Chii chinonzi Deep Vein Thrombosis? Zviratidzo, Zvinokonzera, & Kurapa

Deep vein thrombosis (DVT), kana kuti kuumbwa kwema clots eropa mumitsinga mikuru yemuviri, kazhinji mumakumbo. Fungidzira ropa rako richikora richizova semvura yakaoma mukati memutsinga uri mukati memakumbo ako, kwete pedyo neganda.

Kunyangwe izvi zvinganzwa zvichitya, DVT chirwere chinogona kurapwa kana chaonekwa pakutanga. Kunzwisisa zviratidzo uye kuziva nguva yekutsvaka rubatsiro kunogona kuita musiyano mukuru mukupora kwako nehutano hwako hweramangwana.

Ndezvipi zviratidzo zveDeep Vein Thrombosis?

Zviratidzo zveDVT zvinogona kunge zvishoma pakutanga, uye vamwe vanhu vangasazvioni. Zviratidzo zvakajairika zvinokanganisa gumbo rakaumbwa clot, kunyangwe zvichigona kusiyana kubva kune munhu kune mumwe.

Heano zviratidzo zvikuru zvekuchengetedza:

• Kutemba kwemukumbo mumwe, rutsoka, kana tsoka risina kufanana nerimwe divi
• Kurwadziwa kana kunzwa kusingafadzi mugumbo rako kunganzwa sekukwenya kana kurwadziwa
• Kupisa munzvimbo yakabatwa paunoi bata
• Ganda dema kana rakachinja ruvara, kazhinji rine ruvara rwebhuruu
• Kurwadziwa kwemukumbo kunowedzera paunokotamira tsoka yako kumusoro
• Kunzwa kurema kana kurwadziwa mugumbo rakabatwa

Dzimwe nguva DVT inogona kuitika pasina zviratidzo zvakajeka, ndosaka kazhinji inonzi chirwere “chisina ruzha”. Muviri wako ungave uchishanda kuti udzime ma clots madiki zvakasikwa, kana kuti clot ingave isingavhari zvakakwana kuyerera kweropa kuti iite shanduko inonzwisisika.

Muitiro usingawanzoitika, unogona kuona zviratidzo mumaoko ako kana clot yakaumbwa mumutsinga wemukono. Izvi zvinogona kuitika mushure mekuvhiyiwa kunosanganisira mitsinga yemukono kana kubva pakufamba kwakawanda kwemaoko mumabasa akati kana mitambo.

Chii chinokonzera Deep Vein Thrombosis?

DVT inoitika kana kuyerera kweropa kwako kwakajairika kukanganiswa, zvichikonzera kuumbwa kwe clot. Ropa rako rinoda kugara richifamba zvakanaka mumitsinga yako, asi mamiriro ezvinhu akati anogona kukanganisa iyi nzira.

Zvinhu zvikuru zvinokonzera kukura kweDVT zvinosanganisira:

• Kusafamba kwenguva refu kubva pakufamba kwenguva refu, kuzorora mubhedha, kana kugara kwenguva yakareba
• Kuoperesheni, kunyanya kuoperesheni kukuru kunosanganisira makumbo ako, magaro, kana mudumbu
• Kukuvadzwa kana kukuvara kumitsinga yako kubva kutsakatika kana kuongororwa kwakaitwa nachiremba
• Mishonga yakati semapiritsi ekudzivirira pamuviri kana kurapwa kwehomoni
• Kukura uye nguva yekuzvarwa mushure mekuzvara nekuda kwekumanikidzwa kwakawanda uye shanduko dzehormone
• Kenza nemamwe kurapwa kwenyoka kunokanganisa kuoma kweropa
• Zvirwere zvekuoma kweropa zvinowanikwa mumhuri

Ropa rako rine huwandu hwakakwana hwezvinhu zvinoita kuti ropa riome zvinowanzo kudzivirira kubuda ropa kwakawanda uye kuumbwa kwe clot kusina kunaka. Kana iyi nhamburiko ikachinja, ropa rako rinogona kuva nekukwanisa kuumba ma clots kunyangwe pasina kukuvara kunoda kurapwa.

Zvisingawanzoitika, DVT inogona kubva pazvirwere zvisingawanzoitika senge May-Thurner syndrome, uko mutsinga unomanikidzwa ne artery, kana kubva kune zvirwere zvisingawanzoitika zvinokanganisa mitsinga yako yeropa zvakananga.

Nguva yekuona chiremba weDeep Vein Thrombosis?

