Koj ob txhais ceg puas tig xiav thiab mob heev? Puas yog qhov ntawd 'Phlegmasia Cerulea Dolens'? Cia peb tham txog qhov no!

Koj puas tau hnov ​​txog ib qho mob uas cov ntshav txhaws hauv koj txhais ceg lossis caj npab, ua rau nws hloov xiav, o, thiab mob? Qhov no yog ib qho mob hnyav, tab sis nws tsis yog ib qho uas tshwm sim ntau. Hnub no peb yuav tham txog qhov mob no hu ua 'Phlegmasia Cerulea Dolens' . Tsis txhob txhawj, nws yog ib qho tseem ceeb uas yuav tsum paub txog nws.

Phlegmasia Cerulea Dolens yog dab tsi?

Hais yooj yim xwb, 'Phlegmasia Cerulea Dolens' yog ib qho mob uas cov ntshav txhaws loj lossis ntau cov ntshav txhaws hauv cov leeg ntshav tob ntawm peb lub cev, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg (thiab qee zaum hauv caj npab) (tseem hu ua 'Deep Vein Thrombosis' lossis 'DVT'), ua rau cov leeg ntshav txhaws tag. Xav txog ib lub yeeb nkab dej raug txhaws nrog ib daim av loj, ua rau cov dej ntws ua pas dej es tsis ntws.

Thaum cov hlab ntsha raug thaiv zoo li no, cov ntshav tsis ntws zoo. Cov ntshav tsis tuaj yeem ntws mus rau hauv thiab rov qab los. Tom qab ntawd yuav ua li cas? Cov ntshav sib sau ua ke hauv thaj chaw ntawd, ua rau ceg o. Qhov o no ua rau muaj kev ntxhov siab hauv cov hlab ntsha, ua rau cov hlab ntsha uas nqa oxygen muaj kev ntxhov siab. Nws zoo li lub phuam uas ntub dhau los nqus dej. Koj tsis tuaj yeem muab dej ntxiv rau hauv nws kom txog thaum koj nias nws tawm. Qhov ntawd yog qhov tshwm sim ntawm no. Qhov no kuj txo cov pa oxygen uas mus txog cov ntaub so ntswg.

Qhov tseem ceeb tshaj plaws yog qhov no yog xwm txheej ceev hauv kev kho mob . Yog tias tsis kuaj pom thiab kho sai sai, ceg tuaj yeem puas tsuaj thiab txawm tias muaj kev phom sij rau lub neej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov tsos mob no.

Tus mob no feem ntau tshwm sim li cas?

Tseeb tiag, 'Phlegmasia Cerulea Dolens' yog ib yam mob tsis tshua muaj . Qhov ntawd yog, nws yog ib yam uas tsis tshua pom. Qee tus kws kho mob tsuas pom tus neeg mob zoo li no ib lossis ob zaug hauv lawv txoj haujlwm tag nrho. Yog li ntawd, tsis muaj cov ntaub ntawv loj txog nws.

Cov tsos mob ntawm 'Phlegmasia Cerulea Dolens' yog dab tsi?

Lub npe txhais tau tias "mob xiav o." Qhov ntawd piav qhia txog cov tsos mob. Nrhiav ib qho ntawm cov no ntawm koj ceg lossis caj npab:

• Tawv nqaij tsis zoo li qub: Tej zaum yuav muaj xim liab, xiav-ntsuab tshwm sim. Xim no yuav kis mus rau tag nrho ceg.
• Mob hnyav: Tsis yog mob ib txwm xwb, tab sis mob hnyav uas nyuaj rau ris.
• Kev o: Ib qho mob o heev uas hnov ​​​​​​tias nyuaj rau kov.
• Cov pob khaus ntawm daim tawv nqaij: Qee zaum cov pob khaus uas muaj kua ('blisters') yuav tshwm sim.
• Kev loog los yog tingling: Nws yuav zoo li raug choking los yog tingling.

Kuj tseem hais tias vim yog cov qauv ntawm peb lub cev cov ntshav ncig, qhov mob no yuav tshwm sim ntau dua rau sab ceg laug .

Dab tsi yog cov ua rau muaj 'Phlegmasia Cerulea Dolens'?

Qhov ua rau qhov no yog cov ntshav txhaws loj (Venous Thromboembolism).Qhov no feem ntau tshwm sim ua ib qho teeb meem ntawm 'DVT' hauv ceg. Uas yog, cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav, loj hlob, thiab thaiv tag nrho cov leeg ntshav.

Leej twg muaj feem yuav raug qhov no tshaj?

