Qhov Tseem Ceeb Qhov Sib Txawv - Deep Vein Thrombosis vs Varicose Veins
Cov hlab ntsha sib sib zog nqus thiab cov hlab ntsha varicose yog ob hom kab mob vascular uas feem ntau cuam tshuam rau cov poj niam laus. Cov hlab ntsha yog occluded tsuas yog nyob rau hauv cov hlab ntsha sib sib zog nqus thrombosis thiab tsis nyob rau hauv varicose leeg. Qhov no tuaj yeem suav hais tias yog qhov sib txawv tseem ceeb ntawm cov hlab ntsha sib sib zog nqus thrombosis thiab varicose leeg. Hauv kev xav txog kev kho mob, cov hlab ntsha sib sib zog nqus tuaj yeem txhais tau tias yog qhov occlusion ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus. Ntawm qhov tod tes, varicose leeg tuaj yeem txhais tau tias qhov muaj qhov txawv txav elongated, dilated thiab tortuous superficial veins.
Dab tsi yog qhov sib sib zog nqus hlab ntsha?
Kev tso tawm ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus hu ua qhov sib sib zog nqus hlab ntsha thrombosis (DVT). DVT ntawm ob txhais ceg yog hom kab mob sib sib zog nqus thrombosis, thiab nws muaj qhov txaus ntshai ntawm kev tuag.
Risk Factors
Patient Factors
- nce hnub nyoog
- Kev rog
- Varicose veins
- Kev cev xeeb tub
- Kev siv tshuaj tiv thaiv qhov ncauj
- tsev neeg keeb kwm
Kev phais mob
Txhua qhov kev phais mob ntev tshaj peb caug feeb
Tshuaj Kho Mob
- mob plawv mob plawv
- Kab mob plab hnyuv (IBD)
- kev phem
- Nephrotic Syndrome
- Pneumonia
- Hematological kab mob
Kev kho mob ntawm DVT
Feem ntau, qis qis DVT pib nyob rau hauv cov hlab ntsha distal thiab yuav tsum xav tias thaum tus neeg mob yws txog,
- pab
- o ntawm ceg qis
- Qhov kub nce hauv qis qis
Txawm hais tias cov tsos mob no nquag tshwm sim ib sab nws muaj peev xwm ua rau lawv ob sab thiab. Tab sis ob tog sib sib zog nqus thrombosis yog yuav luag ib txwm txuam nrog comorbidities xws li malignancies thiab txawv txav nyob rau hauv IVC.
Thaum twg tus neeg mob pom cov tsos mob hais saum toj no, yuav tsum tau muab cov kev pheej hmoo rau DVT txhua lub sijhawm. Thaum kuaj xyuas, yuav tsum tau saib xyuas tshwj xeeb rau kev txheeb xyuas txhua yam mob phem. Txij li thaum nws muaj peev xwm muaj pulmonary embolism ua ke nrog cov hlab ntsha sib sib zog nqus, cov tsos mob, thiab cov tsos mob ntawm pulmonary embolism yuav tsum tau kuaj xyuas.
Cov txheej txheem kho mob hu ua Wells qhab nia yog siv los ntsuas cov neeg mob raws li lawv qhov yuav muaj DVT.
Kev tshawb nrhiav
Kev xaiv ntawm kev tshawb nrhiav nyob ntawm Wells tus qhab nia ntawm tus neeg mob.
