Phlebitis

Thrombophlebitis chirwere chinoita kuti ropa riome rigovhara tsinga imwe kana dzakawanda, kazhinji mumakumbo. Mu thrombophlebitis inowanikwa panzvimbo iri pamusoro, tsinga iri pedyo nepamusoro peganda. Mukurwara kweDVT kana kuti deep vein thrombosis, tsinga iri mukati memhasuru. DVT inowedzera njodzi yematambudziko ehutano akakomba. Marudzi ese ari maviri e thrombophlebitis anogona kurapwa ne mishonga inorwisa kuoma kweropa.

Zviratidzo zve thrombophlebitis yepamusoro zvinosanganisira kupisa, kusvotwa, uye kurwadziwa. Ungave uine kuzvimba uye kuzvimba uye uone tambo tsvuku, yakaoma pasi pe ganda rako iyo inorwadza kana yakabata. Zviratidzo zve deep vein thrombosis zvinosanganisira kuzvimba, kusvotwa, uye kurwadziwa mumutsago wako.

Enda kune chiremba wako nekukurumidza kana uine tsinga dzvuku, dzakazvimba kana dzine marwadzo - kunyanya kana uine imwe kana kupfuura njodzi dze thrombophlebitis.

Dana 911 kana nhamba yako yekukurumidza yekukurumidza kana:

• Kuwedzera kwetsinga nekukuvadzwa kwakanyanya
• Iwe unewo kushomeka kwekufema kana kurwadziwa pachipfuva, uri kukosora ropa, kana uine zvimwe zviratidzo izvo zvinogona kuratidza ropa rakaenda kumapapu ako (pulmonary embolism)

Iva nemumwe munhu akakutora kuchiremba wako kana chikamu chekukurumidza, kana zvichibvira. Zvinogona kukusiira iwe kuti ufare, uye zvinobatsira kuva nemumwe munhu ari newe kukubatsira kuyeuka ruzivo rwawunowana.

Thrombophlebitis inokonzerwa nekuvhara kweropa. Kuvhara kweropa kunogona kuitika nekuda kwekuvadzwa kwetambo ropa kana nekuda kwekurasikirwa nechirwere chinokanganisa maitiro eropa rako rinokuvadza. Unogona zvakare kuwana kuvhara kweropa mushure mekunge usina kuita zvemitambo kwenguva yakareba, sekunge uri muchipatara kana kupora kubva kukuvara.

Ngozi yako yekuwanda kwe thrombophlebitis yakakwira kana iwe usingaiti zvemitambo kwenguva yakareba kana uine catheter mumutsinga mukuru kuti urare chirwere. Kuva nevaricose veins kana pacemaker kunogona zvakare kuwedzera ngozi yako. Vakadzi vane nhumbu, vakangozvara, kana vanotora mapiritsi ekudzora kuberekwa kana kurapwa kwehomoni vanogona kunge vari pangozi yakakwira. Zvimwe zvinokonzera ngozi zvinosanganisira nhoroondo yemhuri yechirwere chekuwanda kweropa, tsika yekuumba ropa, uye kuva ne thrombophlebitis kare. Ngozi yako inogona zvakare kukwira kana wakambova ne stroke, une makore anopfuura makumi matanhatu, kana une uremu hwakawandisa. Kuva nekenza nekusvuta zvakare zvinokonzera ngozi.

Zvinetso kubva ku thrombophlebitis yepamusoro zvisingawanzoitiki. Zvisinei, kana ukawana deep vein thrombosis (DVT), njodzi yekukanganisa kwakakomba inowedzera. Zvinetso zvingasanganisira:

• Kugwamba kweropa mumapapu (pulmonary embolism). Kana chikamu chekugwamba kwemukati kwemutsinga chikabviswa, chinogona kufamba kuenda kumapapu ako, kwa chinogona kudzivirira artery (embolism) uye kuva chinotyisa hupenyu.
• Kurwadziwa kwenguva refu kwemukati nekuzvimba (post-phlebetic syndrome). Iyi mamiriro ezvinhu, anozivikanwawo se post-thrombotic syndrome, anogona kukura mwedzi kana makore mushure mekunge wava ne DVT. Kurwadziwa kunogona kuremadza.

