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Thrombose: - in Venen

- Blutgerinsel in Gefäßinnenwand –Entzündung

- Verstopfung in den Venen -> Blutrückstrom behindert

- Venenentzündung (Festsetzung des Thrombus )

- Thromben setzt sich an Klappen fest

Symphtome:

Schmerzen bei Ruhe und Belastung,Krämpfe

Risikofaktoren:

Pille, genetisch bedingt ,Rauchen ,Lebensgewicht ,operative Eingriffe ,Alter

Lungenembolie :

Lösen eines Embolus ,und hängen bleiben des Selbigen in den Lungenaterien

Ursachen : „Virchowsche Trias“

1 . Verletzung der Gefäßwände

2. Veränderung der Blutzusammensetzung (Blut dickt ein –Viskosität ), Hämostase – Blut steht

3. Verlangsamung des venösen Rückflusses

Maßnahmen –Profilaxe :

- viel trinken-Flüßigkeitszufuhr

- Heparin – Blutgerinsel aufösend

- Orale Antikoalitation ( Zusammenballung )

- Kompressionsstrümpfe ,Antithrombosestrümfe ,Zinkleimverbände (bei offenen Bein ,Unterschenkelgeschwür )

- Krankengymnastik – Mobilisation

- Bewegung der Füße – Fußkreisen

- Tiefes Einatmen

- Hochlagern der Beine (Saunaliegen )

- Isometrische Spannungsübungen

- „Hepatrom „– Salbe

Kontrakturen: - Versteifen –Zusammenziehen der Gelenke

- durch Fehlstellung

- Verkürzung der Muskulatur und Sehnen führt zur Fehlstellung v. Gliedmaßen (Händen u. Füßen )

Risikofaktoren :

- Zustand nach Schlaganfall ( Hemiplegie –1 Seite / Paraplegie 2 Seiten )

- Längere Zeit Gips / Schienenverbände

- Menschen mit degenerativen Erkrankungen am Gelenk& Stützapparat

Hochrisikopatienten :

nach Bewusstlosigkeit z. B. komatöse Menschen

Profilaxe / Gegenmaßnahmen :

- Bewegung ! Bewegung ! Bewegung !

- Frühmobilisation

- Isometrische Spannungsübungen

- Richtige Lagerung

Ziele :

- Verhinderung der Gelenkfehlstellung

- Vermeidung der Muskelatrophie