Thrombophlebitis
Thrombophlebitis is an inflammatory vascular disease. In which the walls of the vessels on which a blood clot is formed become inflamed.
CAUSES OF THROMBOPHLEBITIS
Change in blood clotting – increase in clotting
Somatic diseases – oncological tumors, infectious diseases
Insufficient blood flow to the venous vessels
Neurotrophic dysfunction
Allegroses
Injuries
Endocrine dysfunctions
Pregnancy, labor and postpartum periods
Surgical interventions of any localization
Varicose veins
SYMPTOMS OF THROMBOPHLEBITIS
The symptoms of thrombophlebitis resemble moderate varicose veins. Patients complain of: painful sensations in the legs, soreness of the skin along the inflamed veins. The skin over the affected veins also changes: hyperemia develops, local temperature increases. The overall temperature also rises to 37-38 degrees. Usually, after a few days from the beginning of the development of an acute period, temperatures normalize, however, sometimes subfebrility can persist for a long time. External signs of thrombophlebitis: swelling and pasty of the affected limb, characteristic reddish stripes on the skin – along the subcutaneous veins. With the development of thrombophlebitis, areas of seals begin to appear, which are easily palpated during palpation. Walking is also accompanied by pain.
DIAGNOSIS OF THROMBOPHLEBITIS
In most cases, the diagnosis of thrombophlebitis does not cause complications already upon examination of the patient. Of the instrumental research methods, rheovasography and ultrasound (ultrasound Dopplerography) are usually used. The most effective diagnostic method is duplex ultrasound angioscanning of blood vessels in which the blood flow is encoded by colors. In this type of study, not only the presence of blood clots is assessed, but also the condition of the vascular walls, the diameter of the lumen of the veins, the characteristics of blood clots, such specific indicators as the age of the blood clot. In the clinical analysis of blood – moderate signs of the inflammatory process.
TREATMENT OF THROMBOPHLEBITIS
Like many vascular diseases, thrombophlebitis has two types of treatment – conservative and surgical.
In conservative treatment, therapy is aimed at eliminating a local blood clot, reducing inflammatory processes. The active mode is assigned. It is impractical to prescribe bed rest, since active movements provide sufficient intensive blood flow, preventing the formation of blood clots in the superficial and deep veins.
Drug therapy – Diclofenac, Ketoprofen in the form of gels, ointments, intramuscular injections. Troxevazine, Troxerutin has a good effect. The following drugs are prescribed intravenously: Reopoliglyukin, Trental intravenously drip.
Surgical treatment is indicated for the threat of deep vein thrombosis. Surgical intervention consists in the ligation or removal of varicose veins affected, both with and without rhombuses.
PREVENTION OF THROMBOPHLEBITIS
The main course of prevention is timely rehabilitation of venous diseases. The best option is the earliest removal of varicose veins. In case of recurrent thrombophlebitis, prevention should be aimed at preventing or reducing relapses.
Adequate and timely treatment of varicose veins plays a huge role in the prevention of thrombophlebitis. All patients with varicose veins should wear special medical compression underwear – stockings or tights. The degree of compression is determined individually by the doctor. Phlebotonic drugs are also prescribed 2-3 courses per year.
