Zvachero thrombophlebitis

Zvachero thrombophlebitis (Stp) ndiro unoshandiswa zvikuru uye gakava chinzvimbo sezvo pathophysiology kuti thrombosis uye rakadzika tsinga thrombosis (DVT) zviri pedyo nepedyo.

Zvachero thrombophlebitis rinotanga kusagadzikana makumbo, Vienna ropisa. Pataifamba tsinga akanzwa chisimbiso, sokunge kuburikidza wake rwakatambanudzwa tambo.

ongororo zvinorondedzerwa zvinokonzera ngozi zvachero thrombophlebitis, mazhinji uwirirane zvinhu zviri DVT. Varicose mutsinga dziri dzakaderera migumo muna 93% nyaya rinomirira inonyanya ngozi predisposing. Zvimwe zvinoita zvinosanganisira zera, hadzi chechikadzi, kufutisa, achangopfuura kuvhiyiwa kana immobilization, hormone migumisiro, kuvapo yapfuura venous thromboembolism (VTE) uye kenza. Pamwaka nokufamba kukanganisa kukura chirwere, nhamba kuitika kazhinji unowanikwa inodziya mwedzi yezhizha.

Nengozi yematambudziko

Nokuti varwere pamusoro makore 60, ane nhoroondo DVT, achangopfuura immobilization uye systemic chirwere, izvozvo anowedzera mukana nekukudziridza zvakadzama tsinga thrombosis uye akabatanidza thrombophlebitis. Zvakakomba chisingaperi venous insufficiency uye pakarepo kutanga zvachero thrombophlebitis statistically zvingawedzera ngozi VTE.

chirwere kusvika

Zvachero thrombophlebitis zvikuru nevakawanda varwere varicose mutsinga, asi kunogonawo kuitika chaiye saphenous mutsinga dziri varwere thrombophilia chawo. Kupararira muchiridzira venous yematambudziko pavarwere vane Stp anorayiridza duplex kushanda pakuvheneka nerimwe murwere. Migumisiro kwete chete vanoratidza kuvapo kana kusavapo ropa clot, asiwo kubatsira panoongororwa matambudziko. Maererano migumisiro Ultrasound ungaziva kana zvinoda zvidzidzo zvakawanda mberi vachishandisa kuri.

marapirwo

The chikuru Vavariro Mabatirwo zvachero thrombophlebitis - kutadzisa pakuwedzera ropa clots uye mukana VTE. Vazhinji bhuku magwaro vascular kuvhiyiwa uye kunyanya kutarisirwa kuramba tout mubhedha zororo sechikamu yokurapa nokuda DVT uye Stp. Kunyange zvakadaro, kurumbidza kwacho kuna mubhedha zororo varwere rikwanise thrombosis kunoita venous stasis, inova chikungiso kuti ropa clot. Randomized netsvakurudzo kuti compression uye kufamba nani pane mubhedha zororo kuderedza kuzvimba uye kusanzwa, uye kurerutsa pakuwedzera ropa clots vari varwere proximal DVT.

compression kurapa

Compression anopa zvikuru nesayenzi nekusimba zvinobatsira pakurapa zvachero thrombophlebitis. Izvi Kunoderedza zviratidzo, uyewo kudzivirira pamusoro kukura DVT. Decousus kudzidza inosimbisa kuti compression kurapa vachishandisa gradient compression masokisi kana gumbo Achiputira ndiyo mureza kuitika kuchishandiswa varwere vane Stp. The vakawanda ushe thumbs rinoshandisirwa gradient compression zvichienderana kwokuomerwa venous insufficiency, ganda kuchinja uye kuvapo edema. The zvikuru zviratidzo, zvikuru ukuru compression kunoratidzwa.

Anticoagulation uye Anti-anogumbura kurapa

Kuwanda comorbidities uye ngozi yematambudziko ari chakasimba zvachero venous thrombosis kwakaita Vatsvakurudzi dzakawanda kushandisa kuti systemic anticoagulation. Somuenzaniso, pasi samolecular uremu heparin inokurudzirwa kuzvidzivirira kana zvenguva mishonga kwevhiki ina. Zvachero venous thrombosis inogona akakwanisa kupfuura conservatively, tichidzivisa anticoagulation vachida Anti-anogumbura nevamiririri.

The chenjera anogumbura mhinduro kazhinji kuchengetwa zvachero phlebitis, uye angamutsa nezvokunetseka zvinogona noutachiona. Varwere suppurative thrombophlebitis zvinoda abudise uye kugadzwa mishonga inorwisa mabhakitiriya.

kuvhiya kupindira

Muzviitiko rikwanise kuzvimba, marwadzo uye nokufamba kuti nemakanzuru incision uye abudise. Mushure kuchenesa uye pakatanga omunzvimbo dzokutindivadza, aine tsono punctures ravakwa achinja mumunda. Iri nyore muitiro, uye pashure punctures dzinoitwa, chiremba zvachero clot anogona zvinobudirira dzingai. The nzira kunoderedza kuzvimba uye marwadzo, pamwe akawedzera kubatsira kuderedza mukana munhu iziviswe hyperpigmentation nharaunda sei.