Ukuxilongwa thrombophlebitis ezijulile: Homans uphawu

Homans uphawu - omunye izimpawu okuholela ukuhlonza thrombophlebitis izitsha ezijulile emikhawulweni aphansi. Kuyasiza lokwenza ukuxilongwa ezinsukwini zokuqala 2-4 of kuqale inqubo. Thrombophlebitis - inkinga kunalokho esiphuthumayo, ngokusho izibalo egula 1/5 sabantu. Libhekene ukuvuvukala emithambo yegazi (phlebitis), okungafanele ukugeleza kwegazi kanye kumiswa amahlule embhedeni semithambo.

thrombophlebitis okukha phezulu futhi ngokujulile

thrombophlebitis okukha phezulu ngokuvamile kwenzeka endaweni emithanjeni varicose kanye kungatholakala ongaboni. A ukuvuvukala olukha phezulu kuthinta imithambo yegazi elise phakathi isikhumba kanye nemisipha. kuphakama ubuhlungu olunamandla ngokuhamba ngemithambo ezilimele, isikhumba ububomvu, izinga lokushisa likhuphuka. On palpation udokotela uthola Izigaxana ohlangene ezindaweni ihlule okunamathiselwe. Ngokuvamile, uphethwe akunzima.

Esinye isimo kwenzeka uma thrombophlebitis ngokujulile ngoba emithanjeni elise ngaphakathi imisipha, ongabonakali. Balinganiselwa ku-50% eziguli ngisho nokuwabona ukuthi babe thrombosis. Ngo ezingamahlalakhona valve emithambo yegazi ngesikhathi nciphisa livela lesikhumba kwesikhumba, izilonda singenzeka. Okusolwayo ezijulile thrombosis emithambo yegazi angase abe ngalezi zizathu ezilandelayo:

• ukudonsa ubuhlungu kule aphansi kunemisipha yomlenze, ukucasulwa ukuma isikhathi eside noma uma wehlise imilenze phansi;
• uzizwa ekugcwaleni emilenzeni;
• ukuvuvukala umlenze aphansi;
• seal izicubu ongama.

On luhlolo, kukhona okuhle Homans uphawu - kuba isici isici kakhulu ukuvuvukala deep vein thrombosis. It ikuvumela lokwenza ukuxilongwa kwangaphambilini ngisho ngesikhathi sokuhlolwa kokuqala.

Indlela ukuxilonga deep vein thrombosis?

Homans uphawu esachazwa udokotela American J. Homans ngo-1934. Ukuze sithole ezijulile thrombophlebitis nesineke wabeka emhlane wakhe, umlenze uyabuzwa ukuguqa ngamadolo engela kwesokudla. Ngesikhathi ukunyakaza ezingemuva ngezinyawo (i) ubuhlungu inyuka ngokucijile emlenzeni imisipha labaqaphi elingemuva. Njengoba babekholelwa ngumlobi, omuhle Homans uphawu kubangelwa kokucindezelwa ka ngemithambo ezijulile imisipha abathintekayo.

Yokukala obungazungeza sokunene nesobunxele tibia esiza uphethwe, ngokulandelana, esitho ethintekile kuyodingeka ububanzi emikhulu.

Homans uphawu hhayi kuphela isibonakaliso isifo. On luhlolo wembulani anda isikhumba ukuzwela, ubuhlungu nge ingcindezi tibia ohlangothini anteroposterior (uMose uphawu), isisa lendawo ku palpation kanye kwangaphakathi ebusweni ezingemuva tibia. Kukhulisa lokushisa lendawo.

izindlela Instrumental ukuxilongwa: ultrasound semithambo, ukuskena Duplex, rheovasography.

ukuxilongwa umehluko

Izimpawu zifana thrombophlebitis kungenzeka kwezinye izifo zezinyawo. Ukuvuvukala wemikhawulo aphansi is baphawula ngaso lymphostasis, ukwehluleka kwegazi, ukulimala esibuhlungu, osteoarthritis ka kwedolo. Kulezi zimo, Homans uphawu ezimbi.

Ngezinye izikhathi ubuhlungu nokuvuvukala zenzeka ngisho emva olimele, ikakhulukazi eminyakeni yokuguga. Kufanele kube umuntu ukwenza ukunyakaza engeyinhle, eqa noma ukusebenzisa njengoba kukhona hematoma phakathi imisipha. Ngemva kwezinsuku ezimbalwa, ewela efinyelela emaqakaleni, unyawo kule ndawo iba nombala bluish.

Ngenxa yizifo ezihlobene nokungabikho ukuvuvukala kanye nobuhlungu izinyawo, kukhona inani elikhulu, ningakwenqabi iseluleko udokotela ohlinzayo. Ingabe uwukuthi ngeke ukuthola imbangela egunjini lokuhlolwa kwezifo.