Koj puas tau muaj ntshav txhaws hauv koj cov leeg ntshav, ua rau mob thiab o? Cia peb tham txog Thrombophlebitis!

Koj puas tau muaj ib qho mob txawv txawv los yog o ntawm cov leeg ntshav hauv koj ceg lossis caj npab? Qee zaum qhov chaw ntawd yuav liab thiab sov thaum kov. Yog tias koj tau ntsib ib yam dab tsi zoo li no, tej zaum koj muaj ib qho mob hu ua thrombophlebitis. Tsis txhob txhawj, cia peb tham txog nws yooj yim.

Kab mob Thrombophlebitis yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, mob Thrombophlebitis yog mob o ntawm cov leeg ntshav (phlebitis) uas tshwm sim los ntawm cov ntshav txhaws (thrombus) uas tsim nyob rau hauv koj cov leeg ntshav. Nws hu ua "thrombophlebitis."

Yog peb piav qhia txog lub ntsiab lus ntawm qhov no:

• "Thrombo-" txhais tau tias cov ntshav txhaws. Qhov no yog cov ntshav txhaws uas tsim nyob rau hauv cov leeg ntshav.
• "-phleb-" txhais tau tias cov leeg ntshav, txhais tau tias qee yam cuam tshuam nrog cov leeg ntshav.
• "-itis" txhais tau tias o, txhais tau tias o, liab, mob, thiab lwm yam.

Yog li thaum txhua yam no los ua ke, muaj ib qho mob hu ua thrombophlebitis tshwm sim. Txawm hais tias nws feem ntau pom nyob rau hauv cov leeg ntawm ob txhais ceg, nws tuaj yeem tshwm sim rau txhua txoj leeg hauv lub cev.

Qhov mob no tshwm sim li cas? Puas yog nws yog cov ntshav txhaws ua ntej? Los yog nws puas yog o?

Qhov no zoo li lo lus nug "qaib los ua ntej, lossis qe los ua ntej". Muaj ob txoj hauv kev uas thrombophlebitis tuaj yeem tshwm sim:

1. Cov ntshav txhaws ua ntej, tom qab ntawd o: Qhov tshwm sim ntawm no yog tias cov ntshav txhaws tsim nyob rau hauv cov leeg ntshav, uas ua rau qee qhov tsis xis nyob thiab khaus rau ntawm phab ntsa cov leeg ntshav. Yog vim li cas cov leeg ntshav thiaj li o, liab, thiab mob.

2. Ua ntej yuav mob o, ces mam li muaj ntshav txhaws: Qee zaum, sab hauv ntawm cov leeg ntshav (uas peb hu ua 'Phlebitis' hauv tshuaj) yuav o thiab o vim muaj kev kis kab mob lossis lwm yam. Tom qab ntawd, muaj feem ntau dua uas cov ntshav txhaws yuav lo rau thaj chaw uas mob ntawd thiab daig.

Feem ntau tus kab mob thrombophlebitis yog nyob rau hauv ib cheeb tsam xwb. Qhov no txhais tau tias nws tuaj yeem tshwm sim hauv ib txoj hlab ntshav lossis ntau txoj hlab ntshav. Txawm li cas los xij, nws tuaj yeem ua rau muaj kev phom sij yog tias nws kis mus rau lwm qhov. Nyob ntawm seb qhov twg cov ntshav txhaws tsim, nws qee zaum tuaj yeem ua rau muaj mob hnyav hu ua deep vein thrombosis (DVT) lossis xwm txheej ceev uas ua rau tuag taus hu ua pulmonary embolism (Pulmonary Embolism) .

Kab mob Thrombosis (Thrombosis) thiab kab mob Thrombophlebitis (Thrombophlebitis) puas yog ob yam sib txawv?

Yog, txawm hais tias muaj kev sib txuas ntawm ob qho no, lawv tsis zoo ib yam. Thrombosis yog kev tsim cov ntshav txhaws hauv ib qho ntawm koj cov hlab ntsha. Ntawd yog, Thrombophlebitis yog ib qho txheej txheem cuam tshuam uas qee zaum (tab sis tsis yog txhua lub sijhawm) tshwm sim nrog Thrombosis. Hauv Thrombophlebitis, yuav tsum muaj kev o ntawm cov leeg ntshav nrog rau cov ntshav txhaws.

Puas muaj ntau hom mob Thrombophlebitis sib txawv?

Yog, thrombophlebitis tuaj yeem tshwm sim rau txhua txoj hlab ntsha hauv koj lub cev. Txawm li cas los xij, muaj ntau hom tshwj xeeb uas raug muab npe raws li qhov ua rau thiab qhov chaw ntawm tus mob. Cia peb saib qee qhov ntawm lawv:

Kev Mob Thrombosis Ntawm Cov Hlab Ntsha (DVT)

Qhov no yog hom ntshav txhaws uas feem ntau cov neeg tau hnov ​​​​​​txog, thiab nws muaj kev phom sij me ntsis. Kev txhaws ntawm cov hlab ntsha tob (DVT) yog cov ntshav txhaws uas tsim nyob rau hauv cov hlab ntsha loj, tob hauv koj lub cev (feem ntau yog nyob rau hauv koj ob txhais ceg). Qhov no yog xwm txheej ceev hauv kev kho mob. Yog tias cov ntshav txhaws tawg thiab daig rau hauv cov hlab ntsha hauv koj lub ntsws, nws tuaj yeem ua rau muaj mob hnyav hu ua pulmonary embolism .

