Ukufa Kokopha Kwasemva Kokopha Kugqithise I-Postoperative Thrombosis


Umbhali: Ophumeleleyo   

Uphononongo olupapashwe yi-Vanderbilt University Medical Centre kwi-"Anaesthesia kunye ne-Analgesia" lubonise ukuba ukopha emva kokuhlinzwa kunokukhokelela ekufeni kune-thrombus ebangelwa utyando.

Abaphandi basebenzise idatha evela kwi-National Surgical Quality Improvement Project database ye-American College of Surgeons malunga neminyaka eyi-15, kunye nobuchwepheshe obuphezulu bekhompyutheni, ukuthelekisa ngokuthe ngqo ukufa kwezigulane zaseMelika ezinokopha emva kokuhlinzwa kunye ne-thrombosis ebangelwa utyando.

Iziphumo zophando zibonisa ukuba ukopha kunomlinganiselo ophezulu kakhulu wokufa, nto leyo ethetha ukufa, nokuba ingozi esisiseko yokufa emva kotyando lwesigulane, utyando abaluqhubayo, kunye nezinye iingxaki ezinokuthi zenzeke emva kokulungiswa kotyando.Isigqibo esifanayo sesokuba ukufa okubangelwa kukopha kuphezulu kunoko kwe-thrombosis.

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I-American Academy of Surgeons ilandele ukopha kwiziko labo kwiiyure ezingama-72 emva kotyando, kwaye amahlwili egazi alandelwa kwiintsuku ezingama-30 emva kotyando.Okopha okuninzi okunxulumene noqhaqho ngokwalo ludla ngokuqala, kwiintsuku ezintathu zokuqala, kwaye amahlwili egazi, nokuba anxulumene nomsebenzi ngokwawo, angathatha iiveki eziliqela okanye ukuya kuthi ga kwinyanga ukwenzeka.

 

Kwiminyaka yakutshanje, uphando lwe-thrombosis lunzulu kakhulu, kwaye imibutho emininzi yesizwe emikhulu iye yabeka phambili iingcebiso malunga nendlela yokuphatha kakuhle kunye nokukhusela i-postoperative thrombosis.Abantu baye benza umsebenzi omhle kakhulu wokuphatha i-thrombus emva kokuhlinzwa ukuqinisekisa ukuba nangona i-thrombus iyenzeka, ayiyi kubangela ukuba isigulane sife.

Kodwa ukopha kuseyingxaki ekhathazayo emva kotyando.Kunyaka ngamnye wophononongo, izinga lokufa okubangelwa kukopha ngaphambi nasemva kotyando laliphezulu kakhulu kunelo le-thrombus.Oku kuphakamisa umbuzo obalulekileyo wokuba kutheni ukopha kukhokelela ekufeni kwabantu abaninzi kunye nendlela yokunyanga abaguli ukunqanda ukufa okunxulumene nokopha.

Ngokonyango, abaphandi bahlala bekholelwa ukuba ukuphuma kwegazi kunye ne-thrombosis zikhuphisana ngeenzuzo.Ngoko ke, amanyathelo amaninzi okunciphisa ukuphuma kwegazi kuya kwandisa umngcipheko we-thrombosis.Ngexesha elifanayo, unyango oluninzi lwe-thrombosis luya kwandisa umngcipheko wokuphuma kwegazi.

Unyango luxhomekeke kumthombo wokopha, kodwa lunokubandakanya ukuphonononga nokuphonononga kwakhona okanye ukuguqula utyando lokuqala, ukubonelela ngeemveliso zegazi ukunceda ukuthintela ukopha, kunye namayeza okuthintela ukopha emva kotyando.Eyona nto ibalulekileyo kukuba neqela leengcali ezaziyo xa ezi ngxaki zasemva kotyando, ingakumbi ukopha, zifuna ukunyangwa ngokuqatha.