La chifuwa ndi matenda amtima omwe amafanana ndi mapangidwe a magazi magazi mu mtsempha. Chotsekeracho chimatsekera magazi pang'ono kapena pang'ono pamitsempha, ngati pulagi.

Kutengera mtundu wamitsempha yomwe yakhudzidwa (yakuya kapena yopanda pake), phlebitis imachulukirachulukira. Chifukwa chake, ngati chovalacho chimakhala mitsempha yakuya, chithandizo chachikulu, chithandizo chiyenera kuperekedwa mwa onse mwamsanga.

Nthawi zambiri, phlebitis imapangidwa mumtsempha wamiyendo, koma imatha kuwoneka mumtsempha uliwonse (mikono, pamimba, ndi zina zambiri).

Phlebitis nthawi zambiri imachitika pakatha nthawi yayitali, mwachitsanzo, atachitidwa opaleshoni kapena chifukwa choponyedwa.

Kodi mungadziwe bwanji phlebitis?

Ndikofunikira kusiyanitsa pakati pa mitundu iwiri ya phlebitis, yokhala ndi zotsatirapo zosiyana ndi chithandizo.

Phlebitis mwapadera

Poterepa, magazi amatundira mu mtsempha wam'mwamba. Ndiwo mawonekedwe wamba, omwe amakhudza kwambiri anthu omwe ali nawo mitsempha ya varicose. Amatsagana ndi kutupa kwa mitsempha ndipo imayambitsa kupweteka komanso kusapeza bwino. Ngakhale phlebitis yangwiro imawoneka ngati yopanda vuto, iyenera kutengedwa ngati mbendera yofiira. Zowonadi, nthawi zambiri chimakhala chizindikiro chakusakwanira kwa venous komwe kumatha kubweretsa ku phlebitis yakuya.

Phlebitis yakuya

Pamene magazi amatseka mu mitsempha yakuya omwe magazi amayenda ndikofunikira, vutoli ndi loopsa chifukwa khungu limatha kutuluka pakhoma la mtsempha. Wotengeka ndi magazi, amatha kudutsa mumtima, kenako amalepheretsa mtsempha wamagazi kapena imodzi mwa nthambi zake. Izi zimabweretsa kuphatikizika kwamapapu, ngozi yomwe imatha kupha. Nthawi zambiri, mtundu uwu wamtundu umakhala mumtsinje wa ng'ombe.

Onani mwatsatanetsatane zizindikiro za phlebitis 

Ndani amakhudzidwa ndi phlebitis?

Phlebitis yakuya imakhudza anthu opitilira 1 mwa 1 chaka chilichonse. Ku Quebec, pamakhala milandu pafupifupi 000 pachaka⁶. Mwamwayi, njira zodzitetezera zitha kuchepetsa kuchepa kwam'mapapo ndi kufa komwe kumayambitsidwa ndi phlebitis yozama.

Anthu omwe ali pachiwopsezo

• Anthu omwe ali ndi vuto la kufooka kwa venous kapena amakhala ndi mitsempha ya varicose;
• Anthu omwe adadwala matenda a phlebitis m'mbuyomu, kapena omwe abale awo ali ndi vuto la phlebitis kapena pulmonary embolism. Pambuyo phlebitis yoyamba, chiopsezo chobwereza chimachulukitsidwa ndi 2,5;
• Anthu omwe achita opaleshoni yayikulu motero amafunika kugona pakama masiku angapo (mwachitsanzo, opaleshoni ya m'chiuno) ndi omwe amayenera kuvala choponya;
• Anthu amagonekedwa mchipatala chifukwa cha matenda amtima, kulephera kwamtima kapena kupumira;
• Anthu omwe ali ndi pacemaker (opanga pacem) ndi iwo omwe adalowetsedwa ndi catheter mumtsinje kuti akachiritse matenda ena. Chiwopsezo chimakhala chachikulu kwakuti phlebitis imawonekera mdzanja;
• Anthu omwe ali ndi khansa (mitundu ina ya khansa imapangitsa magazi kuundana, makamaka pachifuwa, pamimba ndi m'chiuno). Chifukwa chake, akuti khansa imawonjezera chiopsezo cha phlebitis pofika 4 mpaka 6. Kuphatikizanso apo, mankhwala ena omwe amagwiritsidwa ntchito mu chemotherapy amachulukitsa chiwopsezo cha khungu;
• Anthu olumala miyendo kapena mikono;
• Anthu omwe ali ndi matenda otseka magazi (thrombophilia) kapena matenda otupa (ulcerative colitis, lupus, Behçet's disease, etc.);
• Amayi apakati, makamaka kumapeto kwa mimba komanso atangobereka kumene, amawona chiopsezo chawo cha phlebitis kuchulukitsidwa ndi 5 mpaka 10;
• Anthu akuvutika ndi kunenepa kwambiri;
• Chiwopsezo cha phlebitis chimakula kwambiri ndi msinkhu. Amachulukitsidwa ndi 30, kuyambira zaka 30 mpaka zaka 80.