Kab mob Thrombophlebitis saum npoo av

Qhov no tshwm sim rau cov leeg ntshav me me hauv koj txhais tes lossis ceg uas nyob ze rau ntawm daim tawv nqaij. Lawv tsis loj npaum li cov leeg ntshav tob (DVT). Txawm li cas los xij, lawv tuaj yeem yog ib qho cim qhia tias koj muaj cov leeg ntshav tob (DVT). Lawv kuj tseem tuaj yeem ua rau muaj lwm yam mob hnyav.

Mob Thrombophlebitis uas kis tau los ntawm kev tsiv teb tsaws chaw

Raws li lub npe qhia, qhov no yog thaum cov ntshav txhaws thiab nws cov kev o tuaj yeem "txav mus" los ntawm ib txoj hlab ntsha mus rau lwm txoj hlab ntsha, uas txhais tau tias lawv txav mus. Qee zaum, ntau cov ntshav txhaws tuaj yeem tsim nyob rau hauv ntau txoj hlab ntsha tib lub sijhawm. Hauv qhov no, muaj kev pheej hmoo siab ntawm cov ntshav txhaws hauv cov hlab ntsha me me mus rau cov hlab ntsha loj dua, ua rau muaj mob txaus ntshai hu ua pulmonary embolism.

Kab mob Septic Thrombophlebitis

Hauv qhov no, tus mob (Thrombophlebitis) yog tshwm sim los ntawm kev kis kab mob, lossis (Thrombophlebitis) ua rau muaj kev kis kab mob. Thaum muaj kev kis kab mob zoo li no, nws tuaj yeem ua rau muaj mob hnyav. Piv txwv li:

• (Lemierre syndrome): Qhov no tshwm sim thaum muaj kev kis kab mob ntawm txoj hlab pa sab saud kis mus rau cov hlab ntsha loj hauv caj dab (cov hlab ntsha jugular).
• (Pylephlebitis): Hauv qhov no, cov leeg ntshav uas nqa ntshav los ntawm koj lub plab sab saud mus rau koj lub siab (portal veins) yuav o thiab kis kab mob.
• Septic embolism: Cov ntshav txhaws uas muaj kab mob (septic clot) tuaj yeem tawg tawm ntawm qhov chaw uas nws tsim thiab mus rau lwm qhov ntawm lub cev. Qhov no tuaj yeem kis tus kab mob thawj zaug, thaiv ib lossis ntau cov hlab ntsha, lossis ob qho tib si.

Kab mob Septic thrombophlebitis yog ib qho mob txaus ntshai heev vim tias nws txhais tau tias muaj kab mob kis thoob plaws lub cev. Nws tuaj yeem ua rau muaj mob hu ua sepsis , qhov twg koj lub cev tiv thaiv kab mob ua rau muaj kab mob ntau dhau. Sepsis yog ib qho xwm txheej ceev uas ua rau tuag taus. Nws yuav tsum tau kuaj mob thiab kho mob sai.

Leej twg yuav muaj tus mob no tshaj?

Qhov kev pheej hmoo ntawm cov ntshav txhaws tuaj yeem tshwm sim rau txhua lub hnub nyoog, tshwj xeeb tshaj yog rau cov neeg uas muaj qee yam mob lossis cov yam ntxwv ntawm kev ua neej. Txawm li cas los xij, qhov kev pheej hmoo ntawm kev mob no (thrombophlebitis) nce maj mam tom qab hnub nyoog 45 xyoos . Qhov kev pheej hmoo no nce ntxiv thaum koj laus zuj zus.

Qhov teeb meem no feem ntau tshwm sim li cas?

Nyob ntawm seb hom mob thrombophlebitis tshwj xeeb yog dab tsi, tus mob no muaj ntau yam, xws li tsis tshua muaj mus rau qhov uas pom ntau. Piv txwv li feem ntau thiab paub zoo txog qhov no yog mob ntshav hauv cov leeg ntshav tob (DVT). Tsuas yog nyob hauv Tebchaws Meskas xwb, muaj kwv yees li 900,000 tus neeg mob DVT txhua xyoo, thiab muaj li ntawm 60,000 txog 100,000 tus neeg tuag txhua xyoo. Tus mob no tsis yog ib qho txawv txawv hauv Sri Lanka.

Cov tsos mob ntawm qhov no yog dab tsi?

