I-Deep vein thrombosis (DVT) yisimo sezempilo esibucayi lapho amahlule egazi akheka emithanjeni ejulile, ngokuvamile emilenzeni. Kungaholela ezinkingeni ezinzima ezifana ne-pulmonary embolism (PE) uma ihlule liphuma futhi liya emaphashini. Ngakho-ke ukuvimbela i-DVT kuyingxenye ebalulekile yokunakekelwa esibhedlela kanye nokululama ngemva kokuhlinzwa. Elinye lamathuluzi angewona awekhemisi okuvikela i-DVT yiidivayisi yokucindezela umlenze we-DVT ngezikhathi ezithile, owaziwa nangokuthi amadivayisi we-intermittent pneumatic compression (IPC) noma amadivaysi okucindezela alandelanayo (ama-SCD).
Kulesi sihloko, sizohlola ukuthi iyini idivayisi yokuminyanisa umlenze we-DVT ngezikhathi ezithile, lapho ukwelashwa kokucindezela kufanele kusetshenziswe emlenzeni one-DVT, nokuthi imiphi imiphumela emibi abasebenzisi okufanele bayiqaphele.
Iyini Idivayisi Yokucindezela Umlenze we-DVT?
Idivayisi yokucindezela umlenze we-DVT iwuhlobo lweidivayisi yezokwelaphaeyenzelwe ukukhuthaza ukujikeleza kwegazi emilenzeni nokunciphisa ingozi yokwakheka kwamahlule. Isebenza ngokusebenzisa ingcindezi engapheli ezithweni ezingezansi ngokusebenzisa imikhono ephefumulayo exhunywe kupompo yomoya. Le mikhono ivuthela ngokulandelana futhi incibilike, ilingise isenzo semvelo sokumpompa imisipha phakathi nokuhamba.
Umgomo oyinhloko wedivayisi ye-intermittent pneumatic compression (IPC) ukuvimbela stasis ye-venous—enye yezinto eziyingozi ezinkulu ze-deep vein thrombosis. Ngokuvuselela ukugeleza kwegazi emuva liye enhliziyweni, amadivaysi e-IPC asiza ukugcina ukubuya kwe-venous futhi anciphise amathuba okuhlangana kwegazi emilenzeni.
Izingxenye Eziyinhloko
Uhlelo olujwayelekile lokucindezelwa komlenze we-DVT olujwayelekile luqukethe:
Imikhono yokucindezela noma ama-cuffs: Goqa emilenzeni noma ezinyaweni bese ucindezela ngezikhathi ezithile.
Iyunithi yepompo yomoya: Ikhiqiza futhi ilawula umfutho womoya ovuthela imikhono.
Isistimu yeshubhu: Ixhuma iphampu kuma-cuffs ukuze igeleze komoya.
Iphaneli yokulawula: Ivumela odokotela ukuthi babeke amazinga okucindezela kanye nezikhathi zokujikeleza esigulini ngasinye.
Lawa madivaysi okucindezela alandelanayo emilenze angasetshenziselwa iziguli ezisezibhedlela, emakhaya asebekhulile, noma ngisho nasekhaya ngaphansi kokuqondisa kwezokwelapha.
Isebenza Kanjani I-Intermittent Pneumatic Compression Device?
Idivayisi ye-IPC isebenza ngomjikelezo onesigqi wokwehla kwamandla emali kanye nokwehla kwamandla emali:
1. Isigaba sokwehla kwamandla emali: Iphampu yomoya igcwalisa imikhono ngokulandelana ukusuka eqakaleni ukuya phezulu, icindezela ngobumnene imithambo bese iphushela igazi enhliziyweni.
2. Isigaba sokwehla kwamandla emali: Imikhono iyaphumuza, ivumela imithambo ukuthi iphinde igcwale igazi elinomoya-mpilo.
Lokhu kucindezelwa komjikelezo kuthuthukisa ukubuya kwe-venous, kuvimbela ukuma, futhi kwandise umsebenzi we-fibrinolytic-okusiza umzimba ngokwemvelo ukuphula amahlule amancane ngaphambi kokuba abe yingozi.
