Txoj hlab ntshav sib sib zog nqus, lossis ntshav hlab ntshav sib sib zog nqus (DVT) yog ib yam mob uas tshwm sim los ntawm kev tsim cov ntshav khov (thrombus) hauv cov hlab ntshav sib sib zog nqus, feem ntau hauv plab hlaub, ncej puab, lossis lub plab. Koj lub cev tuaj yeem yaj cov feem me me mus rau qib me me nrog lub sijhawm thiab kev noj qab nyob zoo. Txawm li cas los xij, ib txwm muaj kev pheej hmoo ntawm DVT thaiv lossis txwv tsis pub cov ntshav ntws hauv cov leeg, ua rau qee qhov ntawm cov hlab ntshav tawg thiab thaiv cov hlab ntshav hauv lub ntsws lossis cov hlab ntsha uas txuas rau lub hlwb. Qhov tshwm sim yog teeb meem kev noj qab haus huv loj lossis tseem tuag taus. Yog tias koj muaj kev pheej hmoo txhim kho DVT, koj raug qhia kom ua raws li kev tiv thaiv thiab nrhiav kev kho kom zoo.
Kauj ruam
Ntu 1 ntawm 3: Tshem Tawm Qhov Raug Raug Cai
Kauj Ruam 1. Poob qhov hnyav, tshwj xeeb tshaj yog tias koj rog
Kev pheej hmoo ntawm DVT yog ntau dua yog tias koj rog dhau lossis rog. Lub cev hnyav hnyav ua rau nws nyuaj rau cov ntshav ntws hauv lub cev, tshwj xeeb tshaj yog nqa ntshav rov qab mus rau lub plawv los ntawm txhais ceg thiab ncej puab. Vim li ntawd, ntshav siab yuav nce ntxiv thiab ua rau cov hlab ntsha puas tsuaj, ua rau muaj cov plaques thiab cov ntshav txhaws. Kev poob phaus yuav yooj yim ua haujlwm ntawm koj lub plawv thiab cov hlab ntshav, yog li txo qhov kev pheej hmoo ntawm DVT thiab atherosclerosis.
- Poob qhov hnyav los ntawm kev ua kom lub plawv dhia ntxiv (xws li taug kev) thiab txo koj cov calories noj.
- Txo koj cov kev noj txhua hnub ntawm 500 calories yuav txo qis txog 1.8 kg ntawm cov nqaij rog txhua lub hlis.
Kauj Ruam 2. Txiav luam yeeb
Kev pheej hmoo ntawm DVT kuj tseem muaj ntau dua yog tias koj haus luam yeeb ntev. Ntau yam tshuaj sib xyaw hauv cov luam yeeb tuaj yeem cuam tshuam nrog cov txheej txheem ntshav khov, nrog rau kev ncig thiab cov hlab ntshav feem ntau-vim li ntawd koj cov ntshav tuab thiab txhaws ntau dhau (hypercoagulation)-uas ua rau koj muaj kev pheej hmoo txhim kho DVT thiab lwm yam kab mob hauv cov hlab ntshav. Sim txiav luam yeeb maj mam (nrog kev pab ntawm thaj ua rau thaj nicotine), txiav tawm tag nrho thiab/lossis nrog kev pab los ntawm cov lus qhia kom yaum lossis kho lub siab.
- Thaum cov ntshav khov ua rau hauv cov hlab ntshav thiab pib ntws hauv cov hlab ntshav, nws dhau los ua embolism, uas tuaj yeem thaiv cov hlab ntshav ua rau lub plawv lossis lub ntsws. Qhov no tuaj yeem ua rau tuag sai sai hauv qee kis. Tsuas yog ib pawg me me (10-15%) ntawm cov tib neeg uas tsim cov kab mob hauv lub ntsws tuag sai tom qab.
- Kwv yees li 2,000,000 tus neeg Asmeskas tau ntsib DVT txhua xyoo, thiab kev haus luam yeeb yog qhov tseem ceeb.
