I-pulmonary embolism: yintoni, iimpawu eziphambili kunye nezizathu

Umxholo

• Iimpawu eziphambili ze-9
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni enokubangela ukuvela embolism
• 1. Ukungabikho kwemisebenzi yomzimba
• 2. Utyando
• 3. I-thrombosis enzulu yemithambo
• 4. Uhambo ngomoya
• 5. Ukuqhekeka
• Ngubani osemngciphekweni ophezulu wokumbumba
• Unyango lwenziwa njani

I-pulmonary embolism yimeko enzulu, ekwabizwa ngokuba yi-pulmonary thrombosis, ethi ivele xa iqokobhe livala enye yeempahla ezithwala igazi lisiya emphefumlweni, zibangele ukuba ioksijini isilele ukufikelela kwizicwili zenxalenye echaphazelekayo yemiphunga.

Xa i-pulmonary embolism isenzeka, kuqhelekile ukuba umntu abenokuphefumla ngokukhawuleza, ehamba nezinye iimpawu, ezinje ngokukhohlela kunye nentlungu ebuhlungu esifubeni, ngakumbi xa ephefumla.

Kuba ukubola kungumbandela onobuzaza, nanini na xa kukho urhano kubaluleke kakhulu ukuya esibhedlele ukuya kuhlola imeko kwaye kuqale olona nyango lufanelekileyo, oluhlala lubandakanya ukusetyenziswa kwee-anticoagulants ngqo emthanjeni, unyango lweoksijini kwaye, kwiimeko kakhulu, utyando.

Iimpawu eziphambili ze-9

Ukuchonga imeko ye-pulmonary embolism, umntu kufuneka azazi ezinye zeempawu ezinje:

1. Imvakalelo ngesiquphe yokuphefumla okufutshane;
2. Intlungu yesifuba esiba mandundu xa uthatha umoya ophefumlayo, ukukhohlela okanye ukutya;
3. Ukukhohlela rhoqo okungaqulatha igazi;
4. Ukudumba kwemilenze okanye iintlungu xa ushukumisa imilenze;
5. Ibala elimnyama, elibandayo neliluhlaza;
6. Ndiziva ndidiniwe okanye ndityhafile;
7. Ukudideka kwengqondo, ngakumbi kubantu abadala;
8. Ukukhawuleza kunye / okanye ukubetha kwentliziyo okungaqhelekanga;
9. Isiyezi esingaphuculiyo.

Ukuba uneempawu ezingaphezulu kwesinye, kuyacetyiswa ukuba uye kwigumbi likaxakeka okanye ukhawuleze ubize i-ambulensi ukuze uqinisekise isifo kwaye ufumane unyango olufanelekileyo, olunokuthi, ukuba alwenziwanga ngokukhawuleza, lukhokelele ekulandeleleni okungathethekiyo nasekufeni lomntu.

Indlela yokuqinisekisa ukuxilongwa

Iimpawu ze-pulmonary embolism zinokuphosakelwa yingxaki yentliziyo, ke ugqirha uhlala esebenzisa iimvavanyo zokuqonda isifo ezinje ngovavanyo lwegazi, i-electrocardiogram (ECG), i-X-ray yesifuba, i-computed tomography okanye i-pulmonary angiography ukuqinisekisa ukukrokrela kunye nokuqala unyango.

Yintoni enokubangela ukuvela embolism

Nangona i-pulmonary embolism inokwenzeka nakubani na, ihlala iphindaphindeka ngenxa yezizathu ezithile ezinje:

1. Ukungabikho kwemisebenzi yomzimba

Xa uhlala kwindawo enye ixesha elide, njengokulala okanye ukuhlala, igazi liqala ukuqokelela endaweni enye yomzimba, ngesiqhelo emilenzeni. Amaxesha amaninzi, oku kuqokelelana kwegazi akubangeli ngxaki kuba xa umntu ephakama igazi lijikeleza ngesiqhelo kwakhona.

Nangona kunjalo, abantu abalala phantsi kangangeentsuku ezininzi okanye bahlala phantsi, njengasemva koqhaqho okanye ngenxa yesifo esibi njenge-stroke, umzekelo, basemngciphekweni wokonyuka kwegazi eliqokelelweyo eliqala ukwenza amahlwili. Ezi zihlwili zingahanjiswa ngokuhamba kwegazi de zivimbe isitya se-pulmonary, sibangele ukubola.

Kwenziwe ntoni: ukuthintela lo mngcipheko, ukuzilolonga nawo onke amalungu omzimba kufanele ukwenziwa yonke imihla kwaye utshintshe indawo rhoqo iiyure ezi-2, ubuncinci. Abantu abalele ebhedini abangakwaziyo ukuzihambela, ukusetyenziswa kwee-anticoagulants kunokucetyiswa kwaye kufuneka kushukunyiswe ngomnye umntu, benze imithambo enje ngala eboniswe kolu luhlu.

