1 research outputs found
Thrombosis: a note of caution! What a district therapist important to know about for patients after orthopedic surgery
The purpose of this article is to attract the attention of primary care physicians to the problem of prevention of venous thromboembolic complications (VTEC) in patients after orthopaedic surgeries. The article presents a complex approach to the prevention of VTEC in patients after arthroplasty of large joints, and provides a brief overview of oral anticoagulants used in modern clinical practice, depending on the level of venoocclusive disease on the one hand and development of undesirable side effects on the other hand. Taking into account the fact, that the average time of incidence of thromboembolic complications (VTEC) after arthroplasty of large joints is from 12 to 34 days, it is necessary for outpatient doctors to participate actively in prophylaxis of VTEC, early detection of clinical symptoms of thromboembolic complications, as well as in evaluation of undesirable side effects arising on the background of anticoagulants intake. This, in turn, will allow minimizing the mortality rate in patients of all age groups after orthopaedic surgeries.Π¦Π΅Π»ΡΡ Π΄Π°Π½Π½ΠΎΠΉ ΡΡΠ°ΡΡΠΈ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΡΠΈΠ²Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ Π²ΡΠ°ΡΠ΅ΠΉ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΠΎΠ³ΠΎ Π·Π²Π΅Π½Π° ΠΊ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ΅ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ Π²Π΅Π½ΠΎΠ·Π½ΡΡ
ΡΡΠΎΠΌΠ±ΠΎΡΠΌΠ±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ (ΠΠ’ΠΠ) Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠ»Π΅ ΠΎΡΡΠΎΠΏΠ΅Π΄ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΡΠΉ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ ΠΊ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΠ’ΠΠ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠ»Π΅ Π°ΡΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠΈ ΠΊΡΡΠΏΠ½ΡΡ
ΡΡΡΡΠ°Π²ΠΎΠ², ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ ΠΊΡΠ°ΡΠΊΠΈΠΉ ΠΎΠ±Π·ΠΎΡ ΠΎΡΠ°Π»ΡΠ½ΡΡ
Π°Π½ΡΠΈΠΊΠΎΠ°Π³ΡΠ»ΡΠ½ΡΠΎΠ², ΠΏΡΠΈΠΌΠ΅Π½ΡΡΡΠΈΡ
ΡΡ Π² ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΡΡΠΎΠ²Π½Ρ ΠΎΠΊΠΊΠ»ΡΠ·ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΡ Π²Π΅Π½ Ρ ΠΎΠ΄Π½ΠΎΠΉ ΡΡΠΎΡΠΎΠ½Ρ ΠΈ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ΠΌ Π½Π΅ΠΆΠ΅Π»Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΠΎΠ±ΠΎΡΠ½ΡΡ
ΡΠ΅Π°ΠΊΡΠΈΠΉ Ρ Π΄ΡΡΠ³ΠΎΠΉ. Π‘ ΡΡΠ΅ΡΠΎΠΌ ΡΠΎΠ³ΠΎ, ΡΡΠΎ ΡΡΠ΅Π΄Π½ΠΈΠ΅ ΡΡΠΎΠΊΠΈ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ ΡΡΠΎΠΌΠ±ΠΎΡΠΌΠ±ΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ (Π’ΠΠ) ΠΏΠΎΡΠ»Π΅ Π°ΡΡΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠΈ ΠΊΡΡΠΏΠ½ΡΡ
ΡΡΡΡΠ°Π²ΠΎΠ² ΡΠΎΡΡΠ°Π²Π»ΡΡΡ ΠΎΡ 12 Π΄ΠΎ 34 Π΄Π½Π΅ΠΉ, Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ Π°ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΡΡΠ°ΡΡΠΈΠ΅ Π²ΡΠ°ΡΠ΅ΠΉ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎ-ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π·Π²Π΅Π½Π° Π² ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΠ’ΠΠ, Π² ΡΠ²ΠΎΠ΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΌ Π²ΡΡΠ²Π»Π΅Π½ΠΈΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² Π’ΠΠ ΠΈ ΠΎΡΠ΅Π½ΠΊΠ΅ Π½Π΅ΠΆΠ΅Π»Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΠΎΠ±ΠΎΡΠ½ΡΡ
ΡΠ΅Π°ΠΊΡΠΈΠΉ Π½Π° ΡΠΎΠ½Π΅ ΠΏΡΠΈΠ΅ΠΌΠ° Π°Π½ΡΠΈΠΊΠΎΠ°Π³ΡΠ»ΡΠ½ΡΠΎΠ². ΠΡΠΎ Π² ΡΠ²ΠΎΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΡ ΠΌΠΈΠ½ΠΈΠΌΠΈΠ·ΠΈΡΠΎΠ²Π°ΡΡ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π²ΡΠ΅Ρ
Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΡΡ
Π³ΡΡΠΏΠΏ ΠΏΠΎΡΠ»Π΅ ΠΎΡΡΠΎΠΏΠ΅Π΄ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