He mea kaua maikaʻi no ka pale ʻana i ka thrombosis venous hohonu（1）

ʻO ka thrombosis hohonu a me ka pulmonary embolism

ʻO ka thrombosis hohonu hohonu (DVT) a me ka pulmonary embolism (PE) ua lilo i mau pilikia olakino a olakino ma ka honua.ʻO DVT a me PE nā hōʻike maoli o kahi kaʻina hana maʻi ma nā ʻāpana like ʻole a me nā pae.Ua kapa ʻia lākou he venous thromboembolism (VTE).He kiʻekiʻe ka nui o ka VTE ma hope o ka hana nui, ʻo ia kekahi o nā kumu nui o ka make perioperative a me kahi kumu nui o ka make i manaʻo ʻole ʻia i ka haukapila.

ʻO ka thrombosis hohonu hohonu (DVT) e pili ana i kahi maʻi maʻi kahi e hoʻopili ai ke koko i loko o ka vein hohonu a hana i kahi thrombus, e alakaʻi ana i ka pilikia o ka hoʻihoʻi ʻana o ke koko o nā kīʻaha koko pili.Loaʻa ma nā wāwae.Ke hāʻule ka embolus, hiki iā ia ke komo i loko o ke aʻa pulmonary ma ke kahe o ke koko, e hoʻoulu ai i ka pulmonary embolism, maʻi hoʻololi kinoea, pulmonary hypertension, a me ka puʻuwai ʻākau.I nā hihia koʻikoʻi, hiki mai ka dyspnea, ka haʻalulu a me ka make.Ua hoʻonui ʻia ka nui o ka thrombosis venous hohonu ma Kina mai 1.1 miliona i 2015 a i 1.5 miliona i 2019, a ke manaʻo ʻia nei e hoʻonui i ka 3.3 miliona e 2030, me ka piʻi ʻana o nā maʻi.

Hiki ke hōʻike ʻia nā hōʻike lapaʻau o ka pulmonary embolism mai ka asymptomatic a i ka make koke.ʻO nā hōʻailona maʻamau he dyspnea a me ka ʻeha o ka umauma, me ka nui o ka nui ma mua o 80%.Hoʻokumu ʻia ka ʻeha pleural ma muli o ka mumū pleural cellulose e pili ana, a ʻo ka hiki koke ʻana ke hōʻike pinepine i ka pulmonary infarction.Hiki ke hoʻoheheʻe ʻia ke komo ʻana o ka pleural diaphragmatic i ka poʻohiwi a i ʻole ka ʻōpū.Inā he ʻeha ma hope o ka sternum, ua like ia me ka myocardial infarction.Loaʻa paha ka hemoptysis i ka maʻi pulmonary maʻi.ʻO nā hōʻailona ʻē aʻe he hopohopo, ʻo ia paha ke kumu o ka ʻeha a i ʻole hypoxemia.ʻO ka syncope ka hōʻailona pinepine o ka pulmonary infarction.