Olona nyango lungcono lwe-DVT

Ngokwenani elikhulu leemeko ze-sequelae ye-vein thrombosis enzulu yamalungu asezantsi kwiSibhedlele sase-Shanghai Oriental, kudityaniswa neengxelo zamva nje zophando lwezizwe ngezizwe, esi sikimu sonyango sicetyiswayo silandelayo sineengenelo zokunciphisa ngokukhawuleza i-edema, ukuthintela izilonda zamalungu asezantsi, kunye nokukhawulezisa i-edema. ukubuyiswa kwe-vein thrombosis enzulu.

Iskimu esikhethekileyo simi ngolu hlobo lulandelayo:

(1) Unyango lokunyanzeliswa kwempompo yomoya okwethutyana kabini ngosuku, ngaphezu kwemizuzu eyi-15 ngexesha ngalinye;

(2) Nxiba iikawusi ezi-elastic kunye noxinzelelo oluphakathi okanye ngaphezulu emva konyango loxinzelelo lwempompo yomoya;

(3) Thatha amacwecwe amabini ase-Emeland kanye ngosuku.

(4) Izigulane ezine-thrombosis enzima kufuneka zisebenzise i-heparin kunye ne-warfarin yonyango lwe-anticoagulation.Phinda uhlolisise umthambo onzulu nge-B-ultrasound rhoqo kwiinyanga ze-6 ukuze uqonde ukuhlanjululwa kwakhona, kwaye uphinde uhlolisise i-iliac vein kunye ne-CT unyaka omnye kamva.

Ukusetyenziswa kwenkqubo yonyango lwamaza omoya kwi-DVT

Idatha yophando lwasekhaya kunye neyangaphandle ibonisa ukuba i-VTE yimbangela ebalulekileyo yokufa okungalindelekanga kwizibhedlele.Nje ukuba i-pulmonary embolism yenzeke, ngenxa yezinga eliphezulu lokukhubazeka kunye nezinga lokufa, iindleko zonyango lwezigulane zonyuka kakhulu, kwaye iingxabano zonyango ezibangelwa yiyo nazo zihlala zihlala.

Kwinkqubo yokhathalelo olunzulu, ngenxa yokunyathela kunye neempembelelo zezifo zezigulane, izigulane zilula kakhulu ukubangela ukubunjwa kwe-DVT, kwaye phantse zonke izigulane zingamaqela asemngciphekweni omkhulu.Ukuqwalasela ezininzi zokuchasana kwezidakamizwa ze-anticoagulant, ukudibanisa kweziyobisi kunye nokukhusela ngokomzimba kuye kwaba yinto engenakuphepheka kwizibhedlele ezininzi ngexesha lonyango.

Ngokutsho kwentshayelelo entsha yeZikhokelo ze-China zokuxilonga, ukunyangwa kunye noThintelo lwe-Pulmonary Thromboembolism, iNgxowa-mali yeNgcali malunga noThintelo lwe-Deep Vein Thrombosis kunye ne-Pulmonary Embolism emva koGynecological Surgery kunye nezinye izikhokelo, uthintelo lwe-IPC kwizigulane ezisengozini kufuneka. zisetyenziswe ubuncinane iiyure ezili-18 ngosuku.

Indlela yokusebenza yamaza omoya

Gcwalisa, ukwandisa, ukucinezela kunye nokungcolisa umoya ngengxowa yomoya yegumbi elininzi ngocwangco kunye nesingqi ukwenza uxinzelelo olujikelezayo kwizicubu zelungu, ukuze kukhuthazwe ukubuya kwe-venous, ukomeleza ukutyhoboza kwe-arterial, ukuphucula ukujikeleza kwegazi kunye ne-lymphatic circulation, ukuthintela ukudityaniswa kwe-venous. izinto zokudibanisa kunye nokunamathela kwi-intima ye-vascular, ukwandisa umsebenzi we-fibrinolytic system, ukuthintela i-Deep Vein Thrombosis (DVT) kunye ne-pulmonary thromboembolism (PTE), kwaye isuse i-edema yelungu.

Ifakwe kule miba ilandelayo:

1. Ukukhawuleza ukuhamba kwegazi kunye nokuphelisa i-stasis yegazi;

2. Igazi elikhawulezayo akulula ukwenza i-eddy yangoku emva kwe-valve ye-vein, ngoko inokugungxula indawo emva kwe-valve ye-vein elula ukwenza i-thrombus, ngaloo ndlela ikhusela ukubunjwa kwe-thrombus ye-vein deep;

3. Ukuhamba kwegazi okukhawulezileyo kukhuthaza iiseli ze-vascular endothelial ukukhulula i-EDRF (i-vascular endothelial relaxing factor), enokuthi igcobe udonga lwe-vascular kwaye inqanda ukunamathela kwizinto ezidibeneyo.