Thrombophlebitis

Thrombophlebitis yog o (mob) ntawm cov leeg ntshav. Qhov ntshav txhaws (ua kom ntshav) hauv txoj hlab ntshav tuaj yeem ua rau qhov o tuaj.

Thrombophlebitis yuav cuam tshuam tob, leeg lossis leeg ntshav ze ntawm daim tawv nqaij. Feem ntau, nws tshwm sim hauv lub plab mog thiab txhais ceg.

Cov ntshav txhaws tuaj yeem tsim thaum qee yam qeeb lossis hloov qhov ntshav ntws ntawm txoj hlab ntshav. Yam txaus ntshai muaj xws li:

• Ib lub plhaw ntiv tes kis las uas tau dhau ntawm txoj leeg hauv qhov puab tais
• So lub txaj lossis zaum hauv ib qho chaw ntev ntev xws li dav hlau mus ncig
• Kev mob ntshav keeb kwm ntawm tsev neeg, uas tej zaum yuav cuam tshuam qhov muaj cov kabmob uas muaj feem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. Cov nquag muaj xws li tsis txaus los yog tsis muaj antithrombin, protein C, thiab protein S, yam V Leiden (FVL) thiab prothrombin
• Lov pob txha hauv lub plab mog lossis ob txhais ceg
• Yug menyuam tsis pub dhau 6 lub hlis
• Cev xeeb tub
• Kev pham
• Kev phais tam sim no (feem ntau yog ntsag, hauv caug, lossis phais plab mog ntawm poj niam)
• Ntau cov qe ntshav tau tsim los ntawm cov pob txha pob txha, ua rau cov ntshav yuav tuab dua li ib txwm (polycythemia vera)
• Muaj tus kav dej (nyob ib ntus) nyob rau hauv cov hlab ntsha

Ntshav feem ntau yuav txhaws hauv tus neeg uas muaj qee yam teebmeem lossis tsis meej, xws li:

• Mob Cancer
• Qee qhov teeb meem tiv thaiv kab mob autoimmune, xws li mob lupus
• Ua luam yeeb
• Cov mob uas ua rau nws muaj feem yuav txhim kho cov ntshav txhaws
• Noj tshuaj estrogens lossis tshuaj txwv (qhov kev pheej hmoo no tseem ntau dua nrog kev haus luam yeeb)

Cov tsos mob hauv qab no yog feem ntau cuam tshuam nrog thrombophlebitis:

• O o nyob rau hauv ib feem ntawm lub cev cuam tshuam
• Mob hauv qhov feem ntawm lub cev cuam tshuam
• Daim tawv nqaij liab (tsis niaj hnub)
• Kev ua siab tawv thiab ua kom sib tw ntawm txoj leeg

Tus kws saib xyuas kev noj qab haus huv feem ntau tuaj yeem txheeb xyuas tus mob raws li cov cheeb tsam cuam tshuam zoo li cas. Koj qhov chaw muab kev pab yuav nquag xyuas koj cov cim tseem ceeb. Qhov no yog ua kom koj tsis txhob muaj teeb meem.

Yog tias qhov tsis yooj yim pom tau hais tias qhov teeb meem, ib lossis ntau dua ntawm cov kev xeem hauv qab no tuaj yeem ua:

• Kev tshawb fawb ntshav coagulation
• Doppler ultrasound
• Nkauj Hmoob
• Kev tshuaj ntsuam caj ces

Txhawb cov khoom ntim thiab cov ntaub qhwv tuaj yeem tuaj yeem pab txo kom tsis xis nyob. Koj tus kws kho mob yuav sau ntawv tshuaj xws li:

• Pob Taum Pleev
• Cov ntshav txhaws txhawm rau tiv thaiv cov txhaws tshiab los ntawm kev sib sau, feem ntau tsuas yog tau sau cia thaum sib zog nqus ntshav
• Cov tshuaj xws li ibuprofen kom txo qhov mob thiab o
• Cov tshuaj tau txhaj tshuaj rau hauv txoj leeg kom yaj ib ce tag

Yuav kom koj ua raws li cov hauv qab no:

• Ua kom lub siab tawm ntawm thaj chaw kom txo qis mob thiab txo qhov txaus ntshai rau kev puas tsuaj ntxiv.
• Tsa thaj chaw cuam tshuam kom txo qhov o.

Cov kev kho tsis tshua muaj yog:

• Kev tshem tawm txoj hlab ntshav ze ntawm qhov chaw
• Hlab ntsha stripping
• Bypass ntawm cov hlab ntsha qho

Kev kho sai yog tuaj yeem kho tus mob thrombophlebitis thiab nws lwm daim ntawv.

Teeb meem ntawm cov mob thrombosis suav nrog:

• Cov ntshav txhaws hauv lub ntsws (pulmonary embolism)
• Mob mob
• O o hauv ceg

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm thrombophlebitis.

Hu rau koj tus kws khomob sai sai yog tias:

• Koj cov tsos mob tsis zoo nrog kev kho.
• Koj cov tsos mob mob heev dua.
• Cov tsos mob tshiab tshwm sim (xws li tag nrho cov ceg nqaj ua daj ntseg, txias, lossis o).

Kev pauv tsis tu ncua ntawm cov qij ntshav (IV) yuav pab tiv thaiv kom tsis txhob mob thrombophlebitis ntsig txog IVs.

Yog tias koj tsav lub tsheb ntev lossis dav hlau mus txawv tebchaws:

• Taug kev lossis ncab koj ob txhais ceg ib zaug hauv ib pliag
• Haus dej kom ntau
• Hnav yug hose

Yog tias koj mus pw hauv tsev kho mob, koj tus kws kho mob yuav sau ntawv tshuaj los txhawm rau tiv thaiv kom tsis txhob mob thrombophlebitis.

Phlebitis; Kev mob ntsws ntawm cov hlab ntshav loj - thrombophlebitis; Thrombophilia - mob thrombophlebitis

• Kev mob ntsws rau cov leeg ntshav liab - iliofemoral
• Tso ntshav txhaws hauv cov ntshav

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.

Weitz JI, Ginsberg JS. Venous thrombosis thiab mob ntsws. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 74.