Uburyo bwiza bwo kuvura DVT

Dukurikije umubare munini w’ibibazo bya sequelae y’umuvuduko ukabije w’imitsi yo hepfo mu bitaro by’iburasirazuba bwa Shanghai, hamwe na raporo z’ubushakashatsi mpuzamahanga ziheruka gukorwa, gahunda ikurikira yo kuvura ifite ibyiza byo kugabanya vuba vuba, kwirinda ibisebe byo mu maguru, no kwihutisha recanalisation yimitsi yimbitse.

Gahunda yihariye niyi ikurikira:

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(2) Kwambara amasogisi ya elastike ufite umuvuduko wo hagati cyangwa hejuru nyuma yo kuvura pompe yo mu kirere;

(3) Fata ibinini bibiri bya Emeland rimwe kumunsi.

(4) Abarwayi bafite trombose ikaze bakeneye gukoresha heparin na warfarin kugirango bavure anticoagulation.Ongera usuzume imitsi yimbitse hamwe na B-ultrasound buri mezi 6 kugirango wumve reanalisation, hanyuma urebe imitsi ya iliac hamwe na CT nyuma yumwaka umwe.

Ikoreshwa rya sisitemu yo kuvura ikirere muri DVT

Ubushakashatsi bwakozwe mu gihugu no hanze bwerekana ko VTE ari impamvu ikomeye y’urupfu rutunguranye mu bitaro.Iyo embolisme y'ibihaha imaze kubaho, kubera umubare munini w’abafite ubumuga n’impfu, amafaranga yo kuvura abarwayi ariyongera cyane, kandi amakimbirane y’ubuvuzi yatewe nayo nayo ni menshi.

Muri gahunda yo kwitabwaho cyane, kubera feri ningaruka zindwara zabarwayi, abarwayi biroroshye cyane gutera indwara ya DVT, kandi abarwayi hafi ya bose ni amatsinda afite ibyago byinshi.Urebye uburyo bwinshi bwo kurwanya imiti igabanya ubukana, guhuza ibiyobyabwenge no kwirinda umubiri byahindutse byanze bikunze ibitaro byinshi mugihe cyo kuvura.

Nk’uko byatangijwe n’igitabo gishya cy’amabwiriza y’Ubushinwa agamije gusuzuma, kuvura no gukumira indwara y’ibihaha ya Thromboembolism, Ubwumvikane bw’impuguke mu gukumira indwara y’imitsi iva mu mitsi ndetse na Embolism y’ibihaha nyuma yo kubagwa indwara z’abagore n’andi mabwiriza, gukumira IPC ku barwayi bafite ibyago byinshi. gukoreshwa byibuze amasaha 18 kumunsi.

Uburyo bwo gukora ikirere

Kwiyongera, kwaguka, gukanda no guhumeka umwuka unyuze mu gikapu cyinshi cyicyumba cyindege cyumuteguro kandi gitunganijwe kugirango ugire umuvuduko ukwirakwira kumitsi yingingo, kugirango uteze imbere imitsi, gushimangira imitsi ya arterial, kunoza umuvuduko wamaraso no gutembera kwa lymphatike, wirinde kwegeranya kwa ibintu bya coagulation no kwizirika ku mitsi y'amaraso, kongera ibikorwa bya sisitemu ya fibrinolytike, kurinda Deep Vein Thrombose (DVT) na pulmonary tromboembolism (PTE), no gukuraho indwara yo mu gihimba.

Ikubiye mu bice bikurikira:

1. Kwihutisha umuvuduko wamaraso no gukuraho guhagarara kwamaraso;

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3. Kwihuta kwamaraso bitera ingirabuzimafatizo ya endoteliyale kurekura EDRF (vascular endothelial relaxing factor), ishobora gusiga amavuta urukuta rw'imitsi kandi ikabuza guhuza ibintu bya coagulation.