Thrombophlebitis ntawm lub sab sauv extremities: Cov tsos mob thiab kev kho mob, cov duab

Yuav ua li cas yog thrombosis ntawm lub sab sauv extremities? Cov tsos mob thiab kev kho mob ntawm tus kab mob no yuav tsum tau tham tom qab. Tsis tas li ntawd, koj yuav kawm tau dab tsi yog qhov ua rau ntawm no pathological mob thiab dab tsi yog nws kev twv.

cov ntaub ntawv

Thrombophlebitis o hu ua lub venous phab ntsa, uas yog tsiag ntawv los ntawm tsim ntawm thrombus. Tsim xws li ib tug kab mob tej zaum yuav nyob rau hauv lub sab sauv thiab lub qis extremities. Ntxiv mus, nws yuav cuam tshuam tsis tsuas cov nto tab sis kuj sib sib zog nqus leeg.

ua rau

Yog vim li cas muaj thrombophlebitis ntawm cov leeg ntawm lub sab sauv nqua? Qhov no pathological mob tej zaum yuav tshwm sim vim ob peb yam tseem ceeb ntawm ib zaug. Nyob rau hauv tsoos tshuaj, muaj peb lub ntsiab:

• Thrombophlebitis ntawm lub sab sauv nqua, cov kev kho mob uas yuav tsum tsuas yog ib tug kws kho mob, tej zaum nws yuav ua tau vim ib tug ntse sawv nyob rau hauv cov ntshav txhaws. Pab rau xws li ib tug lub xeev yuav ua tau me nyuam, ua nws cev xeeb tub, kev tshuaj ntsuam genetic predisposition thiab muaj ntshav qab zib.
• Thrombophlebitis ntawm lub sab sauv extremities, cov tsos mob ntawm uas yog lub npe hu rau ntau, feem ntau muaj raws li ib tug tshwm sim ntawm sab hauv vascular phab ntsa raug mob. Qhov no feem ntau yog tshwm sim nyob rau hauv lub chav kawm ntawm ib tug tsis yog kev txhaj tshuaj. Nyob rau hauv tas li ntawd, qhov kev raug mob yuav ua rau tawg kev kho mob thiab cov kws khomob.
• Qhov thib peb tau, qhov no txawv xws li qeeb ncig. Nws feem ntau yog tshwm sim nyob rau hauv lub keeb kwm yav dhau ntawm txoj kev loj hlob ntawm varicose leeg, rog thiab immobility ntawm nqua.

Peb tsis tau hais tias tus kab mob no nyob rau hauv nqe lus nug tej zaum yuav tshwm sim tiv thaiv lub keeb kwm ntawm ib tug xov tooj ntawm lwm yam. Piv txwv li, thaum tus pob txha tawg tshwm sim tsis tau tsuas yog nrog los ntshav, tab sis kuj ho tsub kom txog qib ntawm cov ntshav txhaws. o ntawm cov leeg yuav tsim raws li ib tug tshwm sim ntawm tus kab mob txheej txheem.

pathogenesis

Yuav ua li cas yog thrombosis ntawm lub sab sauv extremities? Cov tsos mob thiab kev kho mob ntawm tus kab mob no yuav tsum tau paub txog tag nrho cov neeg mob uas yog cov nquag mus rau nws. Feem ntau cov feem ntau kho tus kab mob no muaj tom qab cov neeg kho tshuab kev puas tsuaj. Tej zaum lawv yuav ntxias ntau yam traumas, los yog gynecological phais, yug menyuam. Lub pathogenesis ntawm thrombosis Virchow lub triad. Nws yog lub npe hu hais tias nws muaj xws li phab ntsa hauv cov hlab ntsha endothelium, nce ntshav thiab qeeb txaus txheej txheem.

