Kodi mwakhala ndi magazi oundana m'mitsempha yanu, zomwe zimapangitsa kupweteka ndi kutupa? Tiyeni tikambirane za matenda a Thrombophlebitis!

Kodi munamvapo ululu wachilendo kapena kutupa m'mitsempha ya mwendo kapena mkono wanu? Nthawi zina malowo amakhala ofiira komanso ofunda mukawakhudza. Ngati mwakumanapo ndi vuto lotere, mwina muli ndi vuto lotchedwa thrombophlebitis. Musadandaule, tiyeni tikambirane mwachidule.

Kodi matenda a Thrombophlebitis ndi chiyani? Mwachidule...

Mwachidule, thrombophlebitis ndi kutupa kwa mtsempha (phlebitis) komwe kumachitika chifukwa cha magazi kuundana (thrombus) omwe amapangika mumtsempha wanu. Ichi chimatchedwa "thrombophleb-itis."

Ngati tifotokoza tanthauzo la izi:

• "Thrombo-" amatanthauza magazi kuundana. Uwu ndi magazi kuundana omwe amapangika mkati mwa mtsempha.
• "-phleb-" amatanthauza mtsempha, kutanthauza chinthu chogwirizana ndi mitsempha.
• "-itis" amatanthauza kutupa, kutanthauza kutupa, kufiira, kupweteka, ndi zina zotero.

Choncho zinthu zonsezi zikachitika, pamakhala vuto lotchedwa thrombophlebitis. Ngakhale kuti limapezeka kwambiri m'mitsempha ya miyendo, limatha kuchitika m'mitsempha iliyonse m'thupi.

Kodi vutoli limayamba bwanji? Kodi ndi magazi oundana poyamba? Kapena ndi kutupa?

Izi zili ngati funso lakuti "nkhuku inayamba, kapena dzira linayamba". Pali njira ziwiri zomwe thrombophlebitis ingachitikire:

1. Kuundana kwa magazi poyamba, kenako kutupa: Chomwe chimachitika apa ndichakuti magazi amaundana mkati mwa mtsempha, zomwe zimayambitsa kusasangalala ndi kuyabwa pakhoma la mtsempha. Ichi ndichifukwa chake mtsempha umatupa, kufiira, komanso kupweteka.

2. Kutupa kumayamba, kenako magazi amaundana: Nthawi zina, mkati mwa mtsempha (womwe timautcha kuti 'Phlebitis' mu mankhwala) ukhoza kutupa ndi kutupa chifukwa cha matenda kapena chifukwa china. Kenako, pali mwayi waukulu kuti magazi amaundana adzamamatira pamalo otupawo ndikumangika.

Matenda a thrombophlebitis nthawi zambiri amapezeka m'malo ena. Izi zikutanthauza kuti amatha kuchitika mumtsempha umodzi kapena m'mitsempha ingapo. Komabe, akhoza kukhala oopsa ngati afalikira. Kutengera ndi komwe magazi amaundana, nthawi zina amatha kubweretsa vuto lalikulu lotchedwa deep vein thrombosis (DVT) kapena vuto loopsa lotchedwa pulmonary embolism (Pulmonary Embolism) .

Kodi (Thrombosis) ndi (Thrombophlebitis) ndi zinthu zosiyana?

Inde, ngakhale pali mgwirizano pakati pa ziwirizi, sizili zofanana. Kutupa kwa magazi ndi kupangika kwa magazi mkati mwa mitsempha yanu imodzi yamagazi. Izi zikutanthauza kuti, Kutupa kwa magazi ndi njira yofanana yomwe nthawi zina (koma osati nthawi zonse) imachitika ndi Kutupa kwa magazi. Mu Kutupa kwa magazi, payenera kukhala kutupa kwa mitsempha pamodzi ndi magazi kuundana.

Kodi pali mitundu yosiyanasiyana ya thrombophlebitis?

Inde, thrombophlebitis imatha kuchitika m'mitsempha iliyonse m'thupi lanu. Komabe, pali mitundu ingapo yapadera yomwe imatchulidwa kutengera chomwe chayambitsa komanso komwe chachitikira vutoli. Tiyeni tiwone zina mwa izo:

Kutsekeka kwa Mitsempha Yakuya (DVT)

Uwu ndi mtundu wofala kwambiri wa magazi omwe anthu ambiri adamvapo, ndipo ndi woopsa pang'ono. Kutsekeka kwa mitsempha yakuya (DVT) ndi magazi omwe amaundana omwe amapangika mumtsempha waukulu, wozama m'thupi lanu (nthawi zambiri m'miyendo yanu). Izi ndi zadzidzidzi zachipatala. Ngati magazi amaundana n'kukakamira mumtsempha m'mapapu anu, zingayambitse matenda oopsa otchedwa pulmonary embolism .

