Kodi miyendo yanu ikusintha kukhala yabuluu ndipo ikupweteka kwambiri? Kodi ndi Phlegmasia Cerulea Dolens? Tiyeni tikambirane za izi!

Kodi mudamvapo za vuto lomwe magazi amaundana mkati mwa mtsempha mwendo kapena mkono wanu, zomwe zimapangitsa kuti ukhale wabuluu, kutupa, komanso kupweteka? Ili ndi vuto lalikulu, koma silofala kwambiri. Lero tikambirana za vuto ili lotchedwa `Phlegmasia Cerulea Dolens` . Musadandaule, ndikofunikira kudziwa za vutoli.

Kodi 'Phlegmasia Cerulea Dolens' iyi ndi chiyani?

Mwachidule, `Phlegmasia Cerulea Dolens` ndi matenda omwe magazi ambiri amaundana kapena magazi ambiri m'mitsempha yakuya ya thupi lathu, makamaka m'miyendo (ndipo nthawi zina m'manja) (yomwe imadziwikanso kuti `Deep Vein Thrombosis` kapena `DVT`), imayambitsa kutsekeka kwathunthu kwa mitsempha. Tangoganizirani kuti chitoliro cha madzi chatsekedwa ndi dothi lalikulu, zomwe zimapangitsa kuti madzi aziyenda m'malo moyenda.

Mtsempha ukatsekedwa chonchi, magazi samayenda bwino kudzera mmenemo. Magazi sangayende pansi ndikubwerera mmwamba. Nanga chimachitika n’chiyani? Magazi amasonkhana pamalo amenewo, zomwe zimapangitsa kuti mwendo utuluke. Kutupa kumeneku kumawonjezera kupanikizika mkati mwa mtsempha, zomwe zimaika kupanikizika pa mitsempha yomwe imanyamula mpweya. Kuli ngati siponji yonyowa kwambiri kuti isamwe madzi. Simungathe kuyika madzi ambiri mpaka mutafinya. Ndicho chimene chimachitika apa. Izi zimachepetsanso kuchuluka kwa mpweya womwe umafika m’minofu.

Chofunika kwambiri ndichakuti izi ndi zadzidzidzi zachipatala . Ngati sizipezeka ndi kuchiritsidwa mwachangu, mwendo ukhoza kuonongeka komanso kupha. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro izi.

Kodi vutoli ndi lofala bwanji?

Kwenikweni, `Phlegmasia Cerulea Dolens` ndi matenda osowa kwambiri . Izi zikutanthauza kuti, ndi chinthu chomwe sichimapezeka kawirikawiri. Madokotala ena amawona wodwala wotere kamodzi kapena kawiri kokha pantchito yawo yonse. Chifukwa chake, palibe ziwerengero zazikulu zokhudza izi.

Kodi zizindikiro za `Phlegmasia Cerulea Dolens` ndi ziti?

Dzinali limatanthauza "kutupa kwabuluu kowawa." Zimenezi zikufotokoza zizindikiro zake. Yang'anani chilichonse mwa izi pa mwendo kapena mkono wanu:

• Kusintha kwa mtundu wa khungu: Mtundu wofiira, wabuluu-wofiirira ungawonekere. Mtundu uwu ukhoza kufalikira mpaka mwendo wonse.
• Ululu waukulu: Sikuti ululu wamba wokha, komanso ululu waukulu womwe ndi wovuta kuupirira.
• Kutupa: Matenda otupa kwambiri omwe amamveka ovuta kuwakhudza.
• Matuza a pakhungu: Nthawi zina matuza odzaza ndi madzi (`matuza`) amatha kuwoneka.
• Kusanza kapena kunjenjemera: Kungamveke ngati kubaya kapena kunjenjemera.

Amanenanso kuti chifukwa cha kapangidwe ka kayendedwe ka magazi m'thupi lathu, vutoli limapezeka kwambiri mwendo wakumanzere .

Kodi ndi zifukwa ziti za `Phlegmasia Cerulea Dolens`?

Chifukwa chachikulu cha izi ndi magazi ambiri kuundana (Venous Thromboembolism).Izi nthawi zambiri zimachitika ngati vuto la `DVT` m'mwendo. Izi zikutanthauza kuti magazi amaundana m'mitsempha, amakula, ndipo amatseka dongosolo lonse la mitsempha.