Unofanira kubata chiremba wako pakarepo kana ukaona kutemba kwakapfupi, kurwadziwa, kana kuchinja kwemavara mugumbo rako. Aya maratidzo anoda kutarisirwa nekukurumidza kwakakosha nekuti kurapwa pakutanga kunogona kudzivirira matambudziko akakomba.

Tsvaka rubatsiro rwekukurumidza rwezvokurapa pakarepo kana ukaona zviratidzo zvekuti clot ingave yafamba kumapfupa ako, mamiriro anonzi pulmonary embolism. Aya maratidzo anokurumidza anosanganisira kushaya mweya kwakapfupi, kurwadziwa pachipfuva kunowedzera nekufemba, kuomesa kwemoyo, kukosora ropa, kana kunzwa kusagadzikana.

Usamirira kana uri kuona aya maratidzo ekunyevera, kunyangwe usati waziva zvachose kuti ane chekuita neDVT. Timu yako yekurapa inoda kukuongorora nekukurumidza uye kuwana chinhu chisingakuvadzi pane kukumirira kurapwa kwemamiriro ezvinhu anogona kuuraya.

Ndezvipi zvinhu zvinokonzera Deep Vein Thrombosis?

Kunzwisisa zvinhu zvinokonzera njodzi yako kunogona kukubatsira kutora matanho ekudzivirira uye kuziva kana uri panjodzi yakakura yekuwana DVT. Zvimwe zvinhu zvinokonzera njodzi zvaunogona kudzora, nepo zvimwe zviri chikamu chemhoro yako yekurapa kana genetics.

Zvinhu zvakajairika zvinokonzera njodzi zvinosanganisira:

• Zera rinopfuura makore 60, kunyangwe DVT inogona kuitika pazera ripi zvaro
• Kuita uremu kana kunyanya kuita uremu, izvo zvinoisa kumanikidzwa kwakawanda pamitsinga yemukumbo
• Kusvuta, izvo zvinokanganisa kuyerera kweropa uye kuoma
• Kugara kana kurara kwenguva yakareba nguva dzose
• Kuva neDVT kana pulmonary embolism kare
• Nhoroondo yemhuri yezvirwere zvekuoma kweropa
• Kuoperesheni kana kupinda muchipatara ichangopfuura
• Kenza inoshanda kana kurapwa kwenyoka

Vamwe vanhu vane zvinhu zvakawanda zvinokonzera njodzi, izvo zvinogona kuwedzera mukana wavo wekuwana DVT. Zvisinei, kuva nezvinhu zvinokonzera njodzi hazvirevi kuti uchawana clot. Vanhu vakawanda vane zvinhu zvakawanda zvinokonzera njodzi havambofi vaona DVT, nepo vamwe vane zvinhu zvishoma zvinokonzera njodzi vangangova nechirwere ichi.

Zvirwere zvisingawanzoitika zvemagene senge Factor V Leiden mutation kana protein C deficiency zvinogona kuwedzera njodzi yako yekuomarara. Aya marwere anowanikwa mumhuri anokanganisa maitiro eropa rako rinooma uye angada kutarisirwa kwakakosha muhupenyu hwako hwese.

Ndezvipi zvinogona kuitika zvinetso zveDeep Vein Thrombosis?

Kunyangwe vanhu vakawanda vane DVT vanopora zvizere nekurapwa kwakakodzera, zvakakosha kunzwisisa matambudziko anogona kuitika kuitira kuti uzive zviratidzo zvekuyambira uye utsvake rubatsiro rwakakodzera kana zvichidiwa.

Chinetso chakakomba chaicho ndicho pulmonary embolism, chinoitika kana chikamu che clot yeropa chikabuda chichienda kumapfupa ako. Izvi zvinogona kudzivirira kuyerera kweropa kune tishu dzemapfupa ako uye zvinogona kuuraya kana zvisina kurapwa nekukurumidza.

Mamwe matambudziko anogona kuitika anosanganisira:

• Post-thrombotic syndrome, inokonzera kurwadziwa kwenguva refu kwemukumbo uye kutemba
• Chronic venous insufficiency, uko mitsinga yemukumbo haishande zvakanaka
• Kuchinja kwe ganda uye maronda munzvimbo yakabatwa
• Kuwedzera kweDVT mune ramangwana
• Kuderedzwa kwekuita uye hupenyu hwakanaka kubva pazviratidzo zvinoramba zvichiitika

Post-thrombotic syndrome inokanganisa anenge 20-30% yevanhu vane DVT, kazhinji ichionekwa mwedzi kusvika kumakore mushure me clot yekutanga. Mavharuvhu emutsinga akakuvadzwa haagone kuburitsa ropa kudzokera kumoyo wako zvakanaka, zvichikonzera kutemba kwenguva refu uye kusagadzikana.

