Deep Vein Thrombosis (DVT) tshwm sim thaum cov ntshav txhaws hauv cov leeg sib sib zog nqus, feem ntau ntawm koj txhais ceg, uas tuaj yeem ua rau muaj kev phom sij rau lub neej. Thaum cov ntshav txhaws, lawv tuaj yeem mus rau lwm qhov ntawm koj lub cev, ua rau muaj mob xws li mob plawv, mob hlab ntsha tawg, lossis mob ntsws ntsws, uas yog ntshav khov hauv lub ntsws. Cov ntshav txhaws yog kho tau yog tias raug ntes ntxov, yog li paub yuav ua li cas thiaj paub qhov tsos mob yog qhov tseem ceeb. Yam uas paub tias yog Virchow triad yog ua rau DVT, thiab lawv suav nrog cov ntshav ntws tsis tu, cov ntshav "tuab", thiab cuam tshuam cov hlab ntshav. Lwm cov tsos mob kuj tshwm sim raws li cov ntshav khov. Thaum koj txheeb xyuas cov tsos mob ntawm cov ntshav khov, koj yuav tsum nrhiav kev kho mob tam sim ntawd kom koj tus kws kho mob tuaj yeem kuaj mob thiab kho cov ntshav khov.
Cov kauj ruam
Ntu 1 ntawm 4: Paub Cov tsos mob ntawm cov ntshav khov
Kauj Ruam 1. Saib rau qhov o, tshwj xeeb yog hauv caj npab lossis txhais ceg
Txij li cov ntshav txhaws koj cov ntshav ntws, ntshav tsim tom qab cov ntshav khov. Cov ntshav no ntau dhau yuav ua rau o o nyob ib ncig ntawm cov hlab ntshav.
- Qhov o feem ntau yog thawj cov tsos mob uas koj yuav pom.
- Yog tias koj txhais caj npab lossis txhais ceg tab tom tab sis koj tsis tau raug mob rau koj tus kheej, tom qab ntawd koj yuav muaj ntshav khov. Hauv qee kis, qhov o tuaj yeem loj tuaj.
- Qhov mob, rhiab, liab, thiab sov hauv koj txhais ceg qis kuj tuaj yeem yog ib qho cim ntawm ntshav khov.
Kauj Ruam 2. Tshaj tawm yog tias koj mob ntawm koj lub xub pwg, caj npab, nraub qaum, lossis lub puab tsaig
Cov ntshav txhaws tuaj yeem ua rau mob qhov chaw khov, lossis, zoo li thaum lub plawv nres, uas yog los ntawm cov ntshav txhaws, qhov mob ploj mus. Qhov mob yuav zoo li cramp lossis charley nees. Tsis zoo li nrog mob plab, koj tseem yuav pom lwm cov tsos mob xws li o thiab ua xim daj.
Ib qho ntshav khov tuaj yeem ua rau mob zoo li no, tab sis nws tshwj xeeb tshaj yog nrog DVT. Qhov mob yuav mob hnyav thiab tsis daws los ntawm cov tshuaj tua tom khw
Kauj Ruam 3. Saib rau thaj tsam ntawm daim tawv nqaij tsis zoo
Cov tawv nqaij nyob ib ncig ntawm qhov chaw o kuj tseem yuav muaj xim liab los yog xim daj uas zoo li qhov nqaij doog uas yuav tsis ploj mus. Yog tias cov tawv nqaij tsis sib xws ua ke nrog o thiab mob, tom qab ntawd koj yuav tsum nrhiav kev kho mob tam sim.
Kauj Ruam 4. Xav tias pom tias koj cov tawv nqaij sov
Cov ntshav txhaws ua rau koj cov tawv nqaij sov mus kov. Muab koj xib teg tawm tsam koj cov tawv nqaij kom hnov qhov kub thiab txias. Sib piv nws mus rau qhov kub ntawm koj lub hauv pliaj kom txiav txim siab yog tias daim tawv nqaij dhau qhov muaj peev xwm ua rau cov ntshav khov dua.