Ndani amene ali pachiwopsezo chachikulu cha izi?

Zinthu zomwe zimayambitsa matenda a `Phlegmasia Cerulea Dolens` ndi zofanana ndi zinthu zomwe zimayambitsa magazi kuundana.

• Khansa: Ichi ndiye chinthu chachikulu komanso chofala kwambiri chomwe chimayambitsa matendawa.
• Opaleshoni: Pambuyo pa opaleshoni yaikulu.
• Kuvulala: Kuvulala kwambiri, makamaka miyendo.
• Mimba: Pa nthawi ya mimba komanso atabereka.
• Mapiritsi oletsa kubereka kapena mankhwala a mahomoni:
• Matenda a Kutupa kwa Matumbo (IBD):
• Body Mass Index (BMI) yoposa 30: Izi zikutanthauza kunenepa kwambiri.
• Matenda otsekeka magazi: Anthu ena amabadwa ndi chizolowezi choti magazi awo azitsekeka mosavuta.
• Kulephera kwa mitsempha yamagazi: Ma valve m'mitsempha sagwira ntchito bwino.
• Matenda a May-Thurner: Mtsempha wa mwendo wakumanzere umakanikizidwa ndi mtsempha wamagazi.
• Kulephera kwa mtima:
• Kukhala pamalo amodzi kwa nthawi yayitali/kukhala pabedi lokha ('Kulephera kuyenda'): Mwachitsanzo, ngati muyenera kukhala pabedi kwa masiku angapo mutachitidwa opaleshoni yayikulu.

Matendawa akuti amapezeka kwambiri mwa anthu azaka zapakati pa 40 ndi 50 .

Kodi ndi mavuto otani omwe angakhalepo chifukwa cha `Phlegmasia Cerulea Dolens`?

Uwu ndi vuto lalikulu ndipo mavuto akhoza kukhala aakulu.

Pafupifupi 50% ya anthu omwe ali ndi `Phlegmasia Cerulea Dolens` amatha kukhala ndi vuto lotchedwa `Gangrene`, lomwe ndi kufa kwa minofu . Ngati chilonda chikayamba, nthawi zina chingayambitse kudula mwendo kapena mkono.

Komanso, anthuwa amatha kukhala ndi vuto lotchedwa `Pulmonary Embolism`, lomwe ndi magazi oundana omwe amapita ku mapapo . Izi zimaikanso moyo pachiswe.

Kodi mungadziwe bwanji `Phlegmasia Cerulea Dolens`?

Ngati muli ndi zizindikiro izi, dokotala adzawunikanso mbiri yanu yachipatala ndikukuyesani. Angakufunseni mafunso monga:

• "Kodi zizindikirozi zinayamba liti?"
• "Kodi simungathe kuchita chiyani chifukwa cha izi?"
• "Kodi munalandirapo chithandizo cha matenda a mitsempha yamagazi kale?"
• "Kodi pali aliyense m'banja mwanu amene ali ndi vuto la magazi kuundana?"

Ndi mayeso amtundu wanji omwe adzachitike?

Kuti adziwe ngati muli ndi `Phlegmasia Cerulea Dolens`, dokotala wanu angachite mayeso otsatirawa:

• Kujambula kwa Ultrasound:Yang'anani ngati magazi aundana m'mitsempha ndi momwe magazi akuyendera.
• Kuyezetsa magazi: Yang'anani zizindikiro za magazi kuundana, momwe alili ndi matenda, ndi zina zotero.
• `Computed Tomography Angiogram (CT Angiogram):` Izi zitha kutenga zithunzi zatsatanetsatane za mitsempha.
• Magnetic Resonance Angiogram (MR Angiogram): Iyi ndi njira ina yopezera zithunzi za mitsempha.

Kodi mungachiritse bwanji `Phlegmasia Cerulea Dolens`?

Izi ndi zadzidzidzi, kotero chithandizo chiyenera kuyamba nthawi yomweyo.

Dokotala adzayamba wakweza mwendo wanu madigiri 60 pamwamba pa mtima wanu . Izi zimathandiza kuti magazi azituluka m'mitsempha ya mwendo wanu, kuyenda bwino kwa magazi, komanso kuchepetsa kutupa. Angakupatseninso madzi, kukulunga mwendo wanu wonse ndi bandeji yopondereza, ndikukupemphani kuti muyende pang'ono.

