Thrombosis ntawm cov hlab ntsha ntawm cov leeg sab nraud tuaj yeem tshwm sim los ntawm cov txheej txheem inflammatory ntawm phab ntsa venous, uas tuaj yeem tshwm sim los ntawm qee yam pathology. Nws yog cov txheej txheem no uas ua rau muaj qhov tshwm sim ntawm cov ntshav txhaws hauv cov hlab ntsha. Nyob rau hauv rooj plaub uas tus kab mob no tsis nrog los ntawm cov ntshav txhaws, tab sis tsuas yog los ntawm ib tug inflammatory txheej txheem, ib tug kab mob hu ua phlebitis yog kuaj.
Qhov tshwm sim tsis tuaj yeem tso tseg tsis tuaj yeem saib xyuas, vim tias nws tuaj yeem qhib tau txhua lub sijhawm thiab ua rau qhov tsis zoo, thiab, ntxiv rau, tsis muaj kev nyab xeeb rau tib neeg kev noj qab haus huv. ICD code rau thrombosis ntawm cov hlab ntsha ntawm sab qis yog I80.0. Cov kab lus no tham txog cov yam ntxwv ntawm tus kab mob no, nws tshwm sim li cas, nws raug kuaj pom li cas, cov tswv yim thiab cov kev kho mob tau siv niaj hnub no los tshem tawm nws. Yog li cia peb pib nroghais txog qhov ua rau pathology.
Qhov laj thawj ntawm qhov tshwm sim ntawm tus kab mob
Vim li cas thrombosis ntawm cov hlab ntsha ntawm sab qis dua tshwm sim? Cov ntshav txhaws tuaj yeem tshwm sim los ntawm kev ua txhaum ntawm kev ncaj ncees ntawm cov qauv ntawm cov phab ntsa venous, uas tuaj yeem ua rau muaj kev kis mob tshwj xeeb.
Kab mob microscopic kab mob feem ntau txav mus rau thaj tsam sab hauv ntawm cov hlab ntsha los ntawm cov ntaub so ntswg uas nyob ib sab, uas muaj cov txheej txheem inflammatory tshwm sim. Thrombosis feem ntau yog nrog mob khaub thuas, tonsillitis lossis mob ntsws. Lub hauv paus tseem ceeb hauv kev txhim kho tus kab mob no suav nrog ntshav stasis nrog rau kev hloov pauv ntawm nws lub cev lossis tshuaj lom neeg muaj pes tsawg leeg thiab nce ntxiv hauv coagulation.
Txoj kev sib cav
Cov yam hauv qab no rau qhov tshwm sim ntawm tus kab mob muaj nyob rau hauv ib qeb:
- Nyob zoo rau qhov mob.
- Qhov tshwm sim ntawm cov ntshav txhaws hauv cov hlab ntsha sib sib zog nqus.
- Kev tsim cov ntshav txhaws vim muaj kev cuam tshuam ntawm caj ces.
- Kev txhim kho ntawm varicose leeg.
- Ntau tshaj.
- Kev tshwm sim ntawm cov kab mob uas tshwm sim tawm tsam keeb kwm ntawm kev ua xua.
- Qhov tshwm sim ntawm cov qog nqaij hlav malignant.
- Qhov cuam tshuam ntawm kev cuam tshuam kev phais.
- Kev siv tshuaj txhaj tshuaj.
Tam sim no cia saib seb cov tsos mob dab tsi feem ntau nrog tus kab mob no.
Symptomatics
Thrombosis ntawm cov hlab ntsha ntawm cov leeg sab hauv sab hauv feem ntau tuaj yeem hais tau zoo, thiab tsis tshua muajkev loj hlob sai, tshwj xeeb tshaj yog tias nws yuav siv sij hawm rau ib qho mob es tsis yog tus cwj pwm sluggish ntev. Ib qho xwm txheej zoo sib xws tuaj yeem tshwm sim vim raug mob lossis kis kab mob thiab siv cov tshuaj tiv thaiv kab mob. Cov no yog tag nrho cov laj thawj tiv thaiv qhov nce hauv cov ntshav txhaws tau pom. Muaj ib lub foob ntawm varicose leeg, uas kuj dhau los ua rhiab, thiab tib lub sijhawm nthuav dav thiab pib mob.
