Thrombosis yakadzika mutsinga repasi wamativi

Lower Mbabvu dzevanhu vane zvakawanda venous rezvebonde unobvumira venous ropa riyerere munzira isinganaki vena cava. Kune mhando nhatu gumbo mutsinga: zvachero, yakadzika uye unobatanidza pavo perforating mutsinga. Kazhinji venous midziyo ropa pamusoro pemvura kubudikidza perforating runoyerera kure Pinda kwakadzika mutsinga, kubva pazviri anopinda vena cava uye mumwoyo. Venous mavharuvhu nechokwadi rimwe nzira inoenda ropa kuyerera. Kana nokuda chero chikonzero kudzimika kusachinja-chinja mavharuvhu, ropa kurega kunotanga rinowanikwa nemidziyo ropa kunoitika uye varicose. With chirwere ichi munhu anogona kurarama kwemakore.

chirwere More ngozi rakadzika tsinga thrombosis. Ndicho paumbwe thrombi ari vascular lumen makumbo kana chiuno. Izvi zvinonzi aine kuzvimba tsinga rusvingo, marwadzo simba uye vasingadzoreki ropa riyerere. Deep tsinga thrombosis zvinogona kuoma ne chirwere - pulmonary emboli.

Zvinokonzera chirwere

The kwaita chirwere pave rusvingo dzechimwe kukuvara, kurega kunotanga rimwe venous ropa, yokufutisa, pamuviri, mumwe ndakagara mararamiro, kuzvimba mutsinga, uye zvirwere zvinokonzerwa noutachiona, zvimwe zvinodhaka (nhumbu), neoplastic chirwere, zera vakuru makore makumi mana, kweropa zvirwere.

Somugumisiro ari deceleration ropa kuyerera kunoitika thrombus inotungamirwa, iyo kazhinji rinoumbwa masero matsvuku eropa uye maplatelet. The akaumba thrombus anogona zvakasimba vasiyana tsinga rusvingo pamugumo, mumwe mugumo wayo ari pachena iri mukati lumen ari mudziyo. Thrombi anogona kusvika guru papi, zvishomanana kana zvachose pindana kuti tsinga lumen.

Clinical zvinoratidza chirwere

Sezvataurwa pamusoro apa, ropa stasis kukonzera yakadzika tsinga thrombosis. Zviratidzo zviri hosha vari kwakunoitwa chidzoke uye anobuda pamusoro kurwadziwa ari nedambudziko muzvidimbu kuramba kuzvimba uye ushamwari. Kuzvimba venous rusvingo kunowanzoguma fivha. Thrombosed gumbo riri kutonhora kuti kubatwa pane utano. Externally gumbo edematous, hyperemic. The ganda Munzvimbo bhowa uye kupenyerera, ane vapiwe venous network. Kazhinji, yakadzika tsinga thrombosis kare pakutanga akaratidza zvemapapu embolism tsinga thrombi kuvhuna kure kubva mudziyo. The murwere iyi iri kusangana kurwadziwa muchipfuva, ane paroxysmal chikosoro neropa, akawira BP. Blockage huru pulmonary midziyo kazhinji kunotungamirira kurufu. Kana paiva pelvic vascular thrombosis zvingaitika ileus Clinic.

chirwere matanho

The chirwere kuti "zvakadzama tsinga thrombosis" zvinoiswa pachishandiswa zvichemo, kuratidzwa omunharaunda uye chirwere ongororo. Kune nezviratidzo zvinoverengeka, pahwaro izvo zvinoita rokuongorora zvakadzama tsinga thrombosis Shin. Ava zviratidzo Pratt, Homans, Payr nevamwe.

Kubva paku nzira vanogona kutaurwa Ultrasound doplerografii, angiography.

Maperembudzi kusiyaniswa navo limfostazom, erysipelas, achitambanudza netsandanyama.

thrombosis mabatiro

Nyore zvitarisiko mupambare thrombosis vabatwe pamusoro outpatient hwaro. The zvimwewo zvinoda muchipatara. Murwere kunodiwa kuita mubhedha muchinyatsongwarira zororo iri yakakwirira pamusoro kwazvo netsoka. Thermal miitiro contraindicated. Basa anticoagulants ( "Heparin", "Fraksiparin" "Clexane" and said.) Uye disaggregants ( "Trental" "Curantil") kudzorwa coagulation. Raitongwa analgesics vangarega pamwe novocaine blockade.

In zvikuru siyana thrombosis, inoratidza kushanda (kubviswa thrombus, venous Sefa kugadzwa zviri vena cava uye nevamwe.).