Injani indlela yokwelashwa kwe-pulmonary embolism

-Delile

• Lapho kunesidingo sokuhlinzwa
• Udinga isikhathi esingakanani ukuhlala esibhedlela
• I-sequelae engenzeka ye-embolism
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

I-pulmonary embolism yisimo esibi futhi kufanele ilashwe ngokushesha okukhulu esibhedlela, ukugwema ukubeka impilo yakho engcupheni. Uma kuvela izimpawu eziholela ekusolisweni kwe-pulmonary embolism, njengokuzwa ukuphefumula ngokuzumayo, ukukhwehlela okunzima noma ubuhlungu obukhulu besifuba, kungakuhle uye egumbini labezimo eziphuthumayo uyohlola isimo bese uqala ukwelashwa, uma kunesidingo. Bona ezinye izimpawu ezingakhombisa ukubumbana kwamaphaphu.

Lapho kunezinsolo eziqinile ze-pulmonary embolism, ukwelashwa kungaqalwa ngisho nangaphambi kokuba kuqinisekiswe ukuxilongwa futhi kuvame ukwenziwa ngokuphathwa komoya-mpilo kanye nomjovo we-anticoagulant ngqo emthanjeni, okuwumuthi osiza ukuvimbela ihlwili likwazi ukwanda ngosayizi noma ukuthi amahlule amasha angakha, okwenza isimo sibe sibi kakhulu.

Uma izivivinyo zokuxilonga, ezifana ne-X-ray yesifuba noma i-angiography ye-pulmonary, iqinisekisa ukuxilongwa kwe-embolism, umuntu kudingeka alaliswe esibhedlela ukuze aqhubeke nokwelashwa izinsuku eziningi ngama-anticoagulants kanye ne-thrombolytics, nolunye uhlobo lomuthi osiza ukuncibilikisa amahlule isivele ikhona.

Lapho kunesidingo sokuhlinzwa

Ukuhlinzwa ukwelapha i-pulmonary embolism kuvame ukwenziwa lapho ukusetshenziswa kwama-anticoagulants kanye ne-thrombolytics kunganele ukwenza ngcono izimpawu nokuqeda ihlwili elivimbela ukudlula kwegazi liye emaphashini.

Ezimweni ezinjalo, kuyadingeka ukuthi kwenziwe ukuhlinzwa lapho udokotela afaka khona ithubhu elincane eliguquguqukayo, elaziwa ngokuthi ipayipi, ngomthambo engalweni noma emlenzeni lize lifinyelele engxenyeni esephashini, likhishwe.

Ipayipi lingasetshenziswa futhi ukufaka isihlungi emthanjeni omkhulu, obizwa nge-inferior vena cava, ukuvimbela amahlule ukuba ahambe egazini aye emaphashini. Lesi sihlungi ngokuvamile sibekwa kubantu abangakwazi ukuthatha imishanguzo ye-anticoagulant.

Udinga isikhathi esingakanani ukuhlala esibhedlela

Ngemuva kokuqeda iqhwa lamaphaphu, imvamisa kuyadingeka ukuhlala esibhedlela ukuqinisekisa ukuthi amahlule amasha awaveli nokuqapha ukuthi amazinga omoya-mpilo emzimbeni ajwayelekile.

Lapho isimo sibonakala sizinzile, udokotela uyakhipha, kepha imvamisa ubuye anikeze imishanguzo ye-anticoagulant, efana neWarfarin noma iHeparin, okufanele iqhubeke nokusetshenziswa nsuku zonke ekhaya, njengoba igcina igazi linciphile futhi linciphisa nengozi yokuphindeka. ihlwili. Funda kabanzi ngama-anticoagulants nokunakekelwa okufanele kuthathwe ekwelashweni.

Ngaphezu kwalokhu, udokotela futhi angakhombisa amaphilisi ezinhlungu ukudambisa ubuhlungu besifuba ezinsukwini zokuqala nangemuva kokwelashwa.

I-sequelae engenzeka ye-embolism

Njengoba i-pulmonary embolism ivimbela ukudlula kwegazi liye engxenyeni yamaphaphu, enye inkondlo elama yokuqala ihlobene nokwehla kokushintshaniswa kwegesi ngakho-ke kukhona i-oxygen encane egazini. Uma lokhu kwenzeka, kuba nokugcwala kwenhliziyo, okwenza isebenze ngokushesha okukhulu ukuzama ukuthola inani elifanayo lomoya-mpilo ukufinyelela umzimba wonke.

Imvamisa, embolism kwenzeka endaweni encane yamaphaphu, ngakho-ke umuntu akahlushwa yimiphumela emibi. Kodwa-ke, noma kuyivelakancane, ukuvinjelwa kungenzeka futhi esitsheni segazi esikhudlwana, esibhekele ukunisela ingxenye enkulu yamaphaphu, lapho imiphumela ingaba mibi kakhulu ngoba izicubu ezingalitholi igazi elinomoya-mpilo zihlehla futhi akukho ukushintshaniswa kwegesi kuleyo ngxenye yamaphaphu. Ngenxa yalokho, umuntu angafa ngokuzumayo, okwenzeka ngokuzumayo, noma abe ne-sequelae yamaphaphu, njenge-pulmonary hypertension.

Izimpawu zokuthuthuka

Ukuthuthuka kwezimpawu kuvela emizuzwini embalwa ngemuva kokwelashwa okuphuthumayo ngokukhululeka kobunzima bokuphefumula nokwehla kobuhlungu esifubeni.

Izimpawu zokuwohloka

Izimpawu zokuwohloka ziyanda ubunzima ekuphefumuleni futhi, ekugcineni, ziyaquleka, ngenxa yokwehla kwenani lomoya-mpilo emzimbeni. Uma ukwelashwa kungaqalwa ngokushesha, imiphumela emibi efana nokuboshwa kwenhliziyo ingasongela impilo.