Koj puas tau muaj ntshav txhaws hauv koj cov leeg ceg? Cia peb tham txog '(Deep Vein Thrombosis - DVT)'!

Koj puas tau hnov ​​txog tus kab mob no hu ua '(Deep Vein Thrombosis)' lossis DVT? Tej zaum koj lossis ib tus neeg koj paub tau muaj ib ceg o thiab mob thiab mus ntsib kws kho mob. Hnub no, cia peb tham txog nws yog dab tsi tiag tiag, vim li cas nws thiaj tshwm sim, nws puas txaus ntshai, thiab yuav ua li cas, puas yog?

DVT yog dab tsi tiag?

Hais yooj yim xwb, DVT ('(Deep Vein Thrombosis)') yog qhov uas cov ntshav txhaws ('(thrombus)') nyob hauv cov leeg ntshav, tob hauv peb lub cev. Xav txog nws zoo li ib daim av uas daig hauv cov kav dej. Muaj ob qho laj thawj tseem ceeb uas ua rau cov ntshav txhaws no tsim. Ib qho yog vim cov leeg ntshav puas tsuaj rau qee txoj kev. Qhov thib ob yog vim qhov ceev ntawm cov ntshav ntws hauv cov leeg ntshav txo qis, uas txhais tau tias cov ntshav mus qeeb heev.

Thaum cov ntshav txhaws tshwm sim, nws tuaj yeem thaiv tag nrho lossis ib nrab ntawm cov ntshav ntws los ntawm cov leeg. Feem ntau, DVT tshwm sim hauv cov leeg ntawm ceg qis (pob luj taws), ncej puab, lossis lub duav. Txawm li cas los xij, DVT kuj tseem tuaj yeem tshwm sim hauv lwm cov leeg tob hauv lub cev, xws li caj npab, lub hlwb, txoj hnyuv, siab, thiab lub raum.

DVT txaus ntshai npaum li cas?

Tam sim no koj yuav xav tias, nws tsuas yog cov ntshav txhaws xwb, yog li ntawd vim li cas nws thiaj li txaus ntshai? Zoo, yog tias DVT nyob qhov qub, nws yuav tsis ua rau muaj xwm txheej loj. Tab sis qhov txaus ntshai tshaj plaws yog tias cov ntshav txhaws uas tsim nyob rau hauv cov leeg no tuaj yeem tawg dawb thiab mus ncig thoob plaws lub cev nrog cov ntshav.

Xav txog seb yog tias cov ntshav txhaws (embolus) uas tawg tawm mus daig rau hauv cov hlab ntsha hauv lub ntsws, uas yog ib qho xwm txheej txaus ntshai heev . Hauv kev kho mob, peb hu nws tias "Pulmonary Embolism" lossis PE. Vim tias qhov no tuaj yeem ua rau tuag taus, nws yog ib qho tseem ceeb kom paub txog cov tsos mob, kuaj mob, thiab pib kho sai sai.

Tsis yog li ntawd xwb, tab sis kwv yees li ib nrab ntawm cov neeg uas muaj DVT hauv lawv ob txhais ceg, lossis kwv yees li ib ntawm ob tug, tej zaum yuav muaj mob thiab o ntawm lawv ob txhais ceg rau ntau lub hlis, lossis txawm tias ntau xyoo. Qhov mob no hu ua "post-thrombotic syndrome". Qhov no tshwm sim thaum DVT ua rau cov hlab ntsha hauv cov leeg ntshav thiab phab ntsa sab hauv ntawm cov leeg ntshav puas tsuaj, ua rau cov ntshav sib sau ua ke hauv ib qho chaw es tsis txav mus rau sab saud kom raug. Qhov mob thiab o no yog tshwm sim los ntawm kev siab ntxiv hauv cov leeg ntshav.

Post-thrombotic syndrome yuav muaj cov tsos mob hauv qab no:

• Ntshav sib sau ua ke hauv ceg.
• Qhov tseeb tias ob txhais ceg tseem o.
• Muaj kev ntxhov siab ntxiv hauv cov leeg ntshav.
• Hloov xim tawv nqaij ntawm ob txhais ceg, qee zaum tig xim av.
• Cov qhov txhab ntawm cov hlab ntsha venous stasis yog cov qhov txhab uas nyuaj kho rau ntawm ob txhais ceg.

Qhov txawv ntawm DVT thiab cov hlab ntsha tob tob thrombosis yog dab tsi?

