So wo nan reyɛ bruu na ɛreyɛ wo yaw kɛse? So ɛno ne Phlegmasia Cerulea Dolens? Momma yɛnka eyi ho asɛm!

So woate tebea bi a mogya tu wɔ ntini bi mu wɔ wo nan anaa wo nsa mu, na ɛma ɛyɛ bruu, hohoro, na ɛyɛ yaw ho asɛm pɛn? Eyi yɛ tebea a emu yɛ den, nanso ɛnyɛ nea abu so saa. Ɛnnɛ yɛbɛka saa tebea yi a wɔfrɛ no `Phlegmasia Cerulea Dolens` ho asɛm. Mma ɛnhaw wo, ɛho hia sɛ wohwɛ so yiye.

Dɛn ne saa `Phlegmasia Cerulea Dolens` yi?

Sɛ yɛbɛka no tiawa a, `Phlegmasia Cerulea Dolens` yɛ tebea a mogya a ɛtɔ kɛse anaa mogya a ɛtɔ pii wɔ yɛn nipadua no ntini a emu dɔ mu, titiriw wɔ nan mu (na ɛtɔ mmere bi a ɛwɔ abasa mu) (a wɔsan frɛ no `Deep Vein Thrombosis` anaa `DVT`), ma ntini no siw koraa. Fa no sɛ efĩ kɛse bi asiw nsu paipu bi mu, na ɛma nsu no boaboa ano mmom sen sɛ ɛbɛsen.

Sɛ wosiw ntini bi saa a, mogya nkɔ mu yiye. Mogya no ntumi nkɔ fam na ɛsan nkɔ soro. Dɛn na ɛba saa bere no? Mogya boaboa ano wɔ saa beae no, na ɛma nan no hohoro. Saa ahonhon yi ma nhyɛso a ɛwɔ ntini no mu no yɛ kɛse, na ɛde nhyɛso ba ntini a ɛde mframa pa kɔ no so. Ɛte sɛ sponge a ɛyɛ nsu dodo sɛ ɛbɛtwe nsu. Worentumi mfa nsu pii nhyɛ mu kosi sɛ wobɛpiapia afi mu. Saa na ɛkɔ so wɔ ha. Eyi nso ma oxygen dodow a ɛkɔ ntini ahorow no mu no so tew.

Nea ɛho hia sen biara ne sɛ eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Sɛ wɔanhu na wɔansa no ntɛm a, nan no betumi asɛe na ɛde ne nkwa mpo ato asiane mu. Enti, ɛho hia paa sɛ wohu saa sɛnkyerɛnne ahorow yi.

Saa tebea yi abu so dɛn?

Nokwarem no, `Phlegmasia Cerulea Dolens` yɛ tebea a ɛntaa nsi koraa . Ɛne sɛ, ɛyɛ biribi a wɔntaa nhu koraa. Nnuruyɛfo binom hu ɔyarefo a ɔte sɛ eyi pɛnkoro anaa mprenu pɛ wɔ wɔn adwuma nyinaa mu. Enti, akontaabu akɛse biara nni hɔ a ɛfa ho.

Dɛn ne `Phlegmasia Cerulea Dolens` ho sɛnkyerɛnne?

Edin no kyerɛ "ɔhohoro bruu a ɛyɛ yaw." Ɛno kyerɛkyerɛ yare no ho sɛnkyerɛnne ahorow no mu. Hwehwɛ eyinom mu biara wɔ wo nan anaa wo nsa so:

• Wora kɔla a ɛsakra: Ebia kɔla kɔkɔɔ a ɛyɛ bruu-akuturuku bɛda adi. Saa kɔla yi betumi atrɛw akɔ nan no nyinaa mu.
• Ɛyaw a emu yɛ den: Ɛnyɛ ɛyaw a ɛba ara kwa, na mmom ɛyaw a emu yɛ den a ɛyɛ den sɛ wobegyina ano.
• Swelling: Tebea a ɛho ahonhon kɛse a ɛte sɛ nea ɛyɛ den sɛ wobɛka.
• Wora mu akisikuru: Ɛtɔ da bi a, akisikuru a nsu ahyɛ mu ma (`akisikuru`) betumi apue.
• Ahurututu anaa akisikuru: Ebia ɛbɛyɛ te sɛ nea worebɔ anaasɛ wo ho ayɛ wo yaw.