Muaj ntau yam tsos mob uas yuav luag pom thaum muaj thrombophlebitis:

• Kev o: Qhov no tuaj yeem tshwm sim sai sai. Qhov kev o no pom tseeb tshaj plaws hauv cov leeg ntshav uas nyob ze rau ntawm daim tawv nqaij. Hauv cov xwm txheej hnyav, txawm tias cov leeg ntshav uas khiav hauv lub cev tuaj yeem pom tseeb o. Yog tias muaj ntau tshaj ib qho ntshav txhaws, cov chaw no yuav zoo li cov pob. Yog tias qhov no tshwm sim hauv ib txhais caj npab lossis ceg, nws muaj peev xwm, txawm tias tsis tshua muaj, rau qhov qis ntawm txhais caj npab / ceg ntawd kuj o.
• Kev hloov pauv ntawm txoj kev uas cov leeg ntshav xav: Thaum koj kov cov leeg ntshav uas raug thaiv los ntawm cov ntshav txhaws lossis o, nws yuav tuab dua thiab tawv dua li cov leeg ntshav ib txwm muaj. Qhov no tuaj yeem tshwm sim hauv ib txoj leeg ntshav lossis hauv ntau txoj leeg ntshav ze ntawm cov ntshav txhaws.
• Mob los yog mob nqaij: Mob ntshav txhaws feem ntau yog ib qho mob uas mob heev. Thaj chaw ib puag ncig thiab saum cov ntshav txhaws yuav mob thaum kov, mob thaum nias, lossis mob me ntsis xwb. Yog tias cov ntshav txhaws loj, hauv cov leeg ntshav me me, lossis yog tias muaj ntau cov ntshav txhaws, qhov mob yuav hnyav heev. Ntau tus neeg piav qhia qhov mob no tias yog "mob plab nrog xeev siab ."

Ntxiv rau cov no, qee cov tsos mob uas qee zaum pom, tab sis tsis yog txhua lub sijhawm, yog:

• Daim tawv nqaij hloov xim ntawm thaj chaw o: Daim tawv nqaij ze ntawm cov ntshav txhaws yuav zoo li liab dua lossis tsaus dua li daim tawv nqaij ib puag ncig. Nws yuav zoo li liab nyob ib puag ncig qhov txhab lossis qhov mob. Qhov no feem ntau tshwm sim thaum cov ntshav txhaws tsim nyob rau hauv cov leeg ze ntawm daim tawv nqaij. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim nrog cov ntshav txhaws loj dua hauv cov leeg tob lossis thaum cov leeg raug thaiv hnyav.
• Kev xav sov so: Thaum koj kov thaj chaw uas cov ntshav txhaws, lossis thaj chaw nyob ib puag ncig nws, nws yuav sov dua li thaj chaw nyob deb dua.

Dab tsi ua rau muaj qhov xwm txheej no?

Kab mob Thrombophlebitis muaj ntau yam ua rau. Cov hauv qab no ua rau cov ntshav txhaws, lossis ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws:

• Cov mob caj ces (ua los ntawm noob caj ces): Kev hloov pauv (kev hloov pauv) hauv koj cov DNA tuaj yeem ua rau koj cov ntshav txhaws yooj yim dua. Ib txhia neeg tau txais cov kev hloov pauv no los ntawm lawv niam lawv txiv. Txawm hais tias cov mob caj ces no tuaj yeem kho tau, tab sis lawv yuav kho tau mus ib txhis thiab tsis tuaj yeem kho tau.
• Cov leeg ntshav varicose: Yog tias koj muaj cov leeg ntshav varicose, uas yog xiav, zoo li kab laug sab hauv koj ob txhais ceg, koj muaj feem yuav mob thrombophlebitis hauv thaj chaw ntawd.
• Kev Raug Mob: Kev raug mob rau lossis ze ntawm cov leeg ntshav tuaj yeem ua rau o, uas tuaj yeem ua rau cov ntshav txhaws. Piv txwv li, yog tias koj ntog thiab raug mob hnyav rau koj ceg, cov leeg ntshav hauv thaj chaw ntawd tuaj yeem puas tsuaj thiab qhov mob no tuaj yeem tshwm sim.
• Kev Kho Mob thiab Tshuaj: Cov kav dej thiab cov catheter uas xa cov tshuaj thiab kua dej los ntawm cov leeg ntshav tuaj yeem ua rau cov ntshav txhaws (thrombophlebitis). Qee cov kev kho mob hormones (xws li qee hom tshuaj tiv thaiv kev yug me nyuam) kuj tuaj yeem ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.
• Kev siv tshuaj IV: Yog tias koj yog tus neeg siv tshuaj, koj muaj feem yuav mob thrombophlebitis ntau dua. Qhov no yog vim tias cov koob txhaj tshuaj qias neeg lossis siv tsis raug tuaj yeem ua rau muaj kev kis kab mob hnyav. Cov kab mob no tuaj yeem ua rau o thiab mob no.
• Tsis txav mus los: Cov neeg uas zaum hauv ib qho chaw ntev, piv txwv li, cov neeg ua haujlwm hauv chaw ua haujlwm lossis siv lub khoos phis tawj, tej zaum yuav muaj cov ntshav tsis zoo. Qhov no ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws. Qhov no tuaj yeem tshwm sim rau cov neeg uas caij dav hlau ntev, lossis cov neeg uas caij tsheb lossis lwm lub tsheb ntev. Xav txog nws, zoo li thaum koj caij tsheb npav los ntawm Colombo mus rau Jaffna.
• Lwm yam mob lossis tej xwm txheej uas cuam tshuam rau cov ntshav txhaws: Muaj ntau yam ua rau muaj kev pheej hmoo, xws li mob qog noj ntshav, rog dhau, ib yam kab mob autoimmune hu ua lupus , thiab qee yam kab mob ntshav. Cov neeg uas pw hauv txaj lossis tsis tuaj yeem txav mus los vim muaj mob xws li tuag tes tuag taw kuj tseem yuav muaj kev pheej hmoo ntau dua. Kev haus luam yeeb yog ib qho ua rau muaj kev pheej hmoo ntawm kev ua neej. Tsis tas li ntawd, yog tias koj lub cev qhuav dej, koj qhov kev pheej hmoo yuav nce ntxiv.
• Cev xeeb tub lossis tom qab yug menyuam tsis ntev: Qhov kev pheej hmoo ntawm cov ntshav txhaws tuaj yeem nce ntxiv thaum cev xeeb tub vim ntau yam. Qhov kev pheej hmoo ntawd tsis ploj mus tam sim ntawd tom qab tus menyuam yug los.

