I-thrombophlebitis engaphezulu

I-thrombophlebitis ngumthambo ovuvukile noma ovuvukile ngenxa yegazi. Okukha phezulu kukhulunywa ngemithambo engezansi kwesikhumba.

Lesi simo singenzeka ngemuva kokulimala emthanjeni. Kungenzeka futhi ngemuva kokuba unikezwe imithi emithanjeni yakho. Uma unengozi enkulu yamahlule egazi, ungawahlakulela ngaphandle kwesizathu.

Izingozi ze-thrombophlebitis zifaka:

• Umdlavuza noma isifo sesibindi
• I-vein thrombosis ejulile
• Ukuphazamiseka okubandakanya ukwanda kwegazi (kungazuzwa njengefa)
• Ukutheleleka
• Ukukhulelwa
• Ukuhlala noma ukuhlala unganyakazi isikhathi eside
• Ukusetshenziswa kwamaphilisi okulawula inzalo
• Imithambo evuvukile, esontekile futhi ekhulisiwe (imithambo ye-varicose)

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ukubomvu kwesikhumba, ukuvuvukala, isisa, noma ubuhlungu eceleni komthambo ngaphansi kwesikhumba
• Imfudumalo yendawo
• Ubuhlungu bezitho
• Ukuqina komthambo

Umhlinzeki wakho wezokunakekelwa kwempilo uzoxilonga lesi simo ngokuya ngokubukeka kwendawo ethintekile. Ukuhlolwa njalo kwenhliziyo, umfutho wegazi, izinga lokushisa, isimo sesikhumba nokuhamba kwegazi kungadingeka.

I-Ultrasound yemithambo yegazi isiza ukuqinisekisa isimo.

Uma kunezimpawu zokutheleleka, amasiko esikhumba noma egazi angenziwa.

Ukunciphisa ukungakhululeki nokuvuvukala, umhlinzeki wakho angancoma ukuthi:

• Gqoka amasokisi asekelayo, uma umlenze wakho uthintekile.
• Gcina umlenze noma ingalo ethintekile iphakanyiswe ngaphezu kwezinga lenhliziyo.
• Faka isicelo se-compress efudumele endaweni.

Uma une-catheter noma umugqa we-IV, kungenzeka ususwe uma kuyimbangela ye-thrombophlebitis.

Imithi ebizwa ngama-NSAID, njenge-ibuprofen, ingahle inqunyelwe ukunciphisa ubuhlungu nokuvuvukala.

Uma amahlule emithanjeni ejulile akhona, umhlinzeki wakho angakunikeza imithi yokwehlisa igazi lakho. Le mithi ibizwa ngama-anticoagulants. Ama-antibiotic anqunyiwe uma unesifo.

Ukususwa kokuhlinzwa (i-phlebectomy), ukukhumula, noma i-sclerotherapy emthanjeni othintekile kungadingeka. Lezi zilapha imithambo emikhulu ye-varicose noma ukuvimbela i-thrombophlebitis kubantu abasengozini enkulu.

Lokhu kaningi kuyisimo sesikhashana esifushane esingabangeli izinkinga. Izimpawu zivame ukuphela emavikini angu-1 kuya kwangu-2. Ukuqina komthambo kungahlala isikhathi eside.

Izinkinga azivamile. Izinkinga ezingaba khona zingafaka lokhu okulandelayo:

• Izifo (cellulitis)
• I-vein thrombosis ejulile

Shayela i-aphoyintimenti nomhlinzeki wakho uma uba nezimpawu zalesi simo.

Fonela futhi uma usuvele unaleso simo futhi izimpawu zakho ziba zimbi noma ungabi ngcono ngokwelashwa.

Esibhedlela, imithambo evuvukile noma evuvukile ingavinjelwa ngu:

• Umhlengikazi ushintsha njalo indawo yolayini wakho we-IV futhi awususe uma ukuvuvukala, ukuba bomvu, noma ubuhlungu kukhula
• Ukuhamba nokuhlala usebenza ngokushesha okukhulu ngemuva kokuhlinzwa noma ngesikhathi sokugula isikhathi eside

Uma kungenzeka, gwema ukugcina imilenze nezingalo zakho zinganyakazi isikhathi eside. Hambisa imilenze yakho kaningi noma uthathe uhambo ngesikhathi sokuhamba ngendiza ende noma uhambo lwemoto. Zama ukugwema ukuhlala noma ukulala isikhathi eside ungasukumi uzulazule.

I-thrombophlebitis - ekha phezulu

• I-thrombophlebitis engaphezulu
• I-thrombophlebitis engaphezulu

ICardella JA, i-Amankwah KS. I-venous thromboembolism: ukuvimbela, ukuxilonga nokwelashwa. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 1072-1082.

I-Wasan S. I-thrombophlebitis engaphezulu kanye nokuphathwa kwayo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 150.