Cov yam ua rau muaj kev pheej hmoo ntawm 'Phlegmasia Cerulea Dolens' zoo ib yam li cov yam ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws feem ntau. Lawv yog:

• Mob qog noj ntshav: Qhov no yog qhov tseem ceeb thiab feem ntau ua rau muaj kev pheej hmoo.
• Kev Phais Mob: Tom qab phais mob loj.
• Kev Raug Mob: Kev raug mob hnyav, tshwj xeeb tshaj yog rau ob txhais ceg.
• Cev Xeeb Tub: Thaum cev xeeb tub thiab tom qab yug menyuam.
• Cov tshuaj noj tiv thaiv kev yug me nyuam los yog kev kho mob hormone:
• Kab Mob Plab Hnyuv (IBD):
• Lub Cev Qhov Ntsuas (BMI) ntau dua 30: Qhov no txhais tau tias rog dhau.
• Cov teeb meem ntshav txhaws: Qee tus neeg yug los muaj tus cwj pwm uas lawv cov ntshav txhaws tau yooj yim.
• Venous insufficiency: Cov valve hauv cov leeg ntshav tsis ua haujlwm zoo.
• Kab mob May-Thurner: Ib txoj hlab ntsha hauv ceg sab laug raug nias los ntawm ib txoj hlab ntsha.
• Lub plawv tsis ua haujlwm:
• Nyob hauv ib qho chaw ntev/nyob hauv txaj ('Tsis muaj peev xwm txav mus los'): Piv txwv li, yog tias koj yuav tsum nyob hauv txaj ob peb hnub tom qab phais loj.

Cov mob no tau tshaj tawm tias feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 40 thiab 50 xyoo .

Cov teeb meem uas yuav tshwm sim los ntawm 'Phlegmasia Cerulea Dolens' yog dab tsi?

Qhov no yog ib qho mob hnyav thiab cov teeb meem tuaj yeem ua rau mob hnyav.

Kwv yees li 50% ntawm cov neeg uas muaj tus kab mob 'Phlegmasia Cerulea Dolens' yuav muaj tus mob hu ua 'Gangrene', uas yog kev tuag ntawm cov nqaij . Yog tias tus kab mob gangrene tshwm sim, nws qee zaum tuaj yeem ua rau raug txiav ceg lossis caj npab.

Tsis tas li ntawd xwb, cov neeg no kuj tuaj yeem muaj tus mob hu ua 'Pulmonary Embolism', uas yog cov ntshav txhaws uas mus rau hauv lub ntsws . Qhov no kuj tseem ua rau tuag taus.

Yuav ua li cas thiaj paub txog 'Phlegmasia Cerulea Dolens'?

Yog koj muaj cov tsos mob no, tus kws kho mob yuav tshuaj xyuas koj keeb kwm kev mob thiab kuaj lub cev. Lawv yuav nug koj cov lus nug xws li:

• Cov tsos mob no pib thaum twg?
• "Koj ua tsis tau dab tsi vim qhov no?"
• Koj puas tau kho cov teeb meem ntawm cov hlab ntsha ua ntej lawm?
• Puas muaj leej twg hauv koj tsev neeg muaj teeb meem ntshav txhaws?

Yuav ua cov kev ntsuam xyuas zoo li cas?

Yuav kom paub tseeb tias koj puas muaj 'Phlegmasia Cerulea Dolens', koj tus kws kho mob yuav ua cov kev kuaj mob hauv qab no:

• Kev kuaj mob ultrasound:Xyuas seb puas muaj cov ntshav txhaws hauv cov leeg thiab seb cov ntshav ntws li cas.
• Kev kuaj ntshav: Xyuas seb puas muaj cov cim qhia tias cov ntshav txhaws, tus kab mob kis, thiab lwm yam.
• `Computed Tomography Angiogram (CT Angiogram):` Qhov no tuaj yeem thaij tau cov duab ntxaws ntxaws ntawm cov leeg ntshav.
• Magnetic Resonance Angiogram (MR Angiogram): Qhov no yog lwm txoj hauv kev los tau txais cov duab ntawm cov leeg.

Yuav kho tus kab mob 'Phlegmasia Cerulea Dolens' li cas?

Qhov no yog ib qho xwm txheej ceev, yog li kev kho mob yuav tsum pib tam sim ntawd.

Tus kws kho mob yuav tsa koj txhais ceg kom siab li 60 degrees saum koj lub plawv ua ntej. Qhov no pab kom cov ntshav ntws tawm ntawm cov leeg ntshav hauv koj txhais ceg, ua kom cov ntshav ncig zoo dua, thiab txo qhov o. Lawv kuj tseem yuav muab dej rau koj, qhwv koj txhais ceg tag nrho rau hauv daim ntaub qhwv, thiab hais kom koj taug kev ncig me ntsis.

