He aha ka thrombus?

ʻO Thrombus ke ʻano o ka mea paʻa i hana ʻia i loko o nā kīʻaha koko, i haku ʻia me nā platelets, nā ʻulaʻula koko, nā keʻokeʻo koko a me ka fibrin. ʻO ke kūkulu ʻia ʻana o nā clots koko he pane kūlohelohe ia o ke kino i ka ʻeha a i ʻole ke kahe ʻana o ke koko i mea e hoʻōki ai i ke kahe ʻana o ke koko a hoʻolaha i ka ho'ōla ʻana o ka ʻeha. Eia nō naʻe, ke kūkulu ʻia nā clots koko i kahi ʻano ʻē a ulu kūpono ʻole paha i loko o nā kīʻaha koko, hiki iā lākou ke hana i ke ālai ʻana i ke kahe koko, e alakaʻi ana i nā pilikia olakino like ʻole.

Ma muli o ke ʻano a me ka wahi o ka thrombus, hiki ke hoʻokaʻawale ʻia nā thrombi i nā ʻano penei:

1. ʻO ka thrombosis venous: Loaʻa pinepine ia i loko o nā aʻa, pinepine i nā lālā haʻahaʻa, a hiki ke alakaʻi i ka thrombosis vein hohonu (DVT) a hiki ke alakaʻi i ka embolism pulmonary (PE).

2. ʻO ka Thrombosis Arterial: Loaʻa pinepine ia i loko o nā aʻa a hiki ke alakaʻi i ka myocardial infarction (hōʻeha puʻuwai) a i ʻole ka hahau (stroke).

ʻO nā ala nui e ʻike ai i ka thrombus penei:

1.Pahu hoʻāʻo D-Dimer: E like me ka mea i ʻōlelo ʻia ma mua, ʻo D-Dimer kahi hoʻāʻo koko i hoʻohana ʻia e loiloi i ke alo o ka thrombosis i loko o ke kino. ʻOiai ʻaʻole kikoʻī nā pae D-Dimer kiʻekiʻe i nā clots koko, hiki iā ia ke kōkua i ka kāpae ʻana i ka deep vein thrombosis (DVT) a me ka pulmonary embolism (PE).

2. Ultrasound: ʻO ka Ultrasound (ʻoi aku ka ultrasound venous o nā lālā haʻahaʻa) kahi ʻano maʻamau no ka ʻike ʻana i ka thrombosis vein hohonu. Hiki i ka Ultrasound ke ʻike i ke alo o nā clots koko i loko o nā kīʻaha koko a loiloi i ko lākou nui a me ko lākou wahi.

3. CT Pulmonary Arteriography (CTPA): He hoʻāʻo kiʻi kēia i hoʻohana ʻia no ka ʻike ʻana i ka embolism pulmonary. Ma ka hoʻokomo ʻana i ka mea hoʻohālikelike a me ka hana ʻana i kahi scan CT, hiki ke hōʻike maopopo ʻia nā ʻūpā koko i loko o nā aʻa pulmonary.

4. Magnetic Resonance Imaging (MRI): I kekahi mau hihia, hiki ke hoʻohana ʻia ka MRI e ʻike i nā ʻūpā koko, ʻoiai i ka loiloi ʻana i nā ʻūpā koko i loko o ka lolo (e like me ka hahau ʻana).

5. Angiography: He ʻano hoʻokolokolo invasive kēia e hiki ai ke nānā pololei i ka thrombus i loko o ke kīʻaha koko ma o ka hoʻokomo ʻana i ka mea hoʻohālikelike i loko o ke kīʻaha koko a me ka hana ʻana i ke kiʻi X-ray. ʻOiai ʻaʻole i hoʻohana pinepine ʻia kēia ʻano hana, hiki nō ke lilo i mea pono i kekahi mau hihia paʻakikī.

6. Nā Hoʻāʻo Koko: Ma waho aʻe oD-Dimer, hiki i kekahi mau hoʻokolohua koko ʻē aʻe (e like me nā hoʻokolohua hana coagulation) ke hāʻawi i ka ʻike e pili ana i ka pilikia o ka thrombosis.

Ke nānā nei mākou i ka ʻenehana hōʻoia no ka hoʻomaikaʻi ʻana i ke ʻano o ke ola, ua hoʻomohala mua mākouPahu hoʻāʻo D-Dimerno ka thrombus venous a me ka disseminated intravascular coagulation a me ka nānā ʻana i ka thrombolytic therapy