Qhov no puas yog ib yam kab mob sib kis tau?

Txawm hais tias qee zaum mob thrombophlebitis yog los ntawm kev kis kab mob los xij, nws tsis yog ib yam kab mob sib kis tau. Qhov no kuj siv tau rau cov mob caj ces. Yog li ntawd, cov mob no, uas yog kis los ntawm niam txiv mus rau menyuam (DNA), tsis ua rau mob thrombophlebitis ncaj qha, tab sis lawv tuaj yeem ua rau muaj teeb meem ntshav txhaws, uas tuaj yeem ua rau mob no.

Cov kws kho mob kuaj mob li cas?

Feem ntau cov kws kho mob kuaj pom tias muaj kab mob thrombophlebitis hauv tsev kho mob, tshwj xeeb tshaj yog hauv chav kho mob ceev. Qhov no yog vim tias kab mob thrombophlebitis muaj feem cuam tshuam nrog cov mob hnyav thiab txaus ntshai xws li DVT.

Koj tus kws kho mob yuav kuaj mob thrombophlebitis los ntawm kev kuaj lub cev, kev kuaj duab, thiab kev kuaj hauv chav kuaj.Nws yog ib qho tseem ceeb uas yuav tsum muab cov kev kuaj mob sib txawv no ua ke, vim tias kev kuaj lub cev ib leeg xwb feem ntau tsis tuaj yeem kuaj pom tus kab mob thrombophlebitis. Muaj ntau lwm yam kab mob uas muaj cov tsos mob zoo sib xws, qee qhov txaus ntshai heev. Yog li ntawd, kev kuaj duab thiab kev kuaj hauv chaw kuaj mob muaj txiaj ntsig zoo heev, thiab qee zaum tseem ceeb heev, los tiv thaiv cov teeb meem loj.

Yuav ua li cas thiaj kuaj tau tus mob no?

Thaum nrhiav ib yam mob hu ua thrombophlebitis, cov kws kho mob yuav ua ntau yam kev kuaj mob. Qee qhov ntawm cov no suav nrog:

• Kev kuaj lub cev: Ntawm no, tus kws kho mob yuav nrhiav seb puas muaj cov cim qhia tias muaj mob thrombophlebitis, tshwj xeeb tshaj yog o lossis hloov xim tawv nqaij. Nws feem ntau yuav kov thaj chaw uas raug mob. Qhov no tuaj yeem pab nrhiav cov cim lossis cov tsos mob uas tsis yooj yim pom tab sis tuaj yeem hnov. Nws kuj tseem yuav siv lub stethoscope los mloog koj lub plawv dhia, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg lossis ko taw.
• Kev kuaj hauv chaw kuaj mob: Muaj ntau yam kev kuaj hauv chaw kuaj mob sib txawv tuaj yeem pab kuaj mob thrombophlebitis, xws li kev tshuaj xyuas koj cov ntshav lub peev xwm los txhaws, nrhiav pov thawj ntawm cov ntshav txhaws uas twb muaj lawm, lossis nrhiav cov cim qhia ntawm kev kis kab mob.
• Kev kuaj duab: Ib txoj hauv kev tseem ceeb los kuaj mob thrombophlebitis yog saib cov ntshav txhaws uas ua rau nws. Ultrasound (uas siv cov suab nrov siab, zoo ib yam li sonar) yog ib qho kev kuaj mob uas feem ntau ua los kuaj mob qhov twg cov ntshav txhaws thaiv cov leeg ntshav. X-rays (uas siv cov kua tshwj xeeb los ua kom pom tseeb dua) kuj feem ntau ua.