Zvisingawanzoitika, DVT yakakura inogona kukonzera kutemba kwakakura kunodzima kuyerera kweropa kune tishu dzemukumbo wako, mamiriro anonzi phlegmasia cerulea dolens. Iyi njodzi yekurapa inoda kuongororwa nekukurumidza kuchengetedza gumbo.

Deep Vein Thrombosis inogona kudzivirirwa sei?

Mashoko akanaka ndeakuti zviitiko zvakawanda zveDVT zvinogona kudzivirirwa nekuchinja mararamiro uye kuziva zvinhu zvinokonzera njodzi. Kudzivirira kunotarisa pakuchengetedza ropa rako richifamba zvakanaka uye kuchengetedza kuyerera kweropa kwakanaka.

Kana uri panjodzi yakakura kana uri kusangana nemamiriro ezvinhu anowedzera mukana weDVT, heano mazano ekudzivirira anoshanda:

• Famba nguva dzose panguva yekufamba kwenguva refu kana kugara kwenguva yakareba
• Pfeka masokisi anomanikidza sezvakarayirwa nachiremba wako
• Ramba uine mvura yakakwana, kunyanya panguva yekufamba
• Chengetedza uremu hwakanaka kuburikidza nekudya uye kurovedza muviri
• Rega kusvuta kuti uwedzere kuyerera kweropa
• Tora mishonga inononotsa ropa sezvakarayirwa
• Simudza makumbo ako paunenge uri kuzorora kana zvichibvira

Panguva yekurwara muchipatara kana mushure mekuvhiyiwa, timu yako yekurapa inogona kushandisa nzira dzekuwedzera dzekudzivirira senge sequential compression devices kana prophylactic blood thinners. Aya maitiro anoenderana nenjodzi yako chaiyo uye mamiriro ezvinhu ekurapa.

Kurovedza muviri kwakapfava senge ankle pumps, calf raises, uye kufamba kwemafambiro madiki kunogona kuvandudza kuyerera kweropa mumakumbo ako. Kunyange kufamba duku awa rega rega kunogona kuita musiyano mukuru mukudzivirira kuumbwa kwe clot.

Deep Vein Thrombosis inoongororwa sei?

Kuongorora DVT kazhinji kunosanganisira kusanganiswa kwekuongororwa kwemuviri, kuongororwa kwemhuri yekurapa, uye bvunzo dzakakosha kuti uone kuyerera kweropa mumitsinga yako. Chiremba wako anotanga nekubvunza nezvezviratidzo zvako uye kuongorora nzvimbo yakabatwa.

Bvunzo yakajairika yekuongorora ndeye duplex ultrasound, inoshandisa mafungu esound kuti uite mifananidzo yekuyerera kweropa mumitsinga yako. Iyi bvunzo isina kurwadza inogona kuratidza kana paine clot uye kubatsira kuona saizi yayo nenzvimbo.

Mamwe bvunzo chiremba wako angakurudzira anosanganisira:

• D-dimer blood test kuongorora zvinhu zvinobuda kana ma clots eropa achiparara
• Venography uchishandisa contrast dye kuona mitsinga paX-ray
• CT kana MRI scans yezviitiko zvakaoma kana ultrasound isina chokwadi
• Bvunzo dzeropa kuongorora zvirwere zvekuoma kweropa

D-dimer test inoyeresa zvinhu zvinobudiswa kana ma clots eropa achiparara. Kunyangwe kuwanda kwakawanda kunogona kuratidza kuumbwa kwe clot, iyi bvunzo yoga haina kukwana kuongorora DVT nekuti mamiriro mazhinji anogona kukonzera kuwanda kweD-dimer.

Muitiro usingawanzoitika uko bvunzo dzinowanzoitika dzisingaoneki, chiremba wako angarayira mifananidzo yakasarudzika senge magnetic resonance venography kana computed tomography venography kuti awane mufananidzo wakajeka wemutsinga wako uye kuyerera kweropa.

Kurapwa kweDeep Vein Thrombosis ndekupi?

Kurapwa kweDVT kunotarisa pakudzivirira clot kuti ikure, kuderedza njodzi yako ye pulmonary embolism, uye kuderedza matambudziko ekure refu. Vanhu vakawanda vanogona kurapwa zvakanaka nemishonga, kunyangwe zvimwe zviitiko zvingada kuwedzerwa kwekuita.