Ucwaningo lwezokwelapha luye lwabonisa ukuthi imishini yokucindezela umoya wesikhashana isebenza kahle kakhulu uma ihlanganiswa ne-pharmacological prophylaxis efana ne-heparin, ikakhulukazi ezigulini zangemuva kokuhlinzwa noma lezo ezingakwazi ukuhamba isikhathi eside.
Kufanele Ufake Nini Ukucindezelwa Emlenzeni Nge-DVT?
Lo mbuzo udinga ukucatshangelwa ngokucophelela. Ukwelashwa ngokucindezela kunenzuzo kukho kokubili ukuvimbela i-DVT kanye nokululama ngemva kwe-DVT, kodwa ukusetshenziswa kwayo kufanele kuqondiswe uchwepheshe wezokwelapha.
1. Nge-DVT Prevention
Ukucindezelwa ngezikhathi ezithile kunconyelwe:
Iziguli ezilaliswe esibhedlela ngemva kokuhlinzwa noma ukuhlukumezeka
Abantu abaphumula embhedeni isikhathi eside
Iziguli ezinokuhamba okulinganiselwe ngenxa yokukhubazeka noma unhlangothi
Labo abasengozini enkulu ye-venous thromboembolism (VTE)
Kulezi zimo, amadivaysi okucindezela umlenze we-DVT ngezikhathi ezithile asetshenziswa ngaphambi kokuba amahlule athuthuke, okusiza ukugcina ukujikeleza kwegazi nokuvimbela i-thrombosis.
2. Okweziguli ezine-DVT ekhona
Ukusebenzisa idivayisi ye-IPC emlenzeni osenayo kakade i-DVT kungaba yingozi. Uma ihlule lingaqinisiwe, ukucindezelwa komshini kungase kulikhiphe futhi kubangele i-pulmonary embolism. Ngakho-ke:
I-compression therapy kufanele isetshenziswe kuphela ngaphansi kokuqondisa kodokotela.
I-Ultrasound imaging kufanele iqinisekise ukuthi ihlule lizinzile.
Ezimweni eziningi, amasokisi okucindezelwa okunwebekayo noma ukucindezela okuncane okuneziqu kungase kube izinketho eziphephile phakathi nesigaba sokuqala sokwelashwa.
Uma ukwelashwa kwe-anticoagulation sekuqalile futhi ihlule lizinza, ukucindezela okuphakathi kungase kwethulwe ukuze kuthuthukiswe ukubuya kwe-venous nokuvimbela i-post-thrombotic syndrome (PTS).
Njalo thintana nodokotela ngaphambi kokufaka ukucindezela emlenzeni one-DVT.
Izinzuzo ze-Intermittent DVT Leg Compression Devices
Ukusetshenziswa kwemishini yokucindezela elandelanayo yemilenze kunikeza izinzuzo eziningi zezokwelapha:
Ukuvimbela okusebenzayo kwe-DVT: Ikakhulukazi ezigulini ezihlinzayo noma ezinganyakazi
Ukwelashwa okungahlaseli: Azikho izinaliti noma imithi edingekayo
Ukujikeleza okuthuthukisiwe: Kuthuthukisa ukubuya kwe-venous kanye ne-lymphatic drainage
I-edema eyehlisiwe: Isiza ukulawula ukuvuvukala komlenze ngemva kokuhlinzwa
Ukululama okuthuthukisiwe: Kukhuthaza ukuvuselelwa okusheshayo ngokunciphisa izinkinga
Lawa madivaysi abuye asetshenziswe kabanzi ekuhlinzweni kwamathambo, inhliziyo, nokuhlinzwa kwezifo zabesifazane, lapho ingozi yokwakheka kwehlule iphezulu ngenxa yokuhamba okulinganiselwe.
Imiphumela Eseceleni Yezikhawu Zezisetshenziswa Zokucindezelwa Komlenze we-DVT
Nakuba amadivaysi okucindezela umoya wesikhashana ngokuvamile aphephile futhi abekezelelwa kahle, imiphumela ethile engemihle ingase yenzeke, ikakhulukazi ngokusetshenziswa okungafanele noma ezigulini ezinezimo zemithambo engaphansi.
