Ndi Zinthu Ziti Zomwe Zimakhudza Mapangidwe A Magazi?
Chaka chilichonse anthu pafupifupi 200,000 a ku America amatha opaleshoni yokwanira. Ziŵerengero zimasonyeza kuti pakati pa 400 ndi 800 anthu amapanga mapuloteni opha mitsempha m'miyezi itatu yoyambirira potsatira njirayi.
Kukoka kwa mapulaneti kumawonekera kuchokera ku chikhalidwe chotchedwa deep vein thrombosis, momwe magazi amawonekera mu mitsempha yakuya (nthawi zambiri pamlendo).
Nthaŵi zina, mapuloteni amatha kukhala pakati pa odwala omwe ali ndi DVT pamene mbali yophimba imatha kuchoka m'magazi kupita kumapapo.
Magazi Ophimba Magazi Omwe Amawathandiza
Kafukufuku wofufuzidwa bwino wofalitsidwa mu 2000 ku New England Journal of Medicine anapeza kuti pakati pa odwala a California Medicare anawatsatira, zina mwazidzidzidzi zomwe zinachititsa kuti odwala apange opaleshoni yowonjezera magazi. Zapezeka kuti:
- Odwala olemera kwambiri omwe ali ndi BMI oposa 25 kapena kuposa amakhala odwala 2/2 omwe amatha kulowa kuchipatala chifukwa cha magazi kusiyana ndi gulu lolamulira.
- Kupweteka kwa chibayo kunali kopindulitsa kwambiri kwa odwala a kulemera kwake. Kupuma kwa chibayo (chipangizo chamkati chomwe chimaphatikizidwa ndi zotupa zaplatable n'cholinga chokweza misala ndi kupondaponda miyendo popewera magazi kuchoka mu mitsempha ndi chiopsezo chowonjezereka chokhazikitsa mawonekedwe) sizinachepetse chiopsezo cha magazi pa odwala opitirira muyeso.
- Odwala omwe anali olemera kwambiri omwe ankagwiritsa ntchito chifuwa chapachimbuzi anali 30 peresenti kuti athe kubwereranso kuchipatala chifukwa cha magazi ngati odwala omwe sanagwidwe ndi matenda a chibayo.
- Odwala omwe ali ndi zolemera zonse omwe anachiritsidwa ndi mankhwala a antiticoagulant atapitako kunyumba anali 60 peresenti yokha yomwe amakhala ndi zizindikiro zozizwitsa monga momwe odwalawo samalandira mankhwala.
Magulu ena odwala amapindula kwambiri ndi mankhwala ena. Maphunzirowa akusonyeza kufunika kwa kupweteka kwa chifuwa kwa odwala omwe ali ndi BMI pansi pa 25 ndi kufunika kwa mankhwala a antiticoagulant pakutha kwa chipatala koma kufufuza kwa m'tsogolomu n'kofunika kuyesa kuperewera kwa kupweteka kwa chifuwa kwa odwala omwe ali ndi BMI oposa 25.
Odwala Oopsa
Odwala ena ali pachiopsezo chachikulu chokhazikitsa embolism ya pulmonary pambuyo pochita opaleshoni m'malo mwa ena. Kuwonjezera pa odwala omwe ali ndi BMI, awa ndi odwala omwe:
- Khalani ndi mbiriyakale yammbuyo yamagazi a magazi
- Amakhala osuta fodya osuta
- Pakali pano akuchiritsidwa ndi khansa
Odwala omwe ali ndi chiopsezo chachikulu amayang'anitsitsa kwambiri komanso / kapena amalandira mankhwala opatsirana magazi pambuyo pa opaleshoni yothandizira kuti asamapangidwe.
Kupewa Kutseka kwa Magazi Pambuyo Kusintha kwa Hip
Kuwonjezera pa kuwuza dokotala ngati muli ndi zifukwa zina zomwe zatchulidwa pamwambapa, pali njira zomwe mungatenge kuti muteteze ku magazi ngati mukukonza opaleshoni. Izi zikuphatikizapo:
- Kusiya kusuta (ngakhale kusuta fodya pulogalamu, ngati n'koyenera), zomwe zasonyezedwa kuti zowonjezera chiopsezo chokhala ndi magazi nthawi zisanu.
- Khalani ndi kulemera kwabwino (kapena kuchepetsa kulemera).
- Yambani kusunthira mwamsanga mwamsanga pakatha opaleshoni, yomwe imayambitsa magazi kupyolera mu machitidwe anu ndipo imalepheretsa kukhala pamalo amodzi nthawi yokwanira.
Zizindikiro ndi Zizindikiro za Kuvala Magazi
Ngakhalenso pamene chitukuko chimayamba, mankhwala amatha kupambana akamadziwika kuti mavuto asanakwane. Pambuyo opaleshoni, kutupa kwina n'kwachibadwa. Komabe, ngati mwawona mwadzidzidzi kapena kupweteka kwambiri kapena kupweteka, chiwalo ndi chowawa kwambiri kusuntha, ndipo / kapena mukakhala ndi malungo, muyenera kuchenjeza dokotala wanu.
Zotsatira:
Kupewa Kuvala Magazi Pambuyo pa Opaleshoni Yopangidwanso Kwambiri, Newswise, 12/14/00.
Zotsatira za Rehospitalization kwa Symptomatic Venous Thromboembolism Pambuyo pa Total Hip Arthroplasty, NEJM, 12/14/00, Vol. 343, no.24
> Sitzman, B. Todd. Kupewa Kutsegulira Kwambiri Kwambiri Kutentha Kwambiri Ndi Kuphatikiza Kwa Pulmonary Embolism. B. Todd Sitzman, MD, MPH, December, 1998.