So mogya atɔ wo ntini mu, na ɛde ɛyaw ne ahonhon aba wo so? Momma yɛnka Thrombophlebitis ho asɛm!

So woate ɛyaw bi a ɛyɛ nwonwa anaasɛ wo ho ahonhon wɔ ntini bi ho wɔ wo nan anaa wo nsa mu pɛn? Ɛtɔ mmere bi a, beae no betumi ayɛ kɔkɔɔ na sɛ woka a, ɛbɛyɛ hyew. Sɛ woahyia biribi a ɛte sɛɛ a, ebia wowɔ tebea bi a wɔfrɛ no thrombophlebitis. Mma ɛnhaw wo, momma yɛnka ho asɛm tiawa.

Dɛn ne Thrombophlebitis? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Thrombophlebitis yɛ ntini bi a ɛyɛ hyew (phlebitis) a mogya a ɛtɔ (thrombus) a ɛba wo ntini mu no de ba. Wɔbɔ no "thrombophleb-itis."

Sɛ yɛbubu nea eyi kyerɛ a:

• "Thrombo-" kyerɛ sɛ mogya a ɛtɔ. Eyi yɛ mogya a ɛtwetwe a ɛba ntini bi mu.
• "-phleb-" kyerɛ ntini, a ɛkyerɛ biribi a ɛfa ntini ho.
• "-itis" kyerɛ ɔfe, a ɛkyerɛ ɔfe, kɔkɔɔ, ɛyaw, ne nea ɛkeka ho.

Enti sɛ nneɛma yi nyinaa bom a, tebea bi a wɔfrɛ no thrombophlebitis ba. Ɛwom sɛ wɔtaa hu no wɔ nan ntini mu de, nanso ebetumi aba nipadua no ntini biara mu ankasa.

Ɔkwan bɛn so na saa tebea yi ba? So ɛyɛ mogya a ɛtɔ kan? Anaasɛ ɛyɛ ɔfe?

Eyi te sɛ "akokɔ na odii kan, anaasɛ ɛmo na odii kan" asɛmmisa no. Akwan abien na ɛwɔ hɔ a thrombophlebitis betumi afa so aba:

1. Mogya a ɛtɔ kan, afei ɔfe: Nea ɛkɔ so wɔ ha ne sɛ mogya a ɛtɔ gu ntini no mu, na ɛma ntini no fasu no yɛ basaa kakra na ɛhyɛ abufuw . Ɛno nti na ntini no hohoro, ɛyɛ kɔkɔɔ, na ɛyɛ yaw no.

2. Ɔfe di kan ba, na mogya a ɛtɔ akyi: Ɛtɔ da bi a, ntini no mu (a yɛfrɛ no `Phlebitis` wɔ nnuruyɛ mu) betumi ahonhon na ayɛ ɔfe esiane ɔyare mmoawa anaa biribi foforo nti. Afei, hokwan kɛse wɔ hɔ sɛ mogya a ɛretu no bɛbata saa beae a ɛho ayɛ hyew no ho na akɔfam.

Mpɛn pii no, thrombophlebitis no wɔ baabiara. Eyi kyerɛ sɛ ebetumi aba wɔ ntini biako mu anaa ntini pii mu. Nanso, sɛ ɛtrɛw a, ebetumi ayɛ asiane. Ɛdenam baabi a mogya a ɛtɔ no so no, ɛtɔ mmere bi a ebetumi de tebea bi a emu yɛ den a wɔfrɛ no deep vein thrombosis (DVT) anaasɛ ntɛmpɛ a ɛde nkwa to asiane mu a wɔfrɛ no pulmonary embolism (Pulmonary Embolism) aba .

So (Thrombosis) ne (Thrombophlebitis) yɛ nneɛma abien a ɛsono emu biara?

Yiw, ɛwom sɛ abusuabɔ bi wɔ abien no ntam de, nanso ɛnyɛ ade koro. Thrombosis yɛ mogya a ɛkɔ wo mogya ntini biako mu. Ɛne sɛ, Thrombophlebitis yɛ adeyɛ a ɛfa ho a ɛtɔ mmere bi (nanso ɛnyɛ bere nyinaa) na ɛba wɔ Thrombosis ho. Wɔ Thrombophlebitis mu no, ɛsɛ sɛ ntini no mu ɔfe ka mogya a ɛretu no ho.

So Thrombophlebitis ahorow ahorow wɔ hɔ?

Yiw, thrombophlebitis betumi aba wo nipadua mu ntini biara mu. Nanso, ahorow pɔtee pii wɔ hɔ a wogyina nea ɛde tebea no ba ne beae a ɛwɔ so na ɛto din. Momma yɛnhwɛ emu bi:

Ntini a Ɛkɔ Mu Ntini a Ɛyɛ Den (DVT) .

Eyi ne mogya a ɛtɔ gu nipadua no mu a ɛtaa ba a nnipa dodow no ara ate ho asɛm, na ɛyɛ hu kakra. Deep vein thrombosis (DVT) yɛ mogya a ɛtɔ gu ntini kɛse bi a emu dɔ mu wɔ wo nipadua mu (mpɛn pii no wɔ wo nan mu). Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Sɛ mogya a ɛtɔ no mu no bubu na ɛkɔhyɛ ntini bi mu wɔ w’ahurututu mu a, ebetumi ama woanya tebea bi a ɛde wo nkwa to asiane mu a wɔfrɛ no ahurututu mu ntini a ɛma mogya tu .

