Ðe ʋu ƒo ɖe wò ʋuka me, si na nèse veve eye wòvuvua? Mina míaƒo nu tso Thrombophlebitis ŋu!

Ðe nèse veve alo vuvu wɔnuku aɖe le ʋuka aɖe ŋu le wò afɔ alo alɔnu kpɔa? Ɣeaɖewoɣi la, teƒea ate ŋu abiã eye wòaxɔ dzo ne woka asi eŋu. Ne nane si le abe esia ene dzɔ ɖe dziwò kpɔ la, ɖewohĩ dɔléle aɖe si woyɔna be ʋuka me ʋu ƒe sisi le ŋuwò. Mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe.

Nukae nye Thrombophlebitis? Kpuie ko la,...

Kpuie ko la, Thrombophlebitis nye ʋuka aɖe ƒe dɔdzẽ (phlebitis) si ʋu ƒe sisi (thrombus) si le wò ʋuka me hena vɛ. Woyɔa esia be "thrombophleb-itis."

Ne míegbã gɔmesese si le esia ŋu la:

• "Thrombo-" gɔmee nye ʋu ƒe sisi. Esia nye ʋu ƒe sisi si dzɔna ɖe ʋuka aɖe me.
• "-phleb-" gɔmee nye vein, si gɔmee nye nane si do ƒome kple veins.
• "-itis" gɔmee nye abi, si gɔmee nye abi, abi, vevesese, kple bubuawo.

Eyata ne nu siawo katã va ƒo ƒu la, nɔnɔme aɖe si woyɔna be ʋumenugbagbeviɣidɔ dzɔna. Togbɔ be wokpɔnɛ zi geɖe le afɔwo ƒe ʋukawo me hã la, le nyateƒe me la, ate ŋu adzɔ le ʋuka ɖesiaɖe me le ŋutilãa me.

Aleke nɔnɔme sia va doa mo ɖae? Ðe wònye ʋu ƒe sisi gbãa? Alo ɖe wònye dɔdzẽa?

Esia le abe "koklozi ye gbã, alo azi ye gbã" biabia ene. Mɔ eve li siwo dzi ʋumenugbagbeviɣidɔ ate ŋu ato:

1. Ʋu ƒe sisi gbã, emegbe abi: Nusi dzɔna le afisiae nye be ʋu ƒe sisi dzɔna ɖe ʋukaa me, si wɔnɛ be ʋukaa ƒe gli mesea veve vie eye wòdoa dziku . Esia tae ʋukaa vuvu, biãna, eye wònɔa veve sem ɖo.

2. Dzoxɔxɔ dzɔna gbã, eye ʋu ƒe sisi kplɔe ɖo: Ɣeaɖewoɣi la, ʋuka la ƒe eme (si míeyɔna be `Phlebitis` le atikewɔwɔ me) ateŋu avuvu eye wòaxɔ abi le dɔlékui alo susu bubu aɖe ta. Emegbe la, mɔnukpɔkpɔ geɖe wu li be ʋu ƒe sisi nalé ɖe teƒe ma si dɔdzẽ le ŋu eye wòatsi.

Zi geɖe la, ʋuka me ʋu ƒe sisi le teƒe ɖeka. Esia fia be ate ŋu adzɔ le ʋuka ɖeka me alo le ʋuka geɖe me. Ke hã, ate ŋu anye afɔku ne ekaka. Le afisi ʋumenugbagbeviɣia dzɔ le nu la, ate ŋu ahe nɔnɔme sesẽ aɖe si woyɔna be deep vein thrombosis (DVT) alo nɔnɔme kpata si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be pulmonary embolism (Pulmonary Embolism) vɛ ɣeaɖewoɣi .

Ðe (Thrombosis) kple (Thrombophlebitis) nye nu vovovo evea?

Ẽ, togbɔ be kadodo aɖe le wo ame evea dome hã la, womesɔ o. Ʋuka me ʋu ƒe sisi nye ʋu ƒe sisi le wò ʋuka ɖeka me. Eyae nye be, Thrombophlebitis nye nusi do ƒome kplii si dzɔna ɣeaɖewoɣi (gake menye ɣesiaɣi o) kple Thrombosis. Le Thrombophlebitis me la, ele be ʋukaa ƒe dɔdzẽ nanɔ anyi kpe ɖe ʋu ƒe sisi ŋu.

Ðe Thrombophlebitis ƒomevi vovovowo lia?

Ẽ, ʋumenugbagbeviɣidɔ ate ŋu adzɔ le ʋuka ɖesiaɖe me le wò ŋutilã me. Gake ƒomevi aɖewo koŋ li siwo wotsɔ ŋkɔ na le nusi gbɔ dɔlélea tso kple afisi wòle nu. Na míalé ŋku ɖe wo dometɔ aɖewo ŋu:

Vein Deep Thrombosis (DVT) ƒe Dɔléle .

Esiae nye ʋu ƒe sisi ƒomevi si bɔ wu si ŋu ame akpa gãtɔ se nu tsoe, eye afɔku le eme vie wu. Deep vein thrombosis (DVT) nye ʋu ƒe sisi si dzɔna ɖe ʋuka gã aɖe si goglo me le wò ŋutilã me (zi geɖe la, le wò afɔwo me). Esia nye atikewɔwɔ kpata. Ne ʋumenugbagbeviɣia vuvu eye wòtsi ʋuka aɖe me le wò lãkusi me la, ate ŋu ahe nɔnɔme aɖe si ate ŋu ade wò agbe afɔku me si woyɔna be aklã me ʋu ƒe sisi .

