Izindlela Ezintathu Zokwelapha I-Thrombosis


Umbhali: Olandelayo   

Ukwelashwa kwe-thrombosis ngokuvamile ukusetshenziswa kwezidakamizwa ezilwa ne-thrombotic, ezingenza igazi lisebenze futhi lisuse ukusimama kwegazi.Ngemuva kokwelashwa, iziguli ezine-thrombosis zidinga ukuqeqeshwa kokuvuselela.Ngokuvamile, kufanele baqinise ukuqeqeshwa ngaphambi kokuba balulame kancane kancane.Ukuphumula kombhede isikhathi eside kungaholela kalula ekwandiseni inkinga ye-thrombosis.Kudingeka kakhulu ukuqinisa ukuvivinya umzimba ngemva kokwelashwa ngenxa yokungakwazi ukuzinakekela ekuphileni, ukulala embhedeni.

Mayelana nokwelashwa, kunezindlela ezintathu ezijwayelekile.

1. Ukwelashwa kwe-thrombolytic.Esigabeni sokuqala se-thrombus, i-thrombus emthanjeni iseyi-thrombus entsha.Uma i-thrombus ingancibilika futhi i-reperfusion yegazi ingenziwa, kuyoba yisinyathelo esibalulekile sokuthuthukisa ukujikeleza kwegazi, ukuvikela amangqamuzana nokukhuthaza ukululama kokusebenza.Uma kungekho ukungqubuzana ekwelashweni kwe-thrombolytic, lapho isicelo sisenesikhathi, umphumela uba ngcono.

2, i-anticoagulation therapy, nakuba ucwaningo oluningi luye lwabonisa ukuthi i-heparin anticoagulation therapy ayinalo ithemba ngomphumela we-ischemia eqhubekayo, kodwa i-infarction eqhubekayo yamanje iyinkomba yokwelapha okuphuthumayo kwe-anticoagulation, okuye kwamukelwe izazi eziningi.Uma izici ezibangela ukuqhubekela phambili kunqunywa ukuthi zikhuliswe i-infarct kanye nokungahambi kahle kwesibambiso, ukwelashwa nge-heparin kusewukukhetha kokuqala, futhi izindlela zokwelapha ngokuvamile ziwumjovo wokuthontelana nge-intravenous noma umjovo ongaphansi kwe-heparin.

3. Ukwelashwa kwe-dilution yokwandisa umthamo, ukwandiswa kwevolumu yegazi kufanele kwenziwe lapho isiguli singenayo i-edema ye-cerebral ecacile noma ukwehluleka okukhulu kwenhliziyo.