Izindlela zokwelapha i-thrombosis ikakhulukazi zihlanganisa ukwelashwa kwezidakamizwa kanye nokwelashwa kokuhlinzwa.Ukwelashwa kwezidakamizwa kuhlukaniswe izidakamizwa ze-anticoagulant, izidakamizwa ze-antiplatelet, nezidakamizwa ze-thrombolytic ngokuya ngendlela yokusebenza.Incibilikisa i-thrombus eyakhiwe.Ezinye iziguli ezihlangabezana nezinkomba zingelashwa ngokuhlinzwa.

1. Ukwelashwa kwezidakamizwa:

I-1) Ama-Anticoagulants: I-Heparin, i-warfarin kanye nama-anticoagulants omlomo amasha avame ukusetshenziswa.I-Heparin inomphumela oqinile we-anticoagulant ku-vivo kanye ne-in vitro, engavimbela ngempumelelo i-deep vein thrombosis kanye ne-pulmonary embolism.Ngokuvamile isetshenziselwa ukwelapha i-acute myocardial infarction kanye ne-venous thromboembolism.Kufanele kuqashelwe ukuthi i-heparin ingahlukaniswa ibe i-heparin engahlukanisiwe ne-heparin enesisindo esiphansi samangqamuzana, lena yokugcina Ngokuyinhloko ngomjovo ongaphansi kwesikhumba.I-Warfarin ingavimbela izici ze-coagulation ezincike ku-vitamin K ukuthi zisebenze.Kuyi-anticoagulant yohlobo lwe-dicoumarin ephakathi.Isetshenziselwa ikakhulukazi iziguli ngemva kokushintshwa kwevalvu yenhliziyo yokwenziwa, i-atrial fibrillation eyingozi kakhulu kanye neziguli ze-thromboembolism.Ukopha nokunye ukusabela okubi kudinga ukuqapha ngokucophelela ukusebenza kwe-coagulation ngesikhathi somuthi.Ama-anticoagulants omlomo amasha aphephile futhi asebenza ngempumelelo ama-anticoagulants omlomo eminyakeni yamuva, kuhlanganise nezidakamizwa ze-saban kanye ne-dabigatran etexilate;

2) Izidakamizwa ze-Antiplatelet: kufaka phakathi i-aspirin, i-clopidogrel, i-abciximab, njll., ingavimbela ukuhlangana kweplatelet, ngaleyo ndlela ivimbele ukwakheka kwe-thrombus.Ku-acute coronary syndrome, i-coronary artery balloon dilatation, kanye nezimo eziphezulu ze-thrombotic ezifana nokufakelwa kwe-stent, i-aspirin ne-clopidogrel ngokuvamile isetshenziswa ngokuhlangene;

3) Izidakamizwa ze-thrombolytic: kufaka phakathi i-streptokinase, i-urokinase kanye ne-activator ye-plasminogen yezicubu, njll., engakhuthaza i-thrombolysis futhi ithuthukise izimpawu zeziguli.

2. Ukwelashwa ngokuhlinzwa:

Kubandakanya i-thrombectomy yokuhlinzwa, i-catheter thrombolysis, ukukhishwa kwe-ultrasonic, kanye ne-mechanical thrombus aspiration, kuyadingeka ukubamba ngokuqinile izinkomba kanye nokuphikisana nokuhlinzwa.Ngokomtholampilo, ngokuvamile kunenkolelo yokuthi iziguli ezine-thrombus yesibili ebangelwa i-thrombus endala, ukungasebenzi kahle kwe-coagulation, nezimila ezimbi azifanelekile ukwelashwa kokuhlinzwa, futhi zidinga ukwelashwa ngokuvumelana nokuthuthuka kwesimo sesiguli nangaphansi kokuqondisa kukadokotela.