Phlebitis (thrombophlebitis): chii, zviratidzo uye kurapwa kunoitwa
Zvemukati
Phlebitis, kana thrombophlebitis, inoumbwa nekuumbwa kweropa mukati memutsinga, izvo zvinodzivirira kuyerera kweropa, izvo zvinokonzeresa kuzvimba, kutsvuka uye kurwadziwa munzvimbo yakakanganiswa. Aya mamiriro anoonekwa seanokurumidzira ekurapa sezvo anogona kukonzeresa kumatambudziko senge yakadzika vein thrombosis kana pulmonary embolism, semuenzaniso.
Ropa rinovhara kazhinji rinoumbwa mumakumbo, uye hazviwanzo kuita mune dzimwe nzvimbo dzomuviri dzakadai semaoko kana mutsipa. Kazhinji yenguva, thrombophlebitis inoitika kana munhu achipedza nguva yakawanda akagara, munzvimbo imwechete, sezvazvinogona kuitika mukati merwendo rurefu, zvichiwanzoitika kune vanhu vanotambura nekutenderera kweropa. Nzwisisa, mune zvakadzama, izvo zvinokonzeresa thrombophlebitis.
Thrombophlebitis inorapika, uye kurapwa kunofanirwa kutungamirwa nachiremba, zvinoenderana nekuomarara kwemamiriro ese, uye zororo, kushandiswa kwemirawo masokisi, kumanikidza uye mishonga yekurwisa-kuzvimba kana, kana zvichidikanwa, mishonga yeanticoagulant inogona kuratidzwa.
Ndezvipi zviratidzo
Thrombophlebitis inogona kuitika mune yekunze tsinga kana mune yakadzika tsinga, iyo inogona kukanganisa mhando uye kusimba kwezviratidzo.
1. Zvemberi thrombophlebitis
Zviratidzo zvepamusoro-soro thrombophlebitis ndezvi:
- Kuzvimba uye kutsvuka mune yakakanganiswa tsinga uye ganda;
- Marwadzo palpation yedunhu.
Kana uchiona mamiriro ezvinhu aya, zvinokurudzirwa kuenda kuchipatara kuna chiremba kunokumbira Doppler ultrasound, kuti utarise kukura kwechirwere uye wobva waratidza kurapwa kwacho.
2. Yakadzika thrombophlebitis
Zviratidzo zveakadzika thrombophlebitis ndezvi:
- Mutsinga unovhunduka;
- Kuzvimba kwechikamu chakakanganiswa, kazhinji chemakumbo;
- Kurwadziwa munzvimbo yakakanganiswa;
- Kutsvuka uye kupisa mune yakakanganiswa mitezo, chete mune zvimwe zviitiko.
Deep thrombophlebitis inoonekwa sechimbichimbi. Naizvozvo, kana uchitsanangura zvimwe zvezviratidzo izvi, zvinokurudzirwa kuenda kuchipatara kunotanga kurapwa nekukasira, sezvo paine njodzi yekuvhara kweropa kufamba uye zvichikonzeresa mutsinga thrombosis kana pulmonary embolism.
Nzwisisa, mune zvakadzama, chii chakadzika vein thrombosis uye kuti ungaiziva sei.
Kurapwa kunoitwa sei
Kurapa kwe phlebitis kunofanira kugara kuchitungamirwa nachiremba, uye kunogona kuitwa nekutungamirwa kweanticoagulants, kukwiza nemazaya echando mudunhu, kukwirisa gumbo nerutsigiro rwemutsamiro uye kushandiswa kwekusimudzira compression stockings, senge Kendall masokisi., Semuyenzaniso.
Kurapa kunokanganiswa nekuoma kwezviratidzo uye nenzvimbo pakaumbwa iro clot. Dzimwe sarudzo dzokurapa dzinogona kuratidzwa dzinosanganisira:
Yekunze thrombophlebitis:
Kurapa kwepamusoro thrombophlebitis ine zvinotevera:
- Kushandiswa kwekusimudzira compression stockings;
- Kushanda kwe gauze yakanyorova mu zinc oxide, yekuzorora kwechiratidzo, sezvo ichiita senge yemunharaunda inorwisa-kuzvimba;
- Kubata nemafuta ekurwisa-kupisa kubva munzvimbo yakakanganiswa, senge diclofenac gel;
- Zorora nemakumbo akakwidziridzwa, nerubatsiro rwepiro, uchiita mafambiro ekutsoka kwetsoka, sezvakaratidzwa mumifananidzo:
Aya maekisesaizi, pamwe nechinzvimbo chine makumbo akasimudzwa, anofarira kudzoka kune venous kuburikidza negiravhiti drainage.
Uye zvakare, kushandiswa kweanticoagulant madhiragi, kubatsira kuputsa iyo clot, kunogona zvakare kuratidzwa, pamberi pehukuru hukuru kana pavanokonzeresa zvakanyanya zviratidzo. Mune zvimwe zviitiko, zvinogona kuve zvakakosha kuita oparesheni kuti ubatanidze nzvimbo yakakanganiswa uye kubvisa kugwamba.
Kurapa kwakadzika thrombophlebitis:
Nekurapa kwakadzika thrombophlebitis, chiremba anogona kukurudzira kushandiswa kwemaanticoagulants senge heparin, warfarin kana rivaroxaban powder, semuenzaniso, izvo zvinoderedza kuumbwa kwetrombi, kudzivirira moyo kana mapapu.
Mushure mekutanga kwekurapwa kuchipatara, uko bvunzo dzekutanga dzinoitwa uye muyero wemushonga wakatarwa, kurapwa kwacho kunogona kuenderera kumba kwemurwere, uye kunogona kutora kwemwedzi mitatu kusvika kumitanhatu, zvinoenderana nekuomarara kunoratidzwa. Kana munhu aenda kumba, chiremba anogona zvakare kukurudzira kupfeka compression masokisi, ayo anobatsira kudzivirira kuzvimba uye zvimwe zvinonetsa.
Mune zvimwe zviitiko, chiremba wako anogona kukurudzira kuvhiyiwa kubvisa varicose veins.