Lunjani unyango lwe-pulmonary embolism

Umxholo

• Xa kufuneka kwenziwe utyando
• Kufuneka uhlale ixesha elingakanani esibhedlele
• I-sequelae enokwenzeka ye-embolism
• Iimpawu zokuphucula
• Iimpawu zokuba mandundu

I-pulmonary embolism yimeko enzulu kwaye kufuneka inyangwe ngokukhawuleza esibhedlele, ukunqanda ukubeka ubomi bakho emngciphekweni. Ukuba iimpawu zibonakala zikhokelela kurhanelo lwe-pulmonary embolism, enjengokuziva ngesiquphe sokuphefumla kancinci, ukukhohlela kakhulu okanye iintlungu zesifuba, kuyacetyiswa ukuba uye kwigumbi likaxakeka ukuvavanya imeko kwaye uqale unyango, ukuba kukho imfuneko. Bona ezinye iimpawu ezinokubonisa ukubola kwemiphunga.

Xa kukho ukukrokrela okunamandla kokubola kwemiphunga, unyango lunokuqaliswa kwangaphambi kokuba isifo siqinisekiswe kwaye sihlala senziwa ngokulawulwa kweoksijini kunye nenaliti ye-anticoagulant ngqo emthanjeni, eliyeza elinceda ukukhusela ihlwili likwazi ukwanda ngokobukhulu okanye ukuba amahlwili amatsha angenza, imeko iba mandundu.

Ukuba iimvavanyo zokuqonda isifo, ezinje ngesifuba i-X-reyi okanye i-angiography ye-pulmonary, ziqinisekisa ukuxilongwa kwe-embolism, umntu kufuneka alaliswe esibhedlele ukuze aqhubeke nonyango kangangeentsuku ezininzi nge-anticoagulants kunye ne-thrombolytics, lolunye uhlobo lwamayeza anceda ukunyibilikisa amahlwili sele zikhona.

Xa kufuneka kwenziwe utyando

Utyando lokunyanga i-pulmonary embolism ihlala yenziwa xa ukusetyenziswa kwee-anticoagulants kunye ne-thrombolytics akwanelanga ukuphucula iimpawu kunye nokunyibilikisa ihlwili elithintela ukuhamba kwegazi ukuya emiphungeni.

Kwiimeko ezinjalo, kunyanzelekile ukuba kwenziwe utyando apho ugqirha afaka ityhubhu ecekeceke ecekeceke, eyaziwa njenge catheter, ngomthambo engalweni okanye emlenzeni ide ifike kwihlwili elisemiphungeni, isuswe.

I-catheter inokusetyenziselwa ukubeka isihluzo kumthambo ophambili, obizwa ngokuba yi-inferior vena cava, ukuthintela amahlwili ekuhambeni kwegazi kungena emiphungeni. Esi sihluzo sihlala sibekwa kubantu abangakwaziyo ukuthatha amayeza anticoagulant.

Kufuneka uhlale ixesha elingakanani esibhedlele

Emva kokuphelisa ihlwili lemiphunga, kuhlala kufanelekile ukuba uhlale esibhedlele ukuze kuqinisekiswe ukuba amahlwili amatsha akaveli kwaye ujonge ukuba amanqanaba eoksijini emzimbeni aqhelekile.

Xa imeko ibonakala izinzile, ugqirha uyakhupha, kodwa uhlala ekwamisela amayeza e-anticoagulant, anje ngeWarfarin okanye iHeparin, ekufuneka iqhubeke nokusetyenziswa yonke imihla ekhaya, njengoko igcina igazi lincinci kwaye linciphisa umngcipheko wokuphindeka. iqokobhe. Funda ngakumbi malunga ne-anticoagulants kunye nokhathalelo ekufuneka luthathwe kunyango.

Ukongeza kwezi, ugqirha usenokubonisa iipilisi zentlungu ukuthomalalisa iintlungu zesifuba kwiintsuku zokuqala nasemva konyango.

I-sequelae enokwenzeka ye-embolism

Kuba ukubola kwemiphunga kuthintela ukuhamba kwegazi ukuya kwinxalenye yemiphunga, indlela yokuqala yokuqala inxulumene nokwehla kotshintshiselwano ngegesi kwaye, ke ngoko, kukho ioksijini encinci egazini. Xa oku kusenzeka, kukho umthwalo omninzi wentliziyo, owenza ukuba usebenze ngokukhawuleza kakhulu ukuzama ukufumana inani elifanayo leoksijini ukufikelela kuwo wonke umzimba.

Ngokwesiqhelo, ukuvela embolism kwenzeka kwindawo encinci yomphunga, ke umntu akabandezeleka ziziphumo ezibi. Nangona kunjalo, kwaye nangona kunqabile, isithintelo sinokwenzeka nakwisitya esikhulu segazi, esinoxanduva lokunkcenkceshela indawo enkulu yemiphunga, kwimeko apho iziphumo zinokuba zibi kakhulu kuba izicwili ezingafumani gazi lomoya lihlehla kwaye akukho tshintshiselwano ngegesi kuloo nxalenye yemiphunga. Ngenxa yoko, umntu unokufa ngesiquphe, okwenzeka ngesiquphe, okanye abe ne-pulmonary sequelae, enjenge-pulmonary hypertension.

Iimpawu zokuphucula

Ukuphuculwa kweempawu kubonakala kwimizuzu embalwa emva konyango olungxamisekileyo ngoncedo lokuphefumla kunye nokunciphisa iintlungu esifubeni.

Iimpawu zokuba mandundu

Iimpawu zokuba mandundu kokunyuka kobunzima ekuphefumlweni kwaye, ekugqibeleni, ukuphelelwa ngamandla, ngenxa yokwehla kwenani leoksijini emzimbeni. Ukuba unyango aluqalwa ngokukhawuleza, iziphumo ezibi ezifana nokubanjwa kwentliziyo zinokusongela ubomi.