I-Phlebitis (thrombophlebitis): yintoni, iimpawu kunye nendlela yokwenza unyango

Umxholo

• Ziintoni iimpawu
• 1. I-thrombophlebitis engaphezulu
• 2. I-thrombophlebitis enzulu
• Unyango lwenziwa njani

I-Phlebitis, okanye i-thrombophlebitis, ibandakanya ukuyilwa kwegazi ngaphakathi kwemithambo, ethintela ukuhamba kwegazi, elibangela ukudumba, ukuba bomvu kunye neentlungu kwindawo echaphazelekayo. Le meko ithathwa njengengxamisekileyo kwezonyango njengoko inokubangela iingxaki ezinje nge-vein thrombosis okanye i-pulmonary embolism, umzekelo.

Ihlwili legazi lidla ngokwenzeka emilenzeni, kwaye kunqabile ukuba kwenziwe kwezinye iindawo zomzimba ezinjengeengalo okanye intamo. Uninzi lwexesha, i-thrombophlebitis yenzeka xa umntu echitha ixesha elininzi ehleli, kwindawo enye, njengoko inokwenzeka kuhambo olude, ixhaphake kakhulu kubantu abaphethwe kukuhamba gazi okungalunganga. Qonda, ngakumbi iinkcukacha, oonobangela thrombophlebitis.

I-thrombophlebitis iyanyangeka, kwaye unyango kufuneka lukhokelwe ngugqirha, ngokobunzima besimo ngasinye, kunye nokuphumla, ukusetyenziswa kwamastoks e-elastic, uxinzelelo kunye namayeza okulwa nokudumba okanye, ukuba kukho imfuneko, amayeza e-anticoagulant angabonakaliswa.

Ziintoni iimpawu

I-Thrombophlebitis inokwenzeka kumthambo ongaphezulu okanye kwi-vein enzulu, enokuthi ichaphazele uhlobo kunye nokuqina kweempawu.

1. I-thrombophlebitis engaphezulu

Iimpawu ze-thrombophlebitis engaphezulu yile:

• Ukudumba nobomvu kwimithambo echaphazelekayo nolusu;
• Iintlungu kwi-palpation yommandla.

Xa kuchongwa le meko, kuyacetyiswa ukuba uye esibhedlele ugqirha ayokucela i-Doppler ultrasound, ukujonga ubungakanani besi sifo emva koko abonise unyango.

2. I-thrombophlebitis enzulu

Iimpawu ze-thrombophlebitis enzulu zezi:

• Umthambo othukileyo;
• Ukudumba kwelungu elichaphazelekayo, ngesiqhelo imilenze;
• Ubuhlungu kwindawo echaphazelekayo;
• Ubomvu kunye nobushushu kwilungu elichaphazelekayo, kuphela kwezinye iimeko.

I-thrombophlebitis enzulu ithathwa njengengxamisekileyo. Ke ngoko, xa uchonga ezinye zeempawu, kuyacetyiswa ukuba uye esibhedlele ukuqala unyango ngokukhawuleza, kuba kukho umngcipheko wokuhamba kwegazi kwaye kubangele i-vein thrombosis okanye i-pulmonary embolism.

Qonda, ngokweenkcukacha ezingakumbi, yintoni i-vein thrombosis enzulu kunye nendlela yokuchonga.

Unyango lwenziwa njani

Unyango lwe-phlebitis kufuneka luhlale lukhokelwa ngugqirha, kwaye lunokwenziwa ngokulawulwa kwe-anticoagulants, ukuthambisa ngamatye e-ice kwingingqi, ukuphakama komlenze ngenkxaso yomqamelo kunye nokusetyenziswa kwezitokisi zokucinezelwa kwe-elastic, ezinje ngestokhwe seKendall., umzekelo.

Unyango luchatshazelwa bubuzaza beempawu kunye nendawo apho i-clot yakheke khona. Ezinye zeendlela zokonyango ezinokuboniswa zibandakanya:

I-thrombophlebitis engaphezulu:

Unyango lwe-thrombophlebitis engaphezulu iqulathe oku kulandelayo:

• Ukusetyenziswa kwezitokisi zokucinezelwa kwe-elastic;
• Ukusetyenziswa kwe-gauze emanzi kwi-zinc oxide, yokuphucula iimpawu, njengoko isebenza njenge-anti-inflammatory yendawo;
• Ukuthanjiswa ngamafutha okuthintela ukudumba avela kwindawo echaphazelekayo, njengejeli yediclofenac;
• Ukuphumla kuphakanyiswe imilenze, ngoncedo lomqamelo, ukwenza ukunyakaza kweenyawo, njengoko kubonisiwe kwimifanekiso:

Le mithambo, kunye nokuma kunye namalungu aphakanyisiweyo, kuthanda ukubuya kwemithambo-luvo ngomjelo womxhuzulane.

Ukongeza, ukusetyenziswa kweziyobisi ze-anticoagulant, ukunceda ukuqhekeza ihlwili, kungabonakaliswa, kubukho bamahlwili amakhulu okanye xa zibangela iimpawu ezinamandla. Ngamanye amaxesha, kunokuba yimfuneko ukwenza uqhaqho ukuze ubambe indawo echaphazelekayo kwaye ususe amahlwili.

Unyango lwe-thrombophlebitis enzulu:

Unyango lwe-thrombophlebitis enzulu, ugqirha unokucebisa ukuba kusetyenziswe ii-anticoagulants ezinje nge-heparin, warfarin okanye i-rivaroxaban powder, umzekelo, ezinciphisa ukuyilwa kwe-thrombi, ukuthintela iingxaki zentliziyo okanye zemiphunga.

Emva kokuqala konyango esibhedlele, apho iimviwo zokuqala zenziwa khona kwaye nedosi yamayeza ichongiwe, unyango lunokuqhubeka ekhayeni lesigulana, kwaye lunokuhlala iinyanga ezi-3 ukuya kwezi-6, eziya kuxhomekeka kubukhali obuzisiweyo. Xa umntu egoduka, ugqirha unokucebisa ngokunxiba iisokisi zokucinezelwa, ezikunceda ukuthintela ukudumba kunye nezinye iingxaki.

Ngamanye amaxesha ugqirha unokucebisa ukuba utyando lususe imithambo yegazi.