I muri i te hanganga o te thrombosis, ka rerekē tōna hanganga i raro i te mahi a te pūnaha fibrinolytic me te ohorere o te rere o te toto me te whakaoranga o te tinana.
E toru ngā momo matua o ngā huringa whakamutunga i roto i te thrombus:
1. Whakangawari, whakarewa, mimiti
I muri i te hanganga o te thrombus, ka mimiti te fibrin i roto i te nui o te plasmin, ā, ka huri te fibrin i roto i te thrombus hei polypeptide wairewa, ka rewa, ka ngawari te thrombus. I taua wā anō, nā te mea ka pakaru ngā neutrophils i roto i te thrombus ka tukuna ngā whākōkī proteolytic, ka taea hoki te rewa me te ngawari o te thrombus.
Ka rewa, ka wai te thrombus iti, ā, ka taea te mimiti katoa, te horoi atu rānei e te toto, kāore he tohu e toe ana.
Ka whakangawaritia te wāhanga nui o te thrombus, ā, ka ngawari te taka atu i te rere o te toto, ka huri hei embolus. Ka āraia e ngā emboli te oko toto e pā ana ki te rere o te toto, ka puta ai te embolism, ko te wāhanga toenga ia he mea whakarite.
2. Te Whakamahinga Mīhini me te Whakahoutanga Anō
Kāore e ngāwari te whakarewa me te mimiti katoa i ngā thrombi nunui. I te nuinga o te wā, i roto i ngā rā e 2 ki te 3 i muri i te hanganga o te thrombus, ka tupu te kiko granulation mai i te intima vascular kua pakaru i te wāhi e piri ana te thrombus, ā, ka whakakapia haeretia te thrombus, e kiia nei ko te whakaritenga thrombus.
Ina whakaritea te thrombus, ka mimiti, ka memeha rānei te thrombus, ā, he maha ngā wā ka puta he pakaru i roto i te thrombus, i waenganui rānei i te thrombus me te pakitara o te oko toto, ā, ka kapi te mata i ngā pūtau endothelial vascular e horapa haere ana, ā, hei whakamutunga ka puta tētahi, ētahi rānei o ngā oko toto iti e hono ana ki te oko toto taketake. Ko te whakahounga o te rere o te toto e kiia ana ko te whakahounga o te thrombus.
3. Te whakapūkara
Ka taea te whakapūpū me te whakakōkō i tētahi tapeke iti o ngā thrombi kāore e taea te rewa katoa, te whakarite rānei e ngā tote konupūmā, ka hanga he kōhatu mārō kei roto i ngā oko toto, e kiia nei ko ngā phlebolith, ko ngā arteriolith rānei.
Te pānga o ngā toto totoka ki te tinana
E rua ngā pānga o te thrombosis ki te tinana.
1. I te taha pai
Ka puta te totohu i te uaua toto kua pakaru, ā, he pānga toto tōna; ka taea e te totohu o ngā uaua toto iti e karapoti ana i ngā wāhi mumura te aukati i te horapa o ngā huakita me ngā paitini.
2. Te ngoikoretanga
Ka ārai pea te hanganga o te thrombus i roto i te uaua toto i te uaua toto, ka puta ai te ischemia o ngā kiko me ngā okana me te infarction;
Ka puta te thrombosis i te takirere o te ngākau. Nā te whakaritenga o te thrombus, ka nui haere te takirere, ka mimiti, ka piri, ka whakapakeke, ka hua ake he mate takirere ngākau, ā, ka pā ki te mahi a te ngākau;
He ngāwari te taka atu o te thrombus, ka hanga he embolus, ka rere tahi me te rere o te toto, ka hanga he embolism i ētahi wāhanga, ka hua ake he infarction whānui;
Ka taea e te nui o te microthrombosis i roto i te tohanga toto te whakaputa toto nui me te ohorere.
Kāri pakihi
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