Thrombophlebitis a Ɛwɔ Anim

Eyi ba wɔ ntini nketenkete a ɛwɔ wo nsa anaa wo nan mu a ɛbɛn honam ani no mu. Wɔnnyɛ aniberesɛm te sɛ deep vein thrombosis (DVT). Nanso, wobetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ ntini a emu dɔ a ɛma mogya tu (DVT). Wobetumi de tebea afoforo a emu yɛ den nso aba.

Thrombophlebitis a Ɛtu Kɔ mmeae foforo

Sɛnea edin no kyerɛ no, eyi ne bere a mogya a ɛtɔ ne ɔfe a ɛbata ho "tu" fi ntini biako mu kɔ foforo mu, a ɛkyerɛ sɛ ɛkɔ. Ɛtɔ mmere bi a, mogya a ɛtwetwe pii tumi ba ntini pii mu bere koro mu. Wɔ eyi mu no, asiane kɛse wɔ hɔ sɛ mogya a ɛbɛtɔ ntini ketewaa bi mu akɔ ntini kɛse bi mu, na ɛde tebea bi a ɛyɛ hu a wɔfrɛ no pulmonary embolism aba.

Septic Thrombophlebitis a ɛma mogya tu

Wɔ saa tebea yi mu no, ɔyare (Thrombophlebitis) no fi ɔyare mmoawa bi, anaasɛ (Thrombophlebitis) de ɔyare mmoawa ba. Sɛ ɔyare mmoawa a ɛte saa ba a, ebetumi de tebea horow a emu yɛ den aba. Nhwɛso ahorow bi ne:

• (Lemierre syndrome): Eyi ba bere a ɔhome akwaa a ɛwɔ soro no mu yare trɛw kɔ ntini kɛse bi a ɛwɔ kɔn no mu (jugular vein) mu no.
• (Pylephlebitis): Wɔ eyi mu no, ntini a ɛde mogya fi wo yafunu atifi kɔ wo mmerɛbo mu (portal veins) no ho yɛ hyew na ɛde ɔyare mmoawa ba.
• Septic embolism: Mogya a ɛtwetwe (septic clot) a ɔyare no wɔ no betumi atetew afi baabi a ɛbae no na akɔtra nipadua no fã foforo. Eyi betumi atrɛw ɔyare mmoawa a edi kan no mu, asiw mogya ntini biako anaa nea ɛboro saa ano, anaa n’abien nyinaa.

Septic thrombophlebitis yɛ tebea a asiane wom titiriw efisɛ ɛkyerɛ sɛ ɔyare mmoawa bi atrɛw wɔ nipadua no mu nyinaa. Ebetumi de tebea bi a wɔfrɛ no sepsis , a wo nipadua mu tumi a ɛko tia nyarewa no yɛ n’ade boro so wɔ ɔyare mmoawa bi ho aba. Sepsis yɛ aduruyɛ mu tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu. Ɛhwehwɛ sɛ wohu yare no ntɛm ara na wɔsa no yare.

Hena na ɛda adi kɛse sɛ obenya saa tebea yi?

Asiane a ɛne sɛ mogya bɛtɔ no betumi aba wɔ mfe biara mu, titiriw wɔ nnipa a wɔwɔ ayaresa tebea horow bi anaa asetra mu nsɛm bi mu. Nanso, asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi (thrombophlebitis) no kɔ soro nkakrankakra bere a woadi mfe 45. Asiane yi kɔ soro bio bere a worenyin no.

Tebea yi abu so dɛn?

Ɛdenam thrombophlebitis pɔtee a ɛwɔ so no so no, tebea yi betumi afi nea ɛntaa nsi so kosi nea abu so kakra so. Eyi ho nhwɛso a abu so na wonim no yiye ne deep vein thrombosis (DVT). Wɔ United States nkutoo no, nnipa bɛyɛ 900,000 na wonya DVT afe biara, na nnipa 60,000 kosi 100,000 na wowuwu afe biara. Saa tebea yi nyɛ nea ɛntaa nsi wɔ Sri Lanka.

Dɛn ne eyi ho sɛnkyerɛnne?

Ɛkame ayɛ sɛ bere nyinaa wohu sɛnkyerɛnne ahorow pii wɔ thrombophlebitis ho:

