Thrombosis le mithambo enzulu nemilenze: unyango, iimpawu noonobangela. Thrombosis le mithambo enzulu nemilenze baphathwa amayeza abantu

isifo semithambo - isifo nzima yaye ngokufuthi yingozi. Enye sifo singanyangekiyo na thrombosis le mithambo umlenze enzonzobila. Unyango lwesi sifo kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka. Emva sifo singanyangekiyo ukuze abe nje kuphela unobangela yokukhubazeka, kodwa athintele ubomi yesigulane.

Iimpawu izifo

Isiseko sesi sifo xa kukuvela anzongonzongo vein ihlwili igazi ubizwa ngokuba thrombus. Ngamanye amaxesha ukugula etsolo uhamba ukudumba eludongeni isitya Kwangale. Xa amayeza, le yokugqibela kuthiwa phlebitis. Kulo mzekelo, isigulane ene thrombophlebitis.

Xa ukuyilwa segazi ihlwili isigulane ukubonakalisa uphuhliso sifo, "deep vein thrombosis le nemilenze" iimpawu. Photo ibonisa ngokucacileyo kubo. Ehlabathini ihlwili uqala ukuphuhlisa komtshiso oko. Blood ihlwili iqhotyoshelwe eludongeni lwemithambo. Ngenxa yoko, ukuba uba kunokutshiseka nezonakeleyo. Esi sisifo oyingozi kakhulu - thrombosis ze mithambo ngokunzulu kweqondo asezantsi. Unyango luqalwe ngexesha, ekhokelela ukuqhubela phambili kwesifo kunye neziphumo kakhulu ngokwaneleyo.

Ubungozi izifo

Ubungqongqo sifo kuxhomekeke kwinto yokuba isiziba ihlwili legazi iyakwazi ukuba bahlukane. Ekubeni igazi ngumsinga ngayo basasaza indlela lwemithambo, oko kwenzakalise ukuhamba kwegazi. Kuba ogulayo sinesifo sisifo esibi, kusenokuba yingozi nayiphi na intshukumo. Amaxesha amaninzi umsipha nokuncipha kuchaphazela imo ihlwili legazi, yaye ngamanye amaxesha kukhokelela ukuqhekezwa elo qela. Kulo mzekelo, kulula kakhulu ukuba amasuntswana sandile emzimbeni.

Ngamanye amaxesha, egazi igazi akhiwa kule izitya zangaphandle ongama. Kodwa, Kakade, esi thrombosis ingozi imithambo ngokunzulu kweqondo asezantsi. Unyango, ngexesha eyaneleyo - ndlela kuphela ukulwa esi sifo.

Le ngezifo kungakhokelela kude kuse kwemithambo aortic. Yinto eyaziwayo ukuba igazi kwiziphelo asezantsi ukuya imenza. Emva koko, emiphungeni, kuzale ioksijini kunye ubuyela amalungu peripheral. Yingozi ukuba nayo yisa izicwili thrombus - Embolism. Ukungena kwabo pulmonary kukhokelela ekuphazanyisweni kwenkqubo yokumpompoza kwegazi kunye occlusion. Ngenxa yoko, isigulana iphuhlisa nokuphefumla, ukusilela intliziyo. Le kama in iyeza elibizwa i Embolism pulmonary (eBhayi).

Ezibangela isifo

Imithombo ezintathu eyaziwa bandiqumbisayo thrombosis le mithambo ngokunzulu kweqondo asezantsi. Izizathu ezinje amayeza ebizwa ngokuba "Triad Virohova":

1. Ulwando ekunqandeni egazini. ngezifo ezifana yabonakala ukutya waphazamiseka, umhlaza, nezifo zesibindi.
2. Isakhiwo silungiswe udonga lwemithambo. Ngenxa utyando, iinaliti, iingozi zinokwenzeka loo mfanekiso. Ngamanye amaxesha isiseko leengxaki inqubo esosulelayo okanye immunoallergic.
3. flow kwegazi Slow, okukhokelela yokudodobala ngemithambo. Lo msebenzi ambona ukucudisa imithambo yegazi, imithambo yegazi varicose.

