Ziziphi iindlela zonyango lwe-thrombosis?


Umbhali: Succeeder   

Iindlela zonyango lwe-Thrombosis ziquka ikakhulu unyango ngamayeza kunye nonyango lotyando. Unyango ngamayeza lwahlulwe lwaba ngamayeza alwa nokugabha igazi, amayeza alwa neeplatelet, kunye namayeza alwa neethrombolytic ngokwendlela esebenza ngayo. Iyanyibilika i-thrombus. Ezinye izigulana ezihlangabezana neempawu zinokunyangwa ngotyando.

1. Unyango ngamayeza:

1) Ii-Anticoagulants: I-Heparin, i-warfarin kunye nee-anticoagulants ezintsha zomlomo zisetyenziswa kakhulu. I-Heparin inefuthe elinamandla le-anticoagulant in vivo kunye ne-in vitro, elinokuthintela ngempumelelo i-deep vein thrombosis kunye ne-pulmonary embolism. Ihlala isetyenziselwa ukunyanga i-acute myocardial infarction kunye ne-venous thromboembolism. Kufuneka kuqatshelwe ukuba i-heparin inokwahlulwahlulwa ibe yi-heparin engaqhekekanga kunye ne-heparin enobunzima obuphantsi be-molecular, le yokugqibela ikakhulu nge-subcutaneous injection. I-Warfarin inokuthintela izinto ze-coagulation ezixhomekeke kwi-vitamin K ukuba zisebenze. Yi-dicoumarin-type intermediate anticoagulant. Isetyenziswa kakhulu kwizigulana emva kokutshintshwa kwevalvu yentliziyo yokwenziwa, i-atrial fibrillation ephezulu kunye ne-thromboembolism kwizigulana. Ukopha kunye nezinye iziphumo ezingalunganga zifuna ukubekwa esweni ngokusondeleyo komsebenzi we-coagulation ngexesha lonyango. Ii-anticoagulants ezintsha zomlomo zi-anticoagulants zomlomo ezikhuselekileyo nezisebenzayo kwiminyaka yakutshanje, kubandakanya amayeza e-saban kunye ne-dabigatran etexilate;

2) Amayeza okulwa neeplatelet: kuquka i-aspirin, i-clopidogrel, i-abciximab, njl.njl., anokuthintela ukuhlanganiswa kweeplatelet, ngaloo ndlela athintele ukwakheka kwe-thrombus. Kwi-acute coronary syndrome, i-coronary artery balloon dilatation, kunye neemeko ze-thrombotic eziphezulu ezifana ne-stent implantation, i-aspirin kunye ne-clopidogrel zihlala zisetyenziswa kunye;

3) Amayeza e-Thrombolytic: kuquka i-streptokinase, i-urokinase kunye ne-tissue plasminogen activator, njl.njl., enokukhuphula i-thrombolysis kwaye iphucule iimpawu zezigulane.

2. Unyango lotyando:

Kubandakanya i-thrombectomy yotyando, i-catheter thrombolysis, i-ultrasonic ablation, kunye ne-mechanical thrombus aspiration, kubalulekile ukuqonda ngokungqongqo izalathiso kunye nokungangqinelani notyando. Ngokwezonyango, ngokubanzi kukholelwa ukuba izigulane ezine-thrombus yesibini ebangelwa yi-thrombus endala, ukungasebenzi kakuhle kwe-coagulation, kunye nee-tumor ezinobungozi azifanelekanga kunyango lotyando, kwaye kufuneka zinyangwe ngokwendlela ephuhlileyo imeko yesigulana nangaphantsi kwesikhokelo sikagqirha.