Gusobanukirwa imitsi yimbitse (DVT)

Umuvuduko ukabije w'amaraso (DVT) bivuga kwaduka kudasanzwe kw'amaraso mu mitsi yimbitse, ikaba ari iy'indwara yo guhagarika imitsi ihagarika ingingo zo hepfo.Thrombose igaragara cyane muri feri (cyane cyane kubaga amagufwa).Impamvu zitera ni umuvuduko wamaraso, gukomeretsa urukuta rwamaraso hamwe na hypercoagulability.Nyuma ya trombose, inyinshi murizo zizakwirakwira mu mitsi yimbitse yingingo zose, usibye bike zishobora gukurwaho ubwazo cyangwa kugarukira aho trombose iherereye.Niba bidashobora gupimwa no kuvurwa mugihe, ibyinshi muribyo bizakura bikurikirane na trombose, bizagira ingaruka kumibereho yabarwayi igihe kirekire;Bamwe mu barwayi barashobora kugorana na embolisme y'ibihaha, bigatera ingaruka zikomeye cyane.

Impamvu za DVT

Mubikorwa byubuvuzi, 10% ~ 17% gusa byabarwayi ba DVT bafite ibimenyetso bigaragara.Harimo kubyimba ingingo zo hepfo, ubwuzu bwimbitse bwaho hamwe nububabare bwa dorsum flexion ububabare.Ikintu gikomeye cyamavuriro nikimenyetso cyiterambere rya DVT ni embolism yimpaha.Umubare w'abapfa uri hejuru ya 9% ~ 50%.Umubare munini wimpfu zibaho muminota mike.DVT ifite ibimenyetso nibimenyetso bikunze kugaragara kubarwayi nyuma yo kubagwa, guhahamuka, kanseri yateye imbere, koma no kuryama igihe kirekire.Kwirinda nurufunguzo rwo guhangana na DVT.Kwirinda mbere na mbere bigomba gukorwa ku barwayi bose barimo kubagwa ingingo zikomeye zo mu rwego rwo gukumira ingamba zo gukumira indwara ziterwa n’imitsi ikaze y’imitsi yo hepfo zirimo: kwirinda gushyira umusego munsi yamaguru yo hepfo nyuma yo kubagwa kandi bikagira ingaruka ku kugaruka kwinshi kwimitsi yamaguru yo hepfo;Shishikariza ibirenge n'amano umurwayi kugenda cyane, kandi ubasabe guhumeka cyane no gukorora cyane;Reka umurwayi ava muburiri vuba bishoboka kandi yambare imiti ya elastique mugihe bibaye ngombwa.Hagomba kwitabwaho cyane abarwayi bageze mu zabukuru cyangwa indwara z'umutima nyuma yo kubagwa.

Ubusobanuro buyobora bwo gusuzuma igihe cyo gutangira gahunda yo kuvura

Venous trombose ni nka sima, ishobora gukaraba vuba bishoboka, ariko iyo imaze gukora umwenda, ntishobora gushonga.Nubwo iki kigereranyo kidakwiriye cyane, ni ukuri ko trombose yimitsi itangira gutegurwa igice cyamasaha icumi nyuma yo gushingwa.Trombose itunganijwe neza biragoye gukemurwa na trombolysis.Gukuraho trombus yo kubaga nabyo ntibikwiye.Kuberako trombus itunganijwe ifatanye cyane kurukuta rwimitsi, gukuramo trombus ku gahato bizatera kwangirika kwurukuta rwimitsi kandi bitera trombose nini.Kubwibyo, kwisuzumisha hakiri kare ni ngombwa cyane.

Nigute wapima ingingo zo hepfo imitsi ya trombose hakiri kare

Nubwo nta kimenyetso kigaragara cya trombose kare kare, abaganga babimenyereye barashobora kubona ibimenyetso bimwe na bimwe basuzumye neza.Kurugero, ububabare bwimbitse iyo unyunyuze inda yinyana akenshi byerekana inyana ya trombose yinyana (bita ikimenyetso cya Homan mubuvuzi).Ibi biterwa na aseptic inflammation yimitsi ikikije iyo habaye trombose.Mu buryo nk'ubwo, ubwuzu ku mizi y'ibibero akenshi bwerekana imitsi y'amaraso.Birumvikana ko iyo trombose yimbitse imaze gukekwa, amaraso D2 polymer agomba gutahurwa vuba bishoboka, kandi imitsi yimbitse igomba gutahurwa na B-ultrasound kugirango isuzume neza.Muri ubu buryo, ibibazo byinshi bya DVT birashobora gupimwa hakiri kare.