Kutupa kwa Thupi (Expcial Thrombophlebitis)

Izi zimachitika m'mitsempha yaying'ono m'manja kapena miyendo yanu yomwe ili pafupi ndi khungu. Sizili zoopsa ngati matenda a deep vein thrombosis (DVT). Komabe, zitha kukhala chizindikiro chakuti mwina muli ndi matenda a deep vein thrombosis (DVT). Zingayambitsenso matenda ena aakulu.

Kusamuka kwa Thrombophlebitis

Monga momwe dzinalo likusonyezera, apa ndi pamene magazi oundana ndi kutupa kwake "zimasamuka" kuchokera ku mtsempha umodzi kupita ku wina, zomwe zikutanthauza kuti zimasuntha. Nthawi zina, magazi oundana angapo amatha kupangika m'mitsempha yambiri nthawi imodzi. Pankhaniyi, pali chiopsezo chachikulu cha magazi kuundana m'mitsempha yaying'ono kupita ku mtsempha waukulu, zomwe zimayambitsa vuto loopsa lotchedwa pulmonary embolism.

Matenda a Thrombophlebitis a Septic

Pankhaniyi, vutoli (Thrombophlebitis) limayamba chifukwa cha matenda, kapena (Thrombophlebitis) limayambitsa matenda. Matenda otere akachitika, amatha kubweretsa matenda aakulu. Zitsanzo zina ndi izi:

• (Lemierre syndrome): Izi zimachitika pamene matenda a m'mapapo apamwamba afalikira ku mtsempha waukulu m'khosi (mtsempha wa jugular).
• (Pylephlebitis): Pachifukwa ichi, mitsempha yomwe imanyamula magazi kuchokera m'mimba mwanu kupita ku chiwindi (mitsempha ya portal) imatupa ndipo imadwala.
• Kutsekeka kwa magazi m'thupi: Kutsekeka kwa magazi m'thupi (septic clot) komwe kwachitika kumatha kuchoka pamalo pomwe kunapangidwira ndikukhazikika m'thupi lina. Izi zitha kufalitsa matenda oyamba, kutseka mitsempha imodzi kapena zingapo zamagazi, kapena zonse ziwiri.

Matenda a Septic thrombophlebitis ndi matenda oopsa kwambiri chifukwa amatanthauza kuti matenda afalikira m'thupi lonse. Angayambitse matenda otchedwa sepsis , pomwe chitetezo cha mthupi chanu chimayankha mopitirira muyeso matenda. Sepsis ndi matenda oopsa omwe amapha munthu. Amafunika kudziwitsidwa mwachangu ndi kulandira chithandizo.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Chiwopsezo cha magazi kuundana chingachitike pa msinkhu uliwonse, makamaka kwa anthu omwe ali ndi matenda enaake kapena zinthu zina zomwe amachita pa moyo wawo. Komabe, chiopsezo chotenga matendawa (thrombophlebitis) chimawonjezeka pang'onopang'ono mutakwanitsa zaka 45. Chiwopsezochi chimawonjezeka kwambiri mukamakula.

Kodi vutoli ndi lofala bwanji?

Kutengera mtundu wa thrombophlebitis, vutoli likhoza kukhala losowa kwambiri mpaka lofala kwambiri. Chitsanzo chodziwika bwino cha izi ndi deep vein thrombosis (DVT). Ku United States kokha, pali milandu pafupifupi 900,000 ya DVT chaka chilichonse, ndipo pakati pa 60,000 ndi 100,000 amafa chaka chilichonse. Vutoli si lachilendo ku Sri Lanka.

Kodi zizindikiro za izi ndi ziti?

