He aha ka thrombus?

ʻO ka Thrombus e pili ana i ka mea paʻa i hana ʻia i loko o nā kīʻaha koko, ka mea maʻamau i haku ʻia me nā platelets, nā ʻulaʻula ʻulaʻula, nā keʻokeʻo keʻokeʻo a me nā fibrin. ʻO ka hoʻokumu ʻana o ke koko he pane kūlohelohe ia o ke kino i ka ʻeha a i ʻole ke kahe ʻana i mea e hoʻōki ai i ke koko a hoʻoikaika i ka hoʻōla ʻana i ka ʻeha. Eia nō naʻe, ke ʻano ʻino ʻole ka ulu ʻana o ke koko i loko o nā kīʻaha koko, hiki iā lākou ke hōʻemi i ke kahe ʻana o ke koko, e alakaʻi ana i nā pilikia olakino.

Ma muli o ka wahi a me ke ʻano o ka thrombus, hiki ke hoʻokaʻawale ʻia ka thrombi i kēia mau ʻano:

1. Venous thrombosis: Loaʻa maʻamau i loko o nā veins, pinepine i nā lālā lalo, a hiki ke alakaʻi i ka thrombosis vein hohonu (DVT) a hiki ke alakaʻi i ka pulmonary embolism (PE).

2. Ka Thrombosis Aʻaʻa: Loaʻa maʻamau i loko o nā aʻa a hiki ke alakaʻi i ka myocardial infarction (ka puʻuwai) a i ʻole ka hahau (stroke).

ʻO ke ʻano o ka ʻike ʻana i ka thrombus ka nui o kēia mau mea:

1.pahu ho'āʻo D-Dimer : E like me ka mea i ʻōlelo mua ʻia, ʻo D-Dimer kahi hoʻāʻo koko i hoʻohana ʻia e loiloi i ka hiki ʻana o ka thrombosis i ke kino. ʻOiai ʻaʻole kikoʻī nā kiʻekiʻe D-Dimer kiʻekiʻe i nā clots koko, hiki iā ia ke kōkua i ka pale ʻana i ka thrombosis vein hohonu (DVT) a me ka pulmonary embolism (PE).

2. Ultrasound: ʻO ke kani kani (ʻoi aku ka haʻahaʻa limb venous ultrasound) he ala maʻamau no ka ʻike ʻana i ka thrombosis hohonu. Hiki ke ʻike i ke kani ʻana o ke koko i loko o nā kīʻaha koko a nānā i ko lākou nui a me ko lākou wahi.

3. CT Pulmonary Arteriography (CTPA): He ho'āʻo kiʻi kēia i hoʻohana ʻia e ʻike i ka embolism pulmonary. Ma ka hoʻokomo ʻana i nā mea ʻokoʻa a me ka hana ʻana i kahi CT scan, hiki ke hōʻike maopopo ʻia nā ʻōpala koko i loko o nā ʻaʻa pulmonary.

4. Magnetic Resonance Imaging (MRI): I kekahi mau hihia, hiki ke hoʻohana ʻia ʻo MRI no ka ʻike ʻana i nā ʻōpū koko, ʻoi aku ka maikaʻi o ka loiloi ʻana i ke koko koko i loko o ka lolo (e like me ka hahau ʻana).

5. ʻO ka Angiography: He ʻano hoʻokolohua hoʻoweliweli kēia e hiki ke nānā pono i ka thrombus i loko o ke kīʻaha koko ma ka hoʻokomo ʻana i ka mea ʻokoʻa i loko o ke kīʻaha koko a hana i ke kiʻi X-ray. ʻOiai ʻaʻole maʻamau ka hoʻohana ʻana o kēia ʻano hana, hiki nō ke hana maikaʻi i kekahi mau hihia paʻakikī.

6. Nā ho'āʻo koko: Ma waho aʻe oD-Dimer, kekahi mau ho'āʻo koko ʻē aʻe (e like me nā ho'āʻo hana coagulation) hiki ke hāʻawi i ka ʻike e pili ana i ka pilikia o ka thrombosis.

Hoʻokumu mākou i ka lāʻau lapaʻau / Wizbiotech i ka ʻenehana diagnostic no ka hoʻomaikaʻi ʻana i ka maikaʻi o ke ola, Ua hoʻomohala mākoupahu ho'āʻo D-Dimerno ka thrombus venous a me ka hoʻolaha ʻana i ka coagulation intravascular a me ka nānā ʻana i ka thrombolytic therapy