ʻO ka lapaʻau maikaʻi loa no DVT

Wahi a ka nui o nā hihia o ka sequelae o ka hohonu vein thrombosis o nā lālā haʻahaʻa i ka Halemai ʻo Shanghai Oriental, i hui pū ʻia me nā hōʻike noiʻi honua hou loa, ʻo ka papa hana lapaʻau i ʻōlelo ʻia e loaʻa i nā pono o ka hoʻohaʻahaʻa wikiwiki ʻana i ka edema, ka pale ʻana i nā maʻi ʻeha o lalo, a me ka wikiwiki ka hoʻoponopono hou ʻana o ka thrombosis vein hohonu.

ʻO ka papahana kiko'ī penei:

(1) Hoʻomaʻamaʻa ʻia ʻelua manawa i ka lā, ʻoi aku ma mua o 15 mau minuke i kēlā me kēia manawa;

(2) E hoʻohana i nā pūkuʻi elastic me ke kaomi maʻamau a i ʻole ma luna ma hope o ka hoʻomaʻamaʻa ʻana i ka hoʻoemi ʻana i ka ea;

(3) E lawe i ʻelua papa o Emeland i hoʻokahi manawa i ka lā.

(4) Pono nā maʻi me ka thrombosis nui e hoʻohana i ka heparin a me warfarin no ka mālama anticoagulation.E nānā hou i ke aʻa hohonu me ka B-ultrasound i kēlā me kēia 6 mahina e hoʻomaopopo i ka hoʻoponopono hou ʻana, a e nānā hou i ka vein iliac me CT i hoʻokahi makahiki ma hope.

Ka hoʻohana ʻana i ka ʻōnaehana hoʻōla nalu ea ma DVT

Hōʻike nā ʻikepili noiʻi kūloko a me nā ʻāina ʻē he kumu nui ka VTE o ka make i manaʻo ʻole ʻia ma nā halemai.Ke hiki mai ka pulmonary embolism, no ka nui o ke kino kīnā a me ka nui o ka make, ua hoʻonui nui ʻia ke kumukūʻai o ka mālama ʻana i nā maʻi, a ʻo nā hoʻopaʻapaʻa lāʻau i hoʻokumu ʻia e ia.

Ma ke kaʻina o ka mālama koʻikoʻi, ma muli o ka braking a me ka mana o nā maʻi ponoʻī o nā maʻi, maʻalahi loa nā mea maʻi e hoʻokumu i ka DVT, a kokoke i nā mea maʻi āpau he mau pūʻulu kiʻekiʻe.Ke noʻonoʻo nei i ka nui o nā contraindications o nā lāʻau anticoagulant, ʻo ka hui pū ʻana o nā lāʻau lapaʻau a me ka pale kino ua lilo i mea hiki ʻole ke koho no nā haukapila he nui i ka wā mālama.

E like me ka hoʻolauna ʻana o ka paʻi hou o China's Guidelines for the Diagnosis, Treatment and Prevention of Pulmonary Thromboembolism, ka Expert Consensus on the Prevention of Deep Vein Thrombosis and Pulmonary Embolism ma hope o Gynecological Surgery a me nā alakaʻi ʻē aʻe, ʻo ka pale IPC no nā maʻi kiʻekiʻe. e hoʻohana ʻia ma kahi o 18 mau hola i ka lā.

Mekani hana nalu ea

Hoʻonui, hoʻonui, ʻomi a hoʻomāliʻi i ka ea ma o ka ʻeke ea keʻena lehulehu me ka pololei a me ke kani ʻana e hana i ke kaomi ʻana i ka ʻiʻo o ka lālā, i mea e hoʻoikaika ai i ka hoʻihoʻi venous, hoʻoikaika i ka arterial perfusion, hoʻomaikaʻi i ke kahe koko a me ke kahe lymphatic, pale i ka hōʻuluʻulu ʻana o nā kumu coagulation a me ka hoʻopili ʻana i ka intima vascular, hoʻonui i ka hana o ka ʻōnaehana fibrinolytic, pale i ka Deep Vein Thrombosis (DVT) a me ka thromboembolism pulmonary (PTE), a hoʻopau i ka edema limb.

Hoʻokomo ʻia i loko o nā ʻano aʻe:

1. Hoʻoikaika i ke kahe o ke koko a hoʻopau i ka stasis koko;

2. ʻAʻole maʻalahi ke koko wikiwiki e hana i ka eddy current ma hope o ka vein valve, no laila hiki iā ia ke hoʻoheheʻe i ka wahi ma hope o ka vein valve i maʻalahi ke hana i ka thrombus, pēlā e pale ai i ke kūkulu ʻia ʻana o ka thrombus vein hohonu;

3. Hoʻoikaika ke kahe o ke koko i ka vascular endothelial cell e hoʻokuʻu i ka EDRF (vascular endothelial relaxing factor), hiki ke lubricate i ka paia vascular a keʻakeʻa i ka hoʻopili ʻana o nā mea coagulation.