Kukho izinto esinokuzenza sonke ukunciphisa amathuba ethu okufumana igazi eliyingozi. Kubantu abasengozini enkulu kakhulu, ukongezwa ngonyango olongezelelweyo kunye noluncedo oluthe ngqo.
Indlela yokuphila
Indlela efanelekileyo yokuthintela i-thrombosis kunye nokuqulunqwa kwempilo kukuphila ngendlela enempilo-uhlobo olufanayo lokuphila oluye linciphise umngcipheko wesifo senhliziyo kunye nomhlaza.
Kungenxa yokuba izinto ezininzi zokuphila, njengokungabikho kokuzivocavoca nokubhema, ziyimingcipheko yegazi .
Ngokubhekiselele ekukhuseleni iimbophu zegazi, kubalulekile ukuba:
- ufumane umsebenzi omningi.
- ukuphepha ukuhlala ixesha elide.
- gcina ubunzima bakho kumgangatho ophilileyo.
- ku ngabikho.
Ilizwi elikhethekileyo ngokubhema
Ukubhema kunesibindi kuwe ngeendlela ezininzi, kunjalo. Wonke umntu uyazi ukuba ibangela isifo esingapheliyo sepayipi kunye nomhlaza. Kodwa ukutshaya kubangela ukutshabalalisa okunamandla kwaye okungapheliyo emithanjeni yegazi ekhawuleza i- atherosclerosis (ekhokelela ekuhlaselweni kwentliziyo, ukubetha, kunye ne- peripheral disease ).
Ukubhema ngokukodwa kukuphakamisa umngcipheko weengcipheko zegazi eziyingozi kubasetyhini abakhulelweyo okanye ukuthatha iipilisi zokulawula ukuzala okanye i-hormone yonyango.
Amanyathelo okukhusela okungeziwe
Abanye abantu, ngenxa yeemeko zabo zonyango okanye iimeko zabo, kufuneka bathathe amanyathelo athile okunciphisa umngcipheko wabo wokwenza ama-blood clots.
Aba bantu baquka abo bahamba ngokuhamba ixesha elide, abo bangenakunyuswa ixesha elide, abo banomngcipheko ophezulu ongapheliyo we-DVT okanye i-pulmonary embolus, kunye nalabo abanomngcipheko ophezulu we -coronary syndrome okanye i-stroke.
Uhambo olude
Ukuba uthatha uhambo olude nge-airplane okanye kwimoto, ingozi yakho yokuphuhlisa iDVT iyanda kakhulu.
Ukunciphisa umngcipheko, kufuneka wenze yonke imizamo yokuvuka kwaye ujikeleze ngeyure nganye okanye kunjalo. Ukuba oko kwenzeka ukuba akunakwenzeka ungasebenzisa esihlalweni sakho: welula imilenze yakho, uguqule iinyawo zakho, uze udibanise iinzwane zakho yonke imizuzu eyi-15 okanye engama-20. Kufuneka uphinde ugweme ukungcola amanzi kwaye ugweme ukugqoka iisokisi eziqinileyo.
Ukuchithwa kwempahla ngenxa yokubhedleleka, ukuxhatshazwa okanye ukuhlinzwa
Ukuba ungekho okwesikhashana ngenxa yexinzelelo, ukuhlinzwa, okanye ukulaliswa esibhedlele, uza kuba neengozi yokunyuka kwe-DVT.
Ekubeni unyango lonyango, ugqirha wakho kufuneka athathe amanyathelo okukhusela kwaye akunike icebiso ekukhuseleni i-clot yegazi. Le nyathelo ingaquka ukuphakamisa inyawo lombhede wakho, ukwenza ukuzilolonga okuthe ngqo ukugcina igazi lihamba emithanjeni yakho, kwaye uthathe unyango olwaneleyo ukugcina uhamba phambili kangangoko kunokwenzeka. Kwezinye iimeko, ikhosi ye- anticoagulant mayeza inokumiselwa.
