Thrombosis ya mitsempha zozama za m'makona m'munsi

M'munsi miyendo anthu ndi yaikulu venous maukonde kuti amalola venous magazi ambiri wosakoma vena cava. Pali mitundu itatu ya mwendo mitsempha: yachikhalidwe kwambiri ndi kulumikiza iwo perforating mitsempha. Bwinobwino Mitsempha venous padziko kudzera perforating ndi umayenda kuchokera mu mitsempha kwambiri, imene Lifikira vena cava ndi mumtima. mavavu Venous kuonetsetsa njira ya akulowera magazi. Ngati chifukwa chake adakambirana aliyense mavavu kugwirizana, magazi stagnation amapezeka mu zotengera magazi kumachitika ndi varicose. Ndi matenda munthu angakhale kwa zaka.

matenda More oopsa kwakuya thrombosis mtsempha. Ndi mapangidwe thrombi mu miyendo mtima lumen kapena mafupa a chiuno. zinthuzo ali limodzi ndi kutukusira kwa mpanda mtsempha, ululu amphamvu ndi makutu magazi. thrombosis zozama mtsempha akhoza kumva ndi moyo pachiswe chikhalidwe - emboli m'mapapo mwanga.

Zimayambitsa matenda

The zikamera matenda amathandiza khoma zoopsa choipa, stagnation wa venous magazi, kulemera owonjezera, mimba, moyo wongokhala, kutupa mitsempha, ndi matenda bakiteriya, ena mankhwala (kulera), matenda neoplastic, zaka wamkulu kuposa zaka makumi anai, magazi clotting matenda.

Chifukwa cha deceleration wa magazi kumachitika thrombus mapangidwe, zomwe zimagwiritsa analemba za maselo ofiira ndi maselo othandiza magazi kuundana. The thrombus anapanga akhoza mwamphamvu zaikidwa pakhoma mtsempha kumapeto wina, mapeto ena kwake momasuka ili mkati lumen wa chotengeracho. Thrombi angafikire chachikulu pati, pang'ono kapena kwathunthu kulowererana m'mitsempha lumen.

Chipatala kuwonekera kwa matenda

Monga tanena magazi stasis chifukwa thrombosis kwambiri m'mitsempha. Zizindikiro za matenda onse akuonekera pa zikamera ndi akuphulikira wa pachimake ululu wathuyo nthambi, kulimbikira kutupa ndi kumverera wachikondi. Kutupa kwa mpanda venous nthawi zambiri limodzi ndi malungo. Thrombosed nthambi ndi yozizira kuti kukhudza kuposa wathanzi. Kunja mwendo edematous, hyperemic. Khungu mu zinkakhala m'dera chonyansa ndi chonyezimira, ndi maukonde aziphunzitsidwa venous. Nthawi zambiri, thrombosis kwambiri mtsempha kale poyamba akuwonetseredwa m'mapapo embolism mtsempha wamagazi thrombi kusiya kwa chotengeracho. Wodwala mu nkhani iyi ndi ululu kwambiri chifuwa, iye ali paroxysmal chifuwa ndi magazi, kugwa magazi. Blockage wa lalikulu ziwiya m'mapapo mwanga zambiri limadzetsa imfa. Ngati panali thrombosis m'chiuno mtima kumachitika ileus Clinic.

miyeso matenda

The matenda a "Kwakuya mtsempha thrombosis" pamwamba pa maziko a madandaulo, mawonetseredwe m'dera ndi matenda kafukufuku. Pali zizindikiro, pa maziko amene n'zotheka oterewa kwambiri thrombosis mtsempha atavalanso zoteteza. Awa ndi zizindikiro za Pratt, Homans, Payr ndi ena.

Kuyambira njira malangizo akhoza kutchulidwa ultrasound doplerografii, angiography.

Matendawa kusiyanitsidwa ndi limfostazom, erysipelas, kutambasula minofu.

thrombosis chithandizo

Wopepuka thrombosis akalumikidzidwa atavalanso zoteteza asonyezedwa pa outpatient maziko. The zina amafuna chithandizo kuchipatala. Wodwala ayenera kutsatira okhwima bedi mpumulo okwera malo a zilonda mapazi. Matenthedwe njira ndi contraindicated. Kuikidwa ndi anticoagulants ( "Heparin", "Fraksiparin", "Clexane" neri Al.) Ndipo Antiplatelet wothandizila ( "Trental", "Kurantil"), pansi pa ulamuliro clotting. Kutumikiridwa analgesics sangachitepo ndi novocaine anatseka misewu.

Mu zambiri aakulu a mtundu thrombosis limasonyeza ntchito (kuchotsa thrombus, venous fyuluta unsembe mu vena cava ndi ena.).