Cov tsos mob ntawm thrombosis ntawm cov hlab ntsha ntawm sab qis qis yuav tsum tsis txhob hnov qab.
Feem ntau muaj o ntawm txhais ceg nyob rau hauv qhov chaw ntawm o ntawm cov leeg. Rau lub hauv paus no, thrombosis uas tshwm sim nyob rau hauv cov hlab ntsha superficial yuav txawv ntawm ib tug zoo xws li pathology uas cuam tshuam rau cov hlab ntsha sib sib zog nqus. Thaum cov ntshav txhaws tshwm sim thiab cov kab mob piav qhia tau tsim, tus mob, nrog rau kev noj qab haus huv ntawm tus neeg, tseem zoo li qub. Tsuas yog ib qho kev tshwm sim hauv zos ntawm cov tsos mob ntawm thrombosis ntawm cov hlab ntsha ntawm cov leeg sab qis ua rau nws tus kheej hnov.
Tshwj xeeb thaum mob:
- Pom pom liab liab thiab o raws tag nrho qhov ntev ntawm cov hlab ntsha cuam tshuam nrog lub thrombus.
- Nyob rau qhov mob mob, ua raws li lub tingling.
- Qhov tshwm sim ntawm qhov kub thiab txias.
- Zoo ntawm kev tsis xis nyob thiab txias.
- Kev txhim kho cov qog ntshav qog ntshav loj.
Piv txwv tias tus neeg mob muaj thrombosis ntawm cov hlab ntsha ntawm cov extremities, tus kws kho mob tshuaj xyuas ob txhais ceg, pib ntawm ko taw thiab xaus nrog lub puab tsaig. Cov o ntawm ob txhais ceg yog muab piv nrog rau cov xim ntawm daim tawv nqaij, mob tshwm sim, lawv zaus thiab siv. Thaum pib ntawm tus kab mob, muaj ib tug muaj zog hloov nyob rau hauv cov xim ntawm daim tawv nqaij, ces cov o maj mam subsides, tab sis lub npog acquires ib tug natural xim. Nrog rau kev kho mob hnyav, lub ncov ntawm tus kab mob no txo qis tom qab ob peb lub lis piam, tom qab ntawd venous patency tau maj mam rov qab los.
Kev tshwm sim ntawm thrombosis ntawm cov hlab ntsha ntawm sab qis tuaj yeem pom hauv daim duab.
Yuav ua li cas los ntshav txhaws?
Cov hauv qab no feem ntau tshwm sim nrog lub thrombus tsim rau ntawm phab ntsa:
- Ntshav tuab tuaj yeem loj hlob thiab thaiv tag nrho cov vascular lumen, ua rau cov ntshav tsis zoo.
- Ib thrombus tuaj yeem tawg tawm ntawm phab ntsa vascular thiab, ua ke nrog cov ntshav ntws, raug xa mus rau txhua yam hauv nruab nrog cev ntawm tus neeg.
- Nyob rau hauv qhov zoo tshaj plaws, koj tuaj yeem soj ntsuam qhov resorption ntawm cov ntshav.
Nws paub meej tias qhov piav qhia pathology yog qhov sib txawv loj thiab tuaj yeem ua rau qhov tsis zoo.
Cov txheej txheem kuaj mob yooj yim
Kev noj qab haus huv ntawm tus neeg mob uas muaj thrombosis ntawm cov hlab ntsha ntawm cov leeg sab nraud yog txiav txim siab los ntawm kev txheeb xyuas thaj chaw uas cov txheej txheem inflammatory tau nce mus. Yog li, qhov chaw ntawm thaj chaw cuam tshuam yog txiav txim siab, nrog rau lub sijhawm ntawm cov kab mob thiab nws theem. Lub pathology nyob rau hauv kev txiav txim siab yog tshuaj xyuas nyob rau hauv ntau txoj kev:
- YDoppler ultrasound. Lub sensor xa cov teeb liab uas tshwm sim los ntawm cov khoom txav. Cov teeb liab no cuam tshuam los ntawm lwm lub sensor, uas nws txoj haujlwm yog los xam cov kev hloov pauv ntawm qhov ceev ntawm cov mem tes propagated, uas yog tsim los ntawm kev cuam tshuam nrog cov ntshav txav. Qhov taw qhia zaus yog kho los ntawm lub computer, cov ntaub ntawv tsim nyog raug xam thiab qhov kawg xaus yog kos.
