1.How is deep vein thrombosis treated?
Early treatment includes: anticoagulation, thrombolysis, surgical retrieval, placement of inferior vena cava filter, postural treatment (elevation of the affected limb), etc.; long-term treatment includes: anticoagulation and compression therapy with elastic stockings, etc.
Anticoagulation is always the basis of deep vein thrombosis (DVT) treatment, whether early or long-term. Anticoagulation can effectively inhibit the spread of thrombus in the early stage, which is conducive to thrombus autolysis and lumen recanalization, thus reducing symptoms, incidence of PE and death rate; DVT patients need long-term anticoagulation and other treatments to prevent the spread of thrombus and/or recurrence of thrombus.
2.Anticoagulation treatment plan.
The specific and accurate anticoagulation treatment plan needs to be formulated by qualified doctors according to the patient’s condition, here Dr. Medical only introduces two common plans in the form of science for reference.
(1) Injection of low molecular heparin + warfarin.
Warfarin has been used since the 1940s to inhibit the synthesis of coagulation factors II, VII, IX and X in the liver, which are involved in vitamin K. It has an anticoagulant effect and is mainly used to prevent and treat thromboembolic diseases, and takes effect after 5-7 days of administration. However, due to the large number of targets and narrow therapeutic window, all foods and drugs that can affect the content of vitamin K interact with warfarin and may affect the efficacy of the drug.
(2) New oral anticoagulants.
Rivaroxaban is a new type of anticoagulant drug with the most indications, which only acts on a single target of factor Xa, and is oral, safe and easy to take. It has the advantages of rapid onset of action (2-4 hours), no need for routine dose adjustment, fewer food-drug interactions, and no need for routine INR monitoring, providing a superior anticoagulation solution for current anticoagulation therapy.
The actual individual dose needs to be determined in the context of the patient’s actual situation, so please consult your physician and follow medical advice for dose adjustment.
Anticoagulants FAQ – What should I be aware of regarding anticoagulants? Anticoagulants thin the blood and thus prevent the formation of dangerous blood clots. To ensure better prevention and control of blood clots, it is important to follow your doctor’s instructions and not to stop or miss doses or increase or decrease them. Inform your doctor of the anticoagulant medication you are taking before any surgery or invasive procedure.
Anticoagulants FAQ – When should I seek medical advice? The most common adverse reaction to anticoagulants is bleeding. If you are at risk of abnormal bleeding, you should not start taking anticoagulants without consulting your doctor.
Tell your doctor immediately if you have any of the following signs or symptoms of bleeding.
1. pain.
2. Swelling or discomfort.
3. Headache, dizziness, or weakness.
4. Abnormal bruises, nose bleeds, bleeding gums, wounds that have taken a long time to stop bleeding.
5.Abnormally high menstrual blood or abnormal vaginal bleeding.
6.Pale pink or brown urine, red or black stools.
7.Coughing up blood, vomiting blood or coffee-like vomit.
If you have developed symptoms of deep vein thrombosis or are undergoing treatment, please make sure to follow up on time according to your doctor’s advice.