Thrombophlebitis - yog dab tsi? Ua rau, tiv thaiv thrombophlebitis. Thrombophlebitis ntawm cov hlab ntsha ntawm qis extremities

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Thrombophlebitis - yog dab tsi? Ua rau, tiv thaiv thrombophlebitis. Thrombophlebitis ntawm cov hlab ntsha ntawm qis extremities
Thrombophlebitis - yog dab tsi? Ua rau, tiv thaiv thrombophlebitis. Thrombophlebitis ntawm cov hlab ntsha ntawm qis extremities

Video: Thrombophlebitis - yog dab tsi? Ua rau, tiv thaiv thrombophlebitis. Thrombophlebitis ntawm cov hlab ntsha ntawm qis extremities

Video: Thrombophlebitis - yog dab tsi? Ua rau, tiv thaiv thrombophlebitis. Thrombophlebitis ntawm cov hlab ntsha ntawm qis extremities
Video: Tuberculosis, Kab mob thiab tshuaj - (Tuberculosis, Germs and Medicine) Hmong with English CC 2024, Tej zaum
Anonim

Ntawm tag nrho cov kab mob vascular, cov kws tshaj lij txheeb xyuas ib qho uas tsis yooj yim kho tau, thiab nws cov txiaj ntsig tsis tuaj yeem kwv yees. Qhov no yog thrombophlebitis ntawm qis extremities. Qhov no yog lub npe ntawm cov txheej txheem inflammatory ntawm phab ntsa venous, uas entails tsim cov ntshav txhaws nyob rau hauv venous lumen. Tus kab mob no tsuas yog tsim nyob rau hauv cov hlab ntsha ntawm ob txhais ceg. Hauv tsab xov xwm no, peb yuav tham ntau ntxiv txog tus kab mob no, nws cov laj thawj thiab txoj hauv kev tseem ceeb ntawm kev kho.

Kev piav qhia tus kab mob

Thrombophlebitis yog cov txheej txheem inflammatory uas tsim nyob rau hauv cov phab ntsa ntawm cov leeg thiab feem ntau nrog los ntawm kev tsim cov ntshav txhaws. Raws li txoj cai, tus kab mob no tshwm sim hauv cov neeg laus, tab sis nyob rau hauv xyoo tas los no, ntau thiab ntau zaus tus kab mob no tau kuaj pom hauv cov tub ntxhais hluas. Lub ntsiab txaus ntshai ntawm pathology yog tsim cov ntshav txhaws. Qhov no yog cov ntshav me me uas tuaj yeem tawg tau txhua lub sijhawm. Yog tias qhov no tshwm sim, qhov tshwm sim ntawm kev txhaws ntawm qee cov hlab ntsha thiab cov hlab ntsha nce ntau zaus, uas feem ntau xaus rau kev tuag.

thrombophlebitis yog
thrombophlebitis yog

Kev faib tawm

Nyob ntawm thaj chaw ntawm cov txheej txheem inflammatory nws tus kheej, lawv txawv:

  • Thrombophlebitis ntawm sab caj npab.
  • Internal organ puas.
  • Thrombophlebitis ntawm qis extremities.

Qhov kawg ntawm tus kab mob no tau lees paub tias yog hom kab mob ntau tshaj plaws. Raws li qhov xwm txheej ntawm qhov txhab, mob thiab mob ntev ntawm tus kab mob no txawv.

Tsis tas li ntawd, cov kab mob no tuaj yeem cuam tshuam tsis tau tsuas yog cov leeg sib sib zog nqus, tab sis kuj cov hlab ntsha.

