Thromboembolism nemilenze engezansi: okunokwenzeka izimbangela, izimpawu kanye nezici ukwelashwa

Ihlelo lokukhambisa iingazi lomuntu kakhulu efana isihlahla, lapho imithambo ezinkulu - iyona Umthambo yamaphaphu futhi le-aorta, futhi indima amagatsha kukhona izitsha ezincane igazi. Ngenxa yesimo ngayinye lomzimba negazi eziningi izici ukuminyana egeleza ngemithambo, ngaso sonke ezahlukene. Ingozi iba ukuthi ezitsheni bangase bafinyelele thrombi - amahlule - ngenxa thromboembolism. Kuyini thrombosis yezingalo nemilenze ephansi, yini nezimbangela zayo futhi yiziphi izimpawu kanye nokwelashwa yalesi sifo ethile, ukuwucabangela ngokwengeziwe.

Kuyini thromboembolism

Thromboembolism - isifo kalutho. It kuvela ngenxa izinqubo ezihlukahlukene sokugembula emzimbeni, okwabangela kumiswa amahlule.

Thromboembolism - a ukuvaleka esibuthakathaka igazi ngumuntu thrombus, agqashule ekusebenzelaneni endaweni lapho kwakhiwa futhi lingene egazini circulating. Kuyinto ihlule legazi ukuthi ubumbe ngenxa ukusebenza igazi ekunqandeni futhi kungase kube impendulo ukulimala odongeni isitsha. Clot ligamanxa ukugeleza kwegazi esitsheni njengomuntu kukakhokho, futhi ngenxa yalokho - ukuthuthukiswa ischemia.

Ngokuvamile, i-pathology eba kule aphansi vein eziyize, futhi usongo ekuthuthukiseni Umthambo yamaphaphu, aorta, futhi occlusion semithambo ezingxenyeni kwesokunxele imisipha yenhliziyo.

Thromboembolism kuyingozi ngokuyinhloko ngoba kungase kubangele ukuthuthukiswa esitho esibhibhayo.

Izizathu thromboembolism

ukwephulwa kwegazi flow imithambo wemikhawulo aphansi avuse ngokuyinhloko yezifo esimiso senhliziyo nemithambo yegazi, kwandisa ingozi amahlule, bakha 95% azo zonke izimbangela. Lokhu kungabandakanya pathologies ezifana:

• Zenhliziyo.
• Inhliziyo yayo yayinezinkinga ezicini.
• fibrillation atrial.
• kahle kwegazi ukuze imisipha yenhliziyo.
• Rheumatism nge isifo valvular inhliziyo.
• Isifo sokuqina kwemithambo yegazi.
• Aneurysms izitsha inhliziyo.
• Endocarditis ezithathelwanayo-ukonakala.

Futhi kukhona nezinye izizathu ezingaba nomthelela ekuthuthukiseni thromboembolism nemilenze engezansi:

• ukulimala Umlenze.
• zegazi ezibangelwa abahlukahlukene.
• izifo lefundo.
• Amazinga aphakeme kashukela.
• High igazi ekunqandeni.
• izifo Oncological.
• ifomu okunzima varicose emithanjeni.
• Ukusetshenziswa ngokweqile nengafanele yokusebenzisa imithi.

Ngenxa yalokho lezi izimo eba thrombosis ka emikhawulweni aphansi. Okungukuthi, yilokhu okwenzekayo:

• Ukushintsha indlela yokwakheka igazi, kwandisa viscosity yayo.
• It kubambezela ukugeleza kwegazi ngokusebenzisa izitsha kanye emithanjeni.
• Esilimele izindonga.

amaqembu ingozi

Kuwufanele kokusho amazwi ambalwa mayelana labo isengozini. Kuyinto kulesi sigaba iziguli thrombosis we ephansi emkhawulweni imithambo kungenzeka ukuthuthukisa. Kuleli qembu yilezi:

• izisebenzi zasemahhovisi ezingamaphesenti.
• Abantu abaphethwe nokungawuvivinyi umzimba.
• Ukusebenza endaweni efanayo usuku lonke.
• Iziguli ukusebenza emkhakheni wezezimboni, lapho esindayo umsebenzi wezandla.