• Ɔhonhon: Eyi betumi ada adi mpofirim. Saa ɔfe yi da adi kɛse wɔ ntini a ɛbɛn honam ani no mu. Wɔ tebea horow a emu yɛ den mu no, ntini a ɛkɔ nipadua no mu mpo betumi ahonhon a wotumi hu. Sɛ mogya tu bɛboro biako a, mmeae yi betumi ayɛ te sɛ akuru. Sɛ eyi si wɔ abasa anaa nan bi mu a, ebetumi aba, ɛwom sɛ ɛntaa nsi de, sɛ saa abasa/nan no ase nso ahonhon.
• Nsakrae a ɛba sɛnea ntini te nka mu: Sɛ wode wo nsa ka ntini bi a mogya a ɛretu asiw ano anaasɛ ɛho ayɛ hyew a, ɛte sɛ nea ɛyɛ den na ɛyɛ den sen ntini a ɛteɛ. Eyi betumi asi wɔ ntini biako mu anaa ntini pii a ɛbɛn ntini a ɛtwetwe no mu.
• Ɛyaw anaa akisikuru: Mpɛn pii no, thrombophlebitis yɛ tebea a ɛyɛ yaw. Ebia baabi a atwa akisikuru no ho ahyia ne nea ɛwɔ soro no bɛyɛ mmerɛw sɛ wobɛka, ɛyɛ yaw sɛ wobɛmia so, anaasɛ ɛbɛyɛ yaw a ɛyɛ mmerɛw ara kwa. Sɛ akisikuru no yɛ kɛse, ɛwɔ ntini ketewaa bi mu, anaasɛ sɛ mogya a ɛtwetwe no pii a, ɛyaw no betumi ayɛ kɛse. Nnipa pii ka ɛyaw no ho asɛm sɛ “ɛyɛ akisikuru a ɛyɛ akisikuru .”

Eyinom akyi no, sɛnkyerɛnne afoforo bi a ɛtɔ mmere bi a wohu, nanso ɛnyɛ bere nyinaa na wohu ne:

• Wora kɔla a ɛsakra wɔ baabi a ahonhon no: Ebia honam ani a ɛbɛn mogya a ɛretu no bɛyɛ kɔkɔɔ anaasɛ ayɛ tuntum asen honam ani a atwa ho ahyia no. Ebia ɛbɛyɛ te sɛ nea ɛyɛ kɔkɔɔ a atwa kuru anaa akuru bi ho ahyia. Eyi taa ba bere a mogya a ɛtɔ gu ntini a ɛbɛn honam ani no mu no. Nanso, ebetumi aba nso bere a mogya a ɛtwetwe kɛse wɔ ntini a emu dɔ mu anaasɛ bere a ntini no asiw kɛse no.
• Ɔhyew a wobɛte nka: Sɛ wode wo nsa ka baabi a mogya no atɔ, anaa baabi a atwa ho ahyia a, ebia ɛbɛyɛ hyew asen mmeae a ɛwɔ akyirikyiri.

Dɛn na ɛde tebea yi ba?

Nneɛma ahorow betumi de thrombophlebitis aba. Nea edidi so yi betumi ama mogya atɔ, anaasɛ ɛbɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse:

• Awosu mu (awosu mu) tebea horow: Nsakrae (nsakrae) a ɛba wo DNA mu no betumi ama wo mogya atɔ ntɛmntɛm. Nnipa binom nya nsakrae yi fi wɔn awofo hɔ. Ɛwom sɛ wobetumi asa awosu mu tebea horow yi de, nanso egye nkwa nna nyinaa na wontumi nsa.
• Varicose veins: Sɛ wowɔ varicose veins, a ɛyɛ bruu a ɛte sɛ akɔre wɔ wo nan mu a, wowɔ asiane mu titiriw sɛ wubenya thrombophlebitis wɔ saa beae no.
• Trauma: Injuries to or near veins can cause inflammation, which can lead to blood clots. Sɛ nhwɛso no, sɛ wohwe ase na wopira wo nan kɛse a, ntini bi a ɛwɔ saa beae no betumi asɛe na tebea yi betumi aba.
• Aduruyɛ mu ayaresa ne nnuru: Nhama a wɔde fa ntini mu (IV) ne catheters (nsukorabea a ɛde nnuru ne nsu fa ntini mu kɔ) betumi ama mogya atɔ (thrombophlebitis). Hormone ayaresa ahorow bi (a awo ano aduru ahorow bi ka ho) nso betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no ayɛ kɛse.
• Nnubɔne a wɔde di dwuma wɔ IV mu: Sɛ woyɛ obi a ɔnom nnubɔne a, asiane kɛse wom sɛ wubenya thrombophlebitis. Nea enti a ɛte saa ne sɛ, ɛnyɛ den sɛ nnade a ɛho agu fĩ anaasɛ wɔmfa nni dwuma yiye no betumi ama obi anya ɔyare mmoawa a emu yɛ den. Saa nyarewa yi betumi ama obi ayɛ ɔfe na wanya saa tebea yi.
• Wɔn a wɔnkeka wɔn ho: Ebia nnipa a wɔtra baabi kyɛ, sɛ nhwɛso no, wɔn a wɔyɛ adwuma wɔ ɔfese anaa wɔde kɔmputa di dwuma no mogya nkɔ yiye. Eyi ma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no yɛ kɛse. Eyi betumi ato nnipa a wɔfa wimhyɛn tenten, anaa wɔn a wɔde kar anaa kar foforo tu kwan kyɛ no. Susuw ho hwɛ, te sɛ bere a wode bɔs tu kwan fi Colombo kɔ Jaffna no.
• Tebea afoforo anaa nsɛm a esisi a ebetumi aka mogya a ɛtwetwe: Nneɛma ahorow bi wɔ hɔ a ɛde asiane ba, te sɛ kokoram, kɛseyɛ mmoroso, yare bi a nipadua no tumi ko tia nyarewa a wɔfrɛ no lupus , ne mogya mu ɔhaw ahorow bi. Nnipa a wɔada mpa so anaasɛ wontumi nkɔ baabiara esiane tebea bi te sɛ obubuafo nti nso betumi akɔ asiane kɛse mu. Sigaretnom yɛ ade a ɛde asetra mu asiane ba. Afei nso, sɛ wo ho nsu atɔ wo a, asiane a ɛwɔ hɔ no kɔ soro.
• Nyinsɛn anaa awo akyi bere tiaa bi: Asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no betumi ayɛ kɛse wɔ nyinsɛn mu esiane nneɛma ahorow nti. Saa asiane no mfi hɔ ntɛm ara bere a wɔawo akokoaa no akyi.

