Superficial Vein Thrombosis
All over our body, there are superficial veins that run under the skin and deep balls (inside the muscles). Superficial Vein Thrombosis (YVT) is the formation of clots in the veins. This clot may occur in superficial or deep veins, or it may occur without microbial or microbial causes. The formation of deep veins is also called deep vein thrombosis. It often occurs in varicose veins in the legs, superficial veins in the arm following blood collection or after drug injection.
The risk of Superficial Vein Thrombosis is increased if:
- Long-term hospitalizations due to illness or surgery
- Sedentary lifestyle
- Excess weight
- Cigarette
- Susceptibility to clot formation
- Sitting for a long time, travels
- Venous insufficiency
- Pregnancy
- Hormone use, especially birth control drugs
- Intravenous drug injection
- Cancer patients
SYMPTOMS OF SUPERFICIAL VEIN THROMBOSIS
Symptoms of Superficial Vein Thrombosis usually occur along the course of the affected vein, a systemic finding that affects the whole body is rare.
Along the course of the vein:
- Skin rash
- Inflamation
- Local pain
- Sensibility
- Hardness
- Local or rarely systemic mild fever
- Even more rarely, skin changes may occur.
HOW IS THE DIAGNOSIS OF SUPERFICIAL VEIN THROMBOSIS?
It can be easily diagnosed by anamnesis, that is, the patient's history and examination findings. If there is any doubt or to relieve our patient, the diagnosis can be confirmed by Doppler ultrasonography. Although there is no specific blood test for superficial phlebitis, the D-dimer test can be done. Apart from this, only in patients with frequent recurrent attacks and no known risk factors, further blood tests are performed to look for a coagulation disorder or an underlying disease that triggers it.
TREATMENT OF SUPERFICIAL VEIN THROMBOSIS
Preventive medicine is very important in risk group patients, that is, those who are inactive, have undergone major surgery, are bedridden, have an underlying blood disease or a disease such as cancer is important. Patients in this group should be treated if the underlying cause can be found, and blood thinners should be given to patients who cannot be found or who have a high risk group other than the disease.
Except this:
In general, SVT is treated with the use of pain relievers and compression stockings.
- Painkillers
- Eau de Goulard application: The liquid prepared in pharmacies, also known as lead water extract, is applied cold to the thrombosed area with wet towels in the early period.
- Antibiotics
- Blood thinners (anticoagulant) drugs: When heparin derivatives, which are administered as subcutaneous injections, are administered for 1 month, the patient is relieved and further progression of the clot can be prevented.
- Nonsteroidal anti-inflammatory drugs ((medicines that reduce pain and inflammation such as Ibuprofen)
- Gels
- Clot-dissolving drugs
- Use of compression stockings
SUPERFICIAL VEIN THROMBOSIS : SURGERY
If phlebitis has occurred on the floor of varicose veins, varicose veins can be removed in the first few days, in other words varicose surgery, in order to relieve the patient as soon as possible. On the other hand, evacuation of the clot from a small incision made with a needle tip over the clotted vein with local anesthesia in the early period in the patient with many complaints provides great comfort to the patients.
