Njira zochizira thrombosis makamaka zimaphatikizirapo mankhwala ndi mankhwala opangira opaleshoni.Thandizo la mankhwala limagawidwa mu anticoagulant mankhwala, antiplatelet mankhwala, ndi thrombolytic mankhwala malinga ndi limagwirira ntchito.Amasungunuka anapanga thrombus.Odwala ena omwe amakumana ndi zizindikiro angathenso kuthandizidwa ndi opaleshoni.

1. Chithandizo chamankhwala:

1) Anticoagulants: Heparin, warfarin ndi anticoagulants atsopano amkamwa amagwiritsidwa ntchito kwambiri.Heparin imakhala ndi anticoagulant yamphamvu mu vivo ndi mu vitro, yomwe imatha kuteteza kwambiri mitsempha yamagazi ndi pulmonary embolism.Nthawi zambiri amagwiritsidwa ntchito pochiza pachimake myocardial infarction ndi venous thromboembolism.Tikumbukenso kuti heparin akhoza kugawidwa mu unfractionated heparin ndi otsika maselo kulemera heparin, yotsirizira Makamaka ndi subcutaneous jekeseni.Warfarin imatha kuletsa zinthu zomwe zimadalira vitamini K kuti zisayambike.Ndi dicoumarin-mtundu wapakati anticoagulant.Amagwiritsidwa ntchito makamaka kwa odwala pambuyo popanga valavu yamtima, chiopsezo chachikulu cha atria fibrillation ndi odwala thromboembolism.Kutuluka magazi ndi zovuta zina zimafunikira kuyang'anitsitsa momwe ntchito ya coagulation ikuyendera panthawi ya mankhwala.New m`kamwa anticoagulants ndi otetezeka ndi ogwira m`kamwa anticoagulants m`zaka zaposachedwapa, kuphatikizapo saban mankhwala ndi dabigatran etexilate;

2) Antiplatelet mankhwala: kuphatikizapo aspirin, clopidogrel, abciximab, etc., akhoza ziletsa kupatsidwa zinthu za m`mwazi aggregation, potero kuletsa thrombus mapangidwe.Mu pachimake coronary syndrome, coronary artery balloon dilatation, ndi high-thrombotic mikhalidwe monga stent implantation, aspirin ndi clopidogrel nthawi zambiri amagwiritsidwa ntchito limodzi;

3) Thrombolytic mankhwala: kuphatikizapo streptokinase, urokinase ndi minofu plasminogen activator, etc., amene angathe kulimbikitsa thrombolysis ndi kusintha zizindikiro za odwala.

2. Chithandizo cha opaleshoni:

Kuphatikizapo opaleshoni thrombectomy, catheter thrombolysis, akupanga ablation, ndi makina thrombus aspiration, m`pofunika mosamalitsa kumvetsa zikuonetsa ndi contraindications opaleshoni.Kachipatala, ambiri amakhulupirira kuti odwala thrombus yachiwiri chifukwa cha thrombus wakale, coagulation kukanika, ndi zotupa zilonda si oyenera mankhwala opaleshoni, ndipo ayenera kuthandizidwa mogwirizana ndi chitukuko cha wodwalayo ndi motsogoleredwa ndi dokotala.