La phlebitis cuta ce ta zuciya da jijiyoyin jini wanda yayi daidai da samuwar wani suturar jini cikin jijiya. Wannan gudan jini gaba daya ko wani bangare yana toshe kwararar jini a cikin jijiya, kamar toshe.

Dangane da nau'in jijiyoyin da abin ya shafa (mai zurfi ko na sarari), phlebitis ya fi muni ko ƙasa da haka. Don haka, idan gudan jini ya kasance a cikin zurfin jijiya, babban sikelin, dole ne a ba da magani a cikin duka gaggawa.

A mafi yawan lokuta, phlebitis yana faruwa a cikin jijiya a kafafu, amma yana iya bayyana a kowace jijiya (makamai, ciki, da sauransu).

Phlebitis sau da yawa yana faruwa bayan tsawaita motsi, alal misali, bayan tiyata ko saboda simintin gyare -gyare.

Yadda za a gane phlebitis?

Yana da mahimmanci a rarrabe tsakanin nau'ikan phlebitis 2, tare da sakamako daban -daban da jiyya.

Flebitis na waje

A wannan yanayin, gudan jini yana samuwa a cikin jijiyar farfajiya. Shi ne mafi yawan tsari, wanda yafi shafar mutane da jijiyoyin varicose. Yana tare da kumburin jijiya kuma yana haifar da ciwo da rashin jin daɗi. Kodayake phlebitis na ƙasa na iya zama kamar mara lahani, yakamata a ɗauka azaman ja. Lallai, gabaɗaya alama ce ta rashin isasshen venous wanda zai iya haifar da zurfin phlebitis.

Zurfafa phlebitis

Lokacin da dunƙulewar jini ya haifar a zurfin jijiya wanda jininsa ke da mahimmanci, lamarin yafi hatsari tunda gudan jini na iya rabuwa da bangon jijiya. Ana gudanar da shi ta hanyar zub da jini, sannan zai iya wucewa ta cikin zuciya, sannan ya toshe jijiyoyin huhu ko ɗayan rassan sa. Wannan yana haifar da embolism na huhu, haɗarin da zai iya mutuwa. Mafi sau da yawa, irin wannan gudan jini yana samuwa a cikin jijiya a cikin maraƙi.

Dubi dalla -dalla alamun phlebitis 

Wanene ke fama da phlebitis?

Deep phlebitis yana shafar fiye da 1 cikin mutane 1 kowace shekara. A Quebec, akwai kusan shari'o'i 000 a shekara⁶. Abin farin ciki, dabarun rigakafin masu tasiri na iya rage yawan kumburin huhu da mutuwa da ke da alaƙa da zurfin phlebitis.

Mutanen da ke cikin haɗari

• Mutanen da ke fama da rashin isasshen jini ko kuma suna da jijiyoyin jijiyoyin jini;
• Mutanen da suka sha wahala daga phlebitis a baya, ko waɗanda danginsu suka sha wahala daga phlebitis ko embolism na huhu. Bayan phlebitis na farko, haɗarin sake dawowa yana ƙaruwa da 2,5;
• Mutanen da suke da babban tiyata don haka suna buƙatar zama a kwance na kwanaki da yawa (alal misali, tiyata ta hanji) da waɗanda dole ne su sa simintin gyaran kafa;
• An kwantar da mutanen asibiti saboda bugun zuciya, bugun zuciya ko gazawar numfashi;
• Mutanen da ke da na'urar bugun zuciya (son zuciya) da waɗanda aka sanya catheter a cikin jijiya don magance wata cuta. Hadarin ya fi girma cewa phlebitis ya bayyana a hannu;
• Mutanen da ke fama da cutar kansa (wasu nau'in cutar sankara suna haifar da ƙin jini, musamman a kirji, ciki da ƙashin ƙugu). Don haka, an kiyasta cewa ciwon daji yana ƙara haɗarin phlebitis ta hanyar 4 zuwa 6. Bugu da ƙari, wasu magungunan da ake amfani da su a jiyyar cutar sankara suna ƙara haɗarin ɗigon jini;
• Mutanen da ke shanyewar ƙafafu ko makamai;
• Mutanen da ke fama da cututtukan jini (thrombophilia) ko cututtukan kumburi (ulcerative colitis, lupus, cutar Behçet, da sauransu);
• Mata masu juna biyu, musamman a ƙarshen ciki da bayan haihuwa, suna ganin haɗarin phlebitis ya ninka 5 zuwa 10;
• Mutanen da ke fama da kiba;
• Hadarin phlebitis yana ƙaruwa sosai da tsufa. An ninka shi da 30, daga shekaru 30 zuwa shekaru 80.

