim yog ischemia thaum lub venous ulcers yog vim stagnation ntawm cov ntshav hauv siab.
Image Courtesy:
1. "Varicose veins-en" Los ntawm Jmarchn, hloov kho los ntawm Varicose veins-j.webp
2. "Ulcers, fissures, thiab yaig" Los ntawm Madhero88 - Tus kheej ua haujlwm (CC BY-SA 3.0) ntawm Commons Wikimedia
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