ʻO nā ʻano lapaʻau thrombosis e pili ana i ka lāʻau lapaʻau a me ke ʻoki kino. Ua māhele ʻia ka lāʻau lapaʻau i nā lāʻau anticoagulant, nā lāʻau antiplatelet, a me nā lāʻau thrombolytic e like me ke ʻano o ka hana. Hoʻoheheʻe i nā thrombus i hana ʻia. Hiki ke mālama ʻia kekahi mau maʻi e hoʻokō i nā hōʻailona ma o ke ʻoki kino.

1. Ka mālama ʻana i nā lāʻau lapaʻau:

1) Nā Anticoagulants: Hoʻohana pinepine ʻia ʻo Heparin, warfarin a me nā anticoagulants waha hou. Loaʻa iā Heparin kahi hopena anticoagulant ikaika i loko o ke kino a me ka in vitro, hiki ke pale pono i ka thrombosis vein hohonu a me ka embolism pulmonary. Hoʻohana pinepine ʻia e mālama i ka infarction myocardial acute a me ka thromboembolism venous. Pono e hoʻomaopopo ʻia hiki ke hoʻokaʻawale ʻia ka heparin i ka heparin unfractionated a me ka heparin kaumaha molekala haʻahaʻa, ʻo ka mea hope loa ma o ka injection subcutaneous. Hiki iā Warfarin ke pale i ka hoʻāla ʻia ʻana o nā mea coagulation vitamin K-dependent. He anticoagulant waena ʻano dicoumarin ia. Hoʻohana nui ʻia no nā maʻi ma hope o ka hoʻololi ʻana o ka valve puʻuwai artificial, nā maʻi fibrillation atrial kiʻekiʻe a me ka thromboembolism. Pono ke kahe koko a me nā hopena ʻino ʻē aʻe e nānā pono ai i ka hana coagulation i ka wā o ka lāʻau lapaʻau. He palekana a maikaʻi hoʻi nā anticoagulants waha hou i nā makahiki i hala iho nei, me nā lāʻau saban a me dabigatran etexilate;

2) Nā lāʻau antiplatelet: me ka aspirin, clopidogrel, abciximab, a me nā mea ʻē aʻe, hiki ke kāohi i ka hōʻuluʻulu ʻana o ka platelet, no laila e pale ana i ka hoʻokumu ʻana o thrombus. I ka maʻi coronary acute, ka dilatation balloon artery coronary, a me nā kūlana kiʻekiʻe-thrombotic e like me ka implantation stent, aspirin a me clopidogrel e hoʻohana pinepine ʻia i ka hui pū ʻana;

3) Nā lāʻau thrombolytic: me ka streptokinase, urokinase a me ka activator plasminogen tissue, a pēlā aku, hiki ke hoʻolaha i ka thrombolysis a hoʻomaikaʻi i nā hōʻailona o nā maʻi.

2. Lapaʻau ʻoki kino:

Me ka thrombectomy ʻoki kino, ka catheter thrombolysis, ka ultrasonic ablation, a me ka mechanical thrombus aspiration, pono e hoʻopaʻa pono i nā hōʻailona a me nā contraindications o ke ʻoki kino. Ma ke ʻano lapaʻau, ua manaʻoʻiʻo nui ʻia ʻaʻole kūpono nā maʻi me nā thrombus lua i hoʻokumu ʻia e ka thrombus kahiko, ka hana coagulation, a me nā puʻupuʻu malignant no ka mālama ʻoki kino, a pono e mālama ʻia e like me ka ulu ʻana o ke kūlana o ka mea maʻi a ma lalo o ke alakaʻi a ke kauka.