Chirwere kwakadzama thrombophlebitis: Homans chiratidzo

Homans chiratidzo - mumwe vaitungamirira zviratidzo kuziva thrombophlebitis zvakadzama midziyo ezasi wamativi. Zvinobatsira kuti chirwere mumazuva 2-4 ari kutanga muitiro wokutanga. Thrombophlebitis - a nani nokukurumidza dambudziko, maererano nenhamba chirwere paurwere 1/5 vemo. Ichazivikanwa venous kuzvimba (phlebitis), ropa kuyerera kururama uye paumbwe ropa clots ari vascular pamubhedha.

Zvachero uye zvakadzama thrombophlebitis

Zvachero thrombophlebitis rinowanzoberekera munzvimbo varicose mutsinga uye zvinogona kuonekwa nemaziso. A zvachero kuzvimba kunokanganisa midziyo ropa iri pakati ganda uye tsandanyama. Kurwadziwa ichibudira mukufamba ukama mutsinga, ganda akatsvuka, tembiricha rinobuda. On palpation chiremba anowana nekuumbanidzwa nodules munzvimbo clot kuda. Kakawanda, nechirwere hakusi nyore.

Imwe zvazvakaita kana kwakadzika thrombophlebitis nokuti mutsinga yaiva mukati tsandanyama, asingaoneki. Inenge 50% wevarwere havazivi kunyange kuti vane thrombosis. In chisingaperi venous mavharuvhu panguva kuparara rinowanika pigmentation ganda, maronda anogona kuitika. Vanofungidzirwa zvakadzika venous thrombosis vangava zvinotevera chikonzero:

• vachikweva kurwadziwa yepazasi gumbo tsandanyama, kuwedzerwa kwenguva refu ukama kana apo achideredza makumbo pasi;
• uchinzwa pakuzara makumbo;
• kuzvimba repasi gumbo;
• chisimbiso subcutaneous tishu.

On ongororo, pane zvakanaka Homans chiratidzo - ndiwo kupfuura hunhu chinhu kuzvimba uye zvakadzika tsinga thrombosis. Kunoitawo kuti kuita rokutanga chirwere kunyange panguva kutanga kuongorora.

How rokuongorora zvakadzama tsinga thrombosis?

Homans chiratidzo chakarondedzerwa chiremba American J. Homans muna 1934. Kuti uone yakadzika thrombophlebitis murwere pamusoro musana wake, gumbo akakumbirwa kuti atsaudzire ibvi pane zvakanaka akachinjikana. Pakupedzisira kwebasa rutsoka (the) marwadzo kunowedzera zvikuru shure gumbo netsandanyama. Sezvo aidavira nomunyori, zvakanaka Homans chiratidzo kunokonzerwa compression yakadzika mutsinga ari kwakakanganisa netsandanyama.

Kuyerwa sekamufarenzi rwerudyi uye rworuboshwe tibia anobatsira chirwere, ukuwo, pakati njodzi muzvidimbu vachava chikuru dhayamita.

Homans chiratidzo kwete chiratidzo chete chirwere. On ongororo dzakaratidzei yakawedzera ganda wanda, marwadzo kushushikana pamusoro tibia iri anteroposterior mirayiridzo (Moses chiratidzo), zvomunharaunda unyoro pamusoro palpation uye romukati shure pechiso tibia. Anowedzera tembiricha vemo.

Instrumental nzira nechirwere: vascular Ultrasound, duplex kushanda pakuvheneka, rheovasography.

differential kuongorora chirwere

Zviratidzo akafanana thrombophlebitis kunogona kuitika mune dzimwe hosha makumbo. Kuzvimba repasi wamativi iri pasika lymphostasis, kweropa kukundikana, dzechimwe kukuvara, osteoarthritis pamusoro ibvi. Muzviitiko izvi, Homans kunaka chiratidzo.

Dzimwe nguva marwadzo uye kuzvimba kuitika kunyange pashure zvishoma kukuvara, kunyanya pakukwegura. Zvinofanira kuva munhu kuita vachinyara kufamba, kusvetuka kana kumhanya sezvo pane hematoma pakati tsandanyama. Mazuva mashoma gare gare, iye inowira muzvitsitsinho, rutsoka panzvimbo ino anova rinokwanisa kucheneruka ruvara.

Nekuti zvirwere chokuita kuzvimba uye marwadzo pamakumbo, kunounza nhamba, usaregeredza zano chiremba. Kuti achazoona mhosva zvokurwara.