Kunezinto esingazenza sonke ukuze sinciphise amathuba ethu okuthola igazi eliyingozi. Kubantu abasengozini enkulu kakhulu, ukwelashwa okungeziwe futhi okuqondile okuvikelayo kungase kuphakanyiswe.
Izindlela zokuphila
Indlela engcono kakhulu yokuvimbela i-thrombosis kanye ne-embolization ukuphila ngendlela enempilo-uhlobo olufanayo lokuphila olwenciphisa ingozi yakho yesifo senhliziyo nesifo somdlavuza.
Lokhu kungenxa yokuthi izinto eziningi zokuphila, njengokuntuleka kokuzivocavoca nokubhema, yizinto eziyingozi ezingxenyeni zegazi .
Ngokubheka ngokuqondile ukuvimbela ama-clots wegazi, kubalulekile ukuthi:
- uthole okuningi kokuzivocavoca.
- gwema ukuhlala isikhathi eside.
- gcina isisindo sakho ezingeni eliphilile.
- ungabhemi.
Izwi Elikhethekile Ngokubhema
Ukubhema kuyingozi kuwe ngezindlela eziningi, kunjalo. Wonke umuntu uyazi ukuthi kubangela isifo samaphaphu esingapheli nomdlavuza. Kodwa ukubhema kubangela nokuvuvukala okunamandla nokungapheli emithanjeni yegazi okusheshisa ukuqina kwe-atherosclerosis (okuholela ekuhlaselweni kwenhliziyo, ukushaywa komzimba , kanye nesifo se-artery )-futhi lokho kukhuthaza i-thrombosis.
Ukubhema ikakhulukazi kuphakamisa ingozi yamakhemikhali egazi kulabo abakhulelwe noma ukuthatha amaphilisi okulawula ukubeletha noma ukwelashwa okukhipha ama-hormone.
Izinyathelo Zokuvimbela Ezingeziwe
Abanye abantu, ngenxa yezimo zabo zezokwelapha noma izimo zabo, kufanele bathathe izinyathelo ezikhethekile zokunciphisa ingozi yokwenza ama-blood clots.
Laba bantu bahlanganisa labo abahamba isikhathi eside, labo abangenakunyakaziswa isikhathi eside, labo abanengozi engapheliyo ye-DVT noma i-pulmonary embolus, nalabo abanengozi enkulu ye -coronary syndrome noma isifo sohlangothi.
Ukuhamba Okude
Uma uthatha uhambo olude ngezindiza noma emotweni, ingozi yakho yangempela yokuthuthukisa i-DVT iyanda kakhulu.
Ukuze unciphise leyo ngozi, kufanele wenze konke okusemandleni ukuvuka uphinde uhambisane njalo nehora noma ngaphezulu. Uma lokho kubonakala kungenakwenzeka ungasebenzisa isihlalo sakho: welula imilenze yakho, uguqule izinyawo zakho, bese ugoqa izinzwane zakho njalo ngemizuzu engu-15 noma engu-20. Kumele futhi ugweme ukungcola amanzi futhi ugweme ukugqoka amasokisi aqinile.
Ukuchithwa Kwempahla Ngenxa Yesikole, Isifo Sokugula, Noma Ukuhlinzwa
Uma ungenakunyakaziswa okwesikhashana ngenxa yokuhlukumezeka, ukuhlinzwa, noma ukunakekelwa esibhedlela, uzoba nengozi eyengeziwe ye-DVT.
Njengoba unakekelwa ngezokwelapha, udokotela wakho kufanele enze izinyathelo zokuzivikela futhi akunike iseluleko ngokuvimbela i-clot yegazi. Lezi zinyathelo zingase zibandakanye ukuphakamisa unyawo lombhede wakho, ukwenza izivivinyo eziqondile ukugcina igazi lihamba emithanjeni yakho, futhi uthathe imithi yokwelapha ngokwanele ukugcina uhamba ngokukhululeka ngangokunokwenzeka. Kwezinye izimo, imithi ye- anticoagulant imithi ingahle ibekiwe.