Nyob rau hauv cov neeg mob uas tsis tshua muaj qhov tshwm sim ntawm DVT, D dimer kuaj tau ua tiav, thiab yog tias cov txiaj ntsig zoo li qub, tsis tas yuav tsum tau ua ntau qhov kev tshawb nrhiav kom tsis suav nrog DVT
Nyob rau hauv cov neeg mob uas muaj qhov nruab nrab mus rau qhov muaj peev xwm siab thiab hauv cov neeg mob uas koom nrog pawg saum toj no uas nws qhov kev ntsuas D dimer yog siab, compression ultrasound scan yuav tsum tau ua. Nyob rau tib lub sijhawm, nws tseem ceeb heev uas yuav tsum tau tshawb xyuas kom tsis suav nrog cov kab mob hauv qab xws li mob plab pelvic malignancies
Daim duab 01: Deep Vein Thrombosis
Kev tswj hwm
Kev tswj hwm ntawm cov hlab ntsha sib sib zog nqus suav nrog kev kho cov tshuaj tiv thaiv coagulation ua lub hauv paus ua ke nrog kev nce siab thiab tshuaj loog. Thrombolytics yuav tsum raug suav hais tias yog ib qho kev xaiv tsuas yog tias tus neeg mob nyob hauv lub neej muaj kev phom sij. Hauv kev kho anticoagulation thawj zaug, LMWH yog tswj hwm, thiab nws tau ua raws li coumarin anticoagulant xws li warfarin.
Vim varicose leeg yog dab tsi?
Varicose veins yog ib yam kab mob uas nquag pom muaj tshwm sim ntau ntawm cov poj niam. Nyob rau hauv ib qho kev xav morphological, nws tuaj yeem txhais tau tias qhov muaj qhov txawv txav elongated, dilated thiab tortuous superficial leeg. Txawm hais tias lub hauv paus tseem ceeb ntawm tus kab mob tseem tsis tau nkag siab tag nrho, qhov kev lees paub dav dav tshaj plaws qhia tias varicosity yog tshwm sim los ntawm lub sijhawm ntev erect posture thiab cov qauv lossis kev ua haujlwm tsis zoo hauv cov hlab ntsha. Cev xeeb tub, uterine fibroids, thiab mob qog noj ntshav hauv plab yog qhov ua rau cov leeg varicose theem nrab. Nws yuav tsum nco ntsoov tias, yog tias tsis kho kom raug, cov kab mob varicose tuaj yeem ua rau muaj teeb meem loj thiab ua rau tuag tsis tu ncua.
Varicose veins tau muab faib ua ob pawg nyob ntawm qhov xwm txheej ntawm qhov tshwm sim ua idiopathic varicose veins thiab lwm yam varicose leeg.
Idiopathic Varicose Vein
Raws li lub npe txhais tau hais tias, idiopathic varicose veins yog vim tsis paub lossis tsis paub qhov ua rau. Cov kev tshawb fawb pathological, ua rau cov neeg mob uas muaj idiopathic varicose leeg txhawb nqa caj ces cuam tshuam rau cov vascular defects uas predispose idiopathic varicosity. Vim muaj ntau yam anatomical thiab physiological yam ntxwv, cov poj niam feem ntau cuam tshuam tshaj cov txiv neej. Cov tsos mob hnyav zuj zus thaum cev xeeb tub vim qhov cuam tshuam tsis ncaj ntawm qhov nce hauv plab hauv plab ntawm cov leeg ntawm cov leeg qis. Qhov mob no hnyav dua los ntawm kev cuam tshuam ntawm kev tua cov tshuaj hormones.
Secondary Varicose Vein
Kev cuam tshuam ntawm venous, kev puas tsuaj ntawm cov hlab ntsha ntawm cov hlab ntsha los ntawm cov ntshav txhaws, lossis nce ntshav ntws los ntawm cov leeg tuaj yeem ua rau cov leeg varicose thib ob. Raws li cov xwm txheej no kho tau, nws yog ib qho tseem ceeb kom nrhiav kev kho mob sai li sai tau kom tsis txhob muaj teeb meem ntxiv.