- Thaum qhov sov sov tuaj yeem tawg tawm tsuas yog los ntawm qhov o ntawm koj lub cev, koj txhais ceg tag nrho tuaj yeem sov.
- Hauv qee kis, koj cov tawv nqaij yuav sov rau qhov kov, tsis yog sov xwb.
Kauj Ruam 5. Saib xyuas kom tsis muaj zog lossis loog hauv koj txhais caj npab, ceg, lossis ntsej muag
Cov tsos mob no tuaj yeem tshwm sim los ntawm txhua hom ntshav txhaws, suav nrog DVT, lub plawv nres, mob hlab ntsha tawg, thiab mob ntsws hauv lub ntsws. Koj yuav tsis tuaj yeem nqa koj txhais caj npab, taug kev, lossis hais lus. Yog tias koj pom tus tsos mob no, koj yuav tsum nrhiav kev kho mob tam sim.
- Thaum xub thawj, koj yuav hnov clumsy lossis zoo li koj ob txhais ceg hnyav.
- Koj yuav muaj teeb meem hais lus lossis nqa koj txhais caj npab.
Kauj Ruam 6. Paub txog cov tsos mob ntawm cov ntshav khov hauv koj lub ntsws
Cov ntshav khov hauv koj lub ntsws hu ua pulmonary embolism. Thaum lawv qhia ntau cov tsos mob ntawm cov ntshav txhaws hauv lwm qhov ntawm koj lub cev, lawv kuj suav nrog qee qhov tshwj xeeb uas cuam tshuam nrog koj lub ntsws. Cov ntshav txhaws hauv lub ntsws feem ntau muaj qhov tshwm sim sai, yog li koj yuav hnov zoo tab sis tom qab ntawd muaj cov tsos mob. Yog tias koj muaj ib yam ntawm cov tsos mob no, koj yuav tsum hu rau cov kev pabcuam thaum muaj xwm ceev tam sim:
- Hnov ntshav.
- Lightheadedness.
- Tawm hws ntau dhau.
- Mob hauv siab lossis nruj.
- Ua tsis taus pa, lossis ua pa nyuaj.
- Lub plawv dhia ceev lossis tsis xwm yeem.
Kauj Ruam 7. Txheeb xyuas tus mob stroke nrog F. A. S. T
Cov ntshav khov yog qhov ua rau mob hlab ntsha tawg feem ntau. Lawv feem ntau ua rau mob taub hau, kiv taub hau, teeb meem pom, tsis pom kev, thiab teeb meem taug kev. Txij li nws tseem ceeb kom tau txais kev kho mob sai, koj tuaj yeem siv lub npe F. A. S. T. kom yooj yim txheeb xyuas tus mob stroke.
- Lub ntsej muag- Saib rau ib sab ntawm lub ntsej muag poob.
- Caj npab - Txheeb xyuas yog tias tus neeg tuaj yeem tsa lawv txhais caj npab thiab ua kom lawv sawv.
- Hais Lus - Puas yog tus neeg hais lus slurred lossis coj txawv txawv?
- Sijhawm - Yog tias koj pom muaj cov tsos mob, ua sai thiab hu rau cov kev pabcuam thaum muaj xwm ceev.
Kauj Ruam 8. Paub yog tias koj muaj teeb meem
Koj yuav muaj peev xwm txhim kho cov ntshav khov yog tias koj muaj kev pheej hmoo rau ib qho. Paub txog koj qhov kev pheej hmoo tuaj yeem pab koj thiab koj tus kws kho mob txiav txim siab yog tias koj cov tsos mob tuaj yeem yog ntshav khov. Qhov no yog qhov tseem ceeb tshwj xeeb hauv theem pib thaum koj cov tsos mob yuav tsis loj li ntawd. Yam kev pheej hmoo muaj xws li:
- Kev mus pw hauv tsev kho mob tsis ntev los no los yog kev kho orthopedic tsis ntev los no ntawm qhov qis qis.
