Homans cov tsos mob yog ib qho ntawm cov tsos mob ua rau kuaj pom thrombophlebitis ntawm cov hlab ntsha sib sib zog nqus ntawm sab qis. Nws pab txhawm rau kuaj mob hauv thawj 2-4 hnub txij thaum pib txheej txheem. Thrombophlebitis yog ib qho teeb meem ceev heev; raws li kev txheeb cais, 1/5 ntawm cov pej xeem raug mob los ntawm tus kab mob. Nws yog tus cwj pwm los ntawm kev mob ntawm cov leeg (phlebitis), cov ntshav tsis txaus thiab tsim cov ntshav txhaws hauv lub txaj vascular.
Tshuaj thiab tob tob thrombophlebitis
Tshuaj thrombophlebitis feem ntau tshwm sim hauv thaj tsam ntawm varicose leeg thiab tuaj yeem kuaj pom qhov muag. Nrog rau qhov mob superficial, cov hlab ntsha nyob nruab nrab ntawm daim tawv nqaij thiab cov leeg raug kev txom nyem. Muaj mob hnyav raws cov hlab ntsha puas, reddening ntawm daim tawv nqaij, thiab kub taub hau. Ntawm palpation, tus kws kho mob pom cov nodules compacted ntawm qhov chaw ntawm kev txuas ntawm thrombus. Feem ntau, kev kuaj mob tsis nyuaj.
Lwm qhov xwm txheej tshwm sim nrog qhov sib sib zog nqus thrombophlebitis, vim tias cov leeg nyob hauv cov leeg tsis pom. Kwv yees li 50% ntawm cov neeg mob tsis txawm paub tias lawv muaj thrombophlebitis. Nrog mobNyob rau hauv tus txheej txheem, venous li qub raug rhuav tshem, daim tawv nqaij pigmentation tshwm, thiab trophic ulcers yuav tshwm sim. Kev sib sib zog nqus thrombosis tuaj yeem xav tau los ntawm cov cim hauv qab no:
- kos qhov mob hauv cov leeg ntawm sab ceg, hnyav dua los ntawm kev sawv ntsug ntev lossis thaum txo qis;
- xav kom puv ob txhais ceg;
- ntshai o;
- tawv tawv ntawm cov ntaub so ntswg subcutaneous.
Ntawm kev kuaj xyuas, Homans 'cov tsos mob zoo - qhov no yog qhov cim tshwj xeeb tshaj plaws ntawm o thiab tob vein thrombosis. Nws tso cai rau koj los kuaj xyuas ua ntej thaum lub sijhawm kuaj thawj zaug.
Yuav ua li cas thiaj kuaj tau qhov tob tob thrombophlebitis?
Cov tsos mob Homans tau piav qhia los ntawm Asmeskas tus kws kho mob J. Homans xyoo 1934. Txhawm rau txiav txim siab qhov sib sib zog nqus thrombophlebitis, tus neeg mob tau pw ntawm nws nraub qaum, thaum txhais ceg raug hais kom khoov ntawm lub hauv caug sib koom ntawm lub kaum sab xis. Nrog rau sab nraub qaum ntawm ko taw (ntawm nws tus kheej), mob nyob rau hauv cov leeg ntawm ob txhais ceg nce sharply. Raws li tus sau nws tus kheej, cov tsos mob zoo ntawm Homans yog vim compression ntawm cov leeg sib sib zog nqus los ntawm cov leeg.
Kev ntsuas qhov ncig ntawm sab xis thiab sab laug ceg pab kev kuaj mob, raws li, qhov cuam tshuam ntawm ceg yuav muaj qhov loj dua.
Cov tsos mob ntawm Homans tsis yog ib qho cim ntawm tus kab mob. Nyob rau hauv kev ntsuam xyuas, muaj zog ntawm daim tawv nqaij rhiab heev, mob thaum nias ntawm lub qis ceg nyob rau hauv lub anteroposterior kev taw qhia (Moses cov tsos mob), lub zos qhov chaw mob thaum hnov lub puab thiab sab nraub qaum ntawm sab ceg yog qhia. Qhov kub thiab txias hauv zos tau nce.
InstrumentalKev kuaj mob: vascular ultrasound, duplex scanning, rheovasography.
Differential diagnosis
Cov tsos mob zoo ib yam li thrombophlebitis tuaj yeem tshwm sim nrog lwm yam kab mob ntawm ob txhais ceg. Puffiness ntawm qis extremities yog pom nrog lymphostasis, circulatory tsis ua hauj lwm, raug mob, arthrosis ntawm lub hauv caug pob qij txha. Hauv cov xwm txheej no, Homans cov tsos mob tsis zoo.
Qee zaus mob thiab o tshwm sim txawm tias tom qab raug mob me, tshwj xeeb tshaj yog thaum laus. Thaum ib tug neeg ua qhov txawv txav, dhia lossis khiav, hematoma tshwm ntawm cov leeg. Tom qab ob peb hnub, nws nqis los rau ntawm pob taws, txhais ceg ua xim xiav nyob rau hauv qhov chaw no.
Vim tias muaj ntau yam kab mob nrog rau qhov o thiab mob ntawm ob txhais ceg, tsis txhob tso tseg cov lus qhia ntawm tus kws phais. Nws yog nws leej twg yuav pom qhov ua rau ntawm pathology.
