Kungotulutsa venous thrombosis, komwe kumatchedwa paraphlebitis, kumatanthauza kutsekeka kwa mtsempha wamagazi. Ndi matenda obwera pafupipafupi komanso mofatsa, omwe amachiritsidwa mosavuta. Zizindikiro zake ndi ziti? Kodi matenda ikuchitika?

Matenda a phlebitis (venous thrombosis) ndi mawu akale ndipo amagwiritsidwabe ntchito kutchula magazi a "thrombus" omwe amapangika ndikuthira pang'ono kapena kutsekeka mtsempha wakuya kapena wakunja. Mitundu iwiri yamaukonde amanjenje imakhalapo limodzi: netiweki yakuya kwambiri komanso netiweki yapachikopa. 

Ngati imawoneka pamitsempha ya varicose yomwe imawoneka pansi pa khungu, ndiye kuti titha kunena za "zotupa za venous thrombosis". Kungotulutsa phlebitis sikofunikira kwambiri ikakhala patali, koma popeza ma netiweki amalumikizana, amatha kufalikira ndikukhala ovuta chifukwa cha mitsempha yayikulu.

Zomwe zimayambitsa ndi izi: 

• Mu paraphlebitis, chovalacho chimatha kupangidwa mwamtambo, mtsempha wochepa womwe umakhala pakati pa khungu ndi minofu (saphenous vein). Mitsempha ya saphenous ndi gawo laminyewa yamitsempha yomwe ili pansi pa khungu ndipo imatha kukhala tsamba la mitsempha ya varicose. Mitsempha ya varicose imangowonekera yokha kapena ngati pali zoopsa ndipo imakhalabe chifukwa chofala kwambiri cha paraphlebitis m'miyendo;
• Paraphlebitis yomwe imatuluka mumtsempha "wathanzi" nthawi zambiri imakhala yovuta monga chibadwa kapena vuto lomwe limapezeka pakumanga magazi, khansa, kapena matenda achilendo otupa (matenda a Behçet, matenda a Burger);
• Chizindikiro cha venous insufficiency akhoza kukhala chizindikiro cha kufika paraphlebitis.

Tsoka ilo, zizindikilo sizikhala zenizeni nthawi zonse. Komabe, zimabweretsa kupezeka kwa ululu wobaya womwe ungakhale masiku angapo. Mitsempha ya varicose imawoneka yotupa, yofiira, yotentha, yolimba komanso yolimba mpaka kukhudza komwe kumapangitsa kuti magwiridwe antchito asavute. Kuphatikiza apo, ndikofunikira kwambiri kukhalabe atcheru pakagwa zoopsa zina.

Ngati phlebitis yangotuluka, matendawa amapangidwa pakuwunika, koma venous Doppler ultrasound imathandizira kutsimikizira kuti kulibe phlebitis yokhudzana kwambiri, yomwe imapezeka kamodzi kapena kanayi.

Cholinga cha mankhwalawa ndikuchepetsa magazi. Zowonadi, ndikofunikira kupewa kukokomeza ndikukulitsa kwa mkolowo womwe ungathe:

• Kupita patsogolo pakatikati pa venous network kenako ndikubweretsa phlebitis kapena deep vein thrombosis;
• Sunthirani pamtima ndikupangitsa kuphatikizika kwamapapu mwakuletsa mitsempha yam'mapapo.

Nthawi zambiri, chithandizo chikangoyamba, chovalacho chimadziphatika kukhoma osapitanso patsogolo chifukwa cha mankhwala opatsirana pogonana kapena masokosi oponderezana.

Mankhwala a Anticoagulant

Monga chisankho choyamba, anticoagulants (DOA) amagwiritsidwa ntchito pamitundu yambiri ya thrombosis kutengera zizindikilo ndi zizindikilo zomwe zimapezeka pakuwunika: malo, kukula ndi kufalikira kwa chimbudzi. Ndiosavuta kugwiritsa ntchito, samasokonezedwa pang'ono ndi chakudya kapena mankhwala ena ndipo safuna kuwunika pafupipafupi poyesa magazi. 

Kuponderezedwa

Kuphatikiza pa mankhwalawa, kuponderezedwa kwa sock kungaperekedwe koyambirira. Zithandizira kuthetsa edema mwendo ndikuchepetsa kupweteka. Ndikothekanso kuti amachita gawo limodzi pakukonzanso kwa chovala. Masokosi opanikizika amayenera kuvala masana okha komanso kwanthawi yayitali.

Pali magulu osiyanasiyana koma gulu 3 limawonetsedwa makamaka (pali magulu anayi owonjezera owonjezera). Izi psinjika adzaonetsetsa mankhwala a mitsempha varicose.

Pomaliza, paraphlebitis yomwe imapezeka mumitsempha ya varicose ndimkangano wothandizira mitsempha ya varicose kuti itetezeke kuti isadzabwererenso mtsogolo. Kuti muchite izi, amafunsidwa mayeso kuti apeze chifukwa chake. Pakati pa mayeso awa, pamakhala mayeso a radiological, kapena kuyesa magazi kuti muwone, mwachitsanzo, banja kapena zachilendo zamagazi, zomwe zimalimbikitsa chiwopsezo cha phlebitis.

Kutengera zotsatira, mankhwala a anticoagulant atha kupitilira.

Zinthu zotsatirazi zitha kuthandizira kupezeka kwa phlebitis:

• Venous stasis (magazi amayenda m'mitsempha, chifukwa chogona kwambiri kapena kusuntha. Ichi ndiye chinthu chofunikira kwambiri);
• Matenda otuluka magazi (magazi anu amaundana mosavuta chifukwa cha matenda kapena chithandizo);
• Kusintha kwa khoma la mtsempha (ngati kulowetsedwa kumayikidwa mtsempha kwa nthawi yayitali, khoma la mtsempha lingawonongeke ndipo limatha kutsekedwa);
• Zaka zoposa 40;
• Kunenepa kwambiri;
• kusuta;
• Kutaya mphamvu (pulasitala, ziwalo, ulendo wautali);
• Mimba, kulera kapena kutha kwa mahomoni omwe ali ndi estrogen;
• Mbiri ya phlebitis;
• Khansa, chithandizo cha khansa (chemotherapy);
• Matenda otupa;
• Matenda abwinobadwa, omwe amadziwika ndi kuyesa magazi.

Malamulo ena ambiri amathandizanso kupewa phlebitis:

• Kulimbikitsa minofu yanu poyenda ndi zolimbitsa thupi;
• Kukwera kwa mapazi a kama;
• Kupanikizika kwa venous ndi masokosi ovala masana;
• Kupanikizika kwa venous komwe kumalimbikitsidwa paulendo wapandege.