Kedu ihe bụ ọgwụgwọ thrombosis?


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Ụzọ ọgwụgwọ Thrombosis gụnyere tumadi ọgwụgwọ ọgwụ na ọgwụgwọ ịwa ahụ.A na-ekewa ọgwụgwọ ọgwụ n'ime ọgwụ anticoagulant, ọgwụ antiplatelet, na ọgwụ thrombolytic dịka usoro eji eme ihe.Agbaze kpụrụ thrombus.Ụfọdụ ndị ọrịa na-enweta ihe ngosi a nwekwara ike ịgwọ ya site n'ịwa ahụ.

1. Ọgwụgwọ ọgwụ:

1) Anticoagulants: Heparin, warfarin na ọgwụ mgbochi ọnụ ọhụrụ na-ejikarị eme ihe.Heparin nwere mmetụta anticoagulant siri ike na vivo na in vitro, nke nwere ike igbochi thrombosis miri emi nke ọma na embolism pulmonary.A na-ejikarị ya agwọ nnukwu ọrịa myocardial infarction na venous thromboembolism.Ekwesiri iburu n'uche na enwere ike kewaa heparin ka ọ bụrụ heparin na-adịghị emebi emebi na heparin dị arọ dị ala, nke ikpeazụ bụ site na ịgba ọgwụ mgbochi subcutaneous.Warfarin nwere ike igbochi ihe na-akpata coagulation na-adabere na vitamin K ịgbalite.Ọ bụ ọgwụ mgbochi obi n'etiti ụdị dicoumarin.A na-ejikarị ya eme ihe maka ndị ọrịa mgbe dochie valvụ obi artificial, nnukwu ihe ize ndụ atrial fibrillation na ndị ọrịa thromboembolism.Ọbara na mmeghachi omume ọjọọ ndị ọzọ chọrọ nlebanya anya nke ọrụ coagulation n'oge ọgwụ.Ọgwụ mgbochi ọnyà ọhụrụ dịtụ mma ma dịkwa irè ọgwụ mgbochi ọnụ n'afọ ndị na-adịbeghị anya, gụnyere ọgwụ saban na dabigatran etexilate;

2) Ọgwụ antiplatelet: gụnyere aspirin, clopidogrel, abciximab, wdg, nwere ike igbochi nchịkọta platelet, si otú a na-egbochi nhazi thrombus.Na nnukwu ọrịa obi na-arịa ọrịa obi, a na-ejikọta balloon akwara akwara, yana ọnọdụ thrombotic dị elu dị ka ntinye stent, aspirin na clopidogrel;

3) Ọgwụ thrombolytic: gụnyere streptokinase, urokinase na anụ ahụ plasminogen activator, wdg, nke nwere ike ịkwalite thrombolysis ma melite mgbaàmà nke ndị ọrịa.

2. Ọgwụgwọ ịwa ahụ:

Gụnyere ịwa ahụ thrombectomy, catheter thrombolysis, ultrasonic ablation, na mechanical thrombus aspiration, ọ dị mkpa ịghọta nke ọma ihe ngosi na contraindications nke ịwa ahụ.N'ụlọ ọgwụ, a na-ekwenyekarị na ndị ọrịa nwere thrombus nke abụọ kpatara thrombus ochie, ọrịa coagulation na etuto ahụ adịghị mma maka ọgwụgwọ ịwa ahụ, ọ dịkwa mkpa ka a gwọọ ya dịka mmepe nke ọnọdụ onye ọrịa na n'okpuru nduzi nke dọkịta.