Ʋuka me ʋu ƒe sisi le gotagome

Esia dzɔna le ʋuka sue siwo le wò abɔ alo afɔ siwo te ɖe ŋutigbalẽa ŋu la me. Womesẽna abe deep vein thrombosis (DVT) ene o. Gake woate ŋu anye dzesi be ɖewohĩ ʋuka siwo me ʋu sina tona (DVT) le ŋuwò. Woate ŋu ahe nɔnɔme sesẽ bubuwo hã vɛ.

Ʋumenugbagbeviɣidɔ si ʋuna yia teƒe bubuwo

Abe alesi ŋkɔa ɖee fia ene la, esiae nye esime ʋu ƒe sisi kple eƒe dɔdzẽ si do ƒome kplii "ʋu" tso ʋuka ɖeka me yi bubu me, si fia be woʋuna. Ɣeaɖewoɣi la, ʋuka geɖe ate ŋu adzɔ le ʋuka geɖe me le ɣeyiɣi ɖeka me. Le go sia me la, afɔku gã aɖe li be ʋu nado le ʋuka sue aɖe me si azɔ mɔ ayi ʋuka si lolo wu me, si ahe nɔnɔme si me afɔku le si woyɔna be aklã me ʋu ƒe sisi vɛ.

Septic Thrombophlebitis ƒe dɔléle

Le go sia me la, dɔlékui aɖe gbɔe dɔlélea tsona (Thrombophlebitis), alo (Thrombophlebitis) hea dɔlékui aɖe vɛ. Ne dɔlékui sia tɔgbe dze ame dzi la, ate ŋu ahe nɔnɔme sesẽwo vɛ. Kpɔɖeŋu aɖewoe nye:

• (Lemierre syndrome): Esia dzɔna ne gbɔgbɔtsixe ƒe akpa si le etame ƒe dɔléle kaka ɖe ʋuka gã aɖe si le kɔ me (jugular vein).
• (Pylephlebitis): Le esia me la, ʋuka siwo tsɔa ʋu tso wò ƒodo si le etame yia wò aklã (portal veins) me la xɔa abi eye woxɔa dɔlékuiwo.
• Septic embolism: Ʋu si me dɔlékui le (septic clot) ate ŋu adzo le afisi wòdzɔ le eye wòadze ŋutilã ƒe akpa bubu. Esia ate ŋu akaka dɔlékui gbãtɔa, axe ʋuka ɖeka alo esi wu nenema, alo evea siaa.

Septic thrombophlebitis nye nɔnɔme si me afɔku le ŋutɔ elabena efia be dɔlékui aɖe kaka ɖe ŋutilã bliboa me. Ate ŋu ahe nɔnɔme aɖe si woyɔna be sepsis , si me wò dɔlélenutsiŋutete wɔa nu wògbɔa eme ne dɔlékui aɖe dze ame dzi la vɛ. Sepsis nye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me. Ebia be woakpɔ dɔlélea le kaba ahadae.

Amekae ate ŋu axɔ nɔnɔme sia wu?

Ʋu ƒe sisi ƒe afɔku ate ŋu adzɔ le ƒe ɖesiaɖe me, vevietɔ le amesiwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo alo agbenɔnɔ ƒe nɔnɔme aɖewo le gome. Gake afɔku si le dɔléle sia (thrombophlebitis) xɔxɔ me dzina ɖe edzi vivivi le ƒe 45 xɔxɔ vɔ megbe.Afɔku sia gadzina ɖe edzi ne èle tsitsim.

Aleke gbegbee nɔnɔme sia bɔe?

Le ʋumenugbagbeviɣidɔ ƒomevi aɖe koŋ nu la, nɔnɔme sia ate ŋu atso esi mebɔ o va ɖo esi bɔ vie. Esia ƒe kpɔɖeŋu si bɔ wu eye wonya nyuie wue nye deep vein thrombosis (DVT). Le United States ɖeɖe dzaa la, ame siwo ade 900,000 ye xɔa DVT ƒe sia ƒe, eye ame 60,000 va ɖo 100,000 kuna ƒe sia ƒe. Nɔnɔme sia mebɔ le Sri Lanka o.

Nukae nye esia ƒe dzesiwo?

Dzesi geɖe li siwo wokpɔna ɣesiaɣi kloe le ʋumenugbagbeviɣidɔ gome:

