Yelashwa kanjani i-vein thrombosis ejulile (i-DVT)

-Delile

• 1. Amakhambi we-Anticoagulant
• 2. Amakhambi we-thrombolytic
• 3. Ukuhlinzwa kwe-thrombosis
• Izimpawu zokuthuthukiswa kwe-thrombosis
• Izimpawu ze-thrombosis eya iba yimbi

I-venous thrombosis ukuvimba ukugeleza kwegazi emithanjeni yi-clot, noma i-thrombus, futhi ukwelashwa kwayo kufanele kuqalwe ngokushesha okukhulu ukuvimbela i-clot ukuba ingakhuli ngosayizi noma iye emaphashini noma ebuchosheni, kubangele ukucinana kwamaphaphu noma iStroke.

I-thrombosis iyelapheka, futhi ukwelashwa kwayo kuqondiswa ngudokotela ojwayelekile noma udokotela ohlinzayo wemithambo ngemuva kokukhomba izimpawu nokuqinisekisa ukuxilongwa, futhi kungenziwa ngemithi elwa namagciwane, ezimweni ezimnene kakhulu, noma nge-thrombolytics kanye / noma ngokuhlinzwa, ebucayi kakhulu amacala.abucayi. Ukuqonda imininingwane eminingi ngokuthi iyini nokuthi ziyini izimpawu ze-thrombosis, hlola ukuthi ungayibona kanjani i-thrombosis.

Ngaphezu kwalokho, ngemuva kokudlula kwesigaba esibucayi, udokotela uzokwazi ukuqondisa ukusetshenziswa kwezitokisi ezinwebeka ngokunwebeka kanye nokwenza umkhuba wokuvivinya umzimba okulula, njengokuhamba noma ukubhukuda, ukwenza lula ukujikeleza kwegazi nokuvimbela inkinga ukuthi ingaphindi.

Izinketho zokwelashwa kwe-thrombosis zixhomeke kwizimpawu nobukhulu becala, okungafaka:

1. Amakhambi we-Anticoagulant

Ama-Anticoagulants, njenge-Heparin noma i-Warfarin, ayindlela yokuqala yokwelashwa ye-vein thrombosis ejulile, ngoba anciphisa amandla egazi okuvala, ahlanze ihlwili futhi avimbele amahlule amasha ukuthi akhe kwezinye izingxenye zomzimba.

Imvamisa, esimweni se-thrombosis emilenzeni nasezingalweni, ukwelashwa ngama-anticoagulants kwenziwa ngamaphilisi futhi kuhlala izinyanga ezingaba ngu-3, ​​futhi kungagcinwa isikhathi eside uma ihlwili likhulu kakhulu, kuthatha isikhathi eside ukuncibilika noma uma kukhona yinoma yisiphi isifo esisiza ukwakheka kwamahlule.

Kunezinhlobo eziningana zama-anticoagulants, okungaba:

• Imijovo, njenge-Heparin, enesenzo esisheshayo futhi senziwa ngokubambisana nethebhulethi yomlomo yeWarfarin, kuze kube yilapho ukuhlolwa kwe-coagulation, okufana ne-INR ne-TPAE, kukhombisa ukuthi igazi lisezingeni lohlobo lwe-anticoagulation. Ngemuva kokufinyelela le nhloso (INR phakathi kuka-2.5 no-3.5), umjovo umisiwe, kushiya kuphela ithebhulethi yomlomo.
• Kuthebhulethi, Ngezidakamizwa zesimanje, njengeRivaroxaban powder, ezikwaziyo ukufaka esikhundleni se-warfarin futhi ezingadingi ukulungiswa yi-INR. Lokhu akudingi ukuthi kuqalwe ngemijovo yokujova. Kodwa-ke, ukunakekelwa kufanele kuthathwe kukhona ezinye zezinto ezinjengesifo sezinso, ubudala, isisindo futhi basenezindleko eziphezulu.

Ukuze uqonde kangcono ukuthi la makhambi asebenza kanjani, hlola ama-anticoagulants asetshenziswa kakhulu nokuthi enzelwe ini. Ngaphezu kwalokho, ngesikhathi sokwelashwa ngama-anticoagulants, isiguli kufanele sihlolwe njalo ngegazi ukuze sihlole ubukhulu begazi futhi sigweme izinkinga, njengesifo sokopha noma i-anemia, ngokwesibonelo.

2. Amakhambi we-thrombolytic

I-Thrombolytics, efana ne-streptokinase noma i-alteplase, ngokwesibonelo, isetshenziswa ezimweni lapho ama-anticoagulants kuphela angakwazi ukwelapha i-vein thrombosis ejulile noma lapho isiguli sithola izinkinga ezinkulu, njengokufakwa embolism okunzima kwamaphaphu.

Ngokuvamile, ukwelashwa nge-thrombolytics kuhlala cishe izinsuku eziyi-7, okuyisikhathi lapho isiguli kufanele singeniswe esibhedlela ukuze sithathe imijovo ngqo emthanjeni futhi sigweme imizamo engadala ukopha.

3. Ukuhlinzwa kwe-thrombosis

Ukuhlinzwa kusetshenziswa ezimweni ezinzima kakhulu ze-vein thrombosis ejulile noma lapho kungenakwenzeka ukunciphisa i-clot ngokusetshenziswa kwama-anticoagulants noma i-thrombolytics.

Ukuhlinzwa kwe-vein thrombosis ejulile kususa ukususa ihlwili emilenzeni noma ukufaka isihlungi endaweni engezansi ye-vena cava, kuvimbele ukudlula kwehlwili liye emaphashini.

Izimpawu zokuthuthukiswa kwe-thrombosis

Izimpawu zokuthuthuka kwe-thrombosis zivela ezinsukwini ezimbalwa ngemuva kokuqala ukwelashwa futhi zifaka phakathi ukuncipha kokubomvu nobuhlungu. Ukuvuvukala emlenzeni kungathatha amasonto ambalwa ukunciphisa, futhi kungaba kukhulu ekupheleni kosuku.

Izimpawu ze-thrombosis eya iba yimbi

Izimpawu zokuwohloka kwe-thrombosis ikakhulukazi zihlobene nokunyakaza kwehlwili kusuka emilenzeni kuya emaphashini futhi kungafaka ubunzima obungazelelwe bokuphefumula, ubuhlungu besifuba, isiyezi, ukuquleka noma ukukhwehlela igazi.

Lapho isiguli sikhombisa lezi zimpawu zokonakala, umuntu kufanele aye esibhedlela ngokushesha noma afonele usizo lwezempilo ngokushayela u-192.

Bona ukuthi ungayiqinisa kanjani le khambi ngekhambi lasekhaya le-thrombosis.