Ho buuoa ka thrombectomy ke mokhoa o ka tlosang thrombus kapele ka nako e khutšoanyane.Ka mor'a hore thrombus e hlakoloe, mothapo o koetsoeng o tla khutlela ho patency, 'me boemo bo botle ba nako e telele bo ka finyelloa ka ho hlakola ka ho feletseng thrombus ka ho buuoa.Ka lebaka la ts'oaetso e kholo, ho tsoa mali le mathata a ho buuoa, ha ho na lipetlele tse ngata tse etsang lipatlisiso tsa bongaka.
Lilemong tsa morao tjena, tšebeliso ea lithethefatsi tsa thrombolytic le tsoelo-pele e potlakileng ea theknoloji ea methapo ea methapo e etsa hore ho be le khopolo ea "thrombus clearance".Motheong oa kalafo ea anticoagulation, kalafo ea thrombolytic e ka nkuoa e le khetho e sebetsang le e sebetsang ea leano, e loketseng bakuli ba DVT ba sa kenyelletseng li-contraindication tsa thrombolytic.
Hajoale, urokinase (UK) le alteplase ke tsona tse sebelisoang ka ho fetesisa tsa fibrinolytic ho DVT Clinic thrombolytic therapy lapeng le kantle ho naha.Kalafo ea thrombolytic e ka potlakisa ts'ebetso ea thrombolytic, ea sireletsa tšebetso ea valve, ea fokotsa sekhahla sa PTS, 'me ntlafatso ea bophelo ba bakuli e amana hantle le tekanyo ea thrombolysis.Kalafo ea thrombolytic e ka aroloa ka peripheral venous thrombolysis (systemic thrombolysis) le catheter directed thrombolysis (CDT).
Ka ntlafatso ea lisebelisoa tse kenang lipakeng le theknoloji, CDT e na le melemo e hlakileng kalafong ea DVT.E ikopanya ka kotloloho le thrombus ea lehae ka lithethefatsi tsa thrombolytic, tse eketsang haholo bongata ba lithethefatsi tsa thrombolytic ho potoloha thrombus.Sebaka sa ho kopana pakeng tsa lithethefatsi tsa thrombolytic le thrombus se seholo haholo ho feta sa peripheral venous thrombolysis.Kalafo ea CDT e eketsa haholo palo ea lithethefatsi tse sebetsang ho thrombus, e eketsa haholo lebelo la ho nchafatsa methapo ka mor'a thrombolysis, 'me phello ea phekolo e molemo haholo ho feta ea peripheral venous thrombolysis.
CDT e fetohile mokhoa o sebelisoang ka ho fetisisa oa thrombolytic hona joale, o ka fokotsang ka katleho mathata a tsoang mali ha o ntse o potlakisa thrombolysis.Pharmaceutical mechanical thrombectomy (PMCT) ke sesebelisoa se pota-potileng qetellong ea hlooho, se ka senyang thrombus le ho e monya ka har'a catheter ka khatello e mpe, ebe e kopana le CDT ea setso, e ka fokotsang tekanyo ea lithethefatsi tsa thrombolytic le nako ea phekolo ka hoo e ka bang. 50%.
Phello ea thrombus clearance ea PMCT le CDT e ts'oana, empa PMCT e bolokehile, e potlakisa thrombus recanalization, e fokotsa nako ea kalafo, e fokotsa ts'ebeliso ea lithethefatsi tsa thrombolytic le mathata a ho tsoa mali, e fokotsa ts'oaetso ea PTS, e fokotsa palo ea matsatsi sepetlele mme e fokotsa nako ea kalafo. litšenyehelo tsa ho kena sepetlele.
Thuto ea Cavent ke thuto e laoloang ka mokhoa o sa reroang ea phekolo e tloaelehileng ea anticoagulant e kopantsoeng le CDT le phekolo e tloaelehileng ea anticoagulant ka acute iliofemoral deep vein thrombosis, e ileng ea hira bakuli ba lipetlele tsa 20 Northwest Norway.
Liphello tsa phuputso ena li bontša hore ha ho bapisoa le phekolo ea anticoagulant feela, phekolo ea CDT e kopantsoeng e ka fokotsa kotsi ea PTS haholo, empa ea eketsa kotsi ea ho tsoa mali hanyenyane.Leha ho le joalo, ha ho bapisoa le systemic thrombolysis, kotsi ena ea ho tsoa mali e bonahala e amoheleha.
Sephetho sena se tšehetsa khothatso ea tataiso ea morao-rao e kopantseng phekolo ea CDT e ka nkoang ho bakuli ba nang le proximal deep vein thrombosis le kotsi e fokolang ea mali.
Boemo ba Khoebo
Thekhampanie na le ea eonafektherile sehlopha sa meralo, 'me esale e etsa tlhahiso le thekiso ea lihlahisoa tsa bongaka ka nako e telele.Hona joale re na le mela e latelang ea lihlahisoa.
①Sutu ea compression ea moea（leoto la khatello ea moea,lihoete tsa khatello,liaparo tsa khatello ea moea le bakeng sa mahetlajoalo-joalo) leLetoto la lihlooho tsa DVT.
③Tourniquetkhafu
④Ho chesa ebile ho bataPhekolo ea phekolo(pakete ea leqhoa ea maqaqailaneng, pakete ea leqhoa ea setsoe, pakete ea leqhoa bakeng sa lengole, letsoho le batang la compression, pakete e batang bakeng sa mahetla jj)
⑤Ba bang ba rata lihlahisoa tsa sechaba tsa TPU.letamo la ho sesa le inflatable,anti-bedsore inflatable materase,mochine oa lengole oa phekolo o batangect）
Nako ea poso: Sep-30-2022