I-pulmonary thrombosis: kuyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yini engadala i-pulmonary thrombosis
• Yelashwa kanjani
• Ingabe ukwelashwa kwamaphaphu kungaphulukiswa?
• I-sequelae engenzeka

I-pulmonary thrombosis, eyaziwa nangokuthi i-pulmonary embolism, yenzeka lapho i-clot, noma i-thrombus, ivala umkhumbi emaphashini, ivimbela ukudlula kwegazi futhi ibangele ukufa okuqhubekayo kwengxenye ethintekile, okuholela ezimpawu ezifana nobuhlungu lapho uphefumula nobufushane obukhulu wokuphefumula.

Ngenxa yobunzima bokulimala kokuphefumula namaphaphu, inani lomoya-mpilo osegazini liyancipha futhi izitho kuwo wonke umzimba zingathinteka, ikakhulukazi uma kunamahlule amaningi noma lapho i-thrombosis ihlala isikhathi eside, idala ukubumbana okukhulu noma i-infarction yamaphaphu.

Ngakho-ke, i-pulmonary thrombosis yisimo esibi ukuthi, noma nini lapho kusolwa khona, kufanele ihlolwe futhi yelashwe ngokushesha ngangokunokwenzeka esibhedlela ngemithi ngqo emthanjeni, i-oxygen futhi, kwezinye izimo, ukuhlinzwa.

Izimpawu eziyinhloko

Uphawu oluvame kakhulu lwe-pulmonary thrombosis umuzwa oqinile wokuphefumula, okungabonakala ngokuzumayo noma kubhebhetheke ngokuhamba kwesikhathi, kuya ngosayizi wendawo yamaphaphu ethintekile.

Kodwa-ke, ezinye izimpawu zingaba khona:

• Ubuhlungu obukhulu besifuba;
• Ukuphefumula ngokushesha;
• Ukukhwehlela igazi;
• Isikhumba se-Bluish, ikakhulukazi eminwe nasezindebeni;
• Ukushaya kancane;
• Ukuzizwa uphela amandla.

Ubukhulu bezimpawu bungahluka ngokuya ngosayizi wehlwili nobude be-thrombosis. Noma kunini lapho kuba khona ukuphefumula okuncane, ubuhlungu besifuba obunzima noma ukukhwehlela igazi, kubalulekile njalo ukuya esibhedlela ukuyokhomba imbangela bese uqala ukwelashwa, njengoba lezi kuyizimpawu ezivame ukuhambisana nezinkinga ezinkulu kakhulu. Bheka uhlu oluphelele lwazo zonke izimpawu.

Yini engadala i-pulmonary thrombosis

I-pulmonary thrombosis ivame ukubangelwa i-clot yegazi, noma i-thrombus, ehamba isuka kwenye ingxenye yomzimba iye emaphashini, ibhajwe futhi ivimbele ukudlula kwegazi liye engxenyeni yamaphaphu.

Ezinye izinto ezandisa ubungozi bokuba namahlule nokuthuthukisa le nkinga zifaka:

• Umlando we-vein thrombosis ejulile;
• Umlando womndeni we-pulmonary thrombosis;
• Ukuqhekeka emilenzeni noma okhalweni;
• Izinkinga ze-coagulation;
• Umlando wokuhlaselwa yisifo senhliziyo noma isifo sohlangothi;
• Ukukhuluphala nokuhlala phansi.

I-Thrombosis nayo ingadalwa ezinye izimbangela ezingavamile, njengamabhamuza womoya, esimweni se-pneumothorax, noma lapho kukhona izingcezwana ezikwazi ukuvimba umthambo wegazi, njengamaconsi emanqatha, njengesibonelo. Funda ukuthi amafutha angadala kanjani ukuhlanganiswa kwamafutha.

Yelashwa kanjani

Ukwelashwa kwe-pulmonary thrombosis kufanele kwenziwe esibhedlela ngemithi yokujova yokujova i-anticoagulant, efana neHeparin, ukuncibilikisa ihlwili bese ivumela igazi ukuthi liphinde lidlule futhi. Ezimweni ezibucayi kakhulu, kungasetshenziswa imithi ebizwa nge-thrombolytics, esebenza ngempumelelo enkulu ekuqedeni i-thrombi ngokushesha.

Udokotela angaphinde anikeze amaphilisi ezinhlungu, njengeParacetamol noma iTramadol, ukudambisa izinhlungu zesifuba nokwenza lula ukuphefumula, ngaphezu kweqiniso lokuthi imvamisa kuyadingeka ukusebenzisa imaski yomoya-mpilo ukusiza ukuphefumula negazi oksijini.

Imvamisa, udinga ukulaliswa esibhedlela okungenani izinsuku ezintathu, kepha ezimweni ezinzima kakhulu noma lapho bekungenakwenzeka ukusebenzisa izidakamizwa ukuqeda ihlwili, kungadingeka ngisho nokuhlinzwa ukuze kususwe le thrombus, ebizwa nge-embolectomy, ngakho-ke, ukulaliswa esibhedlela kungahlala izinsuku eziningi.

Ingabe ukwelashwa kwamaphaphu kungaphulukiswa?

I-pulmonary thrombosis, yize iyisimo esiphuthumayo kwezokwelapha nesimo, lapho yelashwa kahle futhi ngokushesha inamathuba amahle okwelashwa futhi ayishiyi njalo i-sequelae. Ukulandelana okuvame kakhulu kulesi simo ukwehla komoya-mpilo esifundeni esinikeziwe, okungaholela ekufeni kwalezi zicubu nezinkinga esithweni esithintekile.

I-sequelae engenzeka

Isikhathi esiningi, i-pulmonary embolism iphathwa ngesikhathi esifanele, ngakho-ke, azikho iziqu ezibucayi ezibucayi. Kodwa-ke, uma ukwelashwa kungenziwanga kahle noma uma kunendawo enkulu kakhulu yamaphaphu athintekile, kungenzeka ukuthi i-sequelae ebucayi kakhulu njengokuhluleka kwenhliziyo noma ukuboshwa kwenhliziyo, okungasongela impilo.