Yiziphi Izinto Ezithinta I-Blood Clot Formation?
Unyaka ngamunye cishe abangaba ngu-200 000 baseMelika bahlinzwa ngokugcwele. Izibalo ziveza ukuthi abantu abaphakathi kuka-400 no-800 bahlakulela ukuvutha kwamapulmonary okubulalayo ezinyangeni ezintathu zokuqala kulandela le nqubo.
I-embolism ye-pulmonary ivela emzimbeni obizwa ngokuthi i-vein thrombosis ejulile, lapho i- clot yegazi ibumba khona emthanjeni ojulile (ngokuvamile emlenzeni).
Kwezinye izimo, ukumbumbana kwe-pulmonary kungakhula phakathi kweziguli ezine- DVT uma ingxenye ye-clot isuka futhi ihamba ngegazi ukuya emaphashini.
Izingozi ze-Blood Clot kanye Nokungenelela
Ucwaningo olwenziwe kahle olwenziwe ngo-2000 eNew England Journal of Medicine lwathola ukuthi phakathi kweziguli zaseCalifornia Medicare ezizilandelayo, izici ezithile ezingozini kanye nokungenelela ezithintekile yiziphi iziguli ezazakhela ukuhlinzwa okuphindaphindiwe kwegazi. Itholakala ukuthi:
- Iziguli ezingaphezu kwenani eliphezulu ezine-BMI ezinama-25 noma ngaphezulu zazingamaphesenti angu-2 1/2 amathuba okubhedlela ngenxa yezindwangu zegazi kuneqembu elilawulayo.
- Ukucindezeleka kwe-pneumatic kwakuzuzisa kakhulu iziguli zesisindo esijwayelekile. Ukucindezela umoya (idivaysi yangaphandle ehlanganisa amakhekhe angenawo amandla okugcoba kanye nokucindezela imilenze ukuvimbela igazi ekuhlanganiseni emithanjeni kanye nengozi yokwakheka kwama-clot) ayizange inciphise ingozi yezindwangu zamagciwane ezigulini ezidlulayo.
- Iziguli zesisindo esivamile esasebenzisa ukucindezeleka kwe-pneumatic kwakuyizingxenye ezingamaphesenti angu-30 okungenzeka ukuthi ziphinde zifakwe esibhedlela ngenxa yezindwangu zegazi njengeziguli ezingaphathwa ngokucindezelwa kwe-pneumatic.
- Iziguli zazo zonke izigaba zesisindo ezaziphathwa ngelashwa ye-anticoagulant emva kokuya ekhaya zazingamaphesenti angama-60 kuphela amathuba okuba nezimpawu ezibonakalayo njengoba lezo ziguli zingatholi ukwelashwa.
Amaqembu athile weziguli azuza okuningi kwezinye izifo ezithile. Ucwaningo lubonisa ukubaluleka kokucindezelwa kwe-pneumatic kwiziguli ezine-BMI ngaphansi kwama-25 nokubaluleka kwe-antiticoagulant yokwelapha izidakamizwa ngemuva kokukhishwa kwesibhedlela kodwa kudingekile izifundo ezizayo ukuze zihlaziye ukungasebenzi kwe-compression pneumatic kwiziguli ezine-BMI ezingaphezulu kuka-25.
Iziguli eziphakeme kakhulu
Iziguli ezithile zisengozini enkulu yokuthuthukisa ukuvuthwa kwe-pulmonary emva kokuhlinzwa kokuqashwa esikhundleni kunabanye. Ngaphezu kweziguli ezine-BMI ephezulu, lezi zihlanganisa iziguli ezithi:
- Unomlando odlule wezindwangu zegazi
- Ingabe ababhemayo ababhema ukubhema
- Okwamanje ukuthola ukwelashwa komdlavuza
Iziguli ezisengozini enkulu zivame ukubhekwa ngokucophelela futhi / noma zithole imithi yokwelapha yegazi emva kokuhlinzwa okuqashiswayo kwe-hip ukuvimbela ama-clots ekwakheni.
Ukuvimbela Izambatho Zegazi Ngemva Kwama-Hip esikhundleni
Ngaphandle kokwazisa udokotela wakho uma unezici ezingozi ezikhulunywe ngenhla, kunezinyathelo ongazithatha ukuze usize uzivikele egazini legazi uma uhlela ukuhlinzwa. Lokhu kufaka:
- Ukuyeka ukubhema (nakuba uhlelo lokuyeka ukubhema, uma kunesidingo), okuye kwaboniswa ukwandisa ingozi yokuthuthukisa i-blood clot izikhathi ezinhlanu.
- Gcina isisindo esinempilo (noma ulahlekelwe isisindo).
- Qala ukuhamba futhi ngokushesha ngangokunokwenzeka emva kokuhlinzwa, okwenza igazi lisetshenziswe ohlelweni lwakho futhi livimbele ukuba lingabi endaweni eyodwa isikhathi eside ukuvala.
Izimpawu Nezimpawu Ze-Blood Clot
Ngisho nalapho kuvela ama-clots, ukwelashwa kungaphumelela uma kutholakala ngaphambi kokuba izinkinga zikhule. Ngemuva kokuhlinzwa, ukuvuvukala okuthile kuvamile. Kodwa-ke, uma ubona ukukhukhumaza noma ukufutheka okungazelelwe noma okumangalisayo, isilonda sinzima kakhulu ukuhamba, futhi / noma uthuthukisa umkhuhlane, kufanele uqaphele udokotela wakho.
Imithombo:
Ukugwema Izambatho Zegazi Ngemva kokuhlinzwa kwe-Hip esikhundleni, i-Newswise, ngo-12/14/00.
Izibikezelo zeRehospitalization ze-Symptomatic Venous Thromboembolism Ngemuva kokuphelele kwe-Hip Hip-Arthroplasty, NEJM, 12/14/00, Umq. 343, no.24
> Sitzman, B. Todd. Ukuvimbela I-Thrombosis Ejulile Yomzimba Omncane Ne-Pulmonary Embolism. B. Todd Sitzman, MD, MPH, Disemba, 1998.