2. Utyando

Ukongeza kwisithuba sasemva kotyando ukunciphisa inqanaba lomsebenzi womzimba kunye nokwandisa umngcipheko wokubumba, utyando ngokwalo lunokukhokelela kwi-pulmonary embolism. Kungenxa yokuba ngexesha lotyando kukho izilonda ezininzi emithanjeni ezinokuthintela ukuhamba kwegazi kwaye zibangele ihlwili elinokusiwa emiphungeni.

Kwenziwe ntoni: Kubalulekile ukuthobela lonke ixesha lasemva kokuhlinzwa esibhedlele ukugcina ukubonwa okuqhubekayo ngugqirha onokuthi enze kwangoko xa kuvela iimpawu zokuqala zeengxaki. Ekhaya, kuyacetyiswa ukuba kusetyenziswe amayeza aboniswe ngugqirha, ngakumbi ii-anticoagulants, ezinje ngeWarfarin okanye i-Aspirin.

3. I-thrombosis enzulu yemithambo

Abantu abaphethwe sisifo se-vein thrombosis (i-DVT) basemngciphekweni omkhulu wokuphuhlisa amahlwili anokuhanjiswa athunyelwe kwamanye amalungu, anje ngengqondo nemiphunga, nto leyo ebangela iingxaki ezinje ngokumbumba okanye ukubetha.

Kwenziwe ntoni: ukuthintela iingxaki, unyango oluchazwe ngugqirha kufuneka lulandelwe, oluhlala lubandakanya ukusetyenziswa kwee-anticoagulants. Jonga ukuba unyango lwe-vein thrombosis luyenziwa njani.

4. Uhambo ngomoya

Ukuthatha naluphi na uhambo ngaphezulu kweeyure ezi-4, nokuba kungokuhamba ngenqwelomoya, imoto okanye isikhephe, umzekelo, kwandisa umngcipheko wokuba nehlwili ngenxa yokuba uchitha ixesha elininzi kwindawo enye. Nangona kunjalo, kwinqwelomoya lo mngcipheko unokunyuswa ngenxa yoxinzelelo olunokubangela ukuba igazi libonakale ngakumbi, lonyusa ubumnandi ekwenzeni amahlwili.

Kwenziwe ntoni: Ngexesha lohambo olude, olufana nolo lwenziwa yinqwelomoya, kuyacetyiswa ukuba uphakamise okanye uhambise imilenze yakho ubuncinci iiyure ezimbini.

5. Ukuqhekeka

Ukuqhekeka sesinye sezizathu eziphambili zokuba ne-pulmonary embolism kuba xa kwaphuka ithambo, kunokubangela ukonakala kwimithambo yegazi eliqela, ukongeza kwixesha elithathwayo ukuphumla ukwaphuka kwethambo. Ezi zilonda azinakho ukukhokelela kuphela ekwakheni amahlwili, kodwa kunye nokungena komoya okanye amanqatha egazini, kunyusa umngcipheko wokuba ne-embolism.

Kwenziwe ntoni: umntu kufuneka aphephe imisebenzi eyingozi, njengokunyuka, kunye nokugcina ukhuseleko olwaneleyo kwimidlalo enefuthe eliphezulu ukuzama ukunqanda ukwaphuka. Emva kotyando ukulungisa ukuphuka, umntu kufuneka azame ukuhamba, ngokwemiyalelo kagqirha okanye yomzimba.

Ngubani osemngciphekweni ophezulu wokumbumba

Nangona i-pulmonary embolism inokuthi yenzeke nakweyiphi na imeko yangaphambili, ixhaphake kakhulu kubantu abanezinto ezinobungozi ezinje:

• Ubudala ngaphezu kweminyaka engama-60;
• Imbali yangaphambili yegazi;
• Ukutyeba kakhulu okanye ukutyeba kakhulu;
• Ukuba ngumsi;
• Imbali yentliziyo okanye isifo semithambo;
• Sebenzisa ipilisi okanye wenze unyango endaweni yehomoni.

I-pulmonary embolism yimeko enqabileyo, nakubantu abathatha ipilisi yolawulo lokuzalwa, nangona kunjalo, kubalulekile ukwazi ukuba yeyiphi imiqondiso enokubonisa le ngxaki.

Unyango lwenziwa njani

Unyango lwe-pulmonary embolism lubandakanya ukuhambisa ioksijini kumntu ngesigqumathelo, amayeza ngomthambo wokulungisa iplunger, enje ngeparpar, eya kunyibilikisa ihlwili elithintela ukuhamba kwegazi, kunye nokuthomalalisa iintlungu.

Ngokwesiqhelo, unyango lwe-pulmonary embolism ludinga ukulaliswa esibhedlele okunokuhlala iiveki okanye iinyanga ezimbalwa. Utyando lokususa i-thrombus lunokuboniswa kwiimeko ezinzima kakhulu okanye xa kuthintelwa ukuhamba kwegazi kwenzeka ngenxa yento yangaphandle okanye isiqwenga sethambo, umzekelo.

Jonga ngakumbi malunga nokuba iphathwa njani i-pulmonary embolism.