So eyi yɛ yare a wɔde kɔ nnipa mu?

Ɛwom sɛ ɛtɔ mmere bi a ɔyare mmoawa bi na ɛde ba de, nanso thrombophlebitis nyɛ yare a ɛde ɔyare ba ankasa. Eyi fa awosu mu tebea horow nso ho. Ɛne sɛ, saa tebea horow yi a efi awofo hɔ kɔ mmofra mu (DNA) no mfa thrombophlebitis mma tẽẽ, na mmom ebetumi de mogya a ɛtwetwe ho haw ahorow aba, na ebetumi de tebea yi aba.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Nnuruyɛfo taa hu thrombophlebitis wɔ ayaresabea, titiriw wɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. Eyi te saa efisɛ thrombophlebitis ne tebea horow a emu yɛ den a ɛde nkwa to asiane mu te sɛ DVT wɔ abusuabɔ kɛse.

Wo duruyɛfo de nipadua mu nhwehwɛmu, mfoniniyɛ mu nhwehwɛmu, ne aduruyɛdan mu nhwehwɛmu bɛkyerɛ sɛ wowɔ thrombophlebitis.Ɛho hia sɛ wɔka akwan horow yi bom, efisɛ mpɛn pii no nipadua mu nhwehwɛmu nkutoo ntumi nhu thrombophlebitis. Nyarewa afoforo pii wɔ hɔ a ɛwɔ sɛnkyerɛnne a ɛte saa ara, na emu bi yɛ nea asiane wom titiriw. Enti, mfoniniyɛ mu nhwehwɛmu ne aduruyɛdan mu nhwehwɛmu so wɔ mfaso kɛse, na ɛtɔ mmere bi mpo a ɛho hia, na wɔasiw nsɛnnennen a emu yɛ den ano.

Nhwehwɛmu bɛn na wɔyɛ de hu tebea yi?

Sɛ nnuruyɛfo rehwehwɛ tebea bi a wɔfrɛ no thrombophlebitis a, ebia wɔbɛyɛ nhwehwɛmu ahorow. Eyinom bi ne:

• Nipadua mu nhwehwɛmu: Ɛha yi, oduruyɛfo no bɛhwehwɛ thrombophlebitis ho sɛnkyerɛnne biara a wotumi hu, titiriw no, ɛho ahonhon anaasɛ honam ani kɔla a ɛsakra. Ɔbɛtaa de ne nsa abɔ baabi a ɛho ayɛ no yaw no. Eyi betumi aboa ma wɔahu sɛnkyerɛnne anaa sɛnkyerɛnne ahorow a ɛnyɛ mmerɛw sɛ wobehu nanso wotumi te nka. Obetumi de afiri a wɔde tie asɛm nso atie sɛnea wo koma bɔ, titiriw wɔ wo nan anaa wo nan ase.
• Nhwehwɛmu a wɔyɛ wɔ aduruyɛdan mu: Nhwehwɛmu ahorow pii a wɔyɛ wɔ aduruyɛdan mu betumi aboa ma wɔahu thrombophlebitis, te sɛ sɛnea wo mogya tumi tu no mu nhwehwɛmu, hwehwɛ adanse a ɛkyerɛ sɛ mogya atɔw dedaw, anaasɛ wobɛhwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa.
• Mfoniniyɛ mu nhwehwɛmu: Ɔkwan titiriw a wɔfa so hu thrombophlebitis ne sɛ wobehu mogya a ɛretu a ɛde ba no. Ultrasound (a ɛde nnyigyei asorɔkye a ano yɛ den, a ɛte sɛ sonar di dwuma) yɛ sɔhwɛ a wɔtaa yɛ de hwehwɛ tebea horow a ɛma mogya tu. Wɔtaa yɛ X-ray (a wɔtaa yɛ denam nsu a wɔde gu ntini no mu na ama wɔahu nea asiw no yiye so) nso.

Wɔ tebea horow a ɛntaa nsi mu no, thrombophlebitis a ɛkɔ mmeae foforo a yɛadi kan aka ho asɛm no betumi ayɛ kokoram ahorow bi ho sɛnkyerɛnne, titiriw yafunu mu kokoram. Enti, nnuruyɛfo nso betumi ayɛ nhwehwɛmu de ahwehwɛ kokoram a ɛtete saa.

Ɔkwan bɛn so na wobetumi adi eyi ho dwuma? So wobetumi asa no yare?

