Izindlela zokwelapha i-thrombosis zifaka phakathi ukwelashwa ngemithi kanye nokwelashwa ngokuhlinzwa. Ukwelashwa ngemithi kuhlukaniswe ngemithi elwa nokuvuvukala kwegazi, imithi elwa nokuvuvukala kwegazi, kanye nemithi elwa nokuvuvukala kwegazi ngokwendlela esebenza ngayo. Kuncibilikisa i-thrombus eyakheke ngayo. Ezinye iziguli ezihlangabezana nezimpawu nazo zingelashwa ngokuhlinzwa.

1. Ukwelashwa ngezidakamizwa:

1) Ama-Anticoagulant: I-Heparin, i-warfarin kanye nama-anticoagulant amasha omlomo avame ukusetshenziswa. I-Heparin inomphumela oqinile we-anticoagulant in vivo kanye ne-in vitro, ongavimbela ngempumelelo i-deep vein thrombosis kanye ne-pulmonary embolism. Ivame ukusetshenziswa ekwelapheni i-acute myocardial infarction kanye ne-venous thromboembolism. Kufanele kuqashelwe ukuthi i-heparin ingahlukaniswa ibe yi-heparin engaqhekeki kanye ne-heparin enesisindo esiphansi sama-molecule, lokhu okugcina ikakhulukazi ngomjovo ongaphansi kwesikhumba. I-Warfarin ingavimbela izinto ezihambisana ne-vitamin K ukuthi zisebenze. Iyi-anticoagulant ephakathi yohlobo lwe-dicoumarin. Isetshenziswa kakhulu ezigulini ngemuva kokufakwa esikhundleni kwe-valve yenhliziyo yokwenziwa, iziguli ezine-fibrillation ye-atrial eyingozi enkulu kanye ne-thromboembolism. Ukopha kanye neminye imiphumela emibi kudinga ukuqapha eduze umsebenzi we-coagulation ngesikhathi somuthi. Ama-anticoagulant amasha omlomo ayi-anticoagulant yomlomo ephephile futhi esebenza kahle eminyakeni yamuva nje, kufaka phakathi izidakamizwa ze-saban kanye ne-dabigatran etexilate;

2) Imithi yokulwa nama-platelet: okuhlanganisa i-aspirin, i-clopidogrel, i-abciximab, njll., ingavimbela ukuhlangana kwama-platelet, ngaleyo ndlela ivimbele ukwakheka kwe-thrombus. Ku-acute coronary syndrome, ukwanda kwebhaluni lemithambo yenhliziyo, kanye nezimo ze-thrombotic ephezulu njengokufakelwa kwe-stent, i-aspirin ne-clopidogrel zivame ukusetshenziswa ndawonye;

3) Imithi ye-Thrombolytic: okuhlanganisa i-streptokinase, i-urokinase kanye ne-tissue plasminogen activator, njll., engakhuthaza i-thrombolysis futhi ithuthukise izimpawu zeziguli.

2. Ukwelashwa ngokuhlinzwa:

Kubandakanya ukuhlinzwa kwe-thrombectomy, i-catheter thrombolysis, i-ultrasonic ablation, kanye ne-mechanical thrombus aspiration, kubalulekile ukuqonda kahle izinkomba kanye ne-contraindications yokuhlinzwa. Ngokwezokwelapha, ngokuvamile kukholelwa ukuthi iziguli ezine-thrombus yesibili ebangelwa yi-thrombus endala, ukungasebenzi kahle kwe-coagulation, kanye nezimila ezinobungozi azifanele ukwelashwa ngokuhlinzwa, futhi zidinga ukwelashwa ngokuya ngentuthuko yesimo sesiguli nangaphansi kokuqondiswa udokotela.