Uphawu kuMose: izimbangela kanye nokwelashwa

Bambalwa abantu abazi ukuthi igazi lomuntu kugeleza emithanjeni yegazi. Bobabili abahlakazekile lonke ivolumu umzimba, omunye khona kanye ebusweni isikhumba, omunye ezijulile ngaphansi kwalo. Ukuze izinkinga kanye lezitsha ezijulile akulula, njengoba izimpawu zangaphandle zesifo bebuthaka. Ukusiza odokotela beze izimpawu amaningi - Homans, noMoses, Lovenberga Louvel, Opitz futhi Raminesa. Ngamunye wabo iyisiginali ukuthi imithambo yegazi ukuthi kukhona okungalungile. Ukuze sicacise uphethwe kukhona eziyinkimbinkimbi, kodwa uphethwe ngqo, kodwa isizathu ngokufuna usizo lodokotela, ithambekele ube ngowokuqala ngqa, izimpawu kokuqala. Ngabe yiziphi, kanjani ukuze ubonise nokuthi ezinzima? Ake siphenye.

Eyingozi kakhulu amahlule

Ngaphambi kokuba nginixoxele le ukuthi lokhu uphawu kaMose kanye nezinye izimpawu acwebe isimo thrombus. Empeleni, kuba amahlule ezenzeka imithambo yegazi ngenxa yokuphazamiseka uhlelo hemostatic. Zingashukumisela ngokusebenzisa ngesitsha noma enamathiselwe nodonga lwawo. amahlule Okokuqala avame ukuba mancane, kodwa bayakwazi ukukhula ngoba uquqaba thrombotic ngokuhamba kwesikhathi bandisa. Kufika isikhathi lapho thrombus usuvuthiwe occludes isitsha ngaphandle isinyathelo ngokushesha kungaholela ekufeni. Kodwa ukweqa ka umkhumbi 70-75% igcwele sezinkathazo ezinkulu, okungukuthi zokunciphisa umoya-mpilo umncane ezicutshini emazingeni ezibucayi kanye ukunqwabelana imikhiqizo imfucuza umzimba eziholela ukudakwa. Lapho umuntu ohlala e-amahlule imithambo yegazi kwakhiwa ukuxilonga - thrombosis. Lesisifo ijwayelekile 1/5 zenani labantu abakhona emhlabeni, futhi amadoda, kwenzeka kakhulu ngokuvamile ngaphezu kwabesifazane. Thrombosis kungenzeka kunoma yisiphi emithanjeni yegazi - esandleni izibilini, ubuchopho, kodwa landile wemikhawulo aphansi. Uma ungenalo unake ngokwanele ukuba isifo, inikeza nezinkinga ezingase ogcwalisa zonke izinkulungwane unyaka izimpilo.

Izimbangela amahlule lihambe ngemithambo wemikhawulo aphansi

Kungani amahlule akhiwa abanye abantu, kanti abanye abanalo? Ziningi izici eziyingozi, futhi zihlukaniswe amaqembu amathathu - azalwa naso, usezuze futhi edidayo. Uphawu uMose okulingana efanele kunoma ingozi. izici azalwa naso lesi sifo kukhona kwelinye noma elinye ka hemostasis iziyaluyalu futhi ukuguquka kwezakhi zofuzo ezakhini zofuzo. Phakathi kuluthola ingashiwo yilezi:

- sokuguga;

- nokukhulelwa;

- ukulimala emlenzeni (isib, waphuka);

- ukukhuluphala;

- ukusebenza phezu imilenze;

- ukusetshenziswa zokuvimbela inzalo ezithile;

- ukungawuvivinyi umzimba;

- iziyaluyalu hormone;

- a ingozi isimila igazi (polycythemia);

- umdlavuza kwamanyikwe;

- imithi ethile;

- ukunqunywa Gypsum;

- nokuba khona ipayipi e vein emaphakathi;

- ukutheleleka.

thrombophlebitis

UMose uphawu kuwuphawu hhayi kuphela thrombosis kodwa futhi thrombophlebitis - isifo, ngokuhlanganisa kumiswa ihlule legazi zivuvukale ngemithambo. Izizathu ivela khona yilezi:

- Thrombophilia (ukuthambekela yakha amahlule);

- inombolo kwezifo ezithathelwanayo;

- ukulimala emithanjeni;

- ukuhlukumeza kwegazi ukugeleza;

- komzimba;

- izinguquko igazi Ukwakheka;

- ukhuluphele;

- nomfutho wegazi ophezulu.

