ʻO nā ʻano lapaʻau thrombosis ka nui o ka lāʻau lapaʻau a me ka lāʻau lapaʻau.Hoʻokaʻawale ʻia ka lāʻau lapaʻau i nā lāʻau anticoagulant, nā lāʻau antiplatelet, a me nā lāʻau thrombolytic e like me ke ʻano o ka hana.Hoʻopau i ka thrombus i hana ʻia.Hiki ke mālama ʻia kekahi poʻe maʻi e hālāwai me nā hōʻailona ma ke ʻoki ʻana.

1. Laau lapaau:

1) Nā Anticoagulants: Heparin, warfarin a me nā anticoagulants waha hou e hoʻohana mau ʻia.He hopena anticoagulant ikaika ʻo Heparin i vivo a in vitro, hiki ke pale pono i ka thrombosis vein hohonu a me ka embolism pulmonary.Hoʻohana pinepine ʻia e mālama i ka myocardial infarction a me ka thromboembolism venous.Pono e hoʻomaopopo ʻia hiki ke hoʻokaʻawale ʻia ka heparin i ka heparin unfractionated a me ka heparin paona haʻahaʻa haʻahaʻa, ʻo ka mea hope loa e ka subcutaneous injection.Hiki i ka Warfarin ke pale i nā kumu coagulation pili i ka huaora K mai ka ho'ā ʻana.He dicoumarin-type intermediate anticoagulant.Hoʻohana nui ʻia ia no nā mea maʻi ma hope o ka hoʻololi ʻana o ka puʻuwai puʻuwai, kiʻekiʻe o ka atrial fibrillation a me nā maʻi thromboembolism.Pono ke koko a me nā hopena ʻino ʻē aʻe e nānā pono i ka hana coagulation i ka wā o ka lāʻau lapaʻau.ʻO nā anticoagulants waha hou he mea palekana a maikaʻi hoʻi nā anticoagulants waha i nā makahiki i hala iho nei, me nā lāʻau saban a me ka dabigatran etexilate;

2) ʻO nā lāʻau antiplatelet: me ka aspirin, clopidogrel, abciximab, a me nā mea ʻē aʻe, hiki ke kāohi i ka platelet aggregation, a laila e pale ai i ka hoʻokumu ʻana o ka thrombus.I loko o ka maʻi maʻi maʻi coronary, hoʻohana pinepine ʻia ka hui ʻana o ka baluna o ke aʻaʻa coronary, a me nā kūlana thrombotic kiʻekiʻe e like me ka stent implantation, aspirin a me clopidogrel;

3) Nā lāʻau lapaʻau Thrombolytic: me streptokinase, urokinase a me ka tissue plasminogen activator, etc., hiki ke hoʻoikaika i ka thrombolysis a hoʻomaikaʻi i nā hōʻailona o nā maʻi.

2. Ka lāʻau lapaʻau:

Me ka thrombectomy hana, thrombolysis catheter, ultrasonic ablation, a me mechanical thrombus aspiration, pono e hoomaopopo pono i na kuhikuhi a me na contraindications o ke oki.ʻO ka maʻi maʻi, ke manaʻoʻiʻo ʻia ʻaʻole kūpono nā maʻi me ka thrombus lua ma muli o ka thrombus kahiko, coagulation dysfunction, a me nā maʻi maʻi maʻi ʻaʻole kūpono no ka lapaʻau ʻana, a pono e mālama ʻia e like me ka ulu ʻana o ke kūlana o ka mea maʻi a ma lalo o ke alakaʻi a ke kauka.