Kawirikawiri , pamodzi ndi mankhwala, pamafunikanso opaleshoni yachipatala . Ngati mwendo wanu uli ndi matuza kapena ukuwonetsa zizindikiro za gangore, zikutanthauza kuti mwendo wanu uli pachiwopsezo chachikulu. Madokotala amayesa kuchotsa magazi oundana mwachangu momwe angathere ndikuchiza Phlegmasia Cerulea Dolens gango lisanayambe.

Zolinga zazikulu za chithandizo ndi izi:

• Kuchotsa magazi oundana.
• Kutsegula mitsempha ndi kubwezeretsa kuyenda kwa magazi.
• Lekani kuti zinthu zisaipireipire.

Mankhwala ndi mankhwala enaake

Mankhwala otsatirawa angagwiritsidwe ntchito pa `Phlegmasia Cerulea Dolens`:

• Mankhwala oletsa magazi kuundana: Mwachitsanzo, mankhwala monga Heparin. Awa ndi mankhwala omwe amabayidwa m'mitsempha.
• `Thrombolysis`: Mu izi, chubu chopyapyala chotchedwa `catheter` chimadutsa m'mitsempha kupita kumalo komwe magazi amaundana, ndipo mankhwala amaperekedwa kudzera mmenemo kuti asungunule magazi oundana.
• `Thrombectomy`: Izi zimaphatikizapo kuchotsa magazi oundana kudzera mu kudula pang'ono kapena kudzera mu opaleshoni yayikulu (`open procedure`).
• Angioplasty ndi/kapena malo oika stent: Izi zimachitika kuti mitsempha yamagazi ikhale yotseguka mwa anthu omwe ali ndi matenda a May-Thurner.

Zovuta/zotsatira zoyipa za chithandizo

Opaleshoni yayikulu ('opaleshoni yotseguka') yochotsa magazi oundana ingayambitse mavuto monga:

• Mwayi wowonjezereka woti magazi ayambe kuundana kachiwiri.
• Kuwonongeka kwa mtsempha wamagazi.

Mankhwala oletsa magazi kutuluka magazi m'magazi ndi mankhwala oletsa magazi kutuluka magazi m'magazi amakhala ndi chiopsezo chotaya magazi . Popeza thrombolysis ingayambitse pulmonary embolism, madokotala nthawi zina angalimbikitse fyuluta ya inferior vena cava (IVC) kuti apewe vutoli.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Anthu ena angayambe kumva bwino pasanathe ola limodzi atayamba kumwa mankhwala oletsa magazi kuundana. Komabe, anthu ambiri samva bwino mpaka maola angapo atayamba kumwa mankhwalawo. Ngati vutoli silikuyenda bwino pasanathe maola 6-12, dokotala angakulangizeni kuti mugwiritse ntchito njira yowonjezerapo mankhwala.

Mukachitidwa opaleshoni yochotsa magazi oundana, mungazindikire kuti zinthu monga kutupa ndi kusintha kwa mtundu wa mwendo zidzatha msanga. Mungamve kusiyana nthawi yomweyo mukangochita opaleshoni .

Kodi `Phlegmasia Cerulea Dolens` ingapewedwe?

Inde, mpaka pamlingo winawake n'zotheka. Vutoli lingapewedwe mwa kupewa DVT (deep vein thrombosis) kapena mwa kuchiza DVT isanakule kukhala Phlegmasia Cerulea Dolens.

Kodi ndingayembekezere chiyani ngati ndili ndi `Phlegmasia Cerulea Dolens`?

`Phlegmasia Cerulea Dolens` ndi matenda omwe angayambitse kutaya mwendo kapena kupha munthu. Ndicho chifukwa chake madokotala amachitapo kanthu mwachangu ndikuyamba chithandizo kuti apewe matenda anu. Mungamve ngati akukufulumizitsani kuti akupatseni mankhwala kapena kukonzekera opaleshoni . Chifukwa chake, chithandizo chachangu ndiyo njira yabwino kwambiri yopezera zotsatira zabwino .

Muyenera kukhala m'chipatala kwa masiku angapo. Mungafunikenso kuyesedwanso kuti muwonetsetse kuti magazi onse oundana achoka.

