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Samenvatting Cardiorespiratoire Pathologie - Veneuze Pathologie
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onderdeel van het vak cardiorespiratoire kine samenvatting van het hoofdstuk : Veneuze pathologie
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8. Veneuze Pathologie.....................................................................................................................................................2A. Het Normaal Veneus Systeem.................................................................................................................................2
B. Veneuze Pathologie.................................................................................................................................................2
Veneuze Insufficiëntie.............................................................................................................................................2
Telangiëctasieën en venulen...............................................................................................................................3
Oppervlakkige varices..........................................................................................................................................3
Oedeem (pitting).................................................................................................................................................3
Huidafwijkingen C4..............................................................................................................................................3
Ulcus cruris C6- C7 (genezen)..............................................................................................................................3
Varices..................................................................................................................................................................... 3
Behandeling Varices............................................................................................................................................4
1. echogeleide foamsclerotherapie (UGFS).....................................................................................................4
2. varices chirurgie...........................................................................................................................................4
C. oppervlakkige veneuze trombose: klinisch..............................................................................................................5
oppervlakkige veneuze trombose: behandeling......................................................................................................5
Ontstollende therapie.............................................................................................................................................5
D. Veneuze Pathologie................................................................................................................................................5
Diep veneuze tromboses (DVT)...............................................................................................................................5
Etiologie: Virchow triade.........................................................................................................................................6
Etiologie / risico factoren.....................................................................................................................................6
veneus duplexonderzoek: directe visualizatie trombus.......................................................................................6
E. Behandeling.........................................................................................................................................................6
catheter directed thrombolysis...........................................................................................................................6
veneuze trombectomie.......................................................................................................................................6
F. Prognose DVT......................................................................................................................................................7
G. preventie van DVT: principes..............................................................................................................................7
Intermitterende pneumatische compressie........................................................................................................7
H. Preventie Veneuze Trombose.............................................................................................................................7
I. Tromboseprofylaxe bij lange (vlieg)reis?..............................................................................................................7
J. lange termijn complicaties na DVT: het posttrombotisch syndroom (PTS)...........................................................7
K. therapeutische steunkous: de hoeksteen van de behandeling van PTS..............................................................8
, 8. Veneuze Pathologie
A. Het Normaal Veneus Systeem
Gaat over aders niet slagaders
Die het bloed vanuit het been naar het hart brengen
In de aders zitten allemaal kleppen die zorgen dat het bloed maar in 1 B.
kant kan gaan
Fout: klonters vormen of kleppen die niet goed werken
Veneuze Pathologie
Pathologie van het oppervlakkig veneus systeem:
o 1. chronisch: varices (‘spataders’) kleppen die niet
goed werken
o 2. acuut: oppervlakkige veneuze trombose (OVT)
Pathologie van het diep veneus systeem:
o 1. acuut: diepe veneuze trombose (DVT) – veneuze tromboembolie (VTE)
o 2. chronisch: posttrombotisch syndroom (PTS)
Veneuze Insufficiëntie
Bloed ipv naar het hart blijft hangen in de aders uitzetten kronkels
in aders
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