Pehea ka lāʻau lapaʻau no ka thrombosis hohonu (DVT)

Anter

• 1. Nā lāʻau lapaʻau anticoagulant
• 2. Nā lāʻau thrombolytic
• 3. ʻoki kino thrombosis
• Nā hōʻailona o ka hoʻomaikaʻi ʻana o ka thrombosis
• Nā hōʻailona o ka thrombosis e hōʻino ana

ʻO Venous thrombosis ka mea keakea o ke kahe o ke koko i loko o nā veins e kahi ʻōpala, a thrombus paha, a pono e hoʻomaka koke ʻia ka mālama ʻana i mea e pale ai i ka hoʻopili ʻana mai ka hoʻonui ʻana i ka nui a i ʻole neʻe i nā akemāmā a i ʻole lolo, e hoʻoulu ana i ka pulmonary embolism a i ʻole Stroke.

Hiki ke hoʻōla ʻia ʻo Thrombosis, a alakaʻi ʻia kāna lāʻau lapaʻau e ka mea lapaʻau maʻamau a i ʻole ke kauka lāʻau lapaʻau ma hope o ka ʻike ʻana i nā ʻōuli a me ka hōʻoia ʻana i ke kuhi, a hiki ke hana ʻia me nā lāʻau anticoagulant, i nā hihia maʻalahi, a i ʻole me ka thrombolytic a me / a i ʻole ke ʻoki ʻana, i ka mea ʻoi loa. hihia. koʻikoʻi. I mea e ʻike ai i nā kikoʻī e pili ana i nā ʻano a me nā ʻōuli o ka thrombosis, e nānā pehea e ʻike ai i ka thrombosis.

Hoʻohui ʻia, ma hope o ka hala ʻana o ka ʻāpana koʻikoʻi, hiki i ke kauka ke alakaʻi i ka hoʻohana ʻana i nā stocking compression elastis a me ka hoʻomaʻamaʻa ʻana i ka hoʻoikaika kino kino, e like me ka hele wāwae ʻana a ʻauʻau ʻana paha, e kōkua i ke kahe o ke koko a pale i ka hoʻi hou ʻana o ka pilikia.

ʻO nā koho lapaʻau no ka thrombosis kaukaʻi ʻia i nā ʻōuli a me ke koʻikoʻi o ka hihia, i pili pū me:

1. Nā lāʻau lapaʻau anticoagulant

ʻO nā Anticoagulants, e like me Heparin a i ʻole Warfarin, ʻo ia ke koho lapaʻau mua loa no ka thrombosis o ka aa hohonu, no ka mea ua hoʻemi lākou i ka hiki i ke koko ke kāpili, hoʻowahāwahā i ka ʻōpala a pale i nā clots hou mai ka hana ʻana i nā ʻāpana ʻē aʻe o ke kino.

ʻO ka maʻamau, i ka hihia o ka thrombosis i nā wāwae a i ʻole nā ​​lima, hana ʻia ka lāʻau me nā anticoagulants me nā paila a mau no 3 mau mahina, a hiki ke mālama ʻia no kahi manawa lōʻihi inā nui loa ka ʻōpala, lōʻihi loa ka palu ʻana a i ʻole inā ma laila kekahi maʻi e kōkua i ka hoʻokumu ʻia ʻana o nā ʻōpū.

Nui a hewahewa nā ʻano anticoagulants, hiki i:

• Nā mea hoʻokomo, e like me Heparin, ka mea i ʻoi aku ka wikiwiki o kāna hana a hana ʻia me ka papa Warfarin waha, a hiki i nā hoʻokolohua coagulation, e like me INR a me TPAE, hōʻike i ke koko i ka ʻoiaʻiʻo i ka pae anticoagulation. Ma hope o ka hōʻea ʻana i kēia pahuhopu (INR ma waena o 2.5 a me 3.5), hoʻomaha ʻia ka mea hiki ke waiho ʻia, a waiho wale ka papa waha.
• I ka pākaukau, me nā lāʻau hou, e like me Rivaroxaban, i hiki ke hoʻololi i ka warfarin a ʻaʻole koi i ka hoʻoponopono e INR. ʻAʻole pono kēia mau mea e hoʻomaka me nā injectable. Eia naʻe, pono e mālama i ke alo o kekahi mau mea e like me ka maʻi puʻuwai, ka makahiki, ke kaumaha a he kumukūʻai nui kā lākou.

I mea e ʻike pono ai i ka hana ʻana o kēia mau lāʻau, e nānā i nā anticoagulants i hoʻohana pinepine ʻia a no nā mea no lākou. Eia hou, i ka wā o ka mālama ʻana me nā anticoagulants, pono i nā mea hoʻomanawanui e hōʻoia mau i ke koko e nānā i ka mānoanoa o ke koko a pale i nā pilikia, e like me ka hemorrhage a i ʻole anemia, no ka laʻana.

2. Nā lāʻau thrombolytic

Thrombolytic, e like me ka streptokinase a i ʻole alteplase, no ka laʻana, hoʻohana ʻia i nā hihia kahi i hiki ʻole i nā anticoagulants ke mālama i ka thrombosis hohonu a i ʻole ke hoʻomohala ka mea maʻi i nā pilikia koʻikoʻi, e like me ka nui o ka pulmonary embolism.

ʻO ka maʻamau, ʻo ka mālama ʻana me ka thrombolytic ma kahi o 7 mau lā, a i ia manawa pono e ʻae ʻia ka mea maʻi i ka haukapila e lawe pololei i nā lāʻau i loko o ke aa a hōʻalo i nā hana e hiki ai i ka hemorrhage.

3. ʻoki kino thrombosis

Hoʻohana ʻia ka hana ʻoki kino i nā hihia ʻoi loa o ka thrombosis hohonu a i ʻole hiki ʻole ke hoʻowali i ke kīpē me ka hoʻohana ʻana i nā anticoagulants a i ʻole thrombolytic.

ʻO ke ʻoki no thrombosis o ka aa hohonu e lawelawe i ka ʻūlū mai nā wāwae a i ʻole e kau i kahi kānana i ka vena cava inferior, e pale ana i ka hele ʻana o ka ʻōpala i nā ake māmā.

Nā hōʻailona o ka hoʻomaikaʻi ʻana o ka thrombosis

Hōʻike nā hōʻailona o ka hoʻomaikaʻi ʻana i ka thrombosis i kekahi mau lā ma hope o ka hoʻomaka ʻana o ka mālama ʻana a me ka hoʻopili ʻana i ka ʻulaʻula a me ka ʻeha. Hiki i ka pehu ʻana i ka wāwae ka hala o kekahi mau pule e hōʻemi, a ʻoi aku paha ka nui ma ka hopena o ka lā.

Nā hōʻailona o ka thrombosis e hōʻino ana

ʻO nā ʻōuli o ka hōʻino ʻana o ka thrombosis e pili nui i ka neʻe ʻana o ka ʻaʻā mai nā wāwae i nā akemāmā a e komo pū paha me ka paʻakikī o ka hanu ʻana, ka ʻeha o ka umauma, ka poni, poniuniu a huʻu paha ke koko.

Ke hōʻike ka mea maʻi i kēia mau ʻōuli o ka ʻino, pono e hele koke i ka haukapila a kāhea paha i ke kōkua lapaʻau ma ke kāhea ʻana iā 192.

E ʻike pehea e hoʻokō ai i ka lāʻau me ka lāʻau home no thrombosis.