ʻO ka thrombosis venous superficial, i kapa ʻia he paraphlebitis, pili i ka ālai ʻia o kahi aa e kahi koko. He maʻi pinepine a maʻalahi ia, e mālama maʻalahi ʻia. He aha nā hōʻailona? Pehea e lawe ai i ke kuhi?

ʻO kahi phlebitis (venous thrombosis) kahi manawa kahiko a hoʻohana mau ʻia ia e koho i kahi kūpuna koko "thrombus" i hana a hapa a i ʻole ālai loa i kahi aa hohonu a i ʻole. Noho pū nā ʻano ʻelua o nā pūnaewele venous: ka pūnaewele venous hohonu a me ka pūnaewele venf superficial. 

Inā ʻike ʻia ma ke aʻa varicose i ʻike ʻia ma lalo o ka ʻili, a laila hiki iā mākou ke ʻōlelo no "thrombosis venous superficial". ʻAʻole koʻikoʻi ka phlebitis superficial ke kaʻawale, akā ʻoiai ke kamaʻilio nei nā pūnaewele, hiki ke pālahalaha a paʻakikī ʻia e ka thrombosis hohonu.

ʻO nā kumu like ʻole: 

• I loko o kahi paraphlebitis, hiki ke hana i ka ʻūlū i loko o kahi aa nui loa, kahi aa liʻiliʻi ma waena o ka ʻili a me nā mākala (saphenous vein). ʻO nā veins saphenous kahi ʻāpana o kahi pūnaewele superficial o nā veins i waiho ʻia ma lalo o ka ʻili a hiki ke lilo i kahua o nā veins varicose. ʻIke kūlohelohe ʻo varicose veins a i ʻole ke alo o nā mea pilikia a noho i ke kumu maʻamau o ka paraphlebitis i nā wāwae;
• Paraphlebitis i kupu i loko o ka "olakino" aa kino pinepine 'ano o ka underlying ano e like me ka genetical a loaʻa kīnā i loko o ke kōpiliʻana i ke koko, maʻi' aʻai, a me ka kakaikahi ka maʻi koʻohune vascular maʻi (Behçet maʻi, Burger ka maʻi);
• ʻO kahi hōʻailona o ka lawa ʻole o ka venous he hōʻailona paha ia o ka hōʻea ʻana o ka paraphlebitis.

Minamina, ʻaʻole pololei nā hōʻailona. Eia nō naʻe, hopena ia i ka hanana o kahi ʻeha hōʻeha i hiki ke hala i mau lā. Puhi ke aʻa varicose i ka pehu, ʻulaʻula, wela, mānoanoa a paʻakikī hoʻi i ka hoʻopā ʻana e hoʻohoihoi i ka hana. Eia hou, he mea nui ia e makaʻala i ka hanana o nā mea pilikia e pili ana.

I ke kumu o ka phlebitis nui ʻole, hana ʻia ka maʻi i ka wā o ka hoʻokolokolo ʻana, akā maikaʻi ka ultrasound Doppler venous e kāpae ai i ka loaʻa ʻana o kahi phlebitis hohonu e pili ana, i hoʻokahi manawa i ka ʻehā.

ʻO ka pahuhopu o ka mālama ʻana e lahilahi i ke koko. ʻOiaʻiʻo, pono e hōʻole i ka hōʻeha a me ka hoʻolōʻihi ʻana o ke kapa i hiki:

• Holomua i ka pūnaewele venous hohonu a laila alakaʻi i ka phlebitis a i ʻole thrombosis hohonu;
• E neʻe i ka puʻuwai a hoʻoulu i ka pulmonary embolism ma o ka pale ʻana i nā aʻa i loko o ka akemāmā.

I ka hapanui o nā hihia, i ka manawa e hoʻomaka ai ka mālama ʻana, hoʻopili ka hāpau i ka paia a ʻaʻole holomua hou e hoʻomaikaʻi i ka lāʻau anticoagulant a i ʻole ka stocking compression.

