Phlebitis Yog Dab Tsi?

Zoo Siab

• Hom ntawm phlebitis
• Cov tsos mob ntawm phlebitis
• Teeb meem ntawm tus mob
• Dab tsi ua rau phlebitis
• Leej twg muaj kev pheej hmoo
• Kev kuaj mob phlebitis
• Kho tus mob
• Tiv thaiv phlebitis
• Outlook

Txheej txheem cej luam

Phlebitis yog qhov o ntawm cov hlab ntsha. Veins yog cov hlab ntsha hauv koj lub cev uas nqa ntshav los ntawm koj cov plab hnyuv siab raum thiab nqaj rov qab rau koj lub siab.

Yog tias ntshav txhaws ua rau qhov o, nws hu ua thrombophlebitis. Thaum cov ntshav txhaws hauv txoj hlab ntshav sib sib zog nqus, nws hu ua txoj hlab ntshav nqhis ntshav, lossis ntshav muaj txoj hlab ntaws (DVT).

Hom ntawm phlebitis

Phlebitis tuaj yeem yog qhov yooj yim lossis tob.

Superficial phlebitis yog hais txog ntawm cov leeg ntshav nyob ze ntawm koj cov tawv nqaij. Hom phlebitis no tuaj yeem xav tau kev kho mob, tab sis feem ntau tsis tshua hnyav. Xuas pob qaj txha tuaj yeem yog los ntshav txhaws lossis los ntawm tej yam ua rau voos, xws li tso cov leeg ntshav (IV) catheter.

Kev phlebitis sib sib zog nqus yog hais txog qhov o ntawm qhov tob tob, txoj hlab ntsha loj dua, xws li cov uas pom hauv koj txhais ceg. Kev mob ntsws phlebitis ntau tuaj yeem tshwm sim los ntawm ntshav txhaws, uas tuaj yeem tsim kev mob hnyav, kom txo tau txoj sia. Nws tseem ceeb kom paub txog cov kev pheej hmoo txaus ntshai thiab cov tsos mob ntawm DVT kom koj tuaj yeem nrhiav kev kho mob sai los ntawm koj tus kws kho mob.

Cov tsos mob ntawm phlebitis

Cov tsos mob ntawm phlebitis cuam tshuam rau sab caj npab lossis txhais ceg qhov twg txoj hlab ntshav o. Cov tsos mob no suav nrog:

• liab
• o tuaj
• kev sov siab
• pom liab “pom” ntawm koj sab caj npab los sab ceg
• rhiab
• hlua - lossis txoj hlua-zoo li tus qauv uas koj tuaj yeem hnov ​​los ntawm daim tawv nqaij

Koj tuaj yeem pom mob hauv koj lub plab hlaub lossis ncej puab yog tias koj lub phlebitis los ntawm DVT. Qhov mob yuav pom tau dua thaum taug kev lossis hloov koj txhais taw.

Tsuas yog ntawm cov neeg uas txhim kho DVT cov tsos mob tshwm sim. Qhov no yog qhov laj thawj uas DVTs yuav tsis raug kuaj kom txog rau thaum muaj mob hnyav tshwm sim, xws li mob ntsws ntsws (PE).

Teeb meem ntawm tus mob

Sab saum toj thrombophlebitis feem ntau tsis yog ua rau muaj mob hnyav. Tab sis nws tuaj yeem ua rau kis mob ntawm daim tawv nqaij ncig, mob ntawm daim tawv nqaij, thiab tseem kis tau cov hlab ntshav. Yog tias cov leeg hauv txoj hlab ntsha tseem ceeb tshaj plaws thiab muaj feem xyuam rau thaj chaw uas cov leeg ntshav thiab ntshav hlab ntaws ua ke, DVT tuaj yeem tsim kho

Qee lub sij hawm tib neeg tsis nco qab tias lawv muaj DVT txog thaum lawv ntsib cov kev phom sij txaus ntshai heev. Qhov feem ntau cov kev mob tshwm sim thiab loj ntawm DVT yog PE. Ib qho PE tshwm sim thaum ib daig ntawm cov ntshav txhaws thiab hla mus rau lub ntsws, qhov twg nws thaiv cov ntshav ntshav.

