Chigoba Chodziŵika Pogwiritsa Ntchito Mwatsatanetsatane

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Pulmonary Embolism (PE) Yofotokozedwa

Kodi Pulmonary Embolism (PE) ndi chiyani?

Embolism yamapope (PE) ndi mkhalidwe woopseza moyo pamene magazi amayamba kutuluka m'ziwiya za thupi ndikugona mu mitsempha m'mapapu. Nthawi zina, mabala ambiri (emboli) amatha kupita kumapapo.

Pamene chovalachi chimakhala mu mitsempha, magazi sangathe kufika ku malo a mapapo omwe amadyetsedwa ndi chotengera cha magazi. Matendawa ndi ovuta kwambiri ndipo angathe kupha ngati sakulandira chithandizo mwamsanga. Ngati mankhwalawa ali ovuta, munthuyo amafunika chithandizo chamankhwala kuti apulumuke ndi kuteteza zowonjezereka.

Kodi N'chiyani Chimayambitsa Kujambula Kwambiri?

Nthawi zambiri, kutuluka kwa mapulaneti kumayambitsa mtundu wina wa magazi, wotchedwa deep vein thrombosis kapena DVT. Mitsempha yambiri ya mitsempha imapanga mitsempha ya miyendo. Zipindazi zingayambe kusuntha mpaka atagona m'chombo chomwe ndi chochepa kwambiri kuti chilolezo chiziyenda, makamaka mitsempha yaing'ono yamapapu.

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Zinthu Zowopsa Kwa Embolism Pulmonary Embolism (PE)

Zinthu Zowopsa Zophatikiziridwa Pulmonary Embolism

Maumboni ambiri am'mapapo amayamba ngati mitsempha yambiri , choncho zifukwa zoopsa zimakhala zofanana ndi zikhalidwe ziwirizi.

Zowopsa za embolism ya pulmonary ndi izi:

• Opaleshoni: Kuchita opaleshoni ndi chinthu choopsa pa zifukwa zingapo. Mwachitsanzo, panthawiyi, wodwalayo adakalibe chifukwa cha anesthesia kwa nthawi yaitali, maola ambiri nthawi zina. Komanso, mutatha njira zambiri odwala amamva kupweteka ndi kuyenda, kotero iwo sangayende mofanana monga momwe amachitira.
• Kukhala Zopayira: Kukhala pansibe kwa nthawi yaitali, monga panthawi yaulendo wa pamsewu kapena paulendo, ndilo vuto lalikulu la mazira a magazi omwe amapanga miyendo.
• Kuswa fupa: N'zotheka kukhala ndi mawonekedwe pambuyo pa fupa, makamaka chifuwa (femur) fupa.
• Matenda olepheretsa magazi
• Kuchepetsa kuyenda: Izi zingaphatikizepo kukhala pabedi kapena kukhala ndi zovuta kuyenda.
• Mbiri yakale yamagazi a m'mbuyomu
• Mbiri yakale ya embolism ya pulmonary yapitayi
• Kusuta Fodya: Kugwiritsa ntchito fodya kumawonjezera ngozi ya magazi.
• Mimba kapena Mimba Yathu Posachedwapa
• Kunenepa kwambiri
• Thandizo la mahomoni: Izi zimaphatikizapo mankhwala opatsirana a hormone pambuyo pa kusamba.
• Mapiritsi oletsa kubereka: Magazi a magazi ndi omwe amadziwika kuti angathe kutenga mapiritsi onse oletsa kubereka.

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Embolism Embolism: Zizindikiro ndi Zizindikiro

Zizindikiro ndi zizindikiro za Embolism Pulmonary Embolism

Kupuma kwapopysi kumapereka zizindikiro ndi zozizwitsa zomwe zimakhala zosaoneka kwenikweni. Ndipotu, odwala ena amangozindikira zizindikiro za mitsempha ya mitsempha yambiri yomwe imatsogolera ku mapuloteni a pulmonary osati a embolism okha. Pachifukwachi, zizindikiro za mitsempha yambiri ya mitsempha yomwe ingawoneke yosagwirizana ndi matenda a mapapo, monga kupweteka kwa mwana wamphongo, akuphatikizidwa mndandandawu.

