I-thrombectomy yokuhlinzwa iyindlela engakwazi ukususa ngokushesha i-thrombus ngesikhathi esifushane.Ngemuva kokuthi i-thrombus isusiwe, umthambo ovinjiwe uzobuyela ku-patency, futhi ukubikezela okungcono kwesikhathi eside kungafinyelelwa ngokususa ngokuphelele i-thrombus ngokuhlinzwa.Ngenxa yokuhlukumezeka okukhulu, ukopha kanye nezinkinga zokuhlinzwa, azikho izibhedlela eziningi ezenza ucwaningo lwezokwelapha.
Eminyakeni yamuva, ukusetshenziswa kwezidakamizwa ze-thrombolytic kanye nokuthuthuka okusheshayo kobuchwepheshe be-intravascular kwenza umqondo "we-thrombus clearance" ube khona.Ngokwesisekelo sokwelashwa kwe-anticoagulation, ukwelashwa kwe-thrombolytic kungathathwa njengokukhetha kwamasu okusebenzayo futhi okusebenzayo, okulungele iziguli ze-DVT ezingabandakanyi ukungqubuzana kwe-thrombolytic.
Njengamanje, i-urokinase (UK) kanye ne-alteplase ama-ejenti e-fibrinolytic asetshenziswa kakhulu ekwelashweni kwe-thrombolytic kwe-DVT ekhaya naphesheya.Ukwelashwa kwe-thrombolytic kungasheshisa ukwenziwa kabusha kwe-thrombolytic, kuvikele ukusebenza kwamavalvu, kunciphise izehlakalo ze-PTS, futhi ukuthuthukiswa kwekhwalithi yempilo yeziguli kuhlobene kahle nezinga le-thrombolysis.I-thrombolytic therapy ingahlukaniswa ibe yi-peripheral thrombolysis (systemic thrombolysis) kanye ne-catheter directed thrombolysis (CDT).
Ngokuthuthukiswa kwemishini nobuchwepheshe bokungenelela, i-CDT inezinzuzo ezisobala ekwelapheni i-DVT.Ithintana ngqo ne-thrombus yendawo ngezidakamizwa ze-thrombolytic, okwandisa kakhulu ukugcwala kwezidakamizwa ze-thrombolytic ezungeze i-thrombus.Indawo yokuxhumana phakathi kwezidakamizwa ze-thrombolytic ne-thrombus inkulu kakhulu kunaleyo ye-peripheral thrombolysis ye-venous.Ukwelashwa kwe-CDT kwandisa kakhulu inani lezidakamizwa ezisebenza ku-thrombus, kwandisa kakhulu izinga lokuvuselelwa kwemithambo ngemva kwe-thrombolysis, futhi umphumela wokwelapha ungcono kakhulu kunalowo we-peripheral thrombolysis ye-venous.
I-CDT isiphenduke indlela evame ukusetshenziswa kakhulu ye-thrombolytic okwamanje, enganciphisa ngempumelelo izinkinga zokopha ngenkathi isheshisa i-thrombolysis.I-Pharmaceutical mechanical thrombectomy (PMCT) iyithuluzi elijikelezayo ekugcineni kwekhanda, elingadabula i-thrombus futhi limunce ku-catheter ngokusebenzisa ingcindezi engalungile, bese ihlangana ne-CDT yendabuko, enganciphisa umthamo wezidakamizwa ze-thrombolytic kanye nesikhathi sokwelashwa cishe 50%.
Umphumela wokucaciswa kwe-thrombus we-PMCT ne-CDT uyafana, kodwa i-PMCT iphephile, isheshisa ukuvuselelwa kabusha kwe-thrombus, inciphisa isikhathi sokwelashwa, inciphisa ukusetshenziswa kwezidakamizwa ze-thrombolytic kanye nezinkinga zokopha, inciphisa ukwenzeka kwe-PTS, inciphisa inani lezinsuku esibhedlela futhi inciphisa izindleko zokulaliswa esibhedlela.
Ucwaningo lwe-Cavent luwucwaningo olulawulwa ngokungahleliwe lokwelashwa okujwayelekile kwe-anticoagulant kuhlanganiswe ne-CDT kanye nokwelashwa okujwayelekile kwe-anticoagulant ku-acute iliofemoral deep vein thrombosis, eqashe iziguli ezivela ezibhedlela ze-20 eNyakatho-ntshonalanga yeNorway.
Imiphumela yalolu cwaningo ibonisa ukuthi uma kuqhathaniswa nokwelashwa kwe-anticoagulant kukodwa, ukwelashwa kwe-CDT okuhlangene kunganciphisa kakhulu ingozi ye-PTS, kodwa kwandise kancane ingozi yokopha.Nokho, uma kuqhathaniswa ne-systemic thrombolysis, le ngozi yokopha ibonakala yamukeleka.
Lo mphumela usekela izincomo zezinkombandlela zakamuva zokuthi ukwelashwa kwe-CDT okuhlanganisiwe kungacatshangelwa ezigulini ezine-proximal deep vein thrombosis kanye nengozi yokopha ephansi.
Iphrofayela Yenkampani
Iinkampaniinokwakheifektrikanye nethimba lokuklama, futhi selihlanganyele ekukhiqizeni nasekuthengisweni kwemikhiqizo yezokwelapha isikhathi eside.Manje sinemigqa yomkhiqizo elandelayo.
①Air compression suit(umlenze wokucindezela umoya,amabhuzu okucindezela,Izingubo zokucindezela umoya nezehlombenjll) futhiUchungechunge lwe-DVT.
②I-Airway clearance system vest
③Tourniqueti-cuff
④Kushisa futhi kubandatherapy Pads(iphakethe leqhwa le-ankle, i-elbow ice pack, iphakethe leqhwa lamadolo, umkhono wokucindezela obandayo, iphakethe elibandayo lehlombe njll)
⑤Abanye bathanda imikhiqizo yomphakathi ye-TPU.i-swimming pool ene-inflatable,anti-bedsore inflatable umatilasi,umshini wamadolo wokwelapha obandayoect）
Isikhathi sokuthumela: Sep-30-2022