Thrombophlebitis

Thrombophlebitis ke ho ruruha (ho ruruha) ha mothapo. Lefu la mali (thrombus) mothapong le ka baka ho ruruha hona.

Thrombophlebitis e ka ama methapo e tebileng le ho feta kapa methapong e haufi le letlalo. Boholo ba nako, e hlaha pelvis le maotong.

Ho koala mali ho ka hlaha ha ho hong ho lieha kapa ho fetola phallo ea mali methapong. Mabaka a kotsi a kenyelletsa:

• Catheter ea pacemaker e fetisitsoeng ka har'a mothapo oa mokokotlo
• Ho phomola betheng kapa ho lula sebakeng se le seng nako e telele joalo ka ho tsamaea ka sefofane
• Nalane ea lelapa ea makoala a mali, a ka bolelang boteng ba mathata a futsitsoeng a lebisang kotsing e kholo ea maqeba. Tse tloaelehileng li kenyelletsa khaello kapa khaello ea antithrombin, protheine C, le protheine S, factor V Leiden (FVL) le prothrombin
• Ho robeha hoa noka kapa maoto
• Ho beleha nakong ea likhoeli tse 6 tse fetileng
• Boimana
• Botenya
• Ho buuoa haufinyane (hangata ho buuoa ka letheka, lengole kapa ho buuoa ka pelvic ea basali)
• Lisele tse ngata haholo tsa mali li etsoa ke mokoko, li etsa hore mali a be motenya ho feta tloaelo (polycythemia vera)
• Ho ba le catheter ea ho lula (nako e telele) ka sejaneng sa mali

Mali a ka koahela motho ea nang le mathata kapa mathata a itseng, a kang:

• Kankere
• Mathata a mang a autoimmune, joalo ka lupus
• Ho tsuba koae
• Maemo a e nolofalletsang ho ba le mali a mangata
• Ho noa li-estrogen kapa lipilisi tsa thibelo ea bokhachane (kotsi ena e phahame le ho feta ka ho tsuba)

Matšoao a latelang hangata a amahanngoa le thrombophlebitis:

• Ho ruruha karolong ya mmele ho amehileng
• Bohloko ba setho sa mmele bo amehileng
• Bofubelu ba letlalo (ha bo teng kamehla)
• Mofuthu le bonolo holim'a mothapo

Mofani oa tlhokomelo ea bophelo hangata a ka tšoaea boemo ho latela hore na sebaka se amehileng se shebahala joang. Mofani oa hau o tla lekola matšoao a hau a bohlokoa khafetsa. Sena ke ho etsa bonnete ba hore ha u na mathata.

Haeba sesosa se sa tsejoe habonolo, ho ka etsoa e le ngoe ea liteko tse latelang:

• Lithuto tsa coagulation ea mali
• Doppler ultrasound
• Boemo ba Libuka
• Ho etsa liteko tsa lefutso

Li-stock le li-wraps tsa tšehetso li ka thusa ho fokotsa mathata. Mofani oa hau a ka fana ka meriana e kang:

• Li-painkillers
• Li-thinner tsa mali ho thibela maqeba a macha ho theha, hangata li beoa feela ha methapo e tebileng e ameha
• Meriana e kang ibuprofen ho fokotsa bohloko le ho ruruha
• Meriana e kenngoang mothapong ho qhala seaparo se seng se le teng

U ka bolelloa ho etsa tse latelang:

• Tlosa khatello sebakeng seo ho fokotsa bohloko le ho fokotsa kotsi ea tšenyo e eketsehileng.
• Phahamisa sebaka se amehileng ho fokotsa ho ruruha.

Khetho ea kalafo e sa tloaelehang ke:

• Ho tlosoa ha methapo haufi le bokaholimo
• Ho hlobola mothapo
• Ho feta ha mothapo

Kalafo e potlakileng e ka phekola thrombophlebitis le mefuta ea eona e meng.

Mathata a thrombosis a kenyelletsa:

• Tšelo ea mali matšoafong (pulmonary embolism)
• Bohloko bo sa foleng
• Ho ruruha leotong

Bitsa mofani oa hau haeba u na le matšoao a thrombophlebitis.

Bitsa mofani oa hau hang-hang haeba:

• Matšoao a hau ha a ntlafatse kalafo.
• Matšoao a hau a mpefala.
• Matšoao a macha a hlaha (joalo ka leoto le felletseng, le bata, kapa le ruruhe).

Ho fetola khafetsa mela ea methapo (IV) ho thusa ho thibela thrombophlebitis e amanang le li-IV.

Haeba u nka leeto le lelelele la koloi kapa la sefofane:

• Tsamaea kapa otlolla maoto hang ka nakoana
• Noa lino tse ngata
• Apara phaephe ea tšehetso

Haeba u kene sepetlele, mofani oa hau a ka u fa meriana ho thibela thrombophlebitis.

Phlebitis; Thrombosis e tebileng ea methapo - thrombophlebitis; Thrombophilia - thrombophlebitis

• Tebileng venous thrombosis - iliofemoral
• Lefu la mali la mali

Wasan S. Superficial thrombophlebitis le tsamaiso ea eona. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 150.

Weitz JI, Ginsberg JS. Lefu la methapo ea pelo le embolism. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 74.