Nhau

Kugona uye kuchengetedzeka kwekugadzirisa mushure me venous thromboembolism

Pfupiso

Kumashure

Kubuda kweropa mutsinga dzeropa chirwere chinotyisidzira hupenyu. Kune vakapona, mazinga akasiyana ezvirwere zvemuviri anofanirwa kugadziriswa kana kudzivirirwa (semuenzaniso, post-thrombotic syndrome, pulmonary hypertension). Saka, kugadziriswa mushure mekuva neropa mutsinga dzeropa kunokurudzirwa muGermany. Zvisinei, chirongwa chekugadzirisa chakarongeka hachina kutsanangurwa sechiratidzo ichi. Pano, tinoratidza chiitiko chenzvimbo imwe chete yekurapa.

Maitiro

Data kubva kunoteveraembolism yemapapuVarwere (PE) vakatumirwa kuchirongwa chekurapa varwere vari muchipatara kwemavhiki matatu kubva muna 2006 kusvika 2014 vakaongororwa vachitarisa kumashure.

Mhedzisiro

Pavanhu vese, varwere 422 vakaonekwa. Avhareji yezera ravo raive makore 63.9±13.5, avhareji yehuwandu hwemuviri (BMI) yaive 30.6±6.2 kg/m2, uye 51.9% vaive vakadzi. Kudzikira kwetsinga dzeropa zvakanyanya maererano nePE kwaizivikanwa ne55.5% yevarwere vese. Takashandisa nzira dzakasiyana-siyana dzekurapa dzakadai sekudzidzira mabhasikoro nekurova kwemoyo kwakatariswa mu86.7%, kurovedza kufema mu82.5%, kurapa mumvura/kushambira mu40.1%, uye kurovedza kwekurapa mu14.9% yevarwere vese. Zviitiko zvakaipa (AEs) zvakaitika muvarwere 57 mukati memavhiki matatu ekurapwa. AEs dzakajairika dzaive dzihwa (n=6), manyoka (n=5), uye hutachiona hwenzira yekufema yepamusoro kana yepasi hwakarapwa nemishonga inorwisa mabhakitiriya (n=5). Zvisinei, varwere vatatu vairapwa nemishonga inorwisa ropa vakatambura nekubuda ropa, izvo zvaive zvakakosha mune imwe. Varwere vana (0.9%) vaifanira kutamisirwa kuchipatara chevarwere vakuru nekuda kwezvikonzero zvisingaenderane nePE (acute coronary syndrome, pharyngeal abscess, uye matambudziko emudumbu). Hapana chakawanikwa chine chekuita nemabasa emuviri pane kuwanda kweAE.

Mhedziso

Sezvo PE iri chirwere chinouraya, zvinoita sezvine musoro kukurudzira kugadziriswa kwemuviri kuvarwere vane PE vane njodzi yepakati kana yepamusoro. Zvinoratidzwa kekutanga muchidzidzo chino kuti chirongwa chekugadzirisa mushure mePE chakachengeteka. Zvisinei, kushanda zvakanaka uye kuchengetedzeka kwenguva refu zvinofanirwa kudzidzwa nekufambira mberi.

Mashoko akakosha: venous thromboembolism, pulmonary embolism, kugadzirisa