Ukwelashwa okungcono kakhulu kwe-DVT

Ngokwenani elikhulu lezimo ze-sequelae ye-deep vein thrombosis yemilenze engezansi esibhedlela sase-Shanghai Oriental, kuhlangene nemibiko yakamuva yocwaningo lwamazwe ngamazwe, uhlelo olulandelayo lokwelapha olunconywayo lunezinzuzo zokunciphisa ngokushesha i-edema, ukuvimbela izilonda zemilenze ephansi, nokusheshisa ukuvuvukala. ukuvuselelwa kwe-vein thrombosis ejulile.

Uhlelo oluqondile lumi kanje:

(1) Ukwelashwa kokucindezelwa kwephampu yomoya ngezikhathi ezithile kabili ngosuku, ngaphezu kwemizuzu eyi-15 isikhathi ngasinye;

(2) Gqoka amasokisi anwebekayo anengcindezi ephakathi nendawo noma ngaphezulu ngemva kokwelashwa kokucindezelwa kwephampu yomoya;

(3) Thatha amaphilisi amabili e-Emeland kanye ngosuku.

(4) Iziguli ezine-acute thrombosis zidinga ukusebenzisa i-heparin ne-warfarin ekwelapheni i-anticoagulation.Phinda uhlole umthambo ojulile nge-B-ultrasound njalo ezinyangeni eziyisi-6 ukuze uqonde ukwenziwa kabusha, futhi uhlole kabusha umthambo we-iliac nge-CT unyaka owodwa kamuva.

Ukusetshenziswa kohlelo lwe-air wave therapy ku-DVT

Idatha yocwaningo lwasekhaya neyangaphandle ibonisa ukuthi i-VTE iyimbangela ebalulekile yokufa okungalindelekile ezibhedlela.Uma i-pulmonary embolism yenzeka, ngenxa yezinga eliphezulu lokukhubazeka kanye nezinga lokufa, izindleko zokwelashwa kweziguli zikhuphuka kakhulu, futhi izingxabano zezokwelapha ezibangelwa yikho nazo zivamile.

Enqubweni yokunakekelwa okujulile, ngenxa yokubhuleka kanye nomthelela wezifo zeziguli, iziguli zilula kakhulu ukubangela ukwakheka kwe-DVT, futhi cishe zonke iziguli zingamaqembu asengozini enkulu.Uma kucatshangelwa ukuphikisana okuningi kwezidakamizwa ze-anticoagulant, inhlanganisela yezidakamizwa kanye nokuvimbela ngokomzimba kuye kwaba yisinqumo esingenakugwenywa ezibhedlela eziningi ngesikhathi sokwelashwa.

Ngokokwethulwa kohlelo olusha lweMihlahlandlela yaseShayina Yokuxilongwa, Ukwelashwa kanye Nokuvimbela I-Pulmonary Thromboembolism, I-Expert Consensus on the Prevention of Deep Vein Thrombosis kanye ne-Pulmonary Embolism ngemva Kokuhlinzwa Kwabesifazane kanye neminye imihlahlandlela, ukuvimbela i-IPC ezigulini ezisengozini enkulu kufanele. zisetshenziswe okungenani amahora ayi-18 ngosuku.

Indlela yokusebenza yegagasi lomoya

Gcoba, unwebe, ucindezele futhi unciphise umoya ngesikhwama somoya se-multi-chamber ngokuhlelekile nangesigqi ukuze wenze ingcindezi ejikelezayo esithweni somzimba, ukuze kuthuthukiswe ukubuya kwe-venous, ukuqinisa ukugcwala kwe-arterial, ukuthuthukisa ukujikeleza kwegazi kanye nokujikeleza kwe-lymphatic, ukuvimbela ukuhlangana kwe-venous. izici ze-coagulation kanye nokunamathela ku-intima ye-vascular, ukwandisa umsebenzi wesistimu ye-fibrinolytic, ukuvimbela i-Deep Vein Thrombosis (DVT) kanye ne-pulmonary thromboembolism (PTE), futhi kuqede i-edema yelungu.

Ihlanganiswe kulezi zici ezilandelayo:

1. Ukusheshisa ukugeleza kwegazi futhi kuqede stasis yegazi;

2. Igazi elisheshayo akulula ukwenza i-eddy current ngemuva kwe-valve ye-vein, ngakho-ke ingakwazi ukuhambisa indawo engemuva kwe-vein valve elula ukwakha i-thrombus, ngaleyo ndlela ivimbele ukwakheka kwe-vein thrombus ejulile;

3. Ukugeleza kwegazi okusheshayo kuvuselela amangqamuzana e-vascular endothelial ukuze akhulule i-EDRF (i-vascular endothelial relaxing factor), engagcoba udonga lwe-vascular futhi ivimbele ukunamathela kwezici ze-coagulation.

Iphrofayela Yenkampani

Eyethuinkampaniibambe iqhaza emkhakheni wokuthuthukiswa kobuchwepheshe bezokwelapha, ukubonisana nobuchwepheshe, isikhwama somoya sokunakekelwa kwezempilo nokunye ukuvuselelwa kokunakekelwa kwezempiloimikhiqizonjengelinye lamabhizinisi aphelele.

①Ukucindezelwa komoyaisudi futhiUchungechunge lwe-DVT.

②I-Automatic PneumaticTourniquet

③Okusebenza Kabusha Okubandayo OkushisayoPakisha

④ Ukwelashwa kwesifubaivesti

⑤Ukwelashwa Komoya NamanziIphedi

Okunyekufana nemikhiqizo yomphakathi ye-TPU


Isikhathi sokuthumela: Dec-12-2022