Ngwarira padanho rekubvisa thrombus

Kuvhiya thrombectomy inzira inogona kukurumidza kubvisa thrombus munguva pfupi.Mushure mokunge thrombus yacheneswa, tsinga yakavharwa ichadzoka patency, uye zviri nani kufungidzira kwenguva refu kunogona kuwanikwa kuburikidza nekuchenesa zvachose thrombus kuburikidza nekuvhiyiwa.Nekuda kwekushungurudzika kukuru, kubuda ropa uye matambudziko ekuvhiya, hakuna zvipatara zvakawanda zvinoitisa ongororo yekiriniki.

Mumakore achangopfuura, kushandiswa kwemishonga inonzi thrombolytic uye kukurumidza kukura kwe intravascular technology inoita kuti pfungwa ye "thrombus clearance" ivepo.Pahwaro hweanticoagulation therapy, thrombolytic therapy inogona kutorwa seyakashanda uye inoshanda zano sarudzo, iyo inokodzera varwere veDVT vasingabatanidzi thrombolytic contraindications.

Parizvino, urokinase (UK) uye alteplase ndiwo anonyanya kushandiswa fibrinolytic agents muDVT kiriniki yethrombolytic therapy kumba nekune dzimwe nyika.Thrombolytic therapy inogona kukurumidza thrombolytic recanalization, kuchengetedza valve basa, kuderedza kuitika kwePTS, uye kuvandudzwa kwehupenyu hwevarwere kune hukama hwakanaka nehuwandu hwethrombolysis.Thrombolytic therapy inogona kukamurwa kuita peripheral venous thrombolysis (systemic thrombolysis) uye catheter inotungamirwa thrombolysis (CDT).

Nekuvandudzwa kwemidziyo yekupindira uye tekinoroji, CDT ine mabhenefiti ari pachena mukurapa kweDVT.Iyo inobata zvakananga thrombus yemunharaunda nemishonga yethrombolytic, iyo inowedzera zvakanyanya kuwanda kwemishonga yethrombolytic yakapoteredza thrombus.Nzvimbo yekubatana pakati pemishonga yethrombolytic uye thrombus yakakura kudarika iyo yeperipheral venous thrombolysis.Kurapa kweCDT kunowedzera zvakanyanya kuwanda kwemishonga inoshanda pane thrombus, zvakanyanya kuwedzera vascular recanalization rate mushure me thrombolysis, uye kurapa mhedzisiro iri nani zvakanyanya kupfuura yeperipheral venous thrombolysis.

CDT yave iyo inonyanya kushandiswa thrombolytic nzira panguva ino, iyo inogona kunyatso kudzikisa matambudziko ekubuda ropa uku ichimhanyisa thrombolysis.Pharmaceutical mechanical thrombectomy (PMCT) mudziyo une kutenderera kumucheto wemusoro, unogona kucheka thrombus nekuyamwa mukati mecatheter kuburikidza nekumanikidza kwakashata, uye wozobatanidza neCDT yechinyakare, iyo inogona kuderedza chiyero chemishonga yethrombolytic uye nguva yekurapa. 50%.

Iyo thrombus clearance effect yePMCT neCDT yakafanana, asi PMCT yakachengeteka, inokurumidza thrombus recanalization, inoderedza nguva yekurapa, inoderedza kushandiswa kwemishonga yethrombolytic uye zvinetso zvekubuda ropa, inoderedza kuitika kwePTS, inoderedza nhamba yemazuva muchipatara uye inoderedza mari yekuiswa muchipatara.

Cavent chidzidzo chidzidzo chakasarudzika cheyakajairwa anticoagulant therapy yakasanganiswa neCDT uye yakajairwa anticoagulant therapy pane acute iliofemoral yakadzika vein thrombosis, iyo yakatsvaga varwere kubva kuzvipatara makumi maviri muNorthwest Norway.

Mhedzisiro yechidzidzo ichi inoratidza kuti kana ichienzaniswa neanticoagulant therapy chete, kusanganiswa kweCDT kurapwa kunogona kuderedza zvakanyanya njodzi yePTS, asi zvishoma kuwedzera njodzi yekubuda ropa.Zvisinei, kana ichienzaniswa nesystemic thrombolysis, iyi ngozi yokubuda ropa inoita seinogamuchirika.

Ichi chigumisiro chinotsigira kurudziro yezvichangobva kuitika zvinosanganisa kurapwa kweCDT kunogona kutariswa kune varwere vane proximal deep vein thrombosis uye kuderera kwekubuda ropa.