Uphawu uMoses: oonobangela kunye nonyango

Bambalwa abantu abazi ukuba igazi lomntu aqukuqela imithambo yegazi. Zozibini ezi saa kulo lonke umthamo umzimba, enye kanye phezu eluswini, omnye ngaphantsi kwayo. Ukubona iingxaki kunye neempahla anzongonzongo akukho lula, njengokuba imiqondiso lwangaphandle sifo bezehlela. Ukuze uncede oogqirha kufika iimpawu ezininzi - Homans, noMoses, kunye Lovenberga Louvel, Opitz kunye Raminesa. Ngamnye kubo isibonisi imithambo yegazi ukuba kukho into engalunganga. Ukucacisa uxilongo kukho imbaxa, kodwa uxilongo ngqo, kodwa ke isizathu sokuba afune unyango, bakholisa ukuba ndizekela kwasentloko, iimpawu sokuqala. Yintoni na ke, ukuba abonise nendlela njani kakhulu? Makhe uphando.

Le egazi eziyingozi kakhulu

Phambi ndithi ukuba olu luphawu kaMoses kunye nezinye iimpawu ziphela imeko kunye thrombus. Enyanisweni, kuba egazi igazi kwenzeka imithambo yegazi ngenxa yokuphazamiseka kwinkqubo hemostatic. Baya Ungasa ngapha inqanawa okanye encanyathiselwe eludongeni lwayo. egazi yokuqala igazi zithanda ukuba encinane, kodwa bayakwazi ukukhula ngenxa yokuba izihlwele thrombotic ngokuhamba kwexesha bandisa. Kukho kufika ixesha xa thrombus ngokupheleleyo occludes isitya ukuba ngaphandle inyathelo elikhawulezileyo kunokukhokelela ekufeni. Kodwa ke ukungqubana umkhumbi 70-75% igcwele kakhulu, ezizezi ukuncitshiswa ioksijini ukuya ancedisana kumanqanaba ezibalulekileyo kunye nokwanda kwemveliso inkunkuma pathways ezikhokelela ukunxila. Xa umntu ophila kwi egazi imithambo yegazi kwakhiwa gciwane - thrombosis. Esi sifo uyiqhelile ukuya 1/5 sabantu ehlabathini, yaye abantu, oko kwenzeka kakhulu kaninzi ngaphezu abafazi. Thrombosis kungenzeka nayiphi na imithambo yegazi - esandleni kwi enyama yangaphakathi, ingqondo, kodwa ixhaphake kakhulu yesiqephu asezantsi. Ukuba akuyihlawuli ingqalelo ngokwaneleyo kwisigulo, inika iingxaki otsho up nyaka ngamnye amawakawaka abantu.

Oonobangela egazi igazi ngemithambo kweqondo asezantsi

Kutheni egazi igazi akhiwa ngayo abanye abantu, ngoxa abanye ntoni na? Kukho izinto ezininzi lomngcipheko, yaye zahlulwe zibe ngamaqela amathathu - enaso, sifumane exutyiweyo. Uphawu uMoses elingana efanelekileyo nawuphi na umngcipheko. izinto bekhubazekile ngokuba zesifo omnye okanye elinye ukuphazamiseka hemostasis kunye imizila kwinqanaba yemfuza. Phakathi ezifunyenwe ukuze kuchazwe zezi:

- ebudaleni;

- yokukhulelwa;

- emlenzeni umenzakalo (umzekelo, waphuka);

- ukutyeba;

- ukusebenza apha emilenzeni;

- ukusetyenziswa izicwangcisi ezithile;

- ukungalolongi umzimba;

- izifo hormone;

- igazi ithumba elihle (polycythemia);

- umhlaza zepancreas;

- amayeza athile;

- nokubekwa gypsum;

- phambi catheter kwi Kusenjalo central;

- ngculaza.

thrombophlebitis

UMoses uphawu le thrombosis nje kuphela kodwa thrombophlebitis umqondiso - sifo, edibanisa ukuyilwa ihlwili legazi kunye ukudumba yegazi. Izizathu ukwenzeka yalo:

- Thrombophilia (utyekelo ukwenza egazi);

- inani kwezifo ezosulelayo;

- emithanjeni okubi;

- kophulwa lokuhamba igazi;

- komzimba;

- utshintsho kumafa igazi;

- amavila;

- lwegazi.

