Muaj ntau yam kab mob ntawm cov hlab ntsha. Qee tus ntawm lawv tau muab tso rau hauv qeb "phlebitis". Qhov no yog ib lo lus dav dav rau ntau yam kab mob tshwm sim los ntawm ntau yam ua rau thiab cuam tshuam rau qhov sib txawv ntawm cov leeg. Txawm li cas los xij, tsis muaj kev kho kom raug, lawv txhua tus ua rau tib qho txiaj ntsig - thrombophlebitis lossis pulmonary embolism, uas tuaj yeem ua rau mob plawv. Dab tsi ua rau tus kab mob no? Yuav ua li cas paub txog nws thiab pib kho raws sijhawm kom tsis txhob muaj kev nyuaj siab? Dab tsi yog kev tiv thaiv kev tiv thaiv kab mob ntawm cov hlab ntsha? Peb yuav sim teb tag nrho cov lus nug no kom meej thiab meej.
Phlebitis yog dab tsi
Peb txhua tus paub tias tib neeg cov hlab ntsha tau muab faib ua ob hom loj - cov hlab ntsha thiab cov hlab ntsha. Raws li thawj zaug, ntshav nyob rau hauv siab rushes los ntawm lub plawv, raws li qhov thib ob, nws nkag mus rau nws ntau calmly. Precisely vim hais tias cov ntshav nyob rau hauv cov hlab ntsha tsis ntws nyob rau hauv lub siab, lawv cov phab ntsa yog thinner dua nyob rau hauv cov hlab ntsha, tsis muaj zog, muaj peev xwm ntawm stretching thiab ua rau ntau yam tsis kaj siab nyob rau hauv tib neeg, xws li.varicose leeg, hemorrhoids thiab lwm yam. Lawv, nyob rau hauv lem, provoke phlebitis. Cov no yog cov kab mob ntawm cov hlab ntsha, uas lawv cov phab ntsa ua o. Lo lus "phlebitis" yog yooj yim to taub. Nws yog muab los ntawm Greek "phleva", uas txhais tau tias "vein".
Kab mob ntawm lawv cov phab ntsa yog ib qho tsis kaj siab thiab txaus ntshai heev. Nws yeej ib txwm nrog kev mob, tib neeg lub peev xwm ua haujlwm poob qis, kev ua haujlwm ntawm lub cev muaj zog cuam tshuam, thiab nyob rau hauv cov xwm txheej siab heev, thrombophlebitis tsim, ua rau cov hlab ntsha txhaws nrog cov ntshav txhaws.
Kev faib tawm ntawm phlebitis los ntawm localization
Raws li tau hais los saum no, phlebitis yog lub npe nrov rau ntau yam kab mob hauv cov hlab ntsha. Raws li qhov chaw ntawm cov hlab ntsha muaj kab mob, phlebitis ntawm sab sauv thiab sab qis yog qhov txawv. Tib neeg cov leeg yog hollow tubular lug, cov phab ntsa uas yog tsim los ntawm peb txheej - lub zog tshaj sab nrauv, heev tsis muaj zog nruab nrab thiab sab hauv. Nws yog hu ua endothelium, thiab nws qhov mob, feem, endophlebitis. Nrog o ntawm txheej txheej, tus kab mob periphlebitis yog kuaj. Nws yog ib qho yooj yim rau kev txiav txim siab thiab nco ntsoov lo lus no yog tias koj nco qab tias hauv Greek "peri" yog siv los qhia qhov deb ntawm qhov chaw, hauv kev txhais dawb "ntug", "periphery".
Yog txheej nruab nrab yog mob, tus kab mob hu ua mesophlebitis. "Meso" hauv Greek txhais tau tias "hauv nruab nrab". Yog li ntawm no, ib yam nkaus, txhua yam yog qhov laj thawj thiab nkag siab.
Hauv kev xyaum, phlebitis tsis tshua muaj qhov sib txawv los ntawm qhov tseeb tias cov hlab ntsha ntawm cov hlab ntsha yog o. Ntau zausTus kab mob hu ua panphlebitis, uas yog, ntau, ntau, tab sis qhia nyob rau hauv qhov twg ntawm peb txheej ntawm cov hlab ntsha ntawm cov hlab ntsha uas pom muaj qhov mob.
