Ungakuvimbela Kanjani Ukujiya Kwegazi?


Umbhali: Olandelayo   

Ngaphansi kwezimo ezijwayelekile, ukugeleza kwegazi emithanjeni nasemithanjeni kuhlala njalo.Lapho igazi lijikela emithanjeni yegazi, libizwa ngokuthi i-thrombus.Ngakho-ke, amahlule egazi angenzeka kokubili emithanjeni nasemithanjeni.

I-Arterial thrombosis ingaholela ku-myocardial infarction, unhlangothi, njll.

 

I-thrombosis ye-venous ingaholela ku-thrombosis ye-venous ephansi, i-pulmonary embolism, njll.

 

Izidakamizwa ze-antithrombotic zingavimbela amahlule egazi, kuhlanganise nezidakamizwa ze-antiplatelet ne-anticoagulant.

 

Ukugeleza kwegazi emithanjeni kuyashesha, ukuhlangana kweplatelet kungakha i-thrombus.Isisekelo sokuvimbela nokwelashwa kwe-arterial thrombosis yi-antiplatelet, futhi i-anticoagulation nayo isetshenziswa esigabeni esibi.

 

Ukuvimbela nokwelashwa kwe-venous thrombosis kuncike kakhulu ku-anticoagulation.

 

Izidakamizwa ze-antiplatelet ezivame ukusetshenziswa ezigulini zenhliziyo zihlanganisa i-aspirin, i-clopidogrel, i-ticagrelor, njll. Indima yabo eyinhloko ukuvimbela ukuhlanganiswa kweplatelet, ngaleyo ndlela kuvimbele i-thrombosis.

 

Iziguli ezine-coronary heart disease zidinga ukuthatha i-aspirin isikhathi eside, futhi iziguli ezine-stents noma i-myocardial infarction ngokuvamile zidinga ukuthatha i-aspirin ne-clopidogrel noma i-ticagrelor ngesikhathi esifanayo unyaka ongu-1.

 

Imithi evamise ukusetshenziswa evimbela ukuqina kwemithambo yegazi ezigulini zenhliziyo nemithambo yegazi, njenge-warfarin, i-dabigatran, i-rivaroxaban, njll., isetshenziselwa ikakhulukazi i-thrombosis ye-venous ephansi, i-pulmonary embolism, kanye nokuvimbela isifo sohlangothi ezigulini ezine-atrial fibrillation.

 

Yiqiniso, izindlela ezishiwo ngenhla ziyizindlela kuphela zokuvimbela amahlule egazi ngezidakamizwa.

 

Eqinisweni, into ebaluleke kakhulu ukuvimbela i-thrombosis indlela yokuphila enempilo kanye nokwelashwa kwezifo ezingaphansi, njengokulawula izici ezihlukahlukene eziyingozi ukuvimbela ukuqhubeka kwama-atherosclerotic plaque.