Phlebitis - ndi chiyani ichi? Zizindikiro, zimayambitsa, mankhwala a nthambi phlebitis

Pali ambiri mitsempha matenda. Ena a iwo "phlebitis" m'magulu. Ndi ambiri akuti kwa chiwerengero cha matenda oyamba ndi zimayambitsa osiyanasiyana bwanji zigawo zosiyana za mitsempha. Komabe, popanda mankhwalawa iwo onse kuyambitsa zotsatira chomwecho - thrombophlebitis kapena embolism m'mapapo mwanga, amatha kuchititsa mtima kumangidwa. Kodi chimayambitsa matenda? Kodi kuzindikira ndi nthawi kuyamba chithandizo, pangakhale mapeto wachisoni? ndi njira zodzitetezera kuti kupewa kutupa kwa mitsempha chiyani? Tidzayensa kuyankha mwatsatanetsatane ndipo Kudaonekeratu poyera kwa onse mafunso awa.

phlebitis Kodi

Ife tonse tikudziwa kuti anthu Mitsempha anawagawa mitundu iwiri chachikulu - mitsempha ndi mitsempha. Pa magazi woyamba opanikizika iri yofulumira kuchokera mumtima, monga yachiwiri womasuka kwambiri amalandira. Ndi chifukwa magazi mu misempha si ikuyenda opanikizika, malinga awo n'kakang'ono kuposa mitsempha, luso ofooka kutambasula ndipo amachititsa anthu kuti zosiyanasiyana zinthu zosasangalatsa monga mitsempha varicose, zotupa, ndipo ena. Nawonso, imfayo phlebitis. Awa ndi matenda a mitsempha, imene kuvutika makoma awo. Mawu akuti "phlebitis" ndi zovuta kumvetsa. Iwo anachokera ku Greek "Flevit" kutanthauza "Vienna".

Kutupa makoma - chinthu zosasangalatsa m'malo oopsa. Nthawi zonse limodzi ndi ululu, anthu chepetse ntchito, mkhutu ntchito galimoto, ndipo nthawi zapamwamba, thrombophlebitis akufotokozera, zikubweretsa blockage wa kuundana mitsempha magazi.

Gawo phlebitis kutanthauzira

Monga tanena phlebitis - ndi dzina wamba matenda angapo venous. Pa malo kutanthauzira odwala mtima kusiyanitsa phlebitis wa malekezero chapamwamba ndipo m'munsi. mtsempha anthu ndi mphako nyumba tubular, makoma amene anapanga zigawo zitatu - akunja wamphamvu ofooka kwambiri pakati komanso mkati. Njirayi imatchedwa endothelium, kutupa ake, motero, endoflebitom. Pamene kutupa wosanjikiza lakunja periflebit matenda. Kumvetsa ndi kuloweza mawu mosavuta, ngati ife mungakumbukire kuti Greek "peri" ntchito potanthauza mtunda kuchokera pakati, mu kumasulira ufulu wa "m'mphepete", "periphery".

Ngati kuvutika wosanjikiza pakati, amatchedwa matenda mezoflebitom. "Meso" njira Greek "pakati". Kotero apa, nawonso, zonse ndi zomveka bwino.

Zochita kawirikawiri phlebitis ndi kusiyanitsidwa ndi chakuti m'mitsempha m'chimake amakhala ndi kuvutika. Nthawi zambiri nthendayo imatchedwa panflebitom, mwachitsanzo ambiri, angapo, koma zikusonyeza zimene zigawo zitatu mpanda wa mtsempha zimawonedwa makamaka kugonjetsa.

Gulu la etiology matenda

Ndi chikhalidwe cha kutupa, palinso zosiyanasiyana phlebitis. Zimakhala:

• necrotizing zowononga (ngati matenda ena opatsirana);
• purulent (nthawizina mu matupi awo sagwirizana kutupa);
• obliterans (osakhala proliferative yomweyo);
• ululu (kumaoneka pa mapazi a akazi akabereka);
• kusamuka kapena akungoyendayenda (amaganizira thrombophlebitis, pamene kuundana Pakuyenda ziwiya);
• pylephlebitis (chofuna kolala Vienna).

Phlebitis mwina kuitana pa dzina la matenda chachikulu kutsogolera kutupa mu mitsempha:

• chifuwa chachikulu;
• chinzonono;
• aktinomikotichesky ndi ena.

Gawo izi ndi zofunika kwambiri kudziwa chithandizo zolondola.

Gulu la chikhalidwe cha matenda

Malinga ndi malo ziwiya vuto magazi m'thupi kusiyanitsa phlebitis phlebitis kungotengeka ndi mtima pansi mitsempha. Ngati matenda chatithandizira ziwiya kufupi ndi thupi pamwamba pa khungu pa malo chofuna mtsempha hyperthermia zimawonedwa (redness, malungo). Kutupa kwa mitsempha kwambiri pansi ndi oopsa kwambiri, makamaka, kuyambira zofunika kuposa matenda ndi mankhwala. Odwala anati kutupa ndi pallor a khungu m'dera la ziwiya chofuna magazi, okwana hyperthermia, kufooka, ululu. mbali zonsezi bwino kumatanthauza, ngati wodwala akapezeka ndi pachimake phlebitis wa miyendo m'munsi. chithunzi pamwamba limasonyeza kusintha mtundu wa khungu pamodzi mitsempha mabvuto.

