Thrombosis ka ngemithambo ejulile wemikhawulo aphansi

nemilenze womuntu Lower babe Inethiwekhi ebanzi yophathina emithambo yegazi evumela emithambo yegazi ukugeleza kwegazi e bakhiphe elezinga eliphansi vena cava. Kunezinhlobo ezintathu umlenze emithanjeni: eligcizelela ukubukeka kwangaphandle, ezijulile nokuxhuma kubo ngemithambo perforating. Ngokuvamile imithambo yegazi emithambo yegazi phezu ngokusebenzisa perforating igeleza isuka ku ngemithambo ejulile, okuyindawo engena cava vena kanye enhliziyweni. valve emithambo yegazi aqinisekisa ukuthi indlela isiqondiso ukugeleza kwegazi. Uma ngenxa yanoma yisiphi isizathu ebucayini ukungaguquguquki valve, igazi yokujama tsi kwenzeka imithambo yegazi kwenzeka futhi varicose. Nalesi sifo umuntu angaphila iminyaka.

isifo angeziwe eziyingozi ujulile vein thrombosis. Kuyinto kumiswa thrombi ku semithambo inesikhala imilenze noma ukhalo. Lesi senzakalo ahambisana ukuvuvukala odongeni vein, ubuhlungu eqinile futhi kahle ukugeleza kwegazi. Deep vein thrombosis angadida by isimo esisongela ukuphila - emboli yamaphaphu.

Izimbangela zesifo

Ukuvela sifo neqhaza odongeni ukulimala esibuhlungu, engalulami ka emithambo yegazi igazi, isisindo okweqile, ukukhulelwa, ukuphila umzimba, ukuvuvukala emithanjeni, futhi izifo ezibangelwa amagciwane, imithi ethile (zokuvimbela inzalo), isifo neoplastic, ubudala abaneminyaka engama amane, igazi ekunqandeni iziyaluyalu.

Ngenxa yalokho we deceleration wegazi ukugeleza kwenzeka thrombus ekwakhekeni, okuyinto ngokuyinhloko yakhiwe abomvu egazi ashaye nama-platelet. I thrombus kwakhiwa kungenzeka ngokuqinile exhunywe odongeni vein kolunye, komunye umncele walo is ngokukhululekile kubekwe phakathi inesikhala bomkhumbi. Thrombi ongafinyelela enkulu elithile, ingxenye noma ngokuphelele idlulela inesikhala emthanjeni.

ukubonakaliswa Clinical lesi sifo

Njengoba kushiwo ngenhla, igazi stasis kubangele deep vein thrombosis. Izimpawu ze- sifo eshiwo ku ukuvela okuncane ahlekise ekulesi ethintekile, ukuvuvukala eziphikelelayo kanti imfudumalo. Ukuvuvukala odongeni emithambo yegazi uvame ukuhambisana imfiva. esitho Thrombosed kuyinto ukubanda touch kuka enempilo. Ngaphandle umlenze edematous, hyperemic. Isikhumba endaweni ethintekile ezimbi futhi ucwebezela, nge inethiwekhi kahle emithambo yegazi. Ngokuvamile, deep vein thrombosis kakade ekuqaleni wabonakaliswa wamaphaphu embolism Umthambo thrombi phuma kusukela isitsha. Isiguli e ngako kulendzaba kusho kwati sebuhlungwini obunzima esifubeni, ukuthi unesikhathi paroxysmal ukukhwehlela ngegazi, falling blood pressure. Ukuvaleka imikhumbi emikhulu yamaphaphu kaningi esiholela ekufeni. Uma kwakuba khona thrombosis okhalo semithambo kungenzeka ileus Umtholampilo.

izinyathelo zokuxilonga

Sitholakele "deep vein thrombosis" kusethelwe ngesisekelo izikhalazo, ukubonakaliswa zendawo inhlolovo zokuxilonga. Kunezindlela eziningana izimpawu, ngesisekelo okuyinto kungenzeka ukuxilonga deep vein thrombosis shin. Lezi izimpawu of Pratt, Homans, Payr nabanye.

Kusukela izindlela wezinsimbi ingashiwo ultrasound doplerografii, angiography.

Lesi sifo umahluko nge limfostazom, Erysipelas, imisipha ngilulekela.

ukwelashwa thrombosis

Ayinzima Umumo shin thrombosis ziphathwa esigulini esingalalisiwe esibhedlela. I Kwezinye izimo zidinga ukwelashwa esibhedlela. Isiguli kudingeka ukuba benze ngokuvumelana esiqinile embhedeni ukuphumula sesimweni oluphakeme izinyawo sore. izinqubo Thermal kuthiwa contraindicated. Inikezwe anticoagulants ( "Heparin", "Fraksiparin" "Clexane" et al.) Futhi disaggregants ( "Trental" "Curantil") ngaphansi kokulawula coagulation. analgesics Iphathwe ozakuba nge novocaine ukuvinjelwa.

Ngo amafomu ezinzima ngaphezulu thrombosis, ikhombisa ukusebenza (ekususweni thrombus, emithambo yegazi isihlungi ukufakwa kule cava vena kanye nabanye.).