Matenda a thrombophlebitis chakuya; Homans chizindikiro

Homans chizindikiro - wina zizindikiro ŵa kudziwa thrombophlebitis kwambiri ziwiya m'munsi malekezero. Zimathandiza kuti matenda mu masiku 2-4 ya chiyambi cha ndondomekoyi. Thrombophlebitis - vuto m'malo mwamsanga, malingana ndi kuwerengera amadwala matenda 1/5 ya anthu. Yodziwika venous kutupa (phlebitis), zosayenera magazi ndi mapangidwe magazi kuundana pa kama mtima.

Kungotengeka ndi zakuya thrombophlebitis

Zachiphamaso thrombophlebitis zambiri amapezeka m'dera la mitsempha varicose ndipo angathe kuonedwa zowoneka. A kutupa zachiphamaso imakhudzana ndi mitsempha yomwe ili pakati pa khungu ndi minofu. ululu waukulu ikutuluka njira ya mitsempha owonongeka khungu redness, kutentha limatuluka. Pa palpation dokotala ndikupeza tinatake tozungulira ting'onoting'ono basi mu malo aumirira kuphatikana. Nthawi zambiri, matenda sikovuta.

Bwanji kumachitika pamene kwambiri thrombophlebitis chifukwa mitsempha yomwe ili mkati minofu kuti, wosaoneka. Pafupifupi 50% odwala ali n'komwe kuti ali thrombosis a. Mu mavavu aakulu venous pa kugwa limapezeka mtundu wa khungu, zilonda angayambe. Amaganiziridwa thrombosis kwambiri venous akhale pa malo awa:

• kukokera kupweteka kwa minofu m'munsi mwendo, kukula ndi ubwenzi yaitali kapena pamene kutsitsa miyendo pansi;
• kumverera wa chidzalo mwa miyendo;
• kutupa kwa mwendo m'munsi;
• kusindikiza subcutaneous minofu.

Kuzionetsetsa, pali zabwino Homans chizindikiro - ndi mbali yochititsa khalidwe la kutupa ndi thrombosis kwambiri m'mitsempha. Iwo amalola kupanga matenda kuyambirira ngakhale pamene anayendera koyamba.

Kodi matenda thrombosis kwambiri mtsempha?

Homans chizindikiro anafotokozedwa ndi American dokotala J. Homans mu 1934. Kudziwa kwambiri thrombophlebitis mtima anaika pa nsana wake, mwendo linafunsidwa kukhotetsa bondo pa mlingo woyenerera. Pa gulu kumbuyo kwa phazi (a) ululu umachuluka zikuchepa paseri minofu mwendo. Anakhulupirira mwa wolemba, zabwino Homans chizindikiro amayamba ndi psinjika za mitsempha zakuya za minofu anakhudzidwa.

Muyeso wa circumference wa matenda lamanja ndi lamanzere tibia amathandizanso, motero, a nthambi akhudzidwa adzakhala ndi awiri akuluakulu.

Homans chizindikiro osati chizindikiro chokha cha matenda. Kuzionetsetsa chovumbulutsidwa kuchuluka khungu tilinazo, ululu ndi kukakamiza tibia mu anteroposterior malangizo (Mose chizindikiro), mwachikondi pachilumbachi palpation ndipo amkati kumbuyo padziko tibia lapansi. Kumawonjezera kutentha m'deralo.

njira malangizo a matenda: mtima ultrasound, duplex chindodo, rheovasography.

matenda masiyanidwe

Zizindikiro ofanana ndi thrombophlebitis kumachitika matenda ena a mapazi. Kutupa malekezero m'munsi zimawonedwa pa lymphostasis, magazi kulephera, kuvulala zoopsa, nyamakazi ya bondo. Mu milandu, Homans chizindikiro negative.

Nthawi zina ululu ndi kutupa zimachitika ngakhale patapita choipa zazing'ono, makamaka ukalamba. Ziyenera kukhala munthu kupanga kusuntha womangika, kudumpha kapena kuthamanga ngati pali hematoma pakati minofu. Patapita masiku angapo, iye ikagwa akakolo, phazi m'dziko lino chimakhala mtundu bluish.

Chifukwa matenda kugwirizana ndi kutupa ndi ululu mapazi, pali ambiri, musanyalanyaze malangizo a dokotala wa. Kuti mupeza chifukwa cha kudwala kwambiri.