Nzira huru yekurapa inosanganisira mishonga inodzivisa kuoma kweropa, inowanzozivikanwa semishonga inononotsa ropa. Aya mishonga haina kunonotsa ropa rako asi inodzivisa ma clots matsva kuti aumbwe uye inobatsira muviri wako kudzima ma clots aripo zvakasikwa.

Sarudzo dzekurapa dzakajairika dzinosanganisira:

• Heparin injections yekudzivirira kuoma kweropa nekukurumidza
• Warfarin tablets yekunonotsa ropa kwenguva refu
• Mishonga mitsva yekunwa inononotsa ropa senge rivaroxaban kana apixaban
• Masokisi anomanikidza kuderedza kutemba uye kuvandudza kuyerera kweropa
• Thrombolytic therapy kudzima ma clots makuru muzviitiko zvakakomba

Nguva yekurapwa kazhinji inobva pamwedzi mitatu kusvika pamatanhatu, kunyangwe vamwe vanhu vangada kunonotsa ropa kwenguva refu zvichienderana nezvinhu zvinokonzera njodzi uye kana iyi iri nguva yavo yekutanga yeDVT.

Muitiro usingawanzoitika unosanganisira ma clots makuru kana njodzi yakakura ye pulmonary embolism, chiremba wako angakurudzira kurapwa kwakasimba senge catheter-directed thrombolysis kana surgical thrombectomy kubvisa clot.

Nzira yekutarisira Deep Vein Thrombosis pamba?

Kunyangwe kurapwa kwakakosha, kune zvinhu zvakawanda zvaunogona kuita pamba kuti ubatsire kupora kwako uye kuderedza kusagadzikana. Aya matanho ekutarisira pachako anoshanda pamwe chete nemishonga yako yakapihwa kuti ikubatsire kupora zvakanyanya.

Nzira dzekutarisira kurwadziwa uye kutemba dzinosanganisira kusimudza gumbo rako rakabatwa pamusoro pehuremu hwako hwemoyo kana zvichibvira, kushandisa zvinodziya zvinodziya kuti ugadzikane, uye kutora mishonga inoderedza kurwadziwa inowanikwa pasina kuraira nachiremba wako.

Zvinhu zvikuru zvekuchengetedza pamba zvinosanganisira:

• Kutora mishonga sezvakarayirwa pasina kusvetuka ma dose
• Kupfeka masokisi anomanikidza masikati ese
• Ramba uchiita zvemitambo nekufamba zvishoma sezvinobvumidzwa
• Dzivisa kugara kwenguva yakareba kana kumira
• Tarisa zviratidzo zvematambudziko
• Chengetedza misangano yekutevera nachiremba wako

Kurovedza muviri kwakapfava senge kufamba kunogona kubatsira kupora kwako nekukurudzira kuyerera kweropa uye kudzivirira kushaya simba kwemhasuru. Tanga zvishoma nezvishoma uwane simba rako sezvinowanikwa zviratidzo zvako uye chiremba wako abvumira.

Tarisa zviratidzo zvekuyambira zvinoda rubatsiro rwekukurumidza rwezvokurapa, senge kurwadziwa kwakawanda kana kutemba, kushaya mweya kwakapfupi, kana kubuda ropa kusina kujairika paunenge uchitora mishonga inononotsa ropa.

Unofanira kugadzirira sei musangano wako nachiremba?

Kuve wakagadzirira zvakanaka kumusangano wako kunobatsira kuve nechokwadi chekuti unowana kuongororwa kwakanyanya uye chirongwa chekurapwa chakakodzera. Chiremba wako anoda ruzivo rwakakwana nezvezviratidzo zvako, nhoroondo yekurapa, uye mishonga ipi zvayo yaunenge uchitora.

Usati wasvika, nyora nguva yazvakatanga zviratidzo zvako, zvinhu zvinoita kuti zvive nani kana zvakanyanya kuipa, uye mabasa kana zviitiko zvingave zvakazvikonzera. Sanganisira ruzivo nezve kufamba kwakaitwa ichangopfuura, kuvhiyiwa, kana nguva yekusafamba.

Uye uunze ruzivo urwu kumusangano wako:

• Ruzivo rwakakwana rwemishonga iripo uye zvinowedzerwa
• Nhoroondo yemhuri yema clots eropa kana zvirwere zvekuoma kweropa
• Kuongororwa kwakaitwa ichangopfuura kana kupinda muchipatara
• Chero zviitiko zvekare zveDVT kana pulmonary embolism
• Mibvunzo nezve sarudzo dzekurapa uye kuchinja mararamiro

Usazengurire kubvunza mibvunzo nezve mamiriro ako, sarudzo dzekurapwa, uye zvaunofanira kutarisira panguva yekupora. Kunzwisisa chirongwa chako chekurapwa kunokubatsira kuitevera zvakanyanya uye kuziva kana uchida rubatsiro rwezvokurapa.