Thrombosis angenzeka abadala kunye nabantu abadala. uphuhliso kwayo ezikhuthazwa kokuhlala ixesha elide okanye babemile. Ngoko ke, iqela umngcipheko i ngabantu omsebenzi wakhe enxulumene noko moya elide, ehleli emotweni okanye kwi computer.

Ukumqumbisa ngezifo ezi zinto zilandelayo:

• lokukhulelwa, ngexesha lokubeleka (ingakumbi emngciphekweni wokuhlaselwa sesi sifo abafazi owayefumene ngokuqhaqhwa);
• uhambo olude kwizithuthi kunye uhambo ngomoya;
• iintanda ezimbaxa, utyando esiswini, utyando emalungwini;
• ukutshaya;
• luphele;
• ukungabikho ulwelo emzimbeni, Nokumphikisa viscosity igazi ;
• ukusetyenziswa kweziyobisi eziphuhlisa ekunqandeni igazi;
• iposi engabalulekanga, sifuba angina, sisifo sentliziyo nezinye izifo yenkqubo sentliziyo.

Njani na esi sifo?

Abantu abaninzi ixesha elide ukuhlala okanye ukuma. Ngelo xesha linye abanalo zonke sifo iphuhlisa thrombosis le mithambo ngokunzulu kweqondo asezantsi. Imbali Medical ngulo ulandelayo.

immobilisation Ukunyanzelwa izihlunu kukhokelela kungekho kukhula igazi. Isigulane iye ihlwili legazi kwakheka. Ingakumbi ukunyuka umngcipheko abantu bathanda igazi ekunqandeni ngokukhawuleza.

Kwiimeko ezininzi, egazi ezincinane ukunyibilika ngokwabo. Oku lula kuthungelwano iindlela reserve lwangaphakathi yommiselo. Kodwa ke, ngelishwa, kukho iimeko apho egazi igazi musa ukuluhlakaza, abuye avuke ngaphezu yegazi.

Kwiinyanga ezintandathu kamva patency of iziqu lwemithambo ihlawulwe xa izigulane ezininzi. Kodwa abanye inxalenye izigulana (45%) ngezifo uba insufficiency ezingapheliyo lwemithambo. Esi sigulo kunokuba nzima. umfanekiso anzongonzongo baba efanayo ityhubhu eqinileyo, apho icandelo ivelufa yaphulwe. umsebenzi flow ngegazi kakuhle. Ukungondleki inyama ikhokelela izilonda ngeenyawo.

imihlobo zokugula

Phlebologists sebenzisa ukuhlelwa eziliqela, ezenza ulwazi ngezifo of thrombosis le mithambo ezinzulu kweqondo asezantsi. Iimpawu ifomu nganye iimpawu zazo ahlukile.

Pathology iyahluka by:

1. Iifom Primary - flebotromboz. A phawu yale sifo uncamathiselo tenuous kwi mithambo we ihlwili legazi akhiwa eludongeni. Kukho amathuba ophezulu ngokwahlukana ngequbuliso. Le fomu kusoloko kukhokelela iingxaki kunokuba yingozi, ngokufuthi ebulalayo.
2. ifomu Secondary - thrombophlebitis. Imithombo ngezifo ezifana na ukudumba lwemithambo iqokobhe ngaphakathi. Thrombus ngokuchanekileyo. Amathuba kwahlulwe yequbuliso iphantsi kakhulu.

ngezigaba, nto leyo ethatha ingqalelo oonobangela esi sifo. Ezi ndidi zilandelayo:

1. Nda- wonye. Pathology nomsindo ucinezelo of imithambo ezivela ngaphandle. Ngenxa yokuba apho kukho imiqobo ukuhamba kwegazi.
2. Arhabaxa. Unobangela wokwenzakala zesifo, izifo ezosulelayo, iinaliti, negazi.
3. Hemostatic. Eyona nto iphambili yale sifo kukwaphula iipropati ekunqandeni. Kukho olu hlobo sifo kubaguli abanesifo sesibindi, ukutya kakuhle, Oncology.