Muaj tej yam tsawg tsawg uas ua rau cov ntshav txhaws hauv cov hlab ntsha uas tau hais los saum toj no yog ib qho cim qhia txog qee hom mob qog noj ntshav, tshwj xeeb yog mob qog noj ntshav hauv plab. Yog li ntawd, cov kws kho mob kuj tseem yuav ua cov kev kuaj mob kom nrhiav tau cov mob qog noj ntshav no.

Yuav kho qhov no li cas? Puas kho tau?

Yog tias muaj mob thrombophlebitis los ntawm kev siv IV catheter, feem ntau yog thawj kauj ruam uas yuav tsum tshem tawm catheter. Lwm yam kev kho mob feem ntau yog raws li nram no:

Cov tshuaj

Muaj ntau hom tshuaj sib txawv uas tuaj yeem pab tswj cov tsos mob ntawm thrombophlebitis thiab yaj cov ntshav txhaws. Lawv yog:

• Tshuaj Tua Kab Mob: Vim tias mob thrombophlebitis tuaj yeem mob heev, kev tswj qhov mob feem ntau yog qhov tseem ceeb tshaj plaws. Qhov no feem ntau ua nrog cov tshuaj tua kab mob me me xws li acetaminophen (piv txwv li, Panadol®, Tylenol®), lossis cov tshuaj tiv thaiv kev o (NSAIDs) (piv txwv li, Ibuprofen, Naproxen). Yog tias qhov mob hnyav heev, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj tua kab mob muaj zog dua.
• Cov tshuaj ua kom cov ntshav nyias / Anticoagulants:Kab mob Thrombophlebitis txhais tau tias muaj tsawg kawg yog ib qho ntshav txhaws. Txawm li cas los xij, qhov twg muaj ib qho, muaj kev pheej hmoo ntawm kev tsim ntau dua. Txhawm rau tiv thaiv cov ntshav txhaws ntxiv kom tsis txhob tsim, tshwj xeeb tshaj yog cov ntshav txhaws uas ua rau tuag taus xws li pulmonary embolism, cov kws kho mob feem ntau muab cov tshuaj ua kom ntshav nyias rau koj. Txawm li cas los xij, yog tias cov ntshav txhaws nyob hauv cov leeg me me, koj yuav tsis tas yuav kho nrog cov tshuaj ua kom ntshav nyias.
• Cov tshuaj Thrombolytic: Kuj hu ua "cov tshuaj uas pab kom cov ntshav txhaws tsis txhob txhaws." Cov tshuaj no ua rau cov ntshav txhaws uas twb tau tsim lawm yaj. Lawv tuaj yeem muab los ntawm kev txhaj tshuaj IV, lossis lawv tuaj yeem muab ncaj qha rau cov ntshav txhaws los ntawm kev siv cov catheter uas muab tso rau hauv koj cov leeg ntshav.
• Tshuaj tua kab mob: Yog tias tus mob (thrombophlebitis) muaj feem cuam tshuam nrog kev kis kab mob, tshuaj tua kab mob yog qhov tseem ceeb. Tshuaj tua kab mob tuaj yeem tiv thaiv kev kis kab mob thoob plaws lub cev (sepsis).

Kev phais, siv catheter, lossis lwm yam txheej txheem

Muaj tej yam tsawg tsawg uas yuav tsum tau phais mob, yog li ntawd, kev phais mob yuav yog qhov kev xaiv zoo tshaj plaws los kho cov mob hnyav uas muaj tus kab mob thrombophlebitis (tshwj xeeb tshaj yog rau ntawm ob txhais ceg). Kev phais mob yuav suav nrog ib lossis ntau yam ntawm cov txheej txheem hauv qab no:

