Utshintsho Lokugqibela Lwe-Thrombus Neziphumo Emzimbeni


Umbhali: Succeeder   

Emva kokuba i-thrombosis yenziwe, isakhiwo sayo siyatshintsha phantsi kwesenzo senkqubo ye-fibrinolytic kunye nokuphazamiseka kokuhamba kwegazi kunye nokuhlaziywa komzimba.

Kukho iintlobo ezintathu eziphambili zotshintsho lokugqibela kwi-thrombus:

1. Thamba, nyibilikisa, funxa

Emva kokuba i-thrombus yenziwe, i-fibrin ekuyo ifunxa inani elikhulu le-plasmin, ukuze i-fibrin kwi-thrombus ibe yi-polypeptide enyibilikayo kwaye inyibilike, kwaye i-thrombus ithambe. Kwangaxeshanye, kuba ii-neutrophils kwi-thrombus ziyaqhekeka kwaye zikhuphe ii-enzymes ze-proteolytic, i-thrombus nayo inokunyibilika kwaye ithambe.

I-thrombus encinci iyanyibilika ize ibe lulwelo, kwaye inokufunxwa ngokupheleleyo okanye ihlanjwe ligazi ngaphandle kokushiya nanye into.

Inxalenye enkulu ye-thrombus iyathamba kwaye iwa lula ngokuhamba kwegazi ibe yi-embolus. I-emboli ivala umthambo wegazi ohambelanayo nokuhamba kwegazi, nto leyo enokubangela i-embolism, ngelixa inxalenye eseleyo icwangcisiwe.

2. Ukwenziwa kwezixhobo kunye nokuhlaziywa kweendlela

I-thrombi enkulu ayilula ukuyinyibilikisa nokuyifunxa ngokupheleleyo. Ngokwesiqhelo, kwiintsuku ezi-2 ukuya kwezi-3 emva kokwakheka kwe-thrombus, izicubu ze-granulation ziyakhula kwi-vascular intima eyonakeleyo apho i-thrombus inamathele khona, kwaye kancinci kancinci ithathe indawo ye-thrombus, ebizwa ngokuba yi-thrombus organization.
Xa i-thrombus icwangcisiwe, i-thrombus iyancipha okanye inyibilike kancinci, kwaye kudla ngokwenzeka umngxuma ngaphakathi kwe-thrombus okanye phakathi kwe-thrombus nodonga lwemithambo yegazi, kwaye umphezulu ugutyungelwe ziiseli ze-endothelial zemithambo yegazi ezandayo, kwaye ekugqibeleni kwenziwa imithambo yegazi emincinci enye okanye emininzi enxibelelana nomthambo wegazi wokuqala. Ukuphinda kuqalwe ukuhamba kwegazi kubizwa ngokuba yi-recanalization ye-thrombus.

3. Ukulinganiswa kweCalcification

Inani elincinci le-thrombi elingenakunyibilika ngokupheleleyo okanye elicwangcisiweyo linokubangelwa kwaye lifakwe i-calcium salts, zenze amatye aqinileyo akhoyo kwimithambo yegazi, abizwa ngokuba yi-phleboliths okanye i-arterioliths.

Impembelelo yokuqhekeka kwegazi emzimbeni
I-Thrombosis inemiphumo emibini emzimbeni.

1. Kwicala elihle
I-Thrombosis yenzeka kwimithambo yegazi eqhekekileyo, enefuthe le-hemostatic; i-thrombosis yemithambo yegazi emincinci ejikeleze i-foci yokuvuvukala inokuthintela ukusasazeka kweebhaktheriya ezibangela izifo kunye neetyhefu.

2. Ingxaki
Ukwakheka kwe-thrombus kwimithambo yegazi kunokuthintela imithambo yegazi, okubangela i-ischemia yezicubu kunye namalungu kunye nokuphazamiseka kwegazi;
I-Thrombosis yenzeka kwivalvu yentliziyo. Ngenxa yokulungelelaniswa kwe-thrombus, ivalvu iba yi-hypertrophic, inciphe, inamathele, kwaye iqine, nto leyo ebangela isifo sentliziyo sevalvu kwaye ichaphazele ukusebenza kwentliziyo;
I-thrombus kulula ukuyiwa ize yenze i-embolus, ehamba nokuhamba kwegazi kwaye yenze i-embolism kwezinye iindawo, nto leyo ebangela ukubetheka okukhulu;
Ukuxinana okukhulu kwegazi emzimbeni kunokubangela ukopha okukhulu emzimbeni kunye nokothuka.