Thrombophlebitis kunokwenzeka kakuhle kwaye onesifo. Le ngozi inkulu ibangela xa isiqwengana ihlwili legazi waphula kude, igazi ufumana entliziyweni okanye pulmonary. Isiphumo ixhomekeke kubungakanani isiqwenga, kwaye wathandwa amanyathelo.

Iimpawu ezisebenzisa lwemithambo

Umsolwa owaqala thrombosis, inceda nje iliphawu uMoses ngemithambo ezinzulu emilenzeni. Xa isifo kukho ezinye iimpawu:

- iindumbisa imilenze;

- ukungakhululeki, ukuqumba, neentlungu imilenze;

- lobushushu eliphezulu (eboniswe njalo).

Ukuba egazi igazi kuthintela imithambo yegazi ukuba kufutshane kumphezulu eluswini, iingxaki ekuqaleni ngokuchanileyo kumiselwa efaka abangaboniyo idumbile ingubo uphawu kwi ndawo abachaphazelekayo, kukho iinguqu kwinkangeleko yalo kunye nombala. Ukuba egazi asithe imithambo yegazi enzonzobila, ngaphandle iimpawu azikho abahlukene, plus ukuze kubonisa inani nezinye izifo, ezifana ekweneni imilenze sele ukusilela intliziyo, iintlungu weva kakubi. Ngoko oogqirha ukwenza uxilongo lwezonyango, kuthathelwa ingqalelo into yokuba izinto ezithile deep vein thrombosis kwi amathole emlenzeni kunye shins.

Ukuba thrombosis kwenzeka ngemithambo womlenze eliphezulu, isiguli iintlungu komhlana asezantsi, sacrum, kuloo ndawo ubudoda. Enye uphawu sifo nomkhuhlane. Ngelo lixa iliphawu kaMoses kunye nezinye iimpawu zonyango ngazo kweli nqaku azifumaneki. Ngamanye amaxesha egazi igazi ngemithambo kasikrobana ayiniki iimpawu, kunye nesifo Waziwa kakhulu emva kwexesha, xa sele kukho thromboembolism miphungeni.

Homans umphumela uMoses

Uxilongo for Homans ithathwa kakhulu uphawu imi ngolu hlobo. Isigulane ulala phantsi esofeni emqolo. Apho entloko egungxula kunye nomzimba (ngaphandle ababetheki kakhulu). Imilenze isigulane kufuneka bent kancinane emadolweni. Ugqirha uyagoba unyawo ngonyawo lwakhe amaqatha ukusuka kwicala angasemva. Kulo mzekelo, xa kukho thrombosis ngemithambo emilenzeni ukuya edolweni, isigulana ubuhlungu elibukhali kwi izihlunu ithole.

Uphawu uMoses - eli lixesha loxilongo bezonyango belo thrombosis zinzulu vein thrombophlebitis. It iqulathe kule ilandelayo. Ugqirha licudisa bembande ngaphambili nomonde nangasemva, uze nala macala mabini. Kwimeko yokuqala kukho intlungu ezibukhali, yaye owesibini na ongekhoyo, kukho amathuba eliphezulu lokuba igazi ihlwili ngemithambo.

Ezinye iimpawu loxilongo clinical

Kuba ingqiniseko omkhulu ukuchaneka uxilongo lokuqala, oogqirha basebenzisa uvavanyo kuphela ukuba uphawu uMoses. Photo ubonisa inkqubo yamalungiselelo phambi kovavanyo e Lovenbergu. ugqirha Kuqala palpates indawo ingxaki umlenze nomonde, ngoko kwinxalenye usembindini lesiquluba (ophakathi wesithathu) kubeka sphygmomanometer cuff kwaye iimpompo umoya kuxinzelelo omalunga 150 mm lesigidi. Ubuhlungu ithole ibonisa ubukho ihlwili legazi.

