Kuyini ukuhlanganiswa kwamafutha nokuthi kwenzeka kanjani

-Delile

• Izimbangela eziyinhloko
• Izimpawu ezingenzeka
• Lapho kwenzeka i-Fat Embolism Syndrome
• Yelashwa kanjani

I-fat embolism ukuvimbela imithambo yegazi ngamaconsi amanoni okwenzeka, isikhathi esiningi, ngemuva kokuphuka kwamathambo amade, njengamathambo emilenze, amathanga noma okhalweni, kepha okungabonakala futhi esikhathini sokuhlinzwa kokuhlinzwa kwamathambo noma izinqubo. ama-esthetics, afana ne-liposuction, isibonelo.

Amaconsi amanoni angasakazeka emithanjeni nasemithanjeni yomzimba, athwalwa ngumfula wegazi futhi angafinyelela ezindaweni nezitho zomzimba ezahlukahlukene. Imvamisa, embolism kubangela kuphela umonakalo omkhulu lapho kwenzeka ngobuningi, futhi uma lokhu kwenzeka, izitho ezithinteke kakhulu yilezi:

• Amaphaphu: yizitho eziyinhloko ezithintekile, futhi kungahle kube nokuphefumula okuncane kanye ne-oxygenation ephansi yegazi, isimo esibizwa nge-pulmonary thromboembolism. Qonda kabanzi mayelana nokuthi kwenzeka kanjani nezinye izimbangela ze-pulmonary embolism;
• Ubuchopho: lapho zithinteka, zidala ushintsho olujwayelekile ekushayweni unhlangothi, njengokuphelelwa amandla, ukushintsha ekuhambeni, ukushintsha kokubona nobunzima ekukhulumeni, isibonelo;
• Isikhumba: kwenzeka ukuvuvukala okubangela izilonda ezibomvu nokuthambekela kokopha.

Kodwa-ke, ezinye izitho ezinjengezinso, ama-retina, ubende noma isibindi, ngokwesibonelo, nazo zingathinteka futhi umsebenzi wazo wenziwe buthaka.

Izimbangela eziyinhloko

Ukuhlanganiswa kwamafutha kungadalwa yizimo ezinjengalezi:

• Ukuphuka kwamathambo, njenge-femur, tibia kanye ne-pelvis, ngemuva kwengozi yemoto noma ukuwa;
• Ukuhlinzwa kwamathambo, njengedolo noma i-hip arthroplasty;
• I - plastic surgery, njenge-liposuction noma ukugcwalisa amafutha.

Ukuhlanganiswa kwamafutha nakho kungenzeka ngaphandle kwesizathu esicacile, ngokuzenzekelayo, okungajwayelekile kakhulu. Abanye babantu abasengozini enkulu banezifo ezijwayelekile, abantu abanenkinga yeseli, i-pancreatitis, isifo sikashukela, isibindi esinamafutha, ukusetshenziswa kwesikhathi eside kwe-corticosteroids noma ngokusha okukhulu.

Izimpawu ezingenzeka

Ngokuvamile, ukugcotshwa kwamafutha kuthinta imithambo emincane ekusakazeni kwegazi, ngakho-ke akuhlali kubangela izimpawu, ngaphandle kwalapho kwenzeka ukuhlanganiswa okukhulu, okungukuthi, lapho kufinyelela emithanjeni eminingi yegazi kuze kube sezingeni lokuyekethisa ukujikeleza nokusebenza kwezitho. Ezinye zezimpawu ezingavela zibandakanya ukuphefumula, ukuphathwa yikhanda, ukushintsha kokubona noma ukukhuluma, ukuba buthakathaka, ukozela, ukulahlekelwa ukwazi nokuquleka, kanye nezilonda zesikhumba.

Ukuxilongwa kwe-embolism kwenziwa ukuhlolwa komtholampilo kadokotela, futhi okunye ukuhlolwa kungasiza ekuboniseni izindawo zokulimala komzimba ngokuntuleka kokugeleza kwegazi, njengeMRI.

Lapho kwenzeka i-Fat Embolism Syndrome

I-Fat embolism ingabizwa ngeFat Embolism Syndrome uma inzima futhi ithinta amaphaphu, ubuchopho, ukujiya kwegazi nesikhumba ngasikhathi sinye, kubangele isimo esibi esifaka phakathi ubunzima bokuphefumula, ukushintsha kobuchopho kanye nezilonda ezibomvu zesikhumba., Okukhombisa ukuvuvukala nokuthambekela kokopha.

Cishe yi-1% kuphela yamacala we-fat embolism athuthukisa lesi sifo, esinzima kakhulu ngoba, ngaphezu kokuvimba imikhumbi ngamaconsi amafutha, futhi kubangela ukusabela kwamakhemikhali ekusakazeni okukhiqiza ukusabela okukhulu kokuvuvukala emzimbeni.

Yelashwa kanjani

Yize lungekho unyango oluthile lokulapha ukuhlanganiswa kwamafutha, kunezinyathelo ezisetshenziswa udokotela ukulawula izimpawu nokwenza lula ukululama. Kwezinye izimo, lokhu kubhekwa kungenziwa endaweni ye-ICU, kuze kube yilapho kukhona ukuthuthuka nokuzinza kwesimo somtholampilo.

Ezinye izinketho ezisetshenziswa udokotela zifaka ukusetshenziswa kwe-oxygen catheter noma imaski, ngaphezu kokuqapha okuqhubekayo kwezimpawu ezibalulekile. Uma kunesidingo, i-hydration ingenziwa emthanjeni nge-serum, kanye nemithi yokulawula umfutho wegazi.

Ngaphezu kwalokho, abanye odokotela bangazama ukusebenzisa imishanguzo ye-corticosteroid ukuzama ukunciphisa ukusabela kokuvuvukala kwalesi sifo.