Tej zaum koj twb tau hnov ​​txog cov leeg ntshav uas o, xiav, thiab mob thaum kov. Nws hu ua '(Superficial Venous Thrombosis)' (qee tus neeg kuj hu nws tias '(phlebitis)' lossis '(superficial thrombophlebitis)'). Nws nyob hauv qab koj daim tawv nqaij xwb,Muaj ntshav txhaws hauv cov leeg ntshav ze ntawm koj. Tsis tshua muaj ntshav txhaws zoo li no tawg thiab mus rau hauv cov ntsws. Txawm li cas los xij, yog tias cov ntshav txhaws mus rau hauv cov leeg ntshav tob, muaj feem me me uas nws yuav tshwm sim.

Feem ntau tus kws kho mob tuaj yeem qhia tau seb puas muaj cov ntshav txhaws hauv cov leeg ntshav ze ntawm daim tawv nqaij los ntawm kev kuaj lub cev. Txawm li cas los xij, kom paub tseeb tias muaj DVT, uas yog, cov ntshav txhaws hauv cov leeg ntshav tob, yuav tsum tau kuaj ultrasound.

Tus kab mob DVT no muaj ntau npaum li cas?

Nws tseem ceeb heev uas yuav tsum paub qhov no thiab. Yog tias koj saib cov ntaub ntawv hauv lub tebchaws zoo li Asmeskas, lawv hais tias ntawm ib mus rau peb ntawm txhua 1,000 tus neeg laus muaj DVT lossis qhov tshwm sim '(Pulmonary Embolism)' (PE) txhua xyoo. Lawv kuj hais tias muaj li peb puas txhiab tus neeg tuag txhua xyoo vim DVT/PE. Xav txog, DVT/PE yog tus kab mob vascular thib peb uas tshwm sim ntau tshaj plaws tom qab mob plawv thiab mob stroke.

Txawm hais tias DVT/PE tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws tsis tshua muaj rau cov menyuam yaus thiab cov tub ntxhais hluas. Nws feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 60 xyoo. Lwm qhov tseeb tseem ceeb yog tias ntau dua ib nrab ntawm tag nrho cov DVTs tshwm sim thaum kho mob hauv tsev kho mob rau kev mob lossis tom qab phais. Qhov laj thawj tseem ceeb rau qhov no yog tias thaum peb nyob hauv tsev kho mob, peb tsis txav mus los ntau npaum li peb ib txwm ua thiab raug kaw hauv txaj ntev, uas txo cov ntshav ntws mus rau ob txhais ceg.

Cov tsos mob ntawm DVT yog dab tsi?

Feem ntau DVT tshwm sim rau hauv cov leeg ntawm ob txhais ceg lossis caj npab. Qhov xav tsis thoob yog, kwv yees li 30% ntawm cov neeg uas muaj DVT, lossis kwv yees li ib ntawm peb tus neeg, tsis muaj tsos mob dab tsi li! Qee zaum cov tsos mob tsis hnyav heev uas qee tus neeg yuav tsis pom.

Txawm li cas los xij, cov tsos mob ntawm DVT tam sim ntawd (mob hnyav) yuav suav nrog:

• O ntawm ib ceg lossis caj npab (qee zaum qhov no tshwm sim sai sai).
• Mob los yog mob nqaij ntawm ceg los yog caj npab (qhov no tsuas yog hnov ​​thaum sawv ntsug los yog taug kev xwb).
• Xav tias qhov o, mob ntawm ceg lossis caj npab kub dua li lwm qhov.
• Daim tawv nqaij liab los yog xim tsis zoo li qub ntawm thaj chaw ntawd.
• Cov leeg ntshav uas nyob ze rau ntawm daim tawv nqaij zoo li loj dua li qub thiab o.
• Mob plab los yog mob sab plab (qhov no tshwm sim yog tias cov ntshav txhaws hauv cov leeg ntshav tob hauv plab).
• Mob taub hau hnyav (feem ntau yog thaum pib mob tam sim ntawd) thiab/lossis qaug dab peg (qhov no tshwm sim yog tias cov ntshav txhaws hauv lub hlwb).

Muaj ib txhia neeg tsis paub tias lawv muaj DVT kom txog thaum cov ntshav txhaws tawm ntawm lawv ceg lossis caj npab thiab mus rau lawv lub ntsws. Thaum ntawd lawv mam li pib muaj cov tsos mob ntawm pulmonary embolism (PE), uas tuaj yeem suav nrog mob hauv siab tam sim ntawd, ua tsis taus pa, hnoos ntshav, kiv taub hau, thiab tej zaum yuav tsis nco qab lawm.

