Menene maganin thrombosis?


Marubuci: Magaji   

Hanyoyin maganin Thrombosis sun haɗa da magungunan ƙwayoyi da kuma aikin tiyata.An raba maganin miyagun ƙwayoyi zuwa magungunan anticoagulant, magungunan antiplatelet, da magungunan thrombolytic bisa ga tsarin aiki.Narke kafa thrombus.Wasu majinyata da suka hadu da alamomin suma ana iya basu magani ta hanyar tiyata.

1. Magani:

1) Maganganun ciwon ciki: Heparin, warfarin da sabbin magungunan maganin na baki ana yawan amfani da su.Heparin yana da tasirin anticoagulant mai ƙarfi a cikin vivo da in vitro, wanda zai iya hana haɓakar thrombosis mai zurfi da huhu.Ana amfani da shi sau da yawa don magance myocardial infarction da venous thromboembolism.Ya kamata a lura cewa za a iya raba heparin zuwa heparin mara lahani da ƙananan nauyin kwayoyin heparin, na karshen Yafi ta hanyar allurar subcutaneous.Warfarin na iya hana abubuwan coagulation masu dogaro da bitamin K daga kunnawa.Nau'in dicoumarin ne na tsaka-tsakin maganin jijiyoyi.An fi amfani da shi ga marasa lafiya bayan maye gurbin bawul ɗin zuciya na wucin gadi, babban haɗari mai haɗari na fibrillation da marasa lafiya na thromboembolism.Zubar da jini da sauran munanan halayen suna buƙatar kulawa kusa da aikin coagulation yayin magani.Sabbin magungunan maganin na baka suna da ingantacciyar lafiya da tasiri na maganin maganin jini a cikin 'yan shekarun nan, gami da magungunan saban da dabigatran etexilate;

2) Magungunan Antiplatelet: ciki har da aspirin, clopidogrel, abciximab, da dai sauransu, na iya hana haɗuwar platelet, ta yadda za su hana samuwar thrombus.A cikin ciwo mai tsanani na jijiyoyin jini, ƙaddamar da balloon na jijiyoyin jini, da kuma yanayin hawan jini kamar stent implantation, aspirin da clopidogrel yawanci ana amfani da su a hade;

3) Magungunan Thrombolytic: ciki har da streptokinase, urokinase da nama plasminogen activator, da dai sauransu, wanda zai iya inganta thrombolysis da inganta bayyanar cututtuka na marasa lafiya.

2. Magani:

Ciki har da thrombectomy na tiyata, catheter thrombolysis, ultrasonic ablation, da kuma buƙatun thrombus na inji, yana da mahimmanci a fahimci alamun da contraindications na tiyata.A asibiti, an yi imani da cewa marasa lafiya da ke da thrombus na biyu da tsofaffin thrombus ke haifar da su, rashin aiki na coagulation, da ciwace-ciwacen daji ba su dace da maganin tiyata ba, kuma suna bukatar a yi musu magani bisa ga ci gaban yanayin majiyyaci da kuma jagorancin likita.