Wɔka nso sɛ esiane sɛnea yɛn nipadua no mogya a ɛkɔ nipadua no mu no te nti, ɛda adi sɛ tebea yi bɛba wɔ nan benkum so .

Dɛn ne nneɛma a ɛde `Phlegmasia Cerulea Dolens` ba?

Nea ɛde eyi ba titiriw ne mogya a ɛtɔ kɛse (Venous Thromboembolism).Eyi taa ba sɛ ɔhaw a efi `DVT` a ɛwɔ nan no mu. Ɛne sɛ, mogya a ɛtɔ gu ntini bi mu, enyin kɛse, na esiw ntini no nyinaa kwan.

Hena na ɔwɔ asiane kɛse ma eyi?

Asiane a ɛma obi nya `Phlegmasia Cerulea Dolens` no te sɛ asiane a ɛwɔ mogya a ɛbɛtɔ mu wɔ ɔkwan a ɛkɔ akyiri so. Wɔne:

• Kokoram: Eyi ne ade titiriw a ɛde asiane ba na ɛtaa ba.
• Oprehyɛn: Bere a wɔayɛ oprehyɛn kɛse akyi.
• Opira: Opira a emu yɛ den, titiriw wɔ nan ho.
• Nyinsɛn: Wɔ nyinsɛn mu ne awo akyi.
• Nnuru a wɔde siw awo ano a wɔnom anaa hormone ayaresa:
• Yare a Ɛma Ɔyare a Ɛma Ɔyare (IBD): .
• Body Mass Index (BMI) a ɛboro 30: Eyi kyerɛ kɛseyɛ mmoroso.
• Mogya a ɛtwetwe: Ebia wɔawo nnipa binom a wɔn mogya tu ntɛmntɛm.
• Ntini a entumi nyɛ adwuma yiye: Ntini a ɛwɔ ntini no mu no ntumi nyɛ adwuma yiye.
• May-Thurner syndrome: Ntini bi a ɛwɔ nan benkum mu no, ntini bi mia so.
• Koma a entumi nyɛ adwuma yiye:
• Beae biako a wobɛtra bere tenten/mpa a wobɛda (`Wɔntumi nkɔ baabiara`): Sɛ nhwɛso no, sɛ ɛsɛ sɛ wotra mpa so nna pii wɔ oprehyɛn kɛse bi akyi a .

Wɔbɔ amanneɛ sɛ saa tebea yi taa ba nnipa a wɔadi fi mfe 40 kosi 50 so .

Dɛn ne nsɛnnennen a ebetumi aba wɔ `Phlegmasia Cerulea Dolens` ho?

Eyi yɛ tebea a emu yɛ den na nsɛnnennen betumi ayɛ kɛse.

Nnipa a wɔwɔ `Phlegmasia Cerulea Dolens` no mu bɛyɛ 50% betumi anya tebea bi a wɔfrɛ no `Gangrene`, a ɛyɛ ntini a ewu . Sɛ gangrene ba a, ɛtɔ mmere bi a ebetumi ama wɔatwa ne nan anaa ne nsa.

Afei nso, saa nkurɔfo yi betumi anya tebea bi a wɔfrɛ no `Pulmonary Embolism`, a ɛyɛ mogya a ɛtɔ kɔ ahurututu mu . Eyi nso de nkwa to asiane mu kɛse.

