Cov kev kho mob rau thrombosis yog dab tsi?


Sau: Succeeder   

Txoj kev kho mob thrombosis feem ntau suav nrog kev kho tshuaj thiab kev phais phais.Cov tshuaj kho tau muab faib ua cov tshuaj anticoagulant, tshuaj antiplatelet, thiab cov tshuaj thrombolytic raws li cov txheej txheem ntawm kev ua.Dissolves tsim thrombus.Qee cov neeg mob uas ua tau raws li qhov qhia tau kuj tuaj yeem kho los ntawm kev phais.

1. Kev kho tshuaj:

1) Anticoagulants: Heparin, warfarin thiab cov tshuaj tiv thaiv qhov ncauj tshiab feem ntau yog siv.Heparin muaj cov nyhuv anticoagulant muaj zog hauv vivo thiab hauv vitro, uas tuaj yeem tiv thaiv cov hlab ntsha sib sib zog nqus thiab pulmonary embolism.Nws yog feem ntau siv los kho mob myocardial infarction thiab venous thromboembolism.Nws yuav tsum tau muab sau tseg tias heparin yuav muab faib mus rau hauv unfractionated heparin thiab tsis tshua muaj molecular hnyav heparin, tom kawg Feem ntau yog los ntawm kev txhaj tshuaj subcutaneous.Warfarin tuaj yeem tiv thaiv vitamin K-dependent coagulation yam los ntawm kev ua haujlwm.Nws yog dicoumarin-hom intermediate anticoagulant.Nws yog tsuas yog siv rau cov neeg mob tom qab hloov lub plawv li qub, muaj kev pheej hmoo siab atrial fibrillation thiab cov neeg mob thromboembolism.Los ntshav thiab lwm yam kev phiv tshwm sim yuav tsum tau saib xyuas ntawm coagulation muaj nuj nqi thaum noj tshuaj.Cov tshuaj tiv thaiv kab mob hauv qhov ncauj tshiab yog qhov muaj kev nyab xeeb thiab muaj txiaj ntsig zoo ntawm qhov ncauj anticoagulants hauv xyoo tas los no, suav nrog tshuaj saban thiab dabigatran etexilate;

2) Antiplatelet tshuaj: nrog rau cov tshuaj aspirin, clopidogrel, abciximab, thiab lwm yam, tuaj yeem inhibit platelet aggregation, yog li inhibiting thrombus tsim.Nyob rau hauv mob coronary syndrome, coronary artery balloon dilatation, thiab high-thrombotic tej yam kev mob xws li stent implantation, aspirin thiab clopidogrel feem ntau yog siv ua ke;

3) Cov tshuaj thrombolytic: suav nrog streptokinase, urokinase thiab cov ntaub so ntswg plasminogen activator, thiab lwm yam, uas tuaj yeem txhawb nqa thrombolysis thiab txhim kho cov tsos mob ntawm cov neeg mob.

2. Kev kho mob phais:

Nrog rau kev phais thrombectomy, catheter thrombolysis, ultrasonic ablation, thiab mechanical thrombus aspiration, nws yog ib qho tsim nyog yuav tsum nruj me ntsis tuav cov lus qhia thiab contraindications ntawm kev phais.Clinically, nws yog feem ntau ntseeg hais tias cov neeg mob uas muaj theem nrab thrombus tshwm sim los ntawm cov laus thrombus, coagulation dysfunction, thiab malignant qog tsis haum rau kev phais, thiab yuav tsum tau kho raws li txoj kev loj hlob ntawm tus neeg mob tus mob thiab raws li kev qhia ntawm ib tug kws kho mob.