Wɔ thrombophlebitis a IV catheter de ba mu no, mpɛn pii no, catheter no a wobeyi afi hɔ no ne ade a edi kan. Ayaresa afoforo taa yɛ nea edidi so yi:

Nnuru a wɔde di dwuma

Nnuru ahorow pii wɔ hɔ a ebetumi aboa ma wɔadi thrombophlebitis ho sɛnkyerɛnne ahorow so na ama mogya a ɛtɔ a ɛbata ho no apete. Wɔne:

• Nnuru a wɔde kum ɛyaw: Esiane sɛ thrombophlebitis betumi ayɛ yaw kɛse nti, ɛyaw ano aduru taa yɛ ade a ɛho hia sen biara. Wɔtaa de nnuru a wɔde kum ɛyaw a emu nyɛ den te sɛ acetaminophen (sɛ nhwɛso no, Panadol®, Tylenol®), anaa nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (sɛ nhwɛso no, Ibuprofen, Naproxen) na ɛyɛ eyi. Sɛ ɛyaw no mu yɛ den a, ebia wo duruyɛfo bɛkyerɛw nnuru a ano yɛ den a wɔde kum ɛyaw.
• Nnuru a ɛma mogya yɛ mmerɛw / Nnuru a ɛko tia mogya a ɛtwetwe:Thrombophlebitis kyerɛ sɛ anyɛ yiye koraa no mogya a ɛtɔ biako na ɛwɔ hɔ. Nanso, baabi a biako wɔ no, asiane wɔ hɔ sɛ pii bɛhyehyɛ. Nea ɛbɛyɛ na mogya a ɛbɛtɔ bio, titiriw mogya a ɛde ne nkwa to asiane mu te sɛ ahurututu mu ntini a ɛma mogya tu no, nnuruyɛfo taa ma wo nnuru a ɛma mogya yɛ mmerɛw. Nanso, sɛ mogya a ɛretu no wɔ ntini ketewaa bi mu a, ebia ɛho renhia sɛ wɔde nnuru a ɛma mogya yɛ mmerɛw sa wo yare.
• Nnuru a ɛma mogya tu: Wɔsan frɛ no "nnuru a ɛma mogya tu." Saa nnuru yi de nnamyɛ tew mogya mu ntini a ayɛ dedaw no. Wobetumi afa IV so ama, anaasɛ wobetumi de ama mogya a ɛtwetwe no tẽẽ denam nhama a wɔde ahyɛ wo ntini mu no so.
• Nnuru a ekum ɔyare mmoawa: Sɛ tebea no (thrombophlebitis) ne ɔyare mmoawa bi wɔ abusuabɔ a, nnuru a ekum ɔyare mmoawa ho hia. Nnuru a ekum ɔyare mmoawa betumi asiw ɔyare mmoawa no kwan sɛ ɛrentrɛw wɔ nipadua no mu nyinaa (sepsis).

Oprehyɛn, catheter-based, anaa akwan foforo a wɔfa so yɛ

Wɔ tebea horow a ɛntaa nsi mu no, ebia oprehyɛn bɛyɛ ɔkwan a eye sen biara a wɔbɛfa so asa thrombophlebitis a emu yɛ den (titiriw wɔ nan mu). Oprehyɛn betumi ayɛ nneɛma a edidi so yi mu biako anaa nea ɛboro saa:

• Mfiri a wɔde twa thrombectomy: Wobetumi ayɛ eyi denam ntwitwiridii nketenkete a wɔbɛyɛ so sɛnea ɛbɛyɛ a oduruyɛfo a ɔyɛ oprehyɛn no betumi ayi mogya a ɛtwetwe no afi ntini no mu wɔ nipadua mu. Ɔkwan foforo ne sɛ wɔde catheters bedi dwuma de atwe akisikuru no afi mu.
• Ntini a woyi fi hɔ: Sɛnea edin no kyerɛ no, eyi hwehwɛ sɛ woyi ntini a ɛde ɔhaw ba no fi hɔ. Wɔ saa adeyɛ yi mu no, wo oprehyɛn ho ɔbenfo no bɛtwitwa nneɛma nketenkete pii wɔ baabi a ɔyare no ayɛ no. Ɛnam saa ntwitwiridii yi so na obetumi adu ntini a asɛe no ho, atwa mu afi wo mogya a ɛkɔ wo mogya mu no ho, na ayi afi hɔ.
• Ntini a woyi fi nipadua mu: Eyi nso yɛ ɔkwan bi a wɔfa so yi ntini fi nipadua no mu, nanso wɔde ɔkwan pɔtee bi a wɔfa so yiyi di dwuma. Wɔ ntini a woyi fi mu mu no, wo oprehyɛn ho ɔbenfo no twa ntini nketenkete kakraa bi de du ntini a yɛreka ho asɛm no ho na ɔtwa ne mogya a ɛkɔ nipadua no mu no nkae no mu. Afei wɔde hama ketewaa bi fa ntini no mu, na wɔde hama hyɛ ntini no mu denneennen, kosi n’awiei foforo no nyinaa. Sɛ edu awiei pɛ a, wobetumi atwe waya no, na ntini no ne no bepue (te sɛ nea wode wo nsa bɛhyɛ sɔks mu na woadan no mu akɔ akyi).
• Bypass: Ɛtɔ mmere bi a, mogya ntumi mfa ntini bi a thrombophlebitis asɛe no mu yiye. Ɔkwan baako a wobɛfa so aboa ne sɛ wobɛfa mogya ntini bi afiri nipadua no mu baabi foforɔ na wode adi dwuma de ayɛ ntini foforɔ a ɛtwa ho hyia - yei yɛ adwuma te sɛ ɔkwan a wɔfa so twa beaeɛ a asiw no ho hyia, na ɛma mogya kɔ yie.
• Sclerotherapy a wɔde sa yare:Wɔ eyi mu no, oduruyɛfo, a mpɛn pii no ɔyɛ oprehyɛn anaa oduruyɛfo foforo a ɔyɛ oprehyɛn, de ano aduru titiriw bi gu ntini a asɛe no mu. Eyi siw ntini no ano. Ɛdenam mmeae a ɔhaw no wɔ a wɔbɛkata so so no, wobetumi asiw mogya a ɛbɛtɔ no ano koraa na ansan ankɔ bio.
• Nneɛma a wɔde catheter yɛ: Nnuruyɛfo betumi de saa akwan yi atrɛw baabi a ɛyɛ teateaa wɔ ntini a ayɛ no yaw no mu. Wobetumi de adi dwuma nso ama ablations (akwan a wɔde ɔhyew di dwuma de hyɛ da yɛ akuru ntini na ɛma mogya nkɔ baabi a ɔhaw no wɔ no).

