Ropa kubvisa maitiro kunokosha zvikuru muupenyu. Kana chirwere cheropa chichikuvadzwa nekukuvadza, chimiro chinowanzogadzirisa chinotsigira kuti kurasikirwa kweropa kuchapera. Uyezve, ropa rinoshandiswa panzvimbo yekukuvara rinopa danho rekutanga remuviri pakuporesa.
Zvisinei, kana ropa rinogadzira kana risingafaniri, zvinetso zvakakomba zvinogona kuguma nokuti chipfeko chinogona kukonzera kukanganisa kunhengo yakapiwa (kana yakasvibiswa) nemudziyo wakavharwa.
Ichi ndicho chikonzero kufungidzira ropa-iyo inogoneka nemavhidhi maviri uye test imaging-yakakosha zvikuru.
Nguva Yokuona Kuona Ropa Ropa
Inowanzokosha kuti uongorore kuvepo uye nzvimbo yekrombus kana kuti yakabatana, maviri emarudzi evhapa reropa, nokuti chero rudzi rwemhando dzine simba rakakura rokubudisa kukanganisa kwechivi. Kuita zvirwere zvakakodzera kunokosha pakuisa kurapa kwakanyanya.
Mamiriro ekurapa anowanzoitwa kakawanda nekuda kwekudzikisa kana kubatana anosanganisira:
- Stroke , iyo inowanzokonzerwa nehutachi humwe hutano hunoita huropi, kana humwe hunoenda kuuropi (kakawanda kubva pamwoyo).
- Kurwisa kwemwoyo , iyo nguva dzose inokonzerwa nokuputika kweatrosclerotic plaque , iyo inokonzera trombus kuti iite mukati meyeri yeronary.
- Izwi rakadzika rinoputika (DVT) , jira rinoumba mune rimwe remakumbo makuru ehudyu, chidya kana pelvis.
- Chigadzirwa chemuputi , ropa rinoputira kumapapu, kazhinji kubva mumvura yakadzika inopisa.
- Mimwe mamiriro ezvinhu, kusanganisira thrombosis yemuviri mukuru unopisa chiropa (portal vein thrombosis), kuputika kwechipfuva chinopisa mafungiro (renal vein thrombosis), uye kuiswa kwechigunhi kuruoko kana gumbo.
Neimwe yemamiriro ezvinhu aya, usati wapedza kurapwa kunogona kutarisirwa kunokosha kuratidzira kunze kwekusava nechokwadi kwakakosha kuti ropa rinenge riri kukonzera dambudziko.
Dhiyabhorosi Miedzo
Dhiyabhorosi miedzo yekuongororwa ropa ropa rinogona kuedza basa risina kujairika uye kupa mazano angakubatsira iwe wakanyanyisa kuderera.
D-Dimer Ropa Ropa
D-dimer test test inoona kana ichangobva kuve iri nhamba isingaenzaniswi yekuvhara basa mune imwe nzvimbo mukati meropa. Uyu muedzo ndiyo inonyanya kubatsira pakubatsira vanachiremba kubvisa pasi pekufungira kwavo kuti DVT kana kuti mapurmary embolus yaitika.
Cardiac Biomarkers
Cardiac biomarkers inoshandiswa kuongororwa nehutano hwemwoyo. Kuongororwa kweropa hakuiti zvachose kuongororwa ropa; pane kudaro, vanoona kana paine mwoyo wekushungurudzika kwemisvo-iyo inowanzokonzerwa nekuputika kwemapurisa arteric plaque, pamwe chete nehutachiona hwekugadzirisa.
Kufungidzira Miedzo
Chiremba wako acharayira zviyero zvekufungidzira zvaanoona zvakakosha pakugadzirisa zvakakodzera kuongororwa. Kumbira chiremba wako kuti chii chichaedzwa, uye iva nechokwadi chekuunza zvinetso zvako zvaunenge uchiita pamusoro pekuita.
Compression Ultrasound
Iko kuongororwa kwechiedza che ultrasound yechiratidzo chisingaitiki chinogona kuitwa pamubhedha wemubhedha unowanzobatsira zvikuru pakuongorora DVT.
V / Q Scan
Mavhenekeri ekutsvaira mafungiro (V / Q scan) chirwere achishandisa dhiyabhorosi dhayi kuti aongorore kuteerera kweropa kusvika kumapapu, kuti aone kana chirwere cheropa chinoputika chakavhadzirwa nemapurmonary embolus.
CT Scan
The CT scan is computer-ray-ray technique that can show an incredible amount of anatomic detail. The CT scan inonyanya kubatsira mukusimbisa kuti chirwere chakakonzerwa nekambani kana thrombus, uye inowanzotanga kuedzwa inoshandiswa pakuongorora chirwere. Iyo CT scan inogonawo kuva yakakosha chaizvo mukusimbisa hutachiona hwemapurmoni.
MRI Scan
Sezvakaita CT scan, MRI inoongorora inogona kushandiswa kuona mavhare mukati memidziyo yeropa. Aya maedzo anooma zvakaoma kuita kupfuura CT scans, saka kana nguva iri yezvinokosha CT inowanzoshandiswa.
Angiography kana Venography
Aya ndiwo maitiro e-catheterization umo dhayi inopindwa muropa mumudziyo umo paine chiyeuchidzo uye x-mavara anotorwa kuti aone chivharo.
Pulmonary angiography inogona kushandiswa kuongororwa nemapurmonary embolus; venography kuongorora DVT. Kutenda kuwanikwa kweT CT kuongorora uye MRI inoongorora, izvi zvinongororwa zvinoshandiswa kuti zviongorore zvinangwa zvakanyanya kudarika zvazvaiva kare kuti zviongorore thrombus kana embolus.
Echocardiography
Echocardiograms inowanzoshandiswa kune varwere vane zviratidzo zvinokanganisa ariti-kunyanya kune vanhu vane chirwere chemuviri. Kuti upinde muyeri, munenge mamiriro ose ega kubatana kunofanira kubva mukati memwoyo kana kufamba mumoyo.
Echocardiogram inogona kuona tsrombus yakave yakagadzirwa mumoyo (kazhinji iri kuruboshwe kuruboshwe mumunhu ane inrial fibrillation , kana kuruboshwe rweseriri mumunhu ane chirwere chakanyanya kuora mwoyo ). Echocardiogram inogona kuonawo matambudziko emwoyo anogona kubvumira kubatana kufambisa mwoyo, sepentent foramen ovale .
> Sources:
> Fields JM, Davis J, Girson L, et al. Transthoracic Echocardiography Nokuona Kuongorora Pulmonary Embolism: Ongororo Yakarongeka Uye Meta-Kuongorora. J Am Soc Echocardiogr 2017; 30: 714. doi: 10.1016 / j.echo.2017.03.004.
> Gibson NS, Schellong SM, Kheir DY, et al. Kuchengetedza uye Kunzwisisa KweZviri Ultrasound Nzira dzezvirwere Muzvirwere Nehutachiona Anopomerwa Zvakadzika Mvura Inonzi Thrombosis: A Prospective Management Study. J Thromb Haemost 2009; 7: 2035. doi: 10.1016 / j.echo.2017.03.004.
> Stein PD, Yaekoub AY, Matta F, et al. Sarudzo yePulmonary Embolism On Ct Pulmonary Angiography. Ajr Am J Roentgenol 2010; 194: 1263. doi: 10.2214 / AJR.09.3410.
> Weitz JI, Fredenburgh JC, Eikelboom JW. Muedzo Mukufungidzira: D-Dimer. J Am Coll Cardiol 2017; 70: 2411. doi: 10.2214 / AJR.09.3410.