Phlebitis - yintoni na le nto? Iimpawu, oonobangela, unyango lomzimba phlebitis

Zininzi izifo imithambo yegazi. Ezinye zazo "phlebitis" ngezigaba. Eli ligama jikelele ukuba inani izifo ezibangelwa ngezizathu ezahlukeneyo, kwaye zichaphazela amacandelo ahlukeneyo mithambo. Nangona kunjalo, ngaphandle unyango olufanelekileyo bonke kukhokelela kwisiphumo efanayo - thrombophlebitis okanye Embolism yemiphunga, ekwaziyo ebangela zokuma. Yintoni ebangela le sifo? Indlela ukuyibona kunye nexesha ukuqalisa unyango, hleze kubekho kubakho ekupheleni lusizi? Ngawaphi amanyathelo othintelo ukuthintela ukudumba yegazi? Siza kuzama ukuphendula ngokweenkcukacha kwaye kucacile ukuba yonke le mibuzo.

Yintoni phlebitis

Sonke siyazi ukuba abantu imithambo yegazi zahlulwe iintlobo ezimbini eziphambili - imithambo ngemithambo. Kwi igazi lokuqala phantsi koxinzelelo Lisuka nje ngokusuka entliziyweni, ngokutsho owesibini bekhululekile elizifumeneyo. Kungenxa yokuba igazi ngemithambo akuthethi kumpompoza phantsi koxinzelelo, iindonga zawo sokurhuqa ngaphezu imithambo, ukukwazi siethe ukuba olule, babalahlekise abantu iintlobo kweemeko ezingentle ezifana imithambo varicose, hemorrhoids, kunye nabanye. Nabo ke, musani ukubacaphukisa phlebitis. Ezi izifo imithambo, apho kunokutshiseka kweendonga zawo. Igama elithi "phlebitis" kulula ukuyiqonda. It livela kwisiGrike "Flevit", gama elo elithetha "eVienna".

Ukudumba ezindongeni - into kabi kunokuba yingozi. Kusoloko kunye iintlungu, abantu baye kwanciphisa ukusebenza, umsebenzi motor kakuhle, yaye kwiimeko eliphezulu, thrombophlebitis esivelayo, ekhokelela ukuvaleka egazi imithambo yegazi.

Classification phlebitis kwasendaweni

Njengoko kukhankanyiwe ngasentla, phlebitis - ligama eliqhelekileyo kwezifo eziliqela lwemithambo. Xa indawo zalapha yezigulane ezinemigca ukwahlula phlebitis kweqondo eliphezulu nengasezantsi. ndlela Human edalwe tubular ezibuhlazarha, iindonga apho akhiwa ngeengcamba ezintathu - yangaphandle inamandla phakathi buthathaka kakhulu kwaye ngaphakathi. Ibizwa ngokuba endothelium, kunye nokudumba yayo, ngokulandelelanayo, endoflebitom. Xa ukudumba umaleko engaphandle periflebit basibone izifo. Ukuwuqonda ukunkqaya kule kota lula, xa sikhumbula ukuba ngesiGrike "luntu" lisetyenziswa ukuchaza ukuba umgama ukusuka weziko, inguqulelo ngaphandle "buthelezi", "kwaye sikwi".

Ukuba bazitshisekisayo umaleko eliphakathi, ngokuba sisifo mezoflebitom. "Eziphakathi" kusho Greek "phakathi". Ngoko ke apha, kwakhona, yonke into siyavakala kwaye icacile.

Ukuziqhelisa, kunqabile kakhulu phlebitis liza kwahlulwa yi into yokuba esingxotyeni vein iba kunokutshiseka. Isikakhulu sifo kuthiwa panflebitom, okt jikelele, ezininzi, kodwa ibonisa apho le ngeengcamba ezintathu zodonga Kwangale elifana neli ikakhulu zimoyise.