Nneɛma a wɔde mia nneɛma a wotumi hyɛ

Ebia wo duruyɛfo bɛka akyerɛ wo sɛ hyɛ ntade a wɔde mia anaasɛ compression stockings. Saa nneɛma yi te sɛ sɔks, stokɛ, anaa aduru a wɔde kyekyere wo ho no de nhyɛso ba wo nipadua no afã horow bi so bere nyinaa (nanso ɛyɛ brɛoo). Saa nhyɛso no boa ma mogya a ɛtwetwe foforo no ntumi nkɔ na ɛyaw ne ɔfe a efi mogya a atu dedaw no mu ba no so tew.

Mɛyɛ dɛn adi me sɛnkyerɛnne ahorow ho dwuma/ahwɛ me ho?

Mpɛn pii no, ayaresa ahorow a yɛadi kan aka ho asɛm no ho nhia. Wɔ tebea horow a ɛtete saa mu no, ɛda adi sɛ wo duruyɛfo bɛkamfo ayaresa ahorow a ɛboa te sɛ:

• Nnuru a wɔde kum ɛyaw: Mpɛn pii no, nnuru a wɔde kum ɛyaw a wɔtɔn te sɛ NSAID ka eyi ho.
• Nneɛma a wɔde mia nneɛma a ɛyɛ hyew: Nneɛma te sɛ nsu a ɛyɛ hyew a wɔde bɛhyɛ mu nso betumi aboa ma ɛyaw a ɛbata tebea yi ho no so atew.
• Kɔ soro: Sɛ baabi a ɛka wo no wɔ wo nsa so, titiriw wo nan bi a, saa nsa/nan no a wobɛma so no betumi aboa ma wo ho a ɛhoa ne ɛyaw no so atew.
• Nhyɛso mu akuru: Sɛnea yɛaka wɔ ayaresa ahorow a atwam mu no, nhyɛso mu akuru a wotumi hyɛ betumi aboa ma mogya a ɛtɔ dedaw no ho sɛnkyerɛnne ahorow aba na asiw foforo ano.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi? Bere tenten ahe na ebegye ansa na ne ho atɔ no?

Sɛnea wo tebea no mu yɛ den ne ayaresa a wo nsa bɛka no na ɛbɛkyerɛ bere tenten a egye ansa na wo ho atɔ wo na wo ho atɔ wo. Mpɛn pii no, bere a wɔsa wo sɛnkyerɛnne ahorow no, titiriw denam nnuru a wɔde sa ɛyaw so no, ɛsɛ sɛ wufi ase te nka sɛ wo ho tɔ wo. Nnipa dodow no ara ho tɔ wɔn fi thrombophlebitis mu wɔ nna kakraa bi mu, nanso ebetumi agye bere tenten kakra ama nnipa binom (titiriw sɛ na wɔwɔ nsɛnnennen, sɛ na mogya a ɛtɔe no wɔ baabi a ɛho hia, anaasɛ sɛ wɔyɛɛ wɔn oprehyɛn a).

Mɛyɛ dɛn asiw eyi ano? Mɛyɛ dɛn atumi atew asiane no so?

Ade a ɛho hia sen biara a wode besiw thrombophlebitis ano ne sɛ wubehu sɛ wowɔ asiane mu sɛ wobɛma mogya atɔw wo. Sɛ wunim eyi a, wo duruyɛfo betumi akyerɛw wo nnuru te sɛ nea ɛma mogya yɛ mmerɛw, na aboa ma mogya a ɛbɛtɔ no asiw ano wɔ nea edi kan no mu.