Qhov laj thawj tseem ceeb

Kev loj hlob ntawm tus kab mob no cuam tshuam los ntawm ntau yam. Qee qhov xwm txheej, cov kws kho mob pom tias nws nyuaj rau npe qhov tseeb ntawm cov txheej txheem pathological no. Piv txwv li, kev txo qis hauv kev tiv thaiv kab mob thiab lub xeev tsis muaj zog ntawm lub cev tag nrho tuaj yeem ua rau muaj kab mob tsis zoo. Txawm li cas los xij, feem ntau ua rau varicose leeg, nrog rau qhov hu ua mob venous insufficiency. Kev hloov pauv zuj zus hauv cov qauv ntawm cov phab ntsa ntawm cov hlab ntsha, cuam tshuam ntawm cov ntshav ntws ib txwm muaj - tag nrho cov xwm txheej no ua rau o ntawm phab ntsa ntawm cov hlab ntsha thiab tsim cov ntshav txhaws.

Tseem muaj lwm yam ua rau thrombophlebitis:

  • Kev raug mob ntawm cov leeg qis.
  • Genetic predisposition.
  • noj tshuaj hormonal.
  • tus cwj pwm phem.
  • Oncology.
  • Ntshav ntshav khov.
  • Kev tsis haum.
  • Kev ua haujlwm ntawm gynecological xwm.

Leej twg txaus ntshai?

Specificpawg ntawm cov neeg uas kws kho mob muab faib ua pawg uas muaj kev pheej hmoo. Lawv muaj qhov ua tau zoo tshaj plaws ntawm thrombophlebitis ntawm qis extremities. Cov no suav nrog cov hauv qab no:

  • Txoj kev ua neej nyob tsis tu ncua.
  • Varicose sufferers.
  • Txhua tus uas nyuam qhuav tau phais thiab yuav tsum tau pw ib ntus.
  • Cov poj niam hauv txoj haujlwm "interesting".
  • Cov neeg mob hnyav dhau.
  • Tus neeg laus.

Symptoms

Cov cim qhia dab tsi qhia tias thrombophlebitis? Tus kab mob no pib nrog mob hnyav ntawm ob txhais ceg. Nws qhov kev siv zog tuaj yeem sib txawv, tab sis nyob rau hauv txhua rooj plaub, nws nce nrog taug kev. Cov neeg mob feem ntau qhia qhov mob ntawm daim tawv nqaij thaum kov raws cov leeg.

Koj tuaj yeem pom tias nyob rau thaj tsam cuam tshuam, daim tawv nqaij tau hloov nws cov xim liab. Tom qab ib pliag, cov xim tig xiav thiab tom qab ntawd xim av. Qhov kub ntawm thaj chaw no siab dua me ntsis piv rau cov chaw noj qab haus huv.

Daim tawv nqaij hla cov leeg, uas cov ntshav txhaws tsim, pom pom tseeb. Feem ntau, cov neeg mob qhia txog qhov nce hauv lub cev kub, tab sis qhov tseeb tom qab ib lub lim tiam nws rov zoo li qub. Muaj o me ntsis ntawm txhais ceg. Nws yog nyob rau theem no hauv kev txhim kho tus kab mob uas cov neeg mob nrhiav kev pab los ntawm kws kho mob.

ua rau thrombophlebitis
ua rau thrombophlebitis

thrombophlebitis thiab varicose leeg

Ib yam ntawm cov kab mob feem ntau yog hu ua varicosethrombophlebitis. Nws yog nrog los ntawm qhov mob hnyav thiab cov yam ntxwv reddening ntawm daim tawv nqaij. Nrog rau tus kab mob no, ib tug pronounced edema ncig ib leeg nrog ib tug thrombus. Cov tsos mob tseem ceeb ntawm daim ntawv ntawm tus kab mob no yog qhov mob hnyav heev thaum lub sijhawm txav mus los, nrog rau kev kov rau thaj tsam cuam tshuam. Hauv qee tus neeg mob, qhov kub thiab txias nce thiab qhov xwm txheej hnyav zuj zus, uas zoo li cov tsos mob ntawm tus mob khaub thuas. Kev kho mob hauv qhov no suav nrog kev siv tshuaj tiv thaiv kab mob, tshuaj pleev tshuaj hormonal.