ʻO Anticoagulant therapy

Ma ke ʻano he koho mua, hoʻohana ʻia nā anticoagulants waha pololei (DOA) no nā ʻano thrombosis he nui e pili ana i nā ʻōuli a me nā hōʻailona i loaʻa i ka wā o ka hoʻokolokolo. Maʻalahi lākou e hoʻohana, loaʻa ka liʻiliʻi o ka hoʻopilikia ʻana i ka meaʻai a i ʻole nā ​​mālama ʻē aʻe a koi ʻole i ka nānā mau ʻana e nā hoʻokolohua koko. 

Pākuʻi kaomi

Ma waho aʻe o ka lāʻau lapaʻau, hiki ke kuhikuhi ʻia ka paʻi sock i ka wā mua. E kōkua lākou i ka hoʻokuʻu ʻana i ka edema i ka wāwae a hoʻemi i ka ʻeha. Hiki paha iā lākou ke hana ʻāpana i ka resorption o ka ʻaʻā. E kāhiko wale ʻia nā kākini hoʻopīpī i ka lā a i kahi lōʻihi lōʻihi.

Aia nā papa ʻokoʻa akā e hōʻike ʻia ka papa 3 (aia nā papa 4 o ka hoʻonui ʻana i ka ikaika compressive). Mālama kēia kaomi i ka mālama ʻana i nā veins varicose.

ʻO ka mea hope loa, ʻo ka paraphlebitis e kū nei i loko o kahi veins varicose kahi hoʻopaʻapaʻa no ka mālama ʻana i nā veins varicose i mea e pale aku ai iā ia mai ka wā ma hope. E hana pēlā, e noi ʻia nā hoʻokolokolo e ʻike i ke kumu. Ma waena o kēia mau hoʻokolohua, aia nā hoʻokolohua radiological, a i ʻole nā ​​hoʻokolohua ʻana o ke koko e nānā ai, no ka laʻana, ʻohana a i ʻole ke koko maʻamau ʻole, e hāpai ana i ka makaʻu o ka phlebitis.

Kaukaʻi ʻia i nā hopena, hoʻolōʻihi ʻia ka lāʻau anticoagulant.

Hiki i nā hanana aʻe ke ʻoluʻolu i ka hanana o phlebitis.

• Venus stasis (kū ke koko i nā veins, no ka lōʻihi loa o ka moe ʻana a i ʻole neʻe. ʻO kēia ka mea nui);
• ʻO kahi maʻi kahe o ke kahe (maʻalahi ka maʻalahi o kou koko ma muli o ka maʻi a me ka mālama ʻana);
• ʻO kahi hoʻololi o ka paia o ke aʻa (inā hoʻokomo ʻia kahi infusion i kahi aa no ka manawa lōʻihi, hiki ke hōʻino ʻia ka paia o ke aʻa a hiki ke ālai ʻia);
• Makahiki ma kahi o 40;
• Ka nui;
• e uwahi ana;
• Immobilization (plaster, paralysis, huakaʻi lōʻihi);
• ʻO ka hāpai ʻana, ka mea pale a i ʻole ka menopausal hormone therapy i loko o ka estrogen;
• Mōʻaukala o phlebitis;
• Ka maʻi ʻaʻai, mālama maʻi ʻaʻai (chemotherapy);
• Maʻi maʻi kūpilikiʻi;
• ʻO nā maʻi genological biological, ʻike ʻia e ka hoʻokolohua koko.

ʻOi aku ka maikaʻi o nā lula āpau no ka pale ʻana i ka phlebitis:

• ʻO ka hoʻoneʻe ʻana i kou mau mākala ma ka hele wāwae ʻana a me nā hoʻoikaika kino.
• ʻO ke kiʻekiʻe o nā wāwae o kahi moe;
• ʻO ka compression Venous e nā kākini i kau ʻia i ka lā;
• Manaʻo ʻia ka hoʻoliʻiliʻi Venous i ka wā o ka huakaʻi ea.