Kodi chithandizo cha thrombosis yakuya (DVT)

Zamkati

• 1. Mankhwala a Anticoagulant
• 2. Mankhwala a thrombolytic
• 3. Opaleshoni ya thrombosis
• Zizindikiro zakusintha kwa thrombosis
• Zizindikiro zakukula kwa thrombosis

Matenda a venous thrombosis ndi omwe amalepheretsa kutuluka kwa magazi m'mitsempha ndi chofufumitsa, kapena thrombus, ndipo chithandizo chake chiyenera kuyambitsidwa mwachangu kwambiri kuti chotetezera chisakule kukula kapena kusunthira m'mapapu kapena muubongo, kuchititsa kupindika kwa m'mapapo kapena Stroke.

Thrombosis imachiritsika, ndipo chithandizo chake chimayendetsedwa ndi dokotala kapena dotolo wamatenda atazindikira zizindikiritsozo ndikutsimikizira kuti ali ndi vutoli, ndipo atha kuchitidwa ndi mankhwala a anticoagulant, munthawi zochepa kwambiri, kapena ndi thrombolytics ndi / kapena opaleshoni, ovuta kwambiri milandu. Kuti mumvetsetse zambiri pazomwe zilili komanso zizindikiro za thrombosis, onani momwe mungadziwire thrombosis.

Kuphatikiza apo, pambuyo poti gawo lovuta lidutsa, adotolo azitha kuwongolera kugwiritsa ntchito masitonkeni opanikizika komanso kuchita masewera olimbitsa thupi, monga kuyenda kapena kusambira, kuti athe kuyendetsa magazi ndikuletsa kuti vutoli lisabwererenso.

Njira zochiritsira thrombosis zimadalira zizindikilo komanso kuopsa kwa mulandu, womwe ungaphatikizepo:

1. Mankhwala a Anticoagulant

Maanticoagulants, monga Heparin kapena Warfarin, ndiye njira yoyamba yothandizira kupweteka kwamitsempha yam'mimba, chifukwa amachepetsa magazi kutseka, kusungunula magazi ndikuletsa matumbo atsopano kuti asapangike mbali zina za thupi.

Nthawi zambiri, pakakhala thrombosis m'miyendo kapena m'manja, chithandizo chamankhwala ogwiritsira ntchito maantibayotiki chimachitika ndi mapiritsi ndipo chimatha pafupifupi miyezi itatu, ndipo chimatha kusamalidwa kwa nthawi yayitali ngati chotsekera ndichachikulu kwambiri, chimatenga nthawi yayitali kuti chithetse kapena ngati chilipo ndi matenda aliwonse omwe amathandizira kuundana.

Pali mitundu ingapo yama anticoagulants, yomwe itha kukhala:

• Jekeseni. Mutakwaniritsa cholingachi (INR pakati pa 2.5 ndi 3.5), jakisoni waimitsidwa, kusiya piritsi lokhalokha.
• Piritsi, Ndi mankhwala amakono, monga Rivaroxaban, omwe amatha kusintha warfarin ndipo safuna kukonzedwa ndi INR. Izi siziyenera kuyambitsidwa ndi jakisoni. Komabe, chisamaliro chiyenera kuchitidwa pali zinthu zina monga matenda a impso, zaka, kulemera ndipo amakhalabe ndi mtengo wokwera.

Kuti mumvetse bwino momwe mankhwalawa amagwirira ntchito, onani ma anticoagulants omwe amagwiritsidwa ntchito kwambiri ndi zomwe amapangira. Kuphatikiza apo, akamalandira mankhwala a anticoagulants, wodwala amayenera kuyesa magazi nthawi zonse kuti aone kukula kwa magazi ndikupewa zovuta, monga kukha magazi kapena kuchepa kwa magazi.

2. Mankhwala a thrombolytic

Mwachitsanzo, ma thrombolytics, monga streptokinase kapena alteplase, amagwiritsidwa ntchito ngati ma anticoagulants okha sangathe kuchiza mtsempha wamagazi kapena pamene wodwalayo akukumana ndi zovuta zazikulu, monga kuphatikizika kwamapapu.

Nthawi zambiri, chithandizo chamankhwala opatsirana pogonana chimatha pafupifupi masiku 7, panthawi yomwe wodwalayo amayenera kulowetsedwa kuchipatala kuti alandire jakisoni m'mitsempha ndikupewa zoyesayesa zomwe zingayambitse magazi.

3. Opaleshoni ya thrombosis

Opaleshoni imagwiritsidwa ntchito pamavuto akulu kwambiri a mtsempha wamagazi kapena ngati sikutheka kuchepetsa chovalacho pogwiritsa ntchito maanticoagulants kapena thrombolytics.

Kuchita opareshoni ya mitsempha yakuya kumathandizira kuchotsa chovala m'miyendo kapena kuyika fyuluta m'malo otsika a vena cava, kuteteza kufalikira kwa chotsekera m'mapapu.

Zizindikiro zakusintha kwa thrombosis

Zizindikiro zakusintha kwa thrombosis zimawoneka patangotha ​​masiku ochepa mutangoyamba kulandira chithandizo ndipo zimaphatikizapo kuchepa kwa kufiira ndi kupweteka. Kutupa mwendo kumatha kutenga milungu ingapo kuti muchepetse, ndipo kumatha kukhala kwakukulu kumapeto kwa tsiku.

Zizindikiro zakukula kwa thrombosis

Zizindikiro zakukula kwa thrombosis zimakhudzana kwambiri ndi kuyenda kwa magazi kuchokera kumapazi kupita kumapapu ndipo zimatha kuphatikizira mwadzidzidzi kupuma, kupweteka pachifuwa, chizungulire, kukomoka kapena kutsokomola magazi.

Wodwalayo akawonetsa kuti zikukulirakulira, ayenera kupita kuchipatala nthawi yomweyo kapena kukafunsira chithandizo chamankhwala poyimbira 192.

Onani momwe mungathandizire mankhwalawa ndi njira yokometsera thrombosis.