Umuvuduko ukabije w'amaraso (DVT) ni indwara ikomeye yo kuvura aho amaraso atembera mu mitsi yimbitse, cyane cyane mu maguru. Irashobora gukurura ingorane zikomeye nka embolisme yimpaha (PE) mugihe umwenda utangiye kandi ukajya mubihaha. Kwirinda DVT rero ni igice cyingenzi cyo kwita kubitaro no gukira nyuma yo kubagwa. Kimwe mu bikoresho bifatika bidafite imiti yo gukumira DVT niigikoresho kimwe cya DVT igikoresho cyo guhagarika amaguru, bizwi kandi nk'ibikoresho byo guhunika pneumatike (IPC) cyangwa ibikoresho bikurikirana (SCDs).
Muri iki kiganiro, tuzareba icyo igikoresho cyo guhagarika amaguru ya DVT rimwe na rimwe aricyo, mugihe imiti yo kwikuramo igomba gukoreshwa kumaguru hamwe na DVT, ningaruka mbi abakoresha bagomba kumenya.
Niki Igikoresho cyo Guhagarika Amaguru ya DVT?
Igikoresho cyo guhagarika amaguru ya DVT ni ubwoko bwaibikoresho by'ubuvuziyagenewe guteza imbere umuvuduko w'amaraso mu maguru no kugabanya ibyago byo kwandura. Cyakora mukoresheje igitutu cyigihe gito mumaguru yo hepfo binyuze mumaboko yaka umuriro ahujwe na pompe pneumatike. Iyi ntoki ikurikirana kandi ikabyimba, bigana ibikorwa bisanzwe byo kuvoma imitsi mugihe ugenda.
Intego yibanze yigikoresho cyo guhunika pneumatike (IPC) ni ukurinda guhagarara kwimitsi - kimwe mubintu byingenzi bishobora gutera imitsi yimbitse. Mugukangura amaraso gusubira kumutima, ibikoresho bya IPC bifasha kugumana imitsi no kugabanya amahirwe yo guhurira mumaraso.
Ibyingenzi
Ubusanzwe sisitemu yo guhagarika amaguru ya DVT igizwe na:
Kwiyunvisha amaboko cyangwa udusimba: Uzenguruke amaguru cyangwa ibirenge hanyuma ushyireho igitutu rimwe na rimwe.
Igice cya pompe yo mu kirere: Itanga kandi ikagenzura umuvuduko wumwuka uzamura amaboko.
Sisitemu yo kuvoma: Ihuza pompe na cuffs kugirango umwuka uhumeke.
Igenzura: Emerera abaganga gushyiraho urwego rwumuvuduko nigihe cyigihe kubarwayi kugiti cyabo.
Ibi bikoresho bikurikirana byo kumaguru birashobora gukoreshwa kubarwayi bo mubitaro, mu bigo byita ku bageze mu za bukuru, ndetse no mu rugo bakurikiranwa n'ubuvuzi.
Nigute Igikoresho cya Pneumatic Compression igikoresho gikora?
Igikoresho cya IPC gikora mu buryo butunguranye bwo guta agaciro no guta agaciro:
1.
2. Icyiciro cya Deflation: Amaboko araruhuka, bigatuma imitsi yuzura amaraso ya ogisijeni.
Uku kwikinisha kuzunguruka byongera kugaruka kwimitsi, birinda guhagarara, kandi byongera ibikorwa bya fibrinolytike - bifasha umubiri muburyo busanzwe kumenagura uturemangingo duto mbere yuko biba bibi.
Ubushakashatsi ku mavuriro bwerekanye ko ibikoresho byo guhunika pneumatike bigenda bigira akamaro cyane iyo bihujwe na prophylaxis ya farumasi nka heparin, cyane cyane ku barwayi nyuma yo kubagwa cyangwa abadafite imbaraga igihe kirekire.
Ni ryari Ukwiye Kwikuramo Ukuguru hamwe na DVT?
Iki kibazo gisaba kubitekerezaho neza. Ubuvuzi bwo kwikuramo ni ingirakamaro mu gukumira DVT no gukira nyuma ya DVT, ariko imikoreshereze yayo igomba kuyoborwa ninzobere mu buvuzi.
1. Kubirinda DVT
Kwiyunvikana rimwe na rimwe birasabwa kuri:
Abarwayi bari mu bitaro nyuma yo kubagwa cyangwa guhahamuka
Umuntu kuruhuka igihe kirekire
Abarwayi bafite umuvuduko muke kubera ubumuga cyangwa inkorora
Abafite ibyago byinshi byo guhura na tromboembolism (VTE)
Muri ibi bihe, ibikoresho byo guhagarika amaguru ya DVT rimwe na rimwe bikoreshwa mbere yuko uturemangingo dukura, bifasha gukomeza kuzenguruka no kwirinda trombose.
2. Kubarwayi bafite DVT iriho
Gukoresha igikoresho cya IPC kumaguru asanzwe afite DVT birashobora guteza akaga. Niba umwenda udahagaze neza, kwikuramo imashini birashobora kuwuvanaho kandi bigatera embolism yimpaha. Kubwibyo:
Ubuvuzi bwa compression bugomba gukoreshwa gusa mugenzurwa nubuvuzi.
Ultrasound imashusho igomba kwemeza niba imyenda ihagaze.