• Vuvu: Esia ate ŋu adze zi ɖeka. Vuvu sia dzena wu le ʋuka siwo te ɖe ŋutigbalẽa ŋu me. Le nɔnɔme sesẽwo me la, ʋuka siwo sina yia ŋutilãa me gɔ̃ hã ate ŋu avuvu wòadze ƒã. Ne ʋu ƒe sisi wu ɖeka la, teƒe siawo ate ŋu adze abe ƒuƒu ene. Ne esia dzɔ le alɔ alo afɔ aɖe me la, ate ŋu adzɔ, togbɔ be mebɔ o hã, be alɔ/afɔ ma ƒe akpa si le ete hã navuvu.
• Tɔtrɔ siwo va le ale si ʋukawo sena le wo ɖokui me: Ne èka asi ʋuka aɖe si ʋu si le ƒoƒom xe alo si me dɔdzẽ le ŋu la, esesẽna wu eye wòsesẽ wu ʋuka si sɔ. Esia ate ŋu adzɔ le ʋuka ɖeka me alo le ʋuka geɖe siwo te ɖe ʋuka si me ʋu sina tona ŋu me.
• Vevesese alo vevesese: Zi geɖe la, ʋuka me ʋu ƒe sisi nyea dɔléle si me vevesese le. Teƒe si ƒo xlã ʋumenugbagbeviɣia kple etame ate ŋu avivi ne woka asi eŋu, ate ŋu avee ne ète ɖe edzi, alo vevesese si nu mesẽ o ko. Ne ʋukaa lolo, le ʋuka sue aɖe me, alo ne ʋuka geɖe le eme la, vevesesea ate ŋu asẽ. Ame geɖe ɖɔ vevesesea be enye “ʋuʋudedi kple ʋuʋudedi .”

Tsɔ kpe ɖe esiawo ŋu la, dzesi bubu aɖewo siwo wokpɔna ɣeaɖewoɣi, gake menye ɣesiaɣi o lae nye:

• Ŋutilã ƒe amadede ƒe tɔtrɔ le teƒe si vuvu le: Ŋutilã si te ɖe ʋukaa ŋu ate ŋu adze dzĩ alo ado viviti wu ŋutigbalẽ si ƒo xlãe. Ate ŋu adze abe abi alo abi aɖe si le dzo dam ene. Esia bɔ wu ne ʋu ƒe sisi le ʋuka siwo te ɖe ŋutigbalẽa ŋu me. Gake ate ŋu adzɔ hã ne ʋu si lolo wu le ʋuka siwo me goglo me alo ne ʋukaa xe vevie.
• Dzoxɔxɔ ƒe seselelãme: Ne èka asi afisi ʋua le, alo teƒe si ƒo xlãe ŋu la, ate ŋu axɔ dzo wu teƒe siwo didi wu.

Nukae hea nɔnɔme sia vɛ?

Nu vovovowo ate ŋu atso ʋuka me ʋu ƒe sisi gbɔ. Nusiwo gbɔna ate ŋu ana ʋu nado, alo ana ʋu ƒe sisi ƒe afɔkua nadzi ɖe edzi:

• Domenyiŋusẽfianu (dzidzime) ƒe nɔnɔmewo: Tɔtrɔ (trɔtrɔ) le wò DNA me ate ŋu ana wò ʋu natsi bɔbɔe. Ame aɖewo nyia tɔtrɔ siawo ƒe dome tso wo dzilawo gbɔ. Togbɔ be woate ŋu ada domenyiŋusẽfianu ƒe nɔnɔme siawo hã la, wonɔa agbe me katã eye womate ŋu ada wo o.
• Ʋuka siwo me ʋu sina tona: Ne ʋuka siwo me ʋu sina tona, siwo nye ʋuka blɔ siwo le abe akpɔkplɔ ene le wò afɔwo ŋu la, ke èle afɔku me be ʋuka me ʋu ƒe sisi nadze ŋuwò le teƒe ma.
• Nuveviwɔame: Ne woxɔ abi le ʋukawo ŋu alo te ɖe wo ŋu la, ate ŋu ana ame naxɔ abi, si ate ŋu ana ʋu natsi. Le kpɔɖeŋu me, ne èdze anyi hede abi wò afɔ ŋu vevie la, ʋuka aɖe si le teƒe ma ate ŋu agblẽ eye nɔnɔme sia ate ŋu adzɔ.
• Atikewɔwɔ kple atikewo: Ka siwo wodona ɖe ʋuka me (IV) kple catheters (mɔ̃ siwo tsɔa atikewo kple tsiwo toa ʋuka me) ate ŋu ana ʋu natsi (thrombophlebitis). Lãmetsiŋusẽtike aɖewo (siwo dome vidzidzinutsitike ƒomevi aɖewo hã le) hã ate ŋu ana ʋu ƒe sisi ƒe afɔkua nadzi ɖe edzi.
• Atikewo zazã le ʋuka me: Ne atike muame zãlae nènye la, ke ʋuka me ʋu ƒe sisi le afɔku me wu. Esia le alea elabena aŋe ƒoɖi alo esiwo womezã nyuie o ate ŋu ana woaxɔ dɔlékui sesẽwo bɔbɔe. Dɔlékui siawo ate ŋu ahe abi kple nɔnɔme sia vɛ.
• Ʋuʋu ƒe anyimanɔmanɔ: Ame siwo nɔa teƒe ɖeka ɣeyiɣi didi, le kpɔɖeŋu me, amesiwo wɔa dɔ le ɔfis alo zãa kɔmpiuta la, ate ŋu anye be ʋu ƒe sisi nyuie o. Esia nana ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi. Esia ate ŋu adzɔ ɖe amesiwo ɖoa yameʋu didi, alo amesiwo zɔa ʋu alo ʋu bubu me ɣeyiɣi didi aɖe dzi. Bu eŋu kpɔ, abe ne èɖo bɔs tso Colombo yina Jaffna ene.
• Nɔnɔme alo nudzɔdzɔ bubu siwo ate ŋu agblẽ nu le ʋu ƒe sisi ŋu: Afɔku vovovowo li, abe kansa, lolo akpa, dɔléle aɖe si dɔlélenutsiŋutete wɔna si woyɔna be lupus , kple ʋusɔgbɔdɔ aɖewo ene. Ame siwo mlɔ aba dzi alo womete ŋu ʋãna o le nɔnɔme aɖe abe lãmetutudɔ ene ta hã ate ŋu anɔ afɔku me wu. Sigaretnono nye agbenɔnɔ ƒe afɔku. Azɔ hã, ne tsi vɔ le ŋuwò la, wò afɔkua dzina ɖe edzi.
• Fufɔfɔ alo le vidzidzi megbe kpuie: Afɔku si le ʋu ƒe sisi me ate ŋu adzi ɖe edzi le fufɔɣi le susu vovovowo ta. Afɔku ma nu yina enumake le vidzĩa dzidzi vɔ megbe o.