Nyob rau hauv tus mob no, koj ob txhais ceg veins ua qhov tseem ceeb thiab unsightly. Raws li qhov no feem ntau cuam tshuam rau cov poj niam, lawv nrhiav kev qhia kho mob vim qhov tsos tsis zoo. Nws tuaj yeem muaj cov tsos mob me me tab sis tsis muaj feem cuam tshuam xws li qaug zog, mob lossis hnyav hauv ob txhais ceg thiab pob taws o, feem ntau tom qab lub sijhawm ntev ntawm kev sawv. Kev saib xyuas tshwj xeeb yuav tsum tau saib xyuas, yog tias koj muaj keeb kwm yav dhau los ntawm cov hlab ntsha sib sib zog nqus vim tias muaj cov hlab ntsha sib sib zog nqus ua ke nrog venous varicosity tuaj yeem cuam tshuam cov ntshav mus rau qis qis.
Kev tshawb nrhiav
Kev kuaj xyuas cov leeg varicose yog ua thaum tus neeg mob sawv. Cov txheej txheem no suav nrog kev tshuaj xyuas ntawm ceg rau cov cim qhia ntawm qhov tob venous insufficiency, auscultation hla thaj tsam cuam tshuam thiab kuaj rau txhua qhov valvular defects. Duplex scanning yog qhov kev ntsuam xyuas zoo tshaj plaws rau kev kuaj mob ntawm tus mob no. Qhov tsis kho tus mob kom zoo tuaj yeem ua rau muaj teeb meem xws li phlebitis thiab hemorrhages.
Kev tswj hwm
Hom kev tswj hwm ntawm varicose leeg txawv raws li qib ntawm qhov hnyav. Ntawm kev kho cov kab mob varicosities, koj tus kws kho mob yuav sau ntawv rau koj nrog cov qib compression stockings uas qhia rau me me varicosities thiab cev xeeb tub, rau cov neeg laus thiab cov tsis haum. Rau me me los yog nruab nrab-qhov loj me varices hauv qab lub hauv caug, sclerotherapy (kev txhaj tshuaj me me ntawm sclerosant) yog hom kev kho mob pom zoo. Kev phais xaiv tau ua yog tias muaj teeb meem xws li hemorrhage, tawv nqaij hloov, thiab tag nrho cov varicosities tshwm sim.
Daim duab 02: Varicose Veins
Txawm hais tias cov leeg varicose tsis tuaj yeem tiv thaiv tau tag nrho, qee qhov kev hloov pauv hauv kev ua neej tuaj yeem txo qhov kev pheej hmoo ntawm lawv. Noj cov zaub mov noj qab nyob zoo nrog cov fiber ntau thiab cov ntsev tsawg yog qhov tseem ceeb. Tsis txhob hnav lub siab heels thiab cov khaub ncaws nruj tuaj yeem txo qhov kev tawm dag zog ntawm cov leeg ntawm cov leeg hauv qab yog li ua kom yooj yim rau kev ncig. Hloov txoj hauj lwm ntawm koj ob txhais ceg tsis tu ncua tiv thaiv qhov tsis ua haujlwm ntawm cov leeg nqaij ntawm cov nyuj.
Dab tsi yog qhov zoo sib xws ntawm Deep Vein Thrombosis thiab Varicose Veins?
Ob qho xwm txheej yog qhov tshwm sim pathological tshwm sim hauv cov leeg
Dab tsi yog qhov txawv ntawm qhov sib sib zog nqus hlab ntsha thiab varicose leeg?