- Rheovasography, uas yog ib txoj hauv kev uas tsis muaj kev cuam tshuam los tshuaj xyuas cov hlab ntshav. Nws lub ntsiab lus nyob rau hauv qhov tseeb hais tias ib cheeb tsam ntawm lub cev raug rau tam sim no. Nyob rau tib lub sijhawm, qhov hluav taws xob tsis kam ntawm cov tawv nqaij yog txiav txim siab, uas hloov pauv raws li cov ntaub so ntswg saturated nrog ntshav. Dab tsi ntxiv tuaj yeem kuaj mob ntawm thrombosis ntawm cov hlab ntsha ntawm sab qis ntawm cov leeg?
- Y Duplex ultrasonic angioscanning. Nyob rau hauv txoj kev no, kev txav ntawm cov ntshav raug saib xyuas thiab cov qauv ntawm cov hlab ntsha tau kawm nrog rau lawv cov kev hloov pauv tau, ntxiv rau, qhov ntsuas tag nrho ntawm cov ntshav khiav yog ntsuas thiab txoj kab uas hla ntawm cov hlab ntsha thiab cov ntshav txhaws tau txiav txim siab.
- Computer thiab magnetic resonance imaging. Cov kev kuaj mob thrombosis no yog siv nyob rau hauv cov ntaub ntawv ntawm qhov tsis muaj txiaj ntsig ntawm cov txheej txheem ultrasound uas tsis muab cov txiaj ntsig zoo.
- Venography, raws li qhov tseeb tias tus neeg sawv cev sib txawv tau txhaj rau hauv cov leeg, uas ua rau thaj tsam sab hauv ntawm lub nkoj. Qhov kev kuaj x-ray no yog siv tsawg dua li cov kev teev saum toj no.
Txoj Kev Kho Mob
Ua ntej pib kev kho mob thrombosis ntawm cov hlab ntsha ntawm sab qis, nws yuav tsum tau txiav txim siab txog hom kev kho mob uas tsim nyog tshaj plaws rau tus neeg mob. Thrombosis, uas yog nyob rau hauv thaj tsam ntawm lub puab tsaig, tuaj yeem kho tau ntawm tus neeg mob sab nraud, tab sis nyob rau hauv rooj plaub no, yuav tsum tau saib xyuas tas li ntawm tus kws phais. Nyob rau hauv cov xwm txheej uas tus kab mob pib cuam tshuam rau cov ceg ntawm lub duav, ces kev kho mob hauv tsev kho mob yog qhov tseem ceeb, vim tias qhov tshwm sim loj tuaj yeem tshwm sim. Kev kho mob hauv tsev kho mob tau qhia yog tias thrombosis, uas nce qib ntawm sab ceg qis, tsis tau teb rau kev kho mob rau peb lub lis piam.
Kev mob nkeeg
Kev pw tsaug zog yog raug sau tseg thaum muaj cov tsos mob ntawm thromboembolism nyob rau hauv cov hlab ntsha pulmonary, nrog rau cov xwm txheej ntawm kev txiav txim siab cov khoom embologenic ntawm cov ntshav txhaws raws li kev tshawb fawb ntsuas. Cov kev ua ntawm tus neeg mob yuav tsum tau ceev kom tsawg kawg nkaus. Hnyav lifting yog tsis tsim nyog, nrog rau kev khiav thiab hnyav loads. Kev kho mob ntawm thrombosis yog nqa tawm ua raws li cov cai yooj yim. Cov kev xaiv tsim nyog rau kev kho yog:
- Ua raws li lub txaj so yog tias tus kws kho mob tau sau tseg.
- Kev koom tes hauv lub cev tsawg kawg nkaus.
- Kev siv cov elastic tights.
- Kev kho mob anticoagulant.
- Kev siv cov tshuaj uas tsis yog tshuaj steroidal uas zoo txo qhov mob.
- Tshuaj kho mob rau kev siv sab nraud, txo qhov mob nrog khaus ntawm qhov chaw ntawm cov ntshav txhaws.
- Kev kho Enzyme, uas yog siv cov tshuaj uas txo qhov o.
- kev kho mob phais.
