Kuvharika kweropa mutsinga dzakadzika (DVT) chirwere chakakomba apo ropa rinogwamba mutsinga dzakadzika, kazhinji mumakumbo. Izvi zvinogona kukonzera matambudziko akakomba akadai se pulmonary embolism (PE) kana ropa rikabuda roenda kumapapu. Saka kudzivirira DVT chikamu chakakosha chekutarisirwa muchipatara uye kupora mushure mekuvhiyiwa. Chimwe chezvishandiso zvinoshanda zvakanyanya zvekudzivirira DVT ndechemudziyo wekudzvanya makumbo weDVT unopindirana, inozivikanwawo semidziyo yeintermittent pneumatic compression (IPC) kana sequential compression devices (SCDs).
Muchinyorwa chino, tichaongorora kuti chii chinonzi DVT makumbo compression device, kana compression therapy inofanira kushandiswa pagumbo rine DVT, uye kuti ndeapi matambudziko anofanira kuzivikanwa nevashandisi.
Chii chinonzi DVT makumbo?
Mudziyo wekudzvanya makumbo weDVT rudzi rwemudziyo wekurapaYakagadzirirwa kukurudzira kutenderera kweropa mumakumbo uye kuderedza njodzi yekugwamba kweropa. Inoshanda nekuisa kumanikidzwa kumakumbo epasi nepakati kuburikidza nemachira anofefeterwa akabatana nepombi inofefeterwa nemhepo. Machira aya anofefeterwa nekudzikama, achitevedzera mashandiro emhasuru panguva yekufamba.
Chinangwa chikuru chemuchina weIPC ndechekudzivirira kugadzika kweropa mutsinga—chimwe chezvinhu zvikuru zvinokonzera thrombosis yeropa mutsinga dzakadzika. Nekukurudzira kuyerera kweropa kudzokera kumoyo, michina yeIPC inobatsira kuchengetedza kudzoka kweropa mutsinga uye kuderedza mikana yekuti ropa riungane mumakumbo.
Zvikamu Zvikuru
Sisitimu yekumanikidza makumbo yeDVT inopindirana inosanganisira:
Maoko kana macuff ekudzvanya: Putira makumbo kana tsoka wobva wadzvanya nguva nenguva.
Chigadziko chepombi yemhepo: Chinogadzira uye chinodzora kumanikidzwa kwemhepo kunopfuta maoko.
Sisitimu yepombi: Inobatanidza pombi nemacuffs kuti mweya ufambe.
Panera rekudzora: Rinobvumira vanachiremba kugadzirisa mwero wekumanikidzwa uye nguva yekutenderera kwevarwere vega vega.
Midziyo iyi yekumanikidza makumbo inogona kushandiswa kuvarwere vari muzvipatara, mudzimba dzevakwegura, kana kunyangwe vari kumba vachitarisirwa nachiremba.
Mudziyo Unodzvinyirira Pneumatic Intermittent Unoshanda Sei?
Mudziyo weIPC unoshanda nenzira ine rhythmic cycle ye inflation uye deflation:
1. Danho rekuwedzera kwesimba: Pombi yemhepo inozadza makamuri emaoko zvichitevedzana kubva pagumbo zvichikwira, ichidzvanya zvinyoro nyoro tsinga uye ichisundira ropa kumoyo.
2. Chikamu chekudzikira kweropa: Maoko emuviri anoreruka, zvichiita kuti tsinga dzizadze ropa rine oxygen.
Kudzvinyirirwa uku kunowedzera kudzoka kwetsinga, kunodzivirira kumira kweropa, uye kunowedzera kushanda kwefibrinolytic—zvichibatsira muviri kuputsa mavanga madiki asati ava nengozi.
Ongororo dzekiriniki dzakaratidza kuti michina yekumanikidza kwepneumatic inopindirana inoshanda zvakanyanya kana ikasanganiswa nekudzivirira kwemishonga senge heparin, kunyanya muvarwere vanovhiyiwa kana avo vasina kufamba kwenguva refu.
Ndirini Paunofanira Kushandisa Kudzvanya Kugumbo NeDVT?
Mubvunzo uyu unoda kunyatsofungwa nezvawo. Kurapa nekudzvanya kunobatsira pakudzivirira DVT uye kupora mushure meDVT, asi kushandiswa kwayo kunofanira kutungamirirwa nachiremba.
1. Kudzivirira DVT
Kudzvanya kwepakati nepakati kunokurudzirwa kune:
Varwere vari muchipatara mushure mekuvhiyiwa kana kukuvara
Vanhu vari pamubhedha kwenguva refu
Varwere vane mafambiro asina kukwana nekuda kwekuoma mitezo kana sitiroko
Avo vari panjodzi huru ye venous thromboembolism (VTE)
Muzviitiko izvi, michina yekudzvanya makumbo yeDVT inoiswa nguva nenguva isati yatanga kuumbwa kwezviputi, zvichibatsira kuchengetedza kutenderera kweropa uye kudzivirira thrombosis.
2. Kune Varwere Vane DVT Iripo
Kushandisa mudziyo weIPC pagumbo rine DVT kare kunogona kuva nengozi. Kana gumbo racho rikasagadzikana, kudzvanywa kwemuchina kunogona kuribvisa uye kukonzera pulmonary embolism. Saka:
Kurapa kwekudzvanya kunofanira kuitwa chete pasi pekutarisirwa kwachiremba.
Kutorwa kwemifananidzo neultrasound kunofanira kuratidza kana ropa rakagwamba.
Kazhinji, masokisi ekudzvanya elastic kana kudzvanya zvishoma zvinogona kuva sarudzo dzakachengeteka pakutanga kwekurapwa.