hadarin dalilai

• Tsaya a matsayi mara motsi na sa'o'i da yawa: aiki yayin tsayawa na dogon lokaci, yin doguwar tafiya ta mota ko jirgin sama, da dai sauransu tafiye -tafiye fiye da sa'o'i 12 musamman suna ƙara haɗarin. A cikin jirgin, ƙaramin iskar oxygen da busasshiyar iskar na bayyana ƙara haɗarin. Har muna magana akan ” tattalin arziki aji ciwo ". Koyaya, haɗarin ya kasance kaɗan: 1 cikin 1 miliyan2.
• A cikin mata, shanHarshen hormone sauyawa a menopause ko maganin hana daukar ciki abu ne mai hatsarin gaske domin waɗannan magunguna na ƙara haɗarin jini. Maganin hana haihuwa na baka yana ƙara haɗarin phlebitis ta 2 zuwa 6
• Shan taba.

Menene dalilan phlebitis?

Kodayake ba koyaushe muke sanin dalilan ba, da phlebitis gabaɗaya yana da alaƙa da manyan dalilai 3:

• Jinin da ke tsayawa a cikin jijiya, maimakon yawo cikin ruwa (muna magana game da stasis venous). Wannan halin na al'ada nerashin isasshen jini da kuma jijiyoyin varicose, amma kuma yana iya zama saboda tsawaita motsi (filasta, kwanciyar gado, da sauransu);
• A rauni a bangon jijiya, sanadiyyar sanye da bututu, ta hanyar rauni, da sauransu;
• Jinin da ke toshewa cikin sauƙi (wasu cututtukan daji da naƙasasshen kwayoyin halitta, alal misali, suna sa jini ya zama mai ɗimbin yawa). Tashin hankali, tiyata, ciki kuma na iya rage yawan jinin jini da kuma kara haɗarin gudan jini.

A cikin kusan rabin mutanen da ke da shi, phlebitis yana faruwa kwatsam ba tare da iya yin bayaninsa ba. Duk da haka, an gano abubuwan haɗari. Duba Mutanen da ke cikin haɗari da abubuwan Hadarin.

Wadanne matsaloli?

Babban haɗarin zurfin phlebitis shine faruwar a cututtukan huhun zuciya. Wannan haɗarin yana faruwa lokacin da gudan jinin da ya samu a kafa ya yanke, ya yi “tafiya” zuwa huhu ya toshe huhu ko ɗaya daga cikin rassan sa. Don haka, sama da kashi 70% na cututtukan embolism na huhu suna haifar da ƙin jinin da aka fara samu a cikin jijiya a ƙafafu.

Bugu da ƙari, lokacin da aka shafi jijiyoyin jini mai zurfi, alamun rashin isasshen jijiyoyin jini na iya faruwa, misali kumburin kafafu (edema), jijiyoyin varicose da ulcers kafa. Waɗannan alamomin sune sakamakon lalacewar bawuloli ta hanyar ɗigon jini. Bawuloli wani nau'in “bawul” ne wanda ke hana jini ya dawo cikin jijiyoyin jini kuma yana sauƙaƙa kewayarsa zuwa zuciya (duba zane a farkon takardar). A fannin likitanci, shi ne a Ciwon post-phlebitic. Tunda phlebitis galibi yana shafar kafa ɗaya kawai, wannan ciwo yawanci yana gefe ɗaya.

game da na waje phlebitis, an daɗe ana ɗaukarsa mara illa. Koyaya, yawancin binciken da aka yi kwanan nan sun nuna cewa phlebitis na yau da kullun yana “ɓoye” phlebitis mai zurfi wanda ba a iya lura da shi. A cikin 2010, binciken Faransanci da aka gudanar kan kusan marasa lafiya 900 har ma ya nuna cewa kashi 25% na manyan jijiyoyin jijiyoyin jini suna tare da zurfin phlebitis ko embolism na huhu.⁵.