• Kev phais mob ntshav txhaws: Qhov no ua tau los ntawm kev txiav me me kom tus kws phais thiaj li rho tau cov ntshav txhaws tawm ntawm cov leeg ntshav. Lwm txoj kev yog siv cov catheter los nqus cov ntshav txhaws tawm.
• Tshem cov leeg ntshav: Raws li lub npe qhia, qhov no suav nrog kev tshem tawm cov leeg ntshav uas muaj teeb meem. Hauv cov txheej txheem no, koj tus kws phais yuav ua ob peb qhov me me hauv thaj chaw uas raug mob. Nws yog los ntawm cov qhov txiav no uas nws tuaj yeem ncav cuag cov leeg ntshav uas puas lawm, txiav nws tawm ntawm koj lub cev ntshav, thiab tshem nws tawm.
• Kev Tshem Tawm Cov Ntshav: Qhov no kuj yog ib hom kev tshem tawm cov ntshav, tab sis nws siv ib txoj kev tshwj xeeb heev. Hauv kev tshem tawm cov ntshav, koj tus kws phais yuav ua ob peb qhov me me kom ncav cuag cov ntshav thiab txiav nws tawm ntawm lwm qhov ntawm lub cev ntshav. Tom qab ntawd lawv yuav siv ib txoj hlua me me los ntawm cov ntshav, thiab txuas nws kom nruj rau hauv cov ntshav, mus txog rau lwm qhov kawg. Thaum nws mus txog qhov kawg, lawv tuaj yeem rub txoj hlua, thiab cov ntshav yuav tawm los nrog nws (zoo li muab koj txhais tes tso rau hauv ib lub thom khwm thiab tig nws sab hauv tawm).
• Kev Kho Mob Ntshav: Qee zaum, cov ntshav tsis tuaj yeem ntws mus rau hauv cov hlab ntsha uas raug puas tsuaj los ntawm thrombophlebitis. Ib txoj hauv kev los pab yog coj ib daim hlab ntsha los ntawm lwm qhov chaw hauv lub cev thiab siv nws los tsim ib lub hlab ntsha tshiab - qhov no ua haujlwm zoo li kev kho mob ntshav ncig thaj chaw uas raug thaiv, ua rau cov ntshav ntws mus tau zoo.
• Kev kho mob sclerotherapy:Hauv qhov no, tus kws kho mob, feem ntau yog tus kws phais lossis lwm tus kws tshwj xeeb, txhaj tshuaj tshwj xeeb rau hauv cov leeg ntshav uas raug mob. Qhov no kaw cov leeg ntshav. Los ntawm kev kaw cov cheeb tsam uas muaj teeb meem, cov ntshav txhaws tuaj yeem tiv thaiv tau tag nrho kom tsis txhob rov tsim dua.
• Cov txheej txheem siv catheter: Cov kws kho mob siv tau cov txheej txheem no los nthuav qhov chaw nqaim ntawm cov leeg ntshav uas raug mob. Lawv kuj siv tau rau kev tshem tawm (cov txheej txheem uas siv cua sov los tsim cov nqaij caws pliav thiab tiv thaiv cov ntshav ntws mus rau qhov chaw muaj teeb meem).

Cov khoom siv compression uas hnav tau

Koj tus kws kho mob yuav qhia koj kom hnav cov khaub ncaws nruj lossis cov thom khwm nruj. Cov khoom no, xws li thom khwm, thom khwm, lossis cov ntaub qhwv, muab qhov siab tas li (tab sis maj mam) rau qee qhov ntawm koj lub cev. Qhov kev siab ntawd pab tiv thaiv cov ntshav txhaws tshiab kom tsis txhob tsim thiab txo qhov mob thiab o ntawm cov ntshav txhaws uas twb muaj lawm.

Kuv yuav tswj kuv cov tsos mob/saib xyuas kuv tus kheej li cas?

Feem ntau, cov kev kho mob uas tau hais los saum toj no tsis tsim nyog. Hauv cov xwm txheej zoo li no, koj tus kws kho mob yuav pom zoo cov kev kho mob txhawb nqa xws li:

• Cov Tshuaj Tua Kab Mob: Qhov no feem ntau suav nrog cov tshuaj tua kab mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj, xws li NSAIDs.
• Cov ntaub so sov: Tej yam xws li kev muab dej kub rau hauv kuj tuaj yeem pab txo qhov mob uas cuam tshuam nrog tus mob no.
• Kev Nce Siab: Yog tias thaj chaw raug mob yog nyob ntawm koj txhais caj npab, tshwj xeeb yog ceg, kev tsa tes / ceg ntawd tuaj yeem pab txo qhov o thiab mob.
• Cov qhov txhab siab: Raws li tau hais hauv cov kev kho mob yav dhau los, cov qhov txhab siab uas hnav tau tuaj yeem pab nrog cov tsos mob ntawm cov ntshav txhaws uas twb muaj lawm thiab tiv thaiv cov tshiab kom tsis txhob tsim.

Tom qab kho tas, kuv yuav zoo dua sai npaum li cas? Yuav siv sijhawm ntev npaum li cas kuv mam li rov zoo?

Qhov mob hnyav ntawm koj tus mob thiab kev kho mob uas koj tau txais yuav txiav txim siab seb nws yuav siv sijhawm ntev npaum li cas rau koj kom koj zoo dua thiab rov zoo. Feem ntau, thaum koj cov tsos mob raug kho, tshwj xeeb tshaj yog nrog cov tshuaj loog mob, koj yuav tsum pib zoo dua. Cov neeg feem coob rov zoo los ntawm thrombophlebitis hauv ob peb hnub, tab sis nws yuav siv sijhawm ntev dua me ntsis rau qee tus neeg (tshwj xeeb tshaj yog tias lawv muaj teeb meem, yog tias cov ntshav txhaws nyob hauv ib cheeb tsam tseem ceeb, lossis yog tias lawv tau phais).

Kuv yuav ua li cas thiaj tiv thaiv tau qhov no? Kuv yuav ua li cas thiaj txo tau qhov kev pheej hmoo?

Qhov tseem ceeb tshaj plaws los tiv thaiv kab mob thrombophlebitis yog paub tias koj muaj feem yuav mob ntshav txhaws. Yog tias koj paub qhov no, koj tus kws kho mob tuaj yeem sau ntawv rau koj noj cov tshuaj, xws li cov tshuaj ua kom ntshav nyias, los pab tiv thaiv kom cov ntshav txhaws tsis txhob loj hlob.