Ðe esia nye dɔléle si xɔa ame mea?

Togbɔ be ɣeaɖewoɣi la, dɔlékui aɖe gbɔe wòtsona hã la, ʋumenugbagbeviɣidɔ menye dɔléle si xɔa ame le eɖokui si o. Esia ku ɖe domenyiŋusẽfianu ƒe nɔnɔmewo hã ŋu. Eyae nye be, nɔnɔme siawo, siwo tso dzilawo gbɔ yi ɖeviwo gbɔ (DNA) mehea ʋuka me ʋu ƒe sisi vɛ tẽ o, gake woate ŋu ahe ʋu ƒe sisi ƒe kuxiwo vɛ, si ate ŋu ahe nɔnɔme sia vɛ.

Aleke ɖɔktawo dea dzesi esiae?

Zi geɖe la, ɖɔktawo kpɔa ʋumenugbagbeviɣidɔ le kɔdzi, vevietɔ le xɔ si me wowɔa dɔ kpata le. Esia le alea elabena ʋumenugbagbeviɣidɔ do ƒome kplikplikpli kple nɔnɔme sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me abe DVT ene.

Wò ɖɔkta atsɔ ŋutilãmedodokpɔ, nɔnɔmetatawo dodokpɔ, kple dodokpɔ siwo woawɔ le dodokpɔxɔ me akpɔ ʋumenugbagbeviɣidɔ.Ele vevie be woatsɔ mɔnu vovovo siawo aƒo ƒui, elabena zi geɖe la, ŋutilãmedodokpɔ ɖeɖe mate ŋu akpɔ ʋuka me ʋu ƒe sisi o. Dɔléle bubu geɖewo li siwo ƒe dzesiwo sɔ kple wo nɔewo, eye wo dometɔ aɖewo nye esiwo me afɔku le ŋutɔ. Eyata nɔnɔmetatawo dodokpɔ kple dodokpɔ le nudokpɔƒe ɖea vi ŋutɔ, eye ɣeaɖewoɣi la, ele vevie gɔ̃ hã, be woaxe mɔ ɖe kuxi sesẽwo nu.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Ne ɖɔktawo le dɔléle aɖe si woyɔna be ʋumenugbagbeviɣidɔ dim la, woate ŋu awɔ dodokpɔ vovovowo. Esiawo dometɔ aɖewoe nye:

• Ŋutilãmedodokpɔ: Le afisia la, ɖɔktaa adi ʋumenugbagbeviɣidɔ ƒe dzesi ɖesiaɖe si woate ŋu akpɔ, vevietɔ ŋutigbalẽ ƒe vuvu alo ŋutigbalẽ ƒe amadede ƒe tɔtrɔ. Zi geɖe la, alé ŋku ɖe teƒe si dɔlélea le ŋu. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi dzesi alo dzesi siwo womate ŋu akpɔ bɔbɔe o gake woate ŋu ase wo le wo ɖokui me. Ate ŋu azã nuƒomɔ̃ hã atsɔ aɖo to wò ʋu ƒe sisi, vevietɔ le afɔ alo afɔ siwo le ete.
• Nudokpɔƒe dodokpɔwo: Nudokpɔƒe ƒe dodokpɔ vovovo geɖe ate ŋu akpe ɖe ŋuwò nànya ʋumenugbagbeviɣidɔ, abe alesi wò ʋu ƒe ŋutete be wòatsi ʋukae me dzodzro, ŋkuléle ɖe kpeɖodzi siwo fia be ʋumenugbagbeviɣidɔ li xoxo ŋu, alo dɔléle ƒe dzesiwo didi ene.
• Nɔnɔmetatawo dodokpɔ: Mɔ vevi aɖe si dzi woato anya ʋumenugbagbeviɣidɔe nye be woakpɔ ʋu si le ƒoƒom si gbɔ wòtso. Ultrasound (si zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ, si sɔ kple sonar) nye dodokpɔ si bɔ si wowɔna zi geɖe tsɔ dea dzesi nɔnɔme siwo me ʋu ƒe sisi le ʋuka aɖe xem le. Wowɔa X-ray (siwo zãa tsi tɔxɛ aɖe tsɔ naa nusi xe mɔ na wo nyuie wu) hã zi geɖe.

