Thrombophlebitis

Thrombophlebitis ndikutupa (kutupa) kwa mtsempha. Magazi (thrombus) mumtsinje amatha kuyambitsa kutupa.

Thrombophlebitis imatha kukhudza mitsempha yakuya, ikuluikulu kapena mitsempha pafupi ndi khungu. Nthawi zambiri, zimapezeka m'chiuno ndi miyendo.

Kuundana kwa magazi kumatha kupangika pamene china chimachedwetsa kapena kusintha kayendedwe ka magazi m'mitsempha. Zowopsa ndi izi:

• Catheter ya pacemaker yomwe idadutsa mumitsempha yam'mimba
• Kupuma pogona kapena kukhala pamalo amodzi kwakanthawi ngati kuyenda kwa ndege
• Mbiri yabanja yamagazi, omwe atanthauza kuti kupezeka kwa zovuta zomwe timabadwa nazo zomwe zimabweretsa chiopsezo chambiri. Zina mwa izo ndi monga kusowa kapena kusowa kwa antithrombin, protein C, ndi protein S, factor V Leiden (FVL) ndi prothrombin
• Kupasuka m'mimba kapena miyendo
• Kubereka m'miyezi 6 yapitayi
• Mimba
• Kunenepa kwambiri
• Opaleshoni yaposachedwa (makamaka opareshoni yamchiuno, bondo, kapena chiuno chachikazi)
• Maselo ochulukirapo am'magazi amapangidwa ndi mafupa, ndikupangitsa magazi kukhala okulirapo kuposa zachilendo (polycythemia vera)
• Kukhala ndi catheter wokhalamo (wanthawi yayitali) mumtsuko wamagazi

Magazi amatha kuphimba munthu amene ali ndi mavuto kapena zovuta zina, monga:

• Khansa
• Matenda ena amadzimadzi, monga lupus
• Kusuta ndudu
• Zinthu zomwe zimapangitsa kuti pakhale mwayi wopanga magazi
• Kutenga mapiritsi a estrogens kapena oletsa kubereka (ngozi iyi ndiyokwera kwambiri ndikusuta)

Zizindikiro zotsatirazi nthawi zambiri zimalumikizidwa ndi thrombophlebitis:

• Kutupa m'thupi kumakhudzidwa
• Kupweteka kwa gawo la thupi kunakhudzidwa
• Kufiira kwa khungu (sikupezeka nthawi zonse)
• Kutentha ndi kukoma mtima pamitsempha

Wothandizira zaumoyo nthawi zambiri amatha kuzindikira vutoli kutengera momwe dera lomwe lakhudzidwa likuwonekera. Omwe amakupatsirani nthawi zambiri amayang'ana zizindikiro zanu zofunika. Izi ndikuwonetsetsa kuti mulibe zovuta.

Ngati chifukwa chake sichingazindikirike, mayesero amodzi kapena angapo otsatirawa atha kuchitidwa:

• Kafukufuku wamagazi
• Doppler akupanga
• Zojambula
• Kuyesedwa kwachibadwa

Zothandizira zothandizirana ndikukulunga zitha kuthandiza kuchepetsa mavuto. Wothandizira anu akhoza kukupatsani mankhwala monga:

• Opweteka
• Ochepetsa magazi kuti ateteze kuundana kwatsopano, nthawi zambiri kumangotchulidwa pokhapokha ngati pali mitsempha yakuya
• Mankhwala monga ibuprofen ochepetsa kupweteka ndi kutupa
• Mankhwala obayidwa mumtsempha kuti athetse vuto lomwe lakhalapo kale

Mutha kuuzidwa kuti muchite izi:

• Pewani kupanikizika kuti muchepetse kupweteka ndikuchepetsa chiopsezo chowonjezeranso.
• Kwezani dera lomwe lakhudzidwa kuti muchepetse kutupa.

Njira zambiri zothandizila ndi izi:

• Kuchotsa opaleshoni kwa mtsempha pafupi ndi pamwamba
• Kutulutsa mtsempha
• Kudutsa mtsempha

Chithandizo chofulumira chimatha kuchiza thrombophlebitis ndi mitundu ina.

Zovuta za thrombosis ndi monga:

• Kuundana kwamagazi m'mapapu (pulmonary embolism)
• Kupweteka kosatha
• Kutupa mwendo

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za thrombophlebitis.

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Zizindikiro zanu sizisintha ndi chithandizo chamankhwala.
• Zizindikiro zanu zimaipiraipira.
• Zizindikiro zatsopano zimachitika (monga gawo lonse kukhala lotumbululuka, kuzizira, kapena kutupa).

Kusintha kwamizere yolowa (IV) pafupipafupi kumathandiza kupewa thrombophlebitis yokhudzana ndi ma IV.

Ngati mukuyenda pagalimoto yayitali kapena ulendo wapandege:

• Yendani kapena tambasulani miyendo yanu kamodzi kanthawi
• Imwani zakumwa zambiri
• Valani payipi yothandizira

Ngati mwagonekedwa mchipatala, omwe amakupatsani akhoza kukupatsani mankhwala kuti ateteze thrombophlebitis.

Phlebitis; Thrombosis yakuya - thrombophlebitis; Thrombophilia - thrombophlebitis

• Thrombosis kwambiri venous - iliofemoral
• Kutsekeka kwamagazi

Wasan S. Mwachidziwikire thrombophlebitis ndi oyang'anira ake. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 150.

Pezani nkhaniyi pa intaneti Weitz JI, Ginsberg JS. Vousous thrombosis ndi embolism. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 74.