Tu siab kawg li, muaj ntau yam ua rau kev tiv thaiv nyuaj, yog tias tsis yog ua tsis tau. Ib qho laj thawj yog tias koj yuav tsis paub tias koj muaj mob (genetic lossis lwm yam) uas ua rau cov ntshav txhaws. Lwm qhov piv txwv yog tias cov ntshav txhaws yog ib qho teeb meem tsis tshua muaj ntawm lub neej niaj hnub, xws li cev xeeb tub.

Txawm li cas los xij, muaj tej yam uas koj ua tau los txo koj txoj kev pheej hmoo ntawm kev mob ntshav txhaws (thrombophlebitis). Qhov tseem ceeb tshaj plaws yog kom txo lossis tshem tawm tej yam uas koj tswj tau. Cov uas koj muaj feem cuam tshuam rau feem ntau yog:

• Siv luam yeeb: Tsum tsis txhob siv luam yeeb (xws li kev haus luam yeeb hluav taws xob lossis zom luam yeeb). Yog tias koj tsis siv luam yeeb, tsis txhob pib.
• Kev siv tshuaj txhaj rau hauv cov hlab ntsha: Yog tias koj yog tus siv tshuaj txhaj rau hauv cov hlab ntsha, kev tsum tsis txhob siv tshuaj yuav txo tau koj qhov kev pheej hmoo ntawm tus mob no. Yog tias koj txuas ntxiv siv tshuaj, koj tuaj yeem txo koj qhov kev pheej hmoo los ntawm tej yam xws li cov kev pab cuam pauv koob txhaj tshuaj, uas pab tiv thaiv kev kis kab mob los ntawm kev sib koom cov koob txhaj tshuaj qias neeg.
• Tsiv Mus Los: Yog tias koj zaum hauv ib qho chaw ntev, txawm tias thaum ua haujlwm lossis thaum koj so, sawv thiab txav mus los tuaj yeem ua qhov sib txawv loj. Yog tias koj caij tsheb ntev lossis caij dav hlau, koj tuaj yeem nrhiav txoj hauv kev los sawv thiab txav mus los.
• Noj koj cov tshuaj kom raug: Yog tias koj tus kws kho mob tau sau ntawv kom noj cov tshuaj uas ua rau cov ntshav nyias, nco ntsoov noj raws li qhia. Yog tias koj tsum tsis noj tam sim ntawd, koj yuav muaj feem yuav muaj ntshav txhaws (uas tuaj yeem ua rau mob thrombophlebitis) ntau ntxiv.
• Haus dej ntau: Haus dej ntau pab txo qhov kev pheej hmoo ntawm kev mob thrombophlebitis.
• Saib xyuas koj txoj kev noj qab haus huv: Ib txoj hauv kev zoo tshaj plaws los saib xyuas koj txoj kev noj qab haus huv thiab kev nyob zoo yog mus ntsib kws kho mob txhua xyoo (feem ntau hu ua kev mus ntsib kws kho mob lossis kev noj qab haus huv). Kev mus ntsib kws kho mob txhua xyoo no yog lub sijhawm zoo rau koj tus kws kho mob kom paub txog txhua yam teeb meem kev noj qab haus huv uas koj muaj yam tsis muaj tsos mob, suav nrog cov mob uas ua rau koj muaj feem yuav ntshav txhaws (thrombophlebitis). Yog tias koj muaj cov mob uas ua rau koj muaj feem yuav ntshav txhaws ntau ntxiv, tshwj xeeb tshaj yog cov teeb meem ntshav txhaws lossis mob qog noj ntshav, nug koj tus kws kho mob txog koj qhov kev txhawj xeeb txog cov mob no.
• Saib xyuas koj tus kheej: Noj zaub mov zoo, ua kom lub cev nquag (tsawg kawg 150 feeb ntawm kev tawm dag zog nruab nrab hauv ib lub lim tiam), thiab tswj kom muaj qhov hnyav noj qab haus huv yog qhov tseem ceeb. Cov no tuaj yeem pab txo koj txoj kev pheej hmoo ntawm kev muaj ntau yam mob hnyav, suav nrog thrombophlebitis.
• Hnav cov thom khwm nruj lossis cov thom khwm nruj: Koj tus kws kho mob yuav pom zoo kom hnav cov thom khwm nruj lossis cov thom khwm nruj kom pab tiv thaiv cov ntshav txhaws (thrombophlebitis).

Yog tias kuv muaj tus mob no, kuv yuav cia siab li cas?

Kab mob thrombophlebitis yog ib yam mob hnyav heev, tab sis feem ntau nws tsis ua rau muaj teeb meem ntawm nws tus kheej. Feem ntau nws yog ib qho cim qhia txog teeb meem ntshav txhaws. Cov teeb meem no tuaj yeem ua rau muaj mob hnyav dua, qee zaum ua rau tuag taus. Yog tias ntes tau thaum ntxov, thrombophlebitis kho tau, thiab cov teeb meem tsis tshua muaj. Txawm li cas los xij, qhov ntev dua qhov mob raug kuaj pom thiab kho, qhov ntau dua qhov kev pheej hmoo ntawm kev tsim teeb meem loj dua.

