ʻike, o ka hohonu thrombophlebitis: Homans symptom

Homans symptom - kekahi o na symptoms alakai e kuhikuhi i thrombophlebitis hohonu moku o laloʻaoʻao. Ua kōkua e hana iʻike, i loko o ka mua 2-4 lā o ka hoʻomaka 'ana o ke kaʻina hana. Thrombophlebitis - heʻano manaʻo pilikia, e like me ka 'ikepili helu poino mai ka maʻi 1/5 o ka heluna kanaka. Wehewehe aku venous aat (phlebitis), kūpono koko a me ke kahua o ke koko clots i loko o ka vascular kahi moe.

Superficial a me ka hohonu thrombophlebitis

Superficial thrombophlebitis pinepine ia lŘlŘ i loko o ka wahi o ka varicose aa koko, a hiki ke 'akomi i visually. A superficial aat e loli ai i na moku ke koko aia ma waena o kaʻili a me nāʻiʻo. Huʻiʻeha kupu i loko o ka papa o ka poino aa koko, ili redness, mehana. Ma palpation ke kauka haʻawina kana olelo hoopomaikai nodules i wahi clot IeIIeYOA. Loa pinepine, i kaʻike, mea,ʻaʻole paʻakikī.

Kekahi kahua ia lŘlŘ ka wā o ka hohonu thrombophlebitis no ka mea, na aa koko aia i loko o ka Muscle,ʻike makaʻole. Kahi o 50% o nā mea maʻi i ole i maopopo ia mea i ka thrombosis. I ka maʻi venous kiwikā i'opi i Konakele. Pigmentation o kaʻili, mai hehe ke kānāwai. Kēia hohonu venous thrombosis e ia ma luna o nā kēia pā:

• kauoʻeha ma ka lalo wāwae nāʻiʻo, ano hoomainoino e hooloihi ae i kū 'ole i ka wa a ua hakumakuma na wawae ia;
• e manao ana o ka nui i loko o ka wawae;
• haanou ana o ka lalo'ūhā;
• sila subcutaneous'aʻaʻa.

Ma keia hookolokolo ana, aia no he maikaʻi Homans symptom - ka mea, o ka loa ano hiʻona o ka li nui, a hohonu aa koko thrombosis. Ua apono 'oe e hana i ka muaʻike, a hiki i ka loiloi mua nana.

Pehea e diagnose hohonu aa koko thrombosis?

Homans symptom i ho'ākāka 'ia ma ka' Amelika kauka J. Homans i ka makahiki 1934. E hoʻoholo i ka hohonu thrombophlebitis hoʻomanawanui kau ma luna o kona kua, me ka uha ua noi e lena i ka iho ma ka huina akau. Ma ka hope o ka neʻeʻana o ka wāwae (ka) eha, piʻi pū ia i loko o ka hope wāwae nāʻiʻo. E like me na mea i manaoio ma o ka mea kākau, maikaʻi Homans symptom ua kena ae la ma ka mīkini'opihia o ka hohonu aa koko o ka loli ana i nāʻiʻo.

Ana o ke anapuni o ka akau a me ka hema tibia kōkua pūʻana iʻike, niioaaonoaaiii, o ka loli ana o ka lala e i ka nui anawaena.

Homans symptom i ka wale hoailona o ka maʻi. Ma keia hookolokolo ana hōʻike māhuahua ili pā lonoaʻili, eha me ka puʻe ma ka tibia i loko o ka anteroposterior kuhikuhi (o Mose symptom), kūloko no ka palupalu ma palpation a me ka loko hope ili o ka tibia. Maoli ka kūloko mahana.

Instrumental ano o kaʻike,: vascular ultrasound,ʻelua papa kaʻimiʻana, rheovasography.

palena pauʻike,

Symptoms i like i ka thrombophlebitis kānāwai i loko o nā maʻi 'ē aʻe o nā wāwae. Haanou ana o ka laloʻaoʻao ua malamaia ma lymphostasis, circulatory e hemahema, traumatic poino, osteoarthritis o ke kuli. Ma kēia hihia, Homans io symptom.

I kekahi manawa, ka eha, a me ka nani i hoʻomaka ai, a hiki ma hope o ka nīnūnē 'eha, pakahi aku la ia i ka wa elemakule. Ka mea, e ia i ke kanaka, e hana i awkward neʻeʻana, lele a holo me he mea he hematoma ma waena o nā nāʻiʻo. A mau lā ma hope, ua haule i nā puʻupuʻu wāwae, wāwae ma kēia wahi i ka bluish waihoʻoluʻu.

No ka mea, mai pili me ka nani a me kaʻeha ma nā wāwae, he mea he helu nui, mai i hoʻohemahema wale i ka'ōlelo aʻo a ka surgeon. I ka mea e loaʻa mai i ke kumu o ka pathology.