Thrombophlebitis phezulu

thrombophlebitis phezulu (STP) yinto esetyenziswa kakhulu futhi impikiswano ubume njengoko pathophysiology of thrombosis zinzulu thrombosis umthambo (DVT) zihlobene.

thrombophlebitis phezulu iqala ubuhlungu kule milenze, Vienna kushushu. Kunye Kwangale waziva itywina, ngokungathi ngenxa uthambo yakhe nangengalo.

izifundo ezininzi echazwe imiba basengozini thrombophlebitis phezulu, uninzi lwazo lingqamane iinkalo DVT. ngemithambo Varicose kwi eziphelweni uthotywe 93% yamatyala limela ixhaphakileyo predisposing ingozi. Ezinye izinto ziquka ubudala, isini ababhinqileyo, ukutyeba, utyando kutshanje okanye immobilization, iziphumo hormone, ubukho thromboembolism odlulileyo lwemithambo (VTE) kunye nomhlaza. okunzulu lwamaxesha onyaka kuchaphazele uphuhliso sifo, izehlo eliyincopho ngokuqhelekileyo kwenzeka kwiinyanga zasehlotyeni ezishushu.

Ingozi yobunzima

Kuba izigulane abangaphezu kweminyaka engama-60, kunye imbali DVT, immobilization kutshanje kunye nosuleleko systemic, oko kwandisa amathuba yokuphuhlisa vein thrombosis enzulu thrombophlebitis enxulumene. Ezimandundu insufficiency lwemithambo ezingapheliyo kunye nokuqalisa ngesiquphe thrombophlebitis phezulu ubungozi ngokwamanani for VTE.

indlela diagnostic

thrombophlebitis phezulu ixhaphake kakhulu izigulane emithanjeni varicose, kodwa kwakhona kwenzeka ngemithambo oluqhelekileyo saphenous kwizigulane kunye nesiseko thrombophilia. Ukwanda ehamba iingxaki venous kwizigulane kunye STP eyalela isixhobosovavanyo lwemifanekiso kabini ukuze isigulane ngasinye. Iziphumo ukubonisa kuphela ubukho okanye ukungabikho ihlwili legazi, kodwa kunceda ekuchongeni iingxaki. Ngokutsho iziphumo ultrasound na owaziyo enoba zifuna izifundo phambili ngakumbi usebenzisa umfanekiso.

iinketho zonyango

Eyona njongo ingundoqo ukunyanga thrombophlebitis phezulu - ukuthintela ukwandiswa egazi igazi ubungozi VTE. iitekisi ezininzi reference utyando nemithambo kunye nokhathalelo iyaqhubeka alwela alale njengenxalenye unyango ngenxa DVT kunye STP. Noko ke, isiphakamiso ukuba alale izigulana thrombosis etsolo ikhuthaza lwemithambo stasis, nto leyo ke umnyele ihlwili legazi. izifundo lunomkhethe lubonakalise ukuba ucinezelo kunye nokuhamba ngcono kunokuba alale ukunciphisa ukudumba kuhlolwe, kwaye ukunciphisa nokwandiswa egazi gazi izigulane DVT proximal.

therapy ucinezelo

Ucinezelo inika inzuzo kakhulu angqiniweyo ngokwezenzululwazi ukuba unyango lwe thrombophlebitis phezulu. Oku ngokuzithomalalisa iimpawu, kwakunye nokuthintela nxamnye kuphuhliso DVT. Decousus isifundo iqinisekisa ukuba unyango ucinezelo usebenzisa iikawusi ucinezelo ithambeka okanye Umlenze azithe lolusezantsi sangoku ngononophelo kwizigulana nge STP. Umthetho jikelele osengqiqweni lisetyenziswa kwi ucinezelo ithambeka ngokuxhomekeke ubungqongqo insufficiency lwemithambo, utshintsho ulusu kunye nobukho nokudumba. Okukhona kakhulu iimpawu, kokukhona iqondo ucinezelo iyaboniswa.

Anticoagulation kunye nonyango anti-ukudumba

Ukuxhaphaka comorbidities kunye nengozi iingxaki e acute thrombosis phezulu lwemithambo ziye zakhokelela abaphandi abaninzi ukusebenzisa le anticoagulation lwenkqubo. Umzekelo, libya ezinto lweeHedfowuni ubunzima kucetyiswa ngeedosi othintelo okanye esiphakathi iiveki ubuncinane ezine. thrombosis phezulu lwemithambo sinokulawulwa ngakumbi ngokulumka, uphambuke ezintethweni anticoagulation wakhetha arhente ezilwa ukudumba.

Impendulo etsolo ukudumba sivame phlebitis phezulu, amvelisele iinkxalabo zosulelo enokwenzeka. Izigulane thrombophlebitis suppurative zifuna yokukhupha amanzi kunye nokuqeshwa antibiotics ebanzi-omoya.

ukungenelela kuhlinzwa

Kwiimeko of ukudumba ludlule, iintlungu kunye nokungazinzi wenze liqatywe zasekuhlaleni kunye nokutsalwa. Emva zokucoca kunye nokwaziswa iintlungu zasekuhlaleni, kunye ukuhlatywa inaliti eyenziwe kukutshintsha entsimini. Le nkqubo ilula, yaye emva kokuba kwenziwe ukuhlatywa na, le Ugqirha ngempumelelo ngokugxotha ihlwili phezulu. Inkqubo kunciphisa kukukrala kunye neentlungu, kunye inzuzo zokunciphisa umngcipheko hyperpigmentation abuthethileyo kwimimandla echaphazelekayo.