I-pulmonary embolism: kuyini, izimpawu eziyinhloko nezimbangela

-Delile

• 9 izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini engadala imbolism
• 1. Ukuntuleka kokuvivinya umzimba
• 2. Ukuhlinzwa
• 3. I-thrombosis ejulile ye-venous
• 4. Ukuhamba ngendiza
• 5. Ukuqhekeka
• Ngubani osemngciphekweni ophakeme we-embolism
• Yelashwa kanjani

I-pulmonary embolism yisimo esibi, esaziwa nangokuthi i-pulmonary thrombosis, esivele lapho i-clot ivala omunye wemikhumbi ethwala igazi liye emaphashini, okwenza oksijini yehluleke ukufinyelela ezicutshini zengxenye ethintekile yamaphaphu.

Lapho kwenzeka ukugcwala kwamaphaphu, kujwayelekile ukuthi lowo muntu athole ukuphefumula okungazelelwe, okuhambisana nezinye izimpawu, njengokukhwehlela nobuhlungu besifuba obunzima, ikakhulukazi lapho ephefumula.

Njengoba ukubumbana kuyisimo esibi, noma nini lapho kukhona ukusola kubaluleke kakhulu ukuya esibhedlela ngokushesha ukuyohlola icala nokuqala ukwelashwa okufanele kakhulu, okuvame ukufaka ukusetshenziswa kwama-anticoagulants ngqo emthanjeni, ukwelashwa komoya-mpilo futhi, ezimeni okubi kakhulu, ukuhlinzwa.

9 izimpawu eziyinhloko

Ukuhlonza icala le-embolism ye-pulmonary, umuntu kufanele azi ezinye zezimpawu ezinjengalezi:

1. Ukuzizwa okungazelelwe kokuphefumula okuncane;
2. Ubuhlungu besifuba obuba nzima lapho udonsa umoya, ukhwehlela noma udla;
3. Ukukhwehlela okungahle kube negazi;
4. Ukuvuvukala kwemilenze noma ubuhlungu lapho uhambisa imilenze;
5. Isikhumba esiphaphathekile, esibandayo nesibhakabhaka;
6. Ukuzizwa uphela amandla noma uqulekile;
7. Ukudideka kwengqondo, ikakhulukazi kubantu abadala;
8. Ukushaya kwenhliziyo okusheshayo kanye / noma okungajwayelekile;
9. Isiyezi esingathuthuki.

Uma unalezi zimpawu ezingaphezu kwesisodwa, kungakuhle uye egumbini labezimo eziphuthumayo noma ushayele i-ambulensi ngokushesha ukuze uqinisekise ukuxilongwa bese uthola ukwelashwa okufanele, okuthi uma kungenziwanga masinya, kungaholela ekulandeleni okunamandla ngisho nasekufeni lomuntu.

Ungakuqinisekisa kanjani ukuxilongwa

Izimpawu ze-pulmonary embolism zingaphanjaniswa nenkinga yenhliziyo, ngakho-ke udokotela uvame ukusebenzisa izivivinyo zokuxilonga njengokuhlolwa kwegazi, i-electrocardiogram (ECG), i-X-ray yesifuba, i-computed tomography noma i-angiography ye-pulmonary ukuqinisekisa izinsolo bese uqala ukwelashwa.

Yini engadala imbolism

Yize ukugcotshwa kwamaphaphu kungenzeka kunoma ngubani, kuvame kakhulu ngenxa yezimbangela ezithile, ezinjenge:

1. Ukuntuleka kokuvivinya umzimba

Uma uhlala endaweni efanayo isikhathi eside, njengokuqamba amanga noma ukuhlala, igazi liqala ukuqoqana kakhulu endaweni eyodwa yomzimba, imilenzeni. Isikhathi esiningi, lokhu kunqwabelana kwegazi akubangeli nkinga ngoba lapho umuntu esukuma igazi lijikeleza ngokujwayelekile futhi.

Kodwa-ke, abantu abalala phansi izinsuku eziningana noma bahlale phansi, njengasemuva kokuhlinzwa noma ngenxa yesifo esibi njenge-stroke, ngokwesibonelo, basengozini enkulu yegazi eliqoqekile eliqala ukwakha amahlule. Lawa mahlule angathuthwa ngokuhamba kwegazi aze avale umkhumbi wamaphaphu, abangele ukuhlangana.

Okufanele ngikwenze: ukugwema le ngozi, ukuzivocavoca nawo wonke amalungu omzimba kufanele kwenziwe nsuku zonke futhi kushintshe izikhundla njalo emahoreni ama-2, okungenani. Abantu abalele embhedeni abangakwazi ukuzihambela bodwa, ukusetshenziswa kwama-anticoagulants kunganconywa futhi kufanele kususwe ngomunye umuntu, benze izivivinyo ezinjengalezo eziboniswe kulolu hlu.