Pali zizindikiro zingapo zomwe nthawi zambiri zimawoneka ngati thrombophlebitis:

• Kutupa: Izi zitha kuchitika mwadzidzidzi. Kutupa kumeneku kumawonekera kwambiri m'mitsempha yomwe ili pafupi ndi khungu. Pa milandu yoopsa, ngakhale mitsempha yomwe imayenda mkati mwa thupi imatha kutupa kwambiri. Ngati pali magazi ambiri oundana, madera awa amatha kuwoneka ngati ziphuphu. Ngati izi zimachitika m'dzanja kapena mwendo, n'zotheka, ngakhale kuti sizichitika kawirikawiri, kuti gawo la pansi la mkono/mwendowo litupanso.
• Kusintha kwa momwe mitsempha imamvera: Mukakhudza mtsempha womwe watsekedwa ndi magazi oundana kapena wotupa, umamveka wokhuthala komanso wolimba kuposa mtsempha wamba. Izi zitha kuchitika mumtsempha umodzi kapena m'mitsempha ingapo yomwe ili pafupi ndi magazi oundana.
• Ululu kapena kuuma: Matenda a Thrombophlebitis nthawi zambiri amakhala opweteka. Malo ozungulira ndi pamwamba pa magazi oundana akhoza kukhala ofewa kukhudza, opweteka kukanikiza, kapena opweteka pang'ono. Ngati magazi oundana ndi aakulu, m'mitsempha yaying'ono, kapena ngati magazi oundana ambiri, ululuwo ukhoza kukhala woopsa. Anthu ambiri amafotokoza ululuwo ngati "kupweteka chifukwa cha nseru ."

Kuwonjezera pa izi, zizindikiro zina zomwe nthawi zina, koma osati nthawi zonse, zimawonekera ndi izi:

• Kusintha kwa mtundu wa khungu pamalo otupa: Khungu lomwe lili pafupi ndi magazi lingawoneke lofiira kapena lakuda kuposa khungu lozungulira. Lingawoneke ngati kufiira mozungulira bala kapena bala. Izi zimachitika kawirikawiri pamene magazi amaundana m'mitsempha yapafupi ndi khungu. Komabe, zimathanso kuchitika ndi magazi ambiri oundana m'mitsempha yakuya kapena pamene mitsempha yatsekeka kwambiri.
• Kumva kutentha: Mukakhudza malo oundana magazi, kapena malo ozungulira, kungamveke kutentha kuposa malo omwe ali kutali.

Kodi n’chiyani chimayambitsa vutoli?

Matenda a thrombophlebitis angayambitsidwe ndi zinthu zosiyanasiyana. Izi zingayambitse magazi kuundana, kapena kuwonjezera chiopsezo cha magazi kuundana:

• Matenda a majini (obadwa nawo): Kusintha (kusintha kwa majini) mu DNA yanu kungapangitse magazi anu kuundana mosavuta. Anthu ena amalandira kusintha kumeneku kuchokera kwa makolo awo. Ngakhale kuti matenda a majini amenewa amatha kuchiritsidwa, ndi a moyo wonse ndipo sangachiritsidwe.
• Mitsempha ya Varicose: Ngati muli ndi mitsempha ya varicose, yomwe ndi yabuluu, yofanana ndi kangaude m'miyendo yanu, muli pachiwopsezo chachikulu chotenga thrombophlebitis m'derali.
• Kuvulala: Kuvulala kwa mitsempha kapena pafupi ndi mitsempha kungayambitse kutupa, komwe kungayambitse magazi kuundana. Mwachitsanzo, ngati mutagwa ndikuvulala kwambiri mwendo wanu, mtsempha m'dera limenelo ukhoza kuwonongeka ndipo vutoli likhoza kuchitika.
• Mankhwala ndi mankhwala: Mizere ya m'mitsempha (IV) ndi ma catheter (machubu omwe amapereka mankhwala ndi madzi kudzera mumtsempha) angayambitse magazi kuundana (thrombophlebitis). Mankhwala ena a mahomoni (kuphatikizapo mitundu ina ya mapiritsi oletsa kubereka) angapangitsenso kuti magazi kuundana.
• Kugwiritsa ntchito mankhwala m'mitsempha ya m'magazi: Ngati mukugwiritsa ntchito mankhwala osokoneza bongo, muli pachiwopsezo chachikulu cha thrombophlebitis. Izi zili choncho chifukwa singano zodetsedwa kapena zosagwiritsidwa ntchito bwino zingayambitse matenda oopsa. Matendawa angayambitse kutupa ndi vutoli.
• Kusayenda: Anthu omwe amakhala pamalo amodzi kwa nthawi yayitali, mwachitsanzo, omwe amagwira ntchito muofesi kapena amagwiritsa ntchito kompyuta, akhoza kukhala ndi vuto la kuyenda bwino kwa magazi. Izi zimawonjezera chiopsezo cha magazi kuundana. Izi zitha kuchitika kwa anthu omwe amakwera ndege zazitali, kapena omwe amayenda mgalimoto kapena galimoto ina kwa nthawi yayitali. Taganizirani izi, monga mukayenda ndi basi kuchokera ku Colombo kupita ku Jaffna.
• Matenda ena kapena zochitika zina zomwe zingakhudze magazi kuundana: Pali zinthu zosiyanasiyana zomwe zingachititse kuti magazi aziundana, monga khansa, kunenepa kwambiri, matenda odziteteza ku matenda otchedwa lupus , ndi matenda ena a magazi. Anthu omwe amakhala pabedi kapena omwe sangathe kuyenda chifukwa cha matenda monga ziwalo zopuwala nawonso ali pachiwopsezo chachikulu. Kusuta fodya ndi chinthu chomwe chimayambitsa matenda a moyo. Komanso, ngati mulibe madzi okwanira m'thupi, chiopsezo chanu chimawonjezeka.
• Mimba kapena nthawi yochepa atangobereka: Chiwopsezo cha magazi kuundana chingachuluke panthawi ya mimba pazifukwa zosiyanasiyana. Chiwopsezo chimenecho sichimatha nthawi yomweyo mwana akangobadwa.

