I-Deep vein thrombosis (DVT) yimeko yonyango emandundu apho amahlwili egazi enza kwimithambo enzulu, edla ngokuba semilenzeni. Ingakhokelela kwiingxaki ezinzima ezifana ne-pulmonary embolism (PE) ukuba i-clot ikhupha kwaye ihambe iye kwimiphunga. Ukuthintela i-DVT ke ngoko yinxalenye ebalulekileyo yokhathalelo lwasesibhedlele kunye nokuchacha emva kotyando. Esinye sezona zixhobo zingasebenziyo ze-non-pharmacological kuthintelo lwe-DVTisixhobo sokucinezela umlenze we-DVT okwethutyana, ekwabizwa ngokuba yi-intermittent pneumatic compression (IPC) izixhobo okanye izixhobo zokucinezela ngokulandelelana (SCDs).
Kweli nqaku, siza kuphonononga ukuba yintoni isixhobo sokunyanzeliswa komlenze we-DVT ophazamisayo, xa unyango lokunyanzeliswa kufuneka lusetyenziswe emlenzeni nge-DVT, kwaye zeziphi iziphumo ebezingalindelekanga abasebenzisi ekufuneka bazi.
Yintoni i-DVT Leg Compression Device?
Isixhobo sokucinezela umlenze we-DVT luhlobo lweisixhobo sonyangoeyenzelwe ukukhuthaza ukujikeleza kwegazi emilenzeni kunye nokunciphisa umngcipheko wokubunjwa kwe-clot. Isebenza ngokufaka uxinzelelo oluphakathi kumalungu angaphantsi ngokusebenzisa imikhono ene-inflatable exhunywe kwipompo ye-pneumatic. Le mikhono ivuthela ngokulandelelanayo kwaye ithobe, ilinganisa isenzo sendalo sokumpompa izihlunu ngexesha lokuhamba.
Injongo ephambili yesixhobo sokunyanzeliswa kwe-pneumatic intermittent (IPC) kukuthintela i-venous stasis-enye yezona zinto ziyingozi kwi-vein thrombosis. Ngokukhuthaza ukuhamba kwegazi umva ukuya entliziyweni, izixhobo ze-IPC zinceda ukugcina ukubuya kwe-venous kunye nokunciphisa amathuba okudityaniswa kwegazi emilenzeni.
Amacandelo Angundoqo
Inkqubo yokunyanzeliswa komlenze we-DVT oqhelekileyo ibandakanya:
Imikhono yokucinezela okanye i-cuffs: Bhinqa emilenzeni okanye ezinyaweni kwaye usebenzise uxinzelelo oluphakathi.
Iyunithi yempompo yomoya: Ivelisa kwaye ilawula uxinzelelo lomoya olunyusa imikhono.
Inkqubo yetyhubhu: Idibanisa impompo kwiicuffs ukwenzela ukuhamba komoya.
Iphaneli yokulawula: Ivumela oogqirha ukuba babeke amanqanaba oxinzelelo kunye namaxesha okujikeleza kwizigulane ngabanye.
Ezi zixhobo zokucinezela ngokulandelelana kwemilenze zingasetyenziselwa izigulana ezibhedlele, kumakhaya abantu abalupheleyo, okanye nakwikhaya phantsi kweliso lonyango.
Sisebenza Njani Isixhobo Sokunyanzeliswa Kwexesha Elingenamoya?
Isixhobo se-IPC sisebenza kumjikelo wesingqi sokunyuka kwamaxabiso kunye nokuhla kwamandla emali:
1. Inqanaba lokunyuka kwamaxabiso: Impompo yomoya igcwalisa izigubhu zemikhono ngokulandelelana ukusuka eqatheni ukuya phezulu, icudisa ngobunono imithambo kwaye ityhale igazi entliziyweni.
2. Isigaba se-Deflation: Imikhono iyaphumla, ivumela imithambo ukuba iphinde izalise igazi eline-oxygen.
Oku kunyanzeliswa kwe-cyclical kwandisa ukubuya kwe-venous, kuthintela ukumisa, kunye nokwandisa umsebenzi we-fibrinolytic-ukunceda umzimba ngokwemvelo uphule amahlwili amancinci ngaphambi kokuba abe yingozi.
