Mhando dzeRopa Rinopedza Mushure Mekuvhiya uye Kurapa Kwemaitiro
Ropa rakapfeka chirwere chakakomba icho chirwere chekuvhiya chinogona kuitika panguva uye mushure mekuita. Kunyange zvazvo ropa rinoputika mumakumbo imamiriro akaoma, ropa rinopinza rinogona kukurumidza kuve mamiriro ezvinhu anotyisa kana ichisvika kuuropi (embolic / ischemic stroke) kana mapapu ( pulmonary embolism ). Izvi zvinetso zvakanyanya kwazvo uye zvinofanira kutorwa zvakakurumidza kuti kuderedze kukanganisa kwakakonzerwa mumuviri kana muuropi.
Chii Chinokonzera Ropa Rinopfeka Pashure Kokuvhiya?
Ropa rekuropa rinowanzogadzirwa panguva kana mushure mekuvhiyiwa kupfuura iyo iri muhupenyu hwezuva nezuva hwehupenyu. Kune zvikonzero zvakawanda zveizvi, asi chimwe chinokonzera chikonzero chiri kurambira pane tefura yekushandisa kwenguva yakareba. Izvi hazvisi nyore kuti ropa rivhare, nokuti hausi kuchinja ropa mukati memuviri wako nekukurumidza kana semasimba sezvaunowanzo paunenge uchiita.
Vamwe vanhu havaiti basa mushure mekuvhiyiwa kwavo nokuti vari mukutambudzika, vanorwara zvikuru, kana vasingakwanisi kufamba. Kune ava varwere, njodzi yekugadzirisa mavara inowedzera mushure mokunge nzira yapera uye panguva yekuvhiyiwa nokuti inoramba ichishanda.
Mhando yekuvhiya iwe uripo inogonawo kuwedzera mukana wekuvhara ropa mushure mekuita. Kana kuvhiyiwa kwako kuchida mishonga yako kana mitsetse kuti icheke kana kugadziriswa, dambudziko rekuvhara ropa riripamusoro nokuti muviri wako unoshanda kumira kubuda ropa nekugadzira zvivharo.
Kana iwe uri kuvhiyiwa apo mwoyo wako wakamira, kazhinji kacho chirwere chepfungwa chepamusoro (CABG) , dambudziko rako rekuvhara ropa rinowedzerawo.
Nhoroondo yako yehutano uye yehupfumi inogonawo kuita kuti pave nekugadzirwa mushure mekuvhiyiwa. Semuenzaniso, kana iwe uri kusvuta iwe uri pangozi yakakwirira yekuumbwa kweropa rinopfurikidza nehuwandu hwevanhu, kunyange pasina kuvhiyiwa.
Zvinokonzerwa Nengozi Nekuvhara Ropa Mushure mekuvhiya
- Atrial Fibrillation: Varwere vane chirwere chepfungwa zvisina kukodzera vane ngozi yakawanda yekuumba ropa.
- Kuberekwa: mukana wekuvhara ropa kunowedzera sezvo muviri unoita kuti ropa rivhare nokukurumidza mukugadzirira kuberekwa kwevana.
- Kanzira: mamwe mhando yekenza inoita kuti ropa rive nyore nyore.
- Nhoroondo yeRopa Zvokuvhara: kana iwe wakave neropa rekare munguva yako yapfuura iwe unowanzova nechimwe mune ramangwana.
- Nhoroondo yemhuri yevhavha yeropa: kana pane vanhu vakawanda mumhuri yako vakawana ropa, iwe unogona kuva netsika yakagadzirirwa yekuumba zvipfeko nyore nyore kupfuura munhu wepamusoro.
- Hormone Replacement Therapy (HRT): rimwe chete rinozivikanwa nemigumisiro yeHRT ndiyo ngozi yakawedzerwa yekuumba ropa.
- Kusvuta: kurega kusvuta kunoderedza dambudziko rako rekugadzira ropa rekuvhara mushure mekuvhiyiwa kana panguva yako yezuva nezuva hupenyu.
- Kuwedzera muviri
- Nguva Isingaoneki: iyi inosanganisira nguva inoshandiswa pasi peanesthesia uye nguva yekuwanazve kana iwe usingakwanisi kufamba uye kudzokera kune mamwe mabasa akajairika.
- Mwoyo Wemagetsi Matambudziko: Vanhu vane mafungiro emagetsi emwoyo kana matambudziko emwoyo vane vhudzi vane njodzi yakakura yokugadzira zvivharo zvinogona kuenda kumapapu kana huropi.
- Kuderedza mvura: mvura inhengo huru yeropa uye kana pasina kukwana ropa rinogona kuvhara nyore nyore. Kunwa mvura yakakwana mushure mekuvhiyiwa kunogona kubatsira kudzivirira kuputika kubva pakuumba.
- Genetics: Kana mhuri yako yepamunharaunda ichikwanisika kugadzira mapepa, unogona kunge uriwo.
