Tromboflebite superficial

2020-07-31 19:25:42

Existe tratamento para a tromboflebite superficial de membros inferiores, também chamada de trombose venosa superficial.

A Tromboflebite superficial deve ser tratada pois pode causar:

Pode estar associada a várias doenças como:

Têm vários tratamentos possíveis, e a escolha deve ser feita junto com seu vascular:

Clínico/Medicamentoso
Elastocompressão
Cirurgia

É urgente?

Sim, O inicio do tratamento deve ser imediatro para evitar as complicações.

A tromboflebite superficial de membros inferiores, também chamada de trombose venosa superficial é a presença de trombo dentro de uma veia superficial, o que provoca uma reação inflamatória na parede do vaso e ao redor. Os sintomas são um cordão palpável, endurecido, avermelhado, quente e doloroso no trajeto de uma veia superficial. Um “vergão” vermelho e dolorido no membro. Pode ocorrer em veias sadias previamente ou mesmo em veias varicosas. Sabe-se que as varizes são fator de risco para a tromboflebite superficial. Outros fatores de risco são as trombofilias, ou seja doenças do sangue que causam coagulação exagerada (Fator V Leiden, G2010A, etc) e as neoplasias. Por isso a investigação da causa se faz necessária, durante ou após o tratamento. A tromboflebite superficial pode estar associada a trombose venosa profunda e a embolia pulmonar, ou seja, não é uma doença sem riscos e deve ser cuidada como tal. Existem vários tratamentos, desde o clínico com medicação e meias elásticas, até o cirúrgico. Mas a indicação depende de muitos fatores como localização, extensão, causa e outros. O médico capacitado para indicar o melhor procedimento em cada caso é o cirurgião vascular.

Fonte: Amato, ACM. Manual do Médico Generalista na Era do Conhecimento. Grupo Gen

Anatomia:

Sistema Venoso Superficial (veias)

Causa:

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

trombose venosa, coagulação e obstrução sanguinea intravenosa

Diagnóstico Diferencial:

trombose venosa profunda, celulite, erisipela

Fator de risco:

Trombofilias, Uso Hormonal, Sedentarismo ou Imobilidade

Evolução natural:

Resolução expontânea ou progressão para trombose venosa profunda

Prevenção Primária:

Meia Elástica, Movimentação, alguns pacientes necessitam de anticoagulação

Sinais e sintomas:

Dor em trajeto venoso, Endurecimento de veia superficial, Vermelhão no local

Código:

I80

Prognóstico:

Bom

Tratamentos possíveis:

Sintomáticos, Anticoagulantes. Procure seu médico. Não se automedique.

Complicações possíveis:

Trombose Venosa Profunda, Embolia

Cirurgia Vascular: O que você não pode ignorar. Amato, ACM.

Manual do Médico Generalista na Era do Conhecimento. Amato, ACM

Tratado de Clínica Cirúrgica. Moraes, INM

Estilo de Vida. Amato, MCM

Dieta anti-inflamatória estratégica. Amato, ACM