Kodi iyi ndi matenda opatsirana?

Ngakhale nthawi zina amayamba chifukwa cha matenda, thrombophlebitis si matenda opatsirana. Izi zimagwiranso ntchito pa matenda a majini. Izi zikutanthauza kuti, matenda amenewa, omwe amapatsirana kuchokera kwa makolo kupita kwa ana (DNA), samayambitsa thrombophlebitis mwachindunji, koma angayambitse mavuto okhudza magazi kuundana, zomwe zingayambitse vutoli.

Kodi madokotala amazindikira bwanji izi?

Madokotala nthawi zambiri amazindikira matenda a thrombophlebitis kuchipatala, makamaka m'chipinda chodzidzimutsa. Izi zili choncho chifukwa thrombophlebitis imagwirizana kwambiri ndi matenda oopsa komanso oopsa monga DVT.

Dokotala wanu adzazindikira matenda a thrombophlebitis pogwiritsa ntchito mayeso akuthupi, mayeso ojambula zithunzi, ndi mayeso a labu.Ndikofunikira kuphatikiza njira zosiyanasiyanazi, chifukwa kufufuza thupi kokha sikungathe kuzindikira thrombophlebitis. Palinso matenda ena ambiri omwe ali ndi zizindikiro zofanana, ena mwa iwo ndi owopsa kwambiri. Chifukwa chake, mayeso ojambula zithunzi ndi mayeso a labotale ndi othandiza kwambiri, ndipo nthawi zina amafunikira, kuti apewe mavuto aakulu.

Ndi mayeso ati omwe amachitidwa kuti adziwe vutoli?

Pofufuza matenda otchedwa thrombophlebitis, madokotala angachite mayeso osiyanasiyana. Ena mwa mayesowa ndi awa:

• Kuwunika thupi: Pano, dokotala adzayang'ana zizindikiro zilizonse zooneka za thrombophlebitis, makamaka kutupa kapena kusintha kwa mtundu wa khungu. Nthawi zambiri adzakhudza malo omwe akhudzidwa. Izi zingathandize kuzindikira zizindikiro zomwe sizikuwoneka mosavuta koma zomwe zingamveke. Angagwiritsenso ntchito stethoscope kuti amvetsere kugunda kwa mtima wanu, makamaka m'miyendo kapena m'mapazi.
• Mayeso a mu labotale: Mayeso osiyanasiyana a mu labotale angathandize kuzindikira matenda a thrombophlebitis, monga kuwunika momwe magazi anu amaundana, kufunafuna umboni wa magazi omwe alipo kale, kapena kufunafuna zizindikiro za matenda.
• Mayeso ojambulira: Njira yofunika kwambiri yodziwira matenda a thrombophlebitis ndikuwona magazi omwe akuyambitsa magazi kuundana. Ultrasound (yomwe imagwiritsa ntchito mafunde amphamvu, ofanana ndi sonar) ndi mayeso ofala omwe nthawi zambiri amachitidwa kuti adziwe matenda omwe magazi kuundana akutseka mtsempha. Ma X-ray (omwe amagwiritsa ntchito madzi apadera kuti kutsekako kuwonekere bwino) amachitidwanso nthawi zambiri.

