Phlebitis - Iyini? Izimpawu, izimbangela, ekwelapheni esitho phlebitis

Kukhona izifo eziningi imithambo yegazi. Ezinye zazo "phlebitis" ngezigaba. Kuyinto ligama lelivamile eziningi izifo ezibangwa kunezimbangela ezehlukene, futhi kuthinte izigaba ezahlukene emithanjeni. Nokho, ngaphandle ukwelashwa okufanelekile bona zonke eziholela yi efanayo - thrombophlebitis noma embolism yamaphaphu, abangela ukuboshwa inhliziyo. Yini ebangela lesi sifo? Indlela sikubone futhi yisikhathi sokuba uqale ukwelashwa, ukuze ziqedwe esidabukisayo? Yiziphi izinyathelo ukuvimbela ukuvuvukala emithanjeni? Sizozama ukuphendula ngokuningiliziwe futhi kuyacaca ukuthi yonke le mibuzo.

Kuyini phlebitis

Sonke siyazi ukuthi abantu imithambo yegazi zihlukaniswe izinhlobo ezimbili eziyinhloko - imithambo kanye emithanjeni. On the igazi lokuqala ngaphansi kwengcindezi odlula ngokusuka enhliziyweni, ngokusho yesibili sikhululeke kakhudlwana elamukelayo. Kungenxa yokuthi igazi notshwala ku ngemithambo okungukuthi akekho ngaphansi kwengcindezi ngokwenzeka, abo izindonga ohlabayo kuka lemithambo buthaka ikhono elula futhi zenza abantu ezihlukahlukene ezingemnandi izimo ezifana varicose emithanjeni, hemorrhoids, nabanye. Nazo ngokufanayo, avuse phlebitis. Lezi izifo imithambo lapho abavusa izindonga zawo. Igama elithi "phlebitis" Kulula ukuqonda. Lisuselwa lesiGreki "Flevit", okusho ukuthi "Vienna".

Ukuvuvukala izindonga - into kabi kunalokho yingozi. It ngaso sonke isikhathi sihambisana ubuhlungu, abantu ziye zanciphisa ukusebenza, kahle imoto yomsebenzi, futhi ezimweni eziphambili, thrombophlebitis eba, okuholela ukuvaleka amahlule emithanjeni yegazi.

Ukwahlukanisa phlebitis kwasendaweni

Njengoba kushiwo ngenhla, phlebitis - yigama ezivamile izifo eziningana emithambo yegazi. Ngesikhathi esikhundleni kwasendaweni iziguli semithambo ukuhlukanisa phlebitis wemikhawulo yasenhla nemithombo yasenzansi. umthambo Human olusungulwe eziyize ijabulise, izindonga okuyinto akhiwa izingqimba ezintathu - i yangaphandle esiqine phakathi ababuthakathaka kakhulu futhi kwangaphakathi. Ibizwa ngokuthi endothelium, kanye ukuvuvukala yayo, ngokulandelana, endoflebitom. Lapho ukuvuvukala olwelwesini periflebit ukuhlola isifo. Nakancane futhi ekhanda eside kalula, uma thina khumbula ukuthi ngesiGreki "Peri" okungukuthi lisetshenziselwa ukubonisa ibanga kusuka enkabeni, a khulula ukuhumusha "onqenqemeni", "azungeze".

Uma abavusa ungqimba maphakathi, okubizwa ngokuthi isifo mezoflebitom. "Meso" kusho YesiGreki "phakathi". Ngakho lapha, futhi, konke okunengqondo futhi icacile.

Ekusebenteni, kakhulu kuyaqabukela phlebitis is ehlukaniswe yokuthi emgodleni vein kuba abavusa. Ngokuvamile lesi sifo okuthiwa panflebitom, okungukuthi jikelele, amaningi, kodwa abonisa lapho izingqimba ezintathu odongeni vein siyenzeka ikakhulu ukunqoba.