Nea ɛyɛ awerɛhow no, nneɛma pii wɔ hɔ a ebetumi ama ayɛ den sɛ wobesiw ano, sɛ ɛnyɛ nea entumi nyɛ yiye mpo a. Ade biako nti a ɛte saa ne sɛ ebia wunnim sɛ wowɔ akwahosan tebea bi (awosu mu tebea anaa biribi foforo) a ɛma mogya tu. Nhwɛso foforo ne sɛ mogya a ɛtɔ yɛ nsɛnnennen a ɛntaa nsi wɔ asetra mu tebea a ɛtaa ba, te sɛ nyinsɛn mu.

Nanso, nneɛma bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ (thrombophlebitis) no so. Ade a ɛho hia sen biara ne sɛ wobɛtew asiane biara a wubetumi adi so no so anaasɛ wubeyi afi hɔ. Wɔn a wubetumi anya wɔn so nkɛntɛnso kɛse ne:

• Tawa a wɔde di dwuma: Gyae tawa a wɔde di dwuma (a tawa a wɔde vaping anaa nea wɔwe ka ho). Sɛ womfa tawa nni dwuma a, nhyɛ aseɛ.
• Nnubɔne a wɔde fa ntini mu: Sɛ woyɛ obi a ɔde nnubɔne di dwuma wɔ ntini mu a, sɛ wugyae a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya tebea yi so kɛse. Sɛ wokɔ so de nnubɔne di dwuma a, wubetumi atew asiane a ɛwɔ hɔ no so denam nneɛma te sɛ nhyehyɛe a wɔde sesa nnade, a ɛboa ma ɔyare mmoawa ntumi nkyɛ nnade a ɛho agu fĩ no so.
• Tutu kɔ baabiara: Sɛ wotena baabi kyɛ, sɛ́ ɛyɛ adwuma anaa w’ahomegye bere mu a, sɔre a wobɛsɔre na woatu akɔ baabiara no betumi ama nsakrae kɛse aba. Sɛ wote kar anaa wimhyɛn mu bere tenten a, wubetumi nso anya akwan a wobɛfa so asɔre na woakɔ baabiara.
• Nom wo nnuru no yiye: Sɛ wo duruyɛfo akyerɛ wo nnuru a ɛma mogya tu a, hwɛ hu sɛ wobɛnom sɛnea wɔakyerɛ no pɛpɛɛpɛ. Sɛ wugyae nom mpofirim a, asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ (a ebetumi ama woanya thrombophlebitis) no kɔ soro kɛse.
• Nom nsu pii: Sɛ wonom nsu pii a, ɛboa ma asiane a ɛwɔ hɔ sɛ wubenya thrombophlebitis no so tew.
• Fa w’akwahosan hwɛ: Akwan pa biako a wobɛfa so ahwɛ w’akwahosan ne wo yiyedi so ne sɛ wobɛkɔ apɔw-mu-teɛteɛ afe biara (a wɔtaa frɛ no honam fam anaa yiyedi nsrahwɛ). Saa afe afe nsrahwɛ yi yɛ hokwan kɛse ma wo duruyɛfo sɛ obenya akwahosan ho haw biara a ebia wubenya a enni sɛnkyerɛnne biara, a tebea horow a ɛma asiane a ɛwɔ hɔ sɛ wubenya mogya a ɛbɛtɔ (thrombophlebitis) ka ho. Sɛ wowɔ tebea horow a ɛma asiane no yɛ kɛse, titiriw mogya a ɛtwetwe anaa kokoram a, bisa wo duruyɛfo no nsɛm a ɛhaw wo wɔ tebea yi ho.
• Hwɛ wo ho yiye: Aduan pa a wubedi, nnam a wobɛkɔ so ayɛ (anyɛ yiye koraa no simma 150 a wobɛteɛteɛ w’apɔw mu a emu yɛ den dapɛn biara), ne wo mu duru a wobɛkɔ so akura mu nyinaa ho hia. Eyinom betumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya tebea horow a emu yɛ den pii, a thrombophlebitis ka ho no so atew.
• Hyɛ compression stockings anaa compression stockings: Ebia wo duruyɛfo bɛkamfo compression stockings anaa compression stockings aboa ma woasiw mogya a ɛbɛtɔ (thrombophlebitis) ano.

Sɛ mewɔ saa tebea yi a, dɛn na metumi ahwɛ kwan?

Thrombophlebitis yɛ tebea a emu yɛ den, nanso ɛnyɛ nea ɛtaa de ɔhaw ahorow ba n’ankasa so. Mpɛn pii no ɛyɛ nea ɛkyerɛ sɛ mogya a ɛtwetwe no ho haw ahorow wɔ hɔ. Saa ɔhaw ahorow yi betumi de tebea horow a emu yɛ den, ɛtɔ mmere bi a edi awu, aba. Sɛ wɔkyere no ntɛm a, wotumi sa thrombophlebitis, na nsɛnnennen ntaa mma. Nanso, bere tenten a wohu tebea no na wɔsa no, dodow no ara na asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow a emu yɛ den kɛse no yɛ kɛse.

Tebea yi bɛkɔ so akosi bere bɛn?

Mpɛn pii no, thrombophlebitis yɛ tebea a ɛtra hɔ bere tiaa bi, titiriw bere a wohu ntɛm ara na wɔsa no. Ɛntaa mma sɛ ɛbɛkyɛ bɛboro nnɔnhwerew kakraa bi, efisɛ dodow a wowɔ bi no, dodow no ara na asiane a ɛwɔ hɔ sɛ ɛbɛdan ɔhaw a emu yɛ den no yɛ kɛse.

