I-pulmonary embolism ikhuselekile kwisitri eholela kwimiphunga, esoloko ibangelwa i-clot yegazi. Ngokuqhelekileyo zenzeke xa i-clot ihlehla eminye yemilenze, i- thrombosis ejulile (DVT) iyahluleka emlenzeni okanye kwi-pelvis kwaye ihamba ngegazi ukuya kumaphaphu.
Kutheni Igazi Ligqoba Kwiimfeshe Ukuya kwiiNgqungquthela?
I-pulmonary emboli ngokuqhelekileyo ibangelwa i-clot yegazi ephule emilenzeni, ngoko ke imbangela eyimbangela ye-pulmonary emboli yintoni eyenza i-blood clots.
Asazi kakuhle ukuba kutheni amaqhekeza athile aphuka kwaye ahamba kwaye abanye awenzi.
Ngamanye amaxesha abantu bayazibuza ukuba kutheni ama-clots ayenzeka kwimifuno kwaye kungekhona kwimibhobho. Kutheni amaqhekeza ahamba emapapeni kunokuba kwenye indawo? Isizathu kukuba igazi lihamba ngokuthe ngcembe kwiimvini kunamatriyiti kwaye unokufumana ithuba "lokubhukuda" kunye ne-clot.
Ukuqonda ukuba kutheni ama-clots aphelela kwimiphunga inceda ukuthetha encinci malunga ne-anatomy. Iimvumba emilenzeni ziza kunye kunye negazi libuyela ngakwesokudla senhliziyo nge-vein enkulu ebizwa nge-inferior vena cava. Ukusuka entliziyweni elungileyo, igazi liya kwiimiphunga ngeemithambo ze-pulmonary ukuvuselela ukunikezelwa kwe-oksijeni. Ukunyuka ukusuka emithanjeni kwimilenze, yonke imithambo yegazi (kuquka intliziyo) inkulu. Xa igazi lingena kwimiphunga, ke ke, iinqwelo zihamba kancane, kwaye yilapho iinqamlezo "zibophekile" kwelinye lamathambo e - pulmonary okukhokelela ekuphazameni kwamapulmenti (ukufa) kwenxalenye yomphunga.
Kuphi kwimimbo yenza i-Pulmonary Emboli Occur?
Iingubo zingabanjelwa phantse naphi na emiphakeni ngokuxhomekeka kubukhulu be-clot. Ukuba i-clot encinci (okanye uchungechunge lwama-clots amancinci) ingafakwa kwiimitha ezincinci zegazi kwaye zivelise iimpawu ezincinane. Enyanisweni, abanye abantu abane-pulmonary emboli bajonge emva kokuba baqonde ukuba mhlawumbi "bephosa" amaqhezu amancinci ixesha elithile.
Ukuba i-clot inkulu kwaye ifakwe kwisitya esikhulu segazi emiphakeni, isiphumo sinokuba yingozi. I-clot enkulu iphazamisa amandla ompompo kwi-oksijeni yegazi emva koko ilambile ingqondo kunye nalo lonke umzimba we-oksijeni.
Kudideka ukuba ugqirha wakho uthetha nge-clot efakwe kwi-pulmonary artery. Imithambo ye-pulmonary yiyona yodwa imithambo emzimbeni ephethe i-deoxygenated (igazi eliluhlaza.)
Imiba yengozi
Imiba yengozi ye-pulmonary emboli yimiba yengozi ye-DVT (inyibiliko ye-thrombosis ene-venous) okanye i-clots yegazi kwaye iquka:
- Ukungahambi kakuhle - Ukungahambi kakuhle ngexesha lokuphumla kokulala nokulala esibhedlele, ngexesha lokuhamba kweemoto ezininzi, okanye iindiza zokuhamba ngeenqwelo zeenqwelo zokungena kwingozi ekuphuhliseni ama-blood clots kunye ne-pulmonary emboli. Oku kwaziswe kwaphela kwiminyaka yamuva xa intatheli efa ngokukhawuleza evela kwipmonta, ehambelana neenqwelo zeenqwelomoya. Enyanisweni, iindiza ezingaphezu kwe-2 ngenyanga zithintele ingozi yolu hlobo.
- Imiqathango eyenza ukwandisa amathuba okuvalwa kwegazi, kuquka neemeko ezininzi zonyango.
- Ukutshaya.
- I-Cancer - Unyango olunjengekhemotherapy kunye nokuhlinzwa, kunye nomhlaza ngokwawo, unokuphakamisa umngcipheko wegazi kunye ne-pulmonary emboli.
Iimpawu eziqhelekileyo
Iimpawu zingaphaya kuqala zidibene ne-blood clot emlenzeni kwaye zibandakanya:
- Ubunzima, ubomvu, ububele, okanye ukuvuvukala kwamathole akho okanye i-groin
Iimpawu ze-pulmonary embolus zingaquka:
- Ngokukhawuleza intlungu yesifuba
- Ukuqhawukelwa ngumphefumlo
- Ingca kunye / okanye ukukhwehlela igazi
- I-arrhythmias yenhliziyo efana ne-fibrillation ye-atrial
- Lightheadedness
- Ukungaqondi
- Imilomo ebomvu kunye nemigca (i-cyanosis)
- Uxinzelelo lwegazi oluphantsi, ukunyuka kwentliziyo, kwanda izinga lokuphefumula
Uxinzelelo lwezonyango
Ukugqithiswa kwepulmonary yinkxwaleko yonyango engakwazi ukubulala xa ingashiywa ingaphendulwa. Ukuba unayo nayiphi na inkxalabo yokuba unakho u-pulmonary embolism, fonela 911 ngokukhawuleza.
Ukuba ungenayo impawu, funda malunga nento ongayenza ukukhusela ama-clots egazi.
Hlalani nikhumbule ukuba iimbumba zenzeke nakubantu abancinci, abasempilweni abadala kunye neyona nto ibangela ukufa e-United States.
Ukuxilongwa
Kufuneka kwenziwe iimvavanyo eziliqela ukujonga ubukho bobugcisa. Eyona ndlela ixhaphakileyo yindlela yesithathu yokwenza uvavanyo lwepommonal emboli usebenzisa:
- Ukutsalwa kwe-ventilation-perfusion
- D-dimer
- Iipulmonary angiogram
Unyango
Ukunyanga kwe-pulmonary embolus okanye emboli kuya kuxhomekeka kubunzima kunye nobukhulu be-clot. Ukuba iimpawu azikho nzima, i-blood thinners ingaqalwa ngelixa ugcinwa ukuphumla ukukhupha ezinye iiplanga. Ukulungiselela i-clots ezinkulu, i-cloth i-thrombolytics ingasetyenziselwa (amayeza afana nalawo asetshenziselwa ukuvula iimpahla zentliziyo ngexesha lokuhlaselwa kwentliziyo.)
Iingxaki
Ukuba umntu usinda kwi-pulmonary embolus kukho i-long-term effects. I-clot ingonakalisa ngokusisigxina imiphunga. Kukho nokuba nokulimala kwengqondo kunye nokulimala kwezinye izitho ngenxa yokungahambi komoya okwi-clot emiphakeni.
Imithombo:
IThala leSizwe leMicrothelo. MedlinePlus. Ukugqithiswa kwePulmonary Updated 07/16/16. https://medlineplus.gov/pulmonaryembolism.html