- Kev phais loj hauv 4 lub lis piam
- Kev rog, cev xeeb tub, haus luam yeeb, phais, thiab keeb kwm yav dhau los ntawm mob hlab ntsha tawg.
- Ntev zaum lossis so, lub txaj pw ntau dua 3 hnub.
- Keeb kwm ntawm kev mob ntsws ntsws, DVT, thiab lub plawv tsis ua haujlwm.
- Ua rau koj ob txhais ceg lossis ntau dua 3 hauv (7.6 cm) ntawm koj lub plab hlaub.
- Hiatal hernia, mob hlab ntsha peripheral, polycythemia vera, thiab lub plawv arrhythmias.
- Tsis-varicose leeg leeg.
- Mob qog noj ntshav lossis kho mob qog noj ntshav tsis pub dhau 6 lub hlis dhau los.
- Factor V Leiden, tsev neeg keeb kwm ntawm cov ntshav txhaws, mob hlab ntsha tawg/atherosclerosis, thiab antiphospholipid syndrome.
- Qee yam tshuaj, xws li tshuaj tiv thaiv qhov ncauj, kho tshuaj hormone, thiab qee yam tshuaj kho mob qog noj ntshav.
Ntu 2 ntawm 4: Tau Txais Kev Kho Mob
Kauj Ruam 1. Tham nrog koj tus kws kho mob tam sim yog tias koj tab tom muaj cov tsos mob
Teem sijhawm nrog koj tus kws kho mob kom sai li sai tau. Muab koj tus kws kho mob nrog cov npe ntawm koj cov tsos mob, nrog rau koj qhov kev pheej hmoo rau cov ntshav txhaws. Koj tus kws kho mob yuav xav tshuaj xyuas koj thiab ua qhov kev kuaj mob kom paub tseeb tias koj puas muaj ntshav khov.
Yog tias koj muaj cov tsos mob hnyav xws li mob hnyav, o, lossis tsis muaj zog, lossis muaj teeb meem ua pa, koj yuav tsum hu rau cov kev pabcuam thaum muaj xwm ceev
Kauj Ruam 2. Tau txais ib qho ultrasound los kuaj xyuas cov ntshav txhaws
Koj tus kws kho mob yuav tso tus pas ntsuas ultrasound hla thaj chaw uas xav tias ntshav khov. Lub suab tsis zoo los ntawm tus pas nrig yuav taug kev hla koj lub cev thiab tuaj yeem muab cov duab ntawm cov khov.
- Koj tus kws kho mob tuaj yeem ua ob peb lub ultrasound ntau ob peb hnub kom pom tias cov hlab ntsha loj tuaj.
- Kev kuaj CT lossis MRI kuj tseem tuaj yeem muab cov duab ntawm cov ntshav khov.
- Feem ntau thaj chaw rau DVT yog koj lub plab, yog li tau txais qhov mob hauv thaj tsam ntawd raug tshuaj xyuas tam sim.
Kauj Ruam 3. Mus kuaj ntshav kom paub seb koj puas muaj qib D dimer siab
D dimer yog cov protein uas tuaj yeem tso hauv koj cov ntshav tom qab koj muaj ntshav khov. Qib siab ntawm D dimer txhais tau tias koj yuav muaj ntshav khov lossis ib qho uas nyuam qhuav dhau los. Raws li qhov tshwm sim ntawm koj qhov kev ntsuas ntshav dim dim, koj tus kws kho mob tuaj yeem txiav txim siab yog tias cov tsos mob uas koj tab tom ntsib tshwm sim los ntawm ntshav khov.