varicose thrombophlebitis
varicose thrombophlebitis

Thrombophlebitis hauv cov poj niam yav tom ntej hauv kev ua haujlwm

Kev xeeb tub yog lub sijhawm zoo li no hauv tus poj niam lub neej thaum nws tau ntsib cov kab mob loj, ib qho ntawm cov kab mob thrombophlebitis. Tus kab mob no tau piav qhia los ntawm kev nce hauv intrauterine siab thiab kev hloov pauv ntawm lub cev hauv cov ntshav. Qhov txaus ntshai tshaj plaws ntawm thrombophlebitis nyob rau hauv qis extremities yog nyob rau hauv thawj hnub tom qab yug me nyuam, raws li lawv provoke loj overloads nyob rau hauv kev ua hauj lwm ntawm lub vascular system nws tus kheej. Raws li qhov tshwm sim, cov ntshav ntws tsis zoo, thiab cov ntshav txhaws.

Thawj harbiners ntawm tus kab mob yuav tshwm sim nyob rau hauv lub thib ob peb lub hlis twg, thaum lub cev hnyav ntawm lub neej yav tom ntej poj niam nyob rau hauv lub zog pib active nce. Ua ntej, cov tsos ntawm cov kab laug sab leeg tau sau tseg, tom qab ntawd cov leeg ntawm ob txhais ceg nce, thiab mob tsis xis nyob tshwm sim. Thaum yav tsaus ntuj, ob txhais ceg o ntau thiab ntau zaus, txawm tias cramps yuav tshwm sim. Tag nrho cov tsos mob saum toj no yuav tsum yog vim li cas hu rau phlebologist. Tshwj xeeb tom qabKev kuaj xyuas tiav tuaj yeem muab cov lus pom zoo los tiv thaiv kev hloov pauv ntawm tus kabmob mus rau hauv cov ntaub ntawv hnyav dua.

kab mob thrombophlebitis
kab mob thrombophlebitis

mob thrombophlebitis

Cov tsos mob ntawm tus kab mob yog pom tseeb tshaj plaws nyob rau hauv daim ntawv mob thrombophlebitis. Thaum xub thawj, cov neeg mob nco txog qhov tsos mob ntawm tag nrho cov kev taw qhia ntawm cov ntshav khiav ntawm cov hlab ntsha cuam tshuam. Tom qab ntawd muaj kev hloov pauv ntawm daim tawv nqaij ntawm qhov chaw no. Tawm tsam keeb kwm yav dhau los ntawm kev nce hauv lub cev kub, txhais ceg ua txias. Thaum thawj cov tsos mob ntawm tus mob sib txawv ntawm tus kab mob, nws raug nquahu kom hu rau tus kws kho mob tam sim ntawd. Ua ntej nws tuaj txog, koj yuav tsum nyob twj ywm hauv txaj thiab tsis txhob mus rau kev kho tus kheej (tshuaj pleev tshuaj pleev, noj tshuaj tua kab mob). Qhov tseeb yog tias txoj hauv kev zoo li no tuaj yeem ua rau muaj kev sib cais ntawm qhov me me ntawm cov ntshav txhaws thiab nws nkag mus rau lwm lub cev ntawm lub cev.

Dab tsi yog qhov txaus ntshai ntawm tus mob thrombophlebitis? Tus kab mob no kis tau sai heev rau hauv daim ntawv nyuaj (dawb / xiav phlegmasia). Nws feem ntau yog nrog los ntawm kev mob ntxiv. Cov tawv nqaij ua ntej tig daj ntseg, tom qab ntawd kis tau lub xim liab. Yog li ntawd nws tseem ceeb heev kom tsis txhob ncua kev pab tsim nyog.

Tus kab mob sib kis

Mob thrombophlebitis yog ib yam kab mob uas tsis muaj qhov pom tseeb hauv kev kho mob. Qhov mob hauv qhov no yog ib ntus, feem ntau tshwm sim tom qab kev ua si ntawm lub cev (kev ua si, hiking, thiab lwm yam). Thaum so, lawv xyaum tsis nco txog lawv tus kheej. Tias yog vim li cas nyob rau hauv lub sij hawm variantkab mob, cov neeg mob tsis maj mus nrhiav kev pab los ntawm kws kho mob.