Zibaluleke ngokwaneleyo Ukuhlelwa thrombus ubonakalise ngokunxulumene eludongeni lwemithambo:

1. thrombosis Occlusive. Mithambo of inqanawa ivaliwe ngokupheleleyo. Igazi flow engekho. Nale ihlwili ikhula phezu ixesha kodonga lwemithambo.
2. Mural. Ihlwili spliced ngokuyinxenye kunye eludongeni. Mithambo khona apho kwenzeka flow kwegazi.
3. Ixabiso lencopho. Le ngezifo luphawulwa ubungakanani enkulu thrombus. Ubude ungakwazi ukufikelela-20 cm. Nge Amanzi intshukumo ihlwili legazi. Ingozi kukuba ihlwili uyakwazi ukungena kwisikhongozeli nzulu, kwaqala le occlusion lokugqibela.
4. Mixed. Le ngezifo, apho ihlwili uyakwazi icandelo ukwenyuka okanye ukwehla kule dip.

zesifo sifo

Ulusu ububomvu kunye neentlungu ekhatshwa thrombosis le mithambo ezinzulu kweqondo asezantsi zinqabile. Iimpawu zibonakaliswa le ngezifo idla engephi. Ngoko ke, ngamanye amaxesha kunzima ukugqiba yokugula. Kwaye phantse isiqingatha sabantu zokugula ngokubanzi lwenzeka ngaphandle iimpawu. Amaxesha amaninzi ezi izigulane ujamelene intlungu kwentamo. Ngelishwa, oko luphawu nengxaki enzima - Embolism miphungeni.

Cinga lwezonyango isifo mpawu deep vein thrombosis iimpawu eziphelweni asezantsi. Photography, ebekwe kwinqaku ubonisa iimpawu ezingundoqo. Izigulane sinokufumana mpawu zilandelayo:

• ububomvu;
• ukudumba kweqondo;
• ubunzima emilenzeni;
• amahlaba ebusuku;
• uza ubushushu kummandla ochaphazelekayo;
• Hypersensitivity okanye ukungaphatheki esibuhlungu localized kwi umzantsi womlenze, nethanga xa umile, ehamba, kwaye maxa wambi echukumisayo.

thrombosis yayiyazi

Pathology ukuze bawaphikise zinto zilandelayo nezifo:

• Valvular Disease Heart;
• endocarditis;
• yamafutha;
• kwemithambo;
• umphimbo;
• esifo;
• ixesha postoperative.

etsolo thrombosis symptomatology kubonakaliswa ngokucacileyo kakhulu. Ukuphuhlisa sifo:

• ezaziqhubeka esibuhlungu kwi kwesebe owenzakeleyo;
• kukho okupholisa ezinyaweni zakhe;
• Ukunyuka lobushushu (indicators uyakwazi ukufikelela 39-40 ° C);
• kunciphisa inovakalelo (ngamanye amaxesha kuyenzeka antsi olupheleleyo) kakhulu;
• isikhumba libunile kakhulu, naziiperile eziyiyo azuze;
• ukuma iminwe uzipho;
• akunakwenzeka ukuba kukuvavanya ubume kwiingingqi peripheral;
• ngezantsi trombovannoy Umthambo ukuhamba joint akakho esikolweni;
• Ngokucofa lubuhlungu.

Kuyimfuneko ukuba hospitalize lidibane ogulayo esolwa thrombosis nokoyika yegazi ezinzulu kweqondo asezantsi. Unyango izigulane kufuneka anikwe kwangethuba kangangoko kunokwenzeka.

Xa esi sifo aluvumelekanga pakani umlenze wakhe owenzakeleyo, shushu okanye anike isikhundla esiphakamileyo imilenze. Ngexesha nokuthuthwa umntu onjalo umlenze asha kufuneka zibekwe ngendlela eqinisekisa imo yokuphumla ngokupheleleyo.