Le go siwo mebɔ o me la, ʋumenugbagbeviɣidɔ si míeyɔ va yi si ʋuna yia teƒe bubuwo ate ŋu anye kansa ƒomevi aɖewo ƒe dzesi, vevietɔ dɔgbo me dɔdzẽ. Eyata ɖɔktawo ate ŋu awɔ dodokpɔwo hã atsɔ adi kansa mawo tɔgbe.

Aleke woate ŋu akpɔ esia gbɔe? Ðe woate ŋu adaea?

Le ʋuka me ʋu ƒe sisi si tso IV catheter gbɔ gome la, zi geɖe la, catheter la ɖeɖe nyea afɔɖeɖe gbãtɔ. Zi geɖe la, atikewɔwɔ bubuwoe nye esiawo:

Atikewo

Atike vovovo geɖe li siwo ate ŋu akpe ɖe ame ŋu wòaɖu ʋuka me ʋu ƒe sisi ƒe dzesiwo dzi eye wòana ʋu si do ƒome kplii la nalɔ. Woawoe nye:

• Vevesesenutsitikewo: Esi wònye be ʋumenugbagbeviɣidɔ ate ŋu ave ame ŋutɔ ta la, zi geɖe la, vevesese dzi ɖuɖue nyea nu vevitɔ kekeake. Zi geɖe la, wowɔa esia kple vevesesenutsitike fafɛwo abe acetaminophen (e.g., Panadol®, Tylenol®), alo non-steroidal anti-inflammatory drugs (NSAIDs) (e.g., Ibuprofen, Naproxen). Ne vevesesea nu sẽ la, wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitike sesẽwo na wò.
• Ʋu ƒe ʋuʋu / Anticoagulants:Thrombophlebitis fia be ʋu ƒe sisi zi ɖeka ya teti. Gake le afisi ɖeka le la, afɔku li be woagawɔ geɖe wu. Be ʋu ƒe sisi bubuwo nagadzɔ o, vevietɔ ʋuka siwo ate ŋu ade ame ƒe agbe afɔku me abe aklã me ʋu ƒe sisi ene la, zi geɖe la, ɖɔktawo naa atike siwo naa ʋu sina le lãme na ame la wò. Gake ne ʋuka sue aɖe mee ʋu si le ƒoƒom la le la, ɖewohĩ mahiã be woatsɔ atike siwo nana ʋu nado o.
• Atike siwo tsia ʋumenugbagbeviɣidɔ nu: Wogayɔnae be "atike siwo tsia ʋumenugbagbeviɣidɔ nu." Atike siawo tsɔa veviedodo ƒoa ʋu ƒe sisi siwo dzɔ xoxo. Woate ŋu ana wo to IV-mɔ̃ dzi, alo woate ŋu atsɔ wo ana ʋuka si me ʋu sina tona tẽ to ka siwo wotsɔ de wò ʋukawo me zazã me.
• Dɔlékuiwutikewo: Ne dɔlélea (thrombophlebitis) do ƒome kple dɔlékui aɖe la, dɔlékuiwutikewo hiã vevie. Dɔlékuiwutikewo ate ŋu axe mɔ na dɔlékuia be wòagakaka ɖe ŋutilã bliboa me o (sepsis).

Amekoko, catheter zazã, alo dɔ bubuwo wɔwɔ

Le go siwo mebɔ o me la, amekoko ate ŋu anye tiatia nyuitɔ kekeake si woatsɔ ada ʋumenugbagbeviɣidɔ sesẽ aɖe (vevietɔ le afɔwo me). Amekoko ate ŋu anye dɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Mɔ̃ɖaŋununya ƒe ʋuka me ʋu ƒe sisi: Woate ŋu awɔ esia to lãɖeɖe suesuesuewo wɔwɔ me ale be amekolaa nate ŋu aɖe ʋuka si me ʋu sina tona le ʋukaa me la ɖa le ŋutilã me. Mɔnu bubue nye be woazã ka siwo me ʋu sina tona atsɔ ami ʋu si me ʋu sina tona la ado goe.
• Vein ɖeɖe: Abe alesi ŋkɔa ɖee fia ene la, esia bia be woaɖe ʋuka si me kuxi le la ɖa. Le dɔ sia wɔwɔ me la, wò amekolaa atso nu suesuesue geɖe le teƒe si dɔlélea le. To lãɖeɖe siawo dzie wòate ŋu ato aɖo ʋuka si gblẽ la gbɔ, aɖee ɖa le wò ʋuka si me ʋu sina tona ŋu, eye wòaɖee ɖa.
• Vein stripping: Esia hã nye vein ɖeɖeɖa ƒomevi aɖe, gake wozãa mɔnu aɖe koŋ ŋutɔ. Le ʋukawo ɖeɖeɖa me la, wò amekolaa lãa nu suesuesue ʋɛ aɖewo be wòaɖo ʋuka si ŋu nya ku ɖo gbɔ eye wòaɖee ɖa le ʋuka mamlɛa ŋu. Emegbe wotsɔa ka sue aɖe toa ʋukaa me, eye wotsɔa ka dea ʋukaa me sesĩe, vaseɖe eƒe nuwuwu kemɛ. Ne enya ɖo eƒe nuwuwu ko la, woate ŋu ahe ka la, eye ʋukaa ado go kplii (abe alesi nède asi sokpe me eye nètrɔe tso eme yi gota ene).
• Bypass: Ɣeaɖewoɣi la, ʋu mete ŋu toa ʋuka si me ʋumenugbagbeviɣidɔ gblẽ nu le la me nyuie o. Mɔ ɖeka si dzi woato akpe ɖe eŋu enye be woaxɔ ʋuka aɖe tso ŋutilãa ƒe teƒe bubu eye woazãe atsɔ awɔ ʋuka yeye si woatsɔ aƒo xlãe - esia wɔa dɔ abe mɔ si toa teƒe si xe la ene, si wɔnɛ be ʋu nate ŋu sina nyuie.
• Sclerotherapy ƒe atikewɔwɔ:Le esia me la, ɖɔkta, si zi geɖe la, amekola alo eŋutinunyala bibi bubu, doa atike tɔxɛ aɖe ɖe ʋuka si ŋu dɔlélea le la me. Esia xea mɔ na ʋukaa. Ne wotu teƒe siwo kuxia le la, woate ŋu axe mɔ na ʋu ƒe sisi keŋkeŋ be woagadzɔ ake o.
• Dɔdamɔnu siwo wotu ɖe catheter dzi: Ðɔktawo ate ŋu azã mɔnu siawo atsɔ akeke teƒe si xaxa le ʋuka si ŋu dɔlélea le me. Woate ŋu azã wo hã na ablations (mɔnu siwo zãa dzoxɔxɔ tsɔ ɖonɛ koŋ wɔa abi ƒe lãkusi eye woatɔ te ʋu ƒe sisi yi teƒe si kuxia le).

