Nkhani

Kuthekera ndi chitetezo cha kukonzanso pambuyo pa venous thromboembolism

Chidule

Chiyambi

Kutsekeka kwa mitsempha yamagazi ndi matenda oopsa kwambiri. Mwa opulumuka, madandaulo osiyanasiyana a ntchito ayenera kubwezeretsedwa kapena kupewedwa (monga post-thrombotic syndrome, pulmonary hypertension). Chifukwa chake, kukonzanso pambuyo pa venous thromboembolism kumalimbikitsidwa ku Germany. Komabe, pulogalamu yokonzanso yokonzedwa bwino sinafotokozedwe izi. Pano, tikuwonetsa zomwe zachitika ku malo amodzi okonzanso.

Njira

Deta yochokera motsatizanaembolism ya m'mapapoOdwala (PE) omwe adatumizidwa ku pulogalamu yokonzanso odwala m'chipinda cha odwala kwa milungu itatu kuyambira 2006 mpaka 2014 adawunikidwanso mobwerezabwereza.

Zotsatira

Onse pamodzi, odwala 422 adapezeka. Avereji ya zaka zawo inali 63.9±13.5, avereji ya kulemera kwa thupi (BMI) inali 30.6±6.2 kg/m2, ndipo 51.9% anali akazi. Kutsekeka kwa mitsempha yozama malinga ndi PE kunkadziwika kwa odwala 55.5% onse. Tinagwiritsa ntchito njira zosiyanasiyana zochiritsira monga kuphunzitsa njinga ndi kugunda kwa mtima koyang'aniridwa ndi 86.7%, kuphunzitsa kupuma mwa 82.5%, chithandizo cha m'madzi/kusambira mwa 40.1%, ndi chithandizo chamankhwala mwa 14.9% ya odwala onse. Zochitika zoyipa (AEs) zinachitika mwa odwala 57 mkati mwa nthawi yochira ya milungu itatu. AE zodziwika kwambiri zinali chimfine (n=6), kutsegula m'mimba (n=5), ndi matenda a m'mapapo apamwamba kapena apansi omwe adachiritsidwa ndi maantibayotiki (n=5). Komabe, odwala atatu omwe anali pansi pa chithandizo choletsa magazi kutuluka magazi adadwala magazi, zomwe zinali zofunika kwambiri kwa wodwala mmodzi. Odwala anayi (0.9%) adayenera kusamutsidwira kuchipatala chachikulu pazifukwa zina zomwe sizikugwirizana ndi PE (acute coronary syndrome, pharyngeal abscess, ndi mavuto a m'mimba). Palibe chomwe chidapezeka pakuchita masewera olimbitsa thupi pa kuchuluka kwa AE iliyonse.

Mapeto

Popeza PE ndi matenda oopsa kwambiri, zikuwoneka zomveka kulimbikitsa kukonzanso odwala a PE omwe ali ndi chiopsezo chapakati kapena chachikulu. Kwawonetsedwa koyamba mu kafukufukuyu kuti pulogalamu yokhazikika yokonzanso pambuyo pa PE ndi yotetezeka. Komabe, kugwira ntchito bwino komanso chitetezo kwa nthawi yayitali kuyenera kuphunziridwa bwino.

Mawu Ofunika: venous thromboembolism, pulmonary embolism, kukonzanso