Zizindikiro Mose kuti: zimayambitsa ndi mankhwala

anthu ochepa sindikudziwa kuti magazi a munthu zimapita kudzera mitsempha ndi mitsempha. Onse ali omwazikana mu buku la thupi, chimodzi pa pamwamba kwambiri ya pakhungu, ena kwambiri pansi pake. Kudziwa mavuto ndi ziwiya kwambiri n'kovuta, monga zizindikiro kunja matenda kuoneka ofooka. Kuthandiza madokotala kubwera zizindikiro angapo - Homans, ndi Mose, ndi Lovenberga Louvel, Opitz ndi Raminesa. Aliyense wa iwo ndi mbendera kuti Mitsempha kuti chinachake chalakwika. Kulongosola bwino matenda pali zovuta, koma matenda enieni, koma chifukwa cha kufuna chithandizo chamankhwala, iwo amakhala woyambirira, zizindikiro koyamba. Kodi iwo, kusonyeza ndi mmene aakulu? Tiyeni tifufuze.

The kuundana owopsa

Pamaso ndikukuuzani kuti chizindikiro ichi Mose ndi zizindikiro zina adzayeretsepo vuto thrombus lapansi. Ndipotu, ndi magazi kuundana kuti zimachitika ziwiya magazi chifukwa chisokonezo dongosolo hemostatic. Iwo akhoza adutsa chotengera kapena Ufumuyo mpanda wake. kuundana Choyamba magazi amakhala ang'onoang'ono, koma akhoza kukula chifukwa misa thrombotic pa nthawi kudziunjikira. Apo pakubwera nthawi imene thrombus kukula occludes chotengera kuti popanda kanthu mwamsanga kungachititse kuti imfa. Koma alipo chotengera pa 70-75% ana amakumana ndi mavuto aakulu, ndicho kuchepetsa kotunga mpweya zimakhala kuti milingo yovuta ndipo kudzikundikira muli kagayidwe kachakudya chopatsa kuledzera. Pamene munthu amene ali mu kuundana mitsempha anapanga ama - thrombosis. matenda ndi bwino kuti 1/5 la anthu onse padziko lapansi, ndi anthu, kumachitika kwambiri zambiri kuposa akazi. Thrombosis zingachitike mu mitsempha aliyense ndi mitsempha - pa dzanja mu ziwalo, ubongo, koma ndi ambiri mu malekezero m'munsi. Ngati mulibe kulabadira zokwanira matenda, limapereka mavuto amene amadzaza chaka chilichonse anthu ambirimbiri.

Zimayambitsa magazi kuundana mu mitsempha ya m'makona m'munsi

Chifukwa magazi kuundana anapanga mu anthu ena, pamene ena satero? Pali zambiri zothandizira nthendayi, ndipo anawagawa m'magulu atatu - kobadwa nako, anapeza ndi kusakaniza. Zizindikiro Mose ofanana zogwirizana chiopsezo chilichonse. zinthu kobadwa nako matendawa ali ina ya matenda hemostasis ndi masinthidwe pa mlingo chibadwa. Pakati anapeza akhoza ankanena:

- ukalamba;

- mimba;

- mwendo kuvulala (mwachitsanzo, fractures);

- kunenepa;

- opareshoni pa miyendo;

- kugwiritsa ntchito zina kulera;

- asamapereke;

- matenda m'thupi;

- mtima wabwino chotupa magazi (polycythemia);

- khansa ya kapamba;

- zina mankhwala;

- la imposition wa gypsum;

- pamaso pa catheter mu mtsempha chapakati;

- matenda.

thrombophlebitis

Mose chizindikiro ndi chisonyezo osati thrombosis komanso thrombophlebitis - matenda, kaphatikizidwe ndi mapangidwe magazi aumirira ndi kutukusira kwa mitsempha. Chifukwa pakuwonekera kwake ndi:

- Thrombophilia (chizolowezi kupanga kuundana);

- chiwerengero cha matenda opatsirana;

- kuvulala mitsempha;

- kuphwanya magazi;

- chifuwa;

- kusintha mu magazi zikuchokera;

- onenepa;

- matenda oopsa.

