Yintoni i-thrombus?

I-Thrombus ibhekisa kwizinto eziqinileyo ezenziwe kwimithambo yegazi, ezidla ngokwenziwa ziiplatelets, iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi kunye ne-fibrin. Ukwakheka kwamahlwili egazi yindlela yemvelo umzimba osabela ngayo xa wenzakele okanye uphuma igazi ukuze kumiswe ukopha kwaye kukhuthazwe ukuphiliswa kwamanxeba. Nangona kunjalo, xa amahlwili egazi esenzeka ngendlela engaqhelekanga okanye ekhula ngendlela engafanelekanga kwimithambo yegazi, anokubangela ukuvalwa kokuhamba kwegazi, nto leyo ekhokelela kwiingxaki ezahlukeneyo zempilo.

Ngokuxhomekeke kwindawo kunye nohlobo lwe-thrombus, i-thrombi ingahlulwa ibe ziintlobo ezilandelayo:

1. I-venous thrombosis: Idla ngokuvela kwimithambo yegazi, rhoqo kwimilenze esezantsi, kwaye inokukhokelela kwi-deep vein thrombosis (DVT) kwaye inokukhokelela kwi-pulmonary embolism (PE).

2. I-Arterial Thrombosis: Ihlala isenzeka kwimithambo yegazi kwaye inokukhokelela kwi-myocardial infarction (uhlaselo lwentliziyo) okanye i-stroke (i-stroke).

Iindlela zokufumanisa i-thrombus ziquka oku kulandelayo:

1.Ikhithi yovavanyo lwe-D-Dimer: Njengoko bekutshiwo ngaphambili, i-D-Dimer luvavanyo lwegazi olusetyenziselwa ukuvavanya ubukho be-thrombosis emzimbeni. Nangona amanqanaba aphezulu e-D-Dimer engengowamalungu athile egazi, inokunceda ekuthinteleni i-deep vein thrombosis (DVT) kunye ne-pulmonary embolism (PE).

2. I-Ultrasound: I-Ultrasound (ingakumbi i-ultrasound yemithambo esezantsi) yindlela eqhelekileyo yokufumanisa i-deep vein thrombosis. I-Ultrasound inokubona ubukho bamahlwili egazi ngaphakathi kwemithambo yegazi kwaye ihlole ubungakanani bawo kunye nendawo.

3. I-CT Pulmonary Arteriography (CTPA): Olu luvavanyo lokujonga imifanekiso olusetyenziselwa ukubona i-pulmonary embolism. Ngokufaka i-contrast material kunye nokwenza i-CT scan, amahlwili egazi kwimithambo ye-pulmonary anokubonakaliswa ngokucacileyo.

4. I-Magnetic Resonance Imaging (MRI): Kwezinye iimeko, i-MRI ingasetyenziselwa ukubona amahlwili egazi, ingakumbi xa kuvavanywa amahlwili egazi ebuchotsheni (njengokubetheka).

5. I-Angiography: Le yindlela yokuhlola ehlaselayo enokuyibona ngokuthe ngqo i-thrombus kwimithambo yegazi ngokufaka i-contrast agent kwimithambo yegazi nokwenza i-X-ray imaging. Nangona le ndlela ingasetyenziswa rhoqo, isenokusebenza kwiimeko ezithile ezinzima.

6. Uvavanyo lwegazi: Ukongeza kwiI-D-Dimer, ezinye iimvavanyo zegazi (ezifana novavanyo lomsebenzi wokujiya kwegazi) nazo zinokubonelela ngolwazi malunga nomngcipheko we-thrombosis.

Sigxile kwindlela yokuxilonga ukuze siphucule umgangatho wobomi, sele siyiphuhlisileIkhithi yovavanyo lwe-D-Dimerkwi-venous thrombus kunye ne-dispersed intravascular coagulation kunye nokujonga unyango lwe-thrombolytic