Nov yog qee yam uas yuav tsum nco ntsoov: Yog tias koj muaj ib lossis ntau yam tsos mob ntawm DVT, thov tsis txhob tos kom cov tsos mob ploj mus. Hu rau kws kho mob tam sim ntawd, lossis mus rau chav kho mob ceev ntawm koj lub tsev kho mob ze tshaj plaws. Kev kho mob sai sai tuaj yeem tiv thaiv cov teeb meem loj.

Dab tsi yog cov ua rau muaj DVT?

Tam sim no cia peb saib cov ua rau feem ntau, lossis cov yam ntxwv uas ua rau muaj kev pheej hmoo ntawm DVT. Yog tias cov no siv rau koj, nws yog ib lub tswv yim zoo kom ceev faj me ntsis txog DVT:

• Muaj keeb kwm tsev neeg muaj cov mob caj ces uas ua rau muaj kev pheej hmoo ntawm cov ntshav txhaws.
• Mob qog noj ntshav thiab qee yam kev kho mob (xws li kev kho mob chemotherapy).
• Yog tias koj lossis ib tug neeg hauv koj tsev neeg tau muaj DVT ua ntej.
• Kev txwv tsis pub cov ntshav ntws hauv cov hlab ntsha tob vim yog raug mob, phais mob, lossis tsis txav tau ntev.
• Nyob twj ywm li qub, tsis txav mus los, ntev heev. Zoo li thaum caij tsheb npav ntev, tsheb ciav hlau, lossis dav hlau, lossis thaum pw hauv txaj tom qab phais lossis raug mob hnyav.
• Cev xeeb tub los yog nyuam qhuav muaj menyuam (qhov kev pheej hmoo siab tshaj plaws hauv 6 lub lis piam thawj zaug).
• Muaj hnub nyoog tshaj 40 xyoo (tab sis nco ntsoov tias DVT tuaj yeem tshwm sim rau txhua lub hnub nyoog).
• Rog dhau / rog dhau .
• Muaj ib yam kab mob autoimmune xws li lupus, vasculitis, lossis inflammatory bowel disease (IBD).
• Kev siv cov khoom luam yeeb (xws li cov luam yeeb, beedis).
• Cov neeg uas muaj cov leeg ntshav varicose kuj muaj feem yuav mob DVT ntau dua.
• Noj tshuaj tiv thaiv kev yug menyuam los yog qee yam tshuaj hormones .
• Muab ib lub raj xa ntshav hauv cov hlab ntsha loj (ib lub raj uas ntxig rau hauv cov hlab ntsha loj) lossis lub tshuab pacemaker (ib lub cuab yeej uas tswj lub plawv dhia) ntxig rau hauv lub cev.
• Tsis ntev los no tau kis tus kab mob COVID-19 kuj ua rau muaj kev pheej hmoo ntawm DVT.

Koj paub li cas yog tias koj muaj DVT?

Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob ntawm DVT, lawv yuav xub nug koj txog koj cov tsos mob, koj lwm yam mob, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob zoo sib xws. Tom qab ntawd lawv yuav kuaj koj. Tom qab ntawd, lawv yuav ua ib lossis ntau qhov kev kuaj mob hauv qab no kom paub tseeb tias koj puas muaj DVT:

Kev kuaj mob DVT

• Duplex venous ultrasound : Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws, tsis mob, thiab yooj yim ua los kuaj DVT.Qhov no siv cov suab hu ua ultrasound los saib cov ntshav ntws hauv cov leeg thiab saib seb puas muaj cov ntshav txhaws. Tus neeg ua qhov kev kuaj no muab lub tshuab ultrasound tso rau ntawm koj ceg lossis caj npab thiab nias maj mam. Yog tias cov leeg tsis nruj thaum koj nias nws, tus kws kho mob yuav xav tias tej zaum yuav muaj cov ntshav txhaws nyob ntawd. Yog tias cov txiaj ntsig ntawm ultrasound no tsis meej heev, tus kws kho mob yuav ua lwm qhov kev kuaj.
• `(Kev kuaj Venography)` : Qhov no yog kev kuaj uas ua hauv lub cev. Niaj hnub no tsis tshua muaj neeg siv. Ntawm no, yuav muab ib qho kev txiav me me rau ntawm daim tawv nqaij ntawm lub caj dab lossis qhov chaw mos, ib lub raj nyias nyias (`(catheter)`) raug ntxig rau hauv cov hlab ntsha, thiab ib qho kua tshwj xeeb (cov khoom sib piv) raug txhaj rau hauv cov hlab ntsha. Tom qab ntawd, cov duab X-ray raug coj los saib seb cov ntshav ntws hauv cov hlab ntsha puas raug thaiv vim yog cov ntshav txhaws.
• Kev Siv Duab Xam Xim Hlau Nqus (MRI) lossis Kev Siv Duab Xam Xim Hlau Nqus (MRV) : MRI tuaj yeem thaij tau cov duab ntawm cov kabmob thiab cov qauv hauv lub cev kom meej meej. MRV tuaj yeem thaij tau cov duab ntawm cov leeg ntshav, tshwj xeeb tshaj yog nyob rau hauv cov cheeb tsam tshwj xeeb ntawm lub cev. MRI thiab MRV feem ntau tuaj yeem muab cov ntaub ntawv ntxaws ntxiv dua li kev siv ultrasound lossis CT scan.
• Kev thaij duab Computed tomography (CT) : Qhov no yog lwm txoj hauv kev los thaij duab sab hauv lub cev siv cov thev naus laus zis X-ray. Tus kws kho mob yuav siv CT scan los nrhiav DVT hauv plab, lub duav, lossis lub hlwb, thiab nrhiav cov ntshav txhaws hauv lub ntsws (pulmonary embolism).

Qee zaum, yog tias koj tus kws kho mob xav tias koj muaj teeb meem ntshav txhaws, txawm tias yog los ntawm noob caj noob ces lossis tau los, lawv yuav hais kom kuaj ntshav tshwj xeeb los nrhiav qhov teeb meem ntawd. Qhov no tseem ceeb heev rau cov xwm txheej zoo li no:

• Yog tias koj tau muaj ntshav txhaws yav dhau los tsis muaj lwm yam laj thawj pom tseeb.
• Yog tias koj muaj cov ntshav txhaws hauv cov leeg ntshav hauv qhov chaw txawv txawv, xws li koj cov hnyuv, siab, raum, lossis lub hlwb.
• Yog tias koj tsev neeg muaj keeb kwm muaj ntshav txhaws.
• Yog tias ib tug neeg hauv koj tsev neeg twb tau kuaj pom tias muaj teeb meem ntshav txhaws uas los ntawm noob caj ces.

Lub neej txhua hnub nrog DVT zoo li cas?

Thaum koj muaj DVT, koj yuav mob thiab o ntawm koj ceg rau ob peb hnub thawj zaug, ua rau nws nyuaj rau koj txav mus los thiab ua koj cov dej num ib txwm. Tab sis tsis txhob txhawj, koj tuaj yeem maj mam rov qab mus rau koj cov dej num ib txwm .

Yog tias koj ob txhais ceg o thiab hnyav, sim pw hauv txaj nrog ib lossis ob lub hauv ncoo hauv qab koj ob txhais ceg thiab khaws koj cov pob taws li 5-6 ntiv tes saum koj lub taub hau. Qhov no yuav pab txhim kho cov ntshav ntws los ntawm koj ob txhais ceg mus rau koj lub plawv thiab txo qhov o.

Tsis tas li ntawd xwb, xav txog cov no:

• Yog tias koj yuav tsum zaum ntev (piv txwv li, thaum ua haujlwm hauv chaw ua haujlwm, saib TV), ua cov kev tawm dag zog uas cuam tshuam nrog kev txav koj lub duav mus los tsawg kawg ib zaug txhua ib nrab teev.
• Sawv tsees thiab taug kev ncig ob peb feeb tsawg kawg yog txhua teev uas koj sawv. Qhov no tseem ceeb heev thaum koj caij dav hlau ntev lossis taug kev ntev hauv lub tsheb xws li tsheb npav, tsheb ciav hlau, lossis lub tsheb.
• Yog koj tus kws kho mob sau ntawv kom ua li ntawd, hnav cov thom khwm tshwj xeeb uas ntev txog koj lub hauv caug. Kev hnav cov no txhua tag kis thiab yav tsaus ntuj tau pom tias txo qhov mob ceg thiab o txog li 50%.
• Tsis txhob ua tej yam uas yuav ua rau raug mob hnyav (piv txwv li, kev khiav lossis dhia ua si uas muaj kev cuam tshuam loj) ib ntus.
• Haus dej ntau ntau, tshwj xeeb tshaj yog thaum mus ncig teb chaws, thiab tsis txhob cia koj lub cev qhuav dej.