Uphononongo lwezonyango lubonise ukuba izixhobo zokucinezelwa kwe-pneumatic intermittent zisebenza ngakumbi xa zidityaniswa ne-pharmacological prophylaxis efana ne-heparin, ngakumbi kwizigulana zasemva kotyando okanye ezo zingashukumiyo ixesha elide.
Kufuneka ufake nini iCompression kumlenze oneDVT?
Lo mbuzo ufuna ukuqwalaselwa ngenyameko. Unyango loxinzelelo luyinzuzo kuzo zombini uthintelo lwe-DVT kunye nokubuyisela emva kwe-DVT, kodwa ukusetyenziswa kwayo kufuneka kukhokelwe yingcali yezonyango.
1. KuThintelo lwe-DVT
Uxinzelelo lwethutyana luyacetyiswa ukuba:
Izigulana ezibhedlele emva kotyando okanye ukwenzakala
Abantu abakwibhedi yokuphumla ixesha elide
Izigulane ezinokuhamba okulinganiselweyo ngenxa yokukhubazeka okanye i-stroke
Abo basemngciphekweni omkhulu we-venous thromboembolism (VTE)
Kwezi meko, izixhobo zokunyanzeliswa komlenze we-DVT ngezikhathi ezithile zisetyenziswa ngaphambi kokuba amahlule aphuhlise, ancede ukugcina ukujikeleza kunye nokuthintela i-thrombosis.
2. Kwizigulane ezine-DVT ekhoyo
Ukusebenzisa isixhobo se-IPC kumlenze osele une-DVT kunokuba yingozi. Ukuba i-clot ayizinziswanga, ukunyanzeliswa komatshini kunokukhupha kwaye kubangele i-pulmonary embolism. Ngoko ke:
Unyango loxinzelelo kufuneka lusetyenziswe kuphela phantsi kweliso lonyango.
I-Ultrasound imaging kufuneka iqinisekise ukuba ihlwili lizinzile.
Kwiimeko ezininzi, i-elastic compression stockings okanye uxinezeleko olungephi lunokuba lukhetho olukhuselekileyo ngexesha lesigaba sokuqala sonyango.
Emva kokuba unyango lwe-anticoagulation luqalile kwaye ihlwili lizinzile, ukunyanzeliswa kwesikhashana kunokwaziswa ukuphucula ukubuya kwe-venous kunye nokukhusela i-post-thrombotic syndrome (PTS).
Soloko udibana nogqirha phambi kokuba ufake ucinezelo emlenzeni nge-DVT.
Izibonelelo zeZixhobo zokuNxinzelela umlenze we-DVT ngeThutyana
Ukusetyenziswa kwezixhobo zokucinezela ngokulandelelana kwemilenze kunika izibonelelo ezininzi zonyango:
Uthintelo olusebenzayo lwe-DVT: Ngokukodwa kwizigulana ezityandwayo okanye ezingashukumiyo
Unyango olungasebenzisiyo: Akukho naliti okanye amayeza afunekayo
Ukujikeleza okuphuculweyo: Ukukhuthaza ukubuya kwe-venous kunye ne-lymphatic drainage
Ukunciphisa i-edema: Inceda ukulawula ukuvuvukala komlenze emva kokuhlinzwa
Ukuchacha okuphuculweyo: Ukukhuthaza ukuvuselelwa ngokukhawuleza ngokunciphisa iingxaki
Ezi zixhobo zikwasetyenziswa ngokubanzi kwi-orthopedic, cardiac, kunye ne-gynecological surgeries, apho umngcipheko wokwakheka kwehlwili uphezulu ngenxa yokuhamba okulinganiselweyo.
Iimpembelelo eziPhakamileyo zeZixhobo zokuNxinzelela umlenze we-DVT ngeThutyana
Nangona izixhobo zokunyanzeliswa kwe-pneumatic intermittent zikhuselekile ngokubanzi kwaye zinyamezeleke kakuhle, iziphumo ezithile zecala zinokuthi zenzeke, ngokukodwa ngokusetyenziswa okungafanelekanga okanye kwizigulane ezineemeko ze-vascular.
