EGR (rheovasography) ntawm lub sab nqua: tshwj xeeb, lub hauv paus ntsiab lus ntawm, thiab seev suab kev cai

Muaj ntau loj cov kab mob xeeb rau lawv me me, tsis tseem ceeb txaus ces, uas tsis yog leej twg them sai sai. Txawm me me vascular kev hloov ntawd yuav ces ua rau mob stroke, plawv nres, amputation ntawm nqua. vascular cov kab mob tshwm sim rau ntau yam yog vim li cas, tej zaum nws yuav psycho-kev nyuaj siab, kauj noj cov zaub mov, ntxhov siab pace ntawm lub neej. Cov ua ntej lawm kuaj ib tsis ruaj tsis khov mob, pib ntawm tus kab mob, lub ntau competent thiab txaus txoj kev kho yog xaiv, thiab nws yog ib qho tseem ceeb nam rau kev tswj kev noj qab nyob. Nyob rau hauv cov tshuaj, nyiam tsis yog-tus txoj kev tshawb nrhiav, uas yog xwm heev, ib tug ntawm lawv yog rheovasography qis extremities (EGR). Ua ntau me ntsis txog cov qauv no: rau dab tsi lub hom phiaj rheovasography ua, thiab leej twg yog qhia raws li lub decoded tau ntawm qhov kev xeem.

Lub tswvyim rheovasography

Rheovasography - ib qho ntawm txoj kev ntawm diagnosing, nyob rau hauv uas peb kawm cov ntshav nyob rau hauv lub sab sauv thiab sab extremities ntawm tus neeg mob. Kev, cov xeem nyob rau hauv no txoj kev no yog hu ua hemodynamics. Nws qhia hauv daim duab ntawm lub xeev thaum lub sij hawm ntawm kev xeem ntawm cov hlab plawv system, thiab kuj tso cai rau koj mus ntsuam xyuas cov vascular laus. RVG qhia tau hais tias lub xeev ntawm cov hlab ntsha, cov leeg nyob rau hauv lub ob txhais ceg xaiv cheeb tsam, ob txhais tes, ua rau nws tau los mus txiav txim cov kev hloov nyob rau hauv cov hlab phab ntsa. Nyob rau hauv deciphering pom seb puas muaj yog vasoconstriction feem los sis tag rhuav txhua yog tam sim no.

Nyob rau hauv tib neeg lub neej lub ntsiab tsim txom ntog rau hauv qis nqua, li ntawd, feem ntau ntawm cov kev tshawb muab rau qhov no, nws tso cai rau peb mus kwv yees cov hlab ntsha hlab ntsha ntawm ob txhais ceg thiab tus uas tsim nyog kho mob.

Dhau revozagrafiyu tau tsis tsuas nyob rau hauv cov kev taw qhia ntawm ib tug kws kho mob, tab sis kuj nws tus kheej. Qhov no kev tshawb fawb yog ua nyob rau hauv ntau tshwj xeeb tsev kho mob nyob rau ntawm ib pheej yig tus nqi. Yog hais tias koj xav tau rheovasography qis extremities nyob rau hauv Moscow, thov hu rau tus nram qab no chaw nyob:

• 2nd Tverskaya txoj kab, 10 - Qhib Society "tshuaj".
• Banny Pereulok 2 - SIDS.
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• Str. Novozavodskaya, lub tsev 14a - polyclinic № 2.
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• Str. Buda, tsev 2 - JSC "Lavxias teb sab Railways", CDB tooj 2.

Nyob rau qhov kev txiav txim nyob rau hauv uas lub tsev yog ntawm txoj kev, nws lub koob npe nrov, qhov chaw, qhov zoo ntawm cov khoom, uas kis tau rheovasography qis extremities, tus nqi tej zaum yuav txawv. Nqe - los ntawm 800 mus 2500 rubles.

