Thrombophlebitis

I-thrombophlebitis kukudumba (ukudumba) kwemithambo. Ihlwili legazi (thrombus) emthanjeni linokubangela ukudumba.

I-thrombophlebitis inokuchaphazela ubunzulu, imithambo emikhulu okanye imithambo kufutshane nomphezulu wolusu. Uninzi lwexesha, lwenzeka kwi-pelvis kunye nemilenze.

Amahlwili egazi anokuvela xa kukho into ecothayo okanye etshintsha ukuhamba kwegazi emithanjeni. Izinto zomngcipheko zibandakanya:

• I-catheter ye-pacemaker eye yadlula emthanjeni kwi-groin
• Ukuphumla kwebhedi okanye ukuhlala kwindawo enye ixesha elide njengokuhamba ngenqwelomoya
• Imbali yosapho yamahlwili egazi, anokuthetha ubukho beengxaki ezizuzwe njengelifa ezikhokelela kumngcipheko okhulayo wamahlwili. Eziqhelekileyo zibandakanya ukunqongophala okanye ukungabikho kwe-antithrombin, protein C, kunye neprotein S, factor V Leiden (FVL) kunye neprothrombin
• Ukuqhekeka kwesinqe okanye imilenze
• Ukuzala phakathi kweenyanga ezi-6 ezidlulileyo
• Ukukhulelwa
• Ukutyeba kakhulu
• Utyando lwamva nje (ixhaphake kakhulu inyonga, idolo, okanye utyando lwabasetyhini)
• Zininzi iiseli zegazi ezenziwe ngumongo wethambo, zibangela ukuba igazi lijiye ngakumbi kunesiqhelo (polycythemia vera)
• Ukuba ne-catheter yokuhlala ixesha elide kwindawo yegazi

Igazi kunokwenzeka ukuba ligubungele umntu oneengxaki okanye iingxaki ezithile, ezinje:

• Umhlaza
• Ezinye iingxaki zomzimba, ezifana ne-lupus
• Ukutshaya icuba
• Iimeko ezenza ukuba kube lula ukuphuhlisa amahlwili egazi
• Ukuthatha ii-estrogens okanye iipilisi zokulawula ukuzalwa (lo mngcipheko uphezulu ngokutshaya)

Ezi mpawu zilandelayo zihlala zinxulunyaniswa ne-thrombophlebitis:

• Ukudumba kwilungu lomzimba elichaphazelekayo
• Intlungu kwilungu lomzimba elichaphazelekayo
• Ubomvu besikhumba (abukho rhoqo)
• Ubushushu kunye nokuthantamisa phezu kwethambo

Umboneleli ngononophelo lwempilo uhlala echonga imeko esekwe kwindlela indawo echaphazelekayo ebukeka ngayo. Umboneleli wakho uya kuhlala ejonga iimpawu zakho ezibalulekileyo. Oku kukuqinisekisa ukuba awunangxaki.

Ukuba unobangela awunakuchongwa ngokulula, kungenziwa olunye okanye nangaphezulu kwezi mvavanyo zilandelayo:

• Izifundo ze-coagulation yegazi
• I-Doppler ultrasound
• Imvelaphi yelizwe
• Uvavanyo lwemfuzo

Isitokhwe senkxaso kunye nokusonga kunokunceda ukunciphisa ukungonwabi. Umboneleli wakho unokumisela amayeza anje ngala:

• Iintlungu
• Abacoci begazi ukunqanda amahlwili amatsha ukuba angakheki, amaxesha amaninzi amiselweyo kuphela xa kubandakanyeka imithambo enzulu
• Amayeza afana ne-ibuprofen ukunciphisa iintlungu kunye nokudumba
• Amayeza afakwe emthanjeni ukunyibilikisa iqhuma esele likho

Unokuxelelwa ukuba wenze oku kulandelayo:

• Gcina uxinzelelo kwindawo yokunciphisa iintlungu kunye nokunciphisa umngcipheko womonakalo ongaphezulu.
• Nyusa indawo echaphazelekayo ukunciphisa ukudumba.

Unyango oluqhelekileyo zezi:

• Ukususwa kotyando kumthambo kufutshane nomphezulu
• Ukukhulula umthambo
• Ukucanda umthambo

Unyango olukhawulezileyo lunokunyanga i-thrombophlebitis kunye nezinye iindlela.

Iingxaki ze-thrombosis zibandakanya:

• Igazi elixineneyo emiphungeni (pulmonary embolism)
• Intlungu engapheliyo
• Ukudumba emlenzeni

Tsalela umnikezeli wakho ukuba uneempawu ze-thrombophlebitis.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Iimpawu zakho aziphucuki kunyango.
• Iimpawu zakho ziba zibi.
• Iimpawu ezintsha zenzeka (njengelungu elipheleleyo liba luthuthu, libanda, okanye lidumbile).

Ukutshintsha kwemigca efakwa ngaphakathi (IV) kunceda ekuthinteleni i-thrombophlebitis enxulumene nee-IV.

Ukuba uthatha uhambo olude lwemoto okanye uhambo ngenqwelomoya:

• Hamba okanye wolule imilenze kanye kwithuba elithile
• Sela ulwelo oluninzi
• Nxiba umbhobho wenkxaso

Ukuba ulaliswe esibhedlele, umboneleli wakho unokumisela amayeza ukukhusela i-thrombophlebitis.

Phlebitis; I-vein thrombosis enzulu - thrombophlebitis; Thrombophilia - thrombophlebitis

• I-venous thrombosis-iliofemoral
• Igazi elinemithambo yegazi

U-Wasan S. I-thrombophlebitis engaphezulu kunye nolawulo lwayo. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 150.

I-Weitz JI, iGinsberg JS. I-venous thrombosis kunye ne-embolism. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 74.