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Ukugqithiswa kwePulmonary (PE) ichazweYintoni i-Pulmonary Embolism (PE)?
I-pulmonary embolism (PE) yimeko esongela ubomi apho i-clot yegazi iqala ukuhamba ngeempahla zomzimba kwaye ifake kwi-artery emiphakeni. Kwezinye iimeko, ama-clots amaninzi (emboli) angahamba kwimiphunga.
Xa i-clot ifaka kwi-artery, igazi alikwazi ukufikelela kwindawo yomphunga ophethwe yiloo mkhumbi wegazi. Le meko inzima kakhulu kwaye ingakhokelela ekufeni ukuba ayinakuphathwa ngokukhawuleza. Ukuba i-clot (s) iyingozi, umntu uya kufuna unyango lwezonyango ukwenzela ukuba asinde kwaye athinte ama-clots angaphezulu.
Yintoni Ebangelwa Ukugqithiswa KwamaPulmonary?
Kwimeko eninzi, i-pulmonary embolism ibangelwa ngenye uhlobo lwegazi le-clot, elibizwa ngokuba yi-vein thrombosis okanye iDVT. I-thrombosis ejulile i-thrombosis iyenzeka ngokubanzi kwimifuno yemilenze. La macwecwe angaqala ukunyuka ade afake kwisitya esincinci ukuvumela i-clot ukuba iqhube nayiphi na enye, ngokuqhelekileyo imirhobho encinci yemiphunga.
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Izinto ezijongene nobungozi KwiMbolmonary Embolism (PE)Izinto ezijongene nobungozi bokuzibandakanya kwePulmonary
Uninzi lweplmmm embolism luqala nje nge- thrombosis ye-veinsis , ngoko ke izinto ezinobungozi zifana nale miqathango mibini.
Imiba yengozi ye-pulmonary embolism iquka:
- Ugqirha: Ukuba nenkqubo yokuphanda iyingozi yezinto ezininzi. Ngokomzekelo, ngexesha le nkqubo, isigulane sisisigxina ngenxa ye- anesthesia kwithuba elongezelelweyo lexesha, iiyure ezininzi kwezinye iimeko. Kwakhona, emva kwenkqubo ezininzi izigulane ziva intlungu ngokunyakaza, ngoko ke abanakho ukuhamba ngendlela efana nayo.
- Ukuba sisikhululo: Ukuhlalisa ixesha elide, njengexesha lokuhamba emoyeni okanye endleleni yokuhamba, yinto ebangela ingozi yemigodi yegazi eyenza emilenzeni.
- Ukuphula ithambo: Kunokwenzeka ukuba ube nefomus ifomu emva kokuba ithambo liphukile, ingakumbi ithanga (femur) ithambo.
- Iziphazamiso zegazi
- Ukuhamba kwehla: Oku kungabandakanya ukulala okanye ukufumana ukuhamba.
- Imbali yamacangci egazi langaphambilini
- Imbali ye-pulmonary embolism yangaphambili
- Ukubhema / Ugwayi: Ukusetyenziswa kotywala kwandisa umngcipheko wegazi.
- Ukukhulelwa okanye ukukhulelwa kwangoku
- Ukunyanya
- Ulwaphulo lweHormone: Oku kubandakanya i-hormone yonyango ekutshintsheni emva kokumisa umva.
- Iipilisi zolawulo lokuzalwa: Amacwecwe egazi yengozi eyaziwayo yazo zonke iipilisi zokulawula ukuzalwa.
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Ukugqithiswa kwePulmonary: Izimpawu kunye neempawuIimpawu kunye nezibonakaliso zokuQiniswa kwePulmonary
I-pulmonary embolism ingabonisa iimpawu kunye neempawu ezivela kwizinto ezingabonakaliyo. Enyanisweni, ezinye izigulane ziyabona kuphela iimpawu zentsholongwane enzulu eholele ekugqibeleni kwe-pulmonary and not the embolism ngokwayo. Ngenxa yesi sizathu, iimpawu kunye neempawu zentsholongwane ebonakalayo engabonakaliyo imeko yomphunga, njengentlungu yethole, ifakwe kuleluhlu.
