Kumvetsetsa Deep Vein Thrombosis (DVT)

Deep vein thrombosis (DVT) imatanthawuza kukomoka kwa magazi m'mitsempha yakuya, yomwe ndi ya matenda a venous reflux kutsekeka kwa miyendo ya m'munsi.Matenda a thrombosis nthawi zambiri amapezeka pamene akuwotcha (makamaka opaleshoni ya mafupa).Zomwe zimayambitsa matendawa ndi kuthamanga kwa magazi pang'onopang'ono, kuvulala kwa venous khoma ndi hypercoagulability.Pambuyo pa thrombosis, ambiri a iwo adzafalikira ku tsinde lakuya la mtsempha wa chiwalo chonse, kupatula ochepa omwe angathe kuchotsedwa okha kapena okhawo omwe ali ndi thrombosis.Ngati sangadziwike ndikuchizidwa munthawi yake, ambiri aiwo amakula kukhala sequelae ya thrombosis, yomwe ingakhudze moyo wa odwala kwa nthawi yayitali;Odwala ena amatha kukhala ovuta kwambiri ndi pulmonary embolism, zomwe zimapangitsa kuti pakhale zovuta kwambiri.

Zifukwa za DVT

Muzochita zachipatala, 10% ~ 17% yokha ya odwala DVT ali ndi zizindikiro zoonekeratu.Zimaphatikizapo kutupa kwa miyendo ya m'munsi, kufatsa kwakuya kwapafupi ndi kupweteka kwa phazi la dorsum.Choopsa kwambiri chachipatala ndi chizindikiro cha chitukuko cha DVT ndi pulmonary embolism.Chiwopsezo cha kufa ndi 9% ~ 50%.Imfa zambiri zimachitika mkati mwa mphindi kapena maora.DVT yokhala ndi zizindikiro ndi zizindikiro imakhala yofala kwambiri kwa odwala pambuyo pa opaleshoni, kuvulala, khansara, chikomokere ndi kugona kwa nthawi yayitali.Kupewa ndiye chinsinsi chothana ndi DVT.Kupewa koyambirira kuyenera kuchitidwa kwa odwala onse omwe akuchitidwa opaleshoni yayikulu ya m'munsi Njira zodzitetezera pachimake venous thrombosis ya m'munsi malekezero monga: kupewa kuyika pilo pansi pa m'munsi mwendo pambuyo opaleshoni ndi kukhudza kwambiri venous kubwerera m'munsi mwendo;Limbikitsani mapazi ndi zala za wodwalayo kuti azisuntha mwachangu, ndikuwafunsa kuti apume kwambiri ndikutsokomola kwambiri;Lolani wodwala kudzuka pabedi mwamsanga ndi kuvala zotanuka masitonkeni kuchipatala ngati n'koyenera.Chisamaliro chochulukirapo chiyenera kuperekedwa kwa okalamba kapena odwala matenda a mtima pambuyo pa opaleshoni.

Tanthauzo lotsogolera pakuweruza nthawi yoyambira ku dongosolo la chithandizo

Venous thrombosis ili ngati simenti, yomwe imatha kutsukidwa mwachangu, koma ikangopanga magazi, imatha kusungunuka.Ngakhale fanizo ili siliri loyenera kwambiri, ndizowona kuti venous thrombosis imayamba kukonzedwa pang'ono maola makumi atapangidwa.The organisation venous thrombosis ndizovuta kuthetsedwa ndi thrombolysis.Kuchotsa opaleshoni ya thrombus nakonso sikoyenera.Chifukwa thrombus yokonzedwayo imamangirizidwa mwamphamvu ku khoma la mitsempha, kuchotsa thrombus mokakamiza kumayambitsa kuwonongeka kwa khoma la mitsempha ndikuyambitsa thrombosis yowonjezereka.Choncho, matenda oyambirira ndi ofunika kwambiri.

Momwe mungadziwire thrombosis ya m'munsi mwa miyendo yozama kwambiri

Ngakhale palibe chizindikiro chodziwikiratu cha thrombosis yozama ya mtsempha woyambirira, madokotala odziwa zambiri amathabe kupeza zowunikira poyang'ana mosamala thupi.Mwachitsanzo, kupweteka kwambiri pamene kufinya mwana wa ng'ombe m'mimba nthawi zambiri amasonyeza ng'ombe mtsempha thrombosis (wotchedwa Homan chizindikiro mu mankhwala).Izi ndichifukwa cha kutupa kwa aseptic kwa minofu yozungulira pamene venous thrombosis imachitika.Mofananamo, kukoma mtima pamizu ya ntchafu nthawi zambiri kumasonyeza thrombosis ya mtsempha wa chikazi.Zachidziwikire, pakaganiziridwa kuti thrombosis yozama ya mtsempha, polima ya D2 yamagazi iyenera kuzindikirika mwachangu, ndipo mtsempha wakuya uyenera kuzindikirika ndi B-ultrasound kuti adziwe bwino.Mwanjira imeneyi, matenda ambiri a DVT amatha kupezeka msanga.