Ukufa Kokopha Kwangemva Kokuhlinzwa Kudlula I-Postoperative Thrombosis


Umbhali: Olandelayo   

Ucwaningo olwanyatheliswa yi-Vanderbilt University Medical Center kwethi “Anaesthesia and Analgesia” lwabonisa ukuthi ukopha ngemva kokuhlinzwa cishe kuholela ekufeni kune-thrombus ebangelwa ukuhlinzwa.

Abacwaningi basebenzisa idatha evela ku-National Surgical Quality Improvement Project database ye-American College of Surgeons cishe iminyaka engu-15, kanye nobuchwepheshe obuthuthukisiwe bekhompiyutha, ukuze baqhathanise ngokuqondile ukufa kweziguli zaseMelika ezopha ngemva kokuhlinzwa kanye ne-thrombosis ebangelwa ukuhlinzwa.

Imiphumela yocwaningo ibonisa ukuthi ukopha kunezinga eliphezulu kakhulu lokufa okubangelwa ukufa, okusho ukufa, ngisho noma ingozi eyisisekelo yokufa ngemva kokuhlinzwa kwesiguli, ukuhlinzwa esikwenzayo, nezinye izinkinga ezingase zenzeke ngemva kokulungiswa kokuhlinzwa.Isiphetho esifanayo siwukuthi ukufa okubangelwa ukopha kuphakeme kune-thrombosis.

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I-American Academy of Surgeons yalandelela ukopha kusizindalwazi sayo amahora angu-72 ngemva kokuhlinzwa, futhi amahlule egazi alandelelwa zingakapheli izinsuku ezingu-30 ngemva kokuhlinzwa.Ukopha okuningi okuhambisana nokuhlinzwa ngokwako kuvame ukusheshe, ezinsukwini ezintathu zokuqala, futhi amahlule egazi, ngisho noma ehlobene nokuhlinzwa ngokwako, kungathatha amasonto ambalwa noma kuze kufike inyanga.

 

Eminyakeni yamuva nje, ucwaningo nge-thrombosis belujule kakhulu, futhi izinhlangano eziningi ezinkulu zikazwelonke ziye zabeka iziphakamiso zendlela yokwelapha nokuvimbela i-thrombosis yangemva kokuhlinzwa.Abantu benze umsebenzi omuhle kakhulu wokuphatha i-thrombus ngemva kokuhlinzwa ukuqinisekisa ukuthi noma ngabe i-thrombus iyenzeka, ngeke ibangele ukuthi isiguli sife.

Kodwa ukopha kuseyinkinga ekhathazayo kakhulu ngemva kokuhlinzwa.Onyakeni ngamunye wocwaningo, izinga lokufa elibangelwa ukopha ngaphambi nangemuva kokuhlinzwa laliphakeme kakhulu kunalelo le-thrombus.Lokhu kuphakamisa umbuzo obalulekile wokuthi kungani ukopha kuholela ekufeni kwabantu abaningi nokuthi zingaphathwa kanjani kangcono iziguli ukuze kuvinjelwe ukufa okuhlobene nokopha.

Ngokomtholampilo, abacwaningi bavame ukukholelwa ukuthi ukopha kanye ne-thrombosis kuyinzuzo encintisanayo.Ngakho-ke, izinyathelo eziningi zokunciphisa ukopha zizokwandisa ingozi ye-thrombosis.Ngesikhathi esifanayo, ukwelashwa okuningi kwe-thrombosis kuzokwandisa ingozi yokopha.

Ukwelashwa kuncike emthonjeni wokopha, kodwa kungahlanganisa ukubukeza kanye nokuhlola kabusha noma ukulungisa ukuhlinzwa kwasekuqaleni, ukuhlinzeka ngemikhiqizo yegazi ukusiza ukuvimbela ukopha, kanye nemithi yokuvimbela ukopha ngemva kokuhlinzwa.Okubaluleke kakhulu ukuthi kube nethimba lochwepheshe abaziyo ukuthi lezi zinkinga zangemuva kokuhlinzwa, ikakhulukazi ukopha, zidinga nini ukwelashwa kanzima.