Kudzivirira Kuvhara Ropa Mushure mekuvhiya
Kusimuka nekufamba panguva yekudzoka kubva pakuvhiyiwa ndeimwe yenzira dzakanakisisa dzokudzivirira ropa. Kuramba wakachengetwa nekunwa mvura yakawandisa kunogonawo kuderedza dambudziko rako rekugadzira zvivharo. Iwe unofanirwawo kuziva zviratidzo uye zviratidzo zveropa rinoputika .
Mukuwedzera kune zviyero izvi zviri nyore, chiremba wako anogonawo kupa mishonga yekudzivirira zvivharo kubva pakuumba. Sezvinogara nguva dzose, kudzivirira zviri nani pane kurapwa. Mishonga inopindwa muropa - yakadai seLovenox kana Heparin - yakajairika panguva yechipatara mushure mekuvhiyiwa, iyi mishonga inopiwa kudzivirira kuumbwa kweropa.
Hazviwanzogadziriswa kushandiswa pamba.
Mishonga Yekuvhara Ropa
Chirwere chekuvhara ropa chinoenderana nenzvimbo yeropa. Kana chivharo chikaumba, kune marapirwo anogona kuitwa. Coumadin, kana kuti warfarin chaiyo, inopiwa kubatsira muviri kubvisa chivharo kubva muropa. Heparin inogonawo kupiwa kudzivirira mahwende akawedzera kubva pakuumba kana kuti kudzivirira kuputika kubva pakukura.
Chivharo chinotamira kumidzi yeropa chinopa huropi chinogona kukonzera chirwere cheschemic, chinonziwo sitiroko embolic. Izvi zvinokonzera kukanganisa nekudzivisa mavara anogadziriswa nemudziyo wakachengetwa ropa mumhepo.
Izvi zvinoshandiswa nemishonga inonzi TPA iyo inobatsira kupedza ropa clot. Kana TPA isingashandisi kana kuti isingashandisi, vanachiremba vanogona kusarudza kuedza kubvisa chivharo chirwere. Iyi nzira inogadzirwa nekukanda chidimbu chiduku mumvura inoyerera kuburikidza nekukanganiswa kwechidiki mumugwagwa. Chigadzirwa chacho chinowedzerwa zvishoma nezvishoma kunyange mishonga yomuviri yemuviri kusvikira mucheche unosvika muuropi, apo inogona kubviswa zvinyoro uye ichibviswa kubva mumuviri kuburikidza nekugadzirwa kwemvura. Kana imwechete iyo ikabviswa, ropa rinogona zvakare kutenderera kune zvinyuchi zveuropi zvisingabviri mumhepo, uye murwere anogona kutora zvimwe zvebasa renzvimbo iyo yeuropi.
Zvipfeko zvinoumba mumakumbo zvinonzi yakadzika vein thrombosis (DVT) uye ndiyo inowanzova yeropa rinopisa mushure mekuvhiyiwa. Vanowanzogara mumakumbo, asi vanogona kusunungura uye vanotanga kufamba mumvura. Zvivharo zvinogona kubva pamakumbo kusvika pamapapu uye zvinokonzera chirwere chinopisa upenyu chinonzi pulmonary embolism. Kunyange zvazvo mapurmoni embolism anogona kurapwa , kune huwandu hwekufa kwehutano hunobatanidza nerudzi urwu rwechiropa.
Kazhinji, kuvhara mumakumbo kunorapwa nemishonga, asi mumamiriro ezvinhu apo kune ngozi yakakura yevhavha inoenda kumapapu, chigadziri chinonzi inferior vena cava filter (kana Greenfield Filter) inogona kuiswa. Iyi shanduro inoita sekapu kadiki, kubata mabhanhire vasati vangaisa mumapapu uye zvinokonzera kukanganisa. Izvi zvinoshandiswa kuburikidza nekudhonza kuduku mumupuranga kana mutsipa, kuburikidza nayo iyo firiji inoshandiswa munzvimbo inowanikwa pasi vena cava. Iyo firiti inogona kuiswa kwekanguva kana kusingaperi.
Shoko Rinobva
Ropa rinovhara mushure mekuvhiyiwa rinogona kuva dambudziko rakaoma kwazvo. Kana ukawana kurwadziwa kusinganzwisisiki kana kukura kunoshamisa mukurwadziwa mushure mekuvhiyiwa, kunyanya mumakumbo, pangave nehutano nemagazi eropa. Zvakanaka zvikuru kunyorera kukwanisa kweropa ropa kumudzidzisi wako pane kuisa hanya nazvo uye kuona upenyu hunotyisidzira hupenyu hwakadai seplmm embolism.
Mushure mokuvhiyiwa, kuchengeteka nguva dzose kune nani pane kusuruvara, kunyanya apo ropa rinenge rakanganisa.
Sources:
Ropa Clot Treatment - Stop the Clot. National Blood Clot Alliance. Yakasvika muna June, 2013. http://www.stoptheclot.org/learn_more/blood_clot_treatment.htm