Ka ntle feela thrombophlebitis

Ka ntle feela thrombophlebitis (STP) ke ho pharaletseng sebediswa le e tsosang khang boemo e le pathophysiology tsa thrombosis le tebileng mothapo thrombosis (DVT) di amana haufi-ufi.

Ka ntle feela thrombophlebitis qala ka boemong bo sa thabiseng ka maoto le, Vienna le chesa. Hammoho le mothapo o ile a ikutloa tiiso, joalokaha eka ka khoele hae a otlolla.

lithuto tse ngata li o ile a hlalosa mabaka a kotsing ea ho thrombophlebitis ka ntle feela, tse ngata tsa tsona tsamaisane le lintlha tsa DVT. Varicose methapong ka lipheletsong ka tlaase ho 93% ea linyeoe emela atileng ka ho fetisisa kotsi Ntlha e predisposing. lintho tse ling tse kenyeletsa lilemo, bong e motšehali, botenya, ho buoa tsa morao tjena kapa immobilization, litla hormonal, boteng ba thromboembolism fetileng venous (VTE) le kankere. liphetoho ka linako tse itseng le tsona ama ntshetsopele ya lefu lena le, tlhōrō incidence hangata le hlaha ka likhoeli tse mofuthu lehlabula.

Kotsi ea mathata

Bakeng sa bakuli ba fetang a le lilemo li 60, le histori ea DVT, immobilization tsa morao tjena le tshwaetso systemic, ho eketsa menyetla ea ho ntshetsa pele e tebileng mothapo thrombosis le amanang thrombophlebitis. Haholo sa foleng venous insufficiency le qala ka tšohanyetso ka ntle feela thrombophlebitis lintlha statistically bohlokoa bakeng sa VTE kotsi.

mokgwathupelo tekotshupo

Ka ntle feela thrombophlebitis ke ho feta tloaelehileng bakuli ba methapong varicose, empa ka boela la hlaha ka methapong tloaelehile saphenous ka bakuli ba thrombophilia botlaaseng. Ata tsamaea le mathata venous ka bakuli ba STP laela le duplex anthivaerase bakeng sa e mong le e le mamello. Liphetho li se feela ile a bontša ho ba teng kapa ho ba sieo ha ka clot mali, empa li boetse li thusa ho hlwaya mathata. Ho ea ka ya ka dipholo tsa ultrasound tse ka le bolella hore na hlokang lithuto e tsoetseng pele ho feta ho sebelisa litšoantšo.

dikgetho kalafo

Sepheo se ka sehloohong sa ho phekoloa thrombophlebitis ka ntle feela - thibela keketseho ea clots mali le kotsing ea ho VTE. Tse ngata ya referense litemana tse bakeng sa ho buuoa vascular le tlhokomelo ea mathomo e tsoela pele ho Wszystko bethe ba bang kaofela e le karolo ea phekolo bakeng sa DVT le STP. Leha ho le joalo, dikgothaletso ke robala ba bang kaofela bakeng sa bakuli ba thrombosis hlobaetsang khothalletsa venous stasis, e leng e thunye bakeng sa clot mali. lithuto ea lotho li bontšitse hore compression le ho tsamaea le molemo ho feta a le betheng ba bang kaofela ho fokotsa ho ruruha le boemong bo sa thabiseng, le ho fokotsa katoloso ea clots mali ka bakuli ba DVT proximal.

compression phekolo

Compression fana molemong fetisisa ka saense proven bakeng sa kalafo ya thrombophlebitis ka ntle feela. Sena alleviates matšoao a, hammoho le ka thibelo khahlanong le ntshetsopele ya DVT. Decousus ithuta tiisa hore compression phekolo sebelisa kretiente compression stockings kapa leoto wraps eona ke eona tekanyetso jwale ya tlhokomelo bakeng sa bakuli ba STP ka. Puso kakaretso ea motona e sebelisoa ho compression kretiente ho itšetlehile ka ho tiea tsa insufficiency venous, liphetoho letlalong 'me ho ba teng ha edema. The matla ho feta matšoao, e khōlō tekanyo ea ho compression bontšoang.

Anticoagulation le-ba khahlanong le a hlabang phekolo

Ho ata tsa comorbidities le kotsi la mathata a ka thrombosis hlobaetsang ka ntle feela venous u tsamaisitse bafuputsi ba bangata hore ba sebelise ya systemic anticoagulation. Mohlala, heparin tlaase limolek'hule boima buelloa ka tekanyetso e thibelang kapa lipakeng bakeng sa bonyane libeke tse 'nè. thrombosis ka ntle feela venous ka khona conservatively ho feta, ho qoba anticoagulation e emelang mahlahana a khahlanong le a hlabang.

The a hlobaetsang le a hlabang ka karabelo hangata e hlokometse ka phlebitis ka ntle feela, 'me ka' na hlahisa dingongoreho ea tšoaetso hlahelang. Bakuli ba thrombophlebitis suppurative hloka drainage le ho kgethwa ha lithibela-mafu tse sephara-manyenyane.

ho kenella ha ho buoa

Ka maemo a ho ho ruruha a hlobaetsang le, bohloko le liphetoho etsa incision ea moo le drainage. Ka mor'a ho hloekisa le ho qaloa ho thethefatsang ea moo, ka punctures nale entsoe tšimong fetotsoe. Ena ke mokhoa o bonolo, 'me ka mor'a punctures di entseng, le ngaka e ka ka katleho leleka ka ntle feela clot. Tsamaiso ya ho fokotsa ho ruruha le bohloko, le molemong eketsa ya ho fokotsa kotsi ya hyperpigmentation bitsoa ba libakeng tse amehileng.