Ua hōʻike ʻia kahi noiʻi i paʻi ʻia e Vanderbilt University Medical Center ma "Anesthesia and Analgesia" e ʻoi aku ka nui o ke kahe ʻana o ke koko postoperative i ka make ma mua o ka thrombus i hoʻokumu ʻia e ke ʻoki ʻana.

Ua hoʻohana nā kānaka noiʻi i ka ʻikepili mai ka waihona ʻikepili National Surgical Quality Improvement Project o ke American College of Surgeons no kahi kokoke i 15 mau makahiki, a me kekahi ʻenehana kamepiula holomua, e hoʻohālikelike pololei i ka make ʻana o nā maʻi ʻAmelika me ke kahe koko postoperative a me ka thrombosis i hoʻokumu ʻia e ke ʻoki kino.

Ua hōʻike ʻia nā hopena o ke aʻo ʻana he kiʻekiʻe loa ka nui o ka make ʻana o ke koko, ʻo ia hoʻi ka make, ʻoiai inā ua hoʻoponopono ʻia ka pilikia mua o ka make ma hope o ke ʻoki ʻana o ka mea maʻi, ke ʻoki ʻana a lākou e hana nei, a me nā pilikia ʻē aʻe e hiki mai ana ma hope o ke ʻoki ʻana. ʻO ka hopena like, ʻoi aku ka kiʻekiʻe o ka make ʻana o ke koko ma mua o ka thrombosis.

Ua nānā ka American Academy of Surgeons i ke kahe ʻana o ke koko ma kā lākou waihona ʻikepili no 72 mau hola ma hope o ke ʻoki ʻana, a ua nānā ʻia nā ʻūpā koko i loko o 30 mau lā ma hope o ke ʻoki ʻana. ʻO ka hapa nui o ke kahe ʻana o ke koko e pili ana i ke ʻoki ponoʻī he mua ia, i nā lā ʻekolu mua, a ʻo nā ʻūpā koko, ʻoiai inā pili lākou i ke ʻoki ponoʻī, hiki ke hala i kekahi mau pule a i ʻole a hiki i hoʻokahi mahina e hana ai.

I nā makahiki i hala iho nei, ua hohonu loa ka noiʻi ʻana i ka thrombosis, a ua hāʻawi mai nā hui aupuni nui he nui i nā manaʻo no ka pehea e mālama pono ai a pale aku i ka thrombosis postoperative. Ua hana maikaʻi loa ka poʻe i ka lawelawe ʻana i nā thrombus ma hope o ke ʻoki ʻana e hōʻoia ai inā paha e hana ʻia ka thrombus, ʻaʻole ia e make ai ka mea maʻi.

Akā, he pilikia hopohopo nui nō ke kahe ʻana o ke koko ma hope o ke ʻoki kino. I kēlā me kēia makahiki o ke aʻo ʻana, ʻoi aku ka nui o ka make ʻana i hoʻokumu ʻia e ke kahe ʻana o ke koko ma mua a ma hope o ke ʻoki kino ma mua o ka thrombus. Hāpai kēia i kahi nīnau koʻikoʻi no ke aha e alakaʻi ai ke kahe ʻana o ke koko i nā make hou aʻe a pehea e mālama maikaʻi ai i nā maʻi e pale aku i nā make e pili ana i ke kahe ʻana o ke koko.

Ma ke ʻano lapaʻau, manaʻo pinepine nā kānaka noiʻi he mau pono hoʻokūkū ke kahe koko a me ka thrombosis. No laila, ʻo nā hana he nui e hōʻemi i ke kahe koko e hoʻonui i ka pilikia o ka thrombosis. I ka manawa like, ʻo nā lāʻau lapaʻau he nui no ka thrombosis e hoʻonui i ka pilikia o ke kahe koko.

Aia ka lāʻau lapaʻau i ke kumu o ke kahe ʻana o ke koko, akā hiki ke komo pū me ka nānā hou ʻana a me ka ʻimi hou ʻana a i ʻole ka hoʻololi ʻana i ke ʻoki kino mua, ka hāʻawi ʻana i nā huahana koko e kōkua i ka pale ʻana i ke kahe ʻana o ke koko, a me nā lāʻau lapaʻau e pale ai i ke kahe ʻana o ke koko ma hope o ke ʻoki kino. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kahi hui o nā loea e ʻike i ka wā e pono ai ke mālama ʻia me ka ikaika loa kēia mau pilikia postoperative, ʻoiai ke kahe ʻana o ke koko.