Sɛnea wobehu `Phlegmasia Cerulea Dolens`?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, oduruyɛfo bi bɛhwɛ w’ayaresa ho abakɔsɛm mu na wayɛ wo nipadua mu nhwehwɛmu. Ebia wobebisa wo nsɛm te sɛ:

• "Bere bɛn na saa sɛnkyerɛnne ahorow yi fii ase?"
• "Dɛn na wuntumi nyɛ esiane eyi nti?"
• "So wɔasa wo mogya ntini mu haw ahorow pɛn?"
• "So obi wɔ w'abusua mu a ɔwɔ ɔhaw wɔ mogya a ɛtwetwe ho?"

Sɔhwɛ ahorow bɛn na wɔbɛyɛ?

Sɛ wopɛ sɛ wuhu sɛ wowɔ `Phlegmasia Cerulea Dolens` ankasa a, wo duruyɛfo betumi ayɛ nhwehwɛmu ahorow a edidi so yi:

• Ultrasound scan a wɔde hwɛ:Hwɛ sɛ mogya atɔ ntini no mu ne sɛnea mogya no retu.
• Mogya mu nhwehwɛmu: Hwɛ sɛ mogya no ayɛ mmerɛw, ɔyare mmoawa no tebea, ne nea ɛkeka ho.
• `Computed Tomography Angiogram (CT Angiogram):` Eyi betumi afa ntini no ho mfonini a ɛkɔ akyiri.
• Magnetic Resonance Angiogram (MR Angiogram): Eyi yɛ ɔkwan foforo a wɔfa so nya ntini no mfonini.

Ɔkwan bɛn so na wɔsa `Phlegmasia Cerulea Dolens`?

Eyi yɛ nea egye ntɛmpɛ, enti ɛsɛ sɛ wofi ase sa yare ntɛm ara.

Oduruyɛfo no bedi kan ama wo nan so bɛyɛ digrii 60 asen wo koma . Eyi boa ma mogya fi ntini a ɛwɔ wo nan mu no mu, ɛma mogya no tu mpɔn, na ɛtew wo nan so. Ebia wɔbɛma wo nsu nso, wɔde aduru a wɔde hyɛ wo nan nyinaa mu, na wɔaka akyerɛ wo sɛ nantew kakra.

Mpɛn pii no , nnuru ka ho no, ayaresa ho nhyehyɛe nso ho hia. Sɛ wo nan ayɛ akisikuru anaasɛ ɛda gangrene ho sɛnkyerɛnne adi a, ɛkyerɛ sɛ wo nan no wɔ asiane kɛse mu. Nnuruyɛfo bɛbɔ mmɔden sɛ wobeyi mogya a ɛretu no ntɛm ara sɛnea wobetumi na wɔasa Phlegmasia Cerulea Dolens ansa na gangrene ahyɛ mu.

Botae atitiriw a ɛwɔ ayaresa mu ne:

• Mogya a ɛyɛ mmerɛw a wobeyi afi hɔ.
• Ntini no a wobebue na mogya asan akɔ.
• Gyae tebea no na ansɛe.

Nnuru ne ayaresa pɔtee bi

Wobetumi de ayaresa a edidi so yi adi dwuma ama `Phlegmasia Cerulea Dolens`:

• Nnuru a ɛma mogya tu: Sɛ nhwɛso no, nnuru te sɛ Heparin. Eyinom yɛ nnuru a wɔde gu ntini mu.
• `Thrombolysis`: Wɔ eyi mu no, wɔde afiri teateaa bi a wɔfrɛ no `catheter` fa ntini bi mu kɔ baabi a mogya no tu, na wɔde aduru bi fa mu de ma mogya a ɛretu no.
• `Thrombectomy`: Eyi hwehwɛ sɛ woyi mogya a ɛretu no denam ntwitwiridii ketewaa bi so anaasɛ oprehyɛn kɛse bi so (`open procedure`).
• Angioplasty ne/anaasɛ stent a wɔde si hɔ: Wɔyɛ eyinom na ama ntini no abue wɔ nnipa a wɔwɔ May-Thurner syndrome mu.