Kauj Ruam 4. Pom zoo rau kev kuaj kab mob venography
Koj tus kws kho mob yuav txhaj tshuaj sib piv rau hauv koj cov leeg, uas yuav sib xyaw nrog koj cov ntshav thiab hais txog txhua qhov txhaws. Koj tus kws kho mob mam li thaij duab xoo hluav taws xob ntawm thaj chaw uas xav tias yuav khov.
Ntu 3 ntawm 4: Kho Mob Ntshav Qab Zib
Kauj Ruam 1. Noj tshuaj anticoagulants raws li koj tus kws kho mob hais
Thaum koj tus kws kho mob tau kuaj mob ntshav khov, koj yuav tau txais cov tshuaj anticoagulants, xws li qis-molecular-hnyav-heparin, uas tseem hu ua ntshav thinner. Cov tshuaj no tiv thaiv koj cov ntshav los ntawm kev ua kom tuab, uas txo qhov muaj feem tias nws yuav tsim lwm yam khov uas yuav ua rau cov hlab ntsha txhav zuj zus. Nws yuav tsis kho qhov khov uas twb muaj lawm, tab sis nws yuav ua rau cov hlab ntsha tsis txhob nthuav dav thiab tiv thaiv lwm tus los ntawm kev tsim.
- Cov ntshav thinners tau teev tseg raws li ntev npaum li cas nws yuav siv koj cov ntshav los khov. Qhov no hu ua koj lub sijhawm prothrombin (PT) lub hauv paus. Koj tus kws kho mob yuav tshuaj ntsuam xyuas koj tus PT ua ntej yuav sau tshuaj ntshav kom ntshav.
- Cov ntshav ua kom ntshav tuaj yeem raug txhaj ib zaug lossis ob zaug ib hnub lossis hauv daim ntawv tshuaj.
- Yog tias koj muaj ntshav thinner, saib xyuas kom tsis txhob raug xwm txheej thiab raug mob vim koj cov ntshav yuav tsis tuaj yeem khov.
- Koj yuav zoo li yuav tsum tau noj cov ntshav kom thim rov qab tom qab qhov txaus ntshai tau dhau mus kom lwm qhov khov tsis ua. Koj tus kws kho mob yuav kuaj ntshav txhawm rau txiav txim siab tias qhov ntau npaum li cas ntawm cov ntshav thinner raug. Lawv yuav zoo li yuav tsum tau kho qhov ntau npaum li cas.
- Nyob ntawm seb yam tshuaj twg uas koj tau sau tseg, koj yuav tsum tau saib xyuas koj li PT thiab thoob ntiaj teb kev ua haujlwm sib piv (INR) ntau npaum li koj tus kws kho mob pom zoo.
Kauj Ruam 2. Nug koj tus kws kho mob txog cov tshuaj tsw qab
Cov tshuaj tua kab mob ntshav khov tau txhaj rau hauv koj lub cev los ntawm IV lossis catheter txhawm rau txhawm rau txhawm rau khov loj. Txij li thaum lawv ua rau los ntshav ntau, lawv tsuas yog siv hauv qhov xwm txheej hnyav. Qhov kev kho mob no yuav raug tswj hwm hauv chav saib xyuas mob hnyav.
Kauj Ruam 3. Cia koj tus kws kho mob tso lub lim dej yog tias tsis siv tshuaj
Yog tias koj tsis tuaj yeem noj tshuaj los tiv thaiv kev txhaws, tom qab ntawd koj tus kws kho mob tuaj yeem tso lub lim dej rau hauv koj lub vena cava. Nov yog cov hlab ntshav loj hauv koj lub plab. Lub lim dej yuav nres cov hlab ntshav uas tuaj yeem tsim los ntawm kev mus rau koj lub ntsws.
Koj tus kws kho mob yuav tsum ua qhov no hauv tsev kho mob hauv tsev kho mob kom ntseeg tau tias tsis muaj teeb meem
Kauj Ruam 4. Nthuav phais kom tshem cov khov yog tias lwm txoj kev kho mob tsis ua haujlwm
Kev phais feem ntau yog qhov kev kho mob zaum kawg rau qhov khov tshwj tsis yog tias koj muaj xwm txheej ceev. Qhov kev phais no hu ua thrombectomy. Tus kws kho mob yuav qhib koj cov hlab ntsha, tshem cov quav, thiab tom qab ntawd kaw cov hlab ntshav. Lawv kuj tseem tuaj yeem teeb tsa lub raj lossis lub stent kom cov hlab ntsha qhib thiab khov dawb tom qab ntawd.
Kev phais tuaj nrog kev pheej hmoo thiab feem ntau yog tseg rau xwm txheej uas ua rau muaj kev phom sij rau lub neej
Ntu 4 ntawm 4: Tiv Thaiv Cov Ntshav Ntshav
Kauj Ruam 1. Tsis txhob zaum ntev
Cov ntshav txhaws ntau dua yuav tshwm sim tom qab koj tau zaum ntev lawm. Ua tus taw tes kom sawv tsawg kawg txhua teev nyob rau nruab hnub kom taug kev li ob peb feeb. Txawm hais tias koj txav qeeb lossis tsuas yog sawv ntsug, nws zoo dua li zaum zaum tas hnub.
- Kev ya ntawm lub dav hlau tuaj yeem muaj kev pheej hmoo tshwj xeeb vim tias koj feem ntau yuav tsum tau zaum zaum ntev. Thaum koj ya, sawv thiab taug kev ncig lub dav hlau, txawm tias nws tsuas yog mus rau chav dej thiab rov qab.
- Thaum koj yuav tsum zaum ntev, tig koj pob taws thiab txav koj txhais ceg ntau zaus. Sim sawv thiab taug kev ib ncig yog tias koj tuaj yeem ua tau.
- Koj tseem tuaj yeem hnav cov thom khwm tshwj xeeb uas tiv thaiv DVTs thaum koj ya lossis tsav tsheb ntev.
Kauj Ruam 2. Tsiv ib ncig kom sai li sai tau tom qab phais lossis so hauv txaj
Koj yuav tsum ua raws txhua tus kws kho mob cov lus qhia thaum koj rov zoo los ntawm kev phais kom tiv thaiv ntshav khov. Thaum tau txais kev pom zoo, sawv ntsug thiab taug kev luv ib ncig ntawm tsev kho mob lossis chaw saib xyuas mob. Nco ntsoov tias koj muaj ib tus neeg nyob ntawd los pab koj thiab muab kev txhawb nqa kom koj tsis txhob poob.
Nws yog ib txwm rau koj kom sawv tawm ntawm lub txaj ib hnub tom qab phais nrog kev saib xyuas
Kauj Ruam 3. Hnav cov thom khwm los yog lub raj kom tiv thaiv kev o
Koj yuav tsum hnav lawv txhua hnub los pab txhawb koj ob txhais ceg thiab tiv thaiv kev tsim kua dej. Cov thom khwm lossis cov thom khwm yuav tsum tuaj txog yam tsawg koj lub hauv caug.
- Koj tuaj yeem yuav cov no ntawm lub khw muag khoom kho mob lossis tau txais daim ntawv yuav tshuaj rau lawv. Tau txais daim ntawv yuav tshuaj tuaj yeem txo tus nqi thiab xyuas kom koj tau txais cov thom khwm zoo.
- Yog tias koj xav tau, koj tuaj yeem pom cov hose uas npog koj ob txhais ceg.
Kauj Ruam 4. Haus tsawg kawg 8 khob dej txhua hnub
Lub cev qhuav dej ua rau koj muaj feem yuav ua rau ntshav nce ntxiv, yog li nco ntsoov tias koj haus dej txaus. Yog tias koj tsis nyiam saj dej, koj tuaj yeem haus lwm yam dej qab zib xws li tshuaj yej lossis kua txiv.
Kauj Ruam 5. Poob qhov hnyav yog tias koj rog
Kev rog rog yog qhov pheej hmoo ua rau cov ntshav txhaws, yog li poob qhov hnyav tuaj yeem pab koj txo qis kev pheej hmoo. Tham nrog koj tus kws kho mob ua ntej pib noj cov zaub mov tshiab, cov phiaj xwm tawm dag zog, lossis tshuaj ntxiv, tshwj xeeb tshaj yog cov uas thov kom pab koj poob phaus.
- Siv cov calories suav app zoo li myfitnesspal txhawm rau noj zaub mov ntau npaum li cas thiab pes tsawg calories uas koj hlawv.
- Tsim koj cov zaub mov nyob ib ncig ntawm cov zaub thiab tsis muaj protein ntau.
- Txwv koj kev noj cov suab thaj ntxiv.
- Ua kom koj qib ua haujlwm tom qab tham nrog koj tus kws kho mob. Koj tuaj yeem sim taug kev, caij tsheb kauj vab, seev cev, lossis dhia dhia.
Kauj Ruam 6. Ua haujlwm tas li
Kev tawm dag zog pab koj txo koj txoj kev pheej hmoo ntawm cov ntshav txhaws los ntawm kev pab koj tswj koj qhov hnyav thiab zam kom tsis dhau mus nyob ntsiag to. Ua ntej koj pib ua haujlwm tshiab lossis ua kom koj qib qib ua haujlwm tau zoo, koj yuav tsum tau txais kev pom zoo los ntawm koj tus kws kho mob, vim tias kev ua kom nrawm dua tuaj yeem ua rau muaj kev phom sij.
- Kev tawm dag zog hauv tsev los ntawm kev taug kev, dhia, lossis caij tsheb kauj vab sab nraum lossis siv DVDs.
- Koom nrog chav ua si kom nkag mus rau ntau lub tshuab thiab chav kawm lom zem.
- Ua kis las xws li ntaus pob tesniv, ntaus pob, lossis ntaus pob.
Kauj Ruam 7. Txhob haus luam yeeb
Kev haus luam yeeb nqaim koj cov leeg, ua rau nws nyuaj rau koj cov ntshav ntws dawb. Qhov no nce koj txoj kev pheej hmoo ntawm cov ntshav txhaws. Kev txiav tawm tuaj yeem pab koj txo koj txoj kev pheej hmoo. Koj tuaj yeem sim txiav tawm ntawm koj tus kheej lossis tham nrog koj tus kws kho mob txog kev siv kev txhawb nqa rau kev txiav tawm, xws li cov pos hniav, thaj ua rau thaj, lossis cov tshuaj uas tuaj yeem pab koj tswj kev nqhis.
Kauj Ruam 8. Txo koj cov ntshav siab yog tias nws siab
Ntshav siab yog lwm qhov kev pheej hmoo rau cov ntshav khov uas tuaj yeem tswj tau. Yog tias koj muaj ntshav siab, nrog koj tus kws kho mob tham txog kev tsim phiaj xwm kho mob kom txo qis nws. Qhov no yuav suav nrog tshuaj noj, kev hloov pauv zaub mov noj, thiab kev tawm dag zog.
Txij li cov ntshav siab yog cov muaj keeb, koj yuav tsis tuaj yeem txo nws rov qab mus rau qhov qub yam tsis muaj tshuaj, tab sis kev nce qib tau pab tau
Kauj Ruam 9. Txo koj cov roj cholesterol yog tias nws siab
Cov roj (cholesterol) siab tuaj yeem ua rau cov ntshav txhaws vim nws tuaj yeem ua rau cov rog rog uas tuaj yeem tawg tawm, ua rau khov. Koj tus kws kho mob tuaj yeem kuaj koj cov roj cholesterol thiab txiav txim siab seb koj puas muaj kev pheej hmoo.
