I-thrombophlebitis

I-thrombophlebitis ukuvuvukala (ukuvuvukala) komthambo. Ukuqina kwegazi (thrombus) emthanjeni kungadala lokhu kuvuvuka.

I-thrombophlebitis ingathinta imithambo ejulile, emikhulu noma imithambo eduze kwesikhumba. Isikhathi esiningi, kwenzeka ezinqeni nasemilenzeni.

Amahlule egazi angakha lapho okuthile kuhamba kancane noma kushintsha ukugeleza kwegazi emithanjeni. Izici zobungozi zifaka:

• I-catheter ye-pacemaker edluliswe emthanjeni ku-groin
• Ukuphumula kombhede noma ukuhlala endaweni eyodwa isikhathi eside njengokuhamba ngendiza
• Umlando womndeni wamahlule egazi, okungasho ukutholakala kwezifo ezizuzwe njengefa okuholela engozini eyengeziwe yamahlule. Okuvamile kufaka ukuntuleka noma ukungabi khona kwe-antithrombin, amaprotheni C, ne-protein S, factor V Leiden (FVL) ne-prothrombin
• Ukuphuka okhalweni noma emilenzeni
• Ukubeletha ezinyangeni eziyisithupha ezidlule
• Ukukhulelwa
• Ukukhuluphala ngokweqile
• Ukuhlinzwa kwakamuva (okuvamise ukuhlinzwa okhalweni, emadolweni, noma okhalweni lwabesifazane)
• Kunamaseli amaningi egazi enziwa ngomnkantsha, okwenza igazi libe mkhulu kunokujwayelekile (i-polycythemia vera)
• Ukuba ne-catheter yokuhlala (isikhathi eside) esitsheni segazi

Igazi kungenzeka livimbe umuntu onezinkinga noma ukuphazamiseka okuthile, okufana nalokhu:

• Umdlavuza
• Izinkinga ezithile ze-autoimmune, njenge-lupus
• Ukubhema ugwayi
• Izimo ezenza kube lula kakhulu ukuthuthukisa amahlule egazi
• Ukuphuza ama-estrogens noma amaphilisi okulawula ukubeletha (le ngozi iphakeme kakhulu ngokubhema)

Izimpawu ezilandelayo zivame ukuhlotshaniswa ne-thrombophlebitis:

• Ukuvuvukala engxenyeni yomzimba kuthintekile
• Ubuhlungu engxenyeni yomzimba ethintekile
• Ububomvu besikhumba (abukho njalo)
• Imfudumalo nobumnene phezu komthambo

Umhlinzeki wezokunakekelwa kwempilo uvame ukuxilonga lesi simo ngokuya ngokuthi indawo ethintekile ibukeka kanjani. Umhlinzeki wakho uzohlola njalo izimpawu zakho ezibalulekile. Lokhu kwenzelwa ukuthi uqiniseke ukuthi awunazo izinkinga.

Uma imbangela ingatholakali kalula, kungenziwa ukuhlolwa okukodwa noma okuningi okulandelayo:

• Izifundo ze-coagulation yegazi
• I-Doppler ultrasound
• Izwe
• Ukuhlolwa kofuzo

Ukuxhaswa kwamasheya nama-wraps kungasiza ekunciphiseni ukungakhululeki. Umhlinzeki wakho angakunikeza imithi efana nale:

• Ama-painkillers
• Ama-thinner egazi ukuvimbela amahlule amasha ukuba akheke, imvamisa anqunywa kuphela lapho kuthinteka imithambo ejulile
• Imithi efana ne-ibuprofen yokwehlisa ubuhlungu nokuvuvukala
• Imithi ejojelwe emthanjeni ukuqeda ihlwili elivele likhona

Ungatshelwa ukuthi wenze okulandelayo:

• Gcina ingcindezi endaweni ukuze unciphise ubuhlungu futhi wehlise ingozi yokulimala okuqhubekayo.
• Khulisa indawo ethintekile ukunciphisa ukuvuvukala.

Izinketho zokwelashwa okujwayelekile yilezi:

• Ukususwa kokuhlinzwa komthambo eduze kwendawo engaphezulu
• Ukuhlubula umthambo
• Ukudlula emthanjeni

Ukwelashwa ngokushesha kungaphatha i-thrombophlebitis nezinye izinhlobo zayo.

Izinkinga ze-thrombosis zifaka:

• Ukuqina kwegazi emaphashini (embolism pulmonary)
• Ubuhlungu obungapheli
• Ukuvuvukala emlenzeni

Shayela umhlinzeki wakho uma unezimpawu ze-thrombophlebitis.

Shayela umhlinzeki wakho ngokushesha uma:

• Izimpawu zakho azithuthuki ngokwelashwa.
• Izimpawu zakho ziba zimbi kakhulu.
• Izimpawu ezintsha zenzeka (njengokuthi isitho sonke siphenduke, sibande, noma sivuvuke).

Ukushintsha njalo kwemigqa efakwa emithanjeni (IV) kusiza ukuvimbela i-thrombophlebitis ehlobene nama-IV.

Uma uthatha uhambo olude lwemoto noma lendiza:

• Hamba noma welule imilenze yakho ngezikhathi ezithile
• Phuza iziphuzo eziningi
• Gqoka i-hose yokusekela

Uma ungeniswe esibhedlela, umhlinzeki wakho angakunikeza umuthi wokuvikela i-thrombophlebitis.

I-phlebitis; I-vein thrombosis ejulile - i-thrombophlebitis; I-thrombophilia - i-thrombophlebitis

• I-thrombosis ejulile ye-venous - iliofemoral
• Igazi le-venous

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.

I-Weitz JI, iGinsberg JS. I-venous thrombosis kanye ne-embolism. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 74.