Kauj Ruam 3. Ua kom lub cev muaj zog dua
Zaum rau lub sijhawm ntev yog qhov muaj feem cuam tshuam rau DVT. Yog li, nce koj li kev tawm dag zog lub plawv los ntawm kev taug kev, dhia, caij tsheb kauj vab, lossis ua luam dej. Koj cov leeg leeg ua haujlwm zoo li lub plawv thib ob, pab tso ntshav hauv txhais ceg rov qab mus rau lub plawv, tab sis tsuas yog thaum lawv cog lus nrog qee yam kev tawm dag zog ib txwm muaj.
- Yog tias koj zaum ua haujlwm, lossis taug kev hauv lub dav hlau thiab tsis tuaj yeem tawm dag zog zoo li ob peb teev, tsawg kawg, txav koj ob txhais ceg thiab ncej puab thaum zaum.
- Ib txhais ceg tawg qhwv hauv cov cam khwb cia tshwj xeeb yog qhov pheej hmoo rau DVT. Yog li ntawd, sim qoj koj cov ntiv taw kom ntev li koj txhais taw nyob hauv txoj hauj lwm tsa.
- Cov cim thiab tsos mob tshwm sim tshaj plaws ntawm DVT yog: o, liab, thiab mob hauv lub plab hlaub lossis qis ceg (tshwj xeeb tshaj yog ntawm cov leeg), nyuaj rau lub cev (tshwj xeeb tshaj yog thaum khiav), thiab tawv nqaij uas zoo li sov lossis kub rau qhov kov.
- Koj cov tsos mob DVT tej zaum yuav mob me me. Ib nrab ntawm cov neeg mob DVT yog asymptomatic thaum kuaj mob.
Kauj Ruam 4. Muab lub hnab tso rau hauv siab
Cov khoom ntim siab yuav txhawb nqa cov leeg thiab cov hlab ntshav hauv ob txhais ceg, uas yuav txo qis o/o, ntxiv rau qhov pheej hmoo ntawm DVT. Cov thom khwm nruj yog qhov tseem ceeb tshwj xeeb rau cov tib neeg uas muaj qhov tsis txaus (txau ntawm qhov qub) lossis nthuav dav (varicose) leeg. Cov thom khwm no yuav tsum ncav koj lub hauv caug, lossis siab dua, nrog cov ntiv taw kaw lossis nthuav tawm. Cov thom khwm no tuaj yeem yuav online, ntawm cov khw muag khoom kho mob, thiab qee zaum ntawm cov chaw muag tshuaj lossis kws kho mob lub cev kho mob.
- Muas cov thom khwm hauv chav kawm 1, nrog rau qhov siab tshaj, tshwj tsis yog koj tus kws kho mob pom zoo rau chav kawm 2 lossis 3 thom khwm.
- Siv cov khoom ntim siab ntxiv thaum nqa cov dej num txaus ntshai xws li taug kev hauv tsheb, tsheb npav lossis dav hlau. Cov thom khwm siab zoo li cov no, qee zaum muag hauv qab daim ntawv lo "thom khwm dav dav thom khwm", xav tias nruj dua ntawm pob taws dua tus ncej puab, uas ua rau cov ntshav ntws ntau.
Kauj Ruam 5. Haus dej ntau dua uas tsis muaj caffeinated
Kev tau cov kua txaus txaus cuam tshuam rau koj cov ntshav, thiab "dilutes nws," yog li txo koj txoj kev pheej hmoo ntawm DVT. Yog li haus dej kom ntau thiab kua txiv hmab txiv ntoo tshiab, tshwj xeeb tshaj yog tias koj nyob hauv qhov kub thiab/lossis huab cua qhuav. Tsis txhob haus cov dej caffeinated xws li kas fes, tshuaj yej dub, dej qab zib, thiab dej qab zib, vim tias caffeine yog cov tshuaj diuretic, uas tuaj yeem ua rau cov zis tso zis thiab ntau lub sijhawm ua rau lub cev qhuav dej.
