Canje-canje a cikin ra'ayin m DVT jiyya

Zurfafa jijiyoyi (DVT) na ƙananan gaɓɓai cuta ce ta gama gari wacce ke haifar da toshewar jini a cikin zurfin jijiyoyin ƙananan gaɓɓai da toshe lumen, yana haifar da jerin alamun asibiti.

DVT ita ce cuta ta uku mafi girma ta jijiyoyi bayan cututtukan cerebrovascular da jijiyoyin jini, kuma adadin abin da ya faru yana ƙaruwa kowace shekara.DVT ya haɗa da jerin matakai na pathophysiological, kuma wasu marasa lafiya na iya haifar da kumburin huhu, ciwo mai zurfi na thrombosis, kuma a ƙarshe ya haifar da nakasa ko mutuwa.

Musamman ma, marasa lafiya na DVT da ke kai hari a asibiti sau da yawa suna haɗuwa tare da ko kuma na biyu zuwa wasu cututtuka, irin su maye gurbin haɗin gwiwa na orthopedic, cututtuka masu yawa, spine ko neurosurgery, obstetrics da gynecology, oncology, ciwon ciki, cututtuka na kullum, da dai sauransu, wanda aka cika. a kusan kowane sashe na babban asibitin kuma yana da sifofin ɓoyayyiyar farawa, 80% na marasa lafiya ba su da alamun asibiti a farkon matakin, kuma mutuwar kwatsam sau da yawa yana faruwa idan ganewar asali da magani ba su dace ba.

A cikin mataki na gaba, ba wai kawai suna da wuyar sake dawowa ba amma kuma suna da babban matsala na dogon lokaci.Daga cikin su, yawan sake dawowar VTE a cikin shekaru 5 shine 24.3%, kuma yawan maimaita VTE a cikin shekaru 8 shine 29.7%.Adadin abin da ya faru na ciwon bayan thrombotic (PTS) zai iya kaiwa fiye da 65%.Ciwon hawan jini na yau da kullun (CTEPH) kuma yana da babban abin da ya faru, Farashin magani yana da yawa, wanda ke kawo nauyin tattalin arziki mai nauyi ga marasa lafiya.Saboda haka, yadda za a inganta rigakafin da kuma bi da DVT ya kasance damuwa da yawa na likitoci.

A cikin 'yan shekarun nan, an haɓaka sabbin magungunan rigakafin baka da kuma amfani da su sosai, samfuran samfuran matattarar ƙarancin vena cava suna ci gaba da haɓakawa, aikace-aikacen asibiti ya balaga da daidaitacce, an yi amfani da na'urorin thrombolytic na thrombolytic da na'urorin cirewar thrombus mai ƙarfi, kuma Tunanin jiyya na DVT ya canza a hankali.

A cikin shekaru 20 da suka gabata, ana iya cewa ya wuce matakai guda hudu: ba da mahimmanci ga maganin bayyanar cututtuka, sarrafa yaduwar thrombus, ba da mahimmanci ga kawar da thrombus da kuma ba da mahimmanci ga kawar da ilimin etiology.