Umngcipheko ophezulu we-DVT okanye iPolmonary Embolus
Ngokuqhelekileyo, emva kwesiganeko se-DVT okanye i-pulmonary embolus, abantu baphathwa ngeenyanga eziliqela-okanye mhlawumbi unyaka-kunye neziyobisi ze-anticoagulant. Nangona kunjalo, abanye abantu bacinga ukuba banomngcipheko omkhulu ongapheliyo we-thrombosis rhoqo kwaye kunokufuna unyango olungapheliyo lwe-antiticoagulation.
Abantu abakweli candelo baquka abo:
- I-DVT okanye i-pulmonary embolus esele iphindaphinda.
- I-DVT okanye i-pulmonary embolus engazange iveliswe ngesizathu esibonakalayo (kwaye ke ngoko kungenzeka ukuba ubuyele "kungekho sizathu").
- umdlavuza osebenzayo.
- ukuveliswa kwemfuyo ekugqibeleni kwegazi.
Fibrillation yeArivri
Abantu abanefayibriyo engapheliyo okanye ephindaphindiweyo banomngcipheko ophezulu wokuphuhlisa ama-blood clots kwi-atrium ekhohlo yentliziyo. La macwecwe angaphula kwaye avelise isisu. Abantu abane-fibrillation ye-atrial engekho nje ixesha elifutshane kufuneka baphathwe ngonyango olungapheliyo lwe-antiticoagulation.
Umngcipheko ophezulu weCononary Syndrome okanye iStroke
Abantu abasemngciphekweni omkhulu wokuba nesiganeko sesifo se-coronary syndrome (imeko eyenza ukuhlaselwa kwintliziyo kunye ne- angina engaqinisekanga ) kufuneka ibekwe kwizidakamizwa ezichasene (ezifana ne-aspirin okanye i-Plavix) ukunciphisa umngcipheko wesakhiwo se-clot xa ukugqithwa kwepastiki ye-atherosclerotic. Iziyobisi eziphambene ne-platelet zisetyenziselwa ukukhusela i-thrombosis emva kokuba i- stent ifakwe kwi-artery coronary.
Izidakamizwa ezichasene nazo ziqhelekileyo zisetyenziselwa ukunciphisa umngcipheko wezibetho ezalandelayo kubantu abanobuhlungu besifo.
> Imithombo:
> Baglin T, uBauer K, Douketis J, et al. Ubude be-Anticoagulant Treatment Emva Kwengqungquthela Yokuqala Kwingqungquthela Engenakuvuthwa I-Pulmonary Oral Vein I-Thrombosis: Isikhokelo Esivela Kwi-Ssc Ye-Isth. J Thromb Haemost 2012; 10: 698. INGXELO: 10.1111 / j.1538-7836.2012.04662.x
> Kearon C, Ageno W, Cannegieter SC, et al. Udidi lwezigulane Njengoko Ukhuphe okanye Ungavumelekanga I-Thromboembolism ehambayo: Isikhokelo esivela kwi-Ssc Ye-Isth. J Thromb Haemost 2016; 14: 1480. INGXELO: 10.1111 / jth.13336
> Lansberg MG, O'donnell Mj, Khatri P, et al. I-Antithrombotic kunye neThrobolytic Therapy I-Iskrochem Stroke: I-Antithrombotic Therapy kunye nokuthintela kwe-Thrombosis, 9Im: Iikholeji yase-American Of Chest Physicians Izikhokelo zengcebiso ngeeNtsholongwane. Ngomhla ka-2012; 141: E601S. INGXELO: 10.1378 / isifuba.11-2302
> Wright RS, Anderson Jl, Adams Cd, et al. U-ACCF / U-AHA Uhlaziyo olugxilwe kuzo Izikhokelo zokuLawula izigulane ezingenazinzileyo ze-Angina / ezingezi-St-Elevation I-Myocardial Infarction (Ukuhlaziywa kwesiKhokelo sika-2007): Umbiko we-American College of Cardiology Foundation / i-American Heart Association . Ukuhamba ngo-2011; 123: 2022. INGXELO: 10.1016 / j.jacc.2011.02.009