Mafuta embolism, thromboembolism

Embolism wotchedwa pachimake mtima occlusion, chifukwa mu akusokoneza otaya magazi kwa minofu kapena chiwalo. Mafuta embolism, motero, ndi blockage wa Mitsempha mafuta. Mwachibadwa, izi mafuta kudziletsa chiyambi, si kawirikawiri kwambiri - yachilendo (chongopeka anadzetsa pa matupi monga zosungunulira kapena mankhwala zolinga matenda).

Mafuta embolism chifukwa cha mavuto zoopsa. Kawirikawiri amagwirizana ndi chigoba zoopsa aakulu (fractures a m'chiuno, mafupa a chiuno, tibia, onongani mafuta). Kumachitika pamene kapamba, shuga, septicemia limati mantha, kuchepa magazi, postresuscitative nthawi, chifukwa mu ulamuliro olakwika mankhwala zamadzimadzi sungunuka, liposuction.

Mafuta embolism matenda kamodzikamodzi kuposa kumachitika chifukwa "masked" ndi m'mikhalidwe inanso. Mwachitsanzo, pansi chibayo.

kusiyana A: mawonekedwe mphezi (chifukwa anamwalira mphindi zochepa); mawonekedwe pachimake (kukhala pambuyo kuvulala kwa nthawi yoyamba); subacute mawonekedwe (zobisika nthawi ya maola 12-72.)

Kukomoka allocated m'mapapo mwanga oziziritsa ndi kusakaniza (ambiri) mawonekedwe.

Mafuta embolism, chithandizo

Chithandizo umalimbana makamaka kuthandiza ntchito kwambiri. Izi yokumba m'mapapo mpweya, ukhondo wa trachea ndi bronchi. Chosavuta kulimbana hyperpyrexia osakaniza lytic. Capillary permeability pa mlingo waukulu utachepa steroid mahomoni kulimbikitsa maselo disaggregation magazi. Infusions wa albumin, reopoliglyukina, njira shuga anachita mosamala kwambiri chifukwa cha blockage Mitsempha ndi mafuta anaopseza zimamuchulukira. Lowetsani zikutanthauza omwe matenda magazi rheology (aminophylline pentoxifylline, asidi nicotinic, xantinol nicotinate, glyukozonovokainovaya osakaniza). Heparin sayenera kugwiritsidwa ntchito, ndi kuvutika ntchito m'mapapo ndi kuonjezera mlingo wa zidulo mafuta. Lipostabil okhazikika mafuta, calcium enaake, deholin. Ngati anapeza embolism mafuta, muyenera kupewa njira ntchito ya wovulala fixation, kuonetsetsa immobilization awo mwa njira zina. Olimba a fractures, ikuchitika mu magawo oyambirira, adzawachenjeza wa embolism mafuta ndi kuthetsa hypoxia.

Thromboembolism, zizindikiro ndi zinthu.

Nthawi zambiri akuwonetseredwa ndi mmene zizindikiro: kufupika kwa mpweya, mwadzidzidzi kufupika kwa mpweya amapezeka. Mu malo supine wodwala akumva zosavuta. N'zotheka chifuwa ululu (osiyana khalidwe - kuchokera kusapeza ofatsa ululu). Nthawi zina zingakhale hemoptysis. Mwina kumasonyeza cyanosis - mphuno, milomo ndi makutu kukhala wotumbululuka kapena bluish mtundu. Pali chifuwa, kugunda mofulumira umafulumizitsa, wodwalayo chitaya mu thukuta ozizira, iye mochedwa, chizungulire, kuwodzera. Angakhale nayo omangana mu miyendo ndi imfa ya chikumbumtima.

Chifukwa cha zochitika thromboembolic ndi magazi kuundana kuti zimachitika mu mitsempha. thrombus The ungadzakhazikitsidwe chifukwa cha kuwonongeka kwa mpanda mtima, magazi mochedwa pansi pa malo ndipo pali aumirira (magazi kuundana). Makoma a mitsempha akhoza kuonongeka pa mitundu yosiyanasiyana ya matenda yotupa, kuvulala, jakisoni. Pang'onopang'ono otaya bwino zimayamba ndi matenda a mtima, malo yaitali (pansi, kunama). Kuchuluka magazi clotting akhoza kukhala cholowa ndiponso kulephera mu dongosolo magazi coagulation.

Zifukwa: ukalamba, chotupa chija, opaleshoni, mimba, zoopsa, matenda (lupus, erythremia, syndrome nephrotic, hemoglobinuria).

Mlingo wa chiwonongeko anatsimikiza mtima ECG, X-ray, mpweya-perfusion m'mapapo scintigraphy. Chithandizo ikuchitika yekha m'chipatala. Mwatsoka, ngakhale kuzindikira yake sikali mankhwala bwino. Kupewa imfa muyenera kupempha thandizo posachedwapa. Monga mwadzidzidzi anayambitsa kwa mayunitsi 10 000 wa heparin m'nsinga m'chipatala chofunika.

Nkhani linalembedwa kuti adzigwiritsidwa yekha. Chonde anafotokoza maonekedwe zizindikiro pitani kuchipatala. Self-matenda ndi kudzikonda mankhwala angakhale ndi zotsatira zoipa kwambiri