Kubalulekile ukuqonda ukuba esibhedlele umntu ngexesha papalata umlenze ngenxa ukubola. Ukongeza, kuyimfuneko ukuba baqalise unyango elondoloza ngoko nangoko. Iziyobisi emiselwe ngugqirha ukunceda ukubuyisela inkqubo nokuhamba kwegazi, ukuphazamiseka.

isifo izifo

Phambi bokunikeza ezifunekayo thrombosis isifo unyango iphuma nzulu, iimpawu kufuneka unesifo ngokuchanekileyo.

Ngethuba loviwo lonyango busisigxina iimpawu uphawu le emoyeni:

1. Uphawu Pratt. Isigulane uba mithambo abadumileyo ongama, umphezulu ecwebezelayo.
2. Uphawu Lovenberga. Kukho kabi esibuhlungu yesiqephu abachaphazelekayo kwisigulo, xa uzama yokumpompa umoya ngaphakathi cuff ibhijelwe CRU, isixhobo sokubala uxinzelelo. Iimpawu ezingemnandi kwenzeka sele kwi-80 mm HG
3. Uphawu Payr. Xa icinezelwe kwi kummandla engaphakathi amaqatha kubonakala ebusweni intlungu kwi izihlunu ithole.

novavanyo lonyango, imilenze bevakalelwa kube lula ukuqikelela kuphela wabonakala lwangaphandle sifo. Kuba isifo ngqo ngakumbi kwezi zifundo zilandelayo ziza kufuneka:

1. igazi INR. Uhlalutyo umisela ekunqandeni igazi.
2. Ultrasound ayisuse engayi. Uphononongo lunika ingqiqo Kwangale, izinga exineneyo. Uhlalutyo umisela ubukho thrombus ezidadayo.
3. Venography. Uviwo kubandakanya ilawulwa arhente umahluko emthanjeni, endiwenziweyo emva X-ray. Olu phando icacisa sifo ukuba thrombus mobile yaye besola.
4. MR phlebology. Le kulingwa isekelwe umqondiso ukudluliselwa egazini ezihamba yegazi. isandi ayikho esidla phambi ihlwili legazi ukusuka ingxenye ochaphazelekayo.

amayeza

A ogulayo banesifo ngezifo, kuyimfuneko ngokukhawuleza kangangoko kunokwenzeka ukuqalisa ukulwa nezifo. Xa kungekho unyango eyaneleyo iinyanga 3 isiqingatha izigulane ukuphuhlisa PE.

Ngokufuthi, ugqirha ukhetha unyango endala okulwa thrombosis isifo imithambo ngokunzulu kweqondo asezantsi. unyango kuhlinzwa kuyinto efunekayo ngabanye. Ngokuqhelekileyo, isigulane kufuneka esibhedlele. Xa kwegazi ngezantsi Kwangale popliteal, kwezinye iimeko ukuba unyango kwesibhedlele.

Isigulane kuyacetyiswa umandlalo lokuphumla iintsuku 3-5. Xa iingxaki ezinjalo ixesha elide leentsuku elishumi. Le nomlenze owenzakeleyo akakho ngoko sikarhulumente avuswe.

Ngokuyimfuneko wabelwa kweziyobisi lokufunyaniswa thrombosis zonyango ndlela enzonzobila. Amachiza Kucetyiswa ngolu hlobo lulandelayo:

1. amayeza Anticoagulant series desagregants "lweeHedfowuni", "Clexane" "Clopidogrel", "Ticlopidine", "Fraksiparin".
2. Semithambo, arhente rheological, "Reosobilakt", "pentoksifilin", "Trental", "Tivortin".
3. Amayeza prostaglandin oluthi "Vazaprostan", "Ilomedin", "Alprostan".
4. Nonsteroidal amachiza anti-ukudumba, "Dikloberl", "Melbek", "Olfen."
5. Glucocorticoids (iingedosi ezincinane) "Dexamethasone", "Methylprednisolone."

Izigulane Kucetyiswa ukusetyenziswa ucinezelo ilastiki. Oku kuphucula flow kwegazi. Mhlawumbi ukusetyenziswa amabhandeji elastic. Ngempumelelo kukusetyenziswa iikawusi ucinezelo. isiphumo therapeutic kufuneka kuhoywa. Isiphumo esihle sinika ucinezelo ilastiki. ubuchule kuyimfuneko unyango olunjalo kufuneka bajonge yincutshe.

