Yuav kho li cas rau qhov mob hlab ntsha qhov tob (DVT)

Zoo Siab

• 1. Anticoagulant tshuaj ntsuab
• 2. Thrombolytic tshuaj ntsuab
• 3. Kev phais mob Thrombosis
• Cov cim ntawm kev txhim kho ntawm thrombosis
• Cov cim ntawm kev ua mob hnyav ntxiv

Venous thrombosis yog qhov cuam tshuam ntawm cov ntshav txaus rau hauv cov hlab ntsha los ntawm ntshav khov, lossis mob plab, thiab nws txoj kev kho mob yuav tsum tau pib sai li sai tau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nce mus rau qhov loj lossis txav mus rau lub ntsws lossis lub hlwb, ua rau mob ntsws txhaws lossis hlab ntsha tawg.

Thrombosis tuaj yeem kho tau, thiab nws txoj kev kho yog coj los ntawm tus kws kho mob lossis kws phais vascular tshwj xeeb tom qab paub cov tsos mob thiab paub meej tias txoj kev kuaj mob, thiab tuaj yeem ua nrog cov tshuaj anticoagulant, hauv cov mob me, lossis nrog thrombolytics thiab / lossis phais mob, hauv qhov hnyav tshaj cov mob loj. Txhawm rau kom nkag siab cov ntsiab lus ntxiv txog nws yog dab tsi thiab cov tsos mob ntawm tus mob thrombosis yog dab tsi, txheeb xyuas seb yuav ua li cas txheeb xyuas tus mob thrombosis.

Ib qho ntxiv, tom qab qhov mob hnyav tau dhau mus, tus kws kho mob yuav qhia txog kev siv cov txheej txheem nrawm nrawm thiab kev ua kom lub cev qoj ib ce, xws li taug kev lossis ua luam dej, los pab txhawb kev ntshav thiab tiv thaiv kom tsis txhob rov mob ntxiv.

Cov kev kho mob rau kev mob pob tsuas yog nyob ntawm cov tsos mob thiab qhov mob hnyav ntawm rooj plaub, uas yuav suav nrog:

1. Anticoagulant tshuaj ntsuab

Cov tshuaj tiv thaiv kabmob (Anticoagulants), xws li Heparin lossis Warfarin, yog thawj txoj kev khomob rau kev tso ntshav khov rau txoj hlab ntshav, vim tias nws txo qis cov ntshav muaj peev xwm ua tau, txhawm rau txhaws thiab tiv thaiv cov ntshav tawm tshiab hauv lwm qhov ntawm lub cev.

Feem ntau, thaum muaj mob thrombosis hauv ob txhais ceg lossis caj npab, kev kho mob nrog anticoagulants tau ua nrog cov ntsiav tshuaj thiab kav ntev li 3 lub hlis, thiab tuaj yeem tiv thaiv rau lub sijhawm ntev dua yog tias txhaws hnyav dhau, siv sijhawm ntev rau dilute lossis yog tias muaj yog ib yam kab mob uas ua tau ntshav khov.

Muaj ntau hom tshuaj anticoagulants, uas tuaj yeem yog:

• Txhaj tshuaj, xws li Heparin, uas tau ua haujlwm sai dua thiab raug koom nrog kev noj tshuaj ntawm Warfarin qhov ncauj, kom txog rau thaum kev kuaj mob coagulation, xws li INR thiab TPAE, qhia tau tias cov ntshav muaj tseeb nyob hauv qhov chaw tiv thaiv kev tsis haum xeeb. Tom qab ua tiav lub hom phiaj no (INR ntawm 2.5 thiab 3.5), qhov hno tau raug muab ncua, tseg tsuas yog cov ntsiav tshuaj ntawm qhov ncauj.
• Hauv cov ntsiav tshuaj, nrog rau cov tshuaj niaj hnub, xws li Rivaroxaban, uas muaj peev xwm hloov warfarin thiab tsis tas yuav kho los ntawm INR. Cov no tsis tas yuav pib ua koob tshuaj. Txawm li cas los xij, kev saib xyuas yuav tsum tau nyob hauv qee qhov qee yam xws li mob raum, hnub nyoog, hnyav thiab lawv tseem muaj tus nqi siab.

Yuav kom nkag siab zoo dua tias cov tshuaj no ua haujlwm li cas, tshuaj xyuas feem ntau ntawm cov tshuaj tiv thaiv thiab uas yog rau. Ntxiv rau, thaum kho cov tshuaj anticoagulants, tus neeg mob yuav tsum tau kuaj ntshav tas li kom ntsuas qhov tuab ntawm cov ntshav thiab zam kom tsis txhob muaj teeb meem, xws li hemorrhage lossis ntshav liab, piv txwv.

2. Thrombolytic tshuaj ntsuab

Thrombolytics, xws li streptokinase lossis alteplase, piv txwv, yog siv rau hauv cov xwm txheej uas tsuas yog cov tshuaj tiv thaiv kab mob tsis tuaj yeem kho txoj hlab ntshav sib sib zog nqus los yog thaum tus neeg mob loj txhim kho cov teeb meem loj, xws li kev mob ntsws loj heev.

Feem ntau, kev kho mob nrog thrombolytics kav ntev li 7 hnub, lub sijhawm ntawd tus neeg mob yuav tsum tau mus nyob hauv tsev kho mob kom txhaj tshuaj ncaj qha mus rau txoj leeg ntshav thiab kom tsis txhob muaj kev mob siab uas yuav ua rau mob ntshav lossis ntshav.

3. Kev phais mob Thrombosis

Kev phais mob yog siv rau hauv feem ntau qhov mob hnyav ntawm txoj hlab ntshav tob los yog thaum tsis tuaj yeem txhaws ntshav nrog kev siv ntawm cov tshuaj anticoagulants lossis thrombolytics.

Kev phais rau txoj hlab ntsws sib sib zog ua hauj lwm pab tshem tawm cov ntshav los ntawm ob txhais ceg lossis txhawm rau lim hauv qhov qis qis vena cava, tiv thaiv txoj kev kis ntawm cov ntshav mus rau hauv lub ntsws.

Cov cim ntawm kev txhim kho ntawm thrombosis

Cov cim ntawm kev txhim kho hauv thrombosis tshwm sim li ob peb hnub tom qab pib kho thiab suav nrog txo xim liab thiab mob. Kev o tuaj ntawm ob txhais ceg yuav siv sijhawm li ob peb lub lis piam los txo qis, thiab yuav rov qab ntau dua thaum hnub ntawd.

Cov cim ntawm kev ua mob hnyav ntxiv

Cov cim ntawm qhov ua kom tsis zoo ntawm cov mob plab no mas feem ntau yog hais txog kev txav ntawm cov leeg ntawm ob txhais ceg mus rau lub ntsws thiab tej zaum yuav suav nrog nyuaj ua pa nyuaj, mob hauv siab, kiv taub hau, tsaus muag lossis hnoos ntshav.

Thaum tus neeg mob qhia cov cim no ntawm kev ua tsis zoo, ib tug yuav tsum mus rau tom tsev kho mob lossis hu rau kev pab kho mob tam sim ntawd los ntawm kev hu rau 192.

Saib seb yuav ua tiav kev kho mob nrog kev kho mob hauv tsev rau thrombosis.