- Ukuphefumula okunzima (dyspnea)
- Ukuhlahlela
- Ukuqhayisa i-sputum enegazi
- Ukuqhawukelwa ngumphefumlo
- Iintlungu zesifuba
- Ukugubha
- Intlungu yomlenze
- Umlenze owodwa okhulu kunomnye (ngokuqhelekileyo ithole lomlenze omnye uphuthumele)
- Uvakalelwa entloko
- Ndiziva ndibuthathaka
- I-Clammy okanye i-skin sweaty
- Intliziyo engavumelekanga
- Intliziyo yesantya (tachycardia)
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Ukugqithiswa kwePulmonary: Iingonyango eziqhelekileyoUkunyanyiswa kwePulmonary Embolism Treatment
Inkqubo yokonyango ye-pulmonary embolism iyahluka ngokusekelwe ekuxinineni kwe-embolus, imbangela ye-embolus, inani lezinto ezikhoyo, impilo jikelele yesigulane kunye nayiphi na imeko yonyango enokuchaphazela iziphumo zonyango.
- I-Anticoagulation: Imishanguzo yemithi "inciphisa igazi" kwaye inokunceda ukuthintela iingubo zegazi zinikezelwa ngokuthintela ukukhusela ikhefu elizayo kunye nokukhusela amaqhekeza angoku ayenzayo. I-Coumadin kunye ne- Heparin ziyimichiza esetyenziswa rhoqo kule njongo kwaye zidla rhoqo zifuna iimvavanyo zegazi rhoqo ukuze zifumane ulwazi malunga ne dose efanelekileyo. Iklasi elitsha lonyango, elibizwa ngokuba ngumlomo ochaphazelekayo Xa i-inhibitors, iya kuba yinto eqhelekileyo kunyango lwama-clots asele asele.
- Susa i-Clot: Kukho iindlela ezininzi zokususa ama-clots egazi, ukususela kwiinkqubo ezincinci zokungena eziqhutyelwa ngokufaka izixhobo ezincinci kwimithambo yegazi kwaye uzifake kwiinqanawa kwi-clot, ukuya kutshintsho oluphuthumayo ukususa i-clot.
- I-Thrombolytics: Izidakamizwa zokuqhaqhazela, ezibizwa ngokuba yi-agents e-thrombolytic, zinikezelwa ukutshabalalisa iimbophu ezisele zenziwe. Olu hlobo lonyango lusebenza kakuhle, kodwa alukwazi ukusetyenziswa kwiimeko apho kukho umngcipheko wokuphuma kwamanzi. Ngokomzekelo, isigulane esine-pulmonary embolism emva kokubandezeleka kwengxaki ingasengozini yokuphaphaka kwenye inxalenye yomzimba ukuba inikwe i-thrombolytic.
- Ukufakwa kwefayile: Eyaziwa ngamagama ahlukeneyo, kuquka i-Inferior Vena Cava Filter, IVC kunye ne-Greenfield Filter, esi sihlungi esincinci esisetyenziswe kwisitya esikhulu segazi esibuyisela igazi emzimbeni ukuya entliziyweni. Esi sihlunu senzelwe "ukubamba" amancinci amancinci egazi ngaphambi kokuba zisasazwe ngentliziyo kunye nasemiphakeni. Ngokuqhelekileyo, ezi zihlomelo zingasetyenziselwa ukusebenzisa amacandelo amancinci.
Umthombo:
I-Heart Heart, i-Lung, ne-Blood Institute. "Yintoni Ubungqina Bokunyanzelisa?" http://www.nhlbi.nih.gov/health/health-topics/topics/pe/