2. Ukuhlinzwa

Ngaphezu kwesikhathi sokuhlinzwa ngemuva kokuhlinzwa ukuze wehlise izinga lokuzivocavoca umzimba futhi kwandise ubungozi bokwakheka kwamahlwili, nokuhlinzwa uqobo kungaholela embolism yamaphaphu. Lokhu kungenxa yokuthi ngesikhathi sokuhlinzwa kunezilonda eziningana emithanjeni ezingavimbela ukudlula kwegazi futhi kubangele ihlwili elithuthelwa emaphashini.

Okufanele ngikwenze: kubalulekile ukuthobela sonke isikhathi sangemva kokuhlinzwa esibhedlela ukugcina ukubonwa okuqhubekayo kukadokotela ongasebenza ngokushesha lapho kuvela izimpawu zokuqala zezinkinga. Ekhaya kunconywa ukusebenzisa amakhambi akhonjiswe ngudokotela, ikakhulukazi ama-anticoagulants, njenge-Warfarin noma i-Aspirin.

3. I-thrombosis ejulile ye-venous

Abantu abahlushwa i-vein thrombosis (i-DVT) ejulile basengozini enkulu yokuthola amahlule angathunyelwa kwezinye izitho, njengobuchopho namaphaphu, okudala izinkinga ezinkulu njengokufakwa embolism noma isifo sohlangothi.

Okufanele ngikwenze: ukugwema izinkinga, ukwelashwa okukhonjiswe udokotela kufanele kulandelwe, okuvame ukufaka ukusetshenziswa kwama-anticoagulants. Bona ukuthi ukwelashwa kwe-vein thrombosis ejulile kwenziwa kanjani.

4. Ukuhamba ngendiza

Ukuthatha noma yiluphi uhambo ngaphezu kwamahora ama-4, kungaba ngendiza, imoto noma isikebhe, isibonelo, kwandisa ubungozi bokuba nehlwili ngenxa yokuthi uchitha isikhathi esiningi endaweni efanayo. Kodwa-ke, endizeni le ngozi ingakhuphuka ngenxa yokungafani kwengcindezi engenza igazi libukeke ngokwengeziwe, kwandise ukukhululeka ekwenzeni amahlule.

Okufanele ngikwenze: phakathi nohambo olude, njengalezo ezisendizeni, kungakuhle ukuphakamisa noma ukuhambisa imilenze yakho okungenani njalo emahoreni ama-2.

5. Ukuqhekeka

Ukwephuka kungenye yezimbangela ezinkulu ze-pulmonary embolism ngoba lapho ithambo liphuka, lingadala ukulimala emithanjeni yegazi eminingana, ngaphezu kwesikhathi esithathwayo ukuphumula ukuphuka. Lezi zilonda azikwazi ukuholela ekwakhekeni kwamahlule kuphela, kepha nasekungeneni komoya noma amafutha egazini, kukhulisa ubungozi bokuba ne-embolism.

Okufanele ngikwenze: umuntu kufanele agweme imisebenzi eyingozi, njengokukhuphuka, futhi agcine izivikelo ezanele emidlalweni enomthelela omkhulu ukuzama ukugwema ukuphuka. Ngemuva kokuhlinzwa ukulungisa ukuphuka, umuntu kufanele azame ukunyakaza, ngokwemiyalo kadokotela noma we-physiotherapist.

Ngubani osemngciphekweni ophakeme we-embolism

Yize ukugqunywa kwamaphaphu kungenzeka kunoma yiziphi izimo zangaphambilini, kuvame kakhulu kubantu abanezinto ezinobungozi ezinjengalezi:

• Ubudala ngaphezu kweminyaka engama-60;
• Umlando wangaphambilini wamahlule egazi;
• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile;
• Ukuba ngumuntu obhemayo;
• Umlando wesifo senhliziyo noma semithambo;
• Sebenzisa iphilisi noma wenze ukwelashwa kokushintsha ama-hormone.

I-pulmonary embolism yisimo esingajwayelekile, ngisho nakubantu abathatha iphilisi lokulawula ukubeletha, noma kunjalo, kubalulekile ukwazi ukuthi yiziphi izimpawu ezingakhombisa le nkinga.

Yelashwa kanjani

Ukwelashwa kwe-pulmonary embolism kufaka ukufaka i-oksijini kumuntu ngesifihla-buso, imishanguzo ngomthambo wokuqeda i-plunger, efana ne-heparin, ezoncibilikisa ihlwili elivimbela ukudlula kwegazi, nokunciphisa izinhlungu.

Imvamisa, ukwelashwa kwe-pulmonary embolism kudinga ukulaliswa esibhedlela okungahlala amasonto noma izinyanga ezimbalwa. Ukuhlinzwa ukususa i-thrombus kungakhonjiswa ezimweni ezinzima kakhulu noma lapho ukuvimba kokugeleza kwegazi kwenzeka ngenxa yento yangaphandle noma ucezu lwethambo, isibonelo.

Bheka okuningi mayelana nokuthi i-pulmonary embolism iphathwa kanjani.