Nsɛnnennen/nsunsuanso bɔne a efi ayaresa mu ba

Oprehyɛn kɛse (`open surgery`) a wɔde yi mogya a ɛretu no betumi de nsɛnnennen te sɛ:

• Hokwan a ɛkɔ soro sɛ mogya a ɛbɛtɔ bio no bɛsan ayɛ.
• Mogya ntini bi a ɛsɛe.

Nnuru a ekum mogya a ɛtwetwe ne thrombolysis ayaresa no de asiane ba sɛ mogya bɛtɔ . Esiane sɛ thrombolysis betumi ama ahurututu mu ntini ayɛ kɛse nti, ɛtɔ mmere bi a nnuruyɛfo betumi akamfo akyerɛ sɛ wɔmfa inferior vena cava (IVC) filter nsiw ano.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Ebia nnipa binom befi ase ate nka wɔ dɔnhwerew biako pɛ mu bere a wɔafi nnuru a ekum mogya a ɛtwetwe mogya no ase akyi. Nanso, nnipa dodow no ara nte nka sɛ wɔn ho tɔ wɔn kosi nnɔnhwerew pii akyi bere a wɔafi aduru no ase. Sɛ tebea no ankɔ yiye wɔ nnɔnhwerew 6-12 ntam a, oduruyɛfo no betumi akamfo ayaresa bi a wɔde bɛka nnuru ho akyerɛ.

Sɛ wɔyɛ oprehyɛn de yi mogya a ɛretu no a, ebia wubehu sɛ nneɛma te sɛ nan no mu ahonhon ne kɔla a ɛbɛsakra no beyera ntɛmntɛm. Ebia wobɛte nsonsonoe no nka wɔ oprehyɛn no akyi pɛɛ .

So wobetumi asiw `Phlegmasia Cerulea Dolens` ano?

Yiw, ɛde besi baabi no, ebetumi aba. Wobetumi asiw tebea yi ano denam DVT (dep vein thrombosis) a wobesiw ano anaasɛ DVT a wɔbɛsa ansa na abɛyɛ Phlegmasia Cerulea Dolens so.

Sɛ mewɔ `Phlegmasia Cerulea Dolens` a, dɛn na metumi ahwɛ kwan?

`Phlegmasia Cerulea Dolens` yɛ tebea a ebetumi ama woahwere wo nan anaasɛ mpo ɛde wo nkwa to asiane mu. Ɛno nti na nnuruyɛfo yɛ ade ntɛm ara na wofi ase sa yare na amma wo tebea no ansɛe no. Ebia wobɛte nka sɛ wɔde ahopere rema wo nnuru anaasɛ wɔresiesie wo ama oprehyɛn . Nea enti a ɛte saa ne sɛ, ayaresa a wɔyɛ no ntɛm ne ɔkwan a eye sen biara a wobɛfa so anya nea eye sen biara .

Ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi. Ebia wobɛyɛ scan foforo nso (mfonini nhwehwɛmu) de ahwɛ ahu sɛ mogya a ɛtwetwe no nyinaa ayera anaa.

Nsusuwii a ɛfa `Phlegmasia Cerulea Dolens` ho

Nkonimdie dodoɔ a ɛwɔ thrombolysis ayaresa mu yɛ 85% kɔsi 95%.

Nanso, sɛ wɔansa Phlegmasia Cerulea Dolens a, ebetumi ama obi anya gangrene. Sɛ gangrene ba a, asiane a ɛwɔ hɔ sɛ wobetwa nipadua no mu no yɛ 20% kosi 50% . Sɛ gangrene anaasɛ enni hɔ a, asiane a ɛwɔ hɔ sɛ tebea yi bɛkum obi no yɛ 20% kosi 40%.

Sɛ wɔansa no yiye a, `Phlegmasia Cerulea Dolens` betumi asan aba bio.

