Kalafo ea vein thrombosis (DVT) e tebile hakae?

Litaba

• 1. Litlhare tsa Anticoagulant
• 2. Litlhare tsa thrombolytic
• 3. Ho buuoa ka thrombosis
• Matšoao a ntlafatso ea thrombosis
• Lipontšo tsa thrombosis e ntseng e mpefala

Tharabolosis e bakoang ke venous ke tšitiso ea phallo ea mali methapong ke 'mele, kapa thrombus,' me kalafo ea eona e tlameha ho qalisoa kapele kamoo ho ka khonehang ho thibela lesela hore le se ke la hola ka boholo kapa la ea matšoafong kapa bokong, la baka pulmonary embolism kapa Stroke.

Thrombosis ea phekoleha, 'me kalafo ea eona e tataisoa ke ngaka kapa ngaka e buoang ea methapo ka mor'a ho khetholla matšoao le ho netefatsa hore e fumanoe,' me e ka etsoa ka lithethefatsi tsa anticoagulant, maemong a bobebe haholo, kapa ka thrombolytics le / kapa opereishene, e matla ka ho fetisisa tse tebileng. tse tebileng. Ho utloisisa lintlha tse ling mabapi le hore na ke eng le hore na matšoao a thrombosis ke eng, sheba hore na u ka khetholla thrombosis joang.

Ntle le moo, kamora hore mohato o matla o fete, ngaka e tla khona ho tataisa ts'ebeliso ea li-stock compression le mokhoa oa ho ikoetlisa o bobebe joalo ka ho tsamaea kapa ho sesa ho thusa ho tsamaisa mali le ho thibela bothata hore bo se ke ba hlola bo hlaha.

Khetho ea kalafo bakeng sa thrombosis e ipapisitse le matšoao le ho teba ha nyeoe, e ka kenyelletsang:

1. Litlhare tsa Anticoagulant

Li-anticoagulants, tse kang Heparin kapa Warfarin, ke eona khetho ea pele ea kalafo bakeng sa thrombosis e tebileng ea methapo, hobane e fokotsa bokhoni ba mali ba ho koala, ho hlapolla lesela le ho thibela maqeba a macha ho theha likarolong tse ling tsa 'mele.

Hangata, maemong a thrombosis maotong kapa matsohong, kalafo ka li-anticoagulants e etsoa ka lipilisi mme e nka nako e ka etsang likhoeli tse 3, mme e ka bolokoa nako e telele haeba lesela le le leholo haholo, le nka nako e telele ho hlapolla kapa haeba ho na le ke lefu lefe kapa lefe le nolofalletsang ho theoa hoa makhopho.

Ho na le mefuta e mengata ea li-anticoagulants, e ka bang:

• Liente, joalo ka Heparin, e nang le tšebetso e potlakileng mme e entsoe ka kopanelo le letlapa la molomo la Warfarin, ho fihlela liteko tsa coagulation, joalo ka INR le TPAE, li bonts'a hore mali a hlile a maemong a anticoagulation. Kamora ho fihlela sepheo sena (INR lipakeng tsa 2.5 le 3.5), ente e emisoa, e siea feela letlapa la molomo.
• Letlapeng, Ka lithethefatsi tsa sejoale-joale, joalo ka Rivaroxaban phofo, e khonang ho nka sebaka sa warfarin mme e sa hloke khalemelo ke INR. Tsena ha li hloke ho qalisoa ka liente. Leha ho le joalo, tlhokomelo e tlameha ho nkuoa boteng ba lintlha tse ling tse kang lefu la liphio, lilemo, boima mme li ntse li na le theko e phahameng.

Ho utloisisa hantle hore na litlhare tsena li sebetsa joang, sheba li-anticoagulants tse sebelisoang khafetsa le hore na li etselitsoe eng. Ntle le moo, nakong ea kalafo ea li-anticoagulants, mokuli o tlameha ho etsa liteko tsa mali khafetsa ho lekola botenya ba mali le ho qoba mathata, joalo ka ho tsoa mali kapa phokolo ea mali.

2. Litlhare tsa thrombolytic

Ka mohlala, li-thrombolytics, joalo ka streptokinase kapa alteplase, li sebelisoa maemong ao li-anticoagulants feela li sitoang ho phekola thrombosis e tebileng ea methapo kapa ha mokuli a ba le mathata a tebileng, joalo ka embolism e kholo ea pulmonary.

Ka kakaretso, kalafo ka thrombolytics e nka matsatsi a ka bang 7, ka nako eo mokuli a tlamehang ho amoheloa sepetlele ho kenya liente ka kotlolloho mothapong le ho qoba boiteko bo ka bakang tšollo ea mali.

3. Ho buuoa ka thrombosis

Phekolo e sebelisoa maemong a matla ka ho fetisisa a methapo e tebileng ea methapo kapa ha ho sa khonehe ho hlapolla lesela ka tšebeliso ea li-anticoagulants kapa thrombolytics.

Ho buuoa ka methapo e tebileng ea methapo ea pelo ho sebeletsa ho tlosa leqhubu maotong kapa ho beha sefahleho ka hara vena cava e tlase, ho thibela ho fetela ha lehloela matšoafong.

Matšoao a ntlafatso ea thrombosis

Matšoao a ntlafatso ea thrombosis a hlaha matsatsi a 'maloa kamora ho qala kalafo mme a kenyelletsa phokotso ea bofubelu le bohloko. Ho ruruha leotong ho ka nka libeke tse 'maloa ho fokotsa,' me ho ka ba kholo qetellong ea letsatsi.

Lipontšo tsa thrombosis e ntseng e mpefala

Matšoao a ho mpefala ha thrombosis a amana haholo le motsamao oa lesela ho tloha maotong ho ea matšoafong mme a ka kenyelletsa ho phefumoloha ka tšohanyetso, bohloko ba sefuba, ho tsekela, ho akheha kapa ho khohlela mali.

Ha mokuli a bontša matšoao ana a ho mpefala, motho o lokela ho ea sepetlele hanghang kapa a letsetse thuso ea bongaka ka ho letsetsa 192.

Bona mokhoa oa ho tlatselletsa kalafo ka pheko ea lehae ea thrombosis.