Nthawi zina, matenda otchedwa migratory thrombophlebitis omwe atchulidwa pamwambapa akhoza kukhala chizindikiro cha mitundu ina ya khansa, makamaka khansa ya m'mimba. Chifukwa chake, madokotala amathanso kuchita mayeso kuti aone khansa yotereyi.

Kodi vutoli lingachiritsidwe bwanji? Kodi lingachiritsidwe?

Pankhani ya thrombophlebitis yomwe imayambitsidwa ndi catheter ya IV, kuchotsa catheter nthawi zambiri kumakhala gawo loyamba. Mankhwala ena nthawi zambiri amakhala motere:

Mankhwala

Pali mitundu yosiyanasiyana ya mankhwala omwe angathandize kuchepetsa zizindikiro za thrombophlebitis ndikusungunula magazi omwe amaundana. Mankhwalawa ndi awa:

• Mankhwala Ochepetsa Ululu: Popeza thrombophlebitis imatha kukhala yopweteka kwambiri, kuchepetsa ululu nthawi zambiri kumakhala chinthu chofunikira kwambiri. Izi nthawi zambiri zimachitika ndi mankhwala ochepetsa ululu ochepa monga acetaminophen (monga Panadol®, Tylenol®), kapena mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) (monga Ibuprofen, Naproxen). Ngati ululuwo ndi woopsa, dokotala wanu angakulembereni mankhwala amphamvu ochepetsa ululu.
• Mankhwala ochepetsa magazi / Oletsa magazi kutuluka magazi:Matenda a Thrombophlebitis amatanthauza kuti pali magazi oundana kamodzi kapena kuposerapo. Komabe, ngati alipo, pali chiopsezo chowonjezereka chopanga magazi ambiri. Pofuna kupewa magazi oundana ambiri kuti asapangike, makamaka magazi oundana omwe amaika moyo pachiswe monga pulmonary embolism, madokotala nthawi zambiri amakupatsirani mankhwala ochepetsa magazi. Komabe, ngati magazi oundana ali mumtsempha waung'ono, simungafunike kuthandizidwa ndi mankhwala ochepetsa magazi.
• Mankhwala Ochepetsa Kutupa kwa Magazi: Amatchedwanso "mankhwala Ochotsa Magazi Ozungulira." Mankhwalawa amasungunula magazi omwe aundana kale. Angaperekedwe kudzera mu IV, kapena angaperekedwe mwachindunji ku magazi ozungulira pogwiritsa ntchito ma catheter omwe amaikidwa m'mitsempha yanu.
• Mankhwala Opha Majeremusi: Ngati vuto (thrombophlebitis) likugwirizana ndi matenda, mankhwala opha majeremusi ndi ofunikira. Mankhwala opha majeremusi amatha kuletsa matenda kufalikira m'thupi lonse (sepsis).

Opaleshoni, pogwiritsa ntchito catheter, kapena njira zina

Nthawi zina, opaleshoni ingakhale njira yabwino kwambiri yochiritsira vuto lalikulu la thrombophlebitis (makamaka m'miyendo). Opaleshoni ingaphatikizepo njira imodzi kapena zingapo zotsatirazi:

• Kuchotsa magazi m'mitsempha pogwiritsa ntchito makina: Izi zitha kuchitika podula pang'ono kuti dokotala wa opaleshoni athe kuchotsa magazi m'mitsempha. Njira ina ndikugwiritsa ntchito ma catheter kuti achotse magazi m'mitsempha.
• Kuchotsa mitsempha: Monga momwe dzinalo likusonyezera, izi zimaphatikizapo kuchotsa mitsempha yomwe ili ndi vuto. Mu njira iyi, dokotala wanu adzaduladula ming'alu ingapo m'dera lomwe lakhudzidwa. Ndi kudzera m'mabala amenewa kuti athe kufikira mtsempha wowonongeka, kuwuchotsa m'dongosolo lanu la magazi, ndikuwuchotsa.
• Kuchotsa mitsempha: Iyi ndi njira yochotsera mitsempha, koma imagwiritsa ntchito njira yapadera kwambiri. Pochotsa mitsempha, dokotala wanu amapanga mabala ang'onoang'ono kuti afike pa mitsempha yomwe ikukambidwa ndikuichotsa ku dongosolo lonse la magazi. Kenako amalumikiza waya waung'ono kudzera mu mitsempha, ndikuulumikiza mwamphamvu mu mitsempha, mpaka kumapeto ena. Ikafika kumapeto, amatha kukoka waya, ndipo mitsempha imatuluka nayo (monga momwe zimakhalira kuyika dzanja lanu mu sokisi ndikulitembenuza mkati).
• Kudutsa: Nthawi zina, magazi sangayende bwino kudzera m'mitsempha yomwe yawonongeka ndi thrombophlebitis. Njira imodzi yothandizira ndikutenga chidutswa cha mtsempha wamagazi kuchokera kwina m'thupi ndikuchigwiritsa ntchito kupanga mtsempha watsopano wodutsa - izi zimagwira ntchito ngati njira yodutsa m'dera lomwe latsekedwa, zomwe zimathandiza kuti magazi ayende bwino.
• Chithandizo cha sclerotherapy:Pankhaniyi, dokotala, nthawi zambiri dokotala wa opaleshoni kapena katswiri wina, amabaya mankhwala apadera mu mtsempha womwe wakhudzidwa. Izi zimatseka mtsempha. Mwa kutseka madera omwe ali ndi vuto, magazi amaundana amatha kupewedwa kwathunthu kuti asapangidwenso.
• Njira zogwiritsira ntchito catheter: Madokotala angagwiritse ntchito njirazi kuti akulitse malo ochepa mu mtsempha wokhudzidwa. Angagwiritsenso ntchito pochotsa (njira zomwe zimagwiritsa ntchito kutentha kuti apange minofu ya zipsera mwadala ndikuletsa magazi kupita kudera lomwe lakhudzidwa).

Zinthu zovalidwa zopanikizidwa

Dokotala wanu angakuuzeni kuti muvale zovala zolimbitsa thupi kapena masokisi olimbitsa thupi. Zinthu izi, monga masokosi, masokisi, kapena mabandeji, zimapangitsa kuti ziwalo zina za thupi lanu zisamavutike (koma pang'ono). Kupanikizika kumeneko kumathandiza kupewa magazi kuundana atsopano ndikuchepetsa ululu ndi kutupa chifukwa cha magazi kuundana omwe alipo kale.

Kodi ndingathe bwanji kuthana ndi zizindikiro zanga/kudzisamalira ndekha?

Nthawi zambiri, mankhwala omwe atchulidwa pamwambapa safunika. Pazochitika zotere, dokotala wanu angakulangizeni mankhwala othandizira monga:

• Mankhwala ochepetsa ululu: Izi nthawi zambiri zimaphatikizapo mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala, monga NSAIDs.
• Kutenthetsa thupi: Zinthu monga kuviika m'madzi otentha zingathandizenso kuchepetsa ululu wokhudzana ndi vutoli.
• Kukwera: Ngati malo okhudzidwawo ali pa mkono wanu, makamaka mwendo, kukweza mkono/mwendowo kungathandize kuchepetsa kutupa ndi ululu.
• Zilonda za kupanikizika: Monga tafotokozera kale, zilonda za kupanikizika zomwe zingavalidwe zingathandize kuchepetsa zizindikiro za magazi omwe alipo kale ndikuletsa zatsopano kuti zisapangidwe.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire?

Kuopsa kwa vuto lanu komanso chithandizo chomwe mumalandira zidzatsimikizira nthawi yomwe imatenga kuti mumve bwino ndikuchira. Kawirikawiri, pamene zizindikiro zanu zikuchiritsidwa, makamaka ndi mankhwala opweteka, muyenera kuyamba kumva bwino. Anthu ambiri amachira matenda a thrombophlebitis patatha masiku ochepa, koma zingatenge nthawi yayitali kwa anthu ena (makamaka ngati anali ndi mavuto, ngati magazi oundana anali m'dera lalikulu, kapena ngati adachitidwa opaleshoni).

Kodi ndingapewe bwanji izi? Ndingachepetse bwanji chiopsezo?

Chofunika kwambiri popewa matenda a thrombophlebitis ndikudziwa kuti muli pachiwopsezo chopanga magazi kuundana. Ngati mukudziwa izi, dokotala wanu akhoza kukupatsani mankhwala, monga ochepetsa magazi, kuti athandize kuletsa magazi kuundana kuti asapangike poyamba.