Cov kev kho mob rau DVT yog dab tsi?

Tej zaum yuav muaj ib txhia neeg uas muaj DVT nyob hauv tsev kho mob kom tau kev kho mob, tiam sis feem ntau cov neeg tuaj yeem kho tau hauv tsev, noj tshuaj raws li lawv tus kws kho mob tau sau tseg, thiab mus rau cov chaw kho mob (cov neeg mob sab nraud).

Cov kev kho mob tseem ceeb rau DVT yog:

• Muab cov tshuaj ua kom cov ntshav nyias (anticoagulants) kom tiv thaiv cov ntshav txhaws.
• Qhov kuv tau hais ua ntej yog hnav cov thom khwm compression.
• Nqa cov ceg uas raug mob kom siab ntau zaus thoob plaws hnub.

Tsis tshua muaj, yog tias DVT tau kis mus rau ntau qhov chaw, kev kho mob tshwj xeeb (cov txheej txheem siv catheter).

Cov kev kho mob no muaj ntau lub hom phiaj tseem ceeb:

• Lub hom phiaj yog tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob thiab kis mus rau lwm cov leeg ntshav nyob ib puag ncig.
• Tiv thaiv kom cov ntshav txhaws tsis txhob tawg tawm ntawm cov leeg ntshav thiab mus nrog cov ntshav mus rau hauv lub ntsws (ua rau pulmonary embolism).
• Txo qhov kev pheej hmoo ntawm kev tsim hom ntshav txhaws no dua yav tom ntej.
• Tiv thaiv cov teeb meem mus sij hawm ntev (piv txwv li, mob venous tsis txaus, ib qho mob uas ua rau ob txhais ceg o thiab tawv nqaij hloov xim) uas tuaj yeem tshwm sim los ntawm cov ntshav txhaws no.

Nco ntsoov cov no txog kev siv tshuaj

Yog koj tus kws kho mob sau tshuaj rau DVT, ceev faj txog cov no:

• Noj koj cov tshuaj raws nraim li koj tus kws kho mob tau sau tseg, raws sijhawm, thiab raws li qhov ntau npaum li cas. Tsis txhob ncua ib hnub twg li.
• Mus kuaj ntshav raws li koj tus kws kho mob hais kom koj ua, thiab tsis txhob mus raws sijhawm teem tseg. (Qee cov tshuaj uas ua rau cov ntshav nyias yuav tsum tau kuaj ntshav tas li kom paub tseeb tias koj cov ntshav khov tau zoo.)
• Tsis txhob pib noj tshuaj tshiab (xws li cov tshuaj tua kab mob uas yuav tsis tas yuav muaj ntawv yuav tshuaj, cov vitamins, thiab cov tshuaj Ayurvedic) lossis tsum tsis txhob noj cov tshuaj uas koj tab tom noj yam tsis tau sab laj nrog koj tus kws kho mob.
• Tham nrog koj tus kws kho mob txog koj cov zaub mov noj. Qee cov tshuaj ua kom cov ntshav nyias (xws li warfarin) yuav txwv tsis pub koj noj qee yam zaub mov (xws li taum pauv). Yog li ntawd, yuav tsum paub txog qhov no.

Me ntsis ntxiv txog kev kho mob DVT

Cov tshuaj Anticoagulants (cov tshuaj uas ua rau cov ntshav nyias)

Cov tshuaj no feem ntau tiv thaiv koj cov ntshav kom tsis txhob yooj yim txhaws. Nws kuj tseem tiv thaiv cov ntshav txhaws uas twb muaj lawm kom tsis txhob loj hlob, thiab nws kuj tiv thaiv lawv kom tsis txhob tawg thiab txav mus los.

Qhov tseem ceeb, cov tshuaj anticoagulants no tsis "yaj" cov ntshav txhaws. Koj lub cev cov txheej txheem ntuj tsim maj mam yaj cov ntshav txhaws. Txawm li cas los xij, qee zaum cov ntshav txhaws tsis yaj tag. Yog tias lawv ua, lawv ntsws thiab tseem yog cov "caws" me me hauv cov leeg ntshav. Qee zaum cov ntshav txhaws "laus" no tuaj yeem ua rau ceg o, tab sis feem ntau lawv tsis ua rau muaj cov tsos mob loj.

