Imithambo ye-lymphatic-veins-hemorrhoids

Ukuhlinzwa kwe-Vasculo-plastic noma ukuhlinzwa kwe-vasculo-plastic kumelela insika entsha ezinsikeni ezine zokuhlinzwa kwepulasitiki. Ukuhlinzwa kwepulasitiki kwendabuko kuhlukene ngokwezigaba futhi ngaphambilini bekuhlanganisa:ukuhlinzwa kobuhle, Ukuhlinzwa okwakha kabusha, ukuhlinzwa kokushiswa, ukuhlinzwa kwezandla.

Lokhu okugxilwe kukho okudala manje kumele kwengezwe ngekhulu lama-21 ngenxa yentuthuko esheshayo yezindlela zokuhlinza ezincane. Ukuhlinzwa kwe-Vascular kanye ne-vascular microsurgery kuyinsika entsha yokuhlinzwa kwepulasitiki. Esikhathini esedlule, ukwakhiwa kabusha, ukufakelwa kwesikhumba kanye nokufakwa kwesici kwakwenziwa ngokudlulisela izingcezu zesikhumba nezicubu ngaphandle kokuhlinzekwa kwemithambo ezimele kanye nezinzwa. Ukuntuleka kokujikeleza kwegazi kanye nokuntuleka kwe-vascular pedicle kwakusho ukuthi ukulungiswa kwesikhathi eside, okuyinkimbinkimbi nokungaqiniseki kwakungenzeka. Izindlela ezintsha zokuhlinza ezincane zidala izindlela ezintsha zokwakhiwa kabusha kokuhlinzwa kwepulasitiki futhi zidale ukujikeleza kwegazi okuphephile. Ngakho-ke ukuxhumana kwemithambo emincane kuyitshe legumbi elisha lokuhlinzwa kwepulasitiki. Ukujikeleza kwegazi okuhle kuvula indlela yokubuyiselwa kwezitho ezifana nebele. Ukukhubazeka okukhulu kwesikhumba nemisipha kungambozwa ngokudluliselwa kwezicubu ngokuhlinzekwa kwe-vascular ozimele. Ukufakelwa kwe-lymph node kanye nama-lymphovenous anastomoses kunika amandla ukwelashwa okuphumelelayo kwe-lymphedema, ngaphambilini eyayidinga ukubhucungwa impilo yonke. Ngekhulu lama-21, ukwakhiwa kabusha kokuhlinzwa kwepulasitiki kusho ukubuyiselwa kwemithambo, imithambo, imithambo ye-lymphatic, i-lymphatic edema, i-lip edema, i-lipomatosis, nokunqwabelana kwamafutha. I-interdisciplinary vascular-plastic surgery ye-arterio-venous vascular bundles endaweni eseduze, kuma-mons pubis, ezindaweni ze-perianal kanye ne-anal kudala ukuhlalisana okusheshayo nokukhululeka ebuhlungwini, ngisho nangemva kokuhlinzwa okuseduze. Ukuhlinzwa kwepulasitiki kwemithambo yemithambo, imithambo ye-varicose emilenzeni, ezingalweni nasezizandleni kufaka phakathi izifiso zezokwelapha nezobuhle futhi kuqhubekela ekuhlinzweni kobuhle. Ngezansi sinikeza umfundi umbono wokugxila kokwelashwa kwensika entsha yokuhlinzwa kwepulasitiki, ukuhlinzwa kwe-vascular plastic, kanje:

I-Lympho-vascular plastic surgery

Iziteshi ze-lymphatic kanye nama-lympho-vascular anastomoses akhiwa kabusha ekuhlinzeni kwepulasitiki yesimanje futhi ama-lymph nodes atshalwa kabusha. I-Lymphedema kanye ne-elephantiasis (“imilenze yendlovu”) yelashwa ngokuhlinzwa kwepulasitiki yemithambo kusetshenziswa amasu okuhlinza okuncane. Amamasaji acasulayo ayevame ukuba ukuphela kokwelapha futhi okunganele. Lokhu akusasebenzi ngemva kokubuyiselwa kwama-lymphatics nama-lymph nodes. Izigidi zeziguli eziphelelwe yithemba emhlabeni wonke zingakhululeka ekuminyaniseni ukuvuvukala ngokuhlinzwa kwepulasitiki ye-lymphovascular. Imilenze evuvukele kanye nokuvuvukala konyawo obekungelapheki ngaphambilini manje kuyalapheka.