Nusiwo woate ŋu ado siwo wotsɔa nutete ƒoa nui

Wò ɖɔkta ate ŋu agblɔ na wò be nàdo awu siwo wotsɔa nutete alo afɔkpa siwo wotsɔna ƒoa ʋu. Nu siawo, abe soxwo, afɔkpawo, alo aŋekotokuwo ene, dea nyaƒoɖeamenu wò ŋutilã ƒe akpa aɖewo ɣesiaɣi (gake tufafatɔe). Nyaƒoɖeamenu ma kpena ɖe ame ŋu be ʋuka yeyewo nagadzɔ o eye wòɖea vevesese kple abi si dona tso ʋuka siwo li xoxo me dzi kpɔtɔna.

Aleke mawɔ akpɔ nye dzesiwo gbɔ/akpɔ ɖokuinye dzii?

Zi geɖe la, atikewɔwɔ siwo míeyɔ va yi mehiã o. Le nɔnɔme mawo me la, anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàzã atike siwo akpe ɖe ŋuwò abe:

• Vevesesenutsitikewo: Zi geɖe la, esia lɔ vevesesenutsitike siwo womeƒlena o, abe NSAID ene, ɖe eme.
• Nusiwo wotsɔna ƒoa nu siwo me dzo le: Nuwo abe tsi dzodzoe me nɔnɔ ene hã ate ŋu akpe ɖe ame ŋu be vevesese si dona tso nɔnɔme sia me dzi naɖe akpɔtɔ.
• Kɔkɔme: Ne teƒe si dɔlélea le la le wò alɔnu, vevietɔ afɔ dzi la, alɔ/afɔ ma kɔkɔ ate ŋu akpe ɖe ŋuwò nàɖe abi kple vevesese dzi akpɔtɔ.
• Nyaƒoɖeamenu ƒe abi: Abe alesi míegblɔe le atikewɔwɔ siwo va yi me ene la, nyaƒoɖeamenu ƒe abi siwo woate ŋu ado ate ŋu akpe ɖe ʋu ƒe sisi xoxo ƒe dzesiwo ŋu eye wòaxe mɔ na yeyewo be woagadzɔ o.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie? Ɣeyiɣi didi kae wòaxɔ hafi ahaya?

Alesi wò dɔlélea nu sẽe kple atike si woawɔ na wòe afia ɣeyiɣi didi si wòaxɔ hafi wò lãme nasẽ eye nàhaya. Le goawo katã me la, ne wole wò dzesiwo dom, vevietɔ to vevesesenutsitikewo zazã me la, ele be nàdze egɔme anɔ lãmesẽ me. Ame akpa gãtɔ hayana tso ʋuka me ʋu ƒe sisi me le ŋkeke ʋɛ aɖewo megbe, gake ate ŋu axɔ ɣeyiɣi didi vie na ame aɖewo (vevietɔ ne kuxi aɖewo do mo ɖa, ne ʋu ƒe sisi nɔ teƒe ɖedzesi aɖe, alo ne wowɔ dɔ na wo).

Aleke mawɔ axe mɔ ɖe esia nu? Aleke mawɔ aɖe afɔkua dzi akpɔtɔ?

Nu vevitɔ kekeake si nàtsɔ axe mɔ ɖe ʋuka me ʋu ƒe sisi nue nye be nànya be èle afɔku me be ʋu nate ŋu axɔ wò. Ne ènya esia la, wò ɖɔkta ate ŋu aŋlɔ atikewo abe ʋumenugbagbeviɣitikewo ene na wò be wòakpe ɖe ŋuwò nàxe mɔ na ʋu ƒe sisi le gɔmedzedzea me.

