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Thromobophlebitis. By: Josephine Sarpong. Thrombophlebitis. Thrombo means “ clot” and phlebitis is the inflammation of a vein . This occurs when a blood clot causes inflammation in one or more of your veins, specially in your legs.
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Thromobophlebitis By: Josephine Sarpong
Thrombophlebitis Thrombo means “clot” and phlebitis is the inflammation of a vein. This occurs when a blood clot causes inflammation in one or more of your veins, specially in your legs. Thrombophlebitis is often caused by prolonged inactivity such as sitting for a long period of travel. This decreases the blood flow in your veins causing blood clots to form. The use of the hormone estrogen could also lead to Thrombophlebitis.
Symptoms Warmth, Tenderness and pain in the affected area. Redness and Swelling.
Risk Factors Inactive for a long period of time, like sitting for a long period of time. Confined to a bed for a prolonged time, like after surgery , heart attack or etc. If you have had a stroke resulting to paralysis of your arms o legs. Over weight or Obesity. Having a family history with blood clotting disorder. A smoker Having varicose veins- superficial veins in which blood s clots occurs causing superficial Thrombophlbetisis. Use oral contraceptives or hormone replacement therapy. Pregnant or have just given birth which means you have increased pressure in veins or pelvis.
Complications Pulmonary embolism. If part of a deep vein clot becomes dislodged, it may travel to your lungs, where it can block an artery and cause a potentially life-threatening situation. Heart attack or stroke. If you have certain types of congenital heart defects that have caused a hole in your heart — such as a patent foramen ovale (PFO), an atrial septal defect or a ventricular septal defect — a traveling clot can enter your coronary arteries or brain and cause a heart attack or stroke. Varicose veins. The pooling of blood can lead to ballooning of the veins, resulting in varicose veins. Swelling. In some cases, the pooling may become so bad that your leg swells (edema). Skin discoloration. With chronic swelling and increased pressure on your skin, discoloration called stasis pigmentation may occur. In some cases, skin ulcers may develop Vein obstruction. Deep vein thrombosis can cause a permanent obstruction to develop in the vein.
Tests/ diagnosis Ultrasound CT or MRI scans- provides visual images of the veins and show if a clot is present. Venography- a dye is injected into the large vein your foot or ankle. An X-Ray procedure therefore provides images of your foot or ankle and show if clots are present. Blood tests-Almost all people who develop acute thrombosis have an elevated blood level of a clot-dissolving substance called Ddimer.
Treatments/ Drugs Medications: injection of a blood thinning medication will prevent clot from growing. Support Stockings: to help prevent recurrent swelling and reduce chances of complications of deep vein Thrombosis. Filter: maybe inserted into the vein of the abdomen(vena cava) to prevent clots that break loose in leg veins from lodging in your lungs. Varicose Vein Stripping: doctor can surgically remove varicose veins that cause pain or recurrent thrombophlebitis, this involves the removal of the long vein through small incisions. This procedure won't affect circulation in your leg . Clot Removal or Bypass: surgery is needed to remove a clot blocking a pelvic vein or an abdominal vein. To treat this the doctor will recommend surgery to bypass the vein a nonsurgical procedure call angioplasty to open up the vein. Once angioplasty is done, the doctor inserts a small wire mesh tube (stent) to keep the vein open.
Prevention Take a Walk: Make sure you take a walk around the airplane when flying or stop every hour when driving . Make sure you move your legs regularly if you must stay seated. If you taking a four hour trip or any long trips, make sure you take precautions such as: Avoid tight clothes around the waist. Drink plenty of fluids to avoid dehydration. Stretch your calves by walking at least once every hour. If you are at high risk of Thrombosis, make sure you see you doctor before long flights so she/he may recommend: Compression Stockings Low-molecular heparin given before departure
Prognosis Thrombophlebitis and other forms of phlebitis usually respond to prompt medical treatment.