Deep Vein Thrombosis vs Varicose Veins |
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| Kev sib sib zog nqus ntawm cov hlab ntsha los ntawm cov hlab ntsha hu ua cov hlab ntsha sib sib zog nqus. | Varicose veins tuaj yeem txhais tau tias qhov muaj qhov txawv txav elongated, dilated thiab tortuous superficial veins. |
| Nature of Vein | |
| Vim yog ib txwm occluded. | Cov hlab ntsha tsis muaj occluded. |
| Caus thiab Risk Factors | |
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Patient factor · nce hnub nyoog · Obesity · varicose leeg · Cev xeeb tub · Siv tshuaj tiv thaiv qhov ncauj · Tsev neeg keeb kwm Kev phais mob · Ib qho kev phais mob ntev tshaj li peb caug feeb kho mob · Myocardial infarction · Kab mob plab hnyuv loj · mob siab · Nephrotic syndrome · Pneumonia · kab mob hematological |
· Ntev erect posture · Cov qauv lossis kev ua haujlwm tsis zoo hauv phab ntsa ntawm lub nkoj. · Cev xeeb tub · Uterine fibroids · Pelvic cancers |
| kho mob nta | |
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Feem ntau, qis qis DVT pib nyob rau hauv cov hlab ntsha distal thiab yuav tsum xav tias thaum tus neeg mob yws txog, · Mob · o ntawm ceg qis · nce kub hauv qis qis · Dilatation of the superficial veins |
kho mob nta ntawm varicose leeg yog, · Cov leeg mob thiab tsis pom zoo · Ntsuag · Mob lossis pounding ntawm ob txhais ceg · o ntawm pob taws, feem ntau tom qab lub sijhawm ntev ntawm kev sawv. |
| Diagnosis | |
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Kev xaiv ntawm kev tshawb nrhiav nyob ntawm Wells tus qhab nia ntawm tus neeg mob. · Hauv cov neeg mob uas muaj qhov tshwm sim tsawg ntawm DVT D dimer kev sim ua tiav, thiab yog tias cov txiaj ntsig zoo li qub tsis tas yuav tsum tau ua kev tshawb nrhiav ntxiv kom tsis suav nrog DVT. · Hauv cov neeg mob uas muaj qhov tshwm sim nruab nrab mus rau qhov tshwm sim siab thiab hauv cov neeg mob uas koom nrog pawg saum toj no uas nws qhov kev xeem D dimer yog siab. Compression ultrasound scan yuav tsum ua tiav. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb heev uas yuav tsum tau tshawb xyuas kom tsis suav nrog cov kab mob hauv qab xws li mob plab pelvic malignancies. |
Duplex scanning yog qhov kev ntsuam xyuas zoo tshaj plaws rau kev kuaj mob ntawm tus mob no. |
| Kev tswj hwm | |
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Anticoagulation kho raws li qhov tseem ceeb ua ke nrog kev nce siab thiab kev tso quav. Thrombolysis yuav tsum raug suav hais tias yog ib qho kev xaiv nkaus xwb yog tias tus neeg mob nyob rau hauv lub neej muaj kev phom sij. |
Nyob ntawm qhov mob hnyav. Tus kws kho mob tuaj yeem sau cov hnab ntim ntim rau cov menyuam yaus thiab cov cev xeeb tub, rau cov neeg laus thiab cov tsis haum. Rau qhov me me lossis nruab nrab-loj varices hauv qab lub hauv caug, sclerotherapy yog hom kev kho mob pom zoo. Kev xaiv txoj kev phais yog ua tiav yog tias muaj teeb meem xws li hemorrhage, daim tawv nqaij hloov pauv, thiab nthuav dav varicosities tshwm sim. |
Summary – Deep Vein Thrombosis vs Varicose Veins
Kev cuam tshuam ntawm cov hlab ntsha sib sib zog nqus los ntawm thrombus yog lub npe hu ua cov hlab ntsha sib sib zog nqus thaum cov hlab ntsha varicose tuaj yeem txhais tau tias qhov muaj qhov txawv txav elongated, dilated thiab tortuous superficial veins. Ib qho occlusion ntawm lub nkoj tsuas yog tshwm sim hauv DVT thiab tsis nyob rau hauv varicose leeg. Qhov no yog qhov txawv ntawm qhov sib sib zog nqus vein thrombosis thiab varicose leeg.
Download the PDF Version of Deep Vein Thrombosis vs Varicose Veins
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov rub tawm PDF version ntawm no Qhov txawv Ntawm Cov hlab ntsha sib sib zog nqus thiab varicose leeg
