Lesi sifo, esibonakala ukwakheka kwezindwangu zegazi ezinkanyeni zemithanjeni yemilenze futhi okuholela ekuphuleni kwegazi, yi-thrombosis yemithanjeni yamaphethelo aphansi. Ingozi yalesi sifo iwukuba iqiniso lokuthi i-thrombus ekhishwe ingakwazi ukugcoba umvini bese igcina igazi.
Izimbangela ze-thrombosis ye-veins emaphethelweni aphansi
Izimbangela ezisheshayo ze-thrombosis yizi:
- i-coagulability eyengeziwe yegazi;
- Izinguquko ezakhiweni ezindongeni zemithambo yegazi;
- ukwehlisa ukugeleza kwegazi emithanjeni.
Phakathi kwezici ezithinta kabi isimo semikhumbi yabantu:
- izifo ezihambisana nokukhathazeka komzimba;
- Izifo zenhliziyo, ezithathelwanayo nezifo eziphilayo;
- isifo sesibindi;
- ukulimala okukhulu;
- ukuhlinzekwa kwama-cavitary kanye nokuhlinzwa okuhlanganyelwe;
- ukukhuluphala;
- ukukhulelwa, ukubeletha;
- ubudala (emva kweminyaka engama-40, ingozi yezindwangu zegazi yanda njalo ngonyaka);
- ukubhema;
- ukuthatha imithi ethile, kuhlanganise. amaphilisi okukhulelwa.
Futhi, izazi zixwayisa: ukuphila okuphansi kokusebenza, ukuhlala njalo endaweni ehlelekile (isibonelo, ukuhlala ekhompyutheni noma ukuma ngemuva kwekhasi) futhi ukulala isikhathi eside kukhuthaza ukuphulwa kwegazi, ngakho-ke, ukudala izimo zokuthuthukiswa kwe-thrombosis.
Izimpawu ze-thrombosis ye-veins emaphethelweni aphansi
Ukubonakaliswa kwalesi sifo kuncike ekutheni imivimbo iwonakele. Izibonakaliso ezibonakalayo ze-thrombosis yizi:
- izimo ezihlelekile emlenzeni ophansi;
- ukukhululeka nokugaya emilenzeni ;
- ukuzwa kokushisa nokubomvu kwesikhumba ezindaweni ezithintekile;
- ubuhlungu emilenzeni;
- ukwanda kancane kwezinga lokushisa.
I-thrombosis yemithanjeni engezansi yemigqa ephansi (thrombophlebitis) kulula ukucacisa kusuka ekuzweleni kobuhlungu okwakhiwe endaweni yesifunda. I-thrombosis ye-veins yangaphakathi yemilenze engezansi ivame ukuqala ngokungafani, okwenza kube nezinkinga ezinkulu, kuze kube nomphumela obulalayo.
Ukuvimbela nokwelashwa kwe-thrombosis enezinyosi ezisezingeni eliphansi
Isimiso esiyinhloko sokuvimbela ukucindezeleka kwemithanjeni yemiphetho engezansi ukuvimbela ukuqhuma kwegazi emithanjeni yemilenze. Ukuvimbela kuhlanganisa:
- Imodi elinganisiwe yokuphumula-umsebenzi;
- umsebenzi owenziwe ngokwanele;
- okugeza okuhamba ngezinyawo;
- begqoke izicathulo ezikhululekile;
- ukunamathela emithethweni yokudla (ukwenqaba ukudla okunomsoco nosawoti, ukusetshenziswa kokudla okunevithamini E kanye namafutha acids, ikakhulukazi izinhlanzi zasolwandle).
Ukwelashwa kwe-thrombosis enamandla ye-veins yemigomo engezansi kuhloswe ku:
- ukuvinjelwa kwe-embolism ye-pulmonary;
- ukuncipha kwegazi;
- ukubuyiselwa kwegazi elijwayelekile;
- ukuvimbela ukuhamba kwe-clot yegazi.
Ukucindezeleka okutholakele kwemithanjeni engaphansi nangaphansi kwemigomo engezansi kuyokwelashwa kuphela kwiseluleko sikadokotela futhi ngaphansi kokuqondiswa kwezokwelapha okuqinile. Ukuzivocavoca kungaholela ekubhekaneni nesimo kanye nokulahlekelwa kwempilo okungenakuqhathaniswa.
Ukwelashwa kuhlanganisa ukusetshenziswa kwe:
- i-anesthetics (i- Diclofenac , i-Aertal, njll);
- i-phlebotonics (i-Ginkor forte, i-Troxevasin, njll);
- izidakamizwa zokulwa namagciwane;
- angioprotectors.
E-thrombosis ejulile, ukwelashwa kwe-anticoagulant kunqunywe - ukulawulwa kwe-heparin kanye nezinye izidakamizwa ze-thrombolytic. Emva kwezinsuku ezingu-2-3, ama-anticoagulants angacacisiwe ayengezwa (uHirudin nabalingani bakhe).
Okubaluleke kakhulu:
- wenza ukucindezeleka okunwebekayo;
- ukuhambisana nombuso wokusebenza ngokomzimba.
Uhlobo olunzulu lwe-thrombosis ludinga ukuhlala esibhedlela, futhi uma kutholakala i-thrombus enantantayo, kunconywa ukwenza enye yezinhlobo zokuhlinzwa:
- ukususwa kwe-thrombus;
- i-ligation yemithanjeni;
- ukufakwa kwe-shunt;
- ukuthungwa kwe-vein;
- ukufakwa kwesihlungi se-cava.