Kuphatikizika kwapopysi kumayambitsa pamene zinthu zina zakunja zimalowa mkati ndi kuziletsa mitsempha ya pulmonary kapena nthambi zake. Kawirikawiri, zakuthupi zakunja ndizovala zamagazi zomwe zimayambitsa, koma nthawi zina (kawirikawiri) zina zikhoza kukhala zolakwika.
Chikumbutso chodziwika bwino ndi matenda ochiritsira. Nthawi zambiri zimabweretsa matenda aakulu ndi imfa komanso zimapha pafupifupi 100,000 pachaka ku United States kokha.
Komabe, zimakhudzana ndi zinthu zambiri zomwe zimayambitsa chiopsezo zomwe mungathe kuzilamulira.
Kawirikawiri
Chifukwa chachikulu chomwe chimayambitsa matenda a pulmonary ndi kwambiri mitsempha ya thrombosis . Ngati thrombus (magazi clot) omwe apangidwa mu mitsempha yayikulu (imbolizes), amayenda kumbali yakumtima ya mtima , ndipo amakhala mu pulmonary circulation, imakhala mpweya wamapuloni.
Kuphatikizana ndi mitsempha yambiri imagwirizanitsidwa kwambiri, ndipo ngati adokotala akupeza kapena akudandaula chimodzi mwazimenezi, nthawi yomweyo ayang'ana umboni wakuti chikhalidwe china chilipo.
Zowonjezera Zifukwa
Kawirikawiri, mikhalidwe ina osati mitsempha ya thrombosis ingayambitse matenda a pulmonary omwe angabweretse matenda oopsa kapena imfa. Zinthu zina izi zikuphatikizapo:
- Kuwotcha mafuta. Kutupa mafuta kungatheke ngati minofu yowonongeka yawonongeka kapena yowonongeka, zomwe zimapangitsa kuti maselo amtundu wa mafuta alowe m'magawo, kumene angalowe m'magazi. Chifukwa chofala kwambiri cha mafuta embolism ndi kupasuka kwa pakhosi kapena mafupa aatali, omwe mafuta ake ali ndi mafuta ambiri.
- Air embolism. Ngati mpweya umalowa m'kati mwake umatha kuyambitsa mitsempha ya pulmonary kapena mankhwala ena. Kuthamanga kwa