Diagnosis

Tus kab mob "thrombophlebitis", raws li txoj cai, tsis ua rau muaj teeb meem tshwj xeeb hauv kev kuaj mob. Niaj hnub no, cov kev tshawb fawb hauv qab no tau siv:

  • Doppler ultrasound siv cov xim sib txawv. Txoj kev tshawb no tso cai rau koj los soj ntsuam tag nrho cov kab mob ntawm cov phab ntsa ntawm cov hlab ntsha, txiav txim siab qhov muaj cov kab mob thrombotic thiab qhov tseeb ntawm tus kab mob.
  • Rheovasography.

Kev kuaj mob hauv chaw kuaj mob tsis tshua siv, txij li kev kuaj ntshav tsis tu ncua tsuas tuaj yeem lees paub cov tsos mob me me ntawm cov txheej txheem inflammatory.

thrombophlebitis ntawm cov hlab ntsha superficial ntawm qis extremities
thrombophlebitis ntawm cov hlab ntsha superficial ntawm qis extremities

Yuav ua li cas kho tau?

Kev kho mob tseem ceeb yuav tsum yog txhawm rau tshem tawm cov txheej txheem inflammatory thiab thrombotic. Thrombophlebitis ntawm cov hlab ntsha ntawm sab nraud ntawm cov leeg sab hauv thaum ntxov ntawm txoj kev loj hlob yuav tsum tau siv cov ntaub qhwv tshwj xeeb ua los ntawm cov ntaub qhwv elastic. Raws li cov tsos mob tshwm sim, koj tuaj yeem hloov mus rau kev kho mob tshwj xeeb knitwear (compression underwear).

Raws li kev kho tshuaj, cov tshuaj hauv qab no suav tias yog qhov zoo tshaj plaws hauv kev tawm tsam tus kabmob no:

  • Non-steroidal anti-inflammatory tshuaj ("Diclofenac", "Ketoprofen"). Lawv txo cov txheej txheem inflammatory, thiab tseem muaj cov nyhuv analgesic. Cov kev npaj no muaj nyob rau hauv daim ntawv ntawm gels thiab qhov quav suppositories.
  • Derivatives of routine ("Troxerutin", "Rutozid", "Troxevasin"). Cov ntaub ntawvnyiaj tsis tsuas yog txo qhov mob, tab sis kuj tiv thaiv phab ntsa ntawm cov hlab ntsha.
  • YEnzymes ("Wobenzym", "Flogenzym"). Cov tshuaj no muaj lub luag haujlwm los txo qhov o, txhawb kev tawg ntawm cov ntshav txhaws.
  • Disaggregants ("Trental", "Reopoliglyukin").

Kev saib xyuas tshwj xeeb yuav tsum muaj kev mob thrombophlebitis thaum cev xeeb tub. Raws li koj paub, cov niam muaj kev cia siab tsis pom zoo kom noj tshuaj. Txhawm rau kom tsis txhob raug tshuaj, cov kws kho mob xav kom siv cov ris tsho hauv qab tshwj xeeb compression. Nyob rau tib lub sijhawm, o ntawm ob txhais ceg yog txo qis, qaug zog ploj, thiab cramps ploj. Tsis tas li ntawd, nws yog ib qho tseem ceeb rau kev taug kev thiab ua ib ce tshwj xeeb uas yog lub luag haujlwm rau kev txhim kho venous outflow.

