Zvepamusoro venous thrombosis, inowanzonzi paraphlebitis, inoreva kuvharika kwetsinga neropa. Icho chirwere chinowanzoitika uye chinyoro, icho chinorapwa nyore. Ndezvipi zviratidzo? Sei chirwere kuitwa?

Phlebitis (venous thrombosis) izwi rekare uye richiri kungoshandiswa kuratidza ropa rakagwamba "thrombus" iro rinoumba uye zvishoma kana zvachose rinodzivirira mutsinga wakadzika kana wepamusoro. Mhando mbiri dzehutachiona dzinovapo pamwe chete: iyo yakadzika venous network uye yepamusoro venous network. 

Kana ikaonekwa pane varicose vein inoonekwa pasi peganda, saka tinogona kutaura nezve "zvepamusoro venous thrombosis". Zvepamusoro phlebitis haina kusimba kana yakasarudzika, asi sezvo netiweki dzichikurukura, dzinogona kupararira uye kuomeswa neakadzika mutsinga thrombosis.

Izvo zvikonzero zvakasiyana ndezvi: 

• Mune paraphlebitis, iyo clot inogona kugadzirwa mune yekunze tsinga, tsinga diki iri pakati peganda nemhasuru (saphenous vein). Tsinga dzesaphenous dziri chikamu chepamusoro chetsinga dzetsinga dziri pasi peganda uye inogona kuve saiti yevaricose mutsinga. Varicose tsinga dzinoonekwa zvega kana muhupo hwezvinhu zvine njodzi uye inoramba iri iyo inonyanya kukonzeresa paraphlebitis mumakumbo;
• Paraphlebitis iyo inomuka mutsinga "ine hutano" inowanzo kuve hunhu hwakakomba hwakadai sehunhu kana hurema hwakawanikwa mukugwamba kweropa, gomarara, kana chirwere chisingawanzo kuvhiringidza chevascular (chirwere chaBehçet, chirwere cheBurger);
• Chiratidzo chekushaya simba kunogona kuva chiratidzo chekuuya kwepariphlebitis.

Zvinosuruvarisa, zviratidzo hazviwanzo kunyatsoitika chaizvo. Zvisinei, zvinoguma mukuitika kwekurwadziwa kwekubaya kunogona kugara kwemazuva akati wandei. Iyo varicose vein inobva yaonekwa kunge yakazvimba, tsvuku, inopisa, yakakora uye yakaoma kusvika pakubata zvichikonzera kusagadzikana kwekushanda. Uye zvakare, zvakanyanyisa kukosha kuti urambe wakangwarira kana zvikaitika zvine njodzi.

Panyaya yekufungidzira phlebitis, kuongororwa kunoitwa panguva yekuongorora, asi venous Doppler ultrasound inobatsira kubvisa kuvepo kweanobatana yakadzika phlebitis, iripo kamwe chete muina.

Chinangwa chekurapa chichava chekutetepa ropa. Chokwadi, zvakakosha kuti usawedzere kuwedzera uye kuwedzerwa kweiyo clot inogona:

• Kufambira mberi uchienda kune yakadzika venous network uye wozotungamira kune phlebitis kana yakadzika vein thrombosis;
• Enda kune moyo uye unokonzeresa pulmonary embolism nekuvhara arteri mumapapu.

Muzviitiko zvakawanda kwazvo, kana kurapwa kwatanga, hohwa inonamira pamadziro uye haichapfuurire mberi nekuda kweanticoagulant kurapwa kana kumanikidza masokisi.

Anticoagulant kurapa

Sesarudzo yekutanga, yakanangana nemuromo anticoagulants (DOA) inoshandiswa kune akawanda marudzi e thrombosis zvinoenderana nezviratidzo nezviratidzo zvakawanikwa panguva yekuongorora: nzvimbo, kukura uye kuwedzerwa kweiyo clot. Izvo zviri nyore kushandisa, zvine zvishoma zvinokanganisa chikafu kana zvimwe zvekurapa uye hazvidi kugara uchiongororwa nekuongororwa kweropa. 

Kumanikidza masokisi

Mukuwedzera kune kurapwa kwezvinodhaka, sock compression inogona kupihwa muchikamu chekutanga. Ivo vanobatsira kubvisa edema mugumbo uye nekudzora kurwadziwa. Zvinotokwanisika kuti ivo vaite muchikamu pane kudzorerwa kweiyo clot. Kumanikidza masokisi anofanirwa kupfekwa chete mukati mezuva uye kwenguva yakareba.

Kune makirasi akasiyana asi kirasi 3 inonyanya kuratidzwa (kune makirasi mana ekuwedzera simba rekumanikidza). Iko kumanikidza kunozoona kurapwa kwevaricose mutsinga.

Chekupedzisira, paraphlebitis inoitika muvaricose vein ingano yekurapa varicose mutsinga kuitira kuti isazodzokezve gare gare. Kuti uite kudaro, bvunzo dzekutsvaga chikonzero dzichakumbirwa. Pakati peiyi bvunzo, pane kuongororwa kweredhiyo, kana kuongororwa kweropa kutsvaga, semuenzaniso, mhuri kana kusarongeka kweropa, kusimudzira njodzi ye phlebitis.

Zvichienderana nezvakabuda, kurapwa kweanticoagulant kunogona kuwedzerwa.

Aya anotevera mamiriro anogona kufarira kuitika kwephlebitis:

• Venous stasis (ropa rinomira mutsinga, nekuda kwekureba kwenguva refu kana kumira. Ichi ndicho chinhu chakakosha kwazvo);
• Chirwere chekubuda ropa (ropa rako rinovhara nyore nyore nekuda kwechirwere kana kurapwa);
• Shanduko yemadziro etsinga (kana kuiswa kuiswa mukati mutsinga kwenguva yakareba, madziro etsinga anogona kukuvara uye anogona kuvharika);
• Zera rinopfuura makumi mana;
• Kunyanyisa;
• kusvuta;
• Immobilization (plaster, kuoma mitezo, rwendo rurefu);
• Kubata pamuviri, kubata pamuviri kana menopausal hormone therapy ine estrogen;
• Nhoroondo ye phlebitis;
• Kenza, kurapwa kwekenza (chemotherapy);
• Chirwere chisingaperi chirwere.
• Biological genetic zvirwere, zvinoonekwa neropa bvunzo.

Mimwezve mitemo yakajairika inobatsirawo kudzivirira phlebitis:

• Kukurudzira mhasuru dzako nekufamba uye mhasuru kurovedza muviri;
• Kukwidzwa kwetsoka dzemubhedha;
• Kudzvinyirira kweVenous nemasokisi akapfekedzwa masikati;
• Kudzvinyirira kweVenous kwakakurudzirwa panguva yekufamba kwemhepo.