Rheovasography - ib qho ntawm qhov uas tsis yog-tus soj ntsuam txoj kev, uas tsis yuav tsum tau nkag mus rau hauv lub cev. Rau siv ntawm cov high-zaus tam sim no. Txoj kev tshawb no twb tsis siv rau cov hlab ntsha ntawm lub taub hau, nyob rau hauv cov ntaub ntawv no, tus mob no yog hu ua rheoencephalography.

kev ua tau zoo cov txheej txheem

Rau nqa rheovasography hlab ntsha ntawm lub Upper thiab qis extremities yuav tsum tau ib tug electrocardiograph (ECG apparatus), tshwj xeeb electrodes thiab rheographic consoles. Qhov teeb meem ntawm kev noj qab nyob neeg ua hauj lwm yog yooj yim npaum li yog tias koj siv lub computer sau npe cov nuj nqis. Nyob rau hauv txoj kev tshawb no ntawm siab zaus tam sim no siv, uas tsis coj tej tsis kaj siab ncus. Ntshav muaj peev xwm sawv ntawm txoj kev hluav taws xob tam sim no, qhov no yog vim li cas, cov kuj txawv nyob rau hauv qhov sib txawv theem ntawm cov ntshav. Cov kev sib raug zoo yog inversely xwm yeem: qhov ntau cov ntshav filling - tsawg kuj mus fabrics. Ntawm siab kom tsis muaj nqi yog ib qhov fluctuation. Reovassogramme graphically qhia txog cov mem tes zaj nyuj, cov amplitude qab nrog ua ntshav filling thiab conversely, decreases thaum zuj zus lawm. Tus kws kho mob ntawm haumxeeb diagnostics pom nyob rau hauv daim ntawv, thiab kev ua txhaum yuav kos cov lus xaus hais txog qhov xwm ntawm cov ntshav khiav.

Indications rau kev xeem

qis extremities rheovasography siv rau thawj kev tshawb fawb ntawm vascular pathologies, thiab nyob rau hauv saib xyuas txoj kev loj hlob ntawm tus kab mob. Indications yog:

• Atherosclerosis, uas feem ntau muaj txhawb rau koj ua txhaum ntawm cov khoom noj kom ntawm ntaub so ntswg thiab narrowing ntawm cov hlab ntsha.
• Mob ntshav qab zib mellitus. Tuav rheovasography sab sauv thiab sab extremities. Tus kab mob no yuav ua rau micro- thiab makroangeopatiyam uas tom qab tsim ntshav qab zib ko taw.
• Raynaud tus kab mob. Raug neurocirculatory asthenia, mob plab ntswj tau peripheral hlab ntsha.
• Qhia mob taub hau uas tshwm sim vim rau kev ua txhaum ntawm venous ntshav txaus thiab arterial chua.
• Mob hlwb tus kab mob, intracranial tawg.
• Neurocirculatory asthenia, uas yog nyob rau hauv lub lability ntawm vascular laus.
• Venous kab mob, uas pab txhawb rau kev ua txhaum ntawm lub outflow ntawm cov ntshav, nyob rau hauv particular los ntawm cov leeg ntawm ob txhais ceg.
• Thrombophlebitis, uas ua rau yus mus rau tsim ntawm thrombi nyob rau hauv lub vascular phab ntsa.
• Varicose veins.
• Embolism, thaum muaj ib tug ab tsi txhaws cov hlab ntsha.
• Occlusive kab mob uas yuav ua rau lameness.

Nyob rau hauv lub qhaj ntawv ntawm pronounced kab mob EGR pom zoo nyob rau hauv tus neeg mob ntawm xws li loog loog ntawm nqua, nrog rau cov tsos ntawm convulsions thiab blueness, nrog tsis rhiab heev, hloov xim, edema.

daim ntawv ntsuam xyuas pros

Txhua txoj kev tshawb no nws muaj nws qhov zoo thiab qhov tsis zoo. Lawv yuav tsum tau txuas nrog cov kev sab los yog kev ua hauj lwm. Nws yog ib qho tseem ceeb uas tag nrho cov kev tsis zoo ntawm ib lub sij hawm mus kho thiab zoo-tune lub zoo dua cov diagnostic txheej txheem. Pros EEO nram qab no:

• Ib tug uas tsis yog-tus qauv. Tseem Ceeb zoo point - tus neeg mob yog tsis raug rau ib tug tsis kaj siab thiab mob los, xws li hnab cug zis ntawm cov leeg. Rau cov kev tshawb no tsis yuav tsum tau tu tshwj xeeb nruab chav tsev, heev tsim nyog cov khoom siv.
• Tejzaum ntawm kev siv. Ib tug loj ntxiv rau feem ntau cov neeg ua haujlwm. Reovassogramme yuav thim ib tug sau npe tus kws ntsuam mob, nws ua hauj lwm yog overlaying lub electrodes thiab nrog rau rezografa. Analysis ntawm cov kev tshwm sim yuav ua rau tus kws kho mob.
• Pheej yig thiab siv tau cov khoom rau kev tshawb fawb.
• Kev Nyab Xeeb cov txheej txheem. EGR yog ua tau rau nyob rau hauv kev cov me nyuam thiab poj niam xeeb tub.
• Txhim khu kev qha cov ntaub ntawv. Txij li thaum siab raug yog txiav txim los ntawm vascular permeability, qhov zoo ntawm cov ntshav outflow, cov theem ntawm tus kab mob thiab lawv cov loj heev.
• Ua tau kom ib tug differential mob ntawm vascular txhab ntawm haumxeeb puas.

cons

Rheovasography qis extremities yog heev me me cons, lawv muaj xws li cov nram qab no cov khoom:

• Cov tib neeg zoo tshaj. Yog hais tias tus neeg mob ntau npaum li cas, tsis muaj kom so nyob rau tus neeg saib mob yuav ua rau lub dispersal kev pab kho mob, thiab qhov no tej zaum yuav cuam tshuam rau qhov zoo tshaj ntawm kev txais tos. Yog hais tias tus mob uas ua hauj lwm, so hom yog respected, tsim nyog kho mob cov neeg ua yog high, qhov no yog tsis yog ib tug rho tawm.
• Zoo engineering. Rheographic consoles yuav ua cuam tshuam, uas muaj feem xyuam rau cov kev tshwm sim. Computer Applications eliminates xws shortcomings nyob rau hauv txoj kev tshawb no.

Kev npaj rau rheovasography

Kev npaj rau rheovasography qis extremities yog tsis yooj yim, tab sis nws yuav tsum tau ua raws li nrog tag nrho cov uas yuav tsum tau hais tias thov ua ntej txoj kev tshawb no.

• 15 feeb ua ntej qhov kev xeem tus neeg mob yuav tsum tau kiag li so kom txaus, tau ib tug saib ua ntej ntawm tus so.
• Cov neeg uas haus luam yeeb ob teev yuav tsum tshem tawm tsis qhov tsawg ntawm cov nicotine nyob rau hauv cov ntshav.
• Yog hais tias raug kho nrog cov tshuaj, ib hnub ua ntej lub EEO yuav tsum tso tseg cov tshuaj.
• Nrog rau cov zaj uas rheovasography nqua yuav tsum tau tso tawm los ntawm cov khaub ncaws.

kev tshawb fawb

Tus neeg mob cov lus dag nyob rau hauv ib tug couch, lub teeb - nyob rau rov qab. povtseg daim tawv nqaij degreased nrog haus dej haus cawv. Rau cov kho thaj chaw uas txuas sensors. Los ntawm lub twj paj nruag rau rub cov hlau, kawg electrodes, uas yuav nyeem cov lus qhia. Cov Pib ntsais koj teeb kis tau mus rau qhov kev tshuaj ntsuam, yog muaj ib cov ntaub ntawv reovassogramme xam tseem ceeb cov nuj nqis.

