Iindaba

Ukubanakho kunye nokhuseleko lokubuyisela kwisimo sangaphambili emva kwe-venous thromboembolism

Abstract

Imvelaphi

I-venous thromboembolism sisifo esisongela ubomi. Kwabasindileyo, amanqanaba ahlukeneyo ezikhalazo ezisebenzayo kufuneka abuyiselwe okanye athintelwe (umzekelo, i-post-thrombotic syndrome, i-pulmonary hypertension). Ngoko ke, ukuvuselelwa emva kwe-venous thromboembolism kucetyiswa eJamani. Nangona kunjalo, inkqubo yokubuyisela kwisimo sangaphambili ayikachazwanga kolu phawu. Apha, sibonisa amava kwiziko elilodwa lokubuyisela kwisimo sangaphambili.

Iindlela

Idatha evela ngokulandelelanai-pulmonary embolism(PE) izigulane eziye zathunyelwa kwiprogram ye-3-iveki yokuvuselela izigulane ukusuka kwi-2006 ukuya kwi-2014 zihlolwe ngokuphindaphindiweyo.

Iziphumo

Lilonke, izigulane ezingama-422 zachongwa. Iminyaka yobudala yayiyi-63.9 ± 13.5 iminyaka, i-index mass body mass (BMI) yayingu-30.6 ± 6.2 kg / m2, kunye ne-51.9% yabasetyhini. I-Deep vein thrombosis ngokwe-PE yaziwa nge-55.5% yazo zonke izigulane. Sasebenzisa iindlela ezininzi zokungenelela zonyango ezifana nokuqeqeshwa kwebhayisikili kunye nesantya senhliziyo esweni kwi-86.7%, uqeqesho lokuphefumula kwi-82.5%, unyango lwamanzi / ukubhukuda kwi-40.1%, kunye nonyango loqeqesho lwezonyango kwi-14.9% yazo zonke izigulane. Iziganeko ezimbi (AEs) zenzeke kwizigulane ze-57 ngexesha le-3-iveki yokubuyisela. Ii-AEs eziqhelekileyo zazibanda (n = 6), isifo sohudo (n = 5), kunye nokusuleleka kwendlela yokuphefumula ephezulu okanye ephantsi eyayiphathwa nge-antibiotics (n = 5). Nangona kunjalo, abaguli abathathu abaphantsi konyango lwe-anticoagulation baye bahlaselwa kukopha, okwakubalulekile kwikliniki enye. Izigulane ezine (0.9%) kwafuneka zitshintshelwe kwisibhedlele sokhathalelo oluphambili ngenxa yezizathu ezingahambelani ne-PE (i-acute coronary syndrome, i-pharyngeal abscess, kunye neengxaki ezinzulu zesisu). Akukho mpembelelo yalo naluphi na ungenelelo lomsebenzi womzimba kwisehlo sayo nayiphi na i-AE yafunyanwa.

Ukuqukumbela

Ekubeni i-PE isifo esisongela ubomi, kubonakala kunengqiqo ukucebisa ukubuyisela ubuncinci kwizigulane ze-PE ezinomngcipheko ophakathi okanye ophezulu. Kuboniswa okokuqala kolu cwaningo ukuba inkqubo yokubuyisela umgangatho emva kwe-PE ikhuselekile. Nangona kunjalo, ukusebenza kunye nokhuseleko kwixesha elide kufuneka kufundwe kwangaphambili.

Amagama angundoqo: i-venous thromboembolism, i-pulmonary embolism, ukubuyisela kwimeko yesiqhelo