Ngati matenda wadutsa mu mawonekedwe aakulu, izo angayambe ndi zizindikiro zochepa kapena ayi. Koyamba, si choncho aakulu, koma aakulu phlebitis sioneka ndi chitukuko dzikoli likuonekera, chifukwa chimene odwala ayi pitani kuchipatala ndi mankhwala si ikuchitika. matenda, azungu pang'onopang'ono inasanduka kuthamanga kuti mitundu zovuta mankhwala.

zifukwa

Phlebitis m'makona chapamwamba ndipo m'munsi chifukwa cha zifukwa zosiyanasiyana. Nthawi zambiri matenda pa mapazi awo chifukwa cha mavuto a mitsempha varicose ndi phlebitis limapezeka pa dzanja lake pambuyo zinalephereka jekeseni mtsempha kapena kuchepa disinfection wa malo jekeseni. Koma pali zomwe zimayambitsa wamba kutupa m'makoma venous, onse chapamwamba ndipo m'munsi malekezero.

Njirazi ndi monga:

• kupwetekedwa mtima, kuphatikizapo amayaka wa mtundu uliwonse;
• nthenda;
• Mkulu tilinazo venous makoma;
• matupi awo sagwirizana kutupa;
• matenda ena mtima;
• kutengera za kwa thrombosis;
• adatchithisira chitetezo chokwanira;
• mavuto magazi clotting (anapeza kapena cholowa).

phlebitis yokumba

Varicose mitsempha zisakuyenda chimagwiritsidwa ntchito njira ya mankhwala wotchedwa sclerotherapy. Iwo kwagona odwala kubala yokumba (kumphatikiza ndi matenda) phlebitis. Kutupa Pankhaniyi zimachokeradi. sclerotherapy ndondomeko pafupifupi sabweretsa chisoni komanso zothandiza zokwanira. Odwala kutumikiridwa ambulatory syringe m'madera vuto mitsempha kukonzekera mwapadera ( "Trombovar", "Etoksiklerol" ndi ena), kuchititsa kulumikiza makoma chotengera. Iwo watsimikiza zokha mwa miyezi 5-6.

Kodi amalenga phlebitis chenicheni

Limagwirira cha matenda akhoza ziwiri. Nthawi zina muli mavuto m'mitsempha woyamba, ndipo pambuyo kutupa kwa akudutsa kwa minofu ozungulira. Nthawi zina, m'malo mwake, munthu ali ndi abscess chachikulu minofu iliyonse thupi, amene kenako amakhudza khoma mtsempha, ndiye kale monga vuto la matenda chimapangitsa anayamba phlebitis. Photo pansipa mapulogalamu zikhoza kuwoneka ngati kutupa kwa mitsempha kumwendo varicose mitsempha.

Phlebitis chifukwa cha tizilombo toyambitsa matenda, analandira motere: mavairasi kapena majeremusi kulowa venous magazi chotengera chimachititsanso kwa mtsinje wa magazi, pamene mu malo aliwonse sakhala angagwirizanitse kwa mpanda wake. Mwachidule izi ndi pamene mitsempha ndi nthenda (anawonjezera ndi kuchulukana venous ndi zina zotero), koma kuti zimachitika m'madera mitsempha ndi zabwinobwino ndipo mwangwiro wathanzi.

zizindikiro Phlebitis

Zizindikiro General wa matenda monga:

• chowawa kutupa m'mitsempha kapena nthambi lonse;
• malaise, kufooka;
• discoloration wa khungu pa malo a kutupa;
• nyamuka kutentha (m'deralo ndipo nthawi zina general);
• thickening wa khungu m'madera vuto;
• ndi phlebitis wa miyendo m'munsi akhoza anati zizindikiro za mitsempha varicose (miyendo lolemera, swellings, zilonda).

Komabe, ngati pali phlebitis oziziritsa, zizindikiro ndi chithandizo akusiyanako. Choncho, odwala amadandaula kuthamanga kwa magazi, kupweteka kwa mutu, chizungulire, zipolowe zithunzi, maganizo a dziko.

zizindikiro zina angapo ali pylephlebitis (kutupa kwa mtsempha zipata m'mimba), imene pali:

• kufooka;
• malungo;
• kusanza;
• ascites;
• kupweteka kwambiri chiwindi;
• yellowness wa khungu;
• mutu;
• kuzizira;
• kuwonjezera chiwindi, ndulu;
• anuria;
• thready zimachitika;
• otsika magazi;
• Ziwalo kutupa;
• flatulence.