Kukagara kwenguva refu muendege kana mumota kunogona kuita kuti makwati ako nemakumbo zvimbomboita uye kuwedzera njodzi yekurwara kwe thrombophlebitis. Kuti udzikise njodzi yeropa kuomarara:

• Famba-famba. Kana uri kubhururuka kana kufamba nechitima kana bhasi, famba-famba munzira kamwe chete paawa. Kana uri kutyaira, mira awa imwe neimwe wobva wafamba-famba.
• Fambisa makumbo ako nguva dzose. Tsimbidza makwati ako, kana kudzvinyirira tsoka dzako pasi kana pachigadziko chetsoka pamberi pako kanopfuura gumi paawa.
• Inwa mvura yakawanda kana mamwe manyuchi asiri doro kudzivirira kuoma kwemuviri.

Kuti aone kana munhu ane thrombophlebitis, chiremba angakubvunza nezvekusagadzikana kwako ndokuona mitsipa yakabatwa pedyo nepamusoro pe ganda rako. Ungaita bvunzo yekuona zviri mukati, senge ultrasound, kuti uone kana makumbo ako ane superficial kana deep vein thrombosis. Bvunzo yeropa inogona kuratidza kana une huwandu hwakawanda hwemvura inoputsa clots. Bvunzo iyi inogonawo kubvisa DVT uye kuratidza kana uri pangozi yekuve ne thrombophlebitis kakawanda.

Kuti aone kana munhu ane thrombophlebitis, chiremba wako achakubvunza nezvekusagadzikana kwako ndokuona mitsipa yakabatwa pedyo nepamusoro pe ganda rako. Kuti azive kana une superficial thrombophlebitis kana deep vein thrombosis, chiremba wako angasarudza imwe yeidzi bvunzo:

Ultrasound. Chishandiso chakaita sedanda (transducer) chinofambiswa pamusoro penyaya yakabatwa yemukumbo wako chinoendesa mafungu esound mukati memukumbo wako. Sezvo mafungu esound achifamba nepakati petishu yemukumbo wako ndokudzoka, kombiyuta inochinja mafungu acho kuva mufananidzo unofamba pachiratidziriro.

Bvunzo iyi inogona kusimbisa chirwere uye kusiyanisa pakati pe superficial ne deep vein thrombosis.

Bvunzo yeropa. Anenge munhu wese ane ropa rakaoma ane huwandu hwakawanda hwechinhu chinongoitika, chinoputsa ropa rakaoma chinonzi D dimer. Asi mazinga e D dimer anogona kukwira mumamiriro ezvinhu akasiyana. Saka bvunzo ye D dimer haisi yakajeka, asi inogona kuratidza kudiwa kwekuongororwa zvakare.

Inobatsirawo kubvisa deep vein thrombosis (DVT) uye kuziva vanhu vari pangozi yekuwana thrombophlebitis kakawanda.

• Ultrasound. Chishandiso chakaita sedanda (transducer) chinofambiswa pamusoro penyaya yakabatwa yemukumbo wako chinoendesa mafungu esound mukati memukumbo wako. Sezvo mafungu esound achifamba nepakati petishu yemukumbo wako ndokudzoka, kombiyuta inochinja mafungu acho kuva mufananidzo unofamba pachiratidziriro.

  Bvunzo iyi inogona kusimbisa chirwere uye kusiyanisa pakati pe superficial ne deep vein thrombosis.

• Bvunzo yeropa. Anenge munhu wese ane ropa rakaoma ane huwandu hwakawanda hwechinhu chinongoitika, chinoputsa ropa rakaoma chinonzi D dimer. Asi mazinga e D dimer anogona kukwira mumamiriro ezvinhu akasiyana. Saka bvunzo ye D dimer haisi yakajeka, asi inogona kuratidza kudiwa kwekuongororwa zvakare.

  Inobatsirawo kubvisa deep vein thrombosis (DVT) uye kuziva vanhu vari pangozi yekuwana thrombophlebitis kakawanda.