Mwatsoka, pali zinthu zambiri zomwe zingachititse kuti kupewa kukhale kovuta, ngati si kotheka. Chifukwa chimodzi ndichakuti simungadziwe kuti muli ndi vuto la thanzi (lomwe limayambitsidwa ndi majini kapena lina) lomwe limayambitsa magazi kuundana. Chitsanzo china ndi chakuti magazi kuundana ndi vuto losowa kwambiri la moyo wamba, monga mimba.

Komabe, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu chokhala ndi magazi ambiri (thrombophlebitis). Chofunika kwambiri ndikuchepetsa kapena kuchotsa zinthu zilizonse zomwe zingakuchititseni mantha. Zomwe mungakhudze kwambiri ndi izi:

• Kugwiritsa ntchito fodya: Siyani kugwiritsa ntchito fodya (kuphatikizapo kusuta fodya wa vape kapena kutafuna fodya). Ngati simugwiritsa ntchito fodya, musayambe.
• Kugwiritsa ntchito mankhwala m'mitsempha: Ngati mumagwiritsa ntchito mankhwala m'mitsempha, kusiya kugwiritsa ntchito mankhwala kungachepetse kwambiri chiopsezo chanu cha vutoli. Ngati mupitiliza kugwiritsa ntchito mankhwala, mutha kuchepetsa chiopsezo chanu kudzera muzinthu monga mapulogalamu osinthira singano, zomwe zimathandiza kupewa matenda kuti asagawane singano zodetsedwa.
• Kuyendayenda: Ngati mutakhala pamalo amodzi kwa nthawi yayitali, kaya kuntchito kapena panthawi yopuma, kudzuka ndi kuyenda kungathandize kwambiri. Ngati muli paulendo wautali wa galimoto kapena ndege, mutha kupezanso njira zodzukira ndi kuyenda.
• Imwani mankhwala anu moyenera: Ngati dokotala wanu wakupatsani mankhwala ochepetsa magazi, onetsetsani kuti mwawamwa monga momwe mwalangizidwira. Ngati musiya kumwa mwadzidzidzi, chiopsezo chanu chokhala ndi magazi kuundana (zomwe zingayambitse thrombophlebitis) chimawonjezeka kwambiri.
• Imwani madzi ambiri: Kumwa madzi ambiri kumathandiza kuchepetsa chiopsezo cha matenda a thrombophlebitis.
• Yang'anirani thanzi lanu: Njira imodzi yabwino kwambiri yosamalira thanzi lanu ndikukhala ndi nthawi yokumana ndi dokotala chaka chilichonse (nthawi zambiri imatchedwa ulendo wa thupi kapena thanzi labwino). Ulendo wa pachaka uwu ndi mwayi wabwino kwa dokotala wanu kuti adziwe mavuto aliwonse azaumoyo omwe mungakhale nawo popanda zizindikiro zilizonse, kuphatikizapo matenda omwe amawonjezera chiopsezo chanu cha magazi kuundana (thrombophlebitis). Ngati muli ndi matenda omwe amawonjezera chiopsezo chanu, makamaka matenda otsekeka magazi kapena khansa, funsani dokotala wanu za nkhawa zanu za vutoli.
• Dzisamalireni: Kudya zakudya zabwino, kukhala wochita masewera olimbitsa thupi (osachepera mphindi 150 pa sabata), komanso kukhala ndi thupi labwino ndizofunikira kwambiri. Izi zingakuthandizeni kuchepetsa chiopsezo chanu chokhala ndi matenda ambiri oopsa, kuphatikizapo thrombophlebitis.
• Valani masokisi okakamiza kapena masokisi okakamiza: Dokotala wanu angakulangizeni masokisi okakamiza kapena masokisi okakamiza kuti mupewe magazi kuundana (thrombophlebitis).

Kodi ndingayembekezere chiyani ngati ndili ndi vutoli?

Matenda a Thrombophlebitis ndi matenda oopsa, koma nthawi zambiri samayambitsa mavuto okha. Nthawi zambiri amakhala chizindikiro cha mavuto okhudza magazi kuundana. Mavutowa angayambitse matenda aakulu, nthawi zina oopsa. Ngati apezeka msanga, matenda a thrombophlebitis amatha kuchiritsidwa, ndipo mavutowo sachitika kawirikawiri. Komabe, matendawa akapezeka nthawi yayitali ndikuchiritsidwa, chiopsezo chokhala ndi mavuto aakulu chimakula.

Kodi vutoli lidzatha liti?

