Deep vein thrombosis (DVT) chirwere chakakomba apo magwamba eropa anoumba mutsinga dzakadzika, kazhinji mumakumbo. Inogona kutungamirira kumatambudziko akaoma akadai se pulmonary embolism (PE) kana chivharo chichibvisa uye chichienda kumapapu. Kudzivirira DVT naizvozvo chikamu chakakosha chekuchengetwa kwechipatara uye kupora mushure mekuvhiyiwa. Imwe yezvishandiso zvakanyanya zvisiri zvemishonga zvekudzivirira DVT ndeyeintermittent DVT gumbo compression mudziyo, inozivikanwawo se intermittent pneumatic compression (IPC) zvishandiso kana sequential compression zvishandiso (SCDs).
Muchinyorwa chino, tichaongorora kuti chii chinopindirana DVT gumbo compression mudziyo, apo compression therapy inofanira kuiswa pagumbo neDVT, uye ndeapi mhedzisiro vashandisi vanofanirwa kuziva.
Chii chinonzi DVT Leg Compression Device?
A DVT leg compression device imhando yemudziyo wekurapayakagadzirirwa kukurudzira kupararira kweropa mumakumbo uye kuderedza dambudziko rekugadzira clot. Inoshanda nekuisa dzvinyiriro yepakati kumakumbo ezasi kuburikidza nemaoko anofema akabatana nepombi yepneumatic. Aya maoko anodzika uye anodzima, achitevedzera masikirwo ekupomba kwemhasuru panguva yekufamba.
Chinangwa chikuru cheiyo intermittent pneumatic compression (IPC) mudziyo ndeyekudzivirira venous stasis-imwe yenjodzi huru dzeyakadzika vein thrombosis. Nekukurudzira kuyerera kweropa kudzokera kumoyo, michina yeIPC inobatsira kuchengetedza kudzoka kwe venous uye kuderedza mikana yekuungana kweropa mumakumbo.
Main Components
Yakajairika inopindirana DVT gumbo compression system ine:
Sleeve yekumanikidza kana macuffs: Putira makumbo kana tsoka uye isa dzvinyiriro yepakati.
Air pump unit: Inogadzira uye inodzora mhepo yemhepo inopinza maoko.
Tubing system: Inobatanidza pombi kumacuffs ekuyerera kwemhepo.
Control panel: Inobvumira varapi kuti vaise mazinga ekumanikidza uye kutenderera nguva kune mumwe nemumwe murwere.
Aya anoteedzana ekumanikidzana maturusi emakumbo anogona kushandiswa kune varwere muzvipatara, misha inochengeterwa vakwegura, kana kunyange kumba vachitariswa nachiremba.
Iyo Intermittent Pneumatic Compression Device Inoshanda Sei?
Iyo IPC mudziyo unoshanda mune rhythmic kutenderera kweinflation uye deflation:
1. Inflation phase: Pombi yemhepo inozadza makamuri ane maoko zvakatevedzana kubva pachiziso zvichikwira, ichisvina tsinga zvinyoro nyoro uye ichisunda ropa kumwoyo.
2. Deflation phase: Sleeve inozorora, ichibvumira tsinga kuti dzizadze neropa rine oxygen.
Iyi cyclical compression inowedzera kudzoka kwe venous, inodzivirira kumira, uye inowedzera fibrinolytic chiitiko-kubatsira muviri kuti uparadze machira madiki asati ave nengozi.
Zvidzidzo zvekiriniki zvakaratidza kuti intermittent pneumatic compression zvishandiso zvinonyanya kushanda kana zvakasanganiswa nepharmacological prophylaxis senge heparin, kunyanya muvarwere mushure mekuvhiyiwa kana avo vasina kufamba kwenguva refu.
Nderini Paunofanirwa Kuisa Kudzvanyirira Pagumbo neDVT?
Mubvunzo uyu unoda kunyatsofungwa. Compression therapy inobatsira kune zvese kudzivirira DVT uye post-DVT kupora, asi kushandiswa kwayo kunofanirwa kutungamirwa nenyanzvi yekurapa.
1. Yekudzivirira DVT
Kudzvinyirira kwepakati kunokurudzirwa kune:
Varwere muchipatara mushure mekuvhiyiwa kana kushungurudzika
Vanhu vari pamubhedha wekuzorora kwenguva refu
Varwere vane zvishoma kufamba nekuda kwekuoma mitezo kana sitiroko
Avo vari panjodzi huru yevenous thromboembolism (VTE)
Muzviitiko izvi, inopindirana yeDVT yemakumbo ekumanikidza inoiswa magwamba asati akura, zvichibatsira kuchengetedza kutenderera uye kudzivirira thrombosis.
2. Kune Varwere Vane DVT Yavepo
Kushandisa IPC mudziyo pagumbo ratove neDVT zvinogona kuva nengozi. Kana iyo clot isina kugadzikana, mechanical compression inogona kuibvisa uye inokonzera pulmonary embolism. Naizvozvo:
Compression therapy inofanira kushandiswa chete pasi pekutarisirwa kwechiremba.
Ultrasound imaging inofanira kusimbisa kana clot yakagadzikana.
Muzviitiko zvakawanda, elastic compression stockings kana kunyorova kwakapedza kudzidza kungave sarudzo dzakachengeteka panguva yekutanga yekurapa.
