Chimake ndi tinthu kapena masentimita omwe amayenderera m'magazi, omwe amatha kukhala mumtsuko wamagazi, kutulutsa mitsempha ndi kuwononga thupi. Chiwerengero cha maumboni chimakhalapo. Kuwonongeka kwa thupi kumene kumapangidwa ndi chimbalangondo nthawi zambiri kumatchedwa chochitika chowonekera .
Chimake chingakhale ndi magazi, mafuta, mpweya, mafuta, mafuta a m'magazi, mafuta a m'thupi, amniotic madzi, kapena thupi lachilendo.
Embolus vs. Thrombus ndi Thromboembolus
Mawu omwe amayamba ndi thrombus nthawi zambiri amasokonezeka. Thrombus ndi magazi amagazi omwe amapanga mkati mwa dongosolo la mitsempha. Ngati chovala cha magazi icho chimasuka ndi kuyenda kudutsa m'magazi, icho chakhala chophatikiza.
Chimake chomwe chimakhala ndi thrombus chomwe chatsekedwa kuchokera kumalo ake enieni nthawi zina amatchedwa thromboembolism .
Zitsanzo za Matenda a Embolic
- Kuphatikizika kwapopysi ndikumangiriza (makamaka kawirikawiri, mwazi wamagazi) umene umafika kumapapo ndikupanga kupweteka kwa mapapo. Kuphatikizana kwapopysi kumayambitsa kawiri kawiri chifukwa chakuya kwapweteka m'mimba .
- Kuphatikizika kwa ubongo ndi chigoba chomwe chimakhala mu mitsempha yopereka ubongo, kutulutsa sitiroko . Chomwe chimayambitsa ubongo ndi ubweya wa khansa . Ndipotu, cholinga chachikulu chochizira matenda opatsirana pogonana ndicho kupeĊµa kupweteka kwapadera.
- Kuthamanga kwa mafuta kungatheke pamene kutupa kwa fupa lalitali kumatulutsa madontho a mafuta m'magazi. Mafuta amapezeka nthawi zambiri kupita kumapapo kapena ku ubongo, kutulutsa mpweya kapena kupweteka.
- Kuphatikizana kwapadera ndi minofu yambiri ya mabakiteriya kapena mafinya omwe amalowerera m'magazi kuchokera ku malo a matenda. Zomwe zimayambitsa matendawa zimaphatikizapo matenda opatsirana opatsirana kapena matenda pa malo a catheter.
- Kupaka mpweya kumayambitsidwa ndi mpweya wochepa umene umatha kufalitsidwa panthawi yachipatala (monga opaleshoni kapena njira yothandizira ).
- Mitsempha ya cholesterol imayamba chifukwa cha kutulutsa khungu la kolesteroloni kuchokera ku chipinda cha atherosclerotic . Makungwawa akhoza kukhala mu mitsempha pansi pa chipika ndipo amachititsa kuwonongeka kwa minofu. Cholesterol yomwe imapezeka nthawi zambiri imachitika ndi matenda a mitsempha ya mitsempha , ndipo kuwonongeka kumene kumayambitsa kumadalira malo a chipikacho. Mawonetseredwe angaphatikizepo zopweteka zazing'ono zamabuluu, ziphuphu zam'munsi, kutuluka kwa khungu, kupweteka kwa impso, kupweteka kwa m'mimba, kutuluka kwa m'mimba, kupweteka kwa thupi, kapena matenda a mitsempha.
- Madzi amniotic amadzimadzi ndi vuto losayembekezereka lomwe limakhudzana ndi kubala mwana. Zimayambitsidwa ndi amniotic fluid, kapena maselo okonzedwa kuchokera kwa mwanayo, kulowa m'mayendedwe a amayi kupyolera mu bedi losambira. Zowonongeka kwa amayi omwe ali ndi amniotic fetal embolus kawirikawiri sizimayambitsidwa ndi malo ogona malo enaake, koma, zimayambitsidwa ndi anthu ambiri, omwe nthawi zambiri amawopsya, amachititsa kuti asagwirizane ndi "zilonda zakunja". Amniotic fetus embolus ndi choopsa kwambiri chomwe nthawi zambiri chimapha.
- Thupi lachilendo likuphatikizapo chinthu china chosowa, kawirikawiri chikugwirizana ndi njira zamankhwala. Mwachitsanzo, talc kulowa m'magazi ikhoza kukhala chimbudzi.
- Chombo "chododometsa" ndicho chiwopsezo chochokera mu mitsempha yomwe imathera kumalo okhala mu mitsempha. Chizindikiro chododometsa chimafuna njira kuchokera kumanja kwa mtima kumanzere; mwachitsanzo, kudzera pa patent foramen ovale .
> Zotsatira:
> Lin HJ, Wolf PA, Kelly-Hayes M, ndi al. Kulimbana ndi Sitiroko Kwambiri Kukhudzidwa Kwa Atrial. Phunziro la Framingham. Stroke 1996; 27: 1760.
> Norgren L, Hiatt WR, Dormandy JA, et al. Kulumikizana kwa Inter-Society kwa Ulamuliro wa Pachire Matenda a Arterial (TASC II). J Vasc Surg 2007; 45 Suppl S: S5.
> Tagalakis V, Patenaude V, Kahn SR, et al. Kuchulukira kwa ndi Kuchokera ku Thromboembolism Yamtundu Womwe Anthu Ambiri Akukhala: Q-VTE Study Cohort. Am J Med 2013; 126: 832.e13.