Mubihe byinshi, guhunika ibintu byoroshye cyangwa kwikuramo byoroheje birashobora kuba amahitamo meza mugihe cyambere cyo kuvura.
Umuti wa anticoagulation umaze gutangira no kwifata neza, hashobora gutangizwa igihe gito kugirango habeho kugaruka kwimitsi no kwirinda syndrome ya trombotique (PTS).
Buri gihe ujye ubaza umuganga mbere yo gushira compression kumaguru hamwe na DVT.
Inyungu za DVT zigihe gito ibikoresho byo guhagarika amaguru
Gukoresha ibikoresho bikurikirana bikurikirana kumaguru bitanga inyungu nyinshi mubuvuzi:
Gukumira neza DVT: Cyane cyane kubarwayi babaga cyangwa batimuka
Ubuvuzi budatera: Nta nshinge cyangwa imiti isabwa
Kuzenguruka neza: Guteza imbere imitsi no gutembera kwa lymphatike
Kugabanuka kuribwa: Ifasha kugenzura kubyimba ukuguru nyuma yo kubagwa
Gutezimbere gukira: Bashishikariza gusubiza mu buzima bwihuse kugabanya ibibazo
Ibi bikoresho kandi bikoreshwa cyane mubikorwa byo kubaga amagufwa, umutima, na ginecologiya, aho usanga ibyago byo kwibumbira hamwe ari byinshi kubera kugenda bike.
Ingaruka Zuruhande rwibikoresho bya DVT bigufi bigabanya ibikoresho
Nubwo ibikoresho byo guhunika pneumatike rimwe na rimwe bifite umutekano kandi byihanganirwa, ingaruka zimwe zishobora kubaho, cyane cyane kubikoresha nabi cyangwa kubarwayi bafite imiterere yimitsi.
1. Kurakara uruhu no kutamererwa neza
Gukomeza gukoresha amaboko yo kwikuramo bishobora gutera:
Umutuku, guhinda, cyangwa guhubuka
Kubira ibyuya cyangwa gushyuha cyane
Ibimenyetso by'ingutu cyangwa gukomeretsa byoroheje
Kugenzura buri gihe uruhu no guhindura imyanya yintoki birashobora kugabanya izo ngaruka.
2. Kubabara imitsi cyangwa imitsi
Niba igikoresho gikoresha umuvuduko ukabije cyangwa gihuye nabi, birashobora gutera ubwoba bwigihe gito cyangwa kutamererwa neza. Igenamigambi rikwiye kandi rikwiye ni ngombwa.
3. Kwangirika kw'indwara ya Arterial
Abarwayi bafite indwara ya arterial periferique (PAD) bagomba gukoresha ibikoresho bya IPC bitonze, kuko kwikuramo cyane bishobora kubangamira umuvuduko wamaraso.
4. Gutandukana kw'amaraso
Mubihe bidakunze kubaho, gukoresha compression rimwe na rimwe kumyenda idahindagurika bishobora gutera embolisation, bikaviramo embolisme yimpyisi. Niyo mpamvu gusuzuma ubuvuzi mbere yo gukoresha igikoresho ari ngombwa.
5. Imyitwarire ya allergie
Bamwe mu barwayi barashobora kwitwara kubintu byamaboko cyangwa igituba. Gukoresha ibipfukisho bya hypoallergenic birashobora kugabanya ibi byago.
Amabwiriza yumutekano yo gukoresha ibikoresho bya IPC
Kugirango ukoreshe neza kandi neza ibikoresho bya DVT byogusunika amaguru, kurikiza ibi byifuzo:
Buri gihe ujye ubaza inzobere mu by'ubuzima mbere yo gutangira kuvura.
Koresha ingano ikwiye nigitutu gishingiye kumiterere yumurwayi.
Reba igikoresho buri gihe kugirango ifaranga rikwiye hamwe nigihe cyigihe.
Kuramo amaboko buri gihe kugirango ugenzure uruhu.
Irinde gukoresha ibikoresho bya IPC kumaguru wanduye cyane, ibikomere bifunguye, cyangwa kuribwa bikabije.
Mugukurikiza ubwo buryo bwo kwirinda, abarwayi barashobora kubona inyungu zose zo kwirinda zo guhagarika pneumatisme rimwe na rimwe nta ngaruka zidakenewe.
Umwanzuro
Igikoresho cyo guhagarika amaguru ya DVT mugihe kimwe nigikoresho cyingenzi cyubuvuzi kigira uruhare runini mukurinda DVT no gukira nyuma yo kubagwa. Mugutezimbere amaraso atembera, ibikoresho byo guhunika pneumatike bigabanya ibyago byo kwandura abarwayi badafite ubumuga. Nyamara, ibyifuzo byabo kubarwayi bafite DVT ihari bigomba guhora bisuzumwa ninzobere mubuzima kugirango birinde ingorane.
Gusobanukirwa uburyo nigihe cyo gukoresha ibikoresho bya IPC bifasha neza kurinda umutekano wumurwayi, ihumure, nibisubizo byiza byo kuvura. Iyo uhujwe nubuvuzi, gukangurira hakiri kare, hamwe nubugenzuzi bukwiye bwubuvuzi, ibi bikoresho nimwe mubikoresho byizewe byo gukumira imitsi yimbitse no kuzamura ubuzima bwimitsi.
Igihe cyo kohereza: Ukwakira-20-2025