Izi udindo popanda kanthu yake kumabweretsa imfa ya wodwala.

diagnostics

Ziribe kanthu kumene mu thupi anayambitsa phlebitis - pa dzanja, pa malekezero m'munsi kapena dera khosi, diagnostics zikuphatikizapo:

• zachipatala Kupenda (phlebologist, mtima dokotala, kapena dokotala, ngati pali adotolo a ukatswiri moperewera m'dera malo zaumoyo);
• mbiri zachipatala
• ambiri kapena zapamwamba magazi ngati mukukayikira pamaso pa matenda ndi matenda;
• duplex ziwiya chindodo, kulola kuti mudziwe zonse zofunikira za mitsempha yomwe ili paliponse mu thupi;
• Doppler ultrasound mitsempha.

Chithandizo cha manja phlebitis

Ngati palibe zikuonetsa kuti hospitalization mwamsanga (kutentha, chizungulire, imfa ya chikumbumtima, kulephera pachimake mtima, kwambiri magazi), mankhwala a phlebitis pa dzanja, chifukwa chakuti iye pafupifupi konse kumva ndi thrombosis, ndi outpatient. Wodwalayo anali Kwalamulidwa mpumulo, ndi zofunika kukonza dzanja mabvuto kuti panalibe chodziwa otaya magazi kwa malo chofuna. mankhwala amachitidwa amaganizira chifukwa. Choncho, ngati vuto linali tizilombo matenda kutupa, prescribers, kumenyana mavairasi mu bakiteriya phlebitis Kwalamulidwa mankhwala. Mulimonsemo, mtima wa Kwalamulidwa:

• antiinflammatory wothandizila;
• Kukonzekera kulimbitsa mpanda wa mitsempha ndi nthenda yotaya magazi improvers (mwachitsanzo, "Trental");
• apakhungu zodzola, akuvutika kutentha, redness, kutupa ndi kupweteka;
• magazi-kupatulira mankhwala;
• analgesics.

Chithandizo cha phlebitis wa miyendo m'munsi

Kutukusira kwa mitsempha mu miyendo zambiri zotsatira za mitsempha varicose ndipo zinadzala kusintha kwa thrombosis, zikubweretsa thrombosis. A magazi aumirira, amene anafika mtima, zingayambitse kuletsa mwadzidzidzi ndi imfa wodwalayo. Chotero ngati m'munsi malekezero anapezeka ndi pachimake phlebitis (kutupa kwa mitsempha kwambiri kapena kungotengeka) ndi thrombosis, wodwala angathe kupereka m'chipatala ndi opanda matenda, monga chizungulire ndi imfa ya chikumbumtima. A kudwala nthambi zotanuka bandeji umagwiritsidwa, anaima ndi lakuthwa prescribers ululu malamulo magazi, magazi kukhuthala, kusintha elasticity mpanda wa mitsempha, anachititsa mankhwala thupi opaleshoni Amasankhidwa nkhani zina zapadera.

Mankhwala a mitundu ina phlebitis

pileflebita chithandizo bwino zimadalira matenda liwiro ndi kukhulupirika. Nthawi zambiri wodwala anatuma opaleshoni kuti achotse gwero la kutupa suppurative (zakumapeto, ndulu, excision abscess). Mu yomweyi, mankhwala (mankhwala detoxicants, sorbents, zobwezeretsa).

Mu phlebitis oziziritsa odwala zambiri m'chipatala. Chithandizo cha matenda imatsogoleredwa kwa normalization wa magazi, achire syndromes, ululu, normalization magazi ndi kulimbikitsa makoma a mitsempha. Komanso, mankhwala kuti muzilowa ubongo zinthu bwinobwino.

Chithandizo cha phlebitis ntchito ndi kusamuka crossectomy (kuchotsa bwanji mitsempha gawo). Anapanga kuundana amachotsedwa opaleshoni, koma akugwiritsa ntchito michere kuti kupasuka magazi aumirira. Iwo kutumikiridwa mu mtsempha catheter wapadera. Kuyambira wodwala akatulutsidwa kuchipatala kunyumba mankhwala zina pambuyo kuchotsa kutupa ambulatory ndi stably kukwaniritsa chikhalidwe zogwira mtima wa wodwalayo.

kupewa

Phlebitis, mwachitsanzo kutupa khoma mtsempha, izo zikhoza kuchitika kwa munthu aliyense. Kuchepetsa chiopsezo cha matenda, m'pofunika kutsatira malangizo awa:

• kusunga malamulo a akuchita mtsempha jekeseni;
• monga momwe n'kotheka kupewa kupweteka mitsempha, ndipo ngati iwo chinachitika, kuchitira molondola;
• mu kukhalapo kwa matenda opatsirana dokotala kukwaniritsa zofunika zonse osati kudzimvera medicate;
• varicose mitsempha - kuti mosamalitsa kutsatira malangizo a akatswiri a kupezeka;
• ndi magazi kukhuthala syndrome - kupewa kudya sipinachi, soya, anauka - mankhwala wowonjezera otsatira kukhuthala;
• onetsetsani kuti moyo umenewu, kotero kuti thupi analandira zolimbitsa fiznagruzki.

Khalani wathanzi!