1. Ukucaphuka kolusu kunye nokungonwabi
Ukusetyenziswa ngokuqhubekayo kwemikhono yoxinzelelo kunokubangela:
Ububomvu, ukurhawuzelelwa, okanye irhashalala
Ukubila okanye ukufudumala kwesikhumba
Iimpawu zoxinzelelo okanye ukugruzuka kancinci
Ukuhlola rhoqo ulusu kunye nokulungelelanisa indawo yomkhono kunokunciphisa le miphumo.
2. Intlungu yeNerve okanye ye-Muscle
Ukuba isixhobo sinoxinzelelo olugqithisileyo okanye silingana ngokungafanelekanga, sinokubangela ukuba ndindisholo okwexeshana okanye kungakhululeki. Ukulungiswa okufanelekileyo kunye nokulungelelaniswa koxinzelelo kubalulekile.
3. Ukonakala kweSifo seArteri
Izigulane ezine-peripheral arterial disease (PAD) kufuneka zisebenzise izixhobo ze-IPC ngononophelo, njengoko ukunyanzeliswa okugqithisileyo kunokuphazamisa ukuhamba kwegazi.
4. Ukukhutshwa kwehlwili legazi
Kwiimeko ezinqabileyo, ukusebenzisa ukunyanzeliswa kwexesha elithile kwi-clot engazinzanga kunokukhokelela emboliseni, okukhokelela kwi-pulmonary embolism. Yiyo loo nto uvandlakanyo lwezonyango phambi kokuba usebenzise isixhobo kubalulekile.
5. Iintshukumo zokwalana
Ezinye izigulane zinokusabela kwizinto zemikhono okanye i-tubing. Ukusebenzisa izigqubuthelo ze-hypoallergenic kunokunciphisa lo mngcipheko.
Izikhokelo zoKhuseleko zokuSebenzisa izixhobo ze-IPC
Ukuqinisekisa usetyenziso olukhuselekileyo nolusebenzayo lwezixhobo zokucinezela umlenze we-DVT, landela ezi ngcebiso:
Soloko udibana nengcali yezempilo phambi kokuba uqalise unyango loxinzelelo.
Sebenzisa ubungakanani obuchanekileyo kunye nezicwangciso zoxinzelelo ngokusekelwe kwimeko yesigulane.
Qwalasela isixhobo rhoqo malunga nokunyuka kwamaxabiso kunye nemijikelo yexesha elifanelekileyo.
Susa imikhono ngamaxesha ukuze uhlole ulusu.
Gwema ukusebenzisa izixhobo ze-IPC kwimilenze enosulelo olusebenzayo, amanxeba avulekileyo, okanye i-edema enzima.
Ngokulandela ezi zilumkiso, izigulana zinokufumana izibonelelo ezipheleleyo zokuthintela ukunyanzeliswa kwe-pneumatic intermittent ngaphandle komngcipheko ongeyomfuneko.
Ukuqukumbela
Isixhobo sokunyanzeliswa komlenze we-DVT sisixhobo esibalulekileyo sonyango esidlala indima ebalulekileyo ekuthinteleni i-DVT kunye nokubuyisela emva kokuhlinzwa. Ngokukhuthaza ukuhamba kwegazi kwe-venous, izixhobo zoxinzelelo ze-pneumatic intermittent zinciphisa umngcipheko wokwakhiwa kwe-clot kwizigulane ezingenakunyakaziswa. Nangona kunjalo, izicelo zabo kwizigulana ezine-DVT esele zikho kufuneka zihlale zivavanywa ngabasebenzi bezempilo ukunqanda iingxaki.
Ukuqonda indlela kunye nexesha lokusebenzisa izixhobo ze-IPC ngokufanelekileyo kunceda ukuqinisekisa ukhuseleko lwesigulane, intuthuzelo, kunye neziphumo ezingcono zonyango. Xa kudityaniswa namayeza, ukuhlanganiswa kwangaphambili, kunye nokulawulwa okufanelekileyo kwezonyango, ezi zixhobo zizixhobo ezithembekileyo zokuthintela i-thrombosis ye-vein deep kunye nokuphucula impilo ye-vascular.
Ixesha lokuposa: Oct-20-2025