Ukwahlukanisa isifo omsakazo

Ngu uhlobo ukuvuvukala, kukhona ezihlukahlukene phlebitis. Kungaba:

• necrotizing elimazayo (uma izifo ezithize esithathelanayo);
• ubovu (ngezinye izikhathi e ukuvuvukala iguliswa);
• obliterans (isikhashana oqavile proliferative);
• ubuhlungu (ukubonwa ezinyaweni abesifazane emva kokubeletha);
• ezifudukayo noma ezulazulayo (ngokuvamile uhlanganiswa thrombophlebitis, lapho amahlule udabula imithambo);
• pylephlebitis (collar avuvukele Vienna).

Phlebitis angase abize igama sifo eyinhloko okuholela ukuvuvukala lihambe ngemithambo:

• sofuba;
• syphilitic;
• aktinomikotichesky nabanye.

Lokhu kuhlukaniswa kubaluleke kakhulu ukunquma impatho efanele.

Ukwahlukaniswa ubunjalo isifo

Kuye indawo izitsha inkinga igazi emzimbeni ukuhlukanisa phlebitis phlebitis emithanjeni olukha phezulu kanye olujulile. Uma lesi sifo abathintekayo izitsha eseduze ebusweni umzimba kwesikhumba endaweni le avuvukele vein komzimba siyenzeka (ububomvu, imfiva). Ukuvuvukala emithanjeni olujulile kuyingozi ikakhulukazi, kusukela izidingo ephakeme ukuxilongwa kanye nokwelashwa. Iziguli kuyagcinwa ukuvuvukala futhi pallor kwesikhumba endaweni imithambo avuvukele igazi, komzimba okuphelele, ubuthakathaka, ubuhlungu. Zonke lezi zici kuchazwa kahle, uma isiguli sekutholakele ukuthi sine- phlebitis okukhulu nasemilenzeni aphansi. Isithombe ngaphezulu sibonisa ukushintsha kombala kwesikhumba kuhlanganise ngemithambo eziyinkinga.

Uma lesi sifo isidlulile efomini okungamahlalakhona, lesi simo singenzeka nge izimpawu ezincane noma engenazo nhlobo. Ekuqaleni shazi, ke sika akunjalo sina, kodwa ezingamahlalakhona phlebitis esikhohlisayo okungukuthi yayo sobala ukuchuma, sibonga ngalo iziguli Ungafuni wezokwelapha iseluleko kanye nokwelashwa okungukuthi hhayi kwenziwe. Lesi sifo, Okwamanje kancane kancane liphenduka ukugijima ukuthi kukhona izinhlobo enzima ukwelashwa.

izizathu

Phlebitis emikhawulweni engenhla nengezansi kubangelwa izizathu ezahlukene. Ngokuvamile lesi sifo ngezinyawo zabo kubangelwa yezinkinga varicose emithanjeni kanye phlebitis livela esandleni sakhe ngemva akuphumelelanga umjovo emthanjeni noma magciwane ukungadli isayithi umjovo. Kodwa zikhona eziningi zezimbangela ezivamile ukuvuvukala e izindonga emithambo yegazi, kokubili emikhawulweni yasenhla nemithombo yasenzansi.

Lezi zihlanganisa:

• ukuhlukumezeka semithambo, kuhlanganise ukusha kwanoma yiluphi uhlobo;
• isilulu samafayela;
• ukuzwela High izindonga emithambo yegazi;
• ukuvuvukala iguliswa;
• ezinye izifo zenhliziyo;
• nezici ezithile ukuze thrombosis;
• kwehlisa amasosha omzimba;
• izinkinga igazi ekunqandeni (kuzuze noma lezinceku).

phlebitis yokufakelwa

Varicose emithanjeni eminyakeni yamuva kabanzi indlela yokwelashwa libizwa sclerotherapy. It itholakala lokuthi ukuthi iziguli ukukhiqiza yokufakelwa (ongakaphathelani ukutheleleka) phlebitis. Ukuvuvukala kulokhu ingekho. inqubo sclerotherapy cishe kobuhlungu futhi kusebenza ngempumelelo ngokwanele. iziguli Ambulatory abangu injected ezindaweni inkinga ka ngemithambo amalungiselelo akhethekile ( "Trombovar", "Etoksiklerol" kanye nabanye) ebangela izindonga kunenze nisondelane isitsha. It kuxazululwa angesabi phakathi kwezinyanga 5-6.