Thrombophlebitis singenzeka babazi futhi onesifo. Ingozi embi kunazo zonke kudala lapho insalela ihlule legazi ephula kude, ngegazi athole ukuthi yini inhliziyo noma Umthambo yamaphaphu. Umphumela uxhomeke ubukhulu kulesi siqeshana, kanye rapidity of action.

Izimpawu ukuminyana emithambo yegazi

Umsolwa eqale thrombosis, Asigcini uphawu kaMose ngemithambo ejulile of the imilenze. Ngo isifo kukhona ezinye izimpawu:

- ukuvuvukala nasemilenzeni;

- ukungakhululeki, ukuvuvukala, nobuhlungu ezingalweni nasemilenzeni;

- lokushisa eliphezulu (aboniswe ngaso sonke isikhathi).

Uma amahlule igazi vimbela imithambo yegazi ukuthi sekuseduze ukuba ebusweni isikhumba, izinkinga ekuqaleni ukucaciswa ngokuqondile imithambo efaka igazi enhliziyweni zibukeke evuvukele isici isiphuku endaweni ethintekile, ushintsho ukuthungwa nombala wayo. Uma amahlule ukuvimba imithambo yegazi ezijulile, kwangaphandle izimpawu akuzona ohlukile, plus zingase zibonise eziningi ezinye izifo, ezifana ukuvuvukala nemilenze kukhona ukuhluleka kwenhliziyo, ubuhlungu abalimele. Ngakho odokotela enza ukuhlola clinical, kucatshangelwa izici ezithile deep vein thrombosis e amathole emlenzeni shins.

Uma thrombosis kwenzeka ngemithambo kwethanga engenhla, isiguli bangezwa ubuhlungu beqolo, sacrum, endaweni imbilapho. Omunye izimpawu zezifo kungenzeka imfiva. Ngesikhathi esifanayo uphawu kaMose nezinye izimpawu zokwelashwa okuxoxwe ngazo kulesi sihloko azitholakali. Ngezinye izikhathi amahlule igazi lihambe ngemithambo senyonga akukuniki izimpawu, futhi lesi sifo sesaziwe sekwephuzile, lapho kakade kwakukhona thromboembolism yamaphaphu.

Homans uphawu noMose

Sifo i Homans kubhekwa isici kakhulu futhi kanje. Isiguli elala phezu kombhede emhlane wakhe. Kulokhu-ke ikhanda ezishaywayo ne umzimba (ngaphandle isiguqo). Imilenze isiguli kufanele kube kancane izimisele emadolweni. Udokotela egoba unyawo unyawo lwakhe iqakala kuthabathela ecaleni labaqaphi elingemuva. Kulokhu, uma kukhona thrombosis e ngemithambo imilenze kuze kwamadolo, isiguli ubuhlungu obuhlabayo bemisipha ithole.

Uphawu uMose - kuyisikhathi ukuxilongwa emitholampilo thrombosis futhi deep vein thrombophlebitis. Siqukethe e okulandelayo. Udokotela ekucindezela isiguli shin front futhi bakhulise, bese nezinhlangothi zombili. Esimweni sokuqala kukhona ubuhlungu obuhlabayo, futhi owesibili ke engekho, kukhona awokuthi kokuba ihlule legazi ngemithambo.

Ezinye izimpawu ukuxilongwa emitholampilo

Ukuze ngokuqiniseka okukhulu ngokunemba uphethwe kokuqala, odokotela basebenzisa isivivinyo kuphela uphawu sikaMose. Photo sikhombisa nqubo yokulungiselela ngaphambi isivivinyo nganoma Lovenbergu. udokotela Okokuqala palpates isiguli inkinga esitho ndawo, bese engxenyeni eyinhloko tibia (maphakathi wesithathu) ubeka sphygmomanometer cuff futhi iphampa emoyeni a ingcindezi ka mayelana 150 mm mercury. Ubuhlungu ithole kubonisa khona ihlule legazi.