Pane imwe nguva anticoagulation therapy yatanga uye kuvhara kwakadzikama, kudzvinyirirwa kwepakati kunogona kuunzwa kunatsiridza kudzoka kwevenous uye kudzivirira post-thrombotic syndrome (PTS).
Nguva dzose bvunza chiremba usati washandisa compression pagumbo neDVT.
Mabhenefiti eIntermittent DVT Leg Compression Devices
Iko kushandiswa kweanoteedzana compression zvishandiso zvemakumbo kunopa akawanda mabhenefiti ekurapa:
Kubudirira kweDVT kudzivirira: Kunyanya kune varwere vanovhiya kana vasingafambi
Non-invasive therapy: Hapana tsono kana mishonga inodiwa
Kuvandudza kutenderera: Inosimudzira kudzoka kwevenous uye lymphatic drainage
Yakaderedzwa edema: Inobatsira kudzora kuputika kwegumbo mushure mekuvhiyiwa
Kuwedzeredzwa kupora: Inokurudzira kukurumidza kudzoreredza nekuderedza matambudziko
Midziyo iyi inoshandiswawo zvakanyanya mukuvhiya kwemapfupa, mwoyo, uye gynecological, uko njodzi yekuumbwa kwegwamba iri pamusoro nekuda kwekufamba kushoma.
Maside Eeffects eIntermittent DVT Leg Compression Devices
Kunyangwe intermittent pneumatic compression zvishandiso kazhinji zvakachengeteka uye zvakatenderwa zvakanaka, mamwe maside mhedzisiro anogona kuitika, kunyanya nekushandisa zvisina kunaka kana kune varwere vane mamiriro evascular.
1. Kushatirwa kweGanda uye Kusagadzikana
Kuenderera mberi nekushandiswa kwekumanikidza maoko kunogona kukonzera:
Kutsvuka, kuvaviwa, kana mapundu
Kudikitira kana kupisa kweganda
Pressure marks kana mavanga zvishoma
Kugara uchiongorora ganda uye kugadzirisa nzvimbo ye sleeve kunogona kuderedza izvi zvinokanganisa.
2. Nerve or Muscle Pain
Kana mudziyo ukashanda zvakanyanyisa kana kusakwana zvisina kunaka, unogona kukonzera chiveve chechinguvana kana kusagadzikana. Kukodzera kwakaringana uye kwakaringana masisitimu ekumanikidza kwakakosha.
3. Kuwedzera kweArterial Disease
Varwere vane peripheral arterial disease (PAD) vanofanira kushandisa michina yeIPC nekuchenjerera, sezvo kudzvinyirirwa kwakanyanya kunogona kukanganisa kuyerera kweropa.
4. Kubviswa kweRopa
Muzviitiko zvisingawanzoitiki, kushandisa kudzvinyirirwa kwepakati kune chivharo chisina kugadzikana kunogona kutungamirira kune embolization, zvichiita kuti pulmonary embolism. Ndicho chikonzero kuongororwa kwechiremba usati washandisa mudziyo kwakakosha.
5. Allergic Reactions
Vamwe varwere vanogona kuita kune izvo zvemaoko kana tubing. Kushandisa hypoallergenic zvivharo kunogona kuderedza njodzi iyi.
Mitemo Yekuchengetedza Yekushandisa IPC Devices
Kuti uve nechokwadi chekushandisa kwakachengeteka uye kunoshanda kweDVT gumbo rekumanikidza midziyo, tevera kurudziro iyi:
Gara uchibvunza nyanzvi yezvehutano usati watanga compression therapy.
Shandisa saizi yakarurama uye zvigadziro zvekumanikidza zvichienderana nemurwere.
Tarisa chigadziro nguva dzose kuti uwane inflation yakakodzera uye nguva.
Bvisa maoko nguva nenguva kuti uongorore ganda.
Dzivisa kushandisa IPC zvishandiso pamakumbo ane hutachiona hunoshanda, maronda akazaruka, kana edema yakanyanya.
Nekutevera idzi dziviriro, varwere vanogona kuwana zvizere zvekudzivirira mabhenefiti epakati pneumatic compression pasina njodzi isina kufanira.
Mhedziso
Iyo inopindirana yeDVT yegumbo yekumanikidza mudziyo chinhu chakakosha chekurapa chinoita basa rakakosha mukudzivirira DVT uye mushure mekuvhiya kupora. Nekusimudzira kuyerera kweropa, intermittent pneumatic compression zvishandiso zvinoderedza njodzi yekuumbwa kwevhavha muvarwere vasingafambi. Nekudaro, kunyorera kwavo kune varwere vane DVT iripo kunofanirwa kugara ichiongororwa nenyanzvi dzehutano kudzivirira matambudziko.
Kunzwisisa kuti sei uye riini yekushandisa IPC zvishandiso zvinobudirira kunobatsira kuve nechokwadi chekuchengetedzwa kwemurwere, nyaradzo, uye nemhedzisiro yekurapa. Kana yasanganiswa nemishonga, kukurumidza kuunganidza, uye kutarisirwa kwakakodzera kwechiremba, zvishandiso izvi ndeimwe yezvishandiso zvakavimbika zvekudzivirira yakadzika vein thrombosis nekuvandudza hutano hwevascular.
Nguva yekutumira: Oct-20-2025