Amahlwili egazi

Amagqabantshintshi egazi zii-clumps ezenzeka xa igazi liqina ukusuka kulwelo ukuya kwindawo eqinileyo.

• Ihlwili legazi elenza ngaphakathi komnye wemithambo yakho okanye kwimithambo yegazi ibizwa ngokuba yitrombus. I-thrombus nayo inokwenza entliziyweni yakho.
• I-thrombus eqhekezayo kwaye ihambe ukusuka kwindawo enye emzimbeni iye kwenye ibizwa ngokuba yi-embolus.

I-thrombus okanye i-embolus inenxalenye okanye ikuthintele ngokupheleleyo ukuhamba kwegazi kwisitya segazi.

• Ukuvaleka kwimithambo kunokuthintela ioksijini ekufikeleleni kwizicwili ezikuloo ndawo. Oku kubizwa ngokuba yischemia. Ukuba i-ischemia ayinyangwa ngokukhawuleza, inokukhokelela ekonakaleni kwezicubu okanye ekufeni.
• Ukuvaleka emthanjeni kuya kuhlala kubangela ulwakhiwo kunye nokudumba.

Iimeko apho i-clot yegazi inokuthi ifake kwiimvini zibandakanya:

• Ukulala ixesha elide ebhedini
• Ukuhlala ixesha elide, njengakwinqwelomoya okanye emotweni
• Ngexesha nasemva kokukhulelwa
• Ukuthatha iipilisi zokulawula ukuzalwa okanye iihomoni ze-estrogen (ngakumbi kwabasetyhini abatshayayo)
• Ukusetyenziswa kwexesha elide kwecatheter efakwa ngaphakathi
• Emva kotyando

Amahlwili egazi nawo kunokwenzeka ukuba enze emva kokonzakala. Abantu abanomhlaza, ukutyeba kakhulu, kunye nesifo sesifo sezintso nabo bathambekele kumahlwili egazi.

Ukutshaya kukonyusa umngcipheko wokwenza amahlwili egazi.

Iimeko ezidluliswa kwiintsapho (ezizuzwe njengelifa) zinokukwenza ukuba ube nakho ukwenza amahlwili egazi angaqhelekanga. Iimeko ezizuzwe njengelifa ezichaphazela amahlwili zezi:

• Inqaku V Leiden utshintsho
• Prothrombin G20210A utshintsho

Ezinye iimeko ezinqabileyo, ezinje ngeprotein C, protein S, kunye nokusilela kwe-antithrombin III.

Ihlwili legazi linokuthintela umthambo okanye umthambo entliziyweni, ichaphazele:

• Intliziyo (i-angina okanye isifo sentliziyo)
• Amathumbu (mesenteric ischemia okanye mesenteric venous thrombosis)
• Izintso (i-vein vein thrombosis)
• Imilenze yomlenze okanye yengalo
• Imilenze (i-vein vein thrombosis)
• Amaphaphu (ukubola kwemiphunga)
• Intamo okanye ingqondo (ukubetha)

Qhafaza; Emboli; ITrombi; ITromboembolus; Isimo esinganyanzelekanga

• I-vein thrombosis enzulu - ukukhutshwa
• Ukuthatha i-warfarin (Coumadin, Jantoven) -ukubuza ugqirha wakho
• Ukuthatha warfarin (Coumadin)

• ITrombus
• I-venous thrombosis-iliofemoral

UAnderson JA, uHogg KE, uWeitz JI.Amazwe angenakuchaphazeleka. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 140.

I-Schafer AI. Ukusondela kwisigulana ngokuphuma kwegazi kunye ne-thrombosis: imimandla ene-hypercoagulable. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 162.