Ungafaka isicelo sokuba self-cuff phezu kwethanga (aphansi lwesithathu), futhi hhayi ku-shin futhi efutha ke. Uma ubuhlungu ithole libonakala, kuyoba uphawu-Opitz Raminettsa.

Ngezinye izikhathi, iziguli ubuhlungu amathole avele namakhala lapho ukhwehlela noma sneezing. Kuba yisikhathi futhi lapho uphawu thrombosis ngokuthi Louvel uphawu, kodwa owabo bonke kuba isici okungenani.

ukusazi ngokunembile isifo esikuphethe

Uma isiguli esolwa deep vein thrombosis noma thrombophlebitis, kodwa izimpawu Homans noMose negative, isiguli belulekwa ukuba ibhekane uphethwe olwengeziwe. izindlela zayo:

- US (Doppler, Sonoelastography);

- MRI;

- ukuhlolwa kwegazi (hemostasis ukuhlolwa).

Uma isiguli ukuvuvukala nesisa yezingalo nemilenze ephansi, kodwa azikho izimpawu zokuphela okungenhla, kungaba uphawu lomunye nezifo ezinjengesifo imiphumela lwesigemegeme esibuhlungu, ukuhluleka kwenhliziyo, nezinye artrozoartrit. ukusazi ngokunembile isifo esikuphethe futhi ngacula ukucacisa imbangela yezinkinga eyiqiniso ngezinyawo zabo.

ukwelashwa

Kubalulekile ukuthola deep vein thrombosis kusaqalwa lesi sifo, okuyinto ngokuqinisekile ukusiza amasu kakhulu elula emitholampilo zokuxilonga, ezifana Homans uphawu futhi uphawu sikaMose. Ukwelashwa udokotela, eqondiswa ukuxilongwa emitholampilo, kanye imiphumela i ukusazi ngokunembile isifo esikuphethe. Lapho egijima yokwelapha Yiqiniso kungase kungagcini izindlela olandelanayo:

- isicelo oyinkinga yokugcoba ingxenye ( "Gepanolovaya", "Heparin", "Naiz" noma "indovazin") ukuthi ukunqampunwa ubuhlungu, ukunciphisa ukuvuvukala, ukuvimbela thrombus kumiswa;

- ukungenisa anticoagulants, Ukuqedwa amahlule wokuhlanza emithanjeni isiteshi;

- Physiotherapy (UHF nokususwa magnetic edema, electrophoresis Imithi kwamakomidi okusheshayo thrombi);

- girudoterapija (umzokwe is injected ketshezi igazi evimbela ukusonga yayo futhi ngaleyo ndlela ngcono ukugeleza kwegazi);

- kokucindezelwa nokunwebeka (egqoke amasokisi akhethekile tights).

Isimo kubalulekile ukuze ukwelashwa - embhedeni ukuphumula.

Ngokusho kobufakazi kwenziwe ukuhlinzwa micro (ukusika ngemithambo ngaphansi izinzwa wendawo) e wemikhawulo aphansi ukususa amahlule.

Uma usongo itholwa thromboembolism (ukuvaleka) we Umthambo yamaphaphu, nokuhlinzwa nesineke wenziwa ngokushesha.

zokuvimbela

Truism - yisiphi isifo kulula ukuvimbela kunokuba ayibulale. Ukuze ugweme atholwe thrombosis engcupheni, uMose akazange avele uphawu, Homans nabanye, kudingeka uqinise emithanjeni yabo. Izindlela kakhulu futhi ziphumelela kuphela eziyinkimbinkimbi. Ziyakwazi:

- Ukudla;

- lukhuni (umehluko zokugeza, uhamba bengafaké zicathulo, ukubhukuda);

- ukuvivinya umzimba okwamukelekile;

- Ukuhlanzeka izinyawo;

- egqoke kokucindezelwa amasokisi amade (ikakhulukazi air travel);

- kugwenywe hypothermia izinyawo futhi giperustalosti;

- imithi yendabuko, kusiza ekudambiseni ukuvuvukala futhi aqinise izindonga imithambo yegazi.