Ukuqonda i-deep vein thrombosis (DVT)

I-deep vein thrombosis (DVT) ibhekiselele ekujikeni okungaqhelekanga kwegazi kwimithambo enzulu, eyesigulo sokuvaleka kwe-reflux ye-venous kumalungu asezantsi.I-Thrombosis idla ngokuvela kwi-braking state (ingakumbi kutyando lwamathambo).Izinto ze-pathogenic zihamba ngokukhawuleza kwegazi, ukulimala kodonga lwe-venous kunye ne-hypercoagulability.Emva kwe-thrombosis, uninzi lwabo luya kusasazeka kwi-trunk ye-vein enzulu yelungu lonke, ngaphandle kokuba abambalwa banokukhutshwa ngokwabo okanye bakhawulelwe kwindawo ye-thrombosis.Ukuba abanakufunyanwa kwaye baphathwe ngexesha, ininzi yabo iya kukhula ibe yi-sequelae ye-thrombosis, eya kuchaphazela umgangatho wobomi bezigulane ixesha elide;Ezinye izigulana zinokuba nzima nge-pulmonary embolism, ezibangela iziphumo ezibi kakhulu.

Izizathu ze-DVT

Kwinkqubo yeklinikhi, kuphela i-10% ~ 17% yezigulane ze-DVT ezineempawu ezibonakalayo.Ibandakanya ukudumba kwelungu elisezantsi, ububele obunzulu bendawo kunye neentlungu ze-dorsum flexion.Olona phawu lwekliniki lunobuzaza kunye nophawu lophuhliso lwe-DVT yi-pulmonary embolism.Izinga lokusweleka liphezulu ukuya kwi-9% ~ 50%.Uninzi lokufa kwenzeka kwimizuzu ukuya kwiiyure.I-DVT eneempawu kunye neempawu ixhaphake kakhulu kwizigulane emva kotyando, umonzakalo, umhlaza ophezulu, isiqaqa kunye nokulala ixesha elide ebhedini.Uthintelo ngundoqo wokujongana ne-DVT.Uthintelo oluphambili kufuneka lwenziwe kuzo zonke izigulane ezenza utyando olukhulu olusezantsi Amanyathelo okuthintela i-acute thrombosis ye-venous ephantsi ibandakanya: ukuphepha ukubeka umqamelo phantsi komlenze ophantsi emva kokusebenza kunye nokuchaphazela ukubuyiswa kwe-venous enzulu yomlenze ophantsi;Khuthaza iinyawo kunye neenzwane zesigulana ukuba zishukume, kwaye ubacele ukuba baphefumle ngokunzulu kwaye bakhohlele ngakumbi;Vumela isigulane ukuba siphume ebhedini ngokukhawuleza kwaye sinxibe iikawusi ezilastiki zonyango xa kuyimfuneko.Ingqwalasela engaphezulu kufuneka ihlawulwe kubantu abadala okanye izigulane zesifo senhliziyo emva kokusebenza.

Ukubaluleka kwesikhokelo sokugweba ixesha lokuqala kwisicwangciso sonyango

I-venous thrombosis ifana nesamente, enokuthi ihlanjwe ngokukhawuleza, kodwa yakuba yenze ihlwili, ayinakunyibilika.Nangona esi sifaniso singafanelekanga kakhulu, kuyinyani ukuba i-venous thrombosis iqala ukucwangciswa ngokuyinxenye kumashumi eeyure emva kokusekwa kwayo.I-thrombosis ye-venous ehleliweyo kunzima ukusonjululwa nge-thrombolysis.Ukususwa kwe-thrombus yokuhlinzwa kwakhona akufanelekanga.Ngenxa yokuba i-thrombus ehleliweyo inamathele ngokuqinileyo eludongeni lwe-vein, ukususwa kwe-thrombus ngenkani kuya kubangela umonakalo kwindonga ye-vein kwaye kubangele i-thrombosis ebanzi.Ngoko ke, ukuxilongwa kwangaphambili kubaluleke kakhulu.

Indlela yokuxilonga i-thrombosis yemithambo enzulu yelungu elisezantsi kwangethuba

Nangona kungekho zimpawu zicacileyo ze-thrombosis enzulu ye-vein thrombosis, oogqirha abanamava basenokufumana imikhondo ngokuhlolwa ngononophelo lomzimba.Ngokomzekelo, iintlungu ezinzulu xa zikhama isisu sethole zihlala zibonisa i-calf vein thrombosis (ebizwa ngokuba ngumqondiso weHoman kwiyeza).Oku kungenxa yokuvuvukala kwe-aseptic yezicubu ezijikelezileyo xa i-venous thrombosis isenzeka.Ngokufanayo, ukuthamba kwingcambu yethanga kudla ngokubonisa i-femoral vein thrombosis.Kakade ke, xa sele kurhanelwa i-vein thrombosis, i-polymer ye-D2 yegazi kufuneka ibonwe ngokukhawuleza, kwaye umthambo onzulu kufuneka ubonwe yi-B-ultrasound ukwenza ukuxilongwa okuqinisekileyo.Ngale ndlela, iimeko ezininzi ze-DVT zinokufunyaniswa kwangoko.