Cov tsos mob ntawm tus mob PE xws li:

• piav qhia txog txog siav
• mob hauv siab
• hnoos tau ntshav
• mob nrog ua pa sib sib zog nqus
• pa ceev heev
• zoo nkaus li lub teeb taws los yog ploj mus
• lub plawv dhia ceev

Hu rau koj cov kev pabcuam thaum muaj xwm ceev hauv nroog yog koj xav tias koj yuav muaj teebmeem PE. Nov yog kev khomob kub ntxhov uas yuav tsum tau kho tam sim.

Dab tsi ua rau phlebitis

Phlebitis tshwm sim los ntawm kev raug mob los yog kev ua rau ua pa rau hauv ob txoj hlab ntshav. Nyob rau hauv cov ntaub ntawv ntawm sab nraum phlebitis, qhov no tej zaum yuav yog vim:

• kev tso kawm ntawm txoj raj yas IV
• kev tswj hwm kev ua kom tsis haum tshuaj rau koj cov leeg
• khaub ncaws me me
• muaj mob

Hauv DVT, cov laj thawj yuav suav nrog:

• voos lossis raug mob ntawm txoj hlab ntshav sib sib zog vim raug mob xws li kev phais mob, pob txha tawg, mob hnyav, lossis yav dhau los DVT
• tso ntshav khiav qeeb vim tsis muaj qhov txav, uas yuav tshwm sim yog tias koj nyob hauv txaj rov qab los ntawm kev phais lossis mus ncig ua si ntev ntev
• cov ntshav uas yuav txhaws ntau tshaj li ib txwm, uas tej zaum yog vim noj tshuaj, mob qog noj ntshav, mob rau cov nqaij mos sib kis, lossis cov kab mob ntshav txhaws.

Leej twg muaj kev pheej hmoo

Kev paub yog tias koj muaj kev pheej hmoo txaus los tsim DVT yog qhov tseem ceeb ntawm kev tiv thaiv koj tus kheej thiab tsim kho lub tswv yim nrog koj tus kws kho mob. Cov teeb meem pheej hmoo rau DVT feem ntau muaj xws li:

• keeb kwm ntawm DVT
• cov ntshav txhaws tsis xws luag, xws li siv V Leiden
• kev kho tshuaj tiv thaiv qog lossis tshuaj tswj kom tsis muaj menyuam
• lub sijhawm ntev dhau ntawm qhov tsis ua haujlwm, uas tuaj yeem ua raws li kev phais mob
• zaum rau lub sijhawm ntev, xws li thaum mus ncig
• qee qhov kev kho mob qog noj ntshav thiab mob qog noj ntshav
• cev xeeb tub
• rog dhau los rog dhau hwv
• haus luam yeeb
• haus cawv ntau
• laus dhau 60 xyoo lawm

Kev kuaj mob phlebitis

Phlebitis tuaj yeem kuaj pom raws li koj cov tsos mob thiab kev kuaj mob los ntawm koj tus kws kho mob. Koj tsis tas yuav muaj ib qho kev ntsuam xyuas tshwj xeeb. Yog tias cov ntshav txhaws xav tias yog vim li cas thiaj ua rau koj phlebitis, koj tus kws kho mob tuaj yeem ua ntau qhov kev ntsuam xyuas ntxiv rau kev noj koj li keeb kwm kho mob thiab kuaj koj, li cas los xij.

Koj tus kws kho mob yuav xaj kom muaj ultrasound ntawm koj cov ceg tawv. Ib qho ncauj siv ultrasound suab los qhia cov ntshav ntws los ntawm koj cov leeg thiab cov hlab ntsha. Koj tus kws kho mob kuj tseem xav ntsuas koj cov qib d-dimer. Nov yog tso ntshav ntsuas uas tshawb xyuas cov khoom tawm hauv koj lub cev thaum txhaws zom.

Yog tias qhov ntsuas ultrasound tsis tau teb meej meej, koj tus kws kho mob kuj tseem yuav ua daim duab tsom iav, tsom iav CT, lossis MRI kuaj xyuas seb puas muaj ntshav txhaws.