Feem ntau , nrog rau kev siv tshuaj, kev kho mob kuj tseem xav tau. Yog tias koj txhais ceg raug mob los yog muaj cov cim qhia tias muaj kab mob gangrene, nws txhais tau tias koj txhais ceg muaj kev phom sij loj heev. Cov kws kho mob yuav sim tshem cov ntshav txhaws sai li sai tau thiab kho Phlegmasia Cerulea Dolens ua ntej kab mob gangrene pib.

Lub hom phiaj tseem ceeb ntawm kev kho mob yog:

• Tshem tawm cov ntshav txhaws.
• Qhib cov hlab ntsha thiab rov qab cov ntshav ntws.
• Tiv thaiv kom qhov teeb meem tsis txhob hnyav zuj zus.

Cov tshuaj thiab kev kho mob tshwj xeeb

Cov kev kho mob hauv qab no siv tau rau 'Phlegmasia Cerulea Dolens':

• Cov tshuaj tiv thaiv kev ntshav khov: Piv txwv li, cov tshuaj zoo li Heparin. Cov no yog cov tshuaj uas raug txhaj rau hauv cov leeg ntshav.
• 'Thrombolysis': Hauv qhov no, ib lub raj nyias nyias hu ua 'catheter' raug xa mus rau ntawm cov leeg ntshav mus rau qhov chaw uas cov ntshav txhaws, thiab cov tshuaj raug muab los ntawm nws kom yaj cov ntshav txhaws.
• 'Thrombectomy': Qhov no suav nrog kev tshem tawm cov ntshav txhaws los ntawm kev phais me me lossis los ntawm kev phais loj dua ('kev phais qhib').
• Angioplasty thiab/lossis stent placement: Cov no yog ua los kom cov hlab ntsha qhib rau cov neeg uas muaj May-Thurner syndrome.

Cov teeb meem/cov kev mob tshwm sim ntawm kev kho mob

Kev phais loj ('phais qhib') kom tshem tawm cov ntshav txhaws tuaj yeem ua rau muaj teeb meem xws li:

• Muaj feem yuav muaj ntshav txhaws dua.
• Kev puas tsuaj rau cov hlab ntsha.

Cov tshuaj Anticoagulants thiab thrombolysis kev kho mob muaj kev pheej hmoo ntawm kev los ntshav . Vim tias thrombolysis tuaj yeem ua rau pulmonary embolism, cov kws kho mob qee zaum yuav pom zoo kom siv lub lim dej inferior vena cava (IVC) los tiv thaiv nws.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Tej zaum ib txhia neeg yuav pib zoo dua li ib teev tom qab pib noj tshuaj anticoagulants. Txawm li cas los xij, feem ntau cov neeg yuav tsis zoo dua txog ob peb teev tom qab pib noj tshuaj. Yog tias qhov mob tsis zoo dua li 6-12 teev, tus kws kho mob yuav pom zoo kom ua ib qho kev kho mob ntxiv rau kev noj tshuaj.

Thaum koj phais tshem cov ntshav txhaws, koj yuav pom tias tej yam xws li o thiab xim av ntawm ceg yuav ploj mus sai sai. Koj yuav hnov ​​qhov txawv tam sim ntawd tom qab phais .

Puas tiv thaiv tau tus kab mob 'Phlegmasia Cerulea Dolens'?

Yog, qee yam ua tau. Qhov mob no tuaj yeem tiv thaiv tau los ntawm kev tiv thaiv DVT (kev mob ntshav hauv cov hlab ntsha tob) lossis los ntawm kev kho DVT ua ntej nws loj hlob mus ua Phlegmasia Cerulea Dolens.

Yog tias kuv muaj tus kab mob 'Phlegmasia Cerulea Dolens', kuv yuav tsum tau tos dab tsi?

'Phlegmasia Cerulea Dolens' yog ib yam mob uas ua rau koj poob ib ceg lossis ua rau koj tuag taus. Yog vim li ntawd cov kws kho mob thiaj ua haujlwm sai sai thiab pib kho kom koj tus mob tsis txhob hnyav zuj zus. Tej zaum koj yuav xav tias lawv tab tom maj nroos muab tshuaj rau koj lossis npaj koj rau kev phais . Qhov laj thawj yog, kev kho mob sai yog txoj hauv kev zoo tshaj plaws kom tau txais txiaj ntsig zoo tshaj plaws .

Koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub. Tej zaum koj yuav tau kuaj ntxiv (kev kuaj duab) kom paub tseeb tias cov ntshav txhaws tau ploj mus tag.

