Indlela yokucima igazi ibaluleke kakhulu ebomini. Xa isitya segazi sonakaliswe ngengozi, indlela yokuqhawula ngokuqhelekileyo iqinisekisa ukuba ukulahleka kwegazi kuya kuncitshiswa. Ngaphezu koko, i-clot yegazi eyenza kwisayithi yokulimala inikeza inyathelo lokuqala lomzimba ekuphulukeleni ukulimala.
Nangona kunjalo, ukuba i-clot yegazi ifomathi xa ingafanelekanga, iingxaki ezinzulu zingabangela ukuba i-clot ingabangela umonakalo omkhulu kwiziko elinikezelweyo (okanye lidityaniswe) ngesixhobo esivinjiweyo.
Yingakho ukufumanisa i-clot-eyenzekayo ngeyobini kunye novavanyo lwe-imaging-kubaluleke kakhulu.
Ixesha lokufumana i-Blood Clot
Kuye kubalulekile ukuxilonga ubukho kunye nendawo ye-thrombus okanye i-embolus, iindidi ezimbini ze-clots zamagazi, kuba uhlobo olunakho olukhulu lokuvelisa umonakalo weethambo. Ukwenza utyilongo oluchanekileyo kubaluleke kakhulu ekumiseni unyango oluchanekileyo.
Iimeko eziqhelekileyo zonyango eziqhelekileyo ngenxa ye-thrombus okanye i-embolus ziquka:
- I-Stroke , edlalwa yintlungu yodwa yemirhobho enika ingqondo, okanye i-embolus ehamba kwiingqondo (ininzi ivela entliziyweni).
- Ukuhlaselwa kwintliziyo , esondele rhoqo ngenxa yokuphuka kweplate ye- atherosclerotic , ebangela ukuba i-thrombus ibe kwifom ye-coronary artery.
- I-deep vein thrombosis (DVT) , i-clot eyenza kwelinye leemithanjeni ezinkulu zomlenze, intamo okanye i-pelvis.
- I-pulmonary embolus , i-clot yegazi ehamba emapapeni, ngokuqhelekileyo esuka kwi-thrombosis ejulile.
- Ezinye iimeko, kubandakanywa ne-thrombosis ye-vein vein ekhupha isibindi (i-portal vein thrombosis), i-thrombosis ye-vein ekhupha intliziyo (intsholongwane ye-vein thrombosis), kunye nokuqulunqwa kwe-clot kwintonga okanye umlenze.
Ngayiphi na le miqathango, phambi kokuba unyango olufanelekileyo lunokulawulwa kubalulekile ukubonisa ngaphaya kokungathandabuzeki ukuba i-clot yegazi empeleni ibangela ingxaki.
Uvavanyo lweBeb
Iimvavanyo zeBhodi zokuxilonga i-clot yegazi zingakuvavanya umsebenzi ongaqhelekanga kwaye unikeze iinkcukacha eziza kukuncedisa umzimba wakho omncinci unciphise ukuxilongwa kwakho.
I-D-Dimer iGill Test
Uvavanyo lwegazi lwe-D-dimer lubona ukuba ngaba kungekudala liye libe lizinga elingavumelekanga lomsebenzi othile wokungcebeleka kwindawo ethile ngaphakathi kwegazi. Olu vavanyo lulona luncedo kakhulu kunceda oogqirha banqabise ukusola kwabo ukuba i-DVT okanye i-pulmonary embolus yenzeka.
Biararkers zeCardia
Iimpawu ze-cardiac biomarkers zisetyenziselwa ukuxilonga ukuhlaselwa kwentliziyo. Ezi zivivinyo zegazi azixilanga ngokucacileyo iiplanga zegazi; Kunoko, bafumanisa ukuba kukho umonakalo wentliziyo-umonakalo obangelwa rhoqo ngenxa yecala le-artery corridary, kunye nesakhiwo se-thrombosis esilandelayo.
Uvavanyo lweemvavanyo
Ugqirha wakho uya kulawula iimvavanyo zokucinga ezibonakalayo eziyimfuneko ukuze enze uvavanyo olufanelekileyo. Buza ugqirha wakho ukuba uvavanyo luya kubonakalisa ntoni, kwaye qi ni sekise ukuba uphakamise nayiphi na inkxalabo enayo malunga nenkqubo.