Futhi ezonini ingozi:

• iminyaka Abantu engaphezu kuka-55 ubudala.
• Abakhulelwe.
• Ezikhuluphele.
• Nezabo. ukulethwa sokugembula.
• Wahlinzwa zabhekana.
• Ukuthatha izinto zokuvimbela inzalo hormone.

Ngizothanda futhi ukugcizelela ukuthi thrombosis wemikhawulo aphansi uvame kakhulu abathandi ugwayi. Ukubhema kwandisa amathuba amahlule.

esigabeni isifo

Kunezigaba ezine e ukuthuthukiswa aphansi nemilenze embolism.

1. Lapho esephumule, isiguli asikhali ngalutho. Lapho umthwalo nasemilenzeni aphansi livela ngezinye izikhathi umuzwa wobukhulu emilenzeni futhi ubuhlungu kancane. Yokutakula kwenzeka ngokushesha emva kwemaholide.
2. umsebenzi Motor inakekelwa. Kukhona zokuzikhukhumeza, sebuhlungwini obunzima, ukulahlekelwa ukuzwa kwesikhumba. Imilenze fade, babe abandayo.
3. Ukuthuthukisa kwezicubu ischemic. Kufika 3 amahora izinguquko emuva. Ngesikhathi esifanayo kukhona okuningi ubuhlungu, akukho ishayela futhi ukuzwela. Ngemva kwamahora angu-6, uzojoyina ukuqina ngokuhlanganyela.
4. izinqubo engelapheki. Ukuthuthukiswa esibhibhayo, ukubukeka izindawo ensundu.

Zonke lezi zinqubo ayakhula ngokushesha okukhulu, ngakho udinga ukwazi ukuthi izimpawu thromboembolism nemilenze aphansi. Ake sixoxe ngazo phambili.

izimpawu

Ungashiyi ngaphandle ukunakekela uthi ezilandelayo:

• Umuzwa lokubaba ngisho izinyawo efudumele.
• A ubuhlungu obuhlabayo emilenzeni ukuthi kwenzeka ngokuzumayo.
• Ubuthakathaka emilenzeni, okuyinto ayikuvumeli ukuhambisa ngokukhululekile.
• Ukuba ndikindiki nasemilenzeni esibuhlungu.
• ubuhlungu bemisipha, amajaqamba umlenze.
• Ukuzwela ephansi umlenze, unyawo, noma ethangeni eziphukile.
• Isikhumba eliphaphathekile futhi abandayo.
• Ayikho okusizwa ukushaya imithambo yegazi.

izimpawu ezinjalo kufanele wazise. Uma sesivele sinalo varicose esingamahlalakhona, lube nomthelela ekuthuthukiseni thromboembolism.

Into esemqoka - hhayi ukulahlekelwa isikhathi, futhi ngesikhathi esifanele ukucela usizo, njengoba izicubu sifo iyafa ngokushesha.

ukuhlola isifo

Yini okudingeka ukusebenzisa indlela uphethwe incike zokugula we kwasendaweni.

Uma usola i thromboembolic zisebenzisa izindlela ezilandelayo inhlolovo:

• Ukunqunywa D-dimer. Ukufunda e-uhla evamile cishe aqede embolism.
• Ultrasound nge Doppler emithanjeni wemikhawulo. Ngesikhathi esifanayo elihunyushwe neuropathy thrombi emithambo yegazi.
• Angiography.
• CT nama-MRI. Vumela ukuchaza kumiswa ihlule legazi kuphi. Kabanzi ingozi embolism yamaphaphu, futhi thromboembolism ngefomu ezinzima.
• Ultrasound ezisekujuleni kwenhliziyo futhi ECG.
• X-reyi yesifuba. Isetshenziswe esolwa embolism yamaphaphu.

