Leg vein thrombosis - ka hohonu hohonu
ʻO ka leg vein thrombosis kahi maʻi i hana ʻia ai ke koko koko (thrombus) i loko o kahi vein hohonu i ka wāwae. Hiki i kēia ke hoʻopaʻa i ke kahe o ke koko a hoʻoulu i ka pehu, ʻeha, ʻulaʻula, a me ka mahanahana o ka wāwae. Hiki nō hoʻi i ka thrombosis wāwae wāwae ke alakaʻi i nā pilikia koʻikoʻi e like me ka pulmonary embolism inā hemo kekahi hapa o ka thrombus a hele i ka māmā. He maʻi make pinepine ka pulmonary embolism. Pono e hoʻokaʻawale ʻia ka thrombophlebitis mai ka thrombosis vein hohonu. Eia nō naʻe, ʻaʻole pono ʻoe e hoʻokaʻawale iā ʻoe iho, akā e hoʻopili i kahi loea loea i ka ʻokiʻoki ʻana i ka vascular a me ka phlebology a e nānā ʻia ma ke kino, me ka ultrasound a ma o nā hoʻokolohua kūikawā. ʻO ka thrombophlebitis maʻamau ka liʻiliʻi ma mua o ka thrombosis vein wāwae, akā i nā hihia liʻiliʻi hiki ke alakaʻi i ka thrombosis vein hohonu a i ʻole pulmonary embolism.
Nā hōʻailona o ka thrombosis vein hohonu
Hiki ke ʻokoʻa nā hōʻailona o ka thrombosis vein hohonu ma muli o ka wahi a me ka nui o ka clot, akā aia kekahi mau hōʻailona maʻamau:
- ʻO ka pehu o ka wāwae i hoʻopilikia ʻia, maʻamau ma kekahi ʻaoʻao
- ʻEha ma ka wāwae, pinepine ma ka bipi a wāwae paha
- ʻO ka ʻulaʻula, ka mahana, a i ʻole ka ʻulaʻula o ka ʻili ma luna o ka ʻili
- ʻO ka manaʻo o ka ʻehaʻeha a i ʻole ka ʻūhā o ka wāwae
ʻAʻole kū mau kēia mau hōʻailona a maʻalahi wale nō. I kekahi manawa, ʻike wale ka poʻe i pili i ka thrombosis i ka wā e alakaʻi ai i kahi hoʻopiʻi e like me ka pulmonary embolism. ʻO ka pulmonary embolism kahi pilikia weliweli i ke ola i hana ʻia e ka Atemʻehaʻeha, ʻeha o ka umauma, ʻaʻa a i ʻole ke koko. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka e hoʻoholo i ke kumu a hoʻomaka i ka mālama kūpono.
Ka mālama ʻana i ka thrombosis vein wāwae
Hiki ke mālama ʻia ka thrombosis vein hohonu me ka lāʻau lapaʻau, nā stockings compression, a i ʻole, i nā hihia liʻiliʻi, ʻokiʻoki. ʻO ka hoʻomaʻamaʻa ʻana e pale i ka ulu ʻana a i ʻole ka wehe ʻana o ka clot a e hōʻemi i ka hopena o ka pōʻino ma hope. Hiki ke mālama ʻia ma kahi maʻi maʻi a i ʻole maʻi maʻi, ma muli o ka maikaʻi o ka nānā ʻana o ka mea maʻi. Hoʻokomo pinepine ʻia ka lāʻau lapaʻau i kēia mau ana:
- Nā lāʻau hōʻemi koko (anticoagulants), ka mea e pale ai i ka hoʻokumu ʻana o ke koko hou a hāpai i ka hemo ʻana o ka thrombus e kū nei. Hiki ke hāʻawi ʻia kēia mau lāʻau ma ke ʻano he papa a injections. Hiki i ka lāʻau lapaʻau ke hoʻopau hapa a hoʻopau loa i ka clot. ʻO ka nui o ka thrombosis, ka lōʻihi o ka vein i hoʻopili ʻia a me ka maikaʻi o ka lāʻau anticoagulant e hoʻoholo ai inā e wehe hou nā veins i pani ʻia e ka thrombosis me ka lāʻau lapaʻau.