Ukunyanzeliswa kwe-Ultrasound
Uvavanyo lovavanyo lwe-ultrasound luvavanyo olungenakuvakalayo olunokuthi lwenziwa kwinqanaba lokulala elisoloko luncedo kakhulu ekufumaneni i-DVT.
V / Q Scan
Ukufundwa kwe-perfusion ye-ventilation (V / Q ukuskena) luvavanyo ngokusebenzisa idayi ye-radioactive ukuhlola ukuhamba kwegazi kwimiphunga, ukubona ukuba isitya segazi se-pulmonary sivaliwe yi-pulmonary embolus.
CT Scan
I-scan ye-CT yinkqubo ye-x-ray ekhompyutheni engabonisa inani elimangalisayo le-anatomiki. I-CT scan iyona incedo ngokukhethekileyo ekuqinisekiseni ukuba uhlangothi oluye lwabangelwa yi-embolus okanye i-thrombus, kwaye ngokuqhelekileyo luvavanyo lokuqala olusetyenziswa ekuhloliseni i-stroke. I-scan scan ingaba luncedo kakhulu ekuqinisekiseni i-pulmonary embolus.
MRI Scan
Njengoko i-CT ihlola, i- MRI i-scans ingasetyenziselwa ukufumanisa i-clots ngaphakathi kwemithambo yegazi. Ezi mvavanyo zilukhuni kunzima ukwenza ngaphezu kwe-CT, ngakho ke xa ixesha li-core scans i-CT isetyenziswa rhoqo.
Angiography okanye Venography
Le ndlela yindlela yokwenza i-catheterization apho idayi ifakwe kwisitya segazi apho i-clot ikhunjulwa kwaye i-ray-ray iyathathwa ukuze ibone i-clot.
I-pulmonary angiography ingasetyenziselwa ukuxilonga i-pulmonary embolus; venography ukuxilonga iDVT. Ngenxa yokufumaneka kweengxelo ze-CT kunye ne-MRI, le mvavanyo i-invasives ifunekayo ukwenzela ukuba uhlolisiso luninzi kangangoko kunokuba bekunjalo kwixesha elidlulileyo ukuxilonga i-thrombus okanye i-embolus.
Echocardiography
I-Echocardiograms isoloko isetyenziswa kwizigulane eziye zineengqungquthela ezichaphazela umthamo-ikakhulukazi kubantu abanobuhlungu besisu. Ukuze ungene kumzobo, phantse nakwiimeko zonke ukumbumbana kuya kufuneka kuvele kwintliziyo okanye ukuhamba ngeentliziyo.
I-echocardiogram iyakwazi ukubona i-thrombus eyenziwe entliziyweni (ngokuqhelekileyo kwi-atrium ekhohlo kumntu onobumba be-fridays , okanye kwi-ventricle ekhohlo kumntu onomzimba okhulayo . I-echocardiogram inokufumanisa iingxaki zentliziyo ezingavumela i-embolus ukuba idlulise intliziyo, njengelungelo lobunikazi be-oamil ovale .
> Imithombo:
> Ii-Fields JM, Davis J, Girson L, et al. I-Transthoracic I-Echocardiography Ukufumana ukuxilongwa kwe-Pulmonary Embolism: Uhlolo lokuHlola kunye ne-Meta-Analysis. J Am Soc Echocardiogr 2017; 30: 714. i-doi: 10.1016 / j.echo.2017.03.004.
> Gibson NS, Schellong SM, Kheir DY, et al. Ukhuseleko kunye nobuzwe obuninzi kwiinkalo ezimbini ze-ultrasound kwizigulane ezinezonyango ezixhatshazwayo. J Thromb Haemost 2009; 7: 2035. i-doi: 10.1016 / j.echo.2017.03.004.
> Stein PD, Yaekoub AY, Matta F, et al. IsiGqibo sokuQiniswa kwePulmonary kwiCt Pulmonary Angiography. I-Ajr Am J Roentgenol 2010; 194: 1263. i-doi: 10.2214 / AJR.09.3410.
> Weitz JI, Fredenburgh JC, Eikelboom JW. Uvavanyo Ngomxholo: D-Dimer. J Am Coll Cardiol 2017; 70: 2411. i-doi: 10.2214 / AJR.09.3410.