Ukuze ucwaningo oluphelele isiguli wokuthi yadalwa nezinye izifo, linqume igazi langempela, umchamo kanye nolunye uvivinyo.

usizo oluphuthumayo ezimeni thromboembolism esolwa

Thromboembolism nemilenze ephansi - isifo esiyingozi kakhulu futhi sina. Uma usola i ukuvaleka imithambo yegazi isiguli kumele iphuthunyiswe esibhedlela. Kulokhu, isenzo kufanele kube ngale ndlela:

1. Qiniseka ukuthi isiguli ovundlile.
2. Ungafaki traffic futhi ukunyakaza.
3. Ukuhambisana embhedeni ukuphumula.

Uma isimo sinzima, uma kunesidingo, esibhedlela ngaphansi kokuqondisa kukadokotela izenzo ezilandelayo:

• Sungula ipayipi emthanjeni.
• ukupholisa Mechanical.
• Kwethulwa mpilo ipayipi acinene.

Sebenzisa imithi ezilandelayo:

• "Heparin".
• "Dopamine".
• "Reopoliklyukin".
• "Eufillin".
• Imithi elwa namagciwane.
• Painkillers.

Indlela esiphatha ngayo thromboembolism

ukwelashwa okuphumelelayo kuyadingeka ngokushesha ngangokunokwenzeka ukuvakashela onguchwepheshe, uma kwakukhona izinsolo isifo, ezifana thrombosis wemikhawulo aphansi. Ukwelashwa kufanele kube olunzulu.

Okokuqala, lo dokotela ngeke anikeze isiguli imithi, anticoagulants, okuyinto enomthelela liquefaction wegazi. Kuyadingeka ukuba ukuqhuba yokwelapha izifo, eyasebenza njengodonga negalelo ekuthuthukiseni zokugula ezinjalo.

amaphilisi ezinhlungu Cishe njalo wasebenzisa, ama-ejenti eqeda ukuvuvukala.

ukwelashwa Thrombolytic. Sebenzisa imithi enjalo:

• "Heparin".
• "Tinzaparin".
• "Ukrokinaza".
• "Streptokinase".
• "Fraksiparin".

Izidakamizwa esilawulwa ngemithambo yegazi izinsuku 10. Futhi kufanele kube nokuqapha njalo igazi ekunqandeni - njalo ngezinsuku ezimbalwa. Futhi ukhethe "Warfarin" amaphilisi. Lokhu imithi zinganikwa ukusetshenziswa unyaka wonke. Omunye ubonisa izidakamizwa antispastic ngokumelene zibe.

Ukwelashwa kufanele okuhloswe ngazo ekubuyiseleni kwezicubu ngcono ukugeleza kwegazi e wemikhawulo aphansi.

Uma impatho alusebenti, ukuhlinzwa kungase kudingeke. Ukususwa kwezimiso thrombus kusukela isitsha avame kwenzeka nge occlusion we femoral futhi imithambo popliteal. Thrombectomy esiyolandelwa ezimeni eziphuthumayo, uma kuba sobala ukuthi noma yikuphi ukwelashwa ngeke siphumelele.

Ngemva kokuhlinzwa, isiguli ingaphansi kokuqondisa kukadokotela, ngesikhathi esifanayo, ukuvimbela yokujama tsi igazi imithambo yegazi okuboniswe kusaqalwa zokuvivinya umzimba ngokusesilinganisweni.

Ukuvimbela aphansi esitho embolism

Uma usuvele waba ukuvaleka kwemithambo yegazi, kuyadingeka ukuze:

• Landela izincomo udokotela.
• Ehlelekile ukuphuza imithi enqunyiwe.
• Isikhathi kanjani lesi sifo, ingozi yezinye thrombosis.
• Yenza ultrasound njalo ngemithambo kwemilenze ukhalo.
• Kungezi phezu kwakho ingubo kokucindezelwa.
• Ungabi isikhathi eside endaweni eyodwa.
• Ezemidlalo.
• Ningaphakamisi izinsimbi.
• Yeka ukubhema.
• Hambisana umsoco ofanele.
• Phuza uketshezi ngokwengeziwe.

Abesifazane akufanele bathathe izinto zokuvimbela inzalo hormone isikhathi eside kakhulu futhi uhambe High Heels usuku lonke.

Kuphela ngokunamathela izincomo kanye enempilo kakhulu ukunciphisa ingozi yezifo esiyingozi ezifana thrombosis emithanjeni ezijulile.