Thrombosis le mithambo ezinzulu kweqondo asezantsi

nemilenze yabantu abe womnatha lwemithambo ebanzi evumela igazi flow lwemithambo kwi le Vena cava ophantsi. Kukho iindidi ezintathu emithanjeni umlenze: phezulu, enzulu connecting kubo imithambo perforating. Ngesiqhelo imithambo yegazi lwemithambo phezu komhlaba ngenxa perforating lungena ngokukhululekileyo imithambo anzongonzongo, ukusuka apho engena cava Vena kwaye kungena entliziyweni off. valve lwemithambo ukuqinisekisa ngendlela enye kukhuthazelwa lokuhamba kwegazi. Ukuba ngenxa yaso nasiphi na isizathu engozini kwemithambo nempumelelo, stasis igazi kwenzeka imithambo yegazi yaye kubonakala varicose. Nesi sifo umntu angaphila iminyaka.

sifo kakhulu eyingozi deep vein thrombosis. Yeyona nokusekwa thrombi kwi imilenze olujikeleza sayo okanye isinqe. La zihambisana ukudumba udonga umthambo, intlungu esomeleleyo ithombo legazi kakuhle. Deep vein thrombosis kube nzima ubomi emngciphekweni imeko - emboli miphungeni.

Ezibangela isifo

Ukuvela esi sifo igalelo eludongeni kukwenzakala esibuhlungu, ngxi ka lwemithambo yegazi, ubunzima agqithisileyo, ukukhulelwa, uhleli ungenzi nto, ukudumba imithambo, kunye nosulelo yintsholongwane, iziyobisi ezithile (zokucwangcisa), isifo neoplastic, ubudala nangaphezulu kweminyaka engamashumi amane, ukuphazamiseka igazi ekunqandeni.

Ngenxa yoko le deceleration yokumpompoza kwegazi kwenzeka thrombus Ukwakheka, nto leyo kakhulu akhiwa iiseli ezibomvu neeplatelets. Le thrombus kwakhiwa ukuze amiselwe ngokuqinileyo incamathele eludongeni umthambo kwelinye icala, kwelinye isiphelo yayo ngokukhululekileyo ibekwe ngaphakathi mithambo benqanawa. Thrombi singakhula enkulu kangakanani, ngokupheleleyo okanye zidlulela Kwangale mithambo.

ezibonisa kwezonyango sifo

Njengoko kukhankanyiwe ngasentla, stasis igazi kubangela deep vein thrombosis. Iimpawu ze sifo zibonakaliswa ukuvela caphukisayo ahlekise kwi kwesebe ochaphazelekayo, iindumbisa zokunyanzelisa kwimvakalelo imfudumalo. Ukudumba udonga lwemithambo kudla kunye nomkhuhlane. Thrombosed yalityatya kukuthi iqatsela xa uyibamba ngaphezu uphilile. Ngaphandle umlenze edematous, hyperemic. Isikhumba kummandla ochaphazelekayo ezimbi futhi shiny, kunye uthungelwano qete lwemithambo. Amaxesha amaninzi, deep vein thrombosis sele ekuqaleni wabonakalaliswa lung Embolism Umthambo thrombi bahlukane kude ukusuka isitya. Isigulana kule meko luhlangabezana iintlungu eziqatha esifubeni, ukuba unalo paroxysmal khohlo ngegazi, owa uxinzelelo lwegazi. Ukuvaleka iimpahla ezinkulu pulmonary kaninzi ekhokelela ekufeni. Xa kwakukho thrombosis zangasese nemithambo esinokubakho ileus Clinic.

amanyathelo zokuxilonga

Lokufunyaniswa "thrombosis ndlela enzulu" wahlala phantsi ngokusekelwe izikhalazo, izinto zasekuhlaleni kunye uphando diagnostic. Kukho iqela iimpawu, ngokusekelwe apho kunokwenzeka ukuxilonga deep vein thrombosis shin. Ezi iimpawu Pratt, Homans, Payr kunye nabanye.

Ukususela iindlela instrumental ukuze kuchazwe ultrasound doplerografii, angiography.

Esi sifo neenkalo kunye limfostazom, erysipelas, izihlunu elula.

unyango thrombosis

Ayinzima iimilo shin thrombosis baphathwa qho kwesibhedlele. Ezinye iimeko zifuna unyango esibhedlele. Isigulana kufuneka athobele ukuphumla engqongqo umandlalo kwindawo ephakamileyo ngeenyawo ezinkulu. iinkqubo thermal ukuba contraindicated. Eyabelwe anticoagulants ( "lweeHedfowuni", "Fraksiparin" "Clexane" et al.) Yaye disaggregants ( "Trental" "Curantil") phantsi kolawulo coagulation. analgesics alawulwa ngurhulumente ukuze ubambe novocaine kwamabutho.

Kwiintlobo kakhulu ngakumbi thrombosis, ibonisa nokusebenza (ukususwa thrombus, ukufakelwa icebo lokucoca lwemithambo ukuya cava Vena, kunye nabanye.).