Kev faib tawm los ntawm kab mob etiology
Raws li qhov xwm txheej ntawm cov txheej txheem inflammatory, kuj muaj ntau yam phlebitis. Cov no tuaj yeem yog:
- necrotic puas (hauv qee yam kab mob sib kis);
- purulent (tshwm sim nrog kev ua xua);
- obliterating (proliferative moment prevails);
- mob (pom hauv ob txhais ceg ntawm cov poj niam tom qab yug menyuam);
- migratory, lossis wandering (feem ntau cuam tshuam nrog thrombophlebitis, thaum ntshav txhaws los ntawm cov hlab ntsha);
- pylephlebitis (txheej txheem dab tshos ua rau mob).
Phlebitis tuaj yeem raug xa mus los ntawm lub npe ntawm tus kab mob thawj zaug uas ua rau mob hauv cov leeg:
- tuberculous;
- syphilitic;
- actinomycotic thiab lwm yam.
Kev faib tawm no tseem ceeb heev rau kev txiav txim siab txoj kev kho mob.
Kev cais raws li qhov xwm txheej ntawm cov kab mob
Nyob ntawm qhov chaw ntawm cov hlab ntsha uas muaj teeb meem hauv lub cev, phlebitis superficial phlebitis thiab tob vein phlebitis yog qhov txawv. Yog hais tias tus kab mob tau cuam tshuam cov hlab ntsha nyob ze rau ntawm lub cev, hyperthermia (redness, kub taub hau) yog pom ntawm daim tawv nqaij ntawm qhov chaw ntawm cov hlab ntsha. Kev mob ntawm cov hlab ntsha sib sib zog nqus yog qhov txaus ntshai tshwj xeeb, vim nws xav tau ntau dua rau kev kuaj mob thiab kho.
Cov neeg mob muaj qhov o thiab pallor ntawm daim tawv nqaij nyob rau hauv qhov chaw ntawm cov hlab ntsha, qhov dav dav hyperthermia, tsis muaj zog, mob. Tag nrho cov cim qhia no tau pom zoo yog tias tus neeg mob tau kuaj pom tias mob phlebitis ntawm sab qis. Daim duab saum toj no qhia txog kev hloov xim ntawm daim tawv nqaij raws cov leeg muaj teeb meem.
Yog tus kab mob tau mob ntev, nws tuaj yeem tshwm sim me me los tsis muaj tsos mob. Thaum xub thawj siab ib muag, qhov no tsis yog li ntawd loj heev, tab sis mob phlebitis yog insidious precisely vim hais tias ntawm nws pom meej kev noj qab nyob zoo, vim hais tias cov neeg mob tsis mus cuag kws kho mob thiab tsis mus kho mob. Tus kab mob, lub sijhawm no, maj mam hloov mus rau hauv cov ntawv tsis saib xyuas uas nyuaj rau kev kho nrog tshuaj kho.
Yog vim li cas
Phlebitis nyob rau sab sauv thiab sab qis yog tshwm sim los ntawm ntau yam. Feem ntau, tus kab mob no ntawm ob txhais ceg yog vim muaj teeb meem ntawm varicose leeg, thiab phlebitis ntawm caj npab tshwm tom qab txhaj tshuaj tsis tiav lossis tsis muaj tshuaj tua kab mob ntawm qhov chaw txhaj tshuaj. Tab sis muaj ntau qhov laj thawj uas ua rau mob ntawm phab ntsa venous, ob qho tib si sab sauv thiab sab qis.
Cov no suav nrog:
- kev raug mob hlab ntsha, suav nrog kev kub nyhiab ntawm txhua yam;
- kab mob sib kis;
- siab rhiab ntawm phab ntsa venous;
- ua xua o;
- kab mob plawv;
- xav kom ntshav txhaws;
- txo qis kev tiv thaiv;
- teeb meem ntshav txhaws (tau los yog caj ces).
Artificial phlebitis
Nrog varicose leeg nyob rau hauv xyoo tas los no, ib txoj kev kho mob hu ua sclerotherapy tau nquag siv. Nws nyob rau hauv qhov tseeb tias cov neeg mob ua rau cov khoom tsim (tsis cuam tshuam nrog kev kis kab mob) phlebitis. Kev mob tshwm sim tsis tshwm sim hauv qhov no. Cov txheej txheem sclerotherapy yuav luag tsis mob thiab zoo heev. Cov neeg mob sab nraud tau txhaj tshuaj txhaj rau hauv qhov teeb meem ntawm cov hlab ntsha nrog kev npaj tshwj xeeb (Trombovar, Ethoxyclerol thiab lwm yam), uas ua rau cov phab ntsa ntawm cov hlab ntsha ua ke. Nws daws nws tus kheej li ntawm 5-6 lub hlis.