Reovassogramme yuav nqa tawm siv ib tug multi-channel rheographs los yog kev tshawb nrhiav yog nqa tawm sequentially, pib los ntawm qhov chaw deb ntawm lub pivot, xaus cov neeg zej zog. Ib tug yam ntxwv feature thaum muab tej - nruj me ntsis symmetrical.

ntsuas

Rheovasography qis extremities yog nqa tawm mus kawm rau ntau ntsuas ntawm lub xeev ntawm cov hlab ntsha. Synchronous yoj readings sib npaug zos rau cov mem tes zaus. Nyob rau hauv tsis muaj peev xwm txiav txim rau cov hlab ntsha sau, nyob ntawm seb lub sij hawm ntawm lub plawv dhia nyob rau hauv ib tug tej lub sij hawm lub sij hawm. Txoj kev tshawb no zoo nkaus li RI (rheographic index). Nws yog xam los ntawm muab piv rau cov yoj amplitude rau siab (calibration mem tes). RI loj nyob rau hauv lub ntsiab lus ntawm cov hlab ntsha, nws yuav siv tau los mus laij lub zuag qhia tag nrho tus nqi uas lub cev yog lawm ua tus sau nrog arterial cov ntshav. Tsis tas li ntawd, qhov yooj yim tsis muaj xws li cov nram qab no tsis: lub qhov ntau ntawm cov outflow; elasticity; peripheral kuj.

Rheovasography qis extremities (transcript)

Tom qab tau txais reovassogramme los lub sij hawm rau decrypt, uas tuav ib tug tsim nyog ti teg taw. Qhov no yog lub ntsiab point ntawm kev tshawb fawb, ntawm no muaj nyob tag nrho pathology thiab hais rau hauv lub qhov teeb meem ntawm ntxiv kev kho mob. Deciphering lub qis extremities rheovasography muaj raws li nram no tseem ceeb heev:

• Lub ntsiab kom pom tseeb - txoj kev tshawb no ntawm RI. Tus nqi ntawm 0,04 qhia ib tug ntse poob nyob rau hauv cov qauv, qhov Performance index nyob rau hauv lub 0.04-0.05 - ib tug loj tsawv txo. Xam tias yog saum toj no ib txwm RI 0.05.
• elasticity index (EI). Sharply txo tus nqi - tsawg tshaj li 0.2. Moderately txo - 0.2-0.4. Qhov - 0.4.
• Yuav kom txiav txim ntshav txaus nyob rau hauv cov hlab ntsha, xam cov coj index, uas tus nqi - 0.2-0.5. Yog hais tias tus nqi yog me me outflow thawm; ib tug nyeem ntawv saum toj no 0.5 qhia teeb meem nyob rau hauv lub outflow.
• Indicators peripheral kuj: ntau dua tshaj 0,55 - overvalued; tsawg tshaj li 0.15 - tsis muaj. Norma - 0.2-0.45.

haumxeeb kev ntsuam xyuas

haumxeeb pharmacological kev ntsuam xyuas muaj peev xwm yuav siv tau los qhia thaum pathologies:

• Nitroglycerine. Tom qab resorption nitroglycerin EGR ua, ces tus no ua piv nrog rau cov pa. Nws yog tsim nyog los paub qhov txawv organic los ntawm haumxeeb narrowing chua.
• Compression. Siv nyob rau hauv txoj kev tshawb no ntawm sib sib zog nqus cov hlab ntsha thrombosis. Nyob rau hauv kev sib piv nrog cov pa ntsuas EGR ncej puab cuff yog superimposed thiab tsau qhov tseem ceeb tom qab nws ntsoos ntsoos.
• Khaub thuas. Nqa tawm rau qhov mob ntawm ntau yam pathologies nyob rau hauv txhuam. Thov dej txias. Rheogram tshem tawm peb lub sij hawm tom qab ib tug tej lub sij hawm, restoration ntawm cov ntshav khiav tau muab los piv, cov lus xaus. Ib tug tsis zoo qauv - lub restoration ntawm lub koom pheej ntawm Ingushetia nyob rau hauv lub 7 feeb. Zoo qauv - qeeb rov qab mus rau 30 feeb.