Ziziphi izinto ezithinta i-Blood Clot Formation?
Unyaka ngamnye malunga nama-200,000 aseMerika aphethwe ngokugqithiselwa ngokutsha. Izibalo zibonisa ukuba phakathi kwabangama-400 no-800 bahlakulela ukuxhamla kwamapulmonary embolism kwiinyanga ezintathu zokuqala ezilandelayo kule nkqubo.
Ukuxhamla kwamapulmoni kubangelwa yimeko ebizwa ngokuba yi-vein thrombosis, apho i- clot yegazi yenza i-vein deep (kaninzi emlenzeni).
Kwezinye iimeko, i-pulmonary embolism inokuphuhliswa phakathi kwezigulane ezine- DVT xa inxalenye yecala iphuma kwaye ihamba ngegazi ukuya kumphunga.
Igazi lokuKhusela ingozi kunye neNgeniso
Uphando olupapashwe ngokuphandle ngo-2000 kwi-New England Journal of Medicine lubonise ukuba phakathi kwezigulane zaseCalifornia eziya kulandela, izinto ezithile zobungozi kunye nokungenelela okuchaphazelekayo apho izigulane zavelisa utyando lwe-clot hip. Kufunyenwe ukuba:
- Izigulane ezingaphezu kwamandla amaninzi ezine-BMI ezingama-25 okanye ngaphezulu zazingama-2 1/2 amaxesha anokuthi zibhedlele kwizibilini zegazi kuneqela lolawulo.
- Ukunyanzeliswa kwe-pneumatic kwakuyinzuzo enkulu kwizigulana zesisindo esiphakathi. Ukunyanzeliswa kwe-pneumatic (i-external exitable cuffs for the massage and compressing the legs for the prevention of blood from the veins in the veins and risky risk of formulation clot) ayinciphisi umngcipheko wegazi kwiigulane ezingaphezu kwamandla.
- Izigulane zesisindo esifanelekileyo esasebenzisa ukunyanzelwa kwe-pneumatic kwakukho iipesenti ezingama-30 ukuba ziphinde zifakwe esibhedlele ngenxa yegazi njengezigulane ezingakhange ziphathwe ngokunyanzelwa kwe-pneumatic.
- Izigulane zonke iindidi zinobunzima abaye baphathwa ngonyango lwe-antiticoagulant unyango emva kokuya ekhaya babengama-60 ekhulwini nje kuphela ukuba babe neengcezu ezibonakalisiweyo njengalezo zi gulane zingafumani unyango.
Amanye amaqela ezigulane axhamla ngakumbi kwizonyango ezithile. Izifundo zibonisa ukubaluleka kokunyanzeliswa kwe-pneumatic kwizigulane ezine-BMI ngaphantsi kwe-25 kunye nokubaluleka kwe-antiticoagulant yonyango emva kokukhutshwa kwesibhedlele kodwa kufuneka kwenziwe uphando lwexesha elizayo ukuhlalutya ukungaphumeleli koxinzelelo lwe-pneumatic kwizigulane ezine-BMI ezingaphezulu kwama-25.
Izigulane eziphezulu
Ezinye izigulane zisesichengeni esiphezulu sokuphuhlisa i- pulmonary embolism emva kokuhlinzwa okutshintshileyo kunomnye. Ukongeza kwizigulane ezine-BMI ephezulu, ezi ziquka izigulane ezi:
- Yiba nembali yangaphambili yamacwecwe egazi
- Ngaba ababhemayo ababhemayo
- Okwangoku ufumana unyango lomhlaza
Iigulane ezinobungozi obuphezulu zihlala zijongwa ngokuthe ngqo kunye / okanye zifumana unyango lwegazi oluxilisayo emva kokutyunjwa kwe-hip yokutshintshela ukukhusela ama-clots ekwenzeni.
Ukuthintela izambatho zegazi Emva kokutshintsha kwe-Hip
Ukongezelela ukuxelela ugqirha ukuba unayo nayiphi na ingozi ebhekiswe ngasentla, kukho amanyathelo ongayithatha ukukhusela kwi-clot yegazi xa uhlela ukuhlinzwa. Ezi ziquka:
- Ukuyeka ukutshaya (nangona inkqubo yokuyeka ukutshaya, ukuba kuyimfuneko), eboniswe ukwandisa umngcipheko wokuphuhlisa i-blood clot ngamaxesha amahlanu.
- Gcina isisindo esifanelekileyo (okanye ulahlekelwe isisindo).
- Qalisa ukuhamba kwaye ngokukhawuleza emva kokuhlinzwa, okwenza igazi liphumelele kwinkqubo yakho kwaye livimbele ukuba lihlale kwindawo enye ixesha elide ukwenzela ukuvala.
Izibonakaliso kunye neempawu zeGazethi yeGazi
Ngaphandle kokuba i-clots ikhula, unyango luyakwazi ukuphumelela xa luchongwa phambi kokuba iingxaki ziphuhlise. Emva kokuhlinzwa, ukuvuvukala okuqhelekileyo. Nangona kunjalo, ukuba uqaphela ukukhukhumaza okanye ukunyamezela okukhulu, inqwelwe inzima kakhulu ukuhamba, kwaye / okanye uhlakulela umkhuhlane, kufuneka uqaphele ugqirha wakho.
Imithombo:
Ukugwema iingubo zegazi I-Hip-substitution Surgery, i-Newswise, 12/14/00.
I-Predictors ye-Rehospitalization ye-Symptomatic Venous Thromboembolism Emva kwe-Total Hip Arthroplasty, NEJM, 12/14/00, Vol. 343, uNombolo.24
> Sitzman, B. Todd. Ukuthintelwa kwePerioperative Deep Venous Thrombosis And Pulmonary Embolism. B. Todd Sitzman, MD, MPH, Disemba, 1998.