Thrombophlebitis angayambe bwinobwino ndi matenda. Kuopsa kwambiri amachititsa pamene mpukutu wa nthinthi magazi akuswa kutali, ndi magazi afika kwa mtima kapena mtsempha wamagazi m'mapapo mwanga. Zingadalire kukula kwa mpukutu, ndipo mofulumira kanthu.

Zizindikiro za kuchulukana venous

Akuganiza kuti anayamba thrombosis, amathandiza osati chizindikiro cha Mose mitsempha zozama za miyendo. Mu matenda pali zizindikiro;

- kutupa nthambi;

- kusapeza, bloating, kupweteka nthambi;

- mkulu kutentha (wasonyeza si nthawi zonse).

Ngati magazi kuundana obstruct Mitsempha kuti ali pafupi pamwamba khungu, mavuto chiyambi molondola anatsimikiza mtima zowoneka kutupa mitsempha khalidwe chovala pa malo akhudzidwa, kusintha kapangidwe ake ndi mtundu. Ngati kuundana ndigwire ziwiya magazi kwambiri, kunja zizindikiro si osiyana, kuphatikiza iwo zingasonyeze angapo matenda ena monga kutupa miyendo ndi zoopsa mtima, ululu adazindikira kuvulala. Choncho madokotala kuchita diagnostics matenda, kutenga nkhani maonekedwe enieni thrombosis kwambiri mtsempha mu ng'ombe mwendo ndipo shins.

Ngati thrombosis amapezeka mu mitsempha ya ntchafu chapamwamba, wodwalayo mwina kubva mu m'munsi kumbuyo, sacrum, m'dera groin. chisonyezo cha matenda mwina malungo. Pa nthawi yomweyo chizindikiro cha Mose ndi zizindikiro zina matenda m'nkhani ino palibe. Nthawi zina magazi kuundana mu mitsempha ya ntchafu sapereka zizindikiro, ndi matenda adzakhala wodziwika mochedwa kwambiri, pamene kale panali m'mapapo mwanga thromboembolism.

Homans chizindikiro ndi Mose

Matendawa kwa Homans imatengedwa khalidwe kwambiri ndipo motere. Wodwala akagona pa kama pa nsana wake. M'menemo mutu ndi chamadzi ndi thupi (popanda khushoni). Miyendo ya wodwala ayenera kukhala pang'ono wopindidwa pa mawondo. dokotala anaŵerama phazi la phazi lake mu bondo ku mbali kumbuyo. Pankhaniyi, ngati pali thrombosis mu mitsempha ya miyendo ku bondo, wodwalayo kupweteka kwambiri m'minofu ng'ombe.

Zizindikiro Mose - ndi nthawi ya matenda matenda a thrombosis ndiponso mtsempha thrombophlebitis. Amakhala mu izi. dokotala akakufinyani wodwala atavalanso zoteteza kutsogolo ndi kumbuyo, ndiyeno ndi mbali ziwiri. Mbali yoyamba pali kupweteka kwambiri, ndipo lachiwiri ndi kwina, pali mkulu Mwina ali ndi magazi aumirira ku mitsempha.

Zizindikiro zina ndi matenda matenda

Ndithu kwambiri kulondola kwa matenda koyamba, madokotala amagwiritsa ntchito mayeso osati chizindikiro cha Mose. Photo chikusonyeza ndondomeko kukonzekera isanafike mayeso a Lovenbergu. dokotala Choyamba palpates wodwala nthambi vuto dera, ndiye mu gawo chapakati tibia ndi (pakati chachitatu) amaika khafu sphygmomanometer ndi mapampu mpweya kufinya pafupifupi 150 mamilimita mankhwala enaake oopsa. Ululu ng'ombe akusonyeza pamaso pa magazi aumirira.