Ukwahlukanisa umyalezo izifo

Bubunjani ukudumba, kukho kwakhona iintlobo phlebitis. Kungaba:

• necrotizing kuyabulala (ukuba izifo ezithile ezosulelayo);
• ubovu (ngamanye amaxesha ukudumba komzimba);
• obliterans (umzuzwana kugqibelelo proliferative);
• ubuhlungu (sibonile ezinyaweni abafazi kokuba luzelwe);
• zifuduka okanye ukuhambahamba (unxulunyaniswa thrombophlebitis, xa egazi ngokusebenzisa iimpahla bahamba);
• pylephlebitis (ikhola asha eVienna).

Phlebitis zibize egameni sifo ephambili ezikhokelela ukudumba ngemithambo:

• tuberculosis;
• syphilitic;
• aktinomikotichesky nabanye.

Le yokuhlela kubalulekile kakhulu ukugqiba unyango oluchanekileyo.

Ulwahlulo yohlobo sifo

Kuxhomekeka indawo kwemithambo yegazi ingxaki emzimbeni ezahlula phlebitis phlebitis imithambo and eyendeleyo. Ukuba sifo abachaphazelekayo iimpahla akhiwe kufutshane kumphezulu umzimba ulusu kwisiza Kwangale komzimba asha emsebenzini (bomvu, fever). Ukudumba yegazi eyendeleyo ukuba iyingozi kakhulu, ekubeni iimfuno ephezulu moshilongo kunye nonyango. Izigulane baqondisiswa ukudumba kunye pallor ulusu kummandla nobeempahla asha yegazi, nokushisa iyonke, ubuthathaka, iintlungu. Zonke ezi mpawu achazwa kakuhle, ukuba isigulane banesifo phlebitis yayiyazi loo nemilenze. Le ifoto ngasentla ibonisa kombala ulusu kunye yegazi eziyingxaki.

Ukuba isifo sele udlule ngendlela ezingapheliyo, oko kunokuthi kwenzeke iimpawu kancinane okanye hayi. Ekuqaleni, its not kangaka, kodwa phlebitis ezingapheliyo singanyangekiyo na impumelelo yayo ibonakale, ngenxa apho izigulane musa ukufuna iingcebiso lwezonyango kunye nonyango akwenziwanga. Isifo, elingumthombo ngokuthe ngcembe lujika lube nokubaleka ukuba iintlobo nzima unyango ngamachiza.

izizathu

Phlebitis yesiqephu ephezulu nesezantsi okubangelwa yezizathu ezahlukeneyo. Isikakhulu sifo ngeenyawo zawo ibangelwa iingxaki emithanjeni varicose kunye phlebitis ivela esandleni sakhe emva isitofu asiphumelelanga efakwa okanye kweentsholongwane ngokwaneleyo kuyo inaliti. Kodwa kukho inani oonobangela eziqhelekileyo ukudumba kwiindonga lwemithambo, zombini eziphelweni eliphezulu nengasezantsi.

Ezi ziquka:

• ukuhlukumezeka semithambo, kubandakanywa ukutsha naluphi na uhlobo;
• isifo esosulelayo;
• uvakalelo oluphezulu ezindongeni lwemithambo;
• ukudumba komzimba;
• ezinye izifo intliziyo;
• ukuthambekela thrombosis;
• base- okukwazi;
• iingxaki Blood ekunqandeni (ezifunyenwe okanye amafa).

phlebitis yokufakelwa

ngemithambo Varicose kwiminyaka yakutshanje lisetyenziswa indlela unyango kuthiwa sclerotherapy. Ihlala yokuba izigulane ukuvelisa ngumntu (hayi elinxulunyaniswa nosulelo) phlebitis. akwenzeki ukudumba kule meko. Inkqubo sclerotherapy phantse yalula kunye ngempumelelo ngokwaneleyo. Izigulane ezilawulwa ngesirinji ambulatory kwiindawo ingxaki ngemithambo amalungiselelo ezizodwa ( "Trombovar", "Etoksiklerol" kunye nabanye), ibangela lib iindonga isitya. It usombulula ngokuzenzekelayo kwiinyanga 5-6.

