Nzira dzekurapa thrombosis dzinosanganisira kurapwa nemishonga uye kuvhiyiwa. Kurapa nemishonga kwakakamurwa kuita mishonga inorwisa ropa, mishonga inorwisa maplatelet, uye mishonga inorwisa ropa zvichienderana nekushanda kwayo. Inonyungudutsa thrombus. Vamwe varwere vanosangana nezviratidzo vanogonawo kurapwa nekuvhiyiwa.

1. Kurapwa nemishonga:

1) Mishonga Inorwisa Kugwamba Kweropa: Heparin, warfarin uye mishonga mitsva inorwisa kugwamba kweropa ndiyo inowanzo shandiswa. Heparin ine simba guru rekudzivirira kugwamba kweropa mumuviri nemumuviri, izvo zvinogona kudzivirira thrombosis yeropa yakadzika uye embolism yemapapu. Inowanzo shandiswa kurapa acute myocardial infarction uye venous thromboembolism. Zvinofanira kucherechedzwa kuti heparin inogona kukamurwa kuita heparin isina kupatsanurwa uye heparin ine huremu hwakaderera, yekupedzisira ichinyanya kushandiswa nejekiseni repasi pevhu. Warfarin inogona kudzivirira kuti zvinhu zvinodzivirira kugwamba kweropa zvinotsamira pavhitamini K zvisashande. Imishonga inorwisa kugwamba kweropa yemhando yedicoumarin. Inonyanya kushandiswa kuvarwere mushure mekutsiviwa kwevharuvhu yemwoyo yakagadzirwa, varwere vane njodzi huru yeatrial fibrillation uye thromboembolism. Kubuda ropa nezvimwe zviitiko zvakaipa zvinoda kutariswa kwakasimba kwebasa rekudzivirira kugwamba kweropa panguva yekurapa. Mishonga mitsva inorwisa kugwamba kweropa imishonga inorwisa kugwamba kweropa yakachengeteka uye inoshanda mumakore achangopfuura, kusanganisira mishonga yesaban uye dabigatran etexilate;

2) Mishonga inorwisa maplatelet: inosanganisira aspirin, clopidogrel, abciximab, nezvimwewo, inogona kudzivirira kuungana kweplatelet, nokudaro ichidzivisa kuumbwa kwethrombus. Muchirwere chemwoyo chinorwadza, coronary artery balloon dilatation, uye zvirwere zvine thrombosis yakawanda zvakaita se stent implantation, aspirin ne clopidogrel zvinowanzo shandiswa pamwe chete;

3) Mishonga yeThrombolytic: inosanganisira streptokinase, urokinase uye tissue plasminogen activator, nezvimwewo, zvinogona kukurudzira thrombolysis uye kugadzirisa zviratidzo zvevarwere.

2. Kurapwa kwekuvhiyiwa:

Kusanganisira kuvhiyiwa kwe thrombectomy, catheter thrombolysis, ultrasonic ablation, uye mechanical thrombus aspiration, zvakakosha kunzwisisa zviratidzo uye zvinopesana nekuvhiyiwa. Pakurapa, zvinowanzo fungidzirwa kuti varwere vane secondary thrombus inokonzerwa ne old thrombus, coagulation dysfunction, uye mold bundu havakodzeri kurapwa, uye vanofanirwa kurapwa zvichienderana nekukura kwemamiriro emurwere uye vachitungamirirwa nachiremba.