Kana kurapwa kwekudzivirira ropa kwatanga uye ropa radzikira, kudzvanywa kweropa nguva nenguva kunogona kuiswa kuti tsinga dzidzoke zvakanaka uye kudzivirira post-thrombotic syndrome (PTS).
Gara uchibvunza chiremba usati waisa dzvinyiriro pagumbo uchishandisa DVT.
Mabhenefiti ekushandisa michina yekumanikidza makumbo panguva imwe chete (DVT)
Kushandiswa kwezvishandiso zvekumanikidza makumbo zvinotevedzana kunopa mabhenefiti akawanda ekurapa:
Kudzivirira DVT kunoshanda: Kunyanya kune varwere vakavhiyiwa kana kuti vasingachafambi
Kurapa kusingapindi mishonga: Hapana tsono kana mishonga inodiwa
Kuyerera kweropa kwakavandudzwa: Kunosimudzira kudzoka kwetsinga uye kubuda kwemvura mumuviri (lymphatic drainage).
Kuderedza kuzvimba: Kunobatsira kudzora kuzvimba kwemakumbo mushure mekuvhiyiwa
Kupora kwakawedzerwa: Kunokurudzira kupora nekukurumidza nekuderedza matambudziko
Midziyo iyi inoshandiswawo zvakanyanya mukuvhiyiwa kwemapfupa, mwoyo, uye gynecological, uko njodzi yekugwamba kwemapfupa yakanyanya nekuda kwekufamba kushoma.
Migumisiro Yezvishandiso Zvekudzvanya Makumbo zveDVT Zvinogara Zvichiitika
Kunyange hazvo michina yekumanikidza inopindirana nemhepo yakachengeteka uye ichishivirira zvakanaka, mimwe migumisiro inogona kuitika, kunyanya kana ikashandiswa zvisina kunaka kana kune varwere vane matambudziko etsinga dzeropa.
1. Kurwadziwa kweganda uye kusagadzikana
Kushandisa nguva dzose machira ekumanikidza kunogona kukonzera:
Kutsvuka, kurutsa, kana mapundu
Kudikitira kana kupisa ganda
Mavanga ekumanikidzwa kana maronda madiki
Kugara uchiongorora ganda uye kugadzirisa nzvimbo yeruoko kunogona kuderedza migumisiro iyi.
2. Kurwadziwa kwetsinga kana tsandanyama
Kana mudziyo wacho ukamanikidzwa zvakanyanya kana kuti ukasashanda zvakanaka, zvinogona kukonzera kusanzwa zvakanaka kwenguva pfupi. Kuiswa zvakanaka uye kumanikidzwa kwakakodzera kwakakosha.
3. Kuipa kwechirwere cheArterial
Varwere vane chirwere che peripheral arterial disease (PAD) vanofanira kushandisa michina yeIPC nekungwarira, sezvo kudzvanywa kwakanyanya kunogona kukanganisa kufamba kweropa mu arterial.
4. Kubuda kweGwara reRopa
Muzviitiko zvisingawanzoitiki, kushandisa compression inopindirana paganda risina kugadzikana kunogona kukonzera embolization, zvichikonzera pulmonary embolism. Ndosaka kuongororwa nachiremba usati washandisa mudziyo uyu kwakakosha.
5. Kusawirirana neAllergy
Vamwe varwere vanogona kupindura zvinhu zviri mumachira kana mumachubhu. Kushandisa zvivharo zvisingakonzere kurwara kweganda kunogona kuderedza njodzi iyi.
Nhungamiro dzekuchengetedza pakushandisa michina yeIPC
Kuti uve nechokwadi chekuti zvishandiso zvekumanikidza makumbo zveDVT zvinoshandiswa zvakachengeteka uye zvinobudirira, tevera mazano aya:
Gara uchitaura nachiremba usati watanga kurapwa nekudzvanya.
Shandisa saizi yakakodzera uye mamiriro ekumanikidzwa zvichienderana nemamiriro emurwere.
Tarisa mudziyo nguva nenguva kuti uone kana kukwira kwemhepo kwakakodzera uye kuti nguva yacho yakwana here.
Bvisa maoko nguva nenguva kuti uongorore ganda.
Dzivisa kushandisa zvishandiso zveIPC pamakumbo ane hutachiona, maronda akavhurika, kana kuzvimba kwakanyanya.
Nekutevera matanho aya ekudzivirira, varwere vanogona kuwana mabhenefiti akazara ekudzivirira ekuputika kwemhepo nguva nenguva pasina njodzi isina kufanira.
Mhedziso
Mudziyo wekudzvanya makumbo weDVT unoshanda nguva nenguva, chinhu chakakosha pakurapa chinoita basa guru mukudzivirira DVT uye kupora mushure mekuvhiyiwa. Nekukurudzira kufamba kweropa mutsinga, michina yekudzvanya makumbo inodzvinyirirwa inoderedza njodzi yekugwamba kweropa muvarwere vasina kufamba zvakanaka. Zvisinei, kushandiswa kwayo pavarwere vane DVT inofanira kugara ichiongororwa nenyanzvi dzezvehutano kuti dzidzivise matambudziko.
Kunzwisisa mashandisirwo emidziyo yeIPC zvinobudirira uye nguva yekushandisa zvinobatsira kuona kuchengetedzeka kwemurwere, kunyaradzwa, uye mhedzisiro yakanaka yekurapa. Kana ikasanganiswa nemishonga, kuunganidzwa kwekutanga, uye kutarisirwa kwakakodzera kwechiremba, michina iyi ndeimwe yezvishandiso zvakavimbika zvekudzivirira deep vein thrombosis uye kuvandudza hutano hwetsinga dzeropa.
Nguva yekutumira: Gumiguru-20-2025