Yintoni kubanga phlebitis lokwenyaniso

Indlela yesi sifo inokuba ezimbini. Kwezinye iimeko kukho iingxaki Kwangale yokuqala, yaye emva komtshiso ezithengiweyo esikule ezingqongileyo. Kwezinye iimeko, ngokuchasene noko, umntu abe ithumba ephambili naliphi izihlunu zomzimba, apho kamva kuchaphazela udonga umthambo, oko kukuthi, kakade nje ingxaki kwesi sifo engundoqo phlebitis kuphuhliswa. Ifoto engezantsi ibonisa ingajongeka ukudumba yegazi namaqatha yegazi varicose.

Phlebitis okubangelwa amagciwane yayintsholongwane eyosulela, afunyanwa ngolu hlobo lulandelayo: iintsholongwane okanye iintsholongwane, bangene lihamba isitya igazi lwemithambo ukususela kumsinga igazi, ngoxa nayiphi na indawo akuthethi qhoboshela eludongeni lwayo. Ngokomthetho le apho ngoba engaqhelekanga (ende kwingxinano lwemithambo kunye ezifana), kodwa kwakhona kwenzeka kwiindawo apho ngemithambo eziqhelekileyo yaye uphilile.

zesifo Phlebitis

iimpawu ngokubanzi kwesi sifo zibandakanya:

• ukukrala kubuhlungu Kwangale okanye umlenze yonke;
• oluthile, yobuthathaka;
• kombala ulusu kwisiza komtshiso oko;
• lobushushu liphuma (zasekuhlaleni kwaye maxa wambi jikelele);
• ukuqina ulusu kwiindawo ingxaki;
• kunye phlebitis le nemilenze ukuze babonwe iimpawu imithambo varicose (imilenze enzima, ukudumba, izilonda).

Nakuba kunjalo, ukuba kukho phlebitis yobuchopho, iimpawu kunye nonyango thile ezahlukeneyo. Ngenxa yoko, izigulane ezikhala uxinzelelo lwegazi oluphezulu, intloko ebuhlungu, isiyezi, ukuphazamiseka ezibonwayo, kwimbono yehlabathi.

nezinye iimpawu ezininzi iye pylephlebitis (ukudumba vein Portal esiswini), apho kukho:

• yobuthathaka;
• umkhuhlane;
• ukuphalaza;
• ascites;
• ubuhlungu obukhulu esibindini;
• yellowness kwesikhumba;
• intloko;
• Ukugodola;
• ukwanda isibindi, udakada;
• anuria;
• ukubetha thready;
• wegazi;
• omzimba ukudumba;
• flatulence.

Le isimo ngaphandle amanyathelo ngexesha kukhokelela ukufa isigulane.

ekuxilongweni

Akunamsebenzi nokuba phi emzimbeni kwaqala phlebitis - kwelinye icala, eziphelweni aphantsi okanye indawo entanyeni, uxilongo luquka:

• uvavanyo lonyango (phlebologist, ugqirha semithambo, okanye therapist, ukuba abekho oogqirha of amakhono elimxinwa uncedo lwezempilo wendawo);
• imbali yezonyango;
• test kwegazi jikelele okanye phambili xa ukrokrela phambi sisifo esosulelayo;
• iimpahla ukukrwaqula kabini, ivumela ukufumana yonke ingcaciso eyimfuneko malunga ngemithambo ebekwe naphi na emzimbeni;
• emithanjeni Doppler ultrasound.

Unyango kwezandla phlebitis

Ukuba akukho ezibonisa ukuba esibhedlele ngoko nangoko (amaqondo obushushu aphezulu, isiyezi, ilahleko osezingqondweni, ukusilela intliziyo etsolo, uxinzelelo oluphezulu kakhulu igazi), unyango phlebitis esandleni, ngenxa yokuba phantse akazange nzima thrombosis, sisigulana. Isigulane emiselweyo ukuphumla, kungakuhle ukuba ukulungisa isandla yingxaki kangangokuba akukho gazi kwanda kokuqukuqela kwamanzi kwisiza ebushushwini babo. Unyango ngamachiza lwenziwa kuthathelwa ingqalelo unobangela. Ngoko ke, ukuba isiphoso kwakukho usulelo ukudumba lohlobo, prescribers, ukulwa iintsholongwane e phlebitis emiselweyo antibiotics bacteria. Kuyo nayiphi na imeko, isigulane emiselweyo:

