Kunzwisisa yakadzika vein thrombosis (DVT)

Deep vein thrombosis (DVT) zvinoreva kugwadama kweropa mutsinga dzakadzika, inova yechirwere chevenous reflux kuvharika kwemakumbo ezasi.Thrombosis inowanzoitika mu braking state (kunyanya mukuvhiya kwemapfupa).The pathogenic zvinhu zvinononoka kubuda kweropa, venous wall kukuvara uye hypercoagulability.Mushure me thrombosis, vazhinji vavo vachapararira kune yakadzika tsinga trunk yegumbo rose, kunze kwevashoma vanogona kubviswa ivo pachavo kana kugumira kunzvimbo yethrombosis.Kana vasingakwanisi kuongororwa uye kurapwa munguva, vazhinji vavo vanozoita sequelae ye thrombosis, iyo inokanganisa hupenyu hwevarwere kwenguva yakareba;Vamwe varwere vanogona kunge vakaomeswa nepulmonary embolism, zvichikonzera mhedzisiro yakakomba.

Zvikonzero zveDVT

Mukuita kwekiriniki, chete 10% ~ 17% yevarwere veDVT vane zviratidzo zviri pachena.Inosanganisira kuzvimba kwegumbo rezasi, kunyorova kwakadzika kwenzvimbo uye tsoka dorsum flexion kurwadziwa.Chinhu chakakomba chekiriniki uye chiratidzo chekukura kweDVT ndeye pulmonary embolism.Huwandu hwekufa hwakakwira se9% ~ 50%.Ruzhinji rwerufu runoitika mukati memaminitsi kusvika kumaawa.DVT ine zviratidzo nezviratidzo inowanzoitika muvarwere mushure mekuvhiyiwa, kukuvara, gomarara repamusoro, coma uye kugara kwenguva refu pamubhedha.Kudzivirira ndiyo kiyi yekubata neDVT.Kudzivirirwa kwekutanga kunofanira kuitwa kune varwere vose vari kuvhiyiwa kukuru kwemakumbo ezasi Zviyero zvekudzivirira kweacute venous thrombosis yemakumbo ezasi anosanganisira: kudzivisa kuisa mutsamiro pasi pegumbo rezasi mushure mekushanda uye kukanganisa kudzoka kwakadzika kwevhavha yegumbo rezasi;Kurudzirai tsoka dzemurwere nezvigunwe kuti zvifambe nesimba, uye vakumbire kuti vafemere zvakanyanya uye vakosore zvakanyanya;Rega murwere abve pamubhedha nekukasira uye apfeke masikisi erastic ekurapa kana zvichidikanwa.Kunyanya kukoshesa kunofanira kubhadharwa kune vakwegura kana varwere vane chirwere chemwoyo mushure mekushanda.

Kukosha kwekutungamira kwekutonga nguva yekutanga kune chirongwa chekurapa

Venous thrombosis yakafanana nesamende, inogona kushambidzwa nekukurumidza, asi kana ichinge yaumba clot, haigoni kunyunguduka.Kunyangwe fananidzo iyi isina kunyatsokodzera, ichokwadi kuti venous thrombosis inotanga kurongeka zvishoma makumi emaawa mushure mekuumbwa kwayo.Iyo yakarongeka yevenous thrombosis yakaoma kugadziriswa ne thrombolysis.Kuvhiya thrombus kubviswa zvakare hakuna kukodzera.Nekuda kwekuti thrombus yakarongeka yakanyatsonamirwa kumadziro etsinga, kumanikidzwa thrombus kubviswa kunokonzeresa kukanganisa kumadziro etsinga uye kukonzeresa thrombosis yakakura.Nokudaro, kuongororwa kwepakutanga kunokosha zvikuru.

Nzira yekuongorora yezasi nhengo yakadzika vein thrombosis kutanga

Kunyangwe pasina chiratidzo chiri pachena chekutanga kwakadzika vein thrombosis, vanachiremba vane ruzivo vanogona kuwana zvimwe zviratidzo kuburikidza nekunyatsoongorora kwemuviri.Semuenzaniso, kurwadziwa kwakadzika kana kudzvinya dumbu remhuru kunowanzoratidza mhuru tsinga thrombosis (inonzi Homan sign in medicine).Izvi zvinokonzerwa nekuzvimba kweaseptic kwematishu akatenderedza kana venous thrombosis ikaitika.Saizvozvowo, kunyorova pamudzi wechidya kunowanzoratidza femoral vein thrombosis.Zvechokwadi, kana yakadzika vein thrombosis ichifungidzirwa, ropa reD2 polymer rinofanira kuonekwa nokukurumidza sezvinobvira, uye tsinga yakadzika inofanira kuonekwa neB-ultrasound kuti iite chirwere chechokwadi.Nenzira iyi, zviitiko zvakawanda zveDVT zvinogona kuvhenekwa nekukurumidza.