Muaj ntau hom tshuaj tiv thaiv kev ntshav txhaws. Piv txwv li, warfarin (muag raws li lub npe xws li Coumadin), heparin (muab ua tshuaj txhaj), thiab cov tshuaj tiv thaiv kev ntshav txhaws ncaj qha tshiab (DOACs) lossis cov tshuaj tiv thaiv kev ntshav txhaws tshiab (NOACs) (piv txwv li rivaroxaban, apixaban, dabigatran). Koj tus kws kho mob yuav qhia koj tias hom tshuaj twg zoo tshaj plaws rau koj thiab muaj kev nyab xeeb tshaj plaws.

Yog koj xav tau noj tshuaj anticoagulant, koj yuav tsum noj ntev npaum li cas nyob ntawm koj tus mob. Ib txhia neeg tsuas yog yuav tsum noj ob peb lub hlis xwb (feem ntau yog 3-6 lub hlis), thaum lwm tus yuav tsum noj mus tas lawv lub neej. Qhov no nyob ntawm tej yam xws li:

• Koj puas tau muaj cov ntshav txhaws zoo li no ua ntej?
• Txawm koj tab tom kho mob rau ib yam mob uas kav ntev, xws li mob qog noj ntshav lossis mob autoimmune (yog tias yog, koj yuav tsum noj tshuaj anticoagulant ntev, uas ua rau koj muaj feem yuav mob ntshav txhaws).

Qhov teeb meem tshwm sim feem ntau ntawm cov tshuaj anticoagulants yog los ntshav. Yog tias koj muaj qhov mob yooj yim, los ntshav ntau dhau ntawm koj cov pos hniav thaum txhuam koj cov hniav, los ntshav ntswg, lossis quav dub thaum noj cov tshuaj no, hu rau koj tus kws kho mob tam sim ntawd.

`(Cov thom khwm nruj)` (Cov thom khwm nruj tshwj xeeb)

Koj tus kws kho mob yuav sau ntawv kom koj hnav cov thom khwm tshwj xeeb kom txo lossis tshem tawm qhov o ntawm koj ob txhais ceg. Qhov ua rau qhov o no yog kev puas tsuaj rau cov hlab ntsha hauv koj cov leeg ntshav uas tshwm sim los ntawm DVT. Qhov o kuj tseem tuaj yeem tshwm sim vim tias cov ntshav ntws hauv koj cov leeg ntshav raug thaiv los ntawm DVT.

Feem ntau cov thom khwm nruj tuaj ua ib daim uas hnav hauv qab lub hauv caug. Cov thom khwm no nruj me ntsis ntawm pob luj taws, thiab maj mam tsis nruj thaum koj txav mus rau saum ceg. Qhov no ua rau muaj kev nyem qeeb qeeb, sib npaug (kev nias) ntawm ceg, txo cov ntshav sib sau ua ke thiab pab nws txav mus rau saum. Ib txhia neeg yuav tsum hnav lawv rau ob xyoos lossis ntau dua. Cov kev tshawb fawb tau qhia tias kev hnav cov thom khwm no txhua hnub txij thaum sawv ntxov mus txog yav tsaus ntuj (thiab tsis yog thaum hmo ntuj thaum koj pw tsaug zog) tuaj yeem txo qhov mob thiab o ntawm ceg txog li 50%.

Qee zaum, tom qab phais loj, koj yuav pom tib neeg hnav cov khoom siv tshwj xeeb ('(cov khoom siv nias cua tsis tu ncua)') uas muab tso rau ntawm koj ceg thiab nruj thiab xoob tsis tu ncua kom tiv thaiv DVT thaum koj nyob hauv tsev kho mob. Cov no tsis pom zoo kom siv sab nraum tsev kho mob. Tsis tas li ntawd, cov khoom siv no tsis pom zoo rau ib tus neeg uas twb muaj DVT hauv lawv ceg lawm.

