SIGNS AND SYMPTOMS
- Tumefaction and pain of the affected area.
- (Amoratamiento) reddening and heat.
When a clot or thrombus stays at a vein, the process is different that the arterial thrombosis, and it is named tromboflebitis (of the Greek flebos = vein).
The tromboflebitis happens generally in the extremities, especially in the legs, and can affect to the deep veins, or to the superficial veins. It is more frequent if one has been in bed a lot of time (as it happens in produced, paralytic, etc), or if there have taken feminine hormones or estrogen (contraceptive, etc.). Also if one has been seated and immobile of very long form (during long trips in car or in plane, for example), venous thromboses can take place more easily.
Superficial Tromboflebitis. The thrombus and the surrounding inflammation are usually visible in the skin.
Deep venous thrombosis. Generally it happens in the legs, and to come to the diagnosis it is possible to resort to a study with ultrasounds called pletismografía, or to the injection of radiological substances or isotópicas in the veins of the legs (flebografías).
I PREDICT AND TREATMENT
The superficial tromboflebitis is of very good prognosis. Only it needs treatment with elevation of the member and an anti-inflammatory one.
The deep tromboflebitis has an associate danger, the pulmonary embolism or tromboembolismo pulmonary, very serious contingency that it is necessary to treat from the first moment with anticoagulant medicines, generally heparina first and later, when the sharp phase has already happened, an anticoagulant oral type Sintrom ® to prepare that it is repeated.
The surgery is used in case of repeated deep venous thromboses. The vein digs, that is the principal vein of the abdomen, for which the legs drain his blood up to the right heart, can be partially "tied" (clampada, according to the term used by the vascular surgeons), so that the thrombi of the legs come neither to the nor right heart, therefore, to the pulmonary circulation. With the same intention, sometimes low wine-cellar inserts a filter or "umbrella" in the vein by means of cateterización venous, that is to say, without surgery.
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