Kev tiv thaiv thiab kev saib xyuas mob DVT (1)

Deep venous thrombosis (DVT)Feem ntau tshwm sim nyob rau hauv cov neeg mob hemiplegic nrog cerebral hemorrhage.DVT feem ntau tshwm sim hauv cov ceg qis, uas yog ib qho teeb meem loj thiab loj hauv kev kho mob, nrog qhov tshwm sim ntawm 20% ~ 70%.Ntxiv mus, qhov teeb meem no tsis muaj qhov pom tseeb hauv kev kho mob thaum ntxov.Yog tias nws tsis kho thiab cuam tshuam rau lub sijhawm, nws tuaj yeem ua rau mob, o thiab lwm yam tsos mob ntawm tus neeg mob cov ceg, thiab tseem tuaj yeem ua rau pulmonary embolism, cuam tshuam rau kev kho mob thiab kev kuaj mob ntawm tus neeg mob.

Kev pheej hmoo

venous ntshav stasis, venous system endothelial raug mob, ntshav hypercoagulability.

Ua rau tsim

Lub sij hawm ntev pw hauv txaj thiab tsis tuaj yeem tawm dag zog autonomously lossis nrog kev tawm dag zog me ntsis yuav ua rau cov ntshav ntws qeeb ntawm cov ceg qis, thiab tom qab ntawd cov ntshav khiav yuav raug cuam tshuam los ua kom muaj qhov sib sib zog nqus venous thrombosis ntawm cov ceg qis.

Cov kev cuam tshuam yooj yim ntawmDVT

1. Kev tswj xyuas pej xeem tseem ceeb

Rau cov neeg mob hemiplegia thiab so lub txaj ntev ntev, peb yuav tsum xyuam xim rau kev tiv thaiv ntawm DVT, kuaj D dimer, thiab txuas ntxiv ua cov xim ultrasound rau cov neeg muaj qhov txawv txav.

2. Muaj dej noo txaus

Hais kom tus neeg mob haus dej ntau, txog 2000ml ib hnub twg, kom txo cov ntshav viscosity.

3. Kaw kev soj ntsuam

Ua tib zoo saib tus neeg mob cov ceg qis rau qhov mob, o, dorsal foot artery pulsation thiab qis qis ntawm daim tawv nqaij kub.

4. Kev tawm dag zog ua haujlwm sai li sai tau

Cov neeg mob raug txhawb kom ua tiav kev cob qhia limb ua haujlwm sai li sai tau, feem ntau suav nrog kev tawm dag zog pob qij txha thiab isometric contraction ntawm quadriceps brachii.

Pob luj taws twj tso kua mis

Txoj kev: tus neeg mob tau pw hauv txaj, thiab nws ob txhais taw raug yuam kom khi nws cov ntiv taw kom ntau li ntau tau thiab tom qab ntawd nias lawv, tuav rau 3 vib nas this, thiab rov qab los.Nws mob siab rau 3 vib nas this, thiab tom qab ntawd tig nws cov ntiv taw 360 ° nyob ib ncig ntawm pob qij txha, 15 pawg txhua zaus, 3-5 zaug hauv ib hnub.

Isometric contraction ntawm quadriceps brachii

Txoj kev: cov neeg mob tau pw hauv txaj, lawv ob txhais ceg tau ncab, thiab lawv cov leeg pob txha tau ncab rau 10 vib nas this.Tom qab ntawd lawv so rau 10 zaug rau ib pab pawg.Raws li cov xwm txheej tshwj xeeb ntawm cov neeg mob, 3-4 pawg lossis 5-10 pawg txhua hnub.