Cov txheej txheem tshwj xeeb rau DVT

Feem ntau DVT tuaj yeem tswj tau los ntawm kev siv tshuaj. Txawm li cas los xij, yog tias koj tsis tuaj yeem noj cov tshuaj ua kom cov ntshav nyias rau qee qhov laj thawj, lossis yog tias koj tseem muaj cov ntshav txhaws txawm tias koj noj lawv kom raug, tus kws phais yuav tsum tau ua ib qho kev phais kom muab ib lub cuab yeej tshwj xeeb (lub lim dej inferior vena cava lossis IVC lim) rau hauv cov leeg ntshav loj tshaj plaws hauv koj lub cev (vena cava).

Qhov no feem ntau ua los ntawm kev siv tshuaj loog rau thaj chaw ntawd. Tus kws phais muab lub lim dej no (IVC filter) los ntawm ib lub raj nyias nyias (catheter) mus rau hauv cov hlab ntsha loj hauv koj lub qhov ncauj lossis caj dab, thiab tom qab ntawd muab nws tso rau hauv lub lim dej (vena cava), uas yog cov hlab ntsha tseem ceeb uas nqa cov ntshav los ntawm cov qhov hauv qab ntawm lub cev mus rau lub plawv. Lub hom phiaj ntawm lub lim dej no yog los tiv thaiv cov ntshav txhaws hauv cov hlab ntsha ntawm koj ob txhais ceg kom tsis txhob tawg thiab mus ncig, thiab cov ntshav txhaws loj (emboli) mus rau koj lub ntsws thiab ua rau cov ntshav txhaws hauv koj lub ntsws. Tab sis nco ntsoov, thaum lub lim dej (IVC filter) txo qhov kev pheej hmoo ntawm cov ntshav txhaws hauv koj lub ntsws, nws tsis tiv thaiv cov ntshav txhaws tshiab kom tsis txhob tsim hauv koj cov hlab ntsha.

Kuv yuav ua li cas thiaj txo tau kuv txoj kev pheej hmoo ntawm kev mob DVT?

Lawv hais tias, "Kev tiv thaiv zoo dua li kev kho mob." Yog li ntawd qhov ntawd kuj muaj tseeb txog DVT thiab.

Yog tias koj twb muaj DVT thiab tau kho tiav lawm, koj yuav tsum ua cov hauv qab no kom txo koj txoj kev pheej hmoo ntawm kev tsim lwm cov ntshav txhaws DVT/PE yav tom ntej:

• Noj koj cov tshuaj raws nraim li koj tus kws kho mob tau sau tseg, rau lub sijhawm tau teem tseg.
• Tsis txhob nco qhov teem caij mus ntsib kws kho mob thiab mus kuaj mob hauv chaw kuaj mob. Cov hnub no yog hnub uas koj tus kws kho mob yuav txiav txim siab seb koj txoj kev kho mob zoo npaum li cas thiab seb puas yuav tsum hloov koj cov tshuaj noj.
• Hloov pauv txoj kev ua neej kom noj qab nyob zoo, xws li noj zaub mov kom sib npaug, tawm dag zog txhua hnub, thiab tso tseg kev haus luam yeeb kiag li.

Yog tias koj yeej tsis tau muaj DVT, tab sis koj muaj ib lossis ntau yam ntawm cov yam uas tau hais los saum toj no, ceev faj kom tiv thaiv DVT los ntawm:

• Yog tias koj yuav tsum zaum hauv ib qho chaw ntev (piv txwv li, hauv chaw ua haujlwm, mus ncig ua si ntev), ua qee yam kev tawm dag zog me me, xws li txav koj lub duav mus rau saum thiab nqis thiab tig koj pob luj taws, tsawg kawg ib zaug txhua ib nrab teev.
• Yog koj caij dav hlau ntev, sawv tsawg kawg ib zaug txhua teev thiab taug kev ncig txoj kab. Yog koj caij tsheb ntev (npav, tsheb), tawm hauv lub tsheb tsawg kawg ib zaug txhua teev lossis ob teev thiab txav mus los me ntsis, ncab koj ob txhais ceg me ntsis.
• Tom qab muaj mob lossis phais mob, sawv ntawm txaj thiab pib taug kev sai li sai tau. Thaum koj pib txav mus los sai npaum li cas, qhov yuav muaj tsawg dua uas koj yuav muaj DVT.
• Tom qab phais loj, yog tias koj tus kws kho mob sau ntawv kom ua li ntawd, noj cov tshuaj (piv txwv li, txhaj tshuaj heparin me me) lossis hnav cov thom khwm nruj kom txo qhov kev pheej hmoo ntawm cov ntshav txhaws.
• Mus ntsib koj tus kws kho mob raws sijhawm teem tseg thiab ua raws li nws cov lus qhia kom meej meej kom txo koj qhov kev pheej hmoo ntawm DVT.

