Zachiphamaso thrombophlebitis

Zachiphamaso thrombophlebitis (STP) ndi chimagwiritsidwa ntchito ndi maganizo udindo ngati pathophysiology wa thrombosis ndiponso mtsempha thrombosis (DVT) n'zogwirizana.

Zachiphamaso thrombophlebitis akuyamba ndi kusapeza mu miyendo, Vienna litatentha. Pamodzi m'mitsempha anamva chisindikizo, ngati kudzera chingwe iye anatambasula.

Kafukufuku wosiyanasiyana tafotokozeramu zinthu chiopsezo cha thrombophlebitis chabe, ndipo ambiri mwa lifanane ndi zinthu za DVT. Varicose mitsempha ya m'munsi malekezero pa 93% milandu akuimira ambiri chiopsezo zifukwa zinanso. zinthu zina monga zaka, jenda wamkazi, kunenepa, opaleshoni posachedwapa kapena immobilization, zotsatira m'thupi, pamaso pa thromboembolism yapita venous (VTE) ndi khansa. kusinthasintha nyengo kusokoneza chitukuko cha matenda, chapamwamba zochitika zambiri amapezeka mu miyezi ofunda m'chilimwe.

Chiopsezo zosokonezeka

Kwa odwala pa zaka 60, mbiri ya DVT, immobilization posachedwa ndi matenda zokhudza zonse, izo kumawonjezera mwayi osauka kwambiri mtsempha thrombosis ndi kugwirizana thrombophlebitis. Aakulu aakulu venous insufficiency ndi isanayambike mwadzidzidzi zachiphamaso thrombophlebitis zinthu powerengera choperekera VTE chiopsezo.

njira yodziwira

Zachiphamaso thrombophlebitis ndi ambiri odwala ndi mitsempha varicose, koma kudzali mu mitsempha yachibadwa saphenous odwala ndi thrombophilia m'munsi. Kuwanda m'munsili mavuto venous odwala ndi STP akulangiza duplex chindodo kwa wodwala aliyense. Zotsatira osati amasonyeza kupezeka kapena kusapezeka kwa magazi aumirira, komanso kuthandiza kudziwa zosokonezeka. Malinga ndi zotsatira za ultrasound ndikhoza kudziwa ngati amafuna maphunziro patsogolo kwambiri ntchito kulingalira.

chithandizo

Cholinga chachikulu cha chithandizo cha thrombophlebitis zachiphamaso - kupewa kufalikira kwa magazi kuundana ndi chiopsezo VTE. Ambiri Buku malemba kwa opaleshoni mtima ndi chisamaliro chachikulu akupitiriza tout bedi zina monga gawo la mankhwala kwa DVT ndi STP. Komabe, kuimilidwa ndi kukagona mpumulo odwala thrombosis pachimake amalimbikitsa venous stasis, ndilo choyambitsa kwa magazi aumirira. maphunziro osapanganika asonyeza kuti psinjika ndi kuyenda bwino kuposa bedi zina kuchepetsa kutupa ndi kusapeza, ndi kuchepetsa kufalikira kwa magazi kuundana odwala ndi DVT proximal.

psinjika mankhwala

Psinjika amapereka phindu kwambiri mwasayansi kutsimikiziridwa zochizira thrombophlebitis zikundiyendera. Izi limachepetsanso zizindikiro, komanso popewa chitukuko cha DVT. Decousus kuphunzira chikutsimikizira kuti psinjika mankhwala ntchito masinthidwe amtundu psinjika masitonkeni kapena mwendo anakulunga ndi muyezo panopa kusamalira odwala ndi STP a. The Tinganene ya chala umagwiritsidwa ntchito pa psinjika masinthidwe amtundu malingana ndi kuopsa kwa insufficiency venous, kusintha khungu ndi kukhalapo kwa edema. The kwambiri zizindikiro, m'pamenenso mlingo wa psinjika kukuonetsedwa.

Anticoagulation ndi odana ndi yotupa mankhwala

Kuchuluka kwa comorbidities ndi chiopsezo cha matenda oyamba mu thrombosis pachimake zachiphamaso venous zinachititsa ofufuza ambiri ntchito ya zokhudza zonse anticoagulation. Mwachitsanzo, heparin otsika maselo kulemera tikulimbikitsidwa monga Mlingo njira kapena wapakatikati kwa masabata osachepera anayi. thrombosis zachiphamaso venous akhoza anakwanitsa conservatively zambiri, kupewa anticoagulation mokomera wothandizila odana ndi yotupa.

The pachimake yotupa Poyankha zambiri anamuona pa phlebitis chabe, ndipo akhoza kunena nkhawa matenda angathe. Odwala thrombophlebitis suppurative amafuna ngalande ndi kuika mankhwala yotakata-sipekitiramu.

alowererepo opaleshoni

Nthawi kutupa pachimake, ululu ndi kusinthasintha kupanga ang'ambe thupilo m'dera ndi ngalande. Pambuyo kuyeretsa ndi kumayambiriro dzanzi m'deralo, ndi punctures singano anapanga m'munda wosinthika. Iyi ndi ndondomeko yosavuta, ndipo pambuyo punctures amapangidwa, dokotala angathandize kutulutsa zachiphamaso aumirira. Ndondomeko kumachepetsa kutupa ndi zopweteka, ndi phindu lina la kuchepetsa chiopsezo cha hyperpigmentation kutchulidwa a m'madera okhudzidwa.