Yintoni i-fat embolism kunye nendlela eyenzeka ngayo

Umxholo

• Izizathu eziphambili
• Iimpawu ezinokwenzeka
• Xa iFat Embolism Syndrome yenzeka
• Unyango lwenziwa njani

Amafutha embolism kukuthintelwa kwemithambo yegazi ngamaconsi enqatha ayenzeka, ixesha elininzi, emva kokuqhekeka kwamathambo amade, njengamathambo emilenze, amathanga okanye isinqe, kodwa ezinokubonakala kwixesha lasemva kotyando lwamathambo okanye iinkqubo, ii-esthetics, ezinje nge-liposuction, umzekelo.

Amaconsi amanqatha asasazeka ngemithambo kunye nemithambo yomzimba, ahanjiswa ligazi kwaye anokufikelela kwiindawo ezahlukeneyo nakumalungu omzimba. Ngokwesiqhelo, ukubola kubangela kuphela umonakalo omkhulu xa kwenzeka ngobuninzi, kwaye xa oku kusenzeka, amalungu achaphazeleka kakhulu:

• Amaphaphu: Ngawona malungu aphambili achaphazelekayo, kwaye kunokubakho ukuphefumla okufutshane kunye neoksijini ephantsi yegazi, imeko ebizwa ngokuba yi-pulmonary thromboembolism. Qonda ngakumbi malunga nendlela eyenzeka ngayo kunye nezinye izinto ezibangela ukubola kwemiphunga;
• Ingqondo: xa bachaphazeleka, babangela utshintsho oluqhelekileyo kwistroke, njengokuphelelwa ngamandla, utshintsho kwindlela yokuhamba, utshintsho kumbono kunye nobunzima kwintetho, umzekelo;
• Ulusu: Ukudumba kwenzeka okubangela izilonda ezibomvu kunye notyekelo lokopha.

Nangona kunjalo, amanye amalungu afana nezintso, i-retinas, i-spleen okanye isibindi, umzekelo, nazo zinokuchaphazeleka kwaye umsebenzi wazo uthotywe.

Izizathu eziphambili

I-Fat embolism inokubangelwa ziimeko ezinje:

• Ukuqhekeka kwethambo, ezinje nge-femur, tibia kunye ne-pelvis, emva kwengozi yemoto okanye ukuwa;
• Utyando lwe-Orthopedic, ezinjengeedolo okanye i-hip arthroplasty;
• Uqhaqho ufakela iplastikhi, ezinje nge-liposuction okanye ukuzalisa ngamafutha.

I-fat embolism inokwenzeka ngaphandle kwesizathu esicacileyo, ngokuzenzekelayo, esinqabile ngakumbi. Abanye babantu abasemngciphekweni banosulelo ngokubanzi, abantu abanengxaki yeseli erhengayo, isifo sephepha, isifo seswekile, isibindi esinamafutha, ukusetyenziswa kwexesha elide kwecorticosteroids okanye kukutsha kakhulu.

Iimpawu ezinokwenzeka

Ngokubanzi, ukutyeba okunamafutha kuchaphazela iinqanawa ezincinci ekujikelezeni, ngenxa yoko akusoloko kubangela iimpawu, ngaphandle kwaxa kusenzeka i-embolism enkulu, oko kukuthi, xa ifikelela kwimithambo yegazi emininzi ukuya kwinqanaba lokonakalisa ukujikeleza nokusebenza kwamalungu. Ezinye zeempawu ezinokuvela zibandakanya ukuphefumla kancinci, intloko ebuhlungu, utshintsho kumbono okanye intetho, ukuba buthathaka, ukozela, ukuphulukana nokuqonda kunye nokudinwa, kunye nezilonda kulusu.

Ukuchongwa kwe-embolism kwenziwa kuvavanyo lweklinikhi kagqirha, kwaye ezinye iimvavanyo zinokunceda ekuboniseni indawo zomonakalo kumzimba ngokungabikho kokuhamba kwegazi, njengeMRI.

Xa iFat Embolism Syndrome yenzeka

I-Fat embolism inokubizwa ngokuba yi-Fat Embolism Syndrome xa inzima kwaye ichaphazela imiphunga, ingqondo, ukujiya kwegazi kunye nolusu ngaxeshanye, kubangela imeko enzima ebandakanya ubunzima bokuphefumla, ukutshintsha kwengqondo kunye nezilonda ezibomvu kulusu., Ezibonisa ukudumba kunye nokuthanda ukopha.

Kuphela yi-1% yamatyala e-Embolism aphuhlisa le syndrome, enzima kakhulu kuba, ukongeza kuthintelo lweenqanawa ngamathontsi amanqatha, ikwabangela ukusabela kweekhemikhali ekujikelezeni okuvelisa ukushukuma okukrakra emzimbeni.

Unyango lwenziwa njani

Nangona lungekho unyango oluthile lokunyanga ukutyeba okunamafutha, kukho amanyathelo asetyenziswa ngugqirha ukulawula iimpawu kunye nokwenza lula ukubuyela kwimeko yesiqhelo. Ngamanye amaxesha, oku kubekwa esweni kunokwenziwa kwimeko ye-ICU, de kubekho ukuphuculwa kunye nozinzo kwimeko yeklinikhi.

Olunye ukhetho olusetyenziswe ngugqirha lubandakanya ukusetyenziswa kwe-oxygen catheter okanye imaski, ukongeza kuhlolo oluqhubekayo lweempawu ezibalulekileyo. Ukuba kukho imfuneko, i-hydration inokwenziwa emthanjeni nge-serum, kunye namayeza okulawula uxinzelelo lwegazi.

Ukongeza, abanye oogqirha banokuzama ukusebenzisa amayeza e-corticosteroid ukuzama ukunciphisa ukusabela kwesi sifo.