Yog tias kuv muaj DVT, kuv yuav xav tau dab tsi?

Nws yuav siv sijhawm ntau lub hlis mus rau ib xyoos rau cov ntshav txhaws kom yaj tag ntawm DVT. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv noj koj cov tshuaj thinning ntshav thiab hnav cov thom khwm nruj, yog tias tau sau ntawv kom ua, kom txog thaum koj tus kws kho mob hais kom koj tsum.

Thaum noj cov tshuaj ua kom cov ntshav nyias (tshwj xeeb tshaj yog warfarin), koj yuav tsum tau kuaj ntshav tas li (INR tests) kom paub tseeb tias koj tau txais cov tshuaj kom raug. Koj tus kws kho mob kuj tseem yuav xav ua ntau qhov ultrasound tom qab kom paub tseeb tias koj cov ntshav txhaws puas tseem nyob ntawd, yog tias nws tau txo qis lossis loj zuj zus, thiab koj cov leeg ntshav txav li cas.

Kuv yuav tsum mus ntsib kuv tus kws kho mob dua thaum twg?

Yog tias koj cov tsos mob (xws li mob ceg thiab o) tsis zoo dua lossis hnyav zuj zus thaum kho mob, qhia rau koj tus kws kho mob tam sim ntawd. Tsis tas li ntawd, yog tias koj mob yooj yim dua thaum noj cov tshuaj thinning ntshav, lossis yog tias koj muaj ntshav ntau hauv lub hlis, qhia rau koj tus kws kho mob.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Qhov no kuj tseem ceeb heev. Yog tias koj muaj ib qho ntawm cov hauv qab no thaum noj cov tshuaj thinning ntshav, uas txhais tau tias koj muaj cov cim qhia tias koj los ntshav ntau dhau, mus rau chav kho mob ceev hauv tsev kho mob tam sim ntawd:

• Yog tias cov ntuav liab dawb nrog ntshav, lossis yog tias cov ntuav dub zoo li cov hmoov kas fes.
• Yog tias cov quav liab ci ntsa iab nrog ntshav, lossis yog tias cov quav dub thiab nplaum.
• Yog tias koj tseem los ntshav tsis tu ncua los ntawm koj lub qhov ntswg, qhov ncauj, lossis lwm qhov chaw.
• Yog tias koj muaj cov tsos mob ntawm tus mob stroke, xws li mob taub hau sai sai, pom kev tsis meej, hais lus tsis tau zoo, lossis qaug zog ntawm ib sab ntawm lub cev.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Thaum koj raug kuaj pom tias muaj DVT, nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Tsis txhob ntshai nug koj tus kws kho mob txog tej yam xws li:

• Kuv yuav siv cov tshuaj no ntev npaum li cas thiaj li txo tau cov ntshav?
• Thaum twg kuv mam li rov qab mus ncig tau li qub (tshwj xeeb tshaj yog kev mus ncig ntev, kev caij dav hlau)?
• Kuv yuav tsum mus ntsib kws kho mob (`(kev teem caij ua raws li)`) ntau npaum li cas?
• Kuv puas yuav tsum tau hloov pauv dab tsi tshwj xeeb rau kuv cov zaub mov noj?
• Kuv yuav tsum tsis txhob ua dab tsi thaum kuv noj cov tshuaj no?

Yog li ntawd, peb yuav tsum kawm dab tsi los ntawm zaj dab neeg no?

DVT tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws kuj tsis yog ib yam dab tsi uas yuav tsum saib tsis taus. Nws yog ib yam mob uas cuam tshuam rau ntau tus neeg thoob plaws ntiaj teb thiab tuaj yeem kho tau zoo.

Qhov tseem ceeb tshaj plaws yog,Yog koj muaj cov tsos mob, mus ntsib kws kho mob tam sim ntawd thiab noj tshuaj raws li nws qhia. Yog tias koj tau txais cov tshuaj ua kom cov ntshav nyias, noj raws sijhawm thiab mus kuaj mob uas koj tus kws kho mob pom zoo. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los teb cov lus nug lossis kev txhawj xeeb uas koj muaj txog koj txoj kev noj qab haus huv. Yog li, tham nrog nws thiab tau txais kev kho mob zoo tshaj plaws rau koj tus mob. Nyob zoo!

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