Nūhou

Ka hiki a me ka palekana o ka hoʻoponopono hou ʻana ma hope o ka venous thromboembolism

Pōkole

Ka Moʻolelo

He maʻi hoʻoweliweli ola ka venous thromboembolism. I nā mea i ola, pono e hoʻihoʻi ʻia a pale ʻia paha nā ʻano like ʻole o nā hoʻopiʻi hana (e laʻa, post-thrombotic syndrome, pulmonary hypertension). No laila, ua ʻōlelo ʻia ka hoʻōla hou ʻana ma hope o ka venous thromboembolism ma Kelemania. Eia naʻe, ʻaʻole i wehewehe ʻia kahi papahana hoʻōla hou i hoʻonohonoho ʻia no kēia hōʻailona. Maanei, ke hōʻike nei mākou i ka ʻike o kahi kikowaena hoʻōla hoʻokahi.

Nā ʻAno Hana

ʻIkepili mai ka hopenaka embolism pulmonaryUa loiloi hou ʻia nā mea maʻi (PE) i kuhikuhi ʻia no kahi papahana hoʻoponopono hou ʻana o 3 pule mai 2006 a i 2014.

Nā Hualoaʻa

Ma ke ʻano holoʻokoʻa, ua ʻike ʻia he 422 mau maʻi. ʻO ka awelika makahiki he 63.9 ± 13.5 mau makahiki, ʻo ka awelika helu nui o ke kino (BMI) he 30.6 ± 6.2 kg/m2, a he 51.9% he wahine. Ua ʻike ʻia ka thrombosis vein hohonu e like me ka PE no 55.5% o nā maʻi āpau. Ua hoʻopili mākou i kahi ākea o nā hana therapeutic e like me ke aʻo paikikala me ka helu puʻuwai i nānā ʻia ma 86.7%, ke aʻo hanu ma 82.5%, ka lāʻau lapaʻau wai/ʻauʻau ma 40.1%, a me ka lāʻau lapaʻau hoʻomaʻamaʻa lapaʻau ma 14.9% o nā maʻi āpau. Ua loaʻa nā hanana ʻino (AE) i 57 mau maʻi i ka wā hoʻōla 3 pule. ʻO nā AE maʻamau ka anu (n = 6), ka maʻi diarrhea (n = 5), a me ka maʻi o ka ʻōpū hanu o luna a i ʻole lalo i mālama ʻia me nā antibiotics (n = 5). Eia nō naʻe, ʻekolu mau maʻi ma lalo o ka lāʻau anticoagulation i loaʻa i ke kahe koko, he mea pili i ke kino i hoʻokahi. ʻEhā mau maʻi (0.9%) i hoʻoneʻe ʻia i kahi haukapila mālama mua no nā kumu i pili ʻole i ka PE (acute coronary syndrome, pharyngeal abscess, a me nā pilikia ʻōpū koʻikoʻi). ʻAʻohe mana o kekahi o nā hana hana kino i ka hanana o kekahi AE i loaʻa.

Hopena

ʻOiai he maʻi hoʻoweliweli ola ka PE, me he mea lā he mea kūpono ke paipai i ka hoʻōla hou ʻana ma ka liʻiliʻi loa i nā poʻe maʻi PE me ka pilikia waena a kiʻekiʻe paha. Ua hōʻike ʻia no ka manawa mua ma kēia noiʻi he palekana kahi papahana hoʻōla maʻamau ma hope o ka PE. Eia nō naʻe, pono e aʻo mua ʻia ka pono a me ka palekana i ka wā lōʻihi.

Nā huaʻōlelo: venous thromboembolism, pulmonary embolism, hoʻōla hou ʻana