Zowopsa

• Khalani mu malo osasunthika kwa maola angapo: kugwira ntchito utayima kwa nthawi yayitali, kupanga maulendo ataliatali pagalimoto kapena ndege, ndi zina zambiri. Maulendo ataliatali kupitilira maola 12 makamaka amachulukitsa chiopsezo. Ndege, mpweya wochepa wotsika wa mpweya komanso kuuma kwa mpweya zimawonjezera ngozi. Timakambirananso ” chuma cha m'kalasi “. Komabe, chiopsezo chimakhalabe chochepa: 1 mu 1 miliyoni2.
• Mwa akazi, kutengamankhwala a hormone m'malo mwa kusamba kapena njira zakulera zam'kamwa ndichowopsa chifukwa mankhwalawa amachulukitsa magazi. Kulera pakamwa kumawonjezera chiopsezo cha phlebitis ndi 2 mpaka 6
• Kusuta.

Kodi zimayambitsa matenda a phlebitis ndi chiyani?

Ngakhale sitimadziwa nthawi zonse zomwe zimayambitsa, chifuwa imalumikizidwa ndi zinthu zazikulu zitatu:

• Magazi omwe amapuma pamitsempha, m'malo mozungulira mwamphamvu (timayankhula za stasis venous). Izi ndizofanana ndivenous kulephera ndi mitsempha ya varicose, koma amathanso kukhala chifukwa cha kulepheretsa kwanthawi yayitali (pulasitala, kupumula kwa bedi, ndi zina zambiri);
• A chotupa khoma la mtsempha, loyambitsidwa ndi kuvala kwa catheter, ndi kuvulala, ndi zina zambiri;
• Magazi omwe amaundana mosavuta (khansa zina ndi zovuta zina, mwachitsanzo, zimapangitsa magazi kukhala owoneka bwino). Kuvulala, kuchitidwa opaleshoni, kutenga pakati kumathandizanso kuchepetsa magazi ndikuchulukitsa chiopsezo chokhala chimbudzi.

Pafupifupi theka la anthu omwe ali nawo, phlebitis imachitika mwadzidzidzi osatha kufotokoza. Komabe, zifukwa zowopsa zapezeka. Onani Anthu omwe ali pachiwopsezo ndi zoopsa.

Ndi zovuta ziti zomwe zingachitike?

Chiwopsezo chachikulu cha phlebitis yakuya ndizochitika kwa a pulmonary embolism. Ngoziyi imachitika magazi omwe apangika mwendo atasweka, "amapita" kumapapu ndikutseka mtsempha wamagazi kapena imodzi mwa nthambi zake. Chifukwa chake, zoposa 70% zamatenda am'mapapo am'magazi amayamba chifukwa chamagulu am'magazi omwe amapangika mtsempha m'miyendo.

Kuphatikiza apo, pamene mtsempha wakuya umakhudzidwa, zizindikiritso zamatenda zimatha kuchitika, mwachitsanzo, kupitiriza kutupa kwa miyendo (edema), mitsempha ya varicose ndi zilonda zam'miyendo. Zizindikiro izi ndi zotsatira za kuwonongeka kwa ma valve ndi magazi. Mavavu ndi mtundu wina wa "valavu" yomwe imaletsa magazi kuti abwerere m'mitsempha ndikuthandizira kuti azizungulira pamtima (onani chithunzi kumayambiriro kwa pepala). Mamankhwala, ndi matenda a post-phlebitic. Popeza phlebitis nthawi zambiri imakhudza mwendo umodzi wokha, matendawa nthawi zambiri amakhala amodzi.

Pafupi pachimake phlebitis, anthu akhala akuwaona ngati opanda vuto lililonse. Komabe, kafukufuku waposachedwa angapo akuwonetsa kuti phlebitis yangwiro nthawi zambiri "imabisala" phlebitis yakuya yomwe mwina imatha kuzindikirika. Mu 2010, kafukufuku waku France omwe adachitika pafupifupi odwala 900 adawonetsanso kuti 25% ya ma venous thromboses amatsagana ndi phlebitis kapena pulmonary embolism.⁵.