Kodi Phlebitis ndi Chiyani?

Zamkati

• Mitundu ya phlebitis
• Zizindikiro za phlebitis
• Zovuta za vutoli
• Zomwe zimayambitsa phlebitis
• Ndani ali pachiwopsezo
• Kuzindikira phlebitis
• Kuchiza vutoli
• Kupewa phlebitis
• Chiwonetsero

Chidule

Phlebitis ndikutupa kwa mtsempha. Mitsempha ndi mitsempha yamagazi mthupi lanu yomwe imanyamula magazi kuchokera ku ziwalo zanu ndi ziwalo zanu kubwerera kumtima kwanu.

Ngati magazi amatulutsa kutupa, amatchedwa thrombophlebitis. Mitsempha yamagazi ikakhala mumitsempha yakuya, amatchedwa deep vein thrombophlebitis, kapena deep vein thrombosis (DVT).

Mitundu ya phlebitis

Phlebitis ikhoza kukhala yopanda pake kapena yakuya.

Phlebitis mwapadera amatanthauza kutupa kwa mtsempha pafupi ndi khungu lanu. Mtundu wa phlebitis ungafune chithandizo, koma nthawi zambiri siwowopsa. Matenda a phlebitis amatha kubwera chifukwa chamagazi kapena china chomwe chimayambitsa kukwiya, monga catheter ya intravenous (IV).

Phlebitis yakuya amatanthauza kutupa kwa mtsempha wakuya, wokulirapo, monga womwe umapezeka m'miyendo mwanu. Phlebitis yakuya imatha kubwera chifukwa chamagazi, omwe amatha kukhala ndi zotsatira zoyipa kwambiri, zowopsa pamoyo. Ndikofunika kudziwa zoopsa ndi zizindikiritso za DVT kuti muthe kupeza chithandizo mwachangu kwa dokotala wanu.

Zizindikiro za phlebitis

Zizindikiro za phlebitis zimakhudza mkono kapena mwendo pomwe pali mtsempha wotupa. Zizindikirozi ndi monga:

• kufiira
• kutupa
• kutentha
• "kupindika" kofiira pamanja kapena mwendo wanu
• chifundo
• chingwe kapena chingwe chonga chingwe chomwe mungamve kudzera pakhungu

Muthanso kuwona kupweteka kwa ng'ombe kapena ntchafu yanu ngati phlebitis yanu imayambitsidwa ndi DVT. Ululu ukhoza kuwonekera kwambiri poyenda kapena kusinthasintha phazi lanu.

Ndi okhawo omwe amakhala ndi vuto la DVT. Ichi ndichifukwa chake ma DVT sangapezeke mpaka vuto lalikulu litachitika, monga pulmonary embolism (PE).

Zovuta za vutoli

Kungotulutsa thrombophlebitis nthawi zambiri sikumabweretsa zovuta zazikulu. Koma zimatha kubweretsa matenda pakhungu loyandikira, mabala pakhungu, ngakhale matenda am'magazi. Ngati chovalacho chili chachikulu mokwanira ndipo chimakhudza dera lomwe mitsempha yangwiro imaphatikizana, DVT imatha kukula.

Nthawi zina anthu samadziwa kuti ali ndi DVT mpaka atakumana ndi vuto lowopsa. Vuto lofala kwambiri komanso lalikulu la DVT ndi PE. PE imachitika pamene chidutswa cha magazi chimaduka ndikupita kumapapu, komwe kumatseka magazi.

Zizindikiro za PE zimaphatikizapo:

• kupuma pang'ono
• kupweteka pachifuwa
• kutsokomola magazi
• kupweteka ndikupuma kozama
• kupuma mofulumira
• kumverera mopepuka kapena kukomoka
• kuthamanga kwa mtima

Itanani oyang'anira mwadzidzidzi kwanuko ngati mukuganiza kuti mwina mukukumana ndi vuto la PE. Izi ndizadzidzidzi zachipatala zomwe zimafunikira chithandizo mwachangu.

Zomwe zimayambitsa phlebitis

Phlebitis imayamba chifukwa chovulala kapena kukwiya pamayendedwe amitsempha yamagazi. Pankhani ya phlebitis yangwiro, izi zitha kuchitika chifukwa cha:

• kukhazikitsidwa kwa catheter IV
• kupereka mankhwala opweteka m'mitsempha yanu
• kaunda kakang'ono
• matenda

Pankhani ya DVT, zomwe zimayambitsa zingaphatikizepo:

• kukwiya kapena kuvulala kwa mitsempha yakuya chifukwa cha zowawa monga opaleshoni, kuphwanya fupa, kuvulala koopsa, kapena DVT yapitayi
• Kuchepetsa magazi kutuluka chifukwa chosowa kuyenda, komwe kumatha kuchitika ngati mukugona mukuchira opaleshoni kapena mukuyenda kwa nthawi yayitali
• magazi omwe amatha kugwirana kuposa nthawi zonse, omwe atha kukhala chifukwa cha mankhwala, khansa, kusokonekera kwa minofu, kapena matenda obadwa nawo

