Iindaba

Ukuba nokwenzeka kunye nokhuseleko lokuvuselelwa emva kwe-venous thromboembolism

Isishwankathelo

Imvelaphi

I-venous thromboembolism sisifo esisongela ubomi. Kwabasindileyo, amanqanaba ahlukeneyo ezikhalazo zomsebenzi kufuneka abuyiselwe okanye athintelwe (umz., i-post-thrombotic syndrome, i-pulmonary hypertension). Ke ngoko, ukulungiswa emva kwe-venous thromboembolism kuyacetyiswa eJamani. Nangona kunjalo, inkqubo yokulungisa ecwangcisiweyo ayichazwanga kule nto. Apha, sibonisa amava eziko elinye lokulungisa.

Iindlela

Idatha evela ngokulandelelanai-pulmonary embolism(PE) izigulane ezazithunyelwe kwinkqubo yokuvuselela izigulane ezilaliswe ngaphakathi yeeveki ezi-3 ukususela ngo-2006 ukuya ku-2014 zahlolwa ngokujonga emva.

Iziphumo

Zizonke, izigulane ezingama-422 zichongiwe. Ubudala obuphakathi babuyiminyaka engama-63.9±13.5, i-avareji yomzimba ophakathi (BMI) yayingama-30.6±6.2 kg/m2, kwaye ama-51.9% yayingabasetyhini. I-deep vein thrombosis ngokwe-PE yayisaziwa ngama-55.5% azo zonke izigulane. Sisebenzise uluhlu olubanzi lweendlela zonyango ezifana noqeqesho lwebhayisekile kunye nesantya sentliziyo esijongiweyo kwi-86.7%, uqeqesho lokuphefumla kwi-82.5%, unyango lwasemanzini/ukubhukuda kwi-40.1%, kunye nonyango loqeqesho lwezonyango kwi-14.9% yazo zonke izigulane. Iziganeko ezimbi (ii-AE) zenzeke kwizigulane ezingama-57 ngexesha leeveki ezi-3 zokubuyisela kwimeko yesiqhelo. Ezona AE zixhaphakileyo yayikukubanda (n=6), urhudo (n=5), kunye nosulelo lwendlela yokuphefumla ephezulu okanye esezantsi eyanyangwa ngamayeza okubulala iintsholongwane (n=5). Nangona kunjalo, izigulane ezintathu ezaziphantsi konyango lokuthintela ukugabha kwegazi zazinokopha, okwakubalulekile kwiklinikhi kwenye. Izigulana ezine (0.9%) kwafuneka zidluliselwe kwisibhedlele sonyango oluphambili ngezizathu ezinganxulunyaniswanga ne-PE (i-acute coronary syndrome, i-pharyngeal abscess, kunye neengxaki zesisu ezibukhali). Akukho mpembelelo yalo naluphi na ungenelelo lomsebenzi womzimba kwiziganeko ze-AE ezifunyenweyo.

Isiphelo

Ekubeni i-PE sisifo esisongela ubomi, kubonakala kusengqiqweni ukucebisa ukuvuselelwa ubuncinci kwizigulane ze-PE ezinobungozi obuphakathi okanye obuphezulu. Kuboniswe okokuqala kolu phononongo ukuba inkqubo yokuvuselela eqhelekileyo emva kwe-PE ikhuselekile. Nangona kunjalo, ukusebenza kakuhle kunye nokhuseleko kwixesha elide kufuneka kufundwe kwangaphambili.

Amagama angundoqo: i-venous thromboembolism, i-pulmonary embolism, ukuvuselelwa