Thrombophlebitis

ʻO Thrombophlebitis ka pehu (mumū) o kahi aa koko. Hiki i ke kīʻaha koko (thrombus) i ke aa ke hana i kēia ʻōhū.

Hiki paha i ka thrombophlebitis ke hoʻopili i nā hohonu, nā veins nui a i ʻole nā ​​veins kokoke i ka ʻili. ʻO ka hapanui o ka manawa, kū i ke pelvis a me nā wāwae.

Hiki ke hana i nā kahe o ke koko ke lohi a hoʻololi paha kekahi i ke kahe o ke koko i nā veins. ʻO nā kumu pilikia me:

• ʻO ka catemaker catheter i hala i loko o ke aa i ke aʻa
• Noho hoʻomaha a noho paha i kahi kūlana no ka lōʻihi e like me ka huakaʻi mokulele
• ʻO ka mōʻaukala ʻohana o nā puʻuwai koko, ka mea e hōʻike ai i ke kū ʻana o nā maʻi hoʻoilina e alakaʻi ʻia ai i ka nui o ka makaʻu o nā clots. ʻO nā mea maʻamau i ka hemahema a i ʻole ka nele o ka antithrombin, protein C, a me ka protein S, mea V Leiden (FVL) a me prothrombin
• Nā haki i ke pelvis a i ʻole nā ​​wāwae
• Hānau i loko o nā mahina 6 i hala iho nei
• Hapai keiki
• Ka momona
• ʻO ke kāpili hou (ʻo ka hip, ke kuli, a me nā pelvic wahine)
• Nui a hewahewa ke koko e hana ʻia e ka iwi o ka iwi, e mānoanoa ana ke koko ma mua o ka maʻamau (polycythemia vera)
• Loaʻa i kahi catheter noho lōʻihi (wā lōʻihi) i loko o kahi kīʻaha koko

ʻOi aku ke kō ʻana o ke koko i kekahi mea i loaʻa i kekahi mau pilikia a i ʻole nā ​​maʻi, e like me:

• Kanesa
• ʻO kekahi mau maʻi autoimmune, e like me ka lupus
• Puhi paka
• ʻO nā kūlana e hoʻonui i ka ulu ʻana o ke koko
• Lawe i nā estrogens a i ʻole nā ​​lāʻau kaohi hānau (ʻoi aku ka kiʻekiʻe o kēia makaʻi me ka puhipaka)

Hoʻopili pinepine ʻia nā ʻōuli me ka thrombophlebitis:

• ʻO ka pehu ʻana i ka ʻāpana o ke kino i hoʻopili ʻia
• ʻEha ma ka ʻāpana o ke kino i hoʻopili ʻia
• ʻUlaʻula ʻili (ʻaʻole mau i kēia manawa)
• ʻOhana a me ka palupalu ma luna o ka aa

Hiki i ka mea mālama ola ke hōʻoia pinepine i ke ʻano ma muli o ke ʻano o ka wahi o ka mea i hoʻopilikia ʻia. E nānā pinepine kāu mea hāʻawi i kāu mau hōʻailona koʻikoʻi. ʻO kēia e hōʻoia i ka loaʻa ʻole o nā pilikia.

Inā ʻaʻole hiki ke ʻike maʻalahi ʻia ke kumu, e hana ʻia hoʻokahi a ʻoi paha o nā hōʻike aʻe:

• Ke aʻo ʻana i ke koko
• ʻO ultrasound Doppler
• Venography
• Ke hoʻāʻo genetic

Hiki i nā kāʻei kākoʻo a me nā wahī ke kōkua i ka hōʻemi i ka pilikia. Kauoha paha kāu mea hāʻawi i nā lāʻau e like me:

• Nā lāʻau ʻehaʻeha
• Nā pale lahilahi e pale aku i nā clots hou mai ke kūkulu ʻana, ʻo ka manawa pinepine i kuhikuhi ʻia inā pili nā veins hohonu
• ʻO nā lāʻau e like me ka ibuprofen e hōʻemi i ka ʻeha a me ka pehu
• Hoʻokomo ʻia nā lāʻau i loko o ke aa e hoʻonā i kahi ʻōpū i loaʻa

ʻ belelo ʻia ʻoe e hana i kēia mau mea:

• E mālama i ka kaomi mai ka wahi e hōʻemi i ka ʻeha a hoʻemi i ka makaʻi no ka hōʻino hou aʻe.
• E hoʻokiʻekiʻe i ka wahi i hoʻopilikia ʻia e hōʻemi i ka pehu.

ʻO nā koho lapaʻau maʻamau ka:

• Wehe ʻoki ʻana o kahi aa koko kokoke i ka ʻili
• Ke wehe ʻana o ka huhū
• Bypass o ka aa koko

Hiki i ka mālama koke ʻana ke mālama i ka thrombophlebitis a me nā ʻano ʻē aʻe.

Nā pilikia o ka thrombosis:

• Koko koko i nā akemāmā (pulmonary embolism)
• ʻEha mau
• ʻO ka pehu i ka wāwae

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o ka thrombophlebitis.

Kāhea koke i kāu mea hāʻawi inā:

• ʻAʻole hoʻomaikaʻi kāu mau ʻōuli me ka lāʻau.
• Maikaʻi loa kāu mau ʻōuli.
• Kū nā hōʻailona hou (e like me ka lilo ʻana o ka lālā āpau i pale, anuanu, a pehu paha).

ʻO ka hoʻololi maʻamau o nā laina intravenous (IV) kōkua i ka pale ʻana i ka thrombophlebitis e pili ana i nā IV.

Inā ʻoe e lawe i kahi kaʻa lōʻihi a i ʻole huakaʻi mokulele:

• Hele wāwae a kīloi paha i kou mau wāwae i kekahi manawa i kekahi manawa
• E inu nui i nā wai
• E komo i ke kaukini loloa

Inā hoʻokipa ʻia ʻoe i ka haukapila, hiki i kāu mea hāʻawi ke kuhikuhi i ka lāʻau e pale ai i ka thrombophlebitis.

Phlebitis; Trombosis aa hohonu - thrombophlebitis; Thrombophilia - thrombophlebitis

• Trombosis venous hohonu - iliofemoral
• ʻŌpū koko Venous

ʻO Wasan S. Superficial thrombophlebitis a me kāna hoʻokele. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 150.

Weitz JI, Ginsberg JS. ʻO ka thrombosis Venous a me ka embolism. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 74.