Sɛ wɔsa wɔn yare ntɛm mpo a, nnipa pii a wonya `Phlegmasia Cerulea Dolens` no betumi anya ɔhaw ahorow wɔ ntini a ɛwɔ wɔn ntini mu no ho ne tebea bi a wɔfrɛ no `Post-thrombotic syndrome` daakye.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ woyɛ ayaresa a edi kan wie a, ebehia sɛ wokɔ so nom nnuru a ɛma mogya yɛ mmerɛw (aduru a ɛma mogya tu) na amma tebea no ansan bio. Ɛdenam wo tebea so no, ebia ebehia sɛ wonom nnuru yi asram pii anaa nea ɛboro saa mpo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛho behia sɛ wo duruyɛfo no hwɛ wo mogya mu daa hwɛ sɛ wo mogya a ɛretu no yɛ nea ɛfata. Ɛho behia nso sɛ wokɔ hɔ daa hwɛ sɛ ebia nsɛnnennen bi bɛba akyiri yi anaa.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ `Phlegmasia Cerulea Dolens` ho sɛnkyerɛnne, anaasɛ woadi kan anya sɛnkyerɛnne bi na mprempren woresan ahyia bio a, hwehwɛ aduruyɛ mu afotu ntɛm ara . Afei nso, sɛ wunya mogya a ɛtɔ foforo ho sɛnkyerɛnne anaasɛ `Pulmonary Embolism` ho sɛnkyerɛnne a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• "Bere tenten ahe na ɛsɛ sɛ menom saa nnuru a ekum mogya a ɛtwetwe mogya yi?"
• " Mpɛn ahe na ɛsɛ sɛ meba bɛdi akyi?"
• "Dɛn na anka ebetumi ama me `DVT` aba?"

Nsonsonoe bɛn na ɛwɔ `Phlegmasia Alba Dolens` ne `Cerulea Dolens` ntam?

`Phlegmasia Alba Dolens` nso yɛ ɔhaw a mogya a ɛtɔ gu nipadua no mu de ba. Nanso, ɛnsiw mogya a ɛkɔ wo ntini mu no kwan. Asɛmfua `alba` a ɛwɔ din no mu no kyerɛ `fitaa`. Eyi kyerɛ sɛ nan no yɛ fitaa. `Alba Dolens` betumi aba ansa na `Phlegmasia Cerulea Dolens` anyin.

`Phlegmasia Cerulea Dolens` yɛ tebea a emu yɛ den kɛse. Ɛka mogya a ɛkɔ nipadua no mu. Mogya a ɛkɔ ntini ahorow a mogya a ɛretu no wɔ no mu no gyae.

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae fi saa asɛm yi mu!

Bere yɛ ade titiriw wɔ `Phlegmasia Cerulea Dolens` asɛm no mu. Sɛ wo anaa wo dɔfo bi wɔ saa sɛnkyerɛnne ahorow yi a, ntwentwɛn wo nan ase sɛ wobɛkɔ ayaresabea ntɛm ara. Ayaresa a wɔde ma ntɛm ho hia na ama wɔagye nan bi, na ebia obi nkwa.

Ɛtɔ mmere bi a, sɛ nnuruyɛfo de ahopere sisi gyinae na wɔyɛ ho biribi ntɛm a, ebia wo ho yeraw wo. Nanso wɔn nyinaa reyɛ ama w’ankasa wo yiyedi. Sɛ biribi wɔ hɔ a wonte ase a, nsuro sɛ wubebisa nsɛm. Sɛ wobɛbɔ wo amanneɛ a, ɛyɛ anammɔn a eye sen biara a wobɛfa so anya ahobammɔ.

` Phlegmasia Cerulea Dolens, DVT, Mogya a Ɛtwetwe, Nan a Ɛhonhon, Ntini a Ɛsiw, Gangrene, Ahurututu mu Ntini a Ɛtwetwe