Embolism pulmonary

Embolism pulmonary (PE abbr.) - i ukuvaleka igazi pulmonary egazi (thrombi). Kwiimeko ezininzi, egazi igazi nafika pulmonary yeempahla kweqondo ophantsi, isikakhulu ukusuka Kusenjalo femoral. Ukongeza, nangona, kunye ukuvaleka egazi igazi yeyona nto iphambili Embolism yemiphunga, kodwa kukho ingozi yokuba ukuvaleka kwemithambo yemiphunga nezengekho nenqatha, umoya okanye emboli langaphandle.

Izinto ezibangela Embolism pulmonary

Esona sizathu sokuba esi sifo, njengoko Embolism yemiphunga kukuthi, njengoko kuchaziwe, thrombosis kweqondo asezantsi, ngoko abantu abaphethwe mithambo varicose, abe semngciphekweni omkhulu imbonakalo yezizwe Embolism miphungeni.

Kwakhona, izinto ubungozi kuquka ubukho xa isigulane kwezifo luvo ekhatshwa paresis kwamalungu omzimba, umhlaza kwisigaba esebenzayo, kwezifo leyo bebebopheleleke kumandlalo nomonde, unyango hormone nokusetyenziswa zokucwangcisa ngomlomo.

Hayi de kube sekupheleni uhlala ngeenjongo zokucacisa ubudlelwane phakathi PE kunye CCH (isifo sentliziyo). Ukongeza, ipesenti ephezulu zesi sifo neentshayi, abantu abaphethwe lwegazi kunye nokutyeba.

Lidla-30% yamatyala esi sifo kwenzeka ngokuzenzekelayo, ngaphandle predisposing izinto, ingakumbi kuba iimpawu ngabanye isifo musa angena umfanekiso jikelele sifo, siye azithathelwa ngqalelo.

iingxaki Thromboembolic (iimpawu)

Ngowe-90% yazo zonke iimeko Embolism yemiphunga iqala iintlungu esifubeni, dyspnoea (umoya) kunye nemeko osabekayo, kwaye ezi mpawu lunokwenzeka yonke kunye, okanye ngokwahlukeneyo.

Zokufuya ekuxilongweni Embolism pulmonary

• Ukubekwa Plasma D-dimer egazini. D-dimer - into leyo yimveliso cleavage of fibrin. ukunyuka yayo kwinqanaba egazini plasma phambi amahlwili egazi, okt D-dimer Ungabala ubungozi Embolism yemiphunga, okanye ubuncinane Embolism lwemithambo.

• CT venography. Ekubeni ukugonyamela kwi-90% ye-vein thrombosis ibhaqwe kweqondo asezantsi, kunokwenzeka ukuba ukuthintela isifo ngaphambili benza CT venography.

• Komoya-perfusion stsinigrafiya. AMS yenye eyenzwe iindlela moshilongo of Embolism yemiphunga - namhlanje kutyhilwa indlela encinane kakhulu bagulayo ukuba ichiza diagnostic. Umgaqo esebenza ngayo i-Upu - nokuqaliswa kwamasuntswana albumin enombhalo ukuba bahlole perfusion kwemiphunga kwinqanaba kwithishyu.

• Angiography imikhumbi miphungeni. Angiography - indlela omdala ngokwaneleyo ngoxilongo kwezifo ezifana Embolism miphungeni. Namhlanje indlela unenzondelelo ukuphuculwa ubunzima, ukuze kuthi, nokuba ngobukhulu thrombus 1 mm nga libonwa ngokuthi angiography.

• Echocardiography. Ukwandiswa ventricle lasekunene intliziyo ifumaneka ikota zonke izigulane eBhayi, ngoko le ndlela uphethwe kubalulekile kakhulu.

Treatment kunye nokuthintelwa iingxaki thromboembolic.

• unyango Conservative. Lusetyenziswa unyango kulondolozo lwempilo ngexesha ezinye iindlela zonyango.

• Thrombolysis. unyango Thrombolytic kunempembelelo entle hemodynamics kwaye kakhulu ikhawulezisa le kokuphazanyiswa.

• therapy Anticoagulant. Namhlanje phantse anticoagulation yinkokeli phakathi zonke iindlela zonyango lwe Embolism miphungeni. Uthomalaliso esezantsi ezinto eziphilayo lweeHedfowuni ubunzima kunye nezinye iindlela aktikoagulyatornymi.

• amacebo lwemithambo. Zixhonywe imithambo ezinzulu kweqondo asezantsi, thrombus ekuthinteleni UHeather. Ezo amacebo ingaba kakhulu ixesha elide, enceda abantu ukuba siphephe iingxaki thromboembolism lwemithambo.

• Embolectomy - indlela zoqhaqho wokususa thrombus, iye yasetyenziswa ngempumelelo ukususela 1924, ngoko kukho inala ongakhetha yokuziphatha yayo, kuqukwa catheterization percutaneous kunye nokususwa emboli ngaphandle ahlabayo.

amayeza Modern na ukuma. Oogqirha kunye oosonzululwazi rhoqo ekuphuculeni iindlela zonyango. Noko ke, lumkani ukuba impilo yabo - imbopheleleko kwindawo yokuqala mntu ngokwakhe.