• arhente antiinflammatory;
• amalungiselelo zokuqinisa iindonga imithambo kunye improvers ithombo legazi (umz: "Trental");
• namafutha aqholiweyo mlonyeni, zikwenze ubushushu, ukuba bomvu, ukudumba kunye neentlungu;
• igazi-olindelwe iziyobisi;
• analgesics.

Unyango lwe phlebitis le nemilenze

Ukudumba imithambo yegazi imilenze kudla sisiphumo imithambo varicose kunye yenguqu izaliswe ukuba thrombosis, ekhokelela thrombosis. A ihlwili legazi, obabufikelela entliziyweni, oko kungadala isingxi ngesiquphe kunye nokufa yesigulane. Ngoko ke, ukuba eziphelweni asezantsi une phlebitis etsolo (ukudumba imithambo ezinzulu ezibalulekile) kunye thrombosis, isigulana unako ukunikela esibhedlele kwaye kungekho zimpawu ezinzima, ezifana nesiyezi kunye nokulahlekelwa seengcamango. A lomzimba lokugula umhlabelo ilastiki uyasetyenziswa, samiswa prescribers iintlungu elibukhali elawula flow kwegazi, viscosity igazi, ukuphucula luthambe kweendonga imithambo, olwenziwe unyango ngokwasemzimbeni, kunye notyando umiselwa kwiimeko ezithile.

Unyango kwezinye iintlobo phlebitis

pileflebita impumelelo unyango ixhomekeke isantya ukuthembeka isifo. rhoqo isigulane yabelwe usebenzela ukususa umthombo ukudumba suppurative (isihlomelo, senyongo, Ukusikwa ithumba). Ngaxeshanye, amayeza (antibiotics, detoxicants, sorbents, restorative).

Xa phlebitis ebuchotsheni izigulane zidla esibhedlele. Unyango lwe esi sifo mayibhekiswe kuqheleke uxinzelelo lwegazi, syndromes ukurhoxiswa, iintlungu, kuqheleke igazi kunye nokomeleza neendonga yegazi. Kwakhona, uthomalaliso oxhasa imisebenzi yesiqhelo ingqondo.

Unyango phlebitis asebenza ngokuthi ezifudukayo crossectomy (ukususwa esichatshazelwa imithambo isabelo). egazi senziwe zisuswa intsumpa, kodwa ngakumbi esebenzisa enzayim inokuyiphelisa ihlwili legazi. Bona yaphathwa vein catheter ekhethekileyo. Ukususela isigulane Ndakhutshwa esibhedlele ekhaya unyango ngakumbi emva kokuba ukususwa ukudumba ambulatory kwaye stably ukuphumeza imeko ngokwanelisayo yesigulana.

ukuvimbela

Phlebitis, okt ukudumba udonga umthambo, le nto inokwenzeka ukuba umntu ngamnye. Ukunciphisa ubungozi sifo, kuyimfuneko ukuba ulandele ezi zincomo:

• bagcine nemithetho ukwenza emigodini efakwa;
• kangangoko ukuphepha umonzakalo imithambo, kwaye ukuba Kwathi, ukuze aphathe ngokuchanekileyo;
• phambi kwezifo ezosulelayo igqirha ukuzalisekisa zonke iimfuno kwaye ukuba self-medicate;
• imithambo varicose - ukulandela ngokungqongqo izindululo iingcali khona;
• ukuba igazi high viscosity syndrome - kuphephe ukutya isipinatshi, soy, wavuka - iimveliso, ngakumbi ukwanda viscosity;
• qiniseka ukuba ugcine ngale ndlela lobomi, ukuze umzimba wafumana fiznagruzki ngomlinganiselo.

Hlala uphilile!