• Kuvuta kupuma (dyspnea)
• Kukuda
• Kuwombera msuti wamagazi
• Kupuma pang'ono
• Kupweteka pachifuwa
• Kupuma
• Kupweteka kwa m'mimba
• Mwendo umodzi umene uli waukulu kuposa winayo (makamaka ng'ombe ya mwendo umodzi yatupa)
• Kukumverera mutu wamutu
• Kukumva wofooka
• Khungu la clammy kapena sweaty
• Kuphatikizika kwa mtima
• Chifuwa cha mtima (tachycardia)

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Chidziwitso chodziwika bwino: Njira Zodziwika

Zolemba Zopangira Zamakono

Njira yothandizira mankhwala a pulmonary embolism amasiyana malinga ndi kukula kwa ziwalo, chifukwa cha ziwalo, chiwerengero cha maonekedwe, chithandizo cha wodwala komanso matenda alionse omwe angakhudze zotsatira za mankhwala.

• Anticoagulation: Mankhwala opatsirana pogwiritsa ntchito mankhwala omwe "ameta magazi" ndi kuthandiza kuteteza magazi kumaperekedwa kuti atetezedwe kumbuyo ndi kuteteza kuti ma clot amasiku ano asapitirirebe. Coumadin ndi Heparin ndi mankhwala omwe amagwiritsidwa ntchito mobwerezabwereza pazinthu izi ndipo kawirikawiri amafunika kuyesa magazi nthawi zambiri kuti adziwe zambiri za mlingo woyenera. Kalasi yatsopano ya mankhwala, yotchedwa oral direct factor Xa inhibitors, ikukhala yowonjezereka kwambiri pakuchulukitsidwa kwa mipiringidzo yomwe yayamba kale.
• Chotsani Nsalu: Pali njira zambiri zochotsera magazi, kuchotsa njira zochepa zomwe zimachitika poika zida zing'onozing'ono m'mitsempha ya mitsempha ndikuzikankhira mu chotengera kupita kuchipatala, kupita kuchipatala chodzidzimutsa kuti chichotsedwe.
• Thrombolytics: Mankhwala otsekemera, omwe amadziwika kuti thrombolytic agents, amaperekedwa kuti asungunuke ziphuphu zomwe zakhazikitsidwa kale. Mankhwalawa amagwira ntchito bwino, koma sangathe kugwiritsidwa ntchito ngati pali chiopsezo chokhala ndi magazi. Mwachitsanzo, wodwala yemwe ali ndi embolism yamapuloni atatha kuvutika kwambiri akhoza kukhala pangozi yotaya mwazi mbali ina ya thupi ngati atapatsidwa chithokomiro.
• Kusungunula Kapepala: Amadziwika ndi mayina osiyanasiyana, kuphatikizapo Inferior Vena Cava Filter, IVC, ndi Greenfield Filter, ichi ndi fyuluta yaying'ono yomwe imayikidwa mujiketi yaikulu yamagazi yomwe imabwezeretsa magazi kuchokera mthupi mpaka pamtima. Fyuluta iyi imalinganizidwa kuti "gwirani" zing'onozing'ono zamagazi musanayambe kufalikira kudzera mu mtima mpaka kumapapu. Kawirikawiri, mafayilowa akhoza kuikidwa pogwiritsa ntchito njira zochepa zomwe zimawonongeka.

_Chitsime:

_{National Heart, Lung, ndi Blood Institute. "Kodi Chikumbumtima Chimachitika Motani?" http://www.nhlbi.nih.gov/health/health-topics/topics/pe/}