Ọgwụ kacha mma maka DVT

Dị ka ọnụ ọgụgụ buru ibu nke sequelae nke miri emi vein thrombosis nke ala ụkwụ na Shanghai Oriental Hospital, jikọtara ya na ọhụrụ mba nnyocha akụkọ, na-esonụ na-atụ aro usoro ọgwụgwọ nwere uru nke ngwa ngwa ibelata edema, igbochi ala ụkwụ ọnya, na accelerating recanalization nke miri emi thrombosis.

Usoro a kapịrị ọnụ bụ nke a:

(1) Ọgwụgwọ mkpakọ mgbapụta ikuku na-adịte aka ugboro abụọ n'ụbọchị, karịa nkeji iri na ise n'oge ọ bụla;

(2) Yiri sọks na-agbanwe agbanwe na nrụgide ọkara ma ọ bụ n'elu mgbe ọgwụgwọ mkpakọ ikuku ikuku;

(3) Were mbadamba nkume Emeland abụọ otu ugboro n'ụbọchị.

(4) Ndị ọrịa nwere nnukwu thrombosis kwesịrị iji heparin na warfarin maka ọgwụgwọ anticoagulation.Jiri B-ultrasound na-enyocha akwara miri emi kwa ọnwa 6 ka ọ ghọta mweghachi ahụ, wee jiri CT were nyochagharị akwara akwara otu afọ ka e mesịrị.

Ngwa nke usoro ọgwụgwọ ikuku ikuku na DVT

Ihe nyocha nke ụlọ na nke mba ọzọ na-egosi na VTE bụ ihe dị mkpa na-akpata ọnwụ na-atụghị anya ya n'ụlọ ọgwụ.Ozugbo pulmonary embolism pụtara, n'ihi nnukwu nkwarụ ya na ọnụ ọgụgụ ndị na-egbu egbu, ọnụ ahịa ọgwụgwọ nke ndị ọrịa na-abawanye nke ukwuu, esemokwu ahụike nke ọ na-akpata na-abụkarịkwa ugboro ugboro.

N'ime usoro nlekọta ahụike siri ike, n'ihi breeki na mmetụta nke ọrịa nke ndị ọrịa, ndị ọrịa na-adị mfe ime ka e guzobe DVT, na ihe fọrọ nke nta ka ọ bụrụ ndị ọrịa niile bụ ndị nwere nnukwu nsogbu.N'ịtụle ọtụtụ contraindications nke ọgwụ anticoagulant, nchikota ọgwụ na mgbochi anụ ahụ aghọwo nhọrọ a na-apụghị izere ezere maka ọtụtụ ụlọ ọgwụ n'oge oge ọgwụgwọ.

Dị ka mmalite nke mbipụta ọhụrụ nke Ntuziaka China maka nchọpụta, ọgwụgwọ na mgbochi nke pulmonary Thromboembolism, Nkwekọrịta ọkachamara na Mgbochi nke Ọkpụkpụ akwara miri emi na pulmonary embolism mgbe ịwa ahụ gynecological na ntụziaka ndị ọzọ, mgbochi IPC maka ndị ọrịa nwere nnukwu ihe ize ndụ kwesịrị. etinyere ma ọ dịkarịa ala awa 18 kwa ụbọchị.

Usoro omume ikuku ife

Na-amụba, gbasaa, afanye na deflate ikuku site na multi chamber ikuku akpa n'usoro na rhythmically na-etolite na-ekesa nrụgide na n'akụkụ anụ ahụ, nke mere na-akwalite venous nloghachi, ike arterial perfusion, melite ọbara mgbasa na lymphatic mgbasa, gbochie mkpokọta nke venous. ihe na-akpata coagulation na adhesion na vaskụla intima, na-abawanye ọrụ nke fibrinolytic usoro, na-egbochi Deep Vein Thrombosis (DVT) na pulmonary thromboembolism (PTE), ma wepụ aka na edema.

A na-ejikọta ya na akụkụ ndị a:

1. Mee ka ọbara gbasaa ngwa ngwa ma kpochapụ stasis ọbara;

2. Ọbara accelerated adịghị mfe ịmepụta eddy ugbu a n'azụ valvụ vein, n'ihi ya, ọ nwere ike ịkwanye ebe dị n'azụ valvụ vein nke dị mfe ịmepụta thrombus, si otú a na-egbochi ịmepụta thrombus miri emi;

3. Ọbara na-agba ọsọ na-eme ka sel endothelial vaskụla hapụ EDRF (vaskụla endothelial relaxing factor), nke nwere ike mmanye mgbidi vaskụla ma gbochie nchikota nke ihe coagulation.

Nkọwapụta Ụlọ ọrụ

Anyịụlọ ọrụna-etinye aka na ngalaba mmepe teknụzụ ahụike, ndụmọdụ teknụzụ, akpa ikuku nlekọta ahụike na mmezi nlekọta ahụike ndị ọzọngwaahịadị ka otu n'ime ndị keukwu ụlọ ọrụ.

①Mkpakọ ikukuuwe naUsoro DVT.

②Akụkụ pneumaticTourniquet

③Oyi na-ekpo ọkụ ọzọMkpọ

④ Ọgwụgwọ obiuwe mwụda

⑤ Usoro ọgwụgwọ ikuku & mmiriPad

Ndị ọzọdị ka TPU obodo ngwaahịa


Oge nzipu: Dec-12-2022