vein specialist Thrombosis of Deep Vein / Deep Vein Thrombosis

Thrombosis of Deep Vein / Deep Vein Thrombosis





Deep Vein Thrombosis (Deep Vein Thrombosis)
What is DVT?
It is a condition of the presence of blood clots (thrombus) in the deep vein, most commonly in the legs. May occur without complaints and symptoms, but often with swelling, pain and heat complaints on affected limbs. The most common complication of DVT is the escape of blood clots and walking forth called pulmonary emboli, this complication is dangerous and deadly.
The cause of DVT is usually a combination of venous blood flow stasis and hypercoagulability, sometimes also due to endothel venous deep vein disorders in postoperative or traumatized conditions. The combination of stasis and hypercoagualibility can be found in chronically ill patients who are treated long in bed, so the case is often found in patients treated and without complaints (asymptomatik). This condition is increasingly often found if the combination of three factors was found, namely vein flow stasis, hypercoagulability and venous injury in orthopedic patients treated, as in total knee replacement surgery, total hip replacement.

What are the symptoms and symptoms?
Most DVTs do not provide complaints to patients, mostly asymptomatic sufferers. Some sufferers come with swelling, edema and leg pain, from examination of edema limbs, reddish tingling, tension, decreased pulsation of the body.
Deep vein thrombosis itself is relatively harmless, but if the thrombus escapes and enters the systemic circulation and involves in the lung it will cause a fatal lung embolism and cause death.
Most sufferers often come early to a doctor and are diagnosed with cellulitis and after some time in new treatments are consigned to a vascular doctor because of slight improvement


How to diagnose it
To diagnose it using a wells skore, by measuring its probability. In health facilities that already use duplex ultrasonography, this case can be diagnosed more accurately
Another way of checking is by using venography
 Duplex Utrasonography
Attitude if high risk of DVT
· Mobilization will be very helpful to avoid exposure to DVT, patients who are faster in mobilization will decrease the risk of DVT
· Exercise mainly on the ankle, by doing active movement
· A lot of drinking will help a lot
· If walking long distances, such as long in aircraft or long in the bus, it is recommended that special stockings are designed to prevent DVT
· Raising the leg will greatly help increase venous flow thus preventing DVT formation
Treatment
· Doctors will perform treatment by performing compression and elevation of affected limbs
· Provision of blood-thinning drugs such as heparin, simarck, and other lin. Aggregate anti-platelet administration such as aspilet does not help much because the disorder is not in the arteries
· IVC filters in DVT patients
   In patients with non-modifiable risk factors it is recommended to install inferiorvena cava filter (IVC Filter)