Ndani ali pachiwopsezo

Kudziwa ngati muli pachiwopsezo chokhala ndi DVT ndikofunikira kuti mudziteteze ndikukhazikitsa dongosolo ndi dokotala wanu. Zowopsa za DVT zimaphatikizapo:

• mbiri ya DVT
• kusokonekera kwa magazi, monga factor V Leiden
• mankhwala a mahomoni kapena mapiritsi olera
• Kutalika kwa nthawi yayitali, komwe kumatha kutsatira opaleshoni
• kukhala nthawi yayitali, monga paulendo
• khansa ndi mankhwala khansa
• mimba
• kukhala wonenepa kwambiri kapena wonenepa kwambiri
• kusuta
• kumwa mowa mopitirira muyeso
• kukhala wazaka zopitilira 60

Kuzindikira phlebitis

Phlebitis imatha kupezeka kutengera matenda anu komanso mayeso a dokotala wanu. Mwina simukusowa mayeso apadera. Ngati mukukayikira kuti magazi amatseka chifukwa cha phlebitis yanu, dokotala wanu amatha kuyesa kangapo kuphatikiza kutenga mbiri yanu yazachipatala ndikukuyesani.

Dokotala wanu akhoza kuyitanitsa ultrasound ya chiwalo chanu chokhudzidwa. Ultrasound imagwiritsa ntchito mafunde akumveka kuwonetsa kutuluka kwa magazi kudzera mumitsempha ndi mitsempha yanu. Dokotala wanu angafunenso kuyesa kuchuluka kwanu kwa d-dimer. Uku ndi kuyesa magazi komwe kumayang'ana chinthu chomwe chimatulutsidwa mthupi lanu chovala chimasungunuka.

Ngati ultrasound siyakupatsani yankho lomveka bwino, dokotala wanu amathanso kupanga venography, CT scan, kapena MRI scan kuti aone ngati magazi ali ndi magazi.

Ngati khungu lapezeka, dokotala wanu angafune kutenga magazi kuti ayese zovuta zamagazi zomwe zitha kuyambitsa DVT.

Kuchiza vutoli

Kuchiza kwa phlebitis kungaphatikizepo kuchotsedwa kwa katemera wa IV, kuponderezedwa kotentha, kapena maantibayotiki ngati matenda akuganiziridwa.

Kuti muchiritse DVT, mungafunike kumwa ma anticoagulants, omwe amalepheretsa magazi anu kuphimba.

Ngati DVT ndi yayikulu kwambiri ndipo ikuyambitsa mavuto akulu pakubwezeretsa magazi mwendo, mutha kukhala woyenera kuchita njira yotchedwa thrombectomy. Pochita izi, dokotalayo amaika waya ndi catheter mumtsempha womwe wakhudzidwa ndipo amachotsa chovalacho, kuchisungunula ndi mankhwala omwe amaphwanya chovalacho, monga ma activator a plasminogen, kapena amachita zonse ziwiri.

Kuyika fyuluta m'modzi mwamitsempha mwanu yayikulu, vena cava, kungalimbikitsidwe ngati muli ndi DVT ndipo muli pachiwopsezo chachikulu cha kuphatikizika kwamapapu koma simungatenge magazi ochepa. Fyuluta iyi siyilepheretsa magazi kuundana, koma imatchinjiriza zidutswa za chovalacho kupita kumapapu anu.

Zosefera zambiri zimachotsedwa chifukwa zosefera zonse zimayambitsa zovuta zitakhalapo kwa chaka chimodzi kapena ziwiri. Mavutowa ndi awa:

• matenda
• kuwononga moyo wa vena cava
• kukulitsa mitsempha yazungulira fyuluta, yomwe imalola kuundana kudutsa mufyuluta ndikulowa m'mapapu
• kuundana mpaka, kupitirira, ndikudutsa fyuluta mkati mwa vena cava, yomwe kumapeto kwake kumatha kuyenda ndikupita m'mapapu

Kuchepetsa chiopsezo chanu pakukhazikitsa ma DVT amtsogolo kudzakhalanso gawo lofunikira pakuthandizira.

Kupewa phlebitis

Ngati muli pachiwopsezo chokhala ndi DVT, pali njira zingapo zomwe mungachitire kuti magazi asapangike. Njira zina zopewera ndi izi:

• kukambirana za chiopsezo chanu ndi dokotala wanu, makamaka musanachite opaleshoni
• kudzuka ndikuyenda mwachangu pambuyo pa opareshoni
• kuvala masokosi opanikizika
• kutambasula miyendo ndikumwa madzi ambiri mukamayenda
• kumwa mankhwala monga mwauzidwa ndi dokotala wanu, omwe atha kuphatikizanso owonda magazi

Chiwonetsero

Phlebitis yongodzikweza nthawi zambiri imachiritsa popanda zovuta.

DVT, kumbali inayo, ikhoza kupha moyo ndipo imafunikira chithandizo chamankhwala mwachangu. Ndikofunika kudziwa ngati muli ndi zifukwa zoopsa zopezera DVT ndikulandila chithandizo chamankhwala pafupipafupi kuchokera kwa dokotala wanu.

Ngati mwakhalapo ndi DVT kale, mutha kukhala okonzeka kukumana ndi ina mtsogolo. Kuchita zinthu moyenera kungathandize kupewa DVT.