Embolism Fat, thromboembolism

Embolism wabiza occlusion etsolo semithambo, kubangele ukuphazamisa kwegazi liya inyama okanye umbutho. Embolism Fat, ngokulandelelana, i ukuvaleka amanqatha imithambo yegazi. Ngokwesiqhelo, le nenqatha ukuzeyisa imvelaphi, kuba ezinqabe kakhulu - amazwe (zamntu kuqaliswa yimizimba nje kuphela okanye iziyobisi ukulungiselela iinjongo diagnostic).

Embolism amanqatha sisiphumo iingxaki ezibuhlungu. Kudla inxulunyaniswa trauma kakhulu skeletal (Ukophuka kasikrobana, isinqe, lesiquluba, atsho amanqatha). Ngamana kwenzeka xa pancreatitis, isifo seswekile, septicemia, Njengokungeniswa ithi, igazi, ixesha postresuscitative, nto leyo ulawulo lesiphoso iziyobisi lipid-enyibilikayo, liposuction.

Amafutha Embolism bene ngaphantsi kaninzi kwenzeka ngenxa yokuba i "zigqunyiweyo 'yaye phantsi kwezinye iimeko. Ngokomzekelo, phantsi inyumoniya.

Umahluko: simise umbane (kukhokelela ekufeni phakathi kwemizuzu embalwa); uhlobo etsolo (ukuphuhlisa emva kokonzakala okokuqala); ifomu subacute (ixesha abagxothwa iiyure 12-72.)

pulmonary ngokwezonyango zabelwe, (i ixhaphakileyo) ifomu yobuchopho kunye exutyiweyo.

Embolism Fat, unyango

Unyango ijolise ikakhulu ekuxhaseni imisebenzi ebalulekileyo. Le umoya lung ngumntu, zokuzicoca uqhoqhoqho kunye bronchi. Yaqaliswa silwe hyperpyrexia umxube lytic. Capillary permeability kwi ngeedosi eziphezulu zehla iihomoni steroid nokukhuthaza iiseli igazi ahlazululwe. Infusions of albumin, reopoliglyukina, izisombululo glucose kwenziwa ngononophelo olukhulu ngenxa ukuvaleka kwemithambo yegazi kunye namanqatha esongela overload. Igalelo ithetha ukuba leliphi yinto eqhelekayo rheology igazi (aminophylline, pentoxifylline, nicotinic acid, xantinol nicotinate, glyukozonovokainovaya umxube). LweeHedfowuni akufunekanga ukuba isetyenziswe, kuba kubi kakhulu umsebenzi kwemiphunga nokunyusa umgangatho asidi okunamafutha. Lipostabil ngcono ezityebileyo, calcium chloride, deholin. Ukuba bafumana Embolism ezityebileyo, kufuneka bazikhwebule iindlela zokusebenza ngokwaphulwa nitrogen, ukuqinisekisa immobilization yabo ezinye iindlela. Nokuzinziswa iintanda, uqhutywe kwi zigaba yokuqala, baya zilumkisa Embolism otyebileyo ukuphelisa hypoxia.

Thromboembolism, iimpawu noonobangela.

Amaninzi wabonakalaliswa kwaye boqobo iimpawu: ukuphelelwa umoya, ukuphelelwa ngesiquphe umoya kwenzeka. Kwindawo lisalele uziva lula kancinci isigulane. ubuhlungu kunokwenzeka isifuba (ubhalo ezahlukeneyo - ebubini ngobulali ebuhlungwini obukhulu). Kwiimeko ezinqabe kakhulu kusenokuba hemoptysis. Kusenokwenzeka ibonakalisa cyanosis - impumlo, imilebe, iindlebe zibe umbala okhanyayo okanye oluhlaza. Kukho ukukhohlela, ukubetha kwentliziyo rapid ophilisayo, isigulana lilo a ukubila ebandayo, wehlisa phantsi, unesiyezi, zalala. Bangafumana mde imilenze kunye nelahleko seengcamango.

Unobangela ngeziganeko thromboembolic na egazi igazi ukuba kwenzeka emithanjeni. Le thrombus ukuze kuyilwa ngenxa yomonakalo iindonga semithambo, ukuhamba ngegazi kuhlile kule ndawo kwaye kukho ihlwili (egazi). Iindonga yegazi seyonakele xa iintlobo ezahlukeneyo izifo ukudumba, ukwenzakala, iinaliti. flow Slow kunokubangelwa sisifo sentliziyo, isikhundla ixesha elide (ehleli, elele). Ukwanda ekunqandeni igazi kunokuba sofuzo kwaye ukusilela kwinkqubo coagulation igazi.

Umngcipheko Iimeko: ukwaluphala, yobubi, utyando, ukukhulelwa, kwentlungu, izifo (lupus, erythremia, nephrotic syndrome, hemoglobinuria).

Inqanaba kumisiwe kwagqitywa yi ECG, X-ray, umoya-perfusion scintigraphy semiphunga. Unyango wenziwa kuphela esibhedlele. Ngelishwa, nkqu ukuvunywa kwangethuba ayisoloko ukunika unyango ngempumelelo. Ukunqanda ukufa kufuneka ufune uncedo ngokukhawuleza kangangoko kunokwenzeka. Njengoko likaxakeka kuqaliswa iiyunithi ezili-10 000 lweeHedfowuni butofelwe, nokulaliswa esibhedlele iyafuneka.

Eli nqaku kwathiwa ngereferensi kuphela. Nceda uchaze ukubonakala iimpawu bafune iingcebiso zobugqirha. Self-baphethwe self-namayeza kunokubangela imiphumo ebuhlungu!