Ukuqonda i-deep vein thrombosis (DVT)

I-Deep vein thrombosis (DVT) ibhekisela ekuhlanganeni okungavamile kwegazi emithanjeni ejulile, okungeyesifo sokuvinjelwa kwe-venous reflux yemilenze engezansi.I-Thrombosis ivame ukuvela esimweni sokubhuleka (ikakhulukazi ekuhlinzweni kwamathambo).Izici ze-pathogenic ukuhamba kancane kwegazi, ukulimala odongeni lwe-venous kanye ne-hypercoagulability.Ngemuva kwe-thrombosis, iningi labo lizosakazeka esiqwini se-vein esijulile salo lonke umlenze, ngaphandle kokuthi abambalwa bangakhishwa ngokwabo noma bakhawulelwe endaweni ye-thrombosis.Uma zingenakutholwa futhi zelashwe ngesikhathi, iningi labo lizokhula libe yi-sequelae ye-thrombosis, ezothinta izinga lempilo yeziguli isikhathi eside;Ezinye iziguli zingase zibe yinkimbinkimbi nge-pulmonary embolism, okubangela imiphumela emibi kakhulu.

Izizathu ze-DVT

Emisebenzini yomtholampilo, kuphela i-10% ~ 17% yeziguli ze-DVT ezinezimpawu ezisobala.Kuhlanganisa ukuvuvukala kwesitho esingezansi, ukuzwela okujulile kwendawo kanye nobuhlungu be-dorsum flexion ezinyaweni.Isici somtholampilo esibucayi kakhulu kanye nesibonakaliso sokuthuthukiswa kwe-DVT i-pulmonary embolism.Izinga lokufa liphezulu njenge-9% ~ 50%.Iningi lokufa livela phakathi nemizuzu kuya emahoreni.I-DVT enezimpawu nezimpawu ivame kakhulu ezigulini ngemva kokuhlinzwa, ukuhlukumezeka, umdlavuza osezingeni eliphezulu, ikhoma kanye nokulala isikhathi eside embhedeni.Ukuvimbela kuyisihluthulelo sokubhekana ne-DVT.Ukuvimbela okuyinhloko kufanele kwenziwe kuzo zonke iziguli ezihlinzwa kakhulu ezithweni eziphansi Izinyathelo zokuvimbela i-acute thrombosis ye-venous emaphethelweni aphansi zihlanganisa: ukugwema ukubeka umcamelo ngaphansi komlenze ophansi ngemva kokuhlinzwa futhi kuthinte ukubuya kwe-venous ejulile yomlenze ophansi;Khuthaza izinyawo nezinzwane zesiguli ukuthi zinyakaze, uzicele ukuthi ziphefumule kakhulu futhi zikhwehlele kakhulu;Vumela isiguli siphume embhedeni ngokushesha futhi sigqoke amasokisi anwebekayo ezempilo lapho kudingeka.Ukunakwa okwengeziwe kufanele kukhokhwe kubantu asebekhulile noma abanesifo senhliziyo ngemva kokuhlinzwa.

Ukubaluleka okuyisiqondiso sokwahlulela isikhathi sokuqala ohlelweni lokwelapha

I-venous thrombosis ifana nosimende, ongagezwa ngokushesha ngangokunokwenzeka, kodwa uma seyakhe ihlule, awukwazi ukuncibilika.Nakuba lesi sifaniso singafaneleki kakhulu, kuyiqiniso ukuthi i-venous thrombosis iqala ukuhlelwa ngokwengxenye emashumini amahora ngemva kokwakheka kwayo.I-thrombosis ye-venous ehleliwe inzima ukuxazululwa nge-thrombolysis.Ukususwa kwe-thrombus yokuhlinzwa nakho akufanelekile.Ngenxa yokuthi i-thrombus ehleliwe inamathele ngokuqinile odongeni lwe-vein, ukukhishwa kwe-thrombus ngempoqo kuzodala umonakalo odongeni lwe-vein futhi kubangele i-thrombosis ebanzi.Ngakho-ke, ukuxilongwa kusenesikhathi kubaluleke kakhulu.

Indlela yokuxilonga i-thrombosis ye-vein deep thrombosis kusenesikhathi

Nakuba lungekho uphawu olusobala lwe-thrombosis ye-vein deep ekuqaleni, odokotela abanolwazi basengathola izinkomba ezithile ngokuhlola ngokucophelela ngokomzimba.Isibonelo, ubuhlungu obujulile lapho ucindezela isisu sethole ngokuvamile kubonisa i-calf vein thrombosis (ebizwa ngokuthi uphawu lwe-Homan kwezokwelapha).Lokhu kungenxa yokuvuvukala kwe-aseptic kwezicubu ezizungezile lapho kwenzeka i-venous thrombosis.Ngokufanayo, ukuthamba empandeni yethanga ngokuvamile kubonisa i-thrombosis ye-femoral vein.Yiqiniso, uma kusolwa i-vein thrombosis ejulile, i-polymer yegazi D2 kufanele itholakale ngokushesha ngangokunokwenzeka, futhi umthambo ojulile kufanele utholwe yi-B-ultrasound ukuze kutholakale ukuxilongwa okuqondile.Ngale ndlela, izimo eziningi ze-DVT zingatholwa kusenesikhathi.