Yog tias qhov kev kho mob nyuaj ntawm thrombosis ntawm cov hlab ntsha ntawm cov leeg sab nraud tsis ua rau cov txiaj ntsig zoo thiab tus neeg mob tsis zoo, ces thrombosis ntawm cov hlab ntsha sab nraud raug tshem tawm los ntawm kev phais, uas yog ua tiav. hauv ob peb txoj hauv qab no:
- Bandaging. Nws cuam tshuam cov txheej txheem ntawm kev tso ntshav los ntawm thaj tsam ntawm cov hlab ntsha sib sib zog nqus mus rau hauv cov hlab ntsha superficial. Cov txheej txheem yog ua los ntawm posteromedial lossis medial nkag. Hauv ob qho kev xaiv, ligation ntawm cov leeg nyob hauv qab lub hauv caug yog muab. Ua ntej hnav khaub ncaws, duplex ultrasound thiab palpation yog ua. Ua li no, cov hlab ntsha uas raug rau ligation raug kuaj pom. Qhov kev ua haujlwm no tsis cuam tshuam txog kev phom sij, thiab cov neeg mob, nyob rau hauv lem, zoo siab heev. Raws li txoj cai, cov kws kho mob siv tshuaj loog hauv zos.
- Venectomy, lossis tshem tawm cov leeg. Cov txheej txheem no suav nrog tshem tawm qhov cuam tshuam ntawm cov leeg ntawm cov hlab ntsha los ntawm kev ncig. Thaum lub sijhawm ua haujlwm, me me incisions yog ua, uas tseem yuav luag tsis pom tom qab rov qab los. Schematically, kev khiav hauj lwm tuaj yeem piav qhia raws li hauv qab no: los ntawm kev sib tsoo ntawm daim tawv nqaij, tus kws phais tau khaws cov kab mob uas muaj cov kab mob thrombus siv tus nuv tshwj xeeb. Tib lub sijhawm, siv tus nuv thib ob, tus kws kho mob xaiv thaj chaw ntes thiab thaum kawg tshem tawm.
- Qee lub sijhawm, cov kws kho mob raug yuam kom mus rau kev txiav tawmthrombosis node nyob rau hauv cov hlab ntsha superficial.
Cov tsos mob thiab kev kho mob ntawm thrombosis ntawm cov hlab ntsha ntawm cov leeg sab nraud yog sib cuam tshuam.
Cov lus pom zoo los ntawm thaj chaw tshuaj ntsuab
Thaum lub sijhawm kho mob thrombosis, koj tuaj yeem siv cov lus qhia los ntawm cov tshuaj ib txwm siv los ntxiv. Tab sis qhov no yuav tsum tau pom zoo nrog tus kws kho mob, vim tias kev noj tshuaj rau tus kheej tsuas yog tsis tsim nyog. Nws raug nquahu kom ua tib zoo saib xyuas cov khoom noj khoom haus, ntxiv rau, tshem tawm cov khoom noj uas muaj calorie ntau dhau los ntawm kev noj zaub mov nrog rau cov tsiaj rog, muab kev nyiam rau cov khoom noj uas muaj fiber ntau. Txhawm rau kom qhov hnyav li qub, nws raug nquahu kom siv kua txiv hmab txiv ntoo cider vinegar hauv ib teaspoon hauv ib nrab khob dej.
Kev kho mob pej xeem tshuaj rau thrombosis ntawm cov hlab ntsha ntawm cov leeg sab qis tuaj yeem ua tau zoo heev.
Teas, decoctions los ntawm perforated St. John's wort, yarrow thiab roob arnica kuj qhia rau cov neeg mob. Pab tau nyob rau hauv lub xub ntiag ntawm thrombosis extract ntawm tshuaj comfrey, qab zib clover thiab nees chestnut, uas muaj ib tug haib anti-inflammatory nyhuv.
Kev siv qhov sib piv ko taw da dej ua ke nrog kev sib piv da dej rau lub duav thiab lub hauv caug tau ua pov thawj nws tus kheej zoo. Yuav tsum muaj kev tawm dag zog tas li. Thaum ib hmos so, cov kws kho mob tau qhia kom ob txhais ceg siab dua lub cev, vim tias cov ntshav tawm tau zoo.
