inflammatory process affecting the walls of venous blood vessels. Experts differ inflammation of the external membranes of the vessel walls, called periflebit and inflammation of the inner lining, which is called endoplamic. It is also possible to defeat the internal and external venous shells. This form of the disease called panfluit.
The basis for the development of periflebit lies the spread of the inflammatory process with tissue that has been damaged by a burn, abscess, tuberculosis, phlegmon, panaritiums, etc. In case of development of nonspecific inflammatory process observed swelling and infiltration of the outer wall of the vessel. In the course of further development of phlebitis there was a proliferation of swelling and infiltration of the area on the middle part of the venous wall, hitting the muscle layer. Also affected endothelial layer. The formation of thrombophlebitis and parietal thrombus. In the case of a successful completion of the process is the development of flebosclerosis. In the case of destruction of a layer of perivascular nature due to tuberculosis, the inflammation does not penetrate deeper than the outer shell of the vessel wall.
The cause of the progress of endofinite may be injury to the vessel resulting from the stay of a needle or catheter for a long period of time. Also on the development of the disease is affected by varicose veins or the introduction of drugs that have a sclerosing or hypertensive effect. Any damage of the endothelium layer provokes the progress of mural thrombi. In the case of indefinite tuberculous origin the formation of miliary tubercles, which in the case of merger can form the venous a polyp, the size of which can reach 20 cm, with necrosis of the cheesy character in the Central part.
Mondor’s disease, it is also panfluit, in most cases affects the veins of the thorax and epigastrium. The cause of this form of phlebitis is trauma to the chest. The flow takes place without apparent reason or due to an infectious pathogenic processes. At the end of the development panfluit observed ablation and sclerotherapy of the affected vein.
Phlebitis of the veins affects the superficial veins in the lower extremities, manifested by acute localized pain, streaks of reddened skin lacewing character. Progress is also being made seals threadlike veins of nature, accompanied by pain sensations. After the development of a blood clot is symptomatic, the picture acquires the features of a thrombophlebitis.
Symptomatic picture of Mondor disease includes painful threadlike strand in the chest. It is also possible to have a large number of such strands, accompanied by pain and burning sensation. Symptoms disappear after 34 weeks. Superficial phlebitis or other forms of the disease can cause complications, for example, abscesses, hemorrhage, septic embolism, etc. In the case of infectious phlebitis possible progress of an abscess in the region paravenoznoe kletchatki.
Phlebitis diagnosis based on clinical symptoms and data obtained as a result of laboratory studies the patient’s blood. In the case of results that indicate elevated levels of blood clotting Mondor’s disease can be differentiated from lymphangitis, which is observed in the development malignant processes in the breast.
If you develop phlebitis of the lower extremities, which is perfunctory, accept outpatient treatments simple character. In many cases, sufficient is the use of funds, providing analgesic effect. In the case of another location of the inflammatory process of phlebitis may require hospitalization of the patient.
First and foremost, it is necessary to provide rest to the affected limb. Also are appointed of drugs that reduce the viscosity of blood, preparations of antibiotic action. Specialists are assigned to measure anti-inflammatory therapy, physiotherapeutic measures, apply compression stockings nature. It is also possible the local use of an ointment with a content of heparin and troxevazina.
Injection phlebitis is treated by the use of similar therapeutic measures. Not used exclusively by methods of physiotherapy. It is also possible to use ointment and bandages was. In case of purulent inflammation used measures of surgical intervention.