Sab Xuas thrombophlebitis

Thrombophlebitis yog lub cev o o los yog txhaws ntshav vim yog ntshav txhaws. Superficial hais txog cov leeg qis dua hauv qab ntawm daim tawv nqaij.

Tus mob no yuav tshwm sim tom qab raug mob rau txoj hlab ntshav. Nws kuj tseem tuaj yeem tshwm sim tom qab siv tshuaj rau hauv koj cov leeg ntshav. Yog tias koj muaj kev pheej hmoo siab rau cov ntshav txhaws, koj yuav tsim lawv kom tsis muaj laj thawj dab tsi.

Cov kev pheej hmoo rau mob thrombophlebitis yog:

• Mob cancer lossis mob siab
• Kev mob ntsws txoj leeg ntshav khov
• Cov kev tsis zoo uas cuam tshuam nrog cov ntshav txhaws (tej zaum yuav tau txais cov muaj cai)
• Kab mob
• Cev xeeb tub
• Zaum lossis nyob twj ywm tseem rau lub sijhawm ntev
• Kev siv tshuaj tswj tsis pub muaj menyuam
• O o, sib ntswg, thiab txhab leeg (leeg leeg ntshav)

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Daim tawv nqaij liab, mob, khaus, lossis mob raws txoj leeg hauv qab daim tawv nqaij
• Sov ntawm thaj chaw
• Lim hiam mob
• Ua kom nruj ntawm cov leeg ntshav

Koj tus neeg muab kev pab kho mob yuav soj ntsuam cov mob no raws li qhov pom ntawm thaj chaw cuam tshuam. Yuav tsum kuaj cov mem tes, ntshav siab, qhov kub thiab txias, tawv nqaij, thiab ntshav ntws tuaj yeem tsim nyog.

Ultrasound ntawm cov hlab ntshav pab tshawb xyuas qhov mob.

Yog tias muaj cov cim qhia tias muaj kab mob, kis tawv nqaij lossis ntshav kev ua haujlwm tuaj yeem ua tiav.

Txo kom tsis xis nyob thiab o, koj tus kws khomob yuav qhia koj:

• Hnav cov ris tsho tiv thaiv, yog tias koj txhais ceg cuam tshuam.
• Khaws cov ceg lossis caj npab cuam tshuam tsa siab dua qib siab.
• Siv ib qho sov sov thaiv rau thaj chaw.

Yog tias koj muaj tus catheter lossis IV kab, nws yuav zoo li yuav tshem tawm yog tias nws yog qhov ua rau tus mob thrombophlebitis.

Cov tshuaj hu ua NSAIDs, xws li ibuprofen, yuav kom noj tshuaj kom txo qhov mob thiab o.

Yog tias cov ntshav txhaws nyob hauv qhov txhab tob dua, koj tus kws kho mob yuav muab tshuaj rau kom koj cov ntshav ua kom nyias nyias. Cov tshuaj no yog hu ua anticoagulants. Tshuaj tua kab mob los kho yog tias koj muaj mob.

Yuav tsum tau phais mob (phlebectomy), tshem tawm, lossis sclerotherapy ntawm txoj hlab ntsha cuam tshuam. Cov kev kho no ua rau cov leeg ntshav loj lossis tiv thaiv kom tsis txhob mob thrombophlebitis hauv cov neeg muaj kev pheej hmoo siab.

Qhov no feem ntau yog ib lub sijhawm luv luv uas tsis ua rau muaj teebmeem. Cov tsos mob feem ntau yuav ploj mus hauv 1 txog 2 asthiv. Hardness ntawm cov hlab ntsha tuaj yeem nyob ntev dua.

Teeb meem tsawg tsawg. Cov teeb meem tshwm sim tuaj yeem suav nrog cov hauv qab no:

• Cov kab mob (cellulitis)
• Kev mob ntsws txoj leeg ntshav khov

Hu teem sijhawm nrog koj tus kws khomob yog koj muaj tus mob no.

Kuj tseem hu yog tias koj twb muaj tus mob thiab koj cov tsos mob hnyav zuj zus lossis tsis tau txais zoo dua los ntawm kev kho mob.

Nyob hauv tsev kho mob, o o tuaj yeem o lossis o ntawm cov leeg ntshav tuaj yeem tiv thaiv tau los ntawm:

• Tus neeg tu mob hloov pauv qhov chaw nyob ntawm koj kab IV thiab tshem nws yog tias o, liab lossis liab mob
• Taug kev thiab nyob twj ywm nquag ua haujlwm sai li sai tau tom qab phais lossis lub sijhawm muaj mob ntev

Thaum tsim nyog, tsis txhob ua kom koj ob txhais ceg thiab caj npab ntev mus. Txav koj ob txhais ceg ntau zaus lossis taug kev thaum taug kev dav hlau ntev lossis caij tsheb. Sim ua kom tsis txhob zaum lossis pw ib pliag ntev ntev yam tsis sawv thiab mus ncig.

Thrombophlebitis - dag

• Sab Xuas thrombophlebitis
• Sab Xuas thrombophlebitis

Cardella JA, Amankwah KS. Venous thromboembolism: kev tiv thaiv, kuaj mob thiab kho mob. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 1072-1082.

Wasan S. Cov kab mob pob ntseg hauv lub cev thiab nws txoj kev tswj hwm. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 150.