Malingaliro a `Phlegmasia Cerulea Dolens`

Chiŵerengero cha kupambana kwa chithandizo cha thrombolysis ndi 85% mpaka 95%.

Komabe, ngati sichikuchiritsidwa, Phlegmasia Cerulea Dolens ingayambitse gangrene. Ngati gangrene yayamba, chiopsezo cha kudula chiwalo chimakhala pakati pa 20% ndi 50% . Ngati gangrene yayamba kapena ayi, chiopsezo cha imfa cha matendawa ndi pakati pa 20% ndi 40%.

Ngati sichinalandire chithandizo choyenera, `Phlegmasia Cerulea Dolens` ikhoza kubwereranso.

Ngakhale atalandira chithandizo mwachangu, anthu ambiri omwe ali ndi `Phlegmasia Cerulea Dolens` akhoza kukhala ndi mavuto ndi ma valve m'mitsempha yawo komanso matenda otchedwa `Post-thrombotic syndrome` mtsogolo.

Kodi ndimadzisamalira bwanji?

Mukalandira chithandizo choyamba, muyenera kupitiriza kumwa mankhwala ochepetsa magazi (anticoagulants) kuti vutoli lisabwererenso. Kutengera ndi vuto lanu, mungafunike kumwa mankhwala awa kwa miyezi ingapo kapena kuposerapo.

Ndiyenera kupita kwa dokotala liti?

Dokotala wanu ayenera kuyang'ana magazi anu nthawi zonse kuti atsimikizire kuti magazi anu akuundana bwino. Muyeneranso kupita kuchipatala nthawi zonse kuti akaone ngati pali vuto lililonse lomwe lingachitike mtsogolo.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Ngati muli ndi zizindikiro za `Phlegmasia Cerulea Dolens`, kapena ngati munakhalapo ndi zizindikiro kale ndipo tsopano mukuzionanso, funani upangiri wa dokotala nthawi yomweyo . Komanso, ngati mukupeza zizindikiro za magazi ena oundana kapena zizindikiro za `Pulmonary Embolism`, muyenera kupita kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa dokotala wanu mafunso monga:

• "Ndidzatenga mankhwala oletsa magazi kuundana kwa magazi nthawi yayitali bwanji?"
• "Ndiyenera kubwera kangati kuti ndikaone ngati ndili ndi vuto?"
• "N’chiyani chikanachititsa kuti 'DVT' yanga ichitike?"

Kodi kusiyana pakati pa `Phlegmasia Alba Dolens` ndi `Cerulea Dolens` ndi kotani?

`Phlegmasia Alba Dolens` ndi vuto lomwe limabwera chifukwa cha magazi kuundana. Komabe, sililetsa magazi kupita ku minofu yanu. Mawu akuti `alba` m'dzina lake amatanthauza `woyera`. Izi zikutanthauza kuti mwendo umakhala wotumbululuka. `Alba Dolens` ikhoza kuchitika `Phlegmasia Cerulea Dolens` isanayambe.

`Phlegmasia Cerulea Dolens` ndi matenda oopsa kwambiri. Amakhudza kuyenda kwa magazi. Kupita kwa magazi ku minofu komwe magazi amaundana kumasiya.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira kuchokera munkhaniyi!

Nthawi ndi yofunika kwambiri pankhani ya `Phlegmasia Cerulea Dolens`. Ngati inu kapena wokondedwa wanu muli ndi zizindikiro izi, musazengereze kupita kuchipatala nthawi yomweyo. Chithandizo chachangu n'chofunikira kuti mupulumutse mwendo, ndipo mwina moyo.

Nthawi zina mungamachite mantha madokotala akapanga zisankho mwachangu ndikuchitapo kanthu mwachangu. Koma onse akuchita izi kuti akuthandizeni. Ngati pali china chake chomwe simukumvetsa, musaope kufunsa mafunso. Kudziwitsidwa ndiye njira yabwino kwambiri yopezera chitetezo.

` Phlegmasia Cerulea Dolens, DVT, Kuundana kwa Magazi, Kutupa kwa Miyendo, Kutsekeka kwa Mitsempha, Chilonda cha Gangrene, Kutsekeka kwa Mapapo