Nublanuitɔe la, nu geɖe li siwo ate ŋu ana mɔxexe ɖe enu nasesẽ, ne menye ɖe manya wɔ o hã. Susu ɖekae nye be ɖewohĩ mànya be lãmesẽkuxi aɖe le ye ŋu (domenyiŋusẽfianu alo bubu aɖe) si nana ʋu sisina o. Kpɔɖeŋu bubue nye be ʋu ƒe sisi nye kuxi si mebɔ o le agbemenudzɔdzɔ si bɔ, abe fufɔfɔ ene, me.

Gake nanewo li nàte ŋu awɔ atsɔ aɖe ʋu ƒe sisi (thrombophlebitis) xɔxɔ ƒe afɔkua dzi akpɔtɔ. Nu vevitɔe nye be nàɖe afɔku ɖesiaɖe si dzi nàte ŋu aɖu dzi akpɔtɔ alo aɖe wo ɖa. Wo dometɔ siwo dzi nàte ŋu akpɔ ŋusẽ ɖo wue nye:

• Atamazazã: Dzudzɔ atamanono (si me vaping alo atama ɖuɖu hã le). Ne mèzãa atama o la, mègadze egɔme o.
• Atikewo zazã to ʋuka me: Ne atike muame zãlae nènye la, edzudzɔ ate ŋu aɖe dɔléle sia xɔxɔ ƒe afɔkua dzi akpɔtɔ ŋutɔ. Ne èyi edzi le atikewo zãm la, àte ŋu aɖe wò afɔkua dzi akpɔtɔ to nuwo abe aŋenuwo ɖɔliɖɔli ƒe ɖoɖowo ene, siwo kpena ɖe ame ŋu be dɔlékuiwo nagazã aŋe ƒoɖiwo o.
• Ʋuʋu: Ne èbɔbɔ nɔ teƒe ɖeka ɣeyiɣi didi, eɖanye le dɔwɔƒe alo le wò ɖiɖiɖemeɣiwo o, tsitretsitsi kple ʋuʋu ate ŋu ana tɔtrɔ gã aɖe nava. Ne èle ʋu alo yameʋu didi aɖe zɔm la, àte ŋu adi mɔ siwo dzi nàto atso ahanɔ tsatsam hã.
• Zã wò atikeawo nyuie: Ne wò ɖɔkta ŋlɔ atike siwo naa ʋu mekɔna o la, kpɔ egbɔ be yeno wo abe alesi wogblɔe ene pɛpɛpɛ. Ne èdzudzɔ wo nono kpata la, ʋu ƒe sisi (si ate ŋu ana nàxɔ ʋuka me ʋu ƒe sisi) ƒe afɔkua dzina ɖe edzi ŋutɔ.
• No tsi geɖe: Tsi geɖe nono kpena ɖe ame ŋu be ʋumenugbagbeviɣidɔ ƒe afɔkua dzi ɖena kpɔtɔna.
• Kpɔ wò lãmesẽ dzi: Mɔ nyuitɔ siwo dzi nàto akpɔ wò lãmesẽ kple nyonyo dzi dometɔ ɖekae nye be nàwɔ kamedede ƒe sia ƒe (si woyɔna zi geɖe be ŋutilã alo lãmesẽ sasrãkpɔ). Ƒe sia ƒe ƒe sasrãkpɔ sia nye mɔnukpɔkpɔ gã aɖe na wò ɖɔkta be wòalé lãmesẽkuxi ɖesiaɖe si ate ŋu anɔ ŋuwò dzesi aɖeke manɔmee, si me nɔnɔme siwo nana ʋu ƒe sisi (thrombophlebitis) ƒe afɔkua dzina ɖe edzi hã le eme. Ne nɔnɔme aɖewo le ŋuwò si nana wò afɔkua dzina ɖe edzi, vevietɔ ʋu ƒe sisi alo kansa la, bia wò ɖɔkta tso nusiwo ŋu nètsi dzi ɖo le nɔnɔme sia ŋu.
• Lé be na ɖokuiwò: Nuɖuɖu nyui ɖuɖu, kamedede si nu sẽ aɖabaƒoƒo 150 ya teti kwasiɖa sia kwasiɖa), kple lolo si sɔ me léle ɖe asi katã le vevie. Esiawo ate ŋu akpe ɖe ŋuwò nàɖe dɔléle sesẽ geɖe siwo dome ʋumenugbagbeviɣidɔ hã le, xɔxɔ ƒe afɔkua dzi akpɔtɔ.
• Do compression stockings alo compression stockings: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdo compression stockings alo compression stockings be wòakpe ɖe ŋuwò nàxe mɔ ɖe ʋu ƒe sisi nu (thrombophlebitis).

Nukae mate ŋu akpɔ mɔ na ne nɔnɔme sia le ŋunye?

Thrombophlebitis nye dɔléle sesẽ aɖe, gake zi geɖe la, mehea kuxiwo vɛ le eɖokui si o. Zi geɖe la, enyea ʋu ƒe sisi ƒe kuxiwo ƒe dzesi. Kuxi siawo ate ŋu ahe nɔnɔme siwo nu sẽ wu, siwo wua ame ɣeaɖewoɣi, vɛ. Ne wolée kaba la, woate ŋu ada ʋuka me ʋu ƒe sisi, eye kuxiwo mebɔ o. Gake zi alesi wokpɔ dɔlélea dze sii hedae ɣeyiɣi didi la, zi nenemae afɔku si le eme be kuxi sesẽwo nadze egɔmee la dzina ɖe edzii.