Mungagwiritse ntchito kwa kudzilungamitsa khafu pa ntchafu (m'munsi chachitatu), osati atavalanso zoteteza komanso ikukoka mpweya mu izo. Ngati ululu ng'ombe limapezeka, zidzakhala chizindikiro-Opitz Raminettsa.

Nthawi zina, odwala ululu ng'ombe kuoneka pamene kutsokomola kapena sneezing. Ndi chizindikiro cha thrombosis otchedwa Louvel chizindikiro, koma zonse ndi osachepera khalidwe.

matenda zolondola

Ngati wodwala amaganiziridwa kwambiri mtsempha thrombosis kapena thrombophlebitis, koma zizindikiro Homans ndi Mose zoipa, mtima wa akulangizidwa chokuchititsani matenda zina. njira zake:

- US (Doppler, Sonoelastography);

- Kujambula;

- MAGAZI (hemostasis mayesero).

Ngati wodwalayo kutupa ndi mtima wa nthambi m'munsi, koma palibe zizindikiro za pamwamba, zikhoza kukhala chizindikiro cha matenda ena, monga zotsatira zoopsazo, kulephera mtima, ndipo artrozoartrit ena. Zolondola matenda ndi kuchita kudziwa chifukwa cha mavuto odziwika ndi mapazi awo.

chithandizo

Nkofunika kudziwa thrombosis kwambiri mtsempha mu magawo oyambirira a matenda, chimene kungatithandize njira zophweka kwambiri matenda matenda monga Homans chizindikiro ndi chisonyezo cha Mose. Chithandizo zotchulidwa dokotala, motsogozedwa ndi matenda ovutika komanso zotsatira za matenda zolondola. Pamene akuthamanga njira mankhwala akhoza okha njira ndiwofatsa:

- kugwiritsa ntchito ku mabvuto mafuta gawo ( "Gepanolovaya", "Heparin", "Naiz" kapena "indovazin") amene cropped ululu, kutupa m'malo olumikizirana mafupa, kupewa thrombus mapangidwe;

- ingestion wa anticoagulants, Kutha magazi kuundana ndi kukonza mitsempha njira;

- physiotherapy (UHF ndi maginito kuchotsa edema, electrophoresis mankhwala chifukwa chakuyimisidwa mwamsanga thrombi);

- girudoterapija (leech jekeseni mu chikhazikitso magazi zoletsa kuti kungomanga ake ndipo potero bwino magazi);

- zotanuka psinjika (atavala masitonkeni wapadera ndi tights).

Wofunika kwambiri mankhwala - bedi zina.

Malinga ndi umboni anagwira ntchito yaying'ono (kudula mitsempha pansi mankhwala oletsa ululu pamalopo) mu malekezero m'munsi kuchotsa magazi kuundana.

Ngati kuopseza ndi wapezeka thromboembolism (blockage) a mtsempha wamagazi ndi m'mapapo mwanga, opaleshoni wodwala anachita nthawi yomweyo.

kupewa

Truism - matenda aliwonse ndi kosavuta kupewa kuposa kuchotsa izo. Pofuna kupewa anapeza thrombosis mfundo zoopsa, ndi Mose siziwoneka chizindikiro, Homans ndi ena, ayenera kulimbitsa mitsempha awo. Njira zambiri ndi iwo ogwira okha zovuta lapansi. Ali:

- zakudya;

- kuumitsa (Mosiyana osambira, kuyenda opanda nsapato, kusambira);

- wololera thupi;

- ukhondo mapazi;

- kuvala psinjika masitonkeni (makamaka kuyenda mpweya);

- kupeŵa mapazi hypothermia ndi giperustalosti;

- mankhwala, amathandiza kuthetsa kutupa ndi kulimbikitsa Mitsempha.