Funga nezvekukoka nhengo yemhuri kana shamwari kuti ikubatsire kuyeuka ruzivo rwakakosha uye kupa rutsigiro panguva inogona kunzwa sekusangana kwakawanda.

Chii chinonyanya kukosha nezve Deep Vein Thrombosis?

Deep vein thrombosis chirwere chakakomba asi chinorapika kana chaonekwa nekukurumidza uye chakatarisirwa zvakanaka. Chinhu chakakosha chokurangarira ndechekuti kutsvaka rubatsiro rwezvokurapa nekukurumidza paunoona zviratidzo kunogona kudzivirira matambudziko uye kutungamira kumigumisiro iri nani.

Nekurapwa kwakakodzera, vanhu vakawanda vane DVT vanopora zvizere uye vanodzokera kumabasa avo akajairika. Kunyangwe vamwe vangave nemigumisiro yenguva refu, kutevera chirongwa chako chekurapwa uye kuita kuchinja kwemararamiro kunokurudzirwa kunogona kuderedza njodzi yako yematambudziko.

Mazano ekudzivirira senge kuramba uchiita zvemitambo, kuchengetedza uremu hwakanaka, uye kuziva zvinhu zvinokonzera njodzi zvinogona kukubatsira kudzivirirwa pakuwana DVT mune ramangwana. Rangarira kuti kuva nechirwere chimwe hachirevi kuti uri kuzova nezvimwe, kunyanya nekurapwa kwakakodzera kwakakodzera.

Mibvunzo inobvunzwa kazhinji nezve Deep Vein Thrombosis

DVT inogona kupera yoga pasina kurapwa here?

Kunyangwe ma clots madiki angaparara zvakasikwa, DVT inoda kurapwa kwakakodzera kudzivirira matambudziko akakomba senge pulmonary embolism. Kusiya DVT isina kurapwa kunowedzera zvakanyanya njodzi yako yematambudziko anogona kuuraya, saka zvakakosha kutsvaka rubatsiro rwezvokurapa nekukurumidza kana zviratidzo zvikaonekwa.

Zvinotora nguva yakareba sei kupora kubva kuDVT?

Vanhu vakawanda vanotanga kunzwa zvakanaka mukati memazuva mashoma kusvika kumavhiki ekutanga kurapwa, kunyangwe kupora zvizere kunogona kutora mwedzi yakati. Iwe kazhinji unoda kutora mishonga inononotsa ropa kweanenge mwedzi mitatu, uye zvimwe zviratidzo senge kutemba kwakapfava zvinogona kuramba zvichiitika kwenguva yakareba apo mutsinga wako uri kupora.

Ndingaita zvemitambo neDVT here?

Kufamba kwakapfava kazhinji kunokurudzirwa kana watanga kurapwa, sezvo kunobatsira kuvandudza kuyerera kweropa uye kudzivirira matambudziko. Zvisinei, unofanira kudzivisa mabasa ane simba rakawanda kana mitambo yekubata paunenge uchitora mishonga inononotsa ropa. Gara uchitevera mazano chaiwo achoiremba wako nezve mazinga emashandiro panguva yekurapwa.

Ndichawana DVT zvakare mune ramangwana here?

Njodzi yako yekuwana DVT zvakare inotsamira pazvinhu zvakawanda, zvinosanganisira zvakakonzera chiitiko chako chekutanga uye zvinhu zvinokonzera njodzi zvinoramba zvichiitika. Anenge 10-30% yevanhu vanowana DVT imwe mukati memakore gumi, asi kutevera mazano ekudzivirira uye kutarisira zvinhu zvinokonzera njodzi kunogona kuderedza zvakanyanya mukana uyu.

Kune zvekudya zvandofanira kudzivisa paunenge uchitora mishonga inononotsa ropa here?

Kana uri kutora warfarin, unoda kuchengetedza vitamin K yakakwana, zvinoreva kuti unofanira kufunga nezve miriwo yakasvibira. Mishonga mitsva inononotsa ropa kazhinji ine zvishoma zvekudya zvinofanira kudziviswa. Chiremba wako achakupa mazano chaiwo zvichienderana nemishonga yako, uye zvakakosha kudzivisa kunwa doro kwakawanda nemishonga ipi zvayo inononotsa ropa.