Kudzivirira uye mukoti weDVT (1)

Deep venous thrombosis (DVT)inowanzoitika kune varwere vane hemiplegic vane cerebral hemorrhage.DVT inowanzoitika mumakumbo ezasi, iyo inowanzoitika uye yakakomba complication mumakiriniki maitiro, ine mukana we20% ~ 70%.Uyezve, dambudziko iri harina kuratidzwa kwekiriniki kuri pachena mukutanga.Kana ikasarapwa uye ikapindira munguva, inogona kutungamirira kumarwadzo, kuzvimba uye zvimwe zviratidzo zvenhengo dzemurwere, uye zvinogona kutotungamirira kumapapu embolism, zvichikanganisa zvakanyanya kurapwa uye kufungidzira kwemurwere.

Zvikonzero zvengozi

Venous ropa stasis, venous system endothelial kukuvara, ropa hypercoagulability.

Chikonzero chekugadzira

Kurara kwenguva refu pamubhedha uye kusakwanisa kuita maekisesaizi akazvimirira kana nekuita maekisesaizi mashoma kuchaita kuti ropa riderere renhengo dzezasi, uyezve kutenderera kweropa kunovharidzirwa kuumba yakadzika venous thrombosis yemakumbo ezasi.

Basic kupindira matanho eDVT

1. Hutungamiriri hwehuwandu hwevanhu

Kune varwere vane hemiplegia uye yekugara kwenguva refu pamubhedha, isu tinofanirwa kutarisisa kudzivirira kweDVT, kuyedza D dimer, uye kuramba tichiita colour ultrasound kuongororwa kune avo vane abnormalities.

2. Unyoro hwakakwana

Kumbira murwere kuti anwe mvura yakawanda, inenge 2000ml pazuva, kuderedza viscosity yeropa.

3. Kunyatsocherechedza

Nyatsocherechedza nhengo dzezasi dzemurwere nekuda kwemarwadzo, kuzvimba, kuputika kwetsinga yetsoka uye tembiricha yeganda rezasi.

4. Kushanda basa nekukurumidza sezvinobvira

Varwere vanokurudzirwa kuita kudzidzisa kushanda kwemakumbo nekukurumidza, kunyanya kusanganisira ankle pump exercise uye isometric contraction ye quadriceps brachii.

Ankle pump movement

Nzira: murwere akanga akarara pamubhedha, uye tsoka dzake dzakamanikidzwa kubatanidza zvigunwe zvake zvakanyanya sezvinobvira uye ozvitsikirira pasi, zvichengete kwemasekonzi matatu, uye wozozvidzorera.Akaramba ari masekonzi matatu, ndokuzotenderedza zvigunwe zvake 360 ​​° kutenderedza chitsitsinho chakabatana, mapoka 15 nguva imwe neimwe, 3-5 kanomwe pazuva.

Isometric contraction ye quadriceps brachii

Nzira: varwere vakanga vavete pamubhedha, makumbo avo akatambanudzwa, uye misumbu yehudyu yakatambanudzwa kwemasekondi gumi.Vakabva vazorora ka10 paboka.Zvinoenderana nemamiriro chaiwo evarwere, 3-4 mapoka kana 5-10 mapoka zuva rega rega.