Ropa rinovhara

Ropa rakagwamba ndiwo mabundu anoitika kana ropa raomarara kubva pamvura kusvika pakasimba.

• Ropa rakavhara rinoita mukati meimwe yetsinga dzako kana tsinga inonzi thrombus. Iyo thrombus inogona zvakare kuumba mumoyo mako.
• Thrombus inotsemuka ichifamba kubva kune imwe nzvimbo mumuviri ichienda kune imwe inonzi embolus.

Iyo thrombus kana embolus inogona chikamu kana kuzadza zvachose kuyerera kweropa muropa reropa.

• Kuvharika mutsinga kunogona kudzivirira oxygen kubva mukusvika matishu munzvimbo iyoyo. Iyi inonzi ischemia. Kana ischemia ikasarapwa nekukasira, inogona kutungamira kukuvara kwemashuga kana kufa.
• Kuvharika mutsinga kunowanzo kukonzera kuwanda kwemvura uye kuzvimba.

Mamiriro ezvinhu umo kuvhara kweropa kunowanzoita mumitsipa kunosanganisira:

• Kuva pamubhedha wenguva refu zororo
• Kugara kwenguva yakareba, senge mundege kana mumotokari
• Panguva uye mushure mekuzvitakura
• Kutora mapiritsi ekudzivirira kubereka kana mahormone esrogen (kunyanya mune vakadzi vanosvuta
• Yakareba-nguva yekushandisa yeiyo intravenous catheter
• Mushure mekuvhiyiwa

Ropa rakagwamba zvakare rinowanzoita mushure mekukuvara. Vanhu vane gomarara, kufutisa, uye chiropa kana hosha yeitsvo vanowanzawo kugwamba kweropa.

Kusvuta kunowedzerawo njodzi yekuumba ropa.

Mamiriro ezvinhu anopfuudzwa kuburikidza nemhuri (akagarwa nhaka) anogona kukuita iwe mukana wekuti ugadzire asina kujairika eropa. Mamiriro ehunhu anokanganisa kugwamba ndeaya:

• Factor V Leiden shanduko
• Prothrombin G20210A shanduko

Dzimwe mamiriro asingawanzo, senge protein C, protein S, uye antithrombin III kushomeka.

Ropa rakavhara rinogona kuvhara tsinga kana tsinga mumoyo, zvichikanganisa iyo:

• Mwoyo (angina kana chirwere chemwoyo)
• Utumbo (mesenteric ischemia kana mesenteric venous thrombosis)
• Itsvo (renal vein thrombosis)
• Mutsipa kana ruoko tsinga
• Makumbo (yakadzika vein thrombosis)
• Mapapu (pulmonary embolism)
• Mutsipa kana uropi (sitiroko)

Clot; Emboli; Thrombi; Thromboembolus; Hypercoagulable nyika

• Yakadzika tsinga thrombosis - kubuda
• Kutora warfarin (Coumadin, Jantoven) - chii chekubvunza chiremba wako
• Kutora warfarin (Coumadin)

• Thrombus
• Yakadzika venous thrombosis - iliofemoral

Anderson JA, Hogg KE, Weitz JI.Hypercoagulable nyika. Muna: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Basic Misimboti uye Maitiro. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 140.

Schafer AI. Kusvika kumurwere nekubuda ropa uye thrombosis: hypercoagulable states. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 162.