Ib qho tseem ceeb luag hauj lwm nyob rau hauv txoj kev loj hlob ntawm tus kab mob no plays ib tug vascular endothelium. Qhov no txoj kev yog yus txhab ntawm ob txhais tes thiab qhov kev tso tawm ntawm interleukins. Tsis ntev los no activates ib tug cascade (coagulation) thiab qe ua ntshav khov. Raws li ib tug tshwm sim, lub endothelial nto acquires thrombogenicity. Nws yuav tsum tau muab sau tseg tias cov tsim ntawm ib tug ntshav los khov rau ntawd thiab yuav ua rau kom cov nqaij mos thromboplastin. Loj qhov ntau ntawm nws nkag mus rau hauv cov ntshav khiav los ntawm puas cov ntaub so ntswg.

Nyob rau hauv thaum uas tig mus nrog cov piav dab yuav pib, thiab nyiaj mechanisms. Cov no muaj xws li ib tug tag nrho, ib nrab los yog txawj thrombolysis, raws li zoo raws li lub tsim ntawm collateral ncig.

cov tsos mob

Raws li qhia thrombosis ntawm lub sab sauv extremities? Cov tsos mob, yees duab thiab kev kho mob ntawm tus kab mob no yuav tsum tau nthuav tawm nyob rau hauv no tsab xov xwm.

Heev feem ntau qhov no o muaj vim hais tias ntawm varicose veins. Cov tsos mob ntawm tus kab mob no yog mob. Lawv yuav ua tau me me thiab mob. Tsis tas li ntawd, muaj yog liab nyob rau hauv lub cheeb tsam nyob qhov twg nws yog zoo heev detectable Vienna. Thaum lub sij hawm, nws yuav nyuaj thiab ntxhib. Nyob rau hauv thaum uas tig mus nrog cov dab nyob rau hauv ib tug neeg mob lub cev kub yuav sawv.

Nws yuav tsum tau tshwj xeeb yog muab sau tseg tias qaum povtseg ces dag thrombophlebitis tsis roos ib tug tshwj xeeb teeb meem. Detachment ntawm lub thrombus nyob rau hauv lub xeev no yog tsis tau, yog li ntawd, ib tug kev hem thawj rau tib neeg lub neej muaj. Txawm li cas los, nws yog ib qho tseem ceeb los npaj cov kev kho mob thiab tiv thaiv kom txhob cov kev hloov ntawm tus kab mob nyob rau hauv tus txheej txheem ntawm kev puas tsuaj ntawm sib sib zog nqus cov hlab ntsha.

Yuav ua li cas lwm yam kev mob yam ntxwv ntawm tus kab mob nyob rau hauv lo lus nug? Thrombophlebitis yuav ua lymph node. Tsis tas li ntawd nquag cai mob heev mus rau qhov mob hlab ntsha.

Sib sib zog nqus cov hlab ntsha thrombosis ntawm lub sab sauv extremities

Feem ntau cov feem ntau, lub yeej ntawm sib sib zog nqus tib neeg leeg tshwm sim tom qab tso dej thawj coj ntawm cov tshuaj, yuav ua tau kom voos. Tsis tas li ntawd, yog vim li cas ntawm tej thrombosis feem ntau yuav tau lub zos kev poob plig thiab kab tom. Nrog lub yeej ntawm lub sib sib zog nqus leeg ntawm lawv khiav mus muaj hyperemia thiab infiltration. Dig muag, txoj kev no yog heev uas zoo sib xws rau ib cov ntshav band, uas yog nyob rau hauv lub inflammatory txheej txheem. Tam sim ntawd lom mob palpation thiab muaj cov tuab cov pob caus ntawd. Tsis tas li ntawd nyob rau hauv raug cheeb tsam, ib tug thiaj li hu ua COG, uas yog sawv cev hnov foob.