Matenda a thrombophlebitis nthawi zambiri amakhala a kanthawi kochepa, makamaka ngati munthu wapezeka ndi matenda ndi kulandira chithandizo mwachangu. Sizimachitika kawirikawiri kuti azitha kupitirira maola angapo, chifukwa munthu akamakhala ndi matendawa kwa nthawi yayitali, chiopsezo chake chimakhala chachikulu.

Kodi chiyembekezo cha vutoli n'chiyani?

Payokha, thrombophlebitis nthawi zambiri si yoopsa. Komabe, kukhala nayo kumatanthauza kuti muli pachiwopsezo chachikulu chotenga matenda ena, monga DVT kapena Pulmonary Embolism. Zonsezi ndi zadzidzidzi zachipatala. Mukadikira nthawi yayitali kuti mupeze chithandizo, vutoli limakhala loopsa kwambiri. Kuchedwetsa chithandizo kumawonjezeranso chiopsezo cha mavuto a nthawi yayitali, monga kupweteka kosatha m'mitsempha yokhudzidwa kapena zipsera (zomwe zingalepheretse kuyenda kwa magazi).

Kodi ndimadzisamalira bwanji?

Ngati muli ndi matenda omwe amawonjezera chiopsezo cha magazi kuundana (thrombophlebitis), chinthu chabwino chomwe mungachite ndikuwongolera matendawa. Izi zikuphatikizapo:

• Pitani kwa dokotala nthawi zonse.
• Imwani mankhwala anu monga momwe dokotala wanu wanenera.
• Pewani makhalidwe kapena zochitika zomwe zingakuwonjezereni chiopsezo chanu.

Kodi ndiyenera kulankhula ndi dokotala wanga liti kapena kupeza chithandizo?

Ngati muli ndi zizindikiro zilizonse za thrombophlebitis, muyenera kulankhula ndi dokotala wanu. Onani dokotala wanu ngati muli ndi mbiri ya thrombophlebitis (kapena mavuto ena okhudza magazi, monga DVT), ndipo ngati zizindikiro zanu zina zibwereranso kapena mwadzidzidzi zikuipiraipira.

Pitani kuchipatala pakagwa ngozi!

Ngati muli ndi zizindikiro za magazi kuundana, muyenera kupita kuchipatala nthawi yomweyo. Ngati magazi kuundanawo akhudza mkono kapena mwendo wanu, zizindikiro izi nthawi zambiri zimakhala izi:

* Kusintha mtundu wa mkono/mwendo womwe wakhudzidwa (ukuoneka wofiirira kuposa mwachizolowezi).

* Ngati khungu la pamalo okhudzidwa kapena pa mkono/mwendo ndi lozizira kwambiri kuposa khungu la malo osakhudzidwa.

* Ngati muli ndi thrombophlebitis kapena zizindikiro zina za magazi kuundana zomwe mwadzidzidzi zimamveka ngati zikuyenda kuchokera pamalo ena kupita kwina. Izi ndizofunikira kwambiri ngati muli ndi kupweteka pachifuwa kapena kupuma movutikira, kapena zizindikiro zina zilizonse za magazi kuundana zomwe zimachitika pambuyo pake kapena pambuyo pake. Iyi ndi pulmonary embolism.Izi zitha kukhala chizindikiro cha ngozi yachipatala yomwe ingawononge moyo. Ngati izi zitachitika, muyenera kuyimba nthawi yomweyo 1990 (Suwa Seriya), kapena nambala yanu yadzidzidzi yapafupi.

Chidule ndi zinthu zoti muzikumbukira

Matenda a thrombophlebitis akhoza kukhala chenjezo lofunika kwambiri la matenda oopsa kwambiri. Ngakhale kuti nthawi zambiri si owopsa okha, muyenera kuonana ndi dokotala kuti mudziwe ngati muli ndi vuto. Zizindikiro zina zimafuna kuti mupeze chithandizo chamankhwala mwamsanga. Mukazindikira matendawa mwachangu komanso kulandira chithandizo, matenda a thrombophlebitis sangayambitse mavuto aakulu kapena kusokoneza moyo wanu. Chifukwa chake, ndikofunikira kudziwa zizindikiro izi. Ngati mukuganiza kuti muli ndi vuto, musazengereze kupita kwa dokotala.

Thrombophlebitis , magazi kuundana, phlebitis, DVT, Pulmonary Embolism, kupweteka kwa miyendo, kutupa kwa mitsempha