How muaj tseeb phlebitis tshwm sim
Txoj kev txhim kho ntawm tus kab mob no tuaj yeem ua tau ob npaug. Qee zaum, teeb meem tshwm sim thawj zaug hauv cov hlab ntsha, thiab tom qab ntawd cov kab mob kis mus rau cov ntaub so ntswg. Hauv lwm qhov xwm txheej, ntawm qhov tsis sib xws, tus neeg pib muaj qhov abscess ntawm qee cov ntaub so ntswg ntawm lub cev, uas tom qab ntawd cuam tshuam rau cov phab ntsa ntawm cov leeg, uas yog, phlebitis tshwm sim raws li qhov teeb meem ntawm cov kab mob hauv qab. Daim duab hauv qab no qhia tau hais tias qhov mob ntawm cov leeg pob qij txha nrog varicose leeg tuaj yeem zoo li.
Phlebitis tshwm sim los ntawm cov kab mob pathogenic tau txais raws li hauv qab no: cov kab mob lossis cov kab mob microbes, tau nkag mus rau hauv cov hlab ntsha venous, txav nrog cov ntshav mus txog thaum lawv txuas rau ntawm phab ntsa ntawm qee qhov chaw. Feem ntau nws tshwm sim qhov twg cov hlab ntsha txawv txav (dilated, venous congestion, thiab lwm yam), tab sis kuj tuaj yeem tshwm sim qhov twg cov hlab ntsha zoo li qub thiab noj qab nyob zoo.
Phlebitis,Cov tsos mob
Cov tsos mob ntawm tus kab mob no suav nrog:
- mob ntawm cov leeg mob lossis tag nrho ceg;
- kev mob nkeeg, qaug zog;
- hloov xim ntawm daim tawv nqaij ntawm qhov chaw mob;
- nce kub (hauv zos thiab qee zaum dav);
- ntom ntom ntawm daim tawv nqaij hauv thaj chaw teeb meem;
- nrog phlebitis ntawm qis qis, cov tsos mob ntawm varicose leeg (hnyav hauv ob txhais ceg, o, rwj) tuaj yeem pom.
Txawm li cas los xij, yog tias muaj cerebral phlebitis, cov tsos mob thiab kev kho mob txawv me ntsis. Yog li, cov neeg mob yws ntawm qhov nce siab, mob taub hau, kiv taub hau, pom kev tsis pom kev, kev nkag siab ntawm lub ntiaj teb ib puag ncig.
Pylephlebitis (mob ntawm cov hlab ntsha ntawm lub qhov ntswg hauv lub peritoneum) muaj cov tsos mob sib txawv me ntsis, uas muaj:
- tsis muaj zog;
- fever;
- ntua;
- ascites;
- mob siab heev;
- jaundice ntawm daim tawv nqaij;
- mob taub hau;
- daim siab, spleen;
- anuria;
- xov pulse;
- ntshav siab;
- bloating.
x
Tus mob no tsis ua raws sijhawm ua rau tus neeg mob tuag.
Diagnosis
Txawm hais tias qhov twg phlebitis tshwm sim hauv lub cev - ntawm caj npab, ntawm sab qis lossis hauv caj dab, qhov kev kuaj mob suav nrog:
- kev tshuaj xyuas los ntawm tus kws kho mob (phlebologist, kws phais mob vascular, lossis tsawg kawg yog tus kws kho mob tshwj xeeb yog tias tsis muaj kws kho mob tshwj xeeb hauv cov chaw kho mob hauv zos);
- sib sau anamnesis;
- kuaj ntshav lossis qib siab yog tias xav tias muaj tus kabmob kis;
- duplex vascular scanning, uas tso cai rau koj kom tau txais tag nrho cov ntaub ntawv tsim nyog txog cov leeg nyob txhua qhov chaw hauv lub cev;
- doppler ultrasonography ntawm cov leeg.
Kev kho mob tes phlebitis
Yog tias tsis muaj qhov qhia tau tias yuav mus pw hauv tsev kho mob tam sim ntawd (kub kub taub hau, kiv taub hau, tsis nco qab, mob plawv tsis ua haujlwm, ntshav siab dhau), phlebitis ntawm caj npab, vim tias nws yuav luag tsis nyuaj los ntawm thrombosis., yog ua los ntawm tus neeg mob sab nraud. Tus neeg mob tau muab tshuaj so, nws yog qhov tsim nyog los kho cov teeb meem caj npab kom tsis txhob muaj cov ntshav nce ntxiv mus rau qhov chaw mob. Kev kho mob yog nqa tawm mus rau hauv tus account qhov ua rau ntawm tus kab mob. Yog li, yog tias qhov ua rau mob yog kis kab mob, cov tshuaj tua kab mob tau sau tseg, thiab cov tshuaj tua kab mob tau muab rau cov kab mob phlebitis. Txawm li cas los xij, tus neeg mob raug sau tseg:
- tshuaj tiv thaiv kab mob;
- npaj ua kom cov phab ntsa ntawm cov leeg thiab txhim kho cov ntshav ncig (piv txwv li, Trental);
- tshuaj pleev tshuaj pleev kom kub taub hau, liab, o thiab mob;
- tshuaj ntshav thinning;
- Nyob zoo ib tsoom phooj ywg.