I-lymphatic liposuction ye-lipedema

Inkinga enkulu ukukhuluphala ngokweqile kanye nokwenyuka kwamafutha endaweni nokujwayelekile emhlabeni jikelele. Lokhu kubangela ukuvuvukala kanye nezinkinga zokujikeleza kwe-lymphatic esicutshini esinamafutha, okubizwa ngokuthi i-lipedema. Amaphinifa amakhulu alengayo kanye nesisindo esiningi kuphazamisa ukubuya koketshezi lwethishu kanye ne-lipedema. Amafutha avuvukele aba makhulu futhi abe nzima. Kuvela umbuthano ononya, lapho ukwanda kwamafutha - i-lipomatosis - kuba kubi kakhulu i-edema yamafutha, okubangela i-lipedema. I-lipedema eyandayo ibuye ibe yimbi kakhulu i-lipomatosis, ukusabalala nokwanda kwamafutha.

I-liposuction ye-fat apron kanye ne-lipomatosis

I-Liposuction yayivame ukuba yinqubo yezimonyo kuphela. Ngenxa yemiphumela emisha mayelana nokujikeleza kwe-lymphatic kanye nokwelashwa kokuminyana kwe-lymphatic, sesiyazi kakade ukuxhumana phakathi kwe-lipedema ne-lipomatosis, eziqinisanayo, njengoba kuchazwe esahlukweni esithi "Lipedema". Yingakho i-liposuction iya ngokuya yenziwa ngenxa yokuphazamiseka kokujikeleza kwe-lymphatic kanye ne-lipedema, kanti i-lymphatic liposuction kwezinye izimo ibuyiselwa umshwalense wezempilo.

Ukuhlinzwa kweplastiki ye-laser yemithambo ye-perianal

Imithambo ye-perianal iyisathelayithi yama-hemorrhoids, amagatsha e-venous aminyene emikhumbi ye-hemorrhoidal egcwele igazi.  Ukuhlinzwa kweplastiki ye-laser, ukuhlinzwa kwepulasitiki yemithambo kuyizinto ezintsha ezakhiwe e-HeumarktClinic nguDkt. U-Haffner ugxile kakhulu. Kuze kube ngu-2018, ukuhlinzwa kwe-laser kwemithambo ye-varicose kwakuchazwa emilenzeni kuphela. Kusukela ngo-2018, ukuhlinzwa kwe-laser okungasikiwe, okungenabuhlungu ngokuphelele futhi okungenazibazi kwemithambo ye-peri-anal varicose, okuthiwa ama-hemorrhoids angaphandle, kwathuthukiswa nguDkt. Haffner e-Cologne. Lokhu kugcina i-rectum ibushelelezi futhi yomile esikhundleni sokushwabana nokukhala. Indawo yokungena endunu ayibonwa esikhundleni sokuluma kabuhlungu. I-Perianal thrombosis iyavinjelwa esikhundleni sokuthi ivulwe sekwephuzile kakhulu futhi kabuhlungu. I-thrombosis engalindelekile yemithambo ye-varicose egugile ye-perianal ngeke isenzeka uma ingasekho imithambo ye-perinal varicose uma ivalwe ngaphambilini njengesexwayiso nge-laser.

Ama-Hemorrhoids: Ama-anastomoses emithanjeni nasemithanjeni

Ku-proctology, ama-hemorrhoids abizwa ngokuthi i-arterial vascular bundles noma i-arterial corpora cavernosa, ngokusho kwezimfundiso zasendulo zikaStelzner. Ngemva kweminyaka engu-35 yokuhlangenwe nakho kanye nezinkulungwane ezimbalwa zokuhlolwa kwe-hemorrhoid okwenziwa nguDkt. U-Haffner, ngokwengxenye esebenzisa i-high-resolution ultrasound, udokotela ohlinzayo we-plastic vascular, phlebologist kanye ne-proctologist bathola ukuthi umbono kaStelzner mayelana nama-hemorrhoids udinga ukubuyekezwa. Ngokwezimiso zikaHaffner, ama-hemorrhoids awawona nje imithambo, kodwa kunalokho i-vascular conglomerate ye-arteries. kanye nemithambo. Ubuningi bama-hemorrhoids buqukethe i-arterial corpus cavernosum evuvukele kakhulu, ehlangana ibe ama-convolute e-venous aqhumile, anwetshiwe. UDkt. U-Haffner ubonise ngokucacile lokho okubizwa ngokuthi ama-arterio-venous short circuits - AV shunts - ngaphakathi kwe-arterial kanye ne-venous convolutes. Imibono emisha evela kuDkt. Haffner ukuthi ama-hemorrhoids awawona nje imithambo kodwa futhi imithambo iyawashintsha amaqhinga namasu okwelapha ama-hemorrhoids. Isevisi entsha, i-laser hemorrhoid plastic surgery - LHPC - iyavela, engasikiwe futhi Izinqubo ze-laser ezingenabuhlungu kanye nezinqubo ze-vein ngekhono elisheshayo lokuhlalisana kanye nekhono lokusebenza. Amasonto okuphulukiswa kwesilonda, ubuhlungu kanye nokuvuvukala - njengoba kusajwayelekile ezibhedlela namuhla - ayingxenye ye-proctology yendabuko, endala, engasasetshenziswa e-HeumarktClinic.

