Author/Editor     Prešern-Štrukelj, Metka; Erjavec, Tatjana
Title     Fizikalno zdravljenje venske tromboze in potrombotičnega sindroma
Translated title     Physical theapy of deep vein thrombosis and postthrombotic syndrome
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 39, št. Suppl 2
Publication year     2000
Volume     str. 51-4
Language     slo
Abstract     Venous thrombosis primarily affects elderly patients who are poorly mobile or completely immobile. It often concurs with various internal, oncological and surgical diseases, but it may also affect perfectly healthy persons. It can be prevented by anticoagulants or by preventing venostasis using a mechanical support or by means of physical therapy. The choice of treatment method depends on the risk of venous thrombosis occurrence. Drugs are omitted only in low risk patients, who are advised to get up early, bandage the limbs with an elastic bandage or wear stockings. In patients in whom the risk of thromboembolism is very high, additional protection is provided by suitable physical therapy. About 40% of patients who have recovered from venous thrombosis develop a postthrombotic syndrome which is manifested as swelling of the affected limb and changed trophicity of the skin, which may lead to the development of ulcerations. The goal of physical therapy is to moderate, eliminate or prevent swelling of the diseased limb. The basic method is compression therapy, but kinesitherapy also has an important role.
Summary     Venska tromboza prizadane predvsem starejše bolnike, ki so slabo pokretni ali celo nepokretni. Je pogosto spremljevalka različnih internističnih, onkoloških, nevroloških in kirurških bolezni, lahko pa prizadane povsem zdrave osebe. Preprečevanje je možno z zdravili preko zaviranja strjevanja krvi ali s preprečevanjem venskega zastoja s pomočjo mehanične opore ali metod fizikalnega zdravljenja. Izbira načina je odvisna od opredelitve stopnje nevarnosti nastanka venske tromboze. Samo pri bolnikih z majhnim tveganjem ne uporabljamo zdravil, ampak priporočamo zgodnje vstajanje in povijanje z elastičnimi povoji ali, še bolje, nošnjo umerjenih elastičnih nogavic. Pri bolnikih, kjer je tveganje za nastanek trombembolizmov veliko, nudimo dodatno zaščito z metodami fizikalnega zdravljenja. Pri okoli 40% bolnikov se po preboleli venski trombozi razvije potrombotični sindrom, ki se kaže v otekanju prizadetega uda in v spremenjeni trofiki kože, ki v končni fazi lahko privede do nastanka razjed. Cilj fizikalnega zdravljenja je zmanjašanje, odstranjevanje oziroma preprečevanje otekline prizadetega uda. Osnovna metoda je kompresijsko zdravljenje, pomembno vlogo ima tudi kineziterapija.
Descriptors     THROMBOPHLEBITIS
POSTPHLEBITIC SYNDROME
PHYSICAL THERAPY
IMMOBILIZATION
RISK FACTORS
EDEMA
BANDAGES
EXERCISE THERAPY
TRANSCUTANEOUS ELECTRIC NERVE STIMULATION