Outlook rau 'Phlegmasia Cerulea Dolens'

Tus nqi kho mob thrombolysis ua tiav yog 85% txog 95%.

Txawm li cas los xij, yog tias tsis kho, Phlegmasia Cerulea Dolens tuaj yeem ua rau mob gangrene. Yog tias mob gangrene tshwm sim, qhov kev pheej hmoo ntawm kev txiav tes txiav taw yog ntawm 20% thiab 50% . Nrog lossis tsis muaj mob gangrene, qhov kev pheej hmoo ntawm tus mob no yuav ua rau tuag taus yog ntawm 20% thiab 40%.

Yog tsis kho kom zoo, tus kab mob 'Phlegmasia Cerulea Dolens' yuav rov qab tshwm sim dua.

Txawm tias tau kho sai sai los xij, ntau tus neeg uas muaj tus kab mob 'Phlegmasia Cerulea Dolens' tej zaum yuav muaj teeb meem nrog cov hlab ntsha hauv lawv cov leeg thiab ua rau muaj mob hu ua 'Post-thrombotic syndrome' yav tom ntej.

Kuv yuav saib xyuas kuv tus kheej li cas?

Tom qab kho thawj zaug, koj yuav tsum tau noj cov tshuaj uas ua rau cov ntshav nyias (anticoagulants) kom tiv thaiv qhov mob kom tsis txhob rov tshwm sim dua. Nyob ntawm koj tus mob, koj yuav tsum tau noj cov tshuaj no rau ob peb lub hlis lossis ntev dua.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Koj tus kws kho mob yuav tsum tau kuaj xyuas koj cov ntshav tsis tu ncua kom paub tseeb tias koj cov ntshav khov zoo. Koj kuj tseem yuav tsum tau mus ntsib kws kho mob tsis tu ncua kom pom tias puas muaj teeb meem tshwm sim tom qab.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Yog tias koj muaj cov tsos mob ntawm 'Phlegmasia Cerulea Dolens', lossis yog tias koj tau muaj cov tsos mob yav dhau los thiab tam sim no rov qab muaj cov tsos mob ntawd dua, nrhiav kev pab kho mob tam sim ntawd . Tsis tas li ntawd, yog tias koj muaj cov tsos mob ntawm lwm cov ntshav txhaws lossis cov tsos mob ntawm 'Pulmonary Embolism', koj yuav tsum mus rau tsev kho mob tam sim ntawd.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Koj tuaj yeem nug koj tus kws kho mob cov lus nug xws li:

• Kuv yuav siv cov tshuaj anticoagulants no ntev npaum li cas?
• Kuv yuav tsum tuaj xyuas koj ntau npaum li cas ?
• "Dab tsi ua rau kuv tus 'DVT'?"

Qhov txawv ntawm 'Phlegmasia Alba Dolens' thiab 'Cerulea Dolens' yog dab tsi?

Kab mob "Phlegmasia Alba Dolens" kuj yog ib qho teeb meem uas tshwm sim los ntawm cov ntshav txhaws. Txawm li cas los xij, nws tsis txwv tsis pub cov ntshav mus rau koj cov nqaij. Lo lus "alba" hauv lub npe txhais tau tias "dawb". Qhov no txhais tau tias ceg yuav dawb. Kab mob "Alba Dolens" tuaj yeem tshwm sim ua ntej kab mob "Phlegmasia Cerulea Dolens" tshwm sim.

Kab mob "Phlegmasia Cerulea Dolens" yog ib yam mob hnyav dua. Nws cuam tshuam rau kev ncig ntshav. Cov ntshav uas mus rau cov nqaij uas muaj cov ntshav txhaws tsis txav lawm.

Qhov tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no!

Lub sijhawm yog qhov tseem ceeb heev rau cov neeg mob 'Phlegmasia Cerulea Dolens'. Yog tias koj lossis ib tus neeg koj hlub muaj cov tsos mob no, tsis txhob yig mus nrhiav kev kho mob tam sim ntawd. Kev kho mob sai yog qhov tseem ceeb heev kom cawm tau ib ceg, thiab tej zaum yuav cawm tau ib txoj sia.

Qee zaum koj yuav ntxhov siab thaum cov kws kho mob txiav txim siab sai sai thiab ua sai sai. Tab sis lawv txhua tus ua qhov no rau koj tus kheej zoo. Yog tias muaj qee yam uas koj tsis nkag siab, tsis txhob ntshai nug cov lus nug. Kev paub txog qhov no yog qhov zoo tshaj plaws rau kev nyab xeeb.

` Phlegmasia Cerulea Dolens, DVT, Ntshav Qhuav, Ceg O, Cov leeg ntshav txhaws, Gangrene, Pulmonary Embolism