Nyob rau hauv cov ntaub ntawv uas, yog hais tias tus lesion hlab ntsha seized nyob rau hauv lub dab teg los yog cubital cov hlab ntsha, tus neeg mob yog disturbed muaj ntawm cov pob qij txha. Qhov no yog vim muaj ib tug ntse mob. Tsis tas li ntawd, cov txheej txheem nyob rau hauv lo lus nug yog yuav luag ib txwm nrog ib qho kev nce nyob rau hauv kub. Nrog txaus txoj kev kho thrombophlebitis recedes tom qab txog 12 hnub. Nyob rau hauv cov kev kho mob ntawm o zuj zus lawm tso, thiab Vienna yog kiag li rov qab los.

diagnostics

Yuav ua li cas rau kev tshawb nrhiav thrombosis ntawm lub sab sauv extremities? Cov tsos mob thiab kev kho mob ntawm tus kab mob no txhais ib nqaim specialist - phlebologist. Nws kuj kuaj tus kab mob no. Yuav ua li cas no tshwm sim? Tej yam zoo li yog heev yooj yim. Siv lawv los ntawm doppler ultrasound thiab rheovasography. Yog xav tau ntau yog cov ntaub ntawv thov ultrasound ob lub tsev angioscanning. Qhov no tus txheej txheem no ua los ntawm cov xim coding hauv cov hlab ntsha.

Vim xws mob yog tau los soj ntsuam tsis tau tsuas yog rau lub xeev ntawm lub venous phab ntsa, tab sis lawv cov clearance. Nws yog tseem tau mus txhais thrombotic masses thiab qhov xwm ntawm tus tsim thrombus. Tej zaum cov kev tso cai rau peb los txiav txim txawm ntawm koj kwv yees "hnub nyoog" ntawm lub thrombus. Los ntawm txoj kev, lub ultrasound scan ntawm cov leeg nyob rau hauv daim tawv nqaij thiab qhia raws li ntawm cov thrombus.

Nrog hais txog kuaj mob, nws tsis ua si ib tug tshwj xeeb lub luag hauj lwm. Tej kev cia mus qhia xwb inflammatory txheej txheem, thiab lawv tsis sau, nyob rau hauv uas lub nruab nrog cev originated thrombus.

Thrombophlebitis ntawm lub sab sauv extremities: Cov tsos mob thiab kev kho mob

Cov tsos mob ntawm cov kab mob xws tau piav saum toj no. Yuav ua li cas mus kho nws? thrombophlebitis conservative kev kho no tau tsuas yog hais tias tus cheeb tsam yog me me. Thaum tus kab mob no yog sib sib zog nqus cov hlab ntsha ntau heev chaw uasi mus rau kev phais kev cuam tshuam. Tshuaj kho ntawm tus kab mob no aims los mus tiv thaiv tau cov teeb meem, raws li tau zoo raws li cov kev tiv thaiv ntawm thrombus tsim.

Yuav kom daws o, resorting mus xws li cov tshuaj raws li "Diclofenac", "Ibuprofen" thiab "aspirin". Lawv tsis tsuas yog tshem tawm o tab sis kuj yuav txo qhov o thiab txo qhov mob. Yog lug siv ncaj qha anticoagulants thrombophlebitis. Lawv cia koj mus txhim kho cov ntshav khiav (xws li, "heparin", "Fraksiparin" thiab "Enoxaparin"). Nws yog feem ntau kuj resorted mus rau siv thrombolytics.

Nyob rau hauv no kab mob tus neeg mob pw so yog yuav tsum tau. Lub cuam tshuam sab sauv povtseg yuav tsum tau muab tso rau hauv ib tug tsa platform. Nws normalizes cov ntshav txaus thiab thiaj li muaj cov kev pheej hmoo ntawm thromboembolism.

outlook

Thrombophlebitis - ib tug txaus ntshai tus kab mob. Dua li no, nws yog zoo kho. Yog hais tias txoj kev kho yog chiv nyob rau hauv lub sij hawm, lub raug yog dej siab.

Tom qab cov kev kho mob kev kho mob los yog kev phais ntshav txaus yog feem ntau ib txwm. Tab sis txawm tom qab ntawd, cov neeg mob yuav tsum noj tshuaj thiab siv compression vuam txwv ntev.