Thrombophlebitis inorova inogona kurapwa nekushisa nzvimbo inorwadza uye kukwidza gumbo rako. Unogona kutorawo mishonga yekuderedza kuzvimba nekutsamwa uye kupfeka masokisi ekumanikidza. Kubva ipapo, kazhinji inozviongorora. Kune thrombophlebitis inorova neyakadzika, kana DVT, unogona kutora mishonga inonetesa ropa uye inoparadza clots. Unogona kupfeka masokisi ekumanikidza anowanikwa nechirongo kuti udzivise kuzvimba uye kudzivirira matambudziko eDVT. Kana usingakwanisi kutora zvinonetesa ropa, firiji inogona kuiswa mumutsinga mukuru mudumbu rako kuti ichengetedze clots kubva pakugara mumapapu ako. Dzimwe nguva mitsipa yevaricose inobviswa nekuvhiya.

Kune thrombophlebitis inorova, chiremba wako angakurudzira kushandisa kupisa kunzvimbo inorwadza, kukwidza gumbo rakabatwa, kushandisa mushonga usingaperi we-anti-inflammatory (NSAID) uye zvichida kupfeka masokisi ekumanikidza. Iyo mamiriro kazhinji anozozviongorora.

Masokisi ekumanikidza, anozivikanwawo se masokisi ekutsigira, anomanikidza makumbo, achiita kuti ropa riyerere zvakanaka. Munhu anokubatsira kupfeka masokisi angakubatsira kupfeka masokisi.

Chiremba wako angakurudzirawo aya kurapwa kune ese marudzi e thrombophlebitis:

• Mishonga inonetesa ropa. Kana uine deep vein thrombosis, kuiswa kwemishonga inonetesa ropa (anticoagulant), senge low molecular weight heparin, fondaparinux (Arixtra) kana apixaban (Eliquis), inogona kubatsira kudzivirira clots kubva kukura. Mushure mekurapwa kwekutanga, iwe ungazoudzwa kuti utange kutora warfarin (Jantoven) kana rivaroxaban (Xarelto) kwemwedzi yakati kuti kuti urambe uchivhara kukura kwe clot. Mishonga inonetesa ropa inogona kukonzera kubuda ropa kwakanyanya. Gara uchitevera mirairo yechiremba wako zvakanyatsonaka.
• Mishonga inoparadza clots. Kurapwa nemushonga unoparadza clot kunonzi thrombolysis. Mushonga we alteplase (Activase) unoshandiswa kuparadza clots ropa muvanhu vane DVT yakakura, kusanganisira avo vane clot ropa mumapapu (pulmonary embolism).
• Masokisi ekumanikidza. Masokisi ekumanikidza ane simba rekurapa anobatsira kudzivirira kuzvimba uye kuderedza mikana yematambudziko eDVT.
• Vena cava filter. Kana usingakwanisi kutora zvinonetesa ropa, firiji inogona kuiswa mumutsinga mukuru mudumbu rako (vena cava) kudzivirira clots dzinopera mumitsinga yemukumbo kubva pakugara mumapapu ako. Kazhinji, firiji inobviswa kana isingachadiwi.
• Kubvisa varicose vein. Chiremba anogona kubvisa varicose veins dzinoita kurwadza kana thrombophlebitis inodzokorora. Maitiro acho anosanganisira kubvisa mutsinga murefu kuburikidza nekucheka duku. Kubvisa mutsinga hakuzokanganisi kuyerera kweropa mumukumbo wako nekuti mitsipa yakadzika mumukumbo inotarisira huwandu hwakawanda hweropa.

Kuwedzera pakurapwa kwemishonga, matanho ekutarisira kwemuviri anogona kubatsira kuvandudza thrombophlebitis.

Kana uine thrombophlebitis yepamusoro:

Zivisa chiremba wako kana uri kutora mushonga unonetesa ropa, se aspirin.

Kana uine deep vein thrombosis:

• Shandisa jira rinopisa kuti upise nzvimbo yakabatwa kakawanda pazuva

• Chengeta gumbo rako rakakwirira kana wagara kana uri kurara

• Shandisa mushonga usingaite steroidal anti-inflammatory (NSAID), se ibuprofen (Advil, Motrin IB, nezvimwewo) kana naproxen sodium (Aleve, nezvimwewo), kana wakurudzirwa nachiremba wako

• Tora mishonga inonetesa ropa yakanyorwa sezvakarayirwa kudzivirira matambudziko

• Chengeta gumbo rako rakakwirira kana wagara kana uri kurara kana rakapfuta

• Pfeka masokisi ako ekumanikidza simba rakazara sezvakarayirwa