Dɛn ne tebea yi ho anidaso?

Sɛ ɛyɛ n’ankasa a, mpɛn pii no, thrombophlebitis nyɛ asiane. Nanso, sɛ wowɔ bi a, ɛkyerɛ sɛ wowɔ asiane kɛse mu sɛ wubenya tebea afoforo te sɛ DVT anaa Pulmonary Embolism. Eyinom abien nyinaa yɛ aduruyɛ mu nsɛm a egye ntɛmpɛ. Dodow a wotwɛn sɛ wubenya ayaresa no, dodow no ara na tebea yi mu yɛ hu. Ayaresa a wɔtwentwɛn so no nso ma asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow a ɛtra hɔ kyɛ, te sɛ ɛyaw a enni sabea wɔ ntini a asɛe no mu anaasɛ akuru (a ebetumi asiw mogya a ɛkɔ so no ano) no yɛ kɛse.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wowɔ tebea horow a ɛma asiane a ɛwɔ hɔ sɛ mogya bɛtɔ (thrombophlebitis) no yɛ kɛse a, ade a eye sen biara a wubetumi ayɛ ne sɛ wubedi saa tebea horow no ho dwuma. Nea ɛka eyi ho ne:

• Kɔ wo duruyɛfo nkyɛn daa.
• Fa w’aduru no sɛnea wo duruyɛfo ka kyerɛ wo no.
• Kwati nneyɛe anaa tebea horow a ebetumi ama asiane a ɛwɔ hɔ no ayɛ kɛse.

Bere bɛn na ɛsɛ sɛ me ne me duruyɛfo kasa anaa mehwehwɛ ayaresa?

Sɛ wowɔ thrombophlebitis ho sɛnkyerɛnne bi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa. Sɛ woanya thrombophlebitis (anaasɛ mogya a ɛtwetwe ho haw afoforo te sɛ DVT), ne sɛ wo sɛnkyerɛnne no bi san ba anaasɛ ɛyɛ kɛse mpofirim a, kɔ wo duruyɛfo nkyɛn.

Kɔ ayaresabea wɔ tebea a egye ntɛmpɛ mu!

Sɛ wowɔ sɛnkyerɛnne bi a ɛkyerɛ sɛ mogya atɔ wo a, ɛsɛ sɛ wokɔ ayaresabea ntɛm ara. Sɛ mogya a ɛtɔ no ka wo nsa anaa wo nan a, mpɛn pii no, saa sɛnkyerɛnne ahorow yi ne:

* Basa/nan a ɛka no no kɔla a ɛsakra (ɛte sɛ nea ɛyɛ mmerɛw sen sɛnea ɛte daa).

* Sɛ honam ani hwɛbea a ɛwɔ baabi a yare no anaa abasa/nan no so no yɛ nwini sɛ wobɛka a, sen were a ɛwɔ mmeae a ennyaa bi no a.

* Sɛ wowɔ thrombophlebitis anaa sɛnkyerɛnne afoforo a ɛkyerɛ sɛ mogya atɔ wo a mpofirim ara ɛte sɛ nea ɛretu afi baabi akɔ foforo a. Eyi ho hia titiriw sɛ wo moma so yɛ wo yaw anaasɛ wo home yɛ wo yaw, anaasɛ mogya a ɛtɔ ho sɛnkyerɛnne foforo biara a ɛba bere a ɛka ho anaasɛ ɛno akyi bere tiaa bi no a. Eyi yɛ ahurututu mu ntini a ɛma mogya tu.Eyi betumi ayɛ aduruyɛ mu tebea a egye ntɛmpɛ a ɛde nkwa to asiane mu ho sɛnkyerɛnne. Sɛ eyi ba a, ɛsɛ sɛ wofrɛ 1990 (Suwa Seriya), anaa wo mpɔtam hɔ nɔma a egye ntɛmpɛ ntɛm ara.

Nsɛm a wɔaboaboa ano ne nneɛma a ɛsɛ sɛ wɔkae

Thrombophlebitis betumi ayɛ kɔkɔbɔ sɛnkyerɛnne a ɛho hia a ɛkyerɛ tebea bi a emu yɛ den kɛse. Ɛwom sɛ mpɛn pii no ɛnyɛ nea asiane wom wɔ n’ankasa mu de, nanso ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ sɛ wowɔ ɔhaw bi anaa. Nsɛnkyerɛnne ahorow bi hwehwɛ sɛ wokɔ ayaresabea ntɛm ara. Sɛ wohu ntɛm ara na wɔsa wo yare a, ɛnyɛ den koraa sɛ thrombophlebitis mfa ɔhaw ahorow a emu yɛ den mma anaasɛ ɛnsɛe w’asetra. Enti, ɛho hia sɛ wohu saa sɛnkyerɛnne ahorow yi. Sɛ wususuw sɛ ebia wowɔ bi a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn.

` Thrombophlebitis, mogya a ɛtɔ, phlebitis, DVT, Pulmonary Embolism, nan mu yaw, ntini a ɛho ahonhon