Kev kho mob phlebitis ntawm qis extremities
Kev mob ntawm cov hlab ntsha hauv ob txhais ceg feem ntau tshwm sim los ntawm varicose leeg thiab yog fraught nrog kev hloov mus rau thrombophlebitis, ua rau thrombosis. Cov ntshav txhaws tau mus txog lub plawv tuaj yeem ua rau nws sai sainres thiab tuag ntawm tus neeg mob. Yog li ntawd, yog tias mob phlebitis (mob ntawm cov hlab ntsha sib sib zog nqus los yog sab nraud) thiab thrombophlebitis raug kuaj pom ntawm sab qis, tus neeg mob tuaj yeem raug mus pw hauv tsev kho mob yam tsis muaj tsos mob hnyav, xws li kiv taub hau thiab tsis nco qab. Cov ntaub qhwv elastic yog siv rau cov kab mob, qhov mob hnyav raug tso tseg, cov tshuaj tau sau tseg uas tswj cov ntshav khiav, ntshav viscosity, txhim kho elasticity ntawm cov phab ntsa ntawm cov leeg, cov txheej txheem physiotherapy tau ua, thiab tshwj xeeb, kev phais mob raug sau tseg..
Kev kho mob ntawm lwm hom phlebitis
Kev vam meej ntawm kev kho mob pylephlebitis nyob ntawm qhov ceev thiab qhov tseeb ntawm kev kuaj mob. Feem ntau, tus neeg mob tau muab ib qho kev phais kom tshem tawm qhov mob ntawm purulent o (appendix, gallbladder, excision of an abscess). Nyob rau tib lub sijhawm, kev kho mob yog nqa tawm (cov tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob, kev ntxiv dag zog).
Nrog cerebral phlebitis, cov neeg mob feem ntau mus pw hauv tsev kho mob. Kev kho mob ntawm tus kab mob no yog tsom rau normalizing ntshav siab, txo qhov mob syndromes, normalizing ntshav txaus thiab ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha. Kev kho mob kuj muaj los pab txhawb lub hlwb ua haujlwm.
Kev kho mob ntawm migrating phlebitis yog ua los ntawm crossectomy (tshem tawm ntawm thaj chaw cuam tshuam ntawm cov leeg). Cov ntshav txhaws tuaj yeem raug tshem tawm phais, tab sis feem ntau siv cov enzymes uas ua rau cov ntshav txhaws. Lawv muab tso rau hauv cov hlab ntsha nrog ib tug tshwj xeeb catheter. Tus neeg mob raug tso tawm hauv tsev kho mob rauKev kho mob txuas ntxiv ntawm tus neeg mob sab nraud tom qab tshem tawm qhov mob thiab qhov ua tiav ntawm qhov ua tau zoo ntawm tus neeg mob.
Kev Tiv Thaiv
Phlebitis, uas yog, o ntawm phab ntsa ntawm cov leeg, tuaj yeem tshwm sim rau txhua tus neeg. Txhawm rau txo qhov kev pheej hmoo ntawm tus kab mob, koj yuav tsum ua raws li cov lus pom zoo no:
- ua raws li cov cai rau txhaj tshuaj;
- yog tias ua tau, zam kev raug mob rau cov leeg, thiab yog tias lawv tshwm sim, kho lawv kom raug;
- nyob rau hauv lub xub ntiag ntawm kis kab mob, ua raws li tag nrho cov cai ntawm tus kws kho mob thiab tsis txhob noj nws tus kheej;
- kev txom nyem los ntawm varicose leeg - nruj me ntsis ua raws li cov lus pom zoo ntawm cov kws kho mob tshwj xeeb;
- cov neeg mob hyperviscosity - tsis txhob noj spinach, soy, rosehips - cov khoom noj uas ua rau kom viscosity ntau dua;
- nco ntsoov coj txoj kev ua neej kom lub cev tau txais kev tawm dag zog.
Ua noj qab nyob zoo!
