Nzira Yekudzivirira Ropa Kuvhara?


Munyori: Mutsivi   

Mumamiriro ezvinhu akajairika, kuyerera kweropa mutsinga uye mutsinga kunoramba kuripo.Kana ropa ragwamba mutsinga yeropa, inonzi thrombus.Nokudaro, kuvhara kweropa kunogona kuitika mutsinga uye mutsinga.

Arterial thrombosis inogona kukonzera myocardial infarction, sitiroko, nezvimwe.

 

Venous thrombosis inogona kutungamirira kune yakaderera kumucheto venous thrombosis, pulmonary embolism, nezvimwewo.

 

Antithrombotic mishonga inogona kudzivirira kugwamba kweropa, kusanganisira antiplatelet uye anticoagulant zvinodhaka.

 

Kuyerera kweropa mutsinga inokurumidza, platelet aggregation inogona kuumba thrombus.Nheyo yekona yekudzivirira uye kurapwa kwe arterial thrombosis ndeye antiplatelet, uye anticoagulation inoshandiswawo muchikamu chakaoma.

 

Kudzivirira uye kurapwa kwevenous thrombosis kunonyanya kutsamira pane anticoagulation.

 

Inowanzoshandiswa antiplatelet mishonga yevarwere vemwoyo inosanganisira aspirin, clopidogrel, ticagrelor, etc. Basa ravo guru nderokudzivirira kusanganiswa kweplatelet, nokudaro kudzivirira thrombosis.

 

Varwere vane chirwere chemwoyo vanoda kutora aspirin kwenguva yakareba, uye varwere vane stents kana myocardial infarction vanowanzoda kutora aspirin uye clopidogrel kana ticagrelor panguva imwechete ye1 gore.

 

Iyo inowanzoshandiswa anticoagulant mishonga yevarwere vemoyo, yakadai sewarfarin, dabigatran, rivaroxaban, nezvimwewo, inonyanya kushandiswa kune yakaderera venous thrombosis, pulmonary embolism, nekudzivirira sitiroko kune varwere vane atrial fibrillation.

 

Zvechokwadi, nzira dzataurwa pamusoro apa inzira chete dzekudzivirira kuvhara ropa nemishonga.

 

Muchokwadi, chinhu chakakosha kudzivirira thrombosis mararamiro ane hutano uye kurapwa kwezvirwere zviri pasi, sekudzora akasiyana siyana engozi kudzivirira kufambira mberi kweatherosclerotic plaque.