Mob ntawm sib sib zog nqus thrombophlebitis: Homans cov tsos mob

Homans cov tsos mob - ib tug ntawm cov uas cov tsos mob los qhia tias thrombophlebitis sib sib zog nqus cov hlab ntsha ntawm qis extremities. Nws yuav pab tau ua ib tug mob nyob rau hauv thawj 2-4 hnub ntawm pib ntawm tus txheej txheem. Thrombophlebitis - ib tug es ceev qhov teeb meem, raws li statistics suffers los ntawm ib tug kab mob 1/5 ntawm cov pejxeem. Tsiag ntawv venous o (phlebitis), kev ntshav txaus thiab tsim los ntawm cov ntshav txhaws nyob rau hauv lub vascular txaj.

Ces dag thiab sib sib zog nqus thrombophlebitis

Ces dag thrombophlebitis feem ntau tshwm sim nyob rau hauv lub cheeb tsam ntawm varicose leeg thiab yuav yuav ntes tau visually. Ib tug ces dag o muaj feem xyuam rau cov hlab ntsha nyob nruab nrab ntawm daim tawv nqaij thiab nqaij. Mob mob tshwm sim nyob rau hauv lub chav kawm ntawm lub puas leeg, daim tawv nqaij liab liab, kub ntawm lub nce. Nyob rau palpation tus kws kho mob tim khawv compacted nodules nyob rau hauv qhov chaw los khov rau ntawd Symptoms. Feem ntau cov feem ntau, qhov mob yog tsis yooj yim.

Lwm qhov teeb meem no tshwm sim thaum ib tug sib sib zog nqus thrombophlebitis vim hais tias cov leeg nyob rau hauv cov nqaij, invisible. Kwv yees li 50% ntawm cov neeg mob yog tsis txawm paub hais tias lawv muaj ib tug thrombosis. Nyob rau hauv ntev venous li qub thaum lub sij hawm cev qhuav dej tshwm pigmentation ntawm daim tawv nqaij, qhov ncauj tawm yuav tshwm sim. Xav hais tias nws sib sib zog nqus venous thrombosis zaum yuav nyob rau nram qab no thaj av:

• dragging mob nyob rau hauv lub qis ceg leeg, aggravated los ntawm heev sawv los yog thaum tej lub ob txhais ceg cia;
• lawm ntawm fullness nyob rau hauv lub ob txhais ceg;
• o ntawm lub qis ceg;
• muab subcutaneous cov ntaub so ntswg.

Nyob rau kev xeem, muaj yog ib tug zoo Homans cov tsos mob - nws yog lub feem ntau cov yam ntxwv feature ntawm o thiab sib sib zog nqus cov hlab ntsha thrombosis. Nws tso cai rau koj mus ua ib yam ua ntej tus mob txawm thaum lub sij hawm thawj zaug soj ntsuam.

Yuav ua li cas rau kev tshawb nrhiav sib sib zog nqus cov hlab ntsha thrombosis?

Homans cov tsos mob piav los ntawm American kws kho mob J. Homans nyob rau hauv 1934. Yuav kom txiav txim seb qhov sib sib zog nqus thrombophlebitis neeg mob pw rau nws rov qab, lub ceg yog hais kom khoov lub hauv caug nyob rau hauv ib txoj cai kaum sab xis. Thaum lub rear zog ntawm ko taw (cov) mob nce sharply nyob rau hauv lub rear ceg nqaij. Raws li ntseeg los ntawm tus sau, zoo Homans cov tsos mob yog tshwm sim los ntawm compression ntawm lub sib sib zog nqus leeg ntawm lub cuam tshuam cov leeg.

Ntsuas ntawm qhov ib ncig ntawm txoj cai thiab sab laug tibia pab mob, ntsig txog, ntawm cov cuam tshuam los povtseg yuav muaj ib tug loj dua hauv lub cheeb.

Homans cov tsos mob tsis tus tsuas yog kos npe rau ntawm tus kab mob no. Nyob rau kev xeem ices nce daim tawv nqaij rhiab heev, mob siab rau lub tibia nyob rau hauv lub anteroposterior kev taw qhia (Mauxes cov tsos mob), lub zos rhiab rau palpation thiab lub puab rear nto ntawm lub tibia. Tsub kom lub zos kub.

Instrumental txoj kev mob: vascular ultrasound, ob lub tsev PP, rheovasography.

differential mob

Cov tsos mob no zoo xws li thrombophlebitis zaum yuav tshwm sim nyob rau hauv lwm yam kab mob ntawm tus taw. O ntawm lub qis extremities yog cai nyob lymphostasis, lub plawv tsis ua hauj lwm, kev puas kev raug mob, osteoarthritis ntawm lub hauv caug. Nyob rau hauv cov neeg mob, Homans tsis zoo mob.

Tej zaum mob thiab o tshwm sim txawm tom qab ib tug me nyuam raug mob, tshwj xeeb yog nyob rau hauv cov laus hnub nyoog. Nws yuav tsum yog tus neeg ua ib qho kev ua tau txawv txawv zog, dhia los yog khiav raws li muaj ib tug hematoma ntawm cov nqaij. Ob peb hnub tom qab, nws poob rau lub ankles, ko taw nyob rau hauv qhov chaw no ua ib tug xiavlus xim.

Vim hais tias cov kab mob txuam nrog o thiab mob nyob rau hauv lub taw, muaj ib tug loj tus naj npawb, tsis txhob tsis saib tsis xyuas lub tswv yim ntawm tus kws phais. Hais tias nws yuav nrhiav tau tawm qhov ua rau ntawm lub pathology.