Ndezvipi Zvinokanganisa Rudzi Rwekuvhara Ropa?
Gore roga roga vanenge 200 000 veAmerica vanopedzisira vashandurwa. Nhamba dzinobudisa pachena kuti pakati pe400 ne800 vanhu vanokudziridza zvirwere zvinouraya mumapuranga emwedzi mitatu mushure mekuita izvi.
Chirongwa chemapurmoni chinokonzerwa nemamiriro ezvinhu anonzi deep vein thrombosis, umo ropa rinoputika mumvura yakadzika (kazhinji mumugumbo).
Mune zvimwe zviitiko, kubatana kwepummoni kunogona kukura pakati pevarwere vane DVT apo chikamu chevhavha inopera uye inofamba ichienda neropa kusvika kumapapu.
Ropa Chengetedza Ngozi Nezvokubatsira
Imwe tsvakurudzo yakatsvakurudzwa yakabudiswa muna 2000 muNew England Journal yemishonga yakaona kuti pakati peCalifornia Medicare varwere vaitevera, zvimwe zvipingamupinyi zvinokonzera uye kupindira kwakavhiringidzwa izvo varwere vakagadzira ropa rekuvhara ropa rekushandura. Yakawanikwa kuti:
- Vachiremba vanorema uye vane BMI yevamwe makumi maviri nemashanu kana kupfuura vaive 2 1/2 nguva zvichida kuti vapinde muchipatara nokuda kwekuvhara ropa pane boka rekutonga.
- Kufuridzirwa kwepineumatic kwaive kwakakosha kune varwere vevhareji inorema. Kugadziriswa kwepineumatic (imwe yekunze yakagadzirwa neine inflatable cuffs nechinangwa chokudzikisa uye kuomesa makumbo kudzivirira ropa kubva pakubatanidza mumasipu uye kuwedzerwa kwengozi yekugadzirisa mazamu) hazvina kuderedza dambudziko rekuvhara ropa mune varwere vanopfuura simba.
- Vachiremba vemazuva ose avo vaishandisa pneumatic compression vaiva makumi matatu kubva muzana zvichida kuti vadzoserwe zvakare muchipatara nokuda kwekuvhara ropa sezvo varwere vasingatariswi nekunetseka kwepineumatic.
- Varwere vezvikamu zvose zvinorema vaibatwa neanticoagulant drug therapy mushure mekuenda kumusha vaingova 60 muzana bedzi vanogona kuva nezvivharo zvechiratidzo sevaya vasingagamuchiri kurapwa.
Mamwe mapoka evarwere anobatsirwa zvakawanda kubva kune dzimwe mishonga. Zvidzidzo zvinoratidza kukosha kwekudzivirira kwepineumatic muvarwere vane BMI pasi pemakumi maviri nemashanu uye kukosha kweanticoagulant drug therapy mushure mekuregererwa kwechipatara asi zvidzidzo zvemangwana zvinodiwa kuti uongorore kusagadzikana kwekuwedzera kwepineumatic muvarwere vane BMI vanopfuura 25.
Vakuru-Mungozi
Vamwe varwere vari pangozi yakakura yekukudziridza hutachiona hwemapurmoni mushure mekuvhiyiwa kwechipembenene pane vamwe. Mukuwedzera kune varwere vane BMI yakakwirira, izvi zvinosanganisira varwere vano:
- Iva nhoroondo yekare yeropa
- Vari kushingaira fodya vanosvuta
- Iye zvino ari kugamuchira kurapwa kwekenza
Vakuru-pangozi varwere vanowanzoongororwa zvakanyanya uye / kana kugamuchira mishonga yechipfupa yeropa mushure mekuvhiyiwa kunobviswa panzvimbo yekudzivirira kudzivirira kubvisa kubva pakuumba.
Kudzivirira Kuvhara Ropa Mushure mokunge Hip Replacement
Mukuwedzera pakuudza chiremba wako kana une chimwe chezvinhu zvinopisa zvinotaurwa pamusoro apa, kune dzimwe matanho aungatora kuti uzvidzivirire kubva kuvhara reropa kana uchigadzira chirongwa. Izvi zvinosanganisira:
- Kusiya kusvuta (kunyange zvazvo purogiramu yekurega kusvuta, kana zvichifanira), iyo yakaratidzwa kuwedzera kungozi yekuvandudza ropa clot kanomwe.
- Chengetedza uremu hune utano (kana ureruke uremu).
- Tanga kufamba uye nekukurumidza sezvinobvira mushure mekuvhiyiwa, izvo zvinokonzera ropa kuburikidza nehurongwa hwako uye zvinodzivirira kubva pakunzvimbo imwe kwenguva yakareba zvakakwana kuti uvhare.
Zviratidzo nezviratidzo zveRopa Ropa
Kunyangwe kana zvipfeko zvinowedzera, kurapwa kunogona kubudirira kana pavanoonekwa vasati vaomerwa. Mushure mekuvhiyiwa, kumwe kuvhara kunowanzoitika. Zvisinei, kana iwe ukacherechedza kamwe-kamwe kana kunetseka kwekudzimba kana kuti unyoro, chikamu chinorwadza zvikuru kutama, uye / kana iwe unokura fivhiri, iwe unofanirwa kuudza chiremba wako.
Sources:
Kudzivisa Kuvhara Ropa Mushure mekunge Hip Replacement Surgery, Newswise, 12/14/00.
Predictors of Rehospitalization nokuda kweSimptomatic Venous Thromboembolism Mushure meZvose Hip Arthroplasty, NEJM, 12/14/00, Vol. 343, No.24
> Sitzman, B. Todd. Kudzivirirwa kwePerioperative Deep Venous Thrombosis Uye Pulmonary Embolism. B. Todd Sitzman, MD, MPH, December, 1998.