Ingozi Ephakeme Ye-DVT noma i-Pulmonary Embolus
Ngokuvamile, ngemva kwesigqila se-DVT noma ukuvuthwa kwe-pulmonary, abantu baphathwa izinyanga ezimbalwa-noma mhlawumbe kuze kube unyaka-benomuthi we-anticoagulant. Kodwa-ke, abanye abantu bacatshangwa ukuthi banengozi ephakeme kakhulu yokucindezeleka okuphindaphindiwe futhi kungadinga ukwelashwa okuqhubekayo kwe-anticoagulation.
Abantu abakulesi sigaba bahlanganisa nalabo abanakho:
- I-DVT noma i-pulmonary embolus esevele iphindaphindiwe.
- I-DVT noma i-pulmonary embolus engazange ikhiqizwe imbangela ebonakalayo (ngakho-ke kungenzeka ukuthi ubuyele "kungekho sizathu").
- umdlavuza osebenzayo.
- ukukhiqizwa kwezakhi zofuzo kuya ngokweqile kwegazi.
Fibrillation ye-Atrial
Abantu abane-fibrillation engapheli noma ephindaphindiwe engozini ye-atrial banomngcipheko omkhulu wokuthuthukisa ama-clots egazi ngakwesokunxele kwe-heart. Lezi zindwangu zingasuka bese zikhiqiza isifo. Abantu abane-fibrillation ye-atrial okungezona nje okuhamba kwesikhathi kufanele baphathwe nge-anti-anti-inflammatory therapy.
Ingozi Ephakeme Ye-Acute Coronary Syndrome noma isifo sohlangothi
Abantu abasengozini enkulu yokuba nesiqephu se- acon coronary syndrome (isimo esibangela ukuhlaselwa kwenhliziyo kanye nokungena okungazinzile ) kufanele kufakwe ezidakamizweni eziphambene neplatelet (njenge-aspirin noma i-Plavix) ukunciphisa ingozi yokubunjwa kwe-clot uma kwenzeka ukuphuka kweplathi ye-atherosclerotic. Imithi yama-anti-platelet nayo isetshenziselwa ukuvimbela i-thrombosis ngemuva kokuba i- stent ifakwe emgodini we-coronary.
Izidakamizwa ze-anti-platelet nazo zisetshenziselwa ukunciphisa ingozi yezigigaba ezilandelayo kubantu abaye bahlaselwa isifo sofuba.
> Imithombo:
> Baglin T, uBauer K, uDouketis J, et al. Isikhathi Sokwelashwa Kwe-Anticoagulant Ngemuva Kwengxenye Yokuqala Ye-Embolus Noma I-Vein Deep Vein Engenqatshelwe I-Thrombosis: Isiqondiso Esivela E-Ssc Ye-Isth. J Thromb Haemost 2012; 10: 698. I-DOI: 10.1111 / j.1538-7836.2012.04662.x
> Kearon C, Ageno W, Cannegieter SC, et al. Ukuhlukaniswa kweziguli zabagulayo njengokwenqabela noma ukuvimbela isifo sofuba esingenakuvinjelwa: Isiqondiso esivela kwi-Ssc ye-Isth. J Thromb Haemost 2016; 14: 1480. I-DOI: 10.1111 / jth.13336
> Lansberg MG, O'donnell Mj, Khatri P, et al. Ukwelashwa Kwe-Antithrombotic Ne-Thrombolytic For Stroke Ischemic: Ukwelashwa Kwe-Antithrombotic Nokuvimbela Kwe-Thrombosis, 9Im: I-American College Of Chest Physicians Iziqondiso Ezivela Emtholampilo Yokuzikhandla. I-Chest 2012; 141: E601S. I-DOI: 10.1378 / isifuba.11-2302
> Wright RS, Anderson Jl, Adams Cd, et al. 2011 ACCF / AHA Ukugxilwa okugxilwe kweziqondiso zokuphathwa kwabagulayo abanezintambo ezingekho emthethweni Angina / Non-St-Elevation Myocardial Infarction (Ukubuyekeza Umhlahlandlela ka-2007): Umbiko We-American College of Cardiology Foundation / i-American Heart Association Task Force On Iziqondiso Zokuzikhandla . Ukujikeleza ngo-2011; 123: 2022. I-DOI: 10.1016 / j.jacc.2011.02.009