Qhov xwm txheej no yuav kav ntev npaum li cas?

Feem ntau cov mob thrombophlebitis yog ib qho mob luv luv xwb, tshwj xeeb tshaj yog tias kuaj pom thiab kho sai sai. Nws tsis tshua muaj mob ntev tshaj ob peb teev, vim tias yog koj mob ntev npaum li cas, qhov muaj feem yuav ua rau nws loj dua.

Qhov xwm txheej no yuav zoo li cas?

Ntawm nws tus kheej, thrombophlebitis feem ntau tsis txaus ntshai. Txawm li cas los xij, qhov muaj nws txhais tau tias koj muaj feem ntau dua los tsim lwm yam mob, xws li DVT lossis Pulmonary Embolism. Ob qho no yog xwm txheej ceev hauv kev kho mob. Koj tos ntev npaum li cas kom tau txais kev kho mob, qhov xwm txheej no yuav txaus ntshai dua. Kev ncua kev kho mob kuj ua rau muaj kev pheej hmoo ntawm cov teeb meem mus sij hawm ntev, xws li mob ntev hauv cov leeg ntshav lossis caws pliav (uas tuaj yeem txwv cov ntshav ntws).

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj muaj tej yam mob uas ua rau koj muaj feem yuav ntshav txhaws (thrombophlebitis), qhov zoo tshaj plaws uas koj ua tau yog tswj cov mob ntawd. Qhov no suav nrog:

• Mus ntsib koj tus kws kho mob tsis tu ncua.
• Noj koj cov tshuaj raws li koj tus kws kho mob qhia rau koj.
• Tsis txhob coj cwj pwm lossis tej xwm txheej uas yuav ua rau koj muaj kev pheej hmoo ntau ntxiv.

Thaum twg kuv yuav tsum nrog kuv tus kws kho mob tham lossis nrhiav kev kho mob?

Yog koj muaj tej yam tsos mob ntawm tus kab mob thrombophlebitis, koj yuav tsum nrog koj tus kws kho mob tham. Mus ntsib koj tus kws kho mob yog tias koj muaj keeb kwm ntawm tus kab mob thrombophlebitis (lossis lwm yam teeb meem ntshav txhaws, xws li DVT), thiab yog tias koj muaj tej yam tsos mob rov tshwm sim lossis mob hnyav zuj zus tuaj.

Mus rau tsev kho mob thaum muaj xwm txheej ceev!

Yog koj muaj tej yam tsos mob ntawm cov ntshav txhaws, koj yuav tsum mus rau tsev kho mob tam sim ntawd. Yog tias cov ntshav txhaws ntawd cuam tshuam rau koj txhais caj npab lossis ceg, cov tsos mob no feem ntau yog:

* Tes/ceg uas raug mob ntawd muaj xim tsis zoo (nws zoo li daj dua li qub).

* Yog tias daim tawv nqaij ntawm qhov chaw raug mob lossis ntawm caj npab/ceg txias dua thaum kov dua li daim tawv nqaij ntawm qhov chaw tsis raug mob.

* Yog tias koj muaj mob thrombophlebitis lossis lwm yam tsos mob ntawm cov ntshav txhaws uas zoo li nws txav mus los ntawm ib qho chaw mus rau lwm qhov. Qhov no tseem ceeb heev yog tias koj mob hauv siab lossis ua tsis taus pa, lossis lwm yam tsos mob ntawm cov ntshav txhaws uas tshwm sim nrog lossis tom qab ntawd. Qhov no yog pulmonary embolism.Qhov no tuaj yeem yog ib qho cim qhia txog kev mob ceev uas yuav ua rau tuag taus. Yog tias qhov no tshwm sim, koj yuav tsum hu rau 1990 (Suwa Seriya), lossis koj tus xov tooj xwm ceev hauv zos tam sim ntawd.

Kev piav qhia luv luv thiab tej yam yuav tsum nco ntsoov

Kab mob thrombophlebitis yog ib qho cim ceeb toom tseem ceeb ntawm tus mob hnyav dua. Txawm hais tias feem ntau nws tsis txaus ntshai rau nws tus kheej, koj yuav tsum mus ntsib kws kho mob kom paub seb koj puas muaj teeb meem. Qee cov tsos mob yuav tsum tau nrhiav kev kho mob thaum muaj xwm txheej ceev tam sim ntawd. Yog tias kuaj pom thiab kho sai sai, kab mob thrombophlebitis yuav tsis ua rau muaj teeb meem loj lossis cuam tshuam koj lub neej. Yog li ntawd, nws yog ib qho tseem ceeb kom paub txog cov tsos mob no. Yog tias koj xav tias koj muaj ib qho, tsis txhob yig mus ntsib kws kho mob.

Thrombophlebitis , ntshav txhaws, phlebitis, DVT, Pulmonary Embolism, mob ceg, o ntawm cov leeg ntshav