Nkhani

Kuthekera ndi chitetezo cha kukonzanso pambuyo pa venous thromboembolism

Ndemanga

Mbiri

Venous thromboembolism ndi matenda oopsa. Kwa opulumuka, madandaulo osiyanasiyana amafunikira kubwezeretsedwa kapena kupewedwa (mwachitsanzo, post-thrombotic syndrome, pulmonary hypertension). Chifukwa chake, kukonzanso pambuyo pa venous thromboembolism kumalimbikitsidwa ku Germany. Komabe, pulogalamu yokonzanso yokhazikika sinafotokozedwe paziwonetserozi. Pano, tikuwonetsa zochitika za malo amodzi okonzanso.

Njira

Zambiri kuchokera motsatizanapulmonary embolism(PE) odwala omwe adatumizidwa ku pulogalamu ya 3-sabata yothandizira odwala kuyambira 2006 mpaka 2014 adawunikidwanso.

Zotsatira

Onse, odwala 422 adadziwika. Zaka zapakati zinali 63.9 ± 13.5 zaka, chiwerengero cha thupi (BMI) chinali 30.6 ± 6.2 kg / m2, ndipo 51.9% anali akazi. Deep vein thrombosis molingana ndi PE idadziwika ndi 55.5% ya odwala onse. Tinagwiritsa ntchito njira zambiri zochiritsira monga maphunziro a njinga ndi kuyang'anitsitsa kugunda kwa mtima mu 86.7%, maphunziro opuma kupuma mu 82.5%, mankhwala a m'madzi / kusambira mu 40.1%, ndi chithandizo chamankhwala mu 14.9% ya odwala onse. Zochitika zoyipa (AEs) zidachitika mwa odwala 57 munthawi ya kukonzanso kwa masabata a 3. Ma AE odziwika kwambiri anali ozizira (n = 6), kutsekula m'mimba (n = 5), ndi matenda am'mwamba kapena otsika omwe amachiritsidwa ndi maantibayotiki (n = 5). Komabe, odwala atatu omwe adalandira chithandizo cha anticoagulation adadwala magazi, omwe anali ofunikira m'modzi. Odwala anayi (0.9%) anayenera kusamutsidwira ku chipatala chachikulu chachipatala pazifukwa zomwe sizikugwirizana ndi PE (acute coronary syndrome, pharyngeal abscess, ndi vuto lalikulu la m'mimba). Palibe chikoka cha zochitika zolimbitsa thupi pazochitika za AE iliyonse zomwe zidapezeka.

Mapeto

Popeza PE ndi matenda owopsa, zikuwoneka kuti ndizomveka kulangiza kukonzanso osachepera odwala PE omwe ali ndi chiopsezo chapakati kapena chachikulu. Zikuwonetsedwa kwa nthawi yoyamba mu phunziroli kuti pulogalamu yokhazikika yokonzanso pambuyo pa PE ndi yotetezeka. Komabe, mphamvu ndi chitetezo kwa nthawi yayitali ziyenera kufufuzidwa bwino.

Mawu osakira: venous thromboembolism, pulmonary embolism, kukonzanso