Ịwa ahụ thrombectomy bụ usoro nke nwere ike iwepụ thrombus ngwa ngwa n'ime obere oge.Mgbe a kpochapụrụ thrombus, akwara egbochiri ga-alaghachi na patency, enwere ike nweta amụma ogologo oge ka mma site na ikpochapụ thrombus kpamkpam site na ịwa ahụ.N'ihi nnukwu trauma, ọbara ọgbụgba na nsogbu nke ịwa ahụ, ọ bụghị ọtụtụ ụlọ ọgwụ na-eme nyocha ụlọ ọgwụ.
N'ime afọ ndị na-adịbeghị anya, ntinye nke ọgwụ thrombolytic na mmepe ngwa ngwa nke nkà na ụzụ intravascular na-eme ka echiche nke "nkwụsị thrombus" pụta.Dabere na usoro ọgwụgwọ anticoagulation, a na-ahụta ọgwụgwọ thrombolytic dị ka nhọrọ atụmatụ na-arụsi ọrụ ike ma dị irè, nke dabara maka ndị ọrịa DVT na-ewepụ contraindications thrombolytic.
Ka ọ dị ugbu a, urokinase (UK) na alteplase bụ ihe na-ejikarị fibrinolytic eme ihe na ọgwụgwọ DVT na-agwọ ọrịa thrombolytic n'ụlọ na ná mba ọzọ.Usoro ọgwụgwọ thrombolytic nwere ike mee ka thrombolytic recanalization dịkwuo ngwa, na-echebe ọrụ valve, belata ọnọdụ nke PTS, na mmelite nke ndụ ndụ nke ndị ọrịa na-ejikọta ya na ogo thrombolysis.Enwere ike kewaa ọgwụgwọ thrombolytic ka ọ bụrụ thrombolysis nke akụkụ venous (systemic thrombolysis) na catheter na-eduzi thrombolysis (CDT).
Site na nkwalite akụrụngwa ntinye aka na teknụzụ, CDT nwere uru doro anya na ọgwụgwọ DVT.Ọ na-akpọtụrụ thrombus mpaghara ozugbo na ọgwụ thrombolytic, nke na-abawanye ụba nke ọgwụ thrombolytic gburugburu thrombus.Ebe kọntaktị dị n'etiti ọgwụ thrombolytic na thrombus dị ukwuu karịa nke thrombolysis venous venous.Ọgwụ CDT na-abawanye nke ukwuu nke ọgwụ ndị na-arụ ọrụ na thrombus, na-abawanye ụba nke recanalization vaskụla mgbe thrombolysis gasịrị, na ọgwụgwọ ọgwụgwọ dị mma karịa nke thrombolysis venous venous.
CDT aghọwo usoro thrombolytic a na-ejikarị eme ihe ugbu a, nke nwere ike ibelata nsogbu ọbara ọgbụgba n'ụzọ dị irè ma na-eme ka thrombolysis dịkwuo elu.Pharmaceutical mechanical thrombectomy (PMCT) bụ ngwaọrụ nwere ntụgharị na isi isi, nke nwere ike kụrie thrombus wee banye ya n'ime catheter site na nrụgide na-adịghị mma, wee jikọta ya na CDT ọdịnala, nke nwere ike ibelata dose nke ọgwụ thrombolytic na oge ọgwụgwọ site na ihe dịka. 50%
Mmetụta mkpochapụ thrombus nke PMCT na CDT yiri nke ahụ, mana PMCT dị nchebe karị, na-eme ka thrombus recanalization dịkwuo elu, na-ebelata oge ọgwụgwọ, na-ebelata ngwa nke ọgwụ thrombolytic na nsogbu ọbara ọgbụgba, na-ebelata ọnọdụ nke PTS, na-ebelata ọnụ ọgụgụ nke ụbọchị n'ụlọ ọgwụ ma na-ebelata. ego ụlọ ọgwụ.
Ọmụmụ cavent bụ nyocha a na-achịkwaghị achịkwa nke usoro ọgwụgwọ ọgwụ mgbochi ọrịa jikọtara ya na CDT na usoro ọgwụgwọ ọgwụ mgbochi ọrịa na nnukwu iliofemoral deep vein thrombosis, nke na-ewe ndị ọrịa n'ụlọ ọgwụ 20 na Northwest Norway.
Nsonaazụ nke ọmụmụ a na-egosi na e jiri ya tụnyere ọgwụgwọ anticoagulant naanị, ọgwụgwọ CDT jikọtara ọnụ nwere ike ibelata ihe ize ndụ nke PTS, mana ọ na-abawanye ohere nke ọbara ọgbụgba.Otú ọ dị, e jiri ya tụnyere thrombolysis nke sistemu, ihe ize ndụ a nke ọbara ọgbụgba yiri ka ọ bụ ihe a na-anabata.
Nsonaazụ a na-akwado nkwenye nke ụkpụrụ nduzi na nso nso a na enwere ike ịtụle ọgwụgwọ CDT na ndị ọrịa nwere thrombosis miri emi dị nso na obere ọbara ọgbụgba.
Nkọwapụta Ụlọ ọrụ
Nkeụlọ ọrụnwere nke yaụlọ ọrụ mmepụta ihena imewe otu, ma na-etinye aka na mmepụta na ire ngwaahịa ọgwụ ruo ogologo oge.Anyị nwere ahịrị ngwaahịa ndị a.
①uwe mkpakọ ikuku(ụkwụ mkpakọ ikuku,akpụkpọ ụkwụ mkpakọ,Uwe mkpakọ ikuku na maka ubuwdg) naUsoro DVT.
③Tourniquetcuff
④ Na-ekpo ọkụ na oyiPads ọgwụgwọ(ụkwụ ice mkpọ, ikiaka ice mkpọ, ice mkpọ maka ikpere, oyi mkpakọ aka uwe, oyi mkpọ maka ubu wdg)
⑤ Ndị ọzọ dị ka ngwaahịa obodo TPU (ọdọ mmiri inflatable,mgbochi bedsore matraasi inflatable,oyi ọgwụgwọ ikpere igweect)
Oge nzipu: Sep-30-2022