Mafi kyawun magani don DVT

Bisa la'akari da adadi mai yawa na ci gaba da thrombosis na ƙananan gaɓoɓin ƙafafu a asibitin Gabas ta Shanghai, tare da sabbin rahotannin bincike na kasa da kasa, tsarin da aka ba da shawarar da aka ba da shawarar yana da fa'ida na rage kumburi cikin sauri, da hana ciwon ƙananan gaɓoɓin hannu, da kuma hanzarta haɓakar ƙwayar cuta. recanalization na zurfin jijiya thrombosis.

Tsarin tsari na musamman shine kamar haka:

(1) Maganin matsawa famfo na iska mai tsaka-tsaki sau biyu a rana, fiye da mintuna 15 kowane lokaci;

(2) Sanya safa na roba tare da matsakaicin matsa lamba ko sama bayan jiyya na matsawa na iska;

(3) Ɗauki allunan Emeland sau ɗaya a rana.

(4) Marasa lafiya masu fama da thrombosis mai tsanani suna buƙatar yin amfani da heparin da warfarin don maganin hana zubar jini.A sake duba jijiya mai zurfi tare da B-ultrasound kowane watanni 6 don fahimtar sake farfadowa, kuma a sake duba jijiyar iliac tare da CT shekara guda bayan haka.

Aikace-aikacen tsarin jiyya na iska a cikin DVT

Bayanan bincike na cikin gida da na kasashen waje sun nuna cewa VTE shine muhimmin dalilin mutuwar rashin tsammani a asibitoci.Da zarar ciwon huhu ya faru, saboda yawan nakasa da kuma yawan mace-mace, farashin magani na marasa lafiya yana karuwa sosai, kuma rikice-rikicen likitancin da ke haifar da shi ma suna da yawa.

A cikin tsarin kulawa mai zurfi, saboda birki da tasirin cututtuka na marasa lafiya, marasa lafiya suna da sauƙi don haifar da samuwar DVT, kuma kusan dukkanin marasa lafiya suna da haɗari masu haɗari.Idan akai la'akari da yawancin contraindications na magungunan anticoagulant, haɗuwa da kwayoyi da rigakafin jiki ya zama zaɓin da ba zai yiwu ba ga yawancin asibitoci a lokacin lokacin jiyya.

Bisa gabatar da sabon bugu na ka'idojin kasar Sin don tantancewa, jiyya da rigakafin cutar sankarau, da ra'ayin kwararru kan rigakafin cutar sankarau mai zurfi da ciwon huhu bayan tiyatar mata da sauran jagororin, ya kamata rigakafin IPC ga majinyata masu hadarin gaske. a yi amfani da akalla sa'o'i 18 a rana.

Tsarin aikin motsin iska

Kumburi, faɗaɗa, matsi da deflate da iska ta cikin Multi jam'iyyar iska jakar tsari da rhythmically don samar da zagawa matsa lamba a kan wani reshe nama, don inganta venous dawowa, ƙarfafa arterial perfusion, inganta jini wurare dabam dabam da kuma lymphatic wurare dabam dabam, hana tari abubuwan coagulation da mannewa ga intima na jijiyoyin jini, haɓaka aikin tsarin fibrinolytic, hana Deep Vein Thrombosis (DVT) da thromboembolism na huhu (PTE), da kuma kawar da edema.

Yana kunshe ne a cikin wadannan bangarori:

1. Haɓaka kwararar jini da kuma kawar da stasis na jini;

2. Jinin da aka kara da shi ba shi da sauƙi don samar da ruwa mai zurfi a bayan bawul ɗin jijiya, don haka zai iya zubar da wuri a bayan bawul ɗin jijiyar da ke da sauƙi don samar da thrombus, don haka hana samuwar thrombus mai zurfi;

3. Ƙimar jini mai sauri yana ƙarfafa ƙwayoyin jijiyoyi na jijiyoyi don saki EDRF (factor endothelial relaxing factor), wanda zai iya shafan bangon jijiyoyin jini kuma ya hana mannewar abubuwan coagulation.