Izindaba

Ukungenzeka kanye nokuphepha kokuvuselelwa ngemva kwe-venous thromboembolism

Isifinyezo

Ingemuva

I-venous thromboembolism iyisifo esisongela ukuphila. Kwabasindile, amazinga ahlukene ezikhalazo zokusebenza adinga ukubuyiselwa noma ukuvinjelwa (isb., i-post-thrombotic syndrome, umfutho wegazi ophezulu wamaphaphu). Ngakho-ke, ukuvuselelwa ngemva kwe-venous thromboembolism kuyanconywa eJalimane. Kodwa-ke, uhlelo lokuvuselela oluhlelekile aluzange luchazwe ngale nkomba. Lapha, sethula ulwazi lwesikhungo esisodwa sokuvuselela.

Izindlela

Idatha evela ngokulandelanai-pulmonary embolismiziguli (PE) ezathunyelwa ohlelweni lokuvuselelwa kweziguli ezilaliswe esibhedlela lwamasonto amathathu kusukela ngo-2006 kuya ku-2014 zahlolwa ngokubheka emuva.

Imiphumela

Sekukonke, iziguli ezingu-422 zatholakala. Isilinganiso seminyaka sasiyiminyaka engu-63.9±13.5, isilinganiso sesisindo somzimba (BMI) sasingu-30.6±6.2 kg/m2, kanti u-51.9% kwakungabesifazane. I-deep vein thrombosis ngokwe-PE yayaziwa ngo-55.5% wabo bonke iziguli. Sisebenzise izindlela eziningi zokwelapha ezifana nokuqeqeshwa ngamabhayisikili ngesilinganiso senhliziyo esiqashwe ngo-86.7%, ukuqeqeshwa kokuphefumula ngo-82.5%, ukwelashwa emanzini/ukubhukuda ngo-40.1%, kanye nokwelashwa kokuqeqeshwa kwezokwelapha ngo-14.9% wabo bonke iziguli. Izehlakalo ezimbi (AEs) zenzeke ezigulini ezingu-57 phakathi nesikhathi sokuvuselelwa kwamasonto ama-3. I-AE ezivame kakhulu kwakuwumkhuhlane (n=6), isifo sohudo (n=5), kanye nokutheleleka kwendlela yokuphefumula ephezulu noma engezansi eyayelashwa ngama-antibiotic (n=5). Kodwa-ke, iziguli ezintathu ezazingaphansi kokwelashwa kokuvimbela ukuminyana kwegazi zahlushwa ukopha, okwakubalulekile emtholampilo kwelinye. Iziguli ezine (0.9%) kwadingeka zidluliselwe esibhedlela sokunakekelwa okuyinhloko ngezizathu ezingahlobene ne-PE (i-acute coronary syndrome, i-pharyngeal abscess, kanye nezinkinga zesisu ezibukhali). Akukho thonya lanoma yikuphi ukungenelela komsebenzi womzimba ekwehlekeni kwanoma iyiphi i-AE elitholiwe.

Isiphetho

Njengoba i-PE iyisifo esisongela ukuphila, kubonakala kunengqondo ukuncoma ukuvuselelwa okungenani ezigulini ze-PE ezinengozi ephakathi noma ephezulu. Kuboniswe okokuqala kulolu cwaningo ukuthi uhlelo olujwayelekile lokuvuselelwa ngemva kwe-PE luphephile. Kodwa-ke, ukusebenza kahle nokuphepha kwesikhathi eside kudingeka kufundwe ngokuzayo.

Amagama angukhiye: i-venous thromboembolism, i-pulmonary embolism, ukuvuselelwa