Thrombophlebitis olukha phezulu

thrombophlebitis okukha phezulu (STP) igama elisetshenziswa kabanzi futhi impikiswano isimo njengoba pathophysiology ka thrombosis futhi deep vein thrombosis (DVT) kuhlobene.

thrombophlebitis okukha phezulu iqala ukungakhululeki nasemilenzeni Vienna sishisa. Kanye vein wazizwa uphawu, njengoba uma ngokusebenzisa intambo yakhe sisalokhu.

ucwaningo oluningana luye echazwe engcupheni thrombophlebitis eligcizelela ukubukeka kwangaphandle, eziningi zazo kuhambisane izici of DVT. Varicose emithanjeni e wemikhawulo aphansi e-93% amacala limelela ezivamile eyingozi ungalokothi uphuze. Ezinye izici zihlanganisa iminyaka, ubulili besifazane, ukukhuluphala, ukuhlinzwa yamuva noma immobilization, imiphumela hormone, khona odlule thromboembolism emithambo yegazi (VTE) kanye nomdlavuza. iyehla iyenyuka kwesizini kuthinte ukuthuthukiswa lesi sifo, izehlakalo isiqongo ngokuvamile kwenzeka nezinyanga zasehlobo ezifudumele.

Ubungozi yezinkinga

Ezigulini phezu kweminyaka eyi-60, umlando DVT, immobilization yamuva futhi ukutheleleka letindzala, it kwandisa amathuba wokuthuthukisa deep vein thrombosis futhi thrombophlebitis okuhlobene. Sinzima nesifo esingamahlalakhona pooling eyeqile nokuqala ngokuzumayo thrombophlebitis olukha phezulu wezibalo obalulekile engcupheni VTE.

indlela zokuxilonga

thrombophlebitis okukha phezulu landile in iziguli varicose emithanjeni, kodwa kungase futhi zenzeka evamile emithanjeni saphenous in iziguli base thrombophilia. Lizinga ohambisana yezinkinga emithambo yegazi in iziguli STP Iyala ukuskena Duplex for isiguli ngasinye. Imiphumela hhayi kuphela ukubonisa ukuba khona noma ukungabi khona ihlule legazi, kodwa futhi basize ekukhombeni ukuxakeka. Ngokusho imiphumela ultrasound owaziyo zidinga ucwaningo okuthuthukile usebenzisa izithombe ngale mishini.

zokwelapha

Umgomo oyinhloko ekwelapheni thrombophlebitis olukha phezulu - ukuvimbela ukunwetshwa amahlule ingozi VTE. Abaningi imibhalo inkomba ukuhlinzwa semithambo kanye ukunakekelwa okuyisisekelo siyaqhubeka abacabanga embhedeni ukuphumula njengengxenye sokuvivinya DVT futhi STP. Noma kunjalo, kuncoma embhedeni ukuphumula iziguli thrombosis acute ikhuthaza emithambo yegazi stasis, okuyinto okwabangela ihlule legazi. izifundo olwenziwa luye lwabonisa ukuthi kokucindezelwa nokuhamba ungcono embhedeni ukuphumula ukwehlisa ukuvuvukala kanye nokuhlukumezeka, futhi ukunciphisa ukunwetshwa amahlule in iziguli DVT proximal.

ukwelashwa kokucindezelwa

Kokucindezela inikeza inzuzo kakhulu ngokwesayensi kungase kutholakale for ekwelapheni thrombophlebitis ezingabalulekile. Lokhu kuyakunciphisa izimpawu, kanye nokuvinjelwa ekulweni nokwakheka DVT. Decousus cwaningo kuqinisekisa ukuthi imishanguzo kokucindezelwa usebenzisa umyela kokucindezelwa amasokisi noma umlenze ezisonga liyindinganiso samanje ekunakekeleni iziguli nge STP. Ngokuvamile abazali lisetshenzisiwe kokucindezelwa umyela kuye kobukhulu esingamahlalakhona emithambo yegazi, izinguquko isikhumba futhi khona-edema. I kakhulu izimpawu, aba maningi degree of kokucindezelwa kuboniswa.

Anticoagulation nokwelulekwa eqeda ukuvuvukala

Ukwanda comorbidities futhi ingozi yezinkinga e-acute olukha phezulu thrombosis emithambo yegazi uholé abacwaningi abaningi ukusebenzisa anticoagulation letindzala. Ngokwesibonelo, ongaphakeme yamangqamuzana isisindo heparin Kunconywa njengendlela ngemithamo zokuvimbela noma Lesisemkhatsini okungenani amaviki amane. Okukha phezulu thrombosis emithambo yegazi kungalawuleka ngaphezulu conservatively, ukugwema anticoagulation esivuna ejenti eqeda ukuvuvukala.

I-acute impendulo ukuvuvukala sivame ukuba khona phlebitis eligcizelela ukubukeka kwangaphandle, futhi kungenzeka ukuveza ukukhathazeka ukutheleleka ezingaba khona. Iziguli thrombophlebitis suppurative zidinga amanzi nokuqashwa imithi ebulala izinhlobonhlobo zamagciwane.

kokungenela kuhlinzwa

Ezimweni ukuvuvukala acute, ubuhlungu kanye nokushintshashintsha wenze imbobo zendawo amanzi. Ngemva yokuhlanza kanye nokwethulwa ukubulala izinzwa engxenyeni ethile, nge punctures inaliti wenza emkhakheni esishintshile. Lena inqubo elula, futhi ngemva punctures zenziwa, udokotela angaba saxosha ngempumelelo ihlule ezingabalulekile. Inqubo kunciphisa ukuvuvukala ubuhlungu, kanye inzuzo yokunciphisa amathuba okuthi hyperpigmentation liphinyiselwe ka babephephile ezindaweni ezithintekile.