Iindlela Pathology zonyango

An inkqubo wokuqalisa thrombolysis. Esebenzisa a catheter ekhethekileyo yaziswa isitya kwento ethile ekwaziyo dutywa ihlwili legazi. Lo mcimbi kuphela yingcibi nemithambo. Inkqubo ezinxulumene ingozi ukopha. Thrombolysis inzuzo kukukwazi ukunyibilikisa egazi ubukhulu ezinkulu.

Kwiindlela ezinkulu endala akanako baphilise isigulane. Kulo mzekelo, kukho imfuneko uqhaqho. Kusenokufuneka uqhaqho ukususa izihlwele thrombotic ngemithambo ezinkulu kweqondo asezantsi - thrombectomy. Xa occlusion, ekhoyo ixesha elide, uthetha imfuneko utyando bypass. Okanye kancinane ungenelelo invasive - stent kwi ingxenye ochaphazelekayo.

Ezinye izigulane ziyakhuthazwa ukuba ukubeka ngaphakathi metal Vena cava cava filter okhethekileyo. Oku kuyinyaniso ngakumbi xa isigulane watyhila Izimo iziyobisi ezijoliswe olindelwe igazi, okanye kwimeko kwawo. Loo isixhobo uyakwazi ukukhusela abantu ezifudukayo amasuntswana thrombus. Action cava filter kufana indlela le "emgibeni". Oku lusekiwe ixesha elithile - kwiiveki 3-4. Ngamanye amaxesha - ngelo xesha. Lenquba yenzelwa phantsi Ukubulawa yasekuhlaleni.

Ukuphuhliswa, iindlela ezintsha ezikhuselekileyo yokujongana sifo, thrombosis ngayo yegazi enzonzobila. laser - ngomnye wabo. Phantsi yempembelelo isixhobo kuyenzeka ukuba kuzuzwe isiphumo hypocoagulation izinzile. Oku ukukhusela isigulana ukusuka ingxaki krakra - Embolism yemiphunga - nangempumelelo okoyisa thrombosis of imithambo ngokunzulu kweqondo asezantsi. Unyango e Moscow, njengoko wesimodeni kwaye ekhuselekileyo, uziqhelanise kwiiklinikhi ezininzi.

Iingcebiso kwi umsoco

Izigulane kufuneka ngqo ukutya efanelekileyo Alizukunyanga thrombosis of imithambo ngokunzulu kweqondo asezantsi. Yokudla isekelwe phezu ukusetyenziswa oluninzi imifuno kunye neziqhamo. Ezi kutya zizityebi ifayibha, nto leyo inceda ukomeleza iindonga imithambo yegazi.

Kuyanconywa ukuba ngaphandle izitya ezikhuthaza ukugcinwa kolwelo emzimbeni kunye nokwandisa umthamo wegazi. Kuyinto nezinongo, ukutya enetyuwa.

Ukuthintela ukuyilwa egazi igazi yokunyibilika kufuneka utye ukutya isityebi vitamin E acids kubalulekile okunamafutha. Zezi: isibindi cod ioli, iimveliso zaselwandle, ioli flaxseed. Kuyimfuneko Umxhesho yomguli iyakwazisa i gqirha khona.

amayeza abantu

Yamaxhwele wadala recipes ezininzi ukunceda ukunyanga thrombosis of imithambo ngokunzulu kweqondo asezantsi. amayeza esizwe Unyango kuquka ukusetyenziswa iintlobo tinctures, decoctions. Ezinye izixhobo zisetyenziselwa compress. Abanye zenzelwe ukusetyenziswa ngaphakathi.