Yog tias nrhiav pom ib qho ntshav txhaws, koj tus kws kho mob yuav xav ua qhov ntsuas ntshav txhawm rau kuaj ntshav txhaws tsis tuaj yeem ua rau muaj qhov DVT.

Kho tus mob

Kev kho rau cov mob phlebitis uas tsis txaus sab nrauv suav nrog kev tshem tawm txoj hlab ntshav IV, tso dej kom sov, lossis tshuaj tua kab mob yog tias muaj kab mob.

Txhawm rau kho DVT, koj yuav tau noj tshuaj anticoagulants, uas ua rau koj cov ntshav txhaws nyuaj.

Yog tias DVT muaj ntau yam thiab ua rau muaj teeb meem loj nrog cov ntshav rov qab los ntawm cov leeg, koj yuav yog tus xaiv tsa rau txoj kev kho mob hu ua thrombectomy. Nyob rau hauv tus txheej txheem no, kws phais neeg ntxig cov hlau thiab coj mus rau txoj hlab ntshav cuam tshuam thiab tshem tawm cov ntshav khov, yaj nws nrog cov tshuaj uas tawg txhaws, xws li nqaij plasminogen activators, lossis ua kev sib txuam ntawm ob qho tib si.

Tso tawm lub taub lim rau ib qho ntawm koj cov hlab ntshav loj, vena cava, tej zaum yuav pom zoo yog tias koj muaj DVT thiab muaj qhov pheej hmoo ua rau mob ntsws ntsws ntau tab sis tsis tuaj yeem noj ntshav dua. Cov lim no yuav tsis tiv thaiv kom ntshav txhaws, tab sis nws yuav tiv thaiv cov ntshav txhaws ntawm kev mus rau koj lub ntsws.

Ntau yam ntawm cov lim no tau tshem tawm vim tias cov lim lim tas yuav ua rau muaj kev nyuaj tom qab tau nyob rau ib txog ob xyoos. Cov teeb meem no suav nrog:

• kis tau tus mob
• lub neej ua rau kev puas tsuaj rau lub vena cava
• ua kom cov hlab ntshav nyob ib ncig ntawm lub lim, uas tso cai rau cov ntshav txhaws kom dhau los ntawm lim tawm thiab mus rau hauv lub ntsws
• txhaws txog, rau, thiab yav dhau los lim hauv thaj av vena cava, tom kawg ntawm uas tuaj yeem zom thiab mus rau hauv lub ntsws

Txo qhov koj muaj feem phom sij rau tsim DVTs yav tom ntej kuj tseem yog ib feem tseem ceeb ntawm kev kho mob.

Tiv thaiv phlebitis

Yog tias koj muaj qhov pheej hmoo tsim kom muaj DVT, nws muaj ntau qhov koj tuaj yeem ua los tiv thaiv ntshav txhaws. Qee cov tswv yim tiv thaiv muaj xws li:

• Sib tham txog koj qhov kev phom sij nrog koj tus kws kho mob, tshwj xeeb yog ua ntej kev phais mob
• sawv thiab taug kev sai li sai tau tom qab phais mob
• hnav thom khwm compression
• ncab koj ob txhais ceg thiab haus dej kom ntau thaum mus ncig
• kev noj tshuaj raws li cov lus qhia los ntawm koj tus kws kho mob, uas tej zaum yuav suav nrog cov ntshav nyias nyias

Outlook

Mob sab phlebitis feem ntau heals yam tsis muaj mob ntev ntev.

Dua li, DVT tuaj yeem ua rau tuag taus thiab yuav tsum tau kuaj mob sai sai. Nws yog ib qho tseem ceeb kom paub yog koj muaj kev pheej hmoo txaus tsim kev cai DVT thiab kom tau txais kev saib xyuas kho mob tas li los ntawm koj tus kws kho mob.

Yog tias koj tau muaj DVT ib zaug ua ntej, tej zaum koj yuav muaj feem ntau ntsib lwm yam ntxiv yav tom ntej. Ua raws cov kauj ruam yuav pab tiv thaiv DVT.