Lunjani unyango lwe-vein thrombosis (DVT)

Umxholo

• 1. Amayeza anticoagulant
• 2. Unyango lwe-Thrombolytic
• 3. Utyando lweThrombosis
• Iimpawu zokuphucula i-thrombosis
• Iimpawu zokuba mandundu kwe-thrombosis

I-venous thrombosis kukuthintelwa kokuhamba kwegazi emithanjeni ngehlwili, okanye itrombus, kwaye unyango lwayo kufuneka luqalwe ngokukhawuleza ukukhusela ihlwili ekukhuleni ngobungakanani okanye ekuhambeni kwemiphunga okanye kwingqondo, kubangele ukubola kwemiphunga okanye iStrowuku.

I-Thrombosis iyanyangeka, kwaye unyango lwayo lukhokelwa ngugqirha oqhelekileyo okanye ugqirha we-vascular emva kokuchonga iimpawu kunye nokuqinisekisa ukuxilongwa, kwaye kungenziwa ngamachiza anticoagulant, kwiimeko ezinobuzaza, okanye nge-thrombolytics kunye / okanye ngoqhaqho, kweyona inzima ezinzulu. Ukuqonda ngakumbi malunga nokuba yintoni kunye neempawu ze-thrombosis, jonga indlela yokuchonga i-thrombosis.

Ukongeza, emva kokuba isigaba esigqibeleleyo sidlulile, ugqirha uya kuba nakho ukukhokela ukusetyenziswa kwezitokisi zokucinezelwa kwe-elastic kunye nokuziqhelanisa nokuzivocavoca umzimba okulula, njengokuhamba okanye ukuqubha, ukuququzelela ukujikeleza kwegazi kunye nokuthintela ingxaki ukuba ingaphindi.

Ukhetho kunyango lwe-thrombosis luxhomekeke kwiimpawu kunye nobunzima becala, elinokubandakanya:

1. Amayeza anticoagulant

I-Anticoagulants, ezinje ngeHeparin okanye iWarfarin, lukhetho lokuqala kunyango lwe-vein thrombosis, kuba anciphisa amandla egazi okugubungela, ukungxenga ihlwili kunye nokuthintela amahlwili amatsha ukuba angabikho kwamanye amalungu omzimba.

Ngokwesiqhelo, kwimeko ye-thrombosis emilenzeni nasezingalweni, unyango lwe-anticoagulants lwenziwa ngeepilisi kwaye luhlala kangangeenyanga ezintathu, kwaye lunokugcinwa ixesha elide ukuba ihlwili likhulu kakhulu, lithatha ixesha elide ukuba lingxenge okanye ukuba kukho Nasiphi na isifo esenza ukuba kuvele amahlwili.

Kukho iintlobo ezahlukeneyo ze-anticoagulants, ezinokuthi:

• Iitofu, ezinje ngeHeparin, enesenzo esikhawulezileyo kwaye senziwe ngokudibana nethebhulethi yomlomo yeWarfarin, de kube kuvavanyo lwe-coagulation, njenge-INR kunye ne-TPAE, lubonisa ukuba igazi likwinyani ye-anticoagulation. Emva kokufikelela kule njongo (i-INR phakathi kwe-2.5 kunye ne-3.5), isitofu sinqunyanyisiwe, sishiya kuphela ithebhulethi yomlomo.
• Kwithebhulethi, kunye neziyobisi zale mihla, ezinje ngeRivaroxabanxaban, ezinokuthi zitshintshe i-warfarin kwaye azifuni ukulungiswa yi-INR. Oku akufuneki ukuba kuqalwe ngenaliti. Nangona kunjalo, ukhathalelo kufuneka lwenziwe phambi kwezinye izinto ezinje ngesifo sezintso, ubudala, ubunzima kwaye basenexabiso eliphezulu.

Ukuqonda ngcono ukuba asebenza njani la mayeza, jonga ii-anticoagulants ezisetyenziswa ngokuqhelekileyo kunye nokuba zezantoni Ukongeza, ngexesha lonyango nge-anticoagulants, isiguli kufuneka kuvavanywe igazi rhoqo ukuvavanya ubungakanani begazi kwaye kuthintelwe iingxaki, ezinjengokopha okanye i-anemia, umzekelo.

2. Unyango lwe-Thrombolytic

I-Thrombolytics, efana ne-streptokinase okanye i-alteplase, umzekelo, zisetyenziswa kwiimeko apho kuphela i-anticoagulants engakwaziyo ukunyanga i-vein thrombosis enzulu okanye xa isigulana siba neengxaki ezinzulu, ezinjenge-pulmonary embolism ebanzi.

Ngokubanzi, unyango lwe-thrombolytics luhlala malunga neentsuku ezisi-7, ngelo xesha isiguli kufuneka silaliswe esibhedlele ukuze kuthathwe inaliti ngqo emthanjeni kwaye kuthintelwe iinzame ezinokubangela ukopha.

3. Utyando lweThrombosis

Utyando lusetyenziswa kwezona meko zinzima ze-vein thrombosis okanye xa kungenakwenzeka ukuba kuhlanjululwe ihlwili ngokusetyenziswa kwe-anticoagulants okanye i-thrombolytics.

Utyando lwe-vein thrombosis olunzulu lusebenza ekususeni ihlwili emilenzeni okanye ukubeka icebo lokucoca ulwelo kwi-vena cava engaphantsi, kuthintele ukudlula kwehlwili ukuya emiphungeni.

Iimpawu zokuphucula i-thrombosis

Iimpawu zokuphucula i-thrombosis zivela kwiintsuku ezimbalwa emva kokuqala unyango kwaye zibandakanya ukunciphisa ubomvu kunye nentlungu. Ukudumba emlenzeni kungathatha iiveki ezimbalwa ukunciphisa, kwaye kunokuba kukhulu ekupheleni kosuku.

Iimpawu zokuba mandundu kwe-thrombosis

Iimpawu zokuba mandundu kwe-thrombosis ikakhulu zihambelana nokuhamba kwehlwili ukusuka emilenzeni ukuya emiphungeni kwaye kunokubandakanya ukuphefumla ngesiquphe, iintlungu zesifuba, isiyezi, ukuphelelwa ngamandla okanye ukukhohlela igazi.

Xa isigulana sibonisa le miba yokuwohloka, umntu kufuneka aye esibhedlele kwangoko okanye afowunele uncedo lwezonyango ngokubiza u-192.

Jonga indlela yokuxhasa unyango kunye neyeza lasekhaya le-thrombosis.