1. Ukucasuka Kwesikhumba kanye Nokungakhululeki
Ukusetshenziswa okuqhubekayo kwemikhono yokucindezela kungadala:
Ububomvu, ukulunywa, noma ukuqubuka
Ukujuluka noma ukushisa ngokweqile kwesikhumba
Izimpawu zokucindezela noma imihuzuko emaphakathi
Ukuhlola isikhumba njalo nokulungisa isimo semikhono kunganciphisa le miphumela.
2. Ubuhlungu Bemizwa noma Bemisipha
Uma idivayisi isebenzisa ukucindezela okukhulu noma ilingana ngokungafanele, ingabangela ukuba ndikindiki noma ukungakhululeki kwesikhashana. Izilungiselelo zokucindezela ezifanele nezilungile zibalulekile.
3. Ukubhebhetheka Kwesifo Semithambo
Iziguli ezine-peripheral arterial disease (PAD) kufanele zisebenzise amadivaysi e-IPC ngokuqapha, njengoba ukucindezela ngokweqile kungase kuphazamise ukugeleza kwegazi.
4. Ukukhipha Ihlule Legazi
Ezimweni ezingavamile, ukusebenzisa ukucindezelwa ngezikhathi ezithile ku-clot engazinzile kungaholela emboliseni, okuholela embolism yamaphaphu. Yingakho ukuhlolwa kwezokwelashwa ngaphambi kokusebenzisa idivayisi kubalulekile.
5. Ukungezwani komzimba
Ezinye iziguli zingasabela ezintweni zemikhono noma ishubhu. Ukusebenzisa izembozo ze-hypoallergenic kunganciphisa le ngozi.
Imihlahlandlela Yokuphepha Yokusebenzisa Amadivayisi e-IPC
Ukuqinisekisa ukusetshenziswa okuphephile nokusebenzayo kwemishini yokuminyanisa imilenze ye-DVT, landela lezi zincomo:
Hlala uthintana nochwepheshe bezempilo ngaphambi kokuqala ukwelashwa kokucindezela.
Sebenzisa usayizi olungile nezilungiselelo zokucindezela ngokusekelwe esimweni sesiguli.
Hlola idivayisi njalo ukuze uthole ukwehla kwamandla emali okufanelekile kanye nemijikelezo yesikhathi.
Susa imikhono ngezikhathi ezithile ukuze uhlole isikhumba.
Gwema ukusebenzisa amadivayisi e-IPC emilenzeni enokutheleleka okusebenzayo, amanxeba avulekile, noma i-edema enzima.
Ngokulandela lezi zinyathelo zokuphepha, iziguli zingathola izinzuzo ezigcwele zokuvimbela ukucindezelwa kwe-pneumatic okuphakathi ngaphandle kwengozi engadingekile.
Isiphetho
Idivayisi yesikhashana yokucindezelwa kwemilenze ye-DVT iyisisetshenziswa sezokwelapha esibalulekile esidlala indima ebalulekile ekuvimbeleni i-DVT kanye nokululama ngemva kokuhlinzwa. Ngokukhuthaza ukugeleza kwegazi le-venous, amadivaysi okucindezela umoya we-pneumatic anciphisa ingozi yokwakheka kwamahlule ezigulini ezingakwazi ukuhamba. Kodwa-ke, isicelo sabo ezigulini ezine-DVT ekhona kufanele ngaso sonke isikhathi sihlolwe ochwepheshe bezokunakekelwa kwempilo ukuze kugwenywe izinkinga.
Ukuqonda ukuthi zisetshenziswa kanjani futhi nini amadivayisi e-IPC kusiza ukuqinisekisa ukuphepha kwesiguli, ukunethezeka, kanye nemiphumela yokwelapha ephelele. Uma kuhlanganiswe nemithi, ukuhlanganisa ngokushesha, nokugadwa okufanele kwezokwelapha, lawa madivaysi angelinye lamathuluzi anokwethenjelwa kakhulu okuvimbela i-deep vein thrombosis kanye nokwenza ngcono impilo yemithambo.
Isikhathi sokuthumela: Oct-20-2025