Witondere icyiciro cyo kurandura trombus

Surgical trombectomy nuburyo bushobora gukuraho vuba trombus mugihe gito.Nyuma ya trombus imaze guhanagurwa, imitsi yahagaritswe izagaruka kuri patenti, kandi hashobora kugerwaho neza igihe kirekire mugihe cyo gukuraho burundu trombus hakoreshejwe kubagwa.Kubera ihungabana rinini, kuva amaraso hamwe ningorane zo kubaga, nta bitaro byinshi bikora ubushakashatsi ku mavuriro.

Mu myaka yashize, ikoreshwa ryimiti ya trombolytike hamwe niterambere ryihuse ryikoranabuhanga ryimitsi ituma igitekerezo cya "trombus clearance" kibaho.Hashingiwe ku buvuzi bwa anticoagulation, ubuvuzi bwa trombolique bushobora gufatwa nkuguhitamo ingamba zifatika kandi zifatika, zikwiranye n’abarwayi ba DVT bakuyemo kwanduza imiti.

Kugeza ubu, urokinase (UK) na alteplase nizo zikoreshwa cyane muri fibrinolytike muri DVT ivura ivuriro rya trombolytike mu gihugu no hanze yacyo.Ubuvuzi bwa Thrombolytike burashobora kwihutisha recromalisation ya trombolytike, kurinda imikorere ya valve, kugabanya indwara ya PTS, kandi kuzamura imibereho y’abarwayi bifitanye isano neza n’urwego rwa trombolysis.Ubuvuzi bwa Thrombolytique burashobora kugabanywa mubice bya peripheri ya trombolysis (sisitemu ya trombolysis) na catheter iyobora trombolysis (CDT).

Hamwe nogutezimbere ibikoresho nibikoresho byikoranabuhanga, CDT ifite ibyiza bigaragara mukuvura DVT.Ihuza neza na trombus yaho hamwe nibiyobyabwenge bya trombolique, byongera cyane kwibumbira hamwe kwimiti ya trombolique ikikije trombus.Ahantu ho guhurira hagati yimiti ya trombolytike na trombus ni nini cyane ugereranije niy'imitsi iva mu mitsi.Ubuvuzi bwa CDT bwongera cyane ibiyobyabwenge bikora kuri trombus, byongera cyane igipimo cyoguhindura imitsi nyuma ya trombolysis, kandi ingaruka zo kuvura ni nziza cyane kuruta iy'imitsi ya trombolysis.

CDT yabaye uburyo bukoreshwa cyane muri trombolytike muri iki gihe, bushobora kugabanya neza ibibazo byo kuva amaraso mugihe byihuta bya trombolysis.Imiti ya trombectomy ya farumasi (PMCT) nigikoresho gifite kuzunguruka kumutwe wumutwe, gishobora kumenagura trombus no kuyinyunyuza muri catheteri ukoresheje umuvuduko mubi, hanyuma igahuza na CDT gakondo, ishobora kugabanya urugero rwibiyobyabwenge bya trombolique nigihe cyo kuvura hafi 50%.

Ingaruka yo gukuraho trombus ya PMCT na CDT irasa, ariko PMCT ifite umutekano, yihutisha recranalisation ya trombus, igabanya igihe cyo kuvura, igabanya ikoreshwa ryimiti ya trombolytique ningaruka ziva kumaraso, igabanya indwara ya PTS, igabanya iminsi yibitaro kandi igabanya iminsi ikiguzi cyo gushyirwa mu bitaro.

Ubushakashatsi bwa Cavent ni ubushakashatsi bwateguwe bwubuvuzi busanzwe bwa anticoagulant buvanze hamwe na CDT hamwe nubuvuzi busanzwe bwa anticoagulant kuri acute iliofemoral deep vein trombose, bwinjije abarwayi bo mubitaro 20 byo mumajyaruguru yuburengerazuba bwa Noruveje.

Ibyavuye muri ubu bushakashatsi byerekana ko ugereranije n’ubuvuzi bwa anticoagulant bwonyine, ubuvuzi bwa CDT bushobora kugabanya cyane ibyago bya PTS, ariko byongera gato ibyago byo kuva amaraso.Ariko, ugereranije na sisitemu ya trombolysis, iyi ngaruka yo kuva amaraso isa naho yemewe.

Igisubizo gishyigikira ibyifuzo byubuyobozi buherutse kuvura CDT bishobora gutekerezwa kubarwayi bafite imitsi yimbitse ya trombose kandi bafite ibyago byo kuva amaraso.