Ɣeyiɣi didi kae nɔnɔme sia anɔ anyi?

Zi geɖe la, ʋumenugbagbeviɣidɔ nyea dɔléle si nɔa anyi ɣeyiɣi kpui aɖe, vevietɔ ne wokpɔ dɔlélea dze sii kaba hedae. Ƒã hafi wòanɔ anyi wu gaƒoƒo ʋɛ aɖewo, elabena zi alesi wòxɔe ɣeyiɣi didi la, zi nenemae afɔku si le eme be wòava zu kuxi si nu sẽ wu.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Le eɖokui si la, zi geɖe la, ʋuka me ʋu ƒe sisi menye afɔku o. Gake ne ele asiwò la, efia be afɔku gã aɖe le ŋuwò be nàxɔ dɔléle bubuwo abe DVT alo Aklã me Ʋuʋudedi ene. Esiawo evea siaa nye atikewɔwɔ kpata. Zi alesi nèlalana be woawɔ atike na ye la, zi nenemae afɔku va nɔa nɔnɔme sia me. Atikewɔwɔ hehe ɖe megbe hã dzia kuxi siwo anɔ anyi ɣeyiɣi didi, abe vevesese atraɖii le ʋuka siwo ŋu dɔlélea le me alo abi (si ate ŋu axe mɔ na ʋu ƒe sisi) ene.

Aleke malé be na ɖokuinye?

Ne nɔnɔme aɖewo le ŋuwò si nana ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi (thrombophlebitis) la, nu nyuitɔ si nàte ŋu awɔe nye be nàkpɔ nɔnɔme mawo gbɔ. Esia lɔ:

• Kpɔ wò ɖɔkta edziedzi.
• No wò atike abe alesi wò ɖɔkta gblɔe na wò ene.
• Ƒo asa na nuwɔna alo nɔnɔme siwo ate ŋu ana wò afɔku nadzi ɖe edzi.

Ɣekaɣie wòle be maƒo nu kple nye ɖɔkta alo adi atike?

Ne ʋumenugbagbeviɣidɔ ƒe dzesi aɖewo le ŋuwò la, ele be nàƒo nu kple wò ɖɔkta godoo. Kpɔ wò ɖɔkta ne ʋuka me ʋu ƒe sisi (alo ʋu ƒe sisi ƒe kuxi bubuwo, abe DVT ene) le ŋuwò kpɔ, eye ne wò dzesi aɖewo gadze ake alo zi ɖeka.

Yi kɔdzi le nɔnɔme kpata aɖe me!

Ne ʋu ƒe sisi ƒe dzesi aɖewo le ŋuwò la, ele be nàyi kɔdzi enumake. Ne ʋumenugbagbeviɣidɔa gblẽ nu le wò alɔ alo afɔ ŋu la, zi geɖe la, dzesi siawoe nye:

* Abɔ/afɔ si ŋu dɔlélea le ƒe amadede ƒe tɔtrɔ (edzena abe ɖe wòle ɣie wu alesi wòle dzɔdzɔmee ene).

* Ne ŋutigbalẽ si le teƒe si dɔlélea le alo alɔ/afɔ dzi fa wu ne woka asi eŋu wu ŋutigbalẽ si le teƒe siwo dɔlélea mele o.

* Ne ʋuka me ʋu ƒe sisi alo ʋu ƒe sisi ƒe dzesi bubuwo le ŋuwò si kasia wòse le ɖokuiwò me abe ɖe wòle ʋuʋum tso teƒe aɖe yina bubu ene. Esia le vevie ŋutɔ ne akɔta le veve sem alo gbɔgbɔtsixe tsia ƒowò, alo ʋu ƒe sisi ƒe dzesi bubu ɖesiaɖe si dzena le ŋuwò alo le ema megbe kpuie. Esia nye aklã me ʋu ƒe sisi.Esia ate ŋu anye atikewɔwɔ kpata si ate ŋu ade ame ƒe agbe afɔku me ƒe dzesi. Ne edzɔ alea la, ele be nàƒo ka na 1990 (Suwa Seriya), alo wò nutoa me xexlẽdzesi kpata enumake.

Kpuie ko kple nusiwo dzi wòle be woaɖo ŋkui

Thrombophlebitis ate ŋu anye nuxlɔ̃amedzesi vevi aɖe le nɔnɔme si nu sẽ wu ŋu. Togbɔ be zi geɖe la, menye afɔku le eɖokui si o hã la, ele be nàkpɔ ɖɔkta be wòakpɔe ɖa be kuxi aɖe le ŋuwò hã. Dzesi aɖewo bia be nàyi atikewɔƒe kpata enumake. Ne wokpɔ dɔlélea dze sii kaba hedae la, ʋuka me ʋu ƒe sisi mahe kuxi sesẽwo vɛ alo agblẽ nu le wò agbenɔnɔ ŋu o. Eyata ele vevie be nànya dzesi siawo. Ne èsusu be ɖewohĩ ɖe le ye ŋu la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi o.

` Thrombophlebitis, ʋu ƒe sisi, phlebitis, DVT, Pulmonary Embolism, afɔ ƒe vevesese, ʋukawo ƒe vuvu