I-Phlebitis (thrombophlebitis): kuyini, izimpawu nokuthi ukwelashwa kwenziwa kanjani

-Delile

• Ziyini izimpawu
• 1. I-thrombophlebitis engaphezulu
• 2. I-thrombophlebitis ejulile
• Yelashwa kanjani

I-phlebitis, noma i-thrombophlebitis, iqukethe ukwakheka kwegazi ngaphakathi komthambo, okuvimbela ukuphuma kwegazi, okubangela ukuvuvukala, ububomvu nobuhlungu endaweni ethintekile. Lesi simo sithathwa njengesiphuthumayo kwezokwelapha njengoba singaholela ezinkingeni ezifana ne-vein thrombosis ejulile noma i-pulmonary embolism, isibonelo.

Ihlule legazi livame ukwakheka emilenzeni, futhi kuyaqabukela kakhulu ukwakheka kwezinye izindawo zomzimba ezifana nezingalo noma intamo. Isikhathi esiningi, i-thrombophlebitis yenzeka lapho umuntu echitha isikhathi esiningi ehleli, esendaweni efanayo, njengoba kungenzeka ngesikhathi sohambo olude, kuvame kakhulu kubantu abahlushwa ukusakazwa kwegazi okungafanele. Qonda, ngokuningiliziwe, izimbangela ze-thrombophlebitis.

I-thrombophlebitis iyelapheka, futhi ukwelashwa kufanele kuqondiswe ngudokotela, ngokuya ngobukhulu besimo ngasinye, nokuphumula, ukusetshenziswa kwamastoks okunwebeka, ukucindezela kanye nemithi elwa nokuvuvukala noma, uma kunesidingo, imishanguzo ye-anticoagulant ingakhonjiswa.

Ziyini izimpawu

I-thrombophlebitis ingenzeka emthanjeni ongaphezulu noma emthanjeni ojulile, ongathinta uhlobo namandla wezimpawu.

1. I-thrombophlebitis engaphezulu

Izimpawu ze-thrombophlebitis engaphezulu yilezi:

• Ukuvuvukala nokubomvu emthanjeni nasesikhunjeni esithintekile;
• Ubuhlungu bokubamba kwesifunda.

Lapho ukhomba lesi simo, kunconywa ukuthi uye esibhedlela udokotela ayocela i-Doppler ultrasound, ukubheka ubukhulu besifo bese ekhombisa ukwelashwa.

2. I-thrombophlebitis ejulile

Izimpawu ze-thrombophlebitis ejulile yilezi:

• Umthambo owethukile;
• Ukuvuvukala kwesitho esithintekile, imilenze ngokuvamile;
• Ubuhlungu endaweni ethintekile;
• Ukubomvu nokushisa emlenzeni othintekile, kuphela kwezinye izimo.

I-thrombophlebitis ejulile ibhekwa njengesimo esiphuthumayo. Ngakho-ke, lapho ukhomba ezinye zalezi zimpawu, kuyanconywa ukuthi uye esibhedlela ukuze uqale ukwelashwa ngokushesha okukhulu, ngoba kunengozi yokuhamba kwegazi futhi kubangele ukujula kwe-vein thrombosis noma i-pulmonary embolism.

Qonda, ngokuningiliziwe, yini i-vein thrombosis ejulile nokuthi ungayibona kanjani.

Yelashwa kanjani

Ukwelashwa kwe-phlebitis kufanele kuqondiswe njalo ngudokotela, futhi kungenziwa ngokuphathwa kwama-anticoagulants, ukubhucungwa ngamatshe amatshe eqhwa esifundeni, ukuphakama komlenze ngosizo lomcamelo kanye nokusetshenziswa kwesitokisi sokucinana okunwebeka, okufana nesitokisi seKendall., Ngokwesibonelo.

Ukwelashwa kuthonywe ukuqina kwezimpawu nendawo lapho iqhwa lakhiwe khona. Ezinye zezindlela zokwelashwa ezingakhonjiswa zifaka:

I-thrombophlebitis engaphezulu:

Ukwelashwa kwe-thrombophlebitis okungenasisekelo kuqukethe okulandelayo:

• Ukusetshenziswa kwamasokisi okucinana okunwebeka;
• Ukusetshenziswa kwe-gauze emanzi ku-zinc oxide, ekunciphiseni izimpawu, njengoba isebenza njenge-anti-inflammatory yendawo;
• Massage ngamafutha okulwa nokuvuvukala avela endaweni ethintekile, njengejeli le-diclofenac;
• Ukuphumula kuphakanyiswe imilenze, ngosizo lomcamelo, ukwenza ukunyakaza kwezinyawo, njengoba kukhonjisiwe ezithombeni:

Lokhu kuzivocavoca umzimba, kanye nokuma kwezitho eziphakeme, kuthanda ukubuya kwe-venous ngomsele wamandla adonsela phansi.

Ngaphezu kwalokho, ukusetshenziswa kwezidakamizwa ze-anticoagulant, ukusiza ukuqeda ihlwili, kungakhonjiswa, lapho kukhona amahlule amakhulu noma lapho kubangela izimpawu ezinqala. Kwezinye izimo, kungadingeka ukwenza ukuhlinzekela indawo ethintekile nokususa amahlule.

Ukwelashwa kwe-thrombophlebitis ejulile:

Ekwelapheni i-thrombophlebitis ejulile, udokotela angancoma ukusetshenziswa kwama-anticoagulants afana ne-heparin, warfarin noma i-rivaroxaban powder, ngokwesibonelo, anciphisa ukwakheka kwe-thrombi, evimbela izinkinga zenhliziyo noma zamaphaphu.

Ngemuva kokuqala kokwelashwa esibhedlela, lapho kwenziwa khona izivivinyo zokuqala futhi kunqunywa umthamo wemithi, ukwelashwa kungaqhubeka ekhaya lesiguli, futhi kungahlala izinyanga ezi-3 kuye kwezi-6, ezizoncika ebukhulwini obethulwayo. Lapho umuntu egoduka, udokotela futhi angancoma ukugqoka amasokisi aminyene, okusiza ukuvimbela ukuvuvukala nezinye izinkinga.

Kwezinye izimo, udokotela wakho angancoma ukuhlinzwa ukuze kususwe imithambo ye-varicose.