- Pākuʻi kaomi a i ʻole nā kāʻei e hoʻopili mālie i ka wāwae a hoʻomaikaʻi i ke kahe koko. Pono e hoʻohana i kēia mau mahina no kekahi mau mahina.
- E hoʻoikaika kino ma mua o ka hoʻomaha moe: I ka wā ma mua, pono e moe kēlā me kēia maʻi me ka thrombosis i kahi moe e pale ai i ka pilikia o ka pulmonary embolism. ʻOkoʻa nā loina kumu o kēia mau lā a ʻae ʻia ka hoʻoikaika kino ma lalo o ka hoʻokahe koko kūpono a me ka hoʻoikaika ʻana i ka hoʻoikaika ʻana i ke kahe koko a hoʻemi i ka pehu. Eia nō naʻe, pono e hana ʻia kēia ma lalo o ke alakaʻi ʻana a ke kauka a me ka anticoagulation maikaʻi - hoʻokaʻawale i ke koko - a me ka mālama ʻana.
- ʻAha ʻeha i ka wā pōkole wale nō inā nui ka ʻeha
- Nā hana ʻokiʻoki no ka thrombosis pono wale nō i nā hihia koʻikoʻi inā ʻaʻole hana ka lāʻau lapaʻau a ʻaʻole ʻae ʻia. Hiki ke hoʻoneʻe ʻia ka thrombus me ka mechanical (thrombectomy) a i ʻole hiki ke hoʻohana ʻia kahi mea hana e pale aku ai i ka hiki ʻana i ka māmā (vena cava filter). ʻO wai ka mea e hana i ke kaʻina e hoʻoholo ʻia ma muli o ke kauka, ke keʻena olakino a me kā lākou mau koho. Inā ʻike ʻia ka thrombosis i loko o kahi keʻena lapaʻau kūloko a i ʻole ma kahi hana venous outpatient, kuhikuhi pinepine ʻia nā hana conservative. Inā hoʻokō ʻia nā koi ʻenehana a me nā limahana no ka thrombectomy venous, a laila hiki ke hana ʻia ka hōʻailona no ka wehe ʻana i ka thrombosis, e pale ai i ka lawa ʻole o ke ola. Hoʻopili pū ʻia ka lāʻau lapaʻau ma muli o ka makemake o ka mea maʻi: pehea ʻo ia ka hana, ʻehia kona mau makahiki, inā paha ua hoʻomaopopo ʻia ʻo ia e pili ana i ka pilikia o ka pulmonary embolism me ka ʻoki ʻole a i ʻole. No laila, ʻo ka lāʻau lapaʻau no ka thrombosis koʻikoʻi he hoʻoholo hui ma waena o ke kauka lapaʻau vascular a me ka mea maʻi.
Ka lōʻihi o ka mālama ʻana no ka thrombosis vein hohonu
ʻO ka lōʻihi o ka mālama ʻana no ka leg vein thrombosis e pili ana i nā kumu like ʻole, e like me ka wahi, ka nui a me ke kumu o ka thrombosis a, ma luna o nā mea āpau, ma ke ʻano o ka mālama ʻana i koho ʻia. Hiki ke hana ʻia ka lāʻau lapaʻau no ka leg vein thrombosis ma kahi maʻi maʻi a i ʻole maʻi maʻi, ma muli o ka pono o ka nānā ʻana i ka mea maʻi. Hoʻololi ka lōʻihi o ka mālama ʻana ma muli o kēlā me kēia hihia, akā ma ka awelika hiki iā ʻoe ke manaʻo i kēia mau manawa:
- Pono e lawe ʻia ka lāʻau hōʻemi koko no ʻekolu a ʻeono mahina.
- Pono e ʻaʻahu ʻia nā ʻokiʻoki a i ʻole ke kāʻei no ka liʻiliʻi o ʻeono mahina.
