Mumoyo kana mutsinga yeropa mhenyu, zvimwe zvikamu muropa zvinobatana kana kugongana kuti zvigadzire chinhu chakasimba, chinonzi thrombosis. Chinhu chakasimba chinoumbwa chinonzi thrombus.
Mumamiriro ezvinhu akajairwa, kune nzira yekuonda uye nzira yekudzivirira kuonda kweropa (fibrinolysis system, kana kuti fibrinolysis system muchidimbu) muropa, uye kuenzana kwakasimba kunochengetwa pakati pezviviri, kuitira kuti ropa rirambe richitenderera muhurongwa hwemwoyo riri mumvura.
Zvinhu zvinobatanidza ropa zvinoramba zvichishanda, uye thrombin shoma inogadzirwa kuti igadzire fibrin shoma, iyo inoiswa paintima yetsinga yeropa, yozonyungudutswa ne activated fibrinolytic system. Panguva imwe chete, activated coagulation factors inoramba ichibviswa uye ichibviswa ne mononuclear macrophage system.
Zvisinei, kana paine chirwere, kuenzana kuri pakati pekugwamba kweropa nekudzivirira kugwamba kweropa kunokanganiswa, mashandiro ehurongwa hwekugwamba kweropa anotonga, uye ropa rinogwamba muhurongwa hwemwoyo kuti riite thrombus.
Thrombosis inowanzova nemamiriro matatu anotevera:
1. Mwoyo netsinga dzeropa panguva yekukuvara kwepedyo
Kubatana kwemwoyo netsinga dzeropa zvakanaka hakuna kukanganiswa uye kwakapfava, uye masero e endothelial asina kukanganiswa anogona kudzivirira kunamatira kwemaplatelet uye kudzivirira kuungana kweropa. Kana membrane yemukati yakakuvara, sisitimu yekubatanidza ropa inogona kushanda nenzira dzakawanda.
Intima yekutanga yakakuvara inoburitsa chinhu chinosunga tissue (coagulation factor III), iyo inomutsa extrinsic coagulation system.
Chechipiri, mushure mekunge intima yakuvara, masero e endothelial anoora, anofa, uye anobuda, zvichiratidza collagen fibers pasi pe endothelium, nokudaro zvichitanga coagulation factor XII ye endogenous coagulation system uye kutanga endogenous coagulation system. Pamusoro pezvo, intima yakakuvara inova yakaoma, izvo zvinoita kuti platelet irambe ichiiswa uye inamatire. Mushure mekunge maplatelet akabatana abvaruka, zvinhu zvakasiyana-siyana zveplatelet zvinoburitswa, uye maitiro ese ecoagulation anovhurwa, zvichiita kuti ropa rivhare uye riite thrombus.
Zvinhu zvakasiyana-siyana zvemuviri, zvemakemikari uye zvehupenyu zvinogona kukonzera kukuvara kwemoyo, zvakaita se endocarditis munguruve erysipelas, pulmonary vasculitis mubovine pneumonia, equine parasitic arteritis, kubaiwa jekiseni kakawanda muchikamu chimwe chete chetsinga, Kukuvara uye kuboorwa kwemadziro etsinga yeropa panguva yekuvhiyiwa.
2. Kuchinja kwemamiriro ekuyerera kweropa
Zvikuru zvinoreva kuyerera kweropa zvishoma nezvishoma, kuumbwa kwemhepo inoyerera uye kumira kweropa.
Mumamiriro ezvinhu akajairwa, kufamba kweropa kunokurumidza, uye masero matsvuku eropa, maplatelet nezvimwe zvikamu zvinoungana pakati petsinga yeropa, iyo inonzi axial flow; kana kufamba kweropa kukadzikira, masero matsvuku eropa nemaplatelet anoyerera pedyo nemadziro etsinga yeropa, inonzi side flow, iyo inowedzera thrombosis.
Kuyerera kweropa kunodzikira, uye masero e endothelial ane oxygen yakanyanya, zvichikonzera kuora uye kudonha kwemasero e endothelial, kurasikirwa nebasa rawo rekugadzira nekuburitsa zvinhu zvinorwisa ropa, uye kuratidzwa kwecollagen, iyo inomutsa system yekugwamba uye inokurudzira thrombosis.
Kufamba kweropa zvishoma nezvishoma kunogonawo kuita kuti thrombus yakagadzirwa igadziriswe nyore nyore pamadziro etsinga dzeropa uye irambe ichiwedzera.
Saka, thrombus inowanzo itika mutsinga dzine ropa rinoyerera zvishoma nezvishoma uye dzinokurumidza kuyerera (pamavharuvhu etsinga). Kuyerera kweropa mutsinga kunokurumidza, uye thrombus haiwanzoonekwa. Zvichienderana nehuwandu, kuitika kwe venous thrombosis kwakapetwa ka4 kupfuura kwe arterial thrombosis, uye venous thrombosis inowanzo itika mukushaya simba kwemoyo, mushure mekuvhiyiwa kana mumhuka dzinorwara dzakarara mudendere kwenguva yakareba.
Saka, zvakakosha zvikuru kubatsira mhuka dzinorwara dzave dzakarara pasi kwenguva yakareba uye mushure mekuvhiyiwa kuti dziite mamwe mabasa akakodzera kudzivirira thrombosis.
3. Kuchinja kwezvimiro zveropa.
Zvinonyanya kureva kuwedzera kwekugwamba kweropa. Zvakadai sekutsva kwakanyanya, kupera mvura mumuviri, nezvimwewo, kuomesa ropa, kukuvara kwakanyanya, mushure mekusununguka, uye kurasikirwa neropa zvakanyanya mushure mekuvhiyiwa kukuru zvinogona kuwedzera huwandu hwemaplatelet muropa, kuwedzera viscosity yeropa, uye kuwedzera huwandu hwefibrinogen, thrombin nezvimwe zvinhu zvinogwamba muplasma Kuwedzera. Zvinhu izvi zvinogona kukurudzira thrombosis.
Pfupiso
Zvinhu zvitatu zviri pamusoro apa zvinowanzo shanda pamwe chete panguva ye thrombosis uye zvinokanganisana, asi chimwe chinhu chinoita basa guru muzvikamu zvakasiyana zve thrombosis.
Saka, mukurapa, zvinokwanisika kudzivirira thrombosis nekunzwisisa mamiriro ethrombosis nemazvo uye kutora matanho anoenderana nemamiriro acho chaiwo. Sekunge kuvhiyiwa kunofanira kungwarira kuvhiyiwa zvinyoro nyoro, kuedza kudzivirira kukuvara kwetsinga dzeropa. Kuti ubatwe jekiseni remutsinga kwenguva refu, dzivisa kushandisa nzvimbo imwe chete, nezvimwewo.
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