Nzira dzekurapa thrombosis dzinonyanya kusanganisira kurapa kwezvinodhaka uye kurapa kwekuvhiya.Kurapa kwezvinodhaka kunokamurwa kuita anticoagulant zvinodhaka, antiplatelet zvinodhaka, uye thrombolytic zvinodhaka zvinoenderana nemagadzirirwo echiito.Inobvisa thrombus.Vamwe varwere vanosangana nezviratidzo vanogonawo kurapwa nekuvhiyiwa.

1. Kurapa zvinodhaka:

1) Anticoagulants: Heparin, warfarin uye itsva oral anticoagulants inowanzoshandiswa.Heparin ine yakasimba anticoagulant effect mu vivo uye in vitro, iyo inogona kunyatsodzivirira yakadzika vein thrombosis uye pulmonary embolism.Inowanzoshandiswa kurapa acute myocardial infarction uye venous thromboembolism.Zvinofanira kucherechedzwa kuti heparin inogona kukamurwa kuva unfractionated heparin uye yakaderera molecular uremu heparin, iyo yekupedzisira Kunyanya ne subcutaneous jekiseni.Warfarin inogona kudzivirira vhitamini K-inotsamira coagulation zvinhu kubva pakuitwa.Iyo dicoumarin-mhando yepakati anticoagulant.Inonyanya kushandiswa kuvarwere mushure mekugadzirwa kwevharuvhu yemwoyo, yakakwirira-ngozi yeatrial fibrillation uye varwere vane thromboembolism.Kubuda ropa uye kumwe kukanganisa kunoda kunyatsotariswa kweiyo coagulation basa panguva yekurapa.New oral anticoagulants yakachengeteka uye inoshanda nemuromo anticoagulants mumakore achangopfuura, kusanganisira saban zvinodhaka uye dabigatran etexilate;

2) Mishonga yeAntiplatelet: inosanganisira aspirin, clopidogrel, abciximab, nezvimwewo, inogona kurambidza kusanganiswa kweplatelet, nokudaro ichidzivisa kuumbwa kwethrombus.Mune acute coronary syndrome, coronary artery balloon dilatation, uye yakakwirira-thrombotic mamiriro akadai se stent implantation, aspirin uye clopidogrel inowanzoshandiswa pamwe chete;

3) Thrombolytic mishonga: kusanganisira streptokinase, urokinase uye tissue plasminogen activator, nezvimwewo, izvo zvinogona kukurudzira thrombolysis uye kuvandudza zviratidzo zvevarwere.

2. Kuvhiya kurapwa:

Kusanganisira kuvhiya thrombectomy, catheter thrombolysis, ultrasonic ablation, uye mechanic thrombus aspiration, zvinodikanwa kunyatso nzwisisa zvinongedzo uye zvinopesana nekuvhiyiwa.Muchipatara, zvinotendwa kuti varwere vane thrombus yechipiri inokonzerwa nekare thrombus, coagulation dysfunction, uye mamota akaipa haana kukodzera kurapwa kwekuvhiyiwa, uye inoda kurapwa zvinoenderana nekukura kwemamiriro emurwere uye pasi pekutungamirwa nachiremba.