- Pono e hoʻomaka koke ka neʻe ʻana o ka wāwae a hoʻomau mau
- Hoʻokahi a ʻelua mau hola ka lōʻihi o ke kaʻina hana a koi pinepine i kahi noho maʻi pōkole no hoʻokahi a ʻelua lā
Nā kumu a me nā pilikia o ka thrombosis
ʻO nā kumu pilikia no ka thrombosis vein hohonu kekahi mau mea e hoʻonui ai i ka hiki ke hana ʻia ke koko koko i loko o kahi vein hohonu o ka wāwae a keakea i ke kahe koko. Aia nā kumu pilikia:
- Poino i ka paia o ka moku: Hiki ke hana ia ma muli o ka eha, ka mumū, ka ma'i a me ka ma'i koko e ho'onāukiuki a ho'ololi paha i nā paia o loko o nā a'a.
- Hoʻemi ʻia ka wikiwiki o ke kahe ʻana o ke koko: Hiki ke loaʻa kēia ma muli o ka hoʻomaʻamaʻa ʻole, noho a moe ʻana paha i lalo no ka manawa lōʻihi, varicose veins a i ʻole ka puʻuwai puʻuwai, e lohi a keʻakeʻa i ka hoʻi ʻana o ke koko i ka puʻuwai.
- Hoʻonui ka manaʻo o ke koko e hoʻopaʻa ʻia: Hiki ke kumu kēia ma muli o nā genetics, hormones, lāʻau lapaʻau, maʻi maʻi a i ʻole nā maʻi ʻē aʻe e hoʻopau i ke kaulike ma waena o nā kumu clotting a me nā anticoagulants i loko o ke koko.
He wā pōkole kekahi mau mea pilikia, e like me ka ʻoki ʻana, ka hāpai ʻana a i ʻole kahi huakaʻi lōʻihi. ʻO nā kumu pilikia ʻē aʻe he mau loa, e like me ka ʻelemakule, ka momona a i ʻole ka puhi paka. Hiki i nā mea pilikia ke hoʻoikaika i kekahi i kekahi a hoʻonui i ka pilikia o ka thrombosis.
ʻO ka hōʻailona o ka thrombosis vein wāwae
No ka ʻike ʻana i ka thrombosis vein hohonu - phlebothrombosis - aia nā ʻano hana like ʻole e hiki ke hoʻohana ʻia ma muli o ka kānalua a me ka loaʻa. ʻO nā mea nui loa:
- make Ka mōʻaukala a me ka hoʻokolokolo kino, ka "visual diagnostic" - ʻo ia hoʻi, ka manaʻo ʻike o ka mea maʻi i hoʻopilikia ʻia, kahi e nīnau ai ke kauka e pili ana i nā kumu pilikia, nā hōʻailona a me nā ʻike a nānā i ka wāwae i hoʻopilikia ʻia. Hiki iā ia ke nānā i nā hōʻailona maʻamau e like me ka pehu, ʻulaʻula, ʻeha a me ka wela. Eia naʻe, ʻaʻole i ʻike mau ʻia kēia mau hōʻailona.
- make ʻO ka sonography duplex, ʻo ia ka ultrasound scan e hōʻike ana i ke ʻano a me ka hana o nā veins. Hiki i ke kauka ke ʻike inā ua ālai ʻia ke aʻa e ke koko koko a ʻaʻole paha. He wikiwiki, maʻalahi a me ka pilikia ʻole kēia ʻano hana a ua manaʻo ʻia ʻo ia ke ʻano koho no ka ʻike ʻana i ka phlebothrombosis vein hohonu.
- ka Hōʻike D-dimer, ʻo ia ka hoʻāʻo koko e ʻike ai i nā huahana wāwahi o ke koko i loko o ke koko. Hiki ke hoʻonui ʻia ka waiwai e hōʻike i kahi thrombosis, akā hiki ke loaʻa nā kumu ʻē aʻe. ʻO ka waiwai maʻamau ka mea i kāpae ʻia i ka thrombosis. Hoʻohana pinepine ʻia kēia hoʻāʻo me ka sonography duplex.
- make Phlebography, he ho'āʻo X-ray kahi e hoʻokomo ʻia ai kahi mea ʻokoʻa i loko o ka vein e ʻike ʻia. Hiki i ke kauka ke ʻike inā he patent a haiki paha ka vein. Ua manaʻo ʻia kēia ʻano he pololei loa, akā he invasive a pili pū me nā hopena ʻaoʻao. No laila, ʻaʻole lawa ka hoʻohana ʻana i nā ala ʻē aʻe.