Phlebitis (thrombophlebitis): ndi chiyani, zizindikiro ndi momwe mankhwala amathandizira

Zamkati

• Zizindikiro zake ndi ziti
• 1. Mwadzidzidzi thrombophlebitis
• 2. Kuzama kwa thrombophlebitis
• Momwe mankhwalawa amachitikira

Phlebitis, kapena thrombophlebitis, imapangidwa ndikupanga magazi mkati mwa mtsempha, womwe umalepheretsa kutuluka kwa magazi, komwe kumayambitsa kutupa, kufiira komanso kupweteka m'deralo. Izi zimawerengedwa kuti ndi zachipatala chifukwa zimatha kubweretsa zovuta monga ma vein thrombosis kapena pulmonary embolism, mwachitsanzo.

Magazi am'magazi nthawi zambiri amapangika m'miyendo, ndipo sizowoneka bwino kumadera ena amthupi monga mikono kapena khosi. Nthawi zambiri, thrombophlebitis imachitika pamene munthu amakhala nthawi yayitali atakhala, pamalo omwewo, monga zimatha kuchitika paulendo wautali, kukhala wofala kwambiri kwa anthu omwe ali ndi vuto loyenda magazi. Mvetsetsani mwatsatanetsatane, zomwe zimayambitsa thrombophlebitis.

Thrombophlebitis imachiritsidwa, ndipo chithandizo chikuyenera kutsogozedwa ndi adotolo, molingana ndi kuopsa kwa chilichonse, ndikupumula, kugwiritsa ntchito masokosi otanuka, ma compress ndi mankhwala oletsa kutupa kapena, ngati kuli kotheka, mankhwala a anticoagulant atha kuwonetsedwa.

Zizindikiro zake ndi ziti

Thrombophlebitis imatha kuchitika mumtambo chabe kapena mumtambo wakuya, womwe ungakhudze mtundu ndi kukula kwa zizindikilo.

1. Mwadzidzidzi thrombophlebitis

Zizindikiro za thrombophlebitis zachiphamaso ndi izi:

• Kutupa ndi kufiira m'mitsempha ndi khungu lomwe lakhudzidwa;
• Kupweteka kwa palpation ya dera.

Pozindikira izi, tikulimbikitsidwa kuti mupite kuchipatala kuti adokotala akapemphe Doppler ultrasound, kuti aone kukula kwa matendawa ndikuwonetsa chithandizo.

2. Kuzama kwa thrombophlebitis

Zizindikiro za thrombophlebitis yakuya ndi:

• Mitsempha yodabwitsidwa;
• Kutupa kwa nthambi yomwe yakhudzidwa, nthawi zambiri miyendo;
• Ululu m'dera lomwe lakhudzidwa;
• Kufiira ndi kutentha pamiyendo yomwe yakhudzidwa, kokha nthawi zina.

Thrombophlebitis yozama imawerengedwa kuti ndi yadzidzidzi. Chifukwa chake, pozindikira zina mwazizindikirozi, tikulimbikitsidwa kuti mupite kuchipatala kukayamba chithandizo mwachangu, popeza pali chiopsezo chotenga magazi oundana ndikuyambitsa mitsempha yozama kapena embolism ya m'mapapo.

Mvetsetsani, mwatsatanetsatane, kodi venine thrombosis ndi chiyani kuti muzindikire.

Momwe mankhwalawa amachitikira

Chithandizo cha phlebitis nthawi zonse chimayenera kutsogozedwa ndi adotolo, ndipo chitha kuchitidwa ndi kuperekera ma anticoagulants, kusisita ndimiyala yayikulu mderalo, kukweza mwendo ndi kuthandizira pilo ndikugwiritsa ntchito masokosi opindika, monga masokosi a Kendall., Mwachitsanzo.

Chithandizochi chimakhudzidwa ndi kuopsa kwa zizindikilozo komanso malo omwe chovalacho chapangika. Zina mwa njira zamankhwala zomwe zitha kuwonetsedwa ndi monga:

Zachiphamaso thrombophlebitis:

Chithandizo cha thrombophlebitis chapamwamba chimakhala ndi izi:

• Kugwiritsa ntchito masokosi ochepera;
• Kugwiritsa ntchito gauze wonyowa mu zinc oxide, pofuna kupumula kwa chizindikiro, chifukwa imakhala ngati anti-yotupa;
• Kusisita ndi mafuta odana ndi zotupa ochokera mdera lomwe lakhudzidwa, monga gel osakaniza diclofenac;
• Pumulani ndi kukweza miyendo, mothandizidwa ndi mtsamiro, ndikuyendetsa mapazi, monga zikuwonetsedwa pazithunzizi:

Zochita izi, komanso momwe zimakhalira ndi miyendo yokwera, zimapangitsa kubwerera kwa venous kudzera mu draina yokoka.

Kuphatikiza apo, kugwiritsa ntchito mankhwala a anticoagulant, kuti athandize kuthyola magazi, kungathenso kuwonetsedwa, pakakhala kuundana kwakukulu kapena akayambitsa zizindikiro zazikulu. Nthawi zina, pangafunike kuchita opaleshoni kuti ligate malo omwe akhudzidwa ndikuchotsa kuundana.

Chithandizo cha thrombophlebitis yakuya:

Pochiza thrombophlebitis yakuya, adotolo amalimbikitsa kugwiritsa ntchito ma anticoagulants monga heparin, warfarin kapena rivaroxaban, mwachitsanzo, omwe amachepetsa mapangidwe a thrombi, kupewa mavuto amtima kapena m'mapapo mwanga.

Pambuyo pa kuyamba kwa mankhwala kuchipatala, komwe mayeso oyamba amachitika ndipo mlingo wamankhwala watsimikiziridwa, chithandizocho chitha kupitilirabe kunyumba kwa wodwalayo, ndipo chitha kukhala miyezi 3 mpaka 6, zomwe zingadalire kuuma komwe kumaperekedwa. Munthuyo akapita kunyumba, adokotala amalimbikitsanso kuvala masokosi omwe amathandizira kupewa kutupa ndi zovuta zina.

Nthawi zina, dokotala wanu amalimbikitsa opaleshoni kuti achotse mitsempha ya varicose.