Ukuhlinzwa kwe-varicose vein okugcina imithambo

Imithambo kufanele ichithwe, ikhishwe noma ibiliswe ngelaser - yilokhu okushiwo imfundiso yokuhlinzwa kwe-varicose vein. Lapho isiguli esinemithambo ye-varicose siya kudokotela, udokotela unikeza izinqubo ezilimazayo njengokukhumula, i-laser sclerotherapy, ukukhishwa kwemithambo, i-mini-phlebectomy, njll. Ingabe imithambo enesifo angeke isakwazi ngempela ukuphulukiswa? Lapha sethula izindlela ezintsha ze-vascular plastic surgery.

I-EVP - I-plasty ye-venous valve yangaphandle

I-EVP * i-vascular plastic surgery yamavalvu e-venous yethulwa okokuqala eJalimane ngu-Düsseldorf Dr. med. U-Alex Tavaghofi * uthuthukile. Ngemuva kokuthatha umhlalaphansi, ukunakekelwa kweziguli ze-EVP kanye nokuthuthukiswa kwe-vein-preserving varicose vein operation kwenziwa yi-EVP - I-Venus valve plasty – nguDkt. UHaffner - HeumarktClinic - uthathiwe. Ukuphumelela kwendlela ye-EVP* ka-Tavaghofi, ulwazi lwakhe oluyingqayizivele ngemva kokufakwa kwama-valve emithanjeni angu-40.000 ezweni lonke nasemhlabeni wonke kuboniswa iziguli zakhe futhi kuxoxwa ngakho nguDkt. U-Haffner uqinisekise ngokugcwele. Iziguli ezine-EVP* i-venous valve plasty yangaphandle zigcina umthambo wazo oyinhloko, umthambo omkhulu we-saphenous. Ukulungiswa kwama-valve e-venous kusebenza kahle kakhulu ezigabeni zokuqala zokwakheka kwe-varicose vein uma ama-valve e-venous eyonakele etholakala ezigabeni zokuqala ngokuhlolwa kokuvimbela. Imithambo ye-Varicose nemilenze esindayo enokuvuvukala kwemilenze ibangelwa ngokucacile ama-valve e-venous anesici. Akekho umuntu oyizwayo ekuqaleni. Kodwa uma imithambo ye-varicose ewugqinsi isivele yakhiwe, khona-ke izazi ze-phlebologists ezivamile ziphendukela kummese noma i-laser futhi zibhubhise yonke into enhle kakhulu: imithambo egulayo nenempilo ivame ukukhishwa ngengxube, i-laser, i-sclerotyped, futhi ivalwe ngamagagasi omsakazo.

1.I-varicose vein = umthambo ogugile 2.Ukumboza 3.Umthambo osebenzayo onekhafu ye-venous

 Lungisa imithambo esikhundleni sokuyikhipha: Kodwa udinga imithambo enempilo, hhayi nje ngenxa yokugeleza kwe-venous enempilo kodwa nanjenge-reserve bypass material. Ngoba isifo senhliziyo sithinta wonke umuntu oneminyaka engaphezu kuka-50, abaningi babo abadinga izindlela zokudlula inhliziyo. Ukubalwa kwemithambo yomlenze kuvame ukudinga ukufakelwa kwemithambo yakho ukuze ulashwe. Iziguli zezinso kanye neziguli ze-dialysis nazo zidinga imithambo. Yingakho imithambo enempilo kungafanele ilahlwe budedengu. Kuyacaca: uma ngokukhetha ususa kuphela imithambo ye-varicose engalungiseki, imithambo eyinhloko eqhubayo, umthambo omkhulu we-saphenous, uzolulama. Uma uqinisa i-saphenous vein ngezindandatho ze-Tavaghofi, ama-valve e-venous nawo azolulama futhi I-Varicose vein yelashwa ngokulondolozwa kwemithambo.

Sizokweluleka ngokuqhubekayo okusha, ukumbozwa kwe-vein ngama-patches we-vein, izindandatho ze-laser Ukuqokwa UDkt. UHaffner mathupha.

Ikhono elihle lokuvala lama-valve e-venous I-EPP ingeyamazwe ngamazwe futhi kuvunyelwe.

* Umthombo: http://tavaghofi.de/leistung/evp/