Yini kudala phlebitis kweqiniso

Mshini yalesi sifo kungase kube ekabili. Kwezinye izimo zikhona izinkinga vein wokuqala, futhi ngemva yisishiso sihamba kuya nezicubu eziseduze. Kwezinye izimo, ngokuphambene nalokho, umuntu has a ithumba eyinhloko iyiphi izicubu emzimbeni, okuyinto kamuva kuthinta odongeni vein, okungukuthi, kakade njengoba inkinga we phlebitis isifo ecashile athuthukile. Photo elingezansi libonisa lingase libukeke ukuvuvukala emithanjeni iqakala varicose emithanjeni.

Phlebitis kubangelwa nezilwanyana ezincane pathogenic, etholakala ngale ndlela: amagciwane noma amagciwane, ngokufaka emithambo yegazi isitsha igazi uhamba kusukela emfudlaneni igazi, kuyilapho kunoma iyiphi indawo akusho babiza nodonga lwawo. Ngokuyinhloko lokhu lapho ngemithambo kukhona okungavamile (enwetshiwe ukuminyana emithambo yegazi nokunye okunjalo), kodwa ungakwazi futhi zenzeka ezindaweni lapho ngemithambo ijwayelekile futhi ephelele.

izimpawu Phlebitis

izimpawu Jikelele yalesi sifo zihlanganisa:

• ukuvuvukala okubuhlungu vein noma lonke esitho;
• umkhuhlane, ngenxa yobuthakathaka;
• Wenza ashintshe umbala kwesikhumba endaweni ukuvuvukala;
• lokushisa kuyanda (wendawo futhi ngezikhathi ezithile jikelele);
• ukuqina isikhumba ezindaweni inkinga;
• nge phlebitis yezingalo nemilenze aphansi lungase lubonwe izimpawu of varicose emithanjeni (imilenze esindayo, ukuvuvukala, izilonda).

Nokho, uma kukhona phlebitis palsy, izimpawu kanye nokwelashwa athé ukwehluka. Ngakho, iziguli esekhala high blood pressure, ikhanda, isiyezi, ukuphazamiseka visual, bezibona emhlabeni.

nezinye izimpawu eziningana has pylephlebitis (ukuvuvukala vein portal esiswini), lapho kukhona:

• ngenxa yobuthakathaka;
• umkhuhlane;
• ukuhlanza;
• ascites;
• nobuhlungu obukhulu kwesibindi;
• yellowness kwesikhumba;
• ukuphathwa ikhanda;
• Ukugodola;
• anda isibindi, ubende;
• anuria;
• ishayela thready;
• umfutho ophansi wegazi;
• ilungu ukuvuvukala;
• ukubuyisa.

Lokhu isimo ngaphandle isinyathelo ngesikhathi esifanele siholela ekufeni isiguli.

ukuhlola

Kungakhathaliseki ukuthi ukuphi emzimbeni umsuka phlebitis - Ngakolunye uhlangothi, emachosheni engezansi noma entanyeni, ukuhlola kuhlanganisa:

• ngihlolwa (phlebologist, udokotela ohlinza imithambo yegazi, noma ngisho owelapha, uma azikho odokotela zochwepheshe emincane isikhungo sokunakekela impilo sendawo);
• nemlandvo wetekwelashwa kwakhe;
• jikelele noma eziphambili ukuhlolwa igazi uma usola khona isifo esithathelwanayo;
• izitsha ukuskena Duplex, okuvumela ukuthola lonke ulwazi olufanele mayelana emithanjeni elise kuphi emzimbeni;
• Doppler ultrasound emithanjeni.

Ukwelashwa nokuvikelwa phlebitis izandla

Uma kungekho izinkomba for esibhedlela ngokushesha (lokushisa eliphezulu, isiyezi, nokulahlekelwa ukwazi, ukwehluleka oyingozi inhliziyo, eliphezulu kakhulu umfutho wegazi), ukwelapha phlebitis ngakwesokunene, ngenxa yokuthi ukuthi cishe never nzima thrombosis, i sinenkonzo yokunakekela iziguli emakhaya. Isiguli esasibekelwe ukuphumula, kuyatuseka ukuba silungise isandla eziyinkinga ukuze kwakungekho okhushuliwe igazi ligeleze indawo elikhanyayo. ukwelashwa wenziwa ikhumbula imbangela. Ngakho, uma iphutha kwaba viral ukutheleleka ukuvuvukala, prescribers, ukulwa amagciwane e webhaktheriya phlebitis ebekiwe antibiotic. Kunoma ikuphi, isiguli ebekiwe:

• ejenti antiinflammatory;
• amalungiselelo beqinisa izindonga emithanjeni nokugeleza kwegazi ngcono (isb, "Trental");
• yokugcoba ngokwezihloko, ukushisa ekupholiseni, ububomvu, ukuvuvukala kanye nobuhlungu;
• ehlambulula igazi izidakamizwa;
• analgesics.