superficial thrombophlebitis ntawm qis extremities
superficial thrombophlebitis ntawm qis extremities

kho mob phais

Yuav ua li cas thiaj li tshem tau thrombophlebitis? Kev ua haujlwm tsuas yog raug sau tseg yog tias tus kab mob no tshwm sim los ntawm daim ntawv nce mus, thaum muaj kev hem thawj ntawm kev hloov pauv ntawm pathology mus rau cov leeg sib sib zog nqus. Cov neeg mob zoo li no feem ntau pom zoo mus pw hauv tsev kho mob, lawv tau mus kuaj ultrasound ntawm thaj chaw cuam tshuam, thiab tom qab ntawd tau txais kev ua haujlwm. Kev kho mob phais hauv qhov no suav nrog kev ligation ntawm cov leeg saphenous thiab tshem tawm tag nrho cov leeg varicose uas twb muaj lawm.

kev ua haujlwm ntawm thrombophlebitis
kev ua haujlwm ntawm thrombophlebitis

Muaj Teeb Meem

Cov teeb meem txaus ntshai tshaj plaws ntawm tus kab mob tshwm sim yog tias lub thrombus nws tus kheej yog xoob txuas rau ntawm phab ntsa vascular, thiab nws sab sauv "floats" hauv lumen ntawm cov leeg. Qee lub sij hawm, nws cov khoom tawg tuaj yeem tawm thiab, ua ke nrog cov ntshav, nkag mus rau hauv lub plawv thiab ua rau muaj kev cuam tshuam embolism (kev thaiv ntawm cov hlab ntsha pulmonary). Raws li qhov tshwm sim, qhov teeb meem no tuaj yeem ua rau tuag, poob siab, mob plawv, lossis lub plawv tsis ua haujlwm.

Ib qho teeb meem txaus ntshai sib npaug yog sepsis. Ntshav lom kuj feem ntau tuag taus.

Yog tus neeg mob tsis mob siab rau tus kab mob lossis nyiam siv cov tshuaj ib txwm siv, cov txheej txheem inflammatory tuaj yeem txav mus rau cov ntaub so ntswg. Nyob rau hauv cov xwm txheej zoo li no, peb tab tom tham txog ib qho abscess lossis phlegmon ntawm cov ntaub so ntswg.

Yuav ua li cas tiv thaiv kev loj hlob ntawm tus kab mob?

Kev tiv thaiv ntawm thrombophlebitis feem ntau cuam tshuam nrog kev kho mob raws sijhawm thiab muaj peev xwm ntawm cov hlab ntsha pathologies. Ntawm no peb tab tom tham, ua ntej ntawm tag nrho cov, txog cov theem pib ntawm varicose leeg. Nws tseem ceeb heev kom tshem tawm tag nrho cov foci ntawm cov kab mob hauv lub cev (caries, purulent txheej txheem, sinusitis, tonsillitis).

Txoj kev ua neej nyob, noj zaub mov kom zoo, ua tiav kev tsis lees paub tus cwj pwm phem - tag nrho cov xwm txheej no yog ib feem ntawm kev tiv thaiv kab mob thrombophlebitis.

Yog tus neeg mob twb tau kis tus kab mob no lawm, yuav tsum tau ua txhua yam kom tsis txhob rov muaj dua. Ntxiv nrog rau kev kho tshuaj tseem ceeb, nws yog ib qho tseem ceeb kom suav nrog kev ntsuas lub cev hauv cov txheej txheem kho mob.

Zoo kawg

Hauv kab lus no, peb tau piav qhia txog dab tsi thrombophlebitis ntawm cov hlab ntsha ntawm sab qis yog dab tsi, nws yog dab tsi ua rau kev loj hlob thiabnrog cov tsos mob. Tus kab mob no yuav tsum tsis txhob tso tseg, vim qhov no ua rau muaj kev pheej hmoo ntawm kev tsim teeb meem loj heev. Ib txoj hauv kev tsim nyog tshwj xeeb rau kev kho mob tso cai rau koj kom kov yeej cov kab mob no.

Peb cia siab tias txhua yam ntaub ntawv uas tau nthuav tawm ntawm no yuav muaj txiaj ntsig zoo rau koj. Noj qab nyob zoo!

Pom zoo: