Luluphi unyango lwe-thrombosis?


Umbhali: Ophumeleleyo   

Iindlela zonyango lwe-Thrombosis ikakhulu zibandakanya unyango lweziyobisi kunye nonyango lotyando.Unyango lweziyobisi lwahlulwe ngamachiza alwa negazi, amachiza e-antiplatelet, kunye neziyobisi ze-thrombolytic ngokwendlela yokusebenza.Inyibilika i-thrombus eyenziwe.Ezinye izigulana ezihlangabezana nemiqondiso nazo zinokunyangwa ngotyando.

1. Unyango lweziyobisi:

I-1) I-Anticoagulants: I-Heparin, i-warfarin kunye ne-anticoagulants entsha yomlomo isetyenziswa ngokuqhelekileyo.I-Heparin inefuthe elinamandla le-anticoagulant kwi-vivo kunye ne-vitro, enokuthintela ngokufanelekileyo i-thrombosis ye-vein deep kunye ne-pulmonary embolism.Ihlala isetyenziselwa ukunyanga i-acute myocardial infarction kunye ne-venous thromboembolism.Kufuneka kuqatshelwe ukuba i-heparin inokwahlulwa ibe yi-heparin engabonakaliyo kunye ne-heparin ephantsi ye-molecular weight, le yokugqibela Ikakhulu nge-injection subcutaneous.I-Warfarin inokuthintela imiba ye-coagulation exhomekeke kwi-vitamin K ekubeni isebenze.Yi-dicoumarin-type intermediate anticoagulant.Isetyenziswa kakhulu kwizigulana emva kokutshintshwa kwevalvu yentliziyo eyenziweyo, umngcipheko omkhulu wokuqhambuka kwe-atrial fibrillation kunye nezigulana ze-thromboembolism.Ukopha kunye nezinye iziphumo ezibi zifuna ukujongwa ngokusondeleyo ekusebenzeni kwe-coagulation ngexesha lonyango.Ii-anticoagulants zomlomo ezitsha zikhuselekile kwaye zisebenza ngokufanelekileyo kwi-anticoagulants yomlomo kwiminyaka yakutshanje, kubandakanywa iziyobisi ze-saban kunye ne-dabigatran etexilate;

2) Izidakamizwa ze-Antiplatelet: kuquka i-aspirin, i-clopidogrel, i-abciximab, njl., Inokuthintela ukuhlanganiswa kweplatelet, ngaloo ndlela inqanda ukubunjwa kwe-thrombus.Kwi-acute coronary syndrome, i-coronary artery balloon dilatation, kunye neemeko eziphezulu ze-thrombotic ezifana nokufakelwa kwe-stent, i-aspirin kunye ne-clopidogrel zidla ngokusetyenziswa ngokudibeneyo;

I-3) Izidakamizwa ze-Thrombolytic: kubandakanywa i-streptokinase, i-urokinase kunye ne-tissue plasminogen activator, njl., Enokukhuthaza i-thrombolysis kunye nokuphucula iimpawu zezigulane.

2. Unyango lotyando:

Kubandakanya i-thrombectomy yotyando, i-catheter thrombolysis, i-ultrasonic ablation, kunye ne-mechanical thrombus aspiration, kuyimfuneko ukuba ubambe ngokungqongqo izibonakaliso kunye nokuchasana kotyando.Ngokweklinikhi, kukholelwa ngokubanzi ukuba izigulane ezine-thrombus yesibini ezibangelwa yi-thrombus endala, i-coagulation dysfunction, kunye ne-tumor enobungozi ayifanelekanga unyango lotyando, kwaye kufuneka iphathwe ngokuhambelana nophuhliso lwemeko yesigulane kwaye phantsi kolwalathiso lukagqirha.