1. inkumbi Black. Nawokulungiselela infusions ezifunekayo: iintyatyambo icephe ugalele utywala - 100 ml. Raw ifakwe kwisingxobo evaliweyo kwindawo efudumeleyo, emnyama. Emva kweentsuku ezili-10, ngeyeza isicelo lwangaphandle ukulungele. Isetyenziswa ngokukhuhla kunye Oluma.
2. Izigulane uxilongwe "thrombosis of kwisiphelo asezantsi lwemithambo enzulu" unyango amayeza intsomi kunokuphunyezwa ngokusebenzisa tinctures lolawulo lwangaphakathi. Okudingayo wahlamba ngenyameko luyacolwa bayisile ingcambu ye cinquefoil emhlophe. 50 grams feed efunekayo 0.5 L yevodka. Awona macandelo zaye oxutywe (ekukhethwa ukuba zibe ebhankini). Umthamo umaka novulelweyo kwindawo emnyama iiveki ezi-3. Nokuhlanganiswa kufuneka uthathe itispuni kathathu ngemini.
3. maqula olusebenzayo elapha. Ukuba uza kuziphelisa zonke iintlungu, sizani nokudumba. Iziphumo ezidibanisayo liyasetyenziswa ngokusebenzisa i decoction nengcambu kwezikhumba. Ukulungiselela ifidi ngekhilogram ezifunekayo. Zayo ekwakuthululwa iilitha ezi-5 zamanzi kunye uphekele kangangeyure. Emva zingaphazamisi umhluzi kuyo ukundiza iinyawo.
4. nomphumela omuhle uye isifo deep vein thrombosis kweqondo propolis asezantsi unyango. Le imveliso inceda ukwehlisa igazi ekunqandeni, kwaye ovelisa "abantu ababi" cholesterol emzimbeni. Propolis Kucetyiswa ukuba usebenzise phakathi kwezidlo imisitho ye-5 g Esi sixhobo sinokusetyenziswa njengomsebenzi nokuthintela kakhulu thrombosis.
5. Ubusi kuluncedo kakhulu ekunyangeni izifo. Xuba imveliso yeglasi umlinganiselo ofanayo juice tswele. Kwindawo efudumeleyo izithako ezixubeneyo kufuneka baqinise iintsuku ezintathu. Emva koko, ukwakhiwa yadluliselwa kwindawo epholileyo igcinelwe enye ngeveki. iindlela ezinjalo kufuneka athathwe phambi kokuba okutya 1 st. l. kathathu ngemini.

Ukukhetha yindlela efanelekileyo, musa ukulibala ukuba phambi kokuba isicelo kuyimfuneko ukuba iququzelele oku kunye nogqirha wakho. thrombosis yayiyazi loo nemilenze imithambo ezinzulu kufuna ingqalelo ekhethekileyo. Unyango amayeza intsomi echazwe apha ngasentla, ungaqalisa kuphela ukuba ugqirha iza kuxhasa ngokupheleleyo iindlela olukhethileyo. Akukho mfuneko ukumlinga isiphelo kunye self-medicate.

Views ezigulane

Yintoni kakhulu ngempumelelo xa thrombosis isifo unyango ndlela nzulu? Ukuphonononga zibonisa ukuba iziphumo kakuhle ziyaphunyezwa kunye nendlela yokujongana ngezifo, oya kumisela ugqirha khona.

Kulo mzekelo, izigulane qaphela ukuba kubalulekile ukuqaphela iimpawu zokuqala zokugula. Kwaye uqiniseke ukuba ngoyaba ngezifo asakhasayo. Kuphela kulo mzekelo, unako ukubala phezu abane kakuhle.

Abo izigulane kufuneka ungenelelo ngotyando, kwiimeko ezininzi, ngaba wanelisekile nokusebenza. Ezi izigulane ingxelo ukuba imilenze ekugqibeleni wayeka ntoni kubo.

isiphelo

Thrombosis - a ngezifo ke akucingeleki kakhulu kwaye iyingozi. Self-unyango, ukhetho iziyobisi okanye ukusebenzisa amayeza intsomi ngaphandle kokuthetha nogqirha - kukuba iindlela engamkelekanga ngokupheleleyo. Nako ukumelana nesi sifo kuphela emsebenzini nonyango lwezigulo zasemsebenzini emva kokuba uvavanyo.