Ukwelashwa nokuvikelwa phlebitis yezingalo nemilenze aphansi

Ukuvuvukala imithambo yegazi imilenze ngokuvamile kuwumphumela varicose emithanjeni futhi ushintsho kubabangele ukuba thrombosis, okuholela thrombosis. A ihlule legazi, okuyinto kwafinyelela inhliziyo, lokho kungase kubangele stop okuzumayo usibulale lesi siguli. Ngakho-ke, uma ephansi emikhawulweni UNOMDLAVUZA acute phlebitis (ukuvuvukala ngokujulile ngezinto ezibalulekile emithanjeni) kanye thrombosis, isiguli ikani sipho esibhedlela kanti ngaphandle ezinzima izimpawu, njengokuba nesiyezi kanye nokulahlekelwa ukwazi. A esitho ogulayo ngebhandeshi nokunwebeka sisetshenziswa, ajama abukhali ubuhlungu prescribers elawula ukugeleza kwegazi, igazi viscosity, ngcono kuyaqina kwezindonga imithambo olwenziwa ukuze athole ukwelashwa komzimba, futhi ukuhlinzwa uqokwa ezindabeni ezithile.

Ukwelashwa nokuvikelwa ezinye izinhlobo phlebitis

pileflebita ukwelashwa impumelelo kuncike uphethwe isivinini nokwethembeka. Isikhathi esining impela isiguli inikezwa ukuhlinzwa ukhishwe umthombo ukuvuvukala suppurative (isithasiselo, gallbladder, excision ithumba). Ngo parallel, imithi (imithi elwa namagciwane, detoxicants, sorbents, okubuyisela).

Ngo phlebitis cerebral iziguli kuvame esibhedlela. Ukwelashwa sifo iqondiswe ukuzinza wegazi, ukuhoxiswa syndromes, ubuhlungu, ukuzinza wegazi kanye nokuqinisa izindonga imithambo. Futhi, indlela yokwelapha esekela ubuchopho imisebenzi evamile.

Ukwelashwa nokuvikelwa phlebitis usebenza nge ezifudukayo crossectomy (ukususwa zithinteka emithanjeni ingxenye). amahlule Kwakheka ziyasuswa surgically, kodwa ziba mandla ekusebenziseni enzyme ukuthi chaza igazi ihlule. Basuke yaphathwa umthambo ipayipi ekhethekile. Kusukela nesineke akhishwe esibhedlela ekhaya okunye ukwelashwa emva ukususwa ukuvuvukala ambulatory futhi stably sifinyelele isimo eyanelisayo isiguli.

zokuvimbela

Phlebitis, okusho ukuvuvukala odongeni vein, kungase kwenzeke ngoba umuntu ngamunye. Ukuze kuncishiswe ingozi yesifo, kuyadingeka ukuba ulandele lezi zincomo:

• bagcine imithetho enza umjovo emthanjeni;
• ngangokunokwenzeka ukuze ugweme ukulimala kuya emithanjeni, futhi uma kwenzeka, ukuze aphathe kahle;
• ebukhoneni izifo ezithathelwanayo udokotela ukugcwalisa zonke izidingo hhayi self-medicate;
• varicose emithanjeni - ukuze ngokuqinile omlandelayo izincomo ukuya ochwepheshe;
• kokuba high blood viscosity syndrome - ukugwema edla isipinashi, soy, wavuka - imikhiqizo, eminye okwandisa viscosity;
• qiniseka ukuthi ugcina le ndlela yokuphila, ukuze umzimba wathola fiznagruzki ngokulinganisela.

Hlala uphilile!