Hoʻololi i ka manaʻo o ka mālama ʻana i ka DVT acute

ʻO ka thrombosis hohonu hohonu (DVT) o nā lālā haʻahaʻa he maʻi maʻamau i hoʻokumu ʻia e ke koko koko i loko o nā aʻa hohonu o nā lālā haʻahaʻa a hoʻopaʻa ʻia i ka lumen, e hopena i ke ʻano o nā hōʻailona maʻi.

ʻO ka DVT ke kolu o ka maʻi vascular nui loa ma hope o nā maʻi cerebrovascular a me nā maʻi ʻaʻaʻa coronary, a ke piʻi aʻe nei ka piʻi ʻana i kēlā me kēia makahiki.Aia ka DVT i nā kaʻina hana pathophysiological, a hiki i kekahi poʻe maʻi ke hoʻomohala i ka pulmonary embolism, deep vein thrombosis syndrome, a hiki ke alakaʻi i ke kīnā a i ʻole ka make.

ʻO ka mea nui, hui pinepine ʻia nā maʻi DVT e hōʻeha i ka haukapila me nā maʻi ʻē aʻe a i ʻole ke kula kiʻekiʻe, e like me ka orthopedic joint replacement, multiple trauma, spine or neurosurgery, obstetrics and Gynecology, oncology, internal medicine chronic diseases, etc., i hoʻopiha ʻia. ma kahi kokoke i kēlā me kēia keʻena o ka haukapila nui a loaʻa nā ʻano o ka hoʻomaka huna ʻana, 80% o nā mea maʻi ʻaʻohe hōʻailona maʻi i ka wā mua, a hiki pinepine ka make koke inā ʻaʻole kūpono ka maʻi a me ka mālama ʻana.

I ka pae hope, ʻaʻole hiki ke hoʻi hou akā loaʻa pū kekahi i nā pilikia lōʻihi lōʻihi.I waena o lākou, ʻo ka helu hoʻi hou o VTE i 5 mau makahiki he 24.3%, a ʻo ka helu hoʻi hou o VTE i 8 mau makahiki he 29.7%.Hiki ke piʻi ka helu o ka post thrombotic syndrome (PTS) ma mua o 65%.He kiʻekiʻe nō hoʻi ka maʻi o ka pulmonary hypertension (CTEPH), He kiʻekiʻe ke kumukūʻai lapaʻau, e lawe mai ana i ke kaumaha hoʻokele waiwai i nā maʻi.No laila, pehea ka maikaʻi o ka pale ʻana a me ka mālama ʻana i ka DVT i mea hopohopo nui i nā kauka.

I nā makahiki i hala iho nei, ua hoʻomohala ʻia nā anticoagulants waha hou a hoʻohana nui ʻia, ua hoʻomaikaʻi mau ʻia nā huahana o nā kānana vena cava haʻahaʻa, ua hoʻomaʻamaʻa ʻia ka noiʻi lāʻau lapaʻau, ua hoʻohana nui ʻia nā thrombolytic catheters a me nā mīkini hoʻohemo thrombus. ua loli mālie ka manaʻo lapaʻau o DVT.

I nā makahiki he 20 i hala iho nei, hiki ke ʻōlelo ʻia ua hele ʻo ia ma nā pae ʻehā: hoʻopili i ka mea nui i ka mālama ʻana i nā hōʻailona, ​​​​ka mālama ʻana i ka laha thrombus, hoʻopili i ka mea nui i ka wehe ʻana i ka thrombus a hoʻopili i ka mea nui i ka hoʻopau ʻana i ka etiology.