- Thaum lub caij qhuav, sim haus 3.8 liv dej txhua hnub.
- Nco ntsoov tias feem ntau cov txiv hmab txiv ntoo thiab zaub tshiab kuj yog cov dej zoo.
Ntu 2 ntawm 3: Nrhiav Lwm Txoj Kev Kho Mob
Kauj Ruam 1. Taw zaws
Nrhiav tus kws kho mob zaws lossis tus phooj ywg uas yuav pab koj zaws koj lub plab thiab cov leeg pob tw kom tiv thaiv DVT. Zaws yuav txo cov leeg nruj thiab txhim kho kev ncig ntawm cov ntshav thiab cov kua dej. Pib zaws hauv koj lub plab me me thiab ua haujlwm koj txoj hauv kev mus rau koj tus ncej puab, yog li koj tau pab cov leeg ntshav rov qab ntshav rau koj lub plawv. Pib zaws rau 30 feeb ces txuas ntxiv. Cia tus kws kho mob zaws (lossis koj tus phooj ywg) nias nyuaj li koj tuaj yeem ua tau.
- Ib txwm haus dej kom ntau tom qab zaws kom yaug tawm cov tshuaj sib txuas thiab cov kua qaub hauv koj lub cev. Txwv tsis pub, koj yuav hnov mob taub hau lossis xeev siab me ntsis.
- Yog tias koj muaj mob DVT nrog rau cov tsos mob (o thiab mob), koj yuav tsum zam kev zaws, thiab sab laj nrog koj tus kws kho mob txog qhov no.
Kauj Ruam 2. Sim kho cov tshuaj acupuncture
Acupuncture yog kev kho mob uas cov koob txhaj tshuaj tau muab tso rau hauv lub zog ntawm cov tawv nqaij lossis cov leeg kom txo qhov mob thiab o, thiab txhim kho cov ntshav ncig. Acupuncture los txo txoj kev pheej hmoo ntawm teeb meem kev noj qab haus huv ntawm ko taw tuaj yeem ua haujlwm tau zoo, txawm hais tias nws feem ntau tsis pom zoo los ntawm kws kho mob. Raws li cov hauv paus ntsiab lus ntawm cov tshuaj suav ib txwm, kev siv tshuaj kho mob los ntawm kev tso tawm ntau yam sib xyaw suav nrog endorphins, serotonin, uas yuav txo qhov tsis xis nyob.
- Cov ntsiab lus kho mob uas tuaj yeem pab daws cov tsos mob hauv koj txhais taw tsis yog txhua qhov nyob ntawm ko taw-qee qhov ntawm lawv yuav nyob tob hauv lwm qhov ntawm koj lub cev.
- Kev xyaum siv tshuaj kho mob yog ua los ntawm ntau tus kws tshaj lij saib xyuas kev noj qab haus huv, suav nrog ntau tus kws kho mob, kws kho lub cev, naturopathy, kws kho mob lub cev, thiab kws kho zaws-txhua tus tau ntawv pov thawj los ntawm NCCAOM.
Kauj Ruam 3. Xav txog kev kho kev co
Ib txoj hauv kev zoo rau kev xaiv kho kom txo qis txoj kev pheej hmoo ntawm kev txhim kho cov teeb meem kev noj qab haus huv yog kev kho lub zog. Los ntawm kev tso koj txhais taw rau ntawm lub tshuab vibrating, cov leeg hauv koj lub plab thiab tus ncej puab tuaj yeem cog lus, pab tso ntshav rau hauv cov leeg me. Qhov kev vibration ntau tuaj yeem ua kom so thiab ntxiv dag zog rau cov leeg thaum txhawb lub paj hlwb kom txo qhov mob.
- Cov khoom siv hauv lub cev tag nrho yog qhov nyuaj rau nrhiav hauv kev kho mob, thiab feem ntau kim heev rau koj mus yuav thiab siv hauv tsev, yog li xav txog lub cuab yeej me me kom cia li tshee ntawm koj txhais taw thiab qis ceg.