Ungenza isicelo self-cuff ethangeni (ngaphantsi wesithathu), kwaye hayi kwi bembande kwaye efutha kuyo. Ukuba intlungu ithole livela, kuya kuba uphawu-Opitz Raminettsa.

Ngamanye amaxesha, izigulane intlungu amathole kuvela xa ukhohlela okanye uthimla. Kwakhona uphawu thrombosis ekuthiwa Louvel induna, kodwa yonke loo nto uphawu ubuncinane.

ukuxilongwa

Ukuba isigulane kurhanelwa thrombosis nzulu umthambo okanye thrombophlebitis, kodwa iimpawu Homans noMoses elibi, isigulane bayacetyiswa ukuba baye diagnosis ngakumbi. iindlela zalo;

- US (Doppler, Sonoelastography);

- MRI;

- iimvavanyo kwegazi (iimvavanyo hemostasis).

Ukuba isigulana umntu ukufukuka nokuthantamisa le nemilenze, kodwa akukho iimpawu ngentla, kunokuba luphawu omnye sifo, ezifana iimpembelelo trauma, ukusilela intliziyo, kunye nezinye artrozoartrit. ukuxilongwa yaye ukufumanisa unobangela weengxaki zichaseneyo iinyawo zabo.

unyango

Kubalulekile ibhaqe nzulu vein thrombosis kwi zigaba zokuqala zesi sifo, nto leyo eya kukunceda ndlela ezilula lwezonyango diagnostic, ezifana Homans inokuphumela uphawu uMoses. Treatment amiselwe ngugqirha, sikhokelwa uxilongo lwezonyango, kwakunye neziphumo ukuxilongwa. Xa awuqalanga uthomalaliso khosi kuphela iindlela angqingqwa:

- isicelo i yingxaki namafutha aqholiweyo isahlulo ( "Gepanolovaya", "lweeHedfowuni", "naiz" okanye "indovazin") ukuba isikiwe iintlungu, ukunciphisa nangokurhala, ukuthintela thrombus kwenkumbulo;

- nokudla anticoagulants, dutywa egazi igazi kunye nokucoca ngemithambo channel;

- ukuyifundisa (UHF kunye nokususwa kazibuthe nokudumba, Imithi electrophoresis zokuchithwa ngokukhawuleza thrombi);

- girudoterapija (uLeech ke lesitofu iziyobisi igazi enqanda ukusonga yayo ukuze ngokwenjenjalo kuphuculwe ukuhamba kwegazi);

- ucinezelo elastic (enxibe iikawusi ezizodwa kunye tights).

Yinto ebalulekileyo yokwenza ukuba unyango - alale.

Ngokutsho ubungqina wenziwe umsebenzi micro (ukusika imithambo phantsi zomzimba wengingqi) kwi eziphelweni ephantsi ukususa egazi.

Ukuba isisongelo ibanjiwe thromboembolism (ukuvaleka) le-pulmonary, utyando isigulane luyenziwa ngoko nangoko.

ukuvimbela

Azi - nasiphi na isifo kulula ukunqanda kunokuba ukuba ayibulale. Ukwenzela ukuphepha izinto ezifunyenwe umngcipheko thrombosis, ibe ke uMosis akazange abonakale induna, Homans nabanye, kufuneka ukomeleza imithambo zabo. Iindlela ezininzi kwaye zisebenza kuphela entsonkothileyo. Zezi:

- yokudla;

- lukhuni (iibhate koko, ehamba ngezikaTshiwo, ukuqubha);

- umthambo ezifanele ngokomzimba;

- iinyawo noCoceko;

- enxibe iikawusi ucinezelo (ingakumbi nohambo);

- ukuphetshwa zeenyawo emzimbeni kunye giperustalosti;

- amayeza emveli, inceda isiqabu ukudumba nokomeleza iindonga imithambo yegazi.