I-infraction yamapulmoni kukufa kwesahlulo semisipha yomphunga esibangelwa ukuphazamiseka kwegazi layo, ngokuqhelekileyo ngenxa yokukhutshwa kwimithambo yegazi enikezela izicubu zamaphaphu.
Iimpawu zePulmonary Infarction
Iimpawu ze-infarction ye-pulmonary zingaguquki. Ngokuqhelekileyo i-pulmary infarction ihamba kunye ne- hemoptysis (ukukhwehlela kwegazi), umkhuhlane, i- dyspnea (ukuphefumula okufutshane), kunye / okanye intlungu enjenge- pleurisy (intlungu yesifuba kwindawo yokuphulukana nokuphefumula).
Kwezinye iimeko, kunjalo, i-pulmary infarction iya kuvelisa ngaphandle kweempawu. Enyanisweni, i-infarction endala i-pulmonary infarction ngamanye amaxesha ixilongwa njengento efunyenweyo xa i-nodule okanye ubunzima bubonakala kwi-x-ray yesifuba.
Iingxaki zePulmonary Infarction
Ngokwexesha elide, imbangela eqhelekileyo ye-pulmary infarction yi- embolism ye-pulmonary (i-clot yegazi ehamba kumphunga). Nangona kunjalo, ezinye iimeko zonyango zinokuvelisa i-pulmary infarction, kubandakanywa nomhlaza, izifo ezizimelayo ezifana ne- lupus , izifo ezahlukeneyo zesifo, isifo se-sickle cell , izifo zamaphaphu ezingenangqondo ezifana ne- amyloidosis , okanye ukuveliswa kwemoya okanye ezinye izinto ezivela kwi-catheter ene-intravenous.
Kungakhathaliseki ukuba yintoni imbangela, i-pulmonary infarction ayinqabile, kuba izicubu zamaphaphu zinemithombo emithathu yomoya: i-pulmonary artery, i-aronchial artery (iirriyiti ezinika umthi onobumba), kunye ne- alveoli ngokwabo (i-sac air emoyeni).
Oku kuthetha ukuba ukutshatyalaliswa kwamapulmoni kubonakala ngokuqhelekileyo kubantu abanesifo esibalulekileyo samagciwane emiphunga, njengesifo esingapheliyo sesiphene .
Unyango lwePulmonary Infarction
Unyango lwe-pulmary infarction luquka ukunakekelwa ngenkxaso kunye nokulawulwa kwimeko ephantsi.
Ukunyamekela okubandakanyekayo kubandakanya ukugcina igazi elaneleyo lokuphefumula ngokulawula i-oksijini kunye nentlungu yokulawula ukuphefumula. Ukuba igazi elaneleyo i-oksijini ayikwazi ukugcinwa ngokukhupha i-oksijeni nge-canal okanye emaski, ubuso besigulane kunokudinga ukufakwa kwi-ventilator.
Olunye unyango luxhomekeke kwisizathu esibangelwayo. Unyango olushushu lufanele lubekwe isingxakeko se-cellle okanye intsholongwane ukuba ezo zizathu zibonakala ngathi. Unyango kufuneka uphakanyiswe (ukuba kunokwenzeka) nasiphi na isifo esingenasistim esiye sabangela ingxaki, kunye neendlela zokonyango kufuneka zihlolwe kwakhona ukuba umhlaza ngumba.
Nangona kunjalo, kwiimeko ezininzi, i-pulmary infarction ibangelwa yi-pulmonary embolus. Kule meko, unyango lubandakanya, ukongeza kwenkathalo encedisayo, iziko leempawu ze-anticoagulant, ngokuqhelekileyo nge-heparin engena-intravenous, zilandelwa kwiintsuku ezimbalwa nge-anticoagulant yomlomo.
Nangona kunjalo, kwiimeko apho i-pulmonary embolus iphezulu kwaye ibonakala ivelisa i-infarction enkulu, okanye ingakumbi xa ukuphuma kwegazi kwimiphunga kuphazamiseka kangangokuthi i-cardiac output is dropping, kungenokuba kuyimfuneko ukulawula i-fibrinolytic ("i-clot-busting ") Iziyobisi ukuzama ukutshabalalisa i-clot ephazamisa ukuhamba kwegazi.
Umngcipheko owongezelelekileyo ochaphazelekayo ekusebenziseni ezo zonyango, kwezi meko, zigqithiswe ngumngcipheko wokufa xa i-clot ihlala apho.
Kwaye ukuba imeko leyo ibaluleke kakhulu, kunokufuneka ukuba uzame inkqubo yokucoca ukuze ususe i-clot ephazamisayo.
> Imithombo:
> I-Parambil JG, i-CD ye-Savic, i-Tazelaar HD, ne-al. Iingxaki kunye nokunikezela iziganeko zeePolmonary Kufutshane kwiimeko ezingama-43 ezichongiweyo ngokuchithwa kwe-Lung Biopsy. I-Chest 2005 Matshi; 127 (4): 1178-83.
> Kucher N, Goldhaber SZ. Ulawulo lweMbolonism ePulmonary Embolism. Uhambo luka 2005; 112: e28.
> Kabrhel C, uJaff MR, uCannick RN, et al. Iqela lempendulo yePolmonary Embolism Embolism Team. Ngomhla ka-2013; 144: 1738.