O a togafitiga mo le thrombosis?


Tusitala: Sui   

O auala e togafitia ai le thrombosis e masani lava ona aofia ai togafitiga faʻasaina ma togafitiga faʻapitoa.O togafitiga faʻamaʻi ua vaevaeina i vailaʻau faʻamaʻi, vailaʻau antiplatelet, ma vailaʻau thrombolytic e tusa ai ma le faiga o gaioiga.Fa'amuta fa'atupu thrombus.O nisi o gasegase e ausia faʻamaoniga e mafai foi ona togafitia e ala i taotoga.

1. Togafitiga o fualaau:

1) Anticoagulants: Heparin, warfarin ma anticoagulants oral fou e masani ona faʻaaogaina.O le Heparin o lo'o i ai se malosi fa'aanticoagulant i vivo ma in vitro, lea e mafai ona puipuia lelei le thrombosis vein loloto ma le pulmonary embolism.E masani ona faʻaaogaina e togafitia ai le ogaoga o le myocardial infarction ma le thromboembolism venous.E tatau ona maitauina o le heparin e mafai ona vaevaeina i le heparin e le'i va'aia ma le maualalo o le mamafa o le molecular heparin, o le mea mulimuli e ala i le tui subcutaneous.E mafai e le Warfarin ona taofia le fa'agaioiina o mea e fa'amalo ai le vaitamini K.O se anticoagulant intermediate ituaiga dicoumarin.E masani ona faʻaaogaina mo tagata mamaʻi pe a maeʻa le suia o le fatu fatu, faʻamaʻi maualuga o le atrial fibrillation ma thromboembolism maʻi.O le toto ma isi fa'alavelave fa'aletonu e mana'omia ai le mata'ituina lelei o le fa'agasologa o le coagulation i taimi o vaila'au.O vaila'au fa'afoma'i fou e saogalemu ma aoga fa'aanticoagulants oral i tausaga talu ai, e aofia ai vaila'au saban ma dabigatran etexilate;

2) Antiplatelet vailaʻau: e aofia ai aspirin, clopidogrel, abciximab, ma isi, e mafai ona faʻalavelaveina le faʻapipiʻiina o platelet, ma faʻafefe ai le fausiaina o le thrombus.I le ma'i ma'i tigaina, fa'alautele paluni alatoto, ma tulaga maualuga-thrombotic e pei o le totoina o le stent, aspirin ma clopidogrel e masani ona fa'aoga fa'atasi;

3) Thrombolytic vailaʻau: e aofia ai streptokinase, urokinase ma tissue plasminogen activator, ma isi, e mafai ona faʻaleleia le thrombolysis ma faʻaleleia faʻamaoniga o maʻi.

2. Togafitiga:

E aofia ai le thrombectomy ta'otoga, thrombolysis catheter, ultrasonic ablation, ma masini thrombus aspiration, e tatau ona matua'i malamalama i fa'ailoga ma contraindications o taotoga.I le falemaʻi, e masani ona talitonuina o tagata mamaʻi e maua i le thrombus lona lua e mafua mai i le tuai o le thrombus, faʻamaʻi faʻamaʻi, ma tumo leaga e le talafeagai mo togafitiga faʻapitoa, ma e manaʻomia ona togafitia e tusa ai ma le atinaʻeina o le maʻi ma lalo o le taʻitaʻiga a le fomaʻi.