- Cov cuab yeej vibrating uas koj tuaj yeem tuav tau yog lwm qhov kev xaiv uas yuav zoo txaus los txhawb koj cov leeg nqaij.
- Yog tias koj muaj mob DVT nrog cov tsos mob, tsis txhob siv txoj kev kho kom zoo li no, thiab tham nrog koj tus kws kho mob ua ntej sim nws.
Ntu 3 ntawm 3: Nrhiav Kev Pab Kho Mob
Kauj Ruam 1. Mus ntsib koj tus kws kho mob hauv tsev neeg
Txawm hais tias koj siv zog los zam DVT, yog tias koj txhais taw (tshwj xeeb yog koj tus menyuam nyuj) zoo li o, liab, thiab mob rau qhov kov, thiab tsis txhim kho li ntawm ob peb hnub, teem sijhawm nrog koj tus kws kho mob. Koj tus kws kho mob yuav tshuaj xyuas koj txhais taw thiab taw ntawm koj txhais taw, thiab nug koj qee cov lus nug txog koj tsev neeg keeb kwm kev noj qab haus huv, zaub mov noj, thiab mus ncig tsis ntev los no. Yog tias koj yog poj niam, koj tus kws kho mob kuj tseem tuaj yeem nug yog tias koj cev xeeb tub, nyuam qhuav yug menyuam, tab tom noj tshuaj tiv thaiv menyuam yaus lossis nyob rau kev kho tshuaj hormone hloov pauv, vim qib tshuaj estrogen ntau dua tuaj yeem ua rau ntshav txhaws.
- Cov tshuaj tiv thaiv menyuam yaus muaj qhov pheej hmoo siab tshaj plaws nyob rau thawj xyoo ntawm kev siv, txawm hais tias cov tshuaj tiv thaiv menyuam yaus niaj hnub no yuav muaj kev nyab xeeb dua li lawv cov neeg ua ntej kaum xyoo dhau los.
- Koj tus kws kho mob yuav sau ntawv noj tshuaj ua kom ntshav qis (anticoagulant) xws li heparin yog tias nws xav tias koj muaj DVT. Cov tshuaj ua kom ntshav qis yuav txo koj cov ntshav lub peev xwm los khov, txawm hais tias lawv yuav tsis yaj cov ntshav uas twb muaj lawm.
- Koj tus kws kho mob hauv tsev tsis yog kws kho plawv thiab hlab ntshav tshwj xeeb. Yog li, koj yuav tsum tau xa mus rau tus kws tshaj lij.
Kauj Ruam 2. Nug kom xa mus rau tus kws tshaj lij
Cov kws kho plawv thiab cov kws tshwj xeeb vascular tau kawm tiav kom paub qhov txawv txhua qhov teeb meem ntawm cov hlab ntshav uas tuaj yeem tshwm sim hauv ob txhais ceg thiab lwm qhov hauv lub cev. Muaj ntau tus mob hnyav uas tuaj yeem ua rau mob thiab mob hauv ob txhais ceg, suav nrog mob ntshav qab zib neuropathy, ntshav tsis txaus (ntshav qis ntawm cov hlab ntshav qis qis), cov kab mob sib cais (ua rau cov leeg qis qis), popliteal artery entrapment, kis kab mob, thiab cellulitis.
- Tus kws kho mob tshwj xeeb tuaj yeem ua qhov kev kuaj mob ultrasound txhawm rau txhawm rau nrhiav ib lub pob hauv ceg sab saud, lossis kev kuaj ntshav (kuaj xoo hluav taws xob nrog cov zas xim) txhawm rau nrhiav cov pob hauv qab ceg. Cov txiaj ntsig ntawm kev kuaj mob ultrasound yuav muab piv rau lub sijhawm kom pom qhov loj lossis txo qhov loj ntawm cov ntshav khov.
- Tus kws tshaj lij kuj tseem tuaj yeem xaj kuaj ntshav D-dimer. D-dimer yog cov tshuaj uas tsim tawm thaum cov ntshav khov maj mam yaj.
Kauj Ruam 3. Tham txog kev xaiv tshuaj muaj zog nrog koj tus kws kho mob
Yog tias kuaj pom DVT, koj tus kws kho mob yuav sau ntawv tshuaj muaj zog kom tsis txhob ntshav khov los ntawm kev loj hlob, thiab thaum kawg nws yuav yaj nws. Tom qab txhaj tshuaj heparin, koj tuaj yeem muab lwm cov tshuaj ua kom ntshav los ntawm kev txhaj tshuaj (xws li enoxaparin) lossis los ntawm cov ntsiav tshuaj xws li warfarin (Coumadin). Yog tias koj tus DVT mob hnyav, koj tus kws kho mob yuav muab tshuaj thrombolytic rau koj los ntawm kev txhaj tshuaj, uas tuaj yeem yaj cov ntshav khov sai.
- Koj kuj tseem tuaj yeem tau txais cov tshuaj hauv qhov ncauj uas tsis xav tau kev tshuaj xyuas ntshav thiab tsis ntev los no tau pom zoo los ntawm FDA xws li dabigatran, rivaroxaban, lossis apixaban.
- Cov tshuaj thrombolytic feem ntau siv rau DVT yog streptokinase, urokinase thiab recombinant cov ntaub so ntswg-hom plasminogen activator (r-tPA).
- Txawm hais tias thrombolytics tau hloov kho nyob rau xyoo tsis ntev los no, lawv tuaj yeem ua rau muaj ntshav hnyav sab hauv thiab feem ntau tsuas yog siv hauv kev ua rau muaj kev phom sij rau DVT, yog li lawv siv hauv lwm DVTs yog kev sib cav.
- Yog tias koj tsis tuaj yeem noj tshuaj ua kom ntshav qis, koj tus kws kho mob tuaj yeem tso lub lim dej me me rau hauv cov hlab ntshav kom tiv thaiv cov ntshav txhaws los ntawm cov hlab ntshav, uas tuaj yeem ua rau muaj mob txaus ntshai.
- Yog tias koj tau mus pw hauv tsev kho mob, cov cuab yeej siv kho mob kom siv lub siab ntawm koj txhais taw lossis ko taw tuaj yeem siv tau ob peb hnub. Cov cuab yeej no muaj txiaj ntsig tshwj xeeb thaum siv ua ke nrog cov tshuaj ua kom ntshav tsawg.
Lub tswv yim
- Kev kho thaum ntxov tuaj yeem txo qhov pheej hmoo ntawm teeb meem xws li pulmonary embolism.
- Tsis txhob zaum lossis sawv ntsug ntev heev. Tsiv ntau zaus, tshwj xeeb tshaj yog tias koj ua haujlwm zaum.
- Ua kom koj txhais taw siab dua li so ntawm koj lub cev (los ntawm kev yaum lawv tawm tsam phab ntsa lossis so ntawm qee lub hauv ncoo) yuav pab txo qis o los ntawm kev sawv ua haujlwm ntev.
- Tsis txhob hla koj ob txhais ceg lossis pob taws thaum koj zaum.
- Tsawg kawg ib zaug txhua ib nrab teev, siv sijhawm li ob peb feeb kom txav thiab txhim kho cov ntshav ntws.
Ceeb toom
- Yog tias koj tau phais kho lub hauv caug lossis hauv caug hauv peb lub hlis dhau los, nws tsis pom zoo tias koj yuav mus ntev, txawm tias siv tshuaj.
- Cov noob caj noob ces tseem muaj lub luag haujlwm. Koj muaj kev pheej hmoo siab dua yog tias ib tus hauv koj tsev neeg tau muaj DVT, lossis lwm yam teeb meem ntshav khov, xws li pulmonary embolism.