Dab tsi yog qhov txaus ntshai thrombosis ntawm cov hlab ntsha ntawm sab qis qis (raws li ICD-10 I80.0)?
Qhov tshwm simntshav khov
Ntawm qhov tshwm sim txaus ntshai tshaj plaws, muaj kev sib cais ntawm cov ntshav txhaws uas tau tsim rau ntawm phab ntsa hlab ntsha. Qhov tseeb yog tias nws muaj peev xwm txav mus ib txhij nrog cov ntshav ncig thiab ua rau muaj kev loj hlob ntawm thromboembolism hauv tus neeg mob. Muaj tseeb tiag, koj yuav tsum tsis txhob txhawj ntau dhau ntawm qhov no txhua qhov: cov kab hauv qab yog tias nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj rau cov leeg sab nrauv, thrombus sib cais tshwm sim tsis tshua muaj, txawm li cas los xij, tib yam tsis tuaj yeem hais txog kev loj hlob ntawm cov hlab ntsha sib sib zog nqus. Nyob rau hauv cov ntaub ntawv no, cov hlab ntsha yog ib puag ncig los ntawm cov leeg, uas, thaum tsiv, txav lawv, thiab pab txhawb rau cov txheej txheem ntawm txav cov ntshav txhaws.
Txawm li cas los xij, txhawm rau zam qhov tshwm sim ntawm tus kab mob, nws yuav tsum tau pib kho tam sim yog tias tus neeg mob tau kuaj pom tias muaj thrombosis ntawm cov leeg ntawm cov leeg. Ntawm qhov feem ntau yuav tshwm sim, nws yog ib qho tsim nyog los qhia txog:
- Tau qhov kev hloov pauv ntawm tus kabmob mus rau qhov nyuaj dua, thiab tib lub sijhawm ntev.
- Qhov tshwm sim ntawm gangrene.
- Kev kis kab mob kis thoob plaws hauv lub cev.
Yuav ua li cas tiv thaiv mob thrombosis ntawm cov hlab ntsha ntawm sab qis qis?
tiv thaiv kab mob
Muaj cov lus pom zoo, ua raws li cov neeg yuav tsum tau zam qhov tshwm sim ntawm thrombosis. Ob txhais ceg, nrog rau lub cev ntawm ib tug neeg, nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum nyob twj ywm motionless ntev. Nyob rau tib lub sijhawm, nws yog ib qho tsim nyog yuav tsum coj cov postures uas ob txhais ceg siab dua lub cev. RauPiv txwv li, pw hauv pem teb, ob txhais ceg yuav tsum tau tsa saum lub rooj zaum.
Kev taug kev yog ib qho kev tiv thaiv zoo heev. Thaum taug kev, vascular tone tau zoo tswj tau zoo, thiab tib lub sijhawm, lub xeev ntawm cov ntshav venous tau yooj yim heev. Kev haus dej kom raug, tshwj xeeb tshaj yog dej, kuj yog qhov zoo rau kev pab tib neeg tiv thaiv thrombosis.
khoom noj kom raug yog ib qho tseem ceeb heev nrog rau kev tswj qhov hnyav thiab kev ua haujlwm ntawm plab. Nrog kev pab los ntawm tag nrho cov kev ntsuas nyob rau hauv lub cev, txhua yam ntawm cov txheej txheem metabolic tau sai sai, kev tiv thaiv yog ntxiv dag zog, thiab qhov no, nyob rau hauv lem, txhais tau hais tias qhov tshwm sim ntawm thrombosis yog txo kom tsawg rau ib tug neeg.
Twb yog thaum thawj cov tsos mob ntawm thrombosis tshwm nyob rau hauv qhov chaw ntawm cov hlab ntsha ntawm ob txhais ceg, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd mus kuaj xyuas kom ntxaws. Qhov kev ua txhaum cai raug qhia yuav raug kho tam sim ntawd. Nov yog tib txoj hauv kev los tiv thaiv cov teeb meem tshwm sim, thiab tus neeg ob txhais ceg yuav saib zoo nkauj.
Tam sim no muaj cov ntaub ntawv txaus txog cov tsos mob thiab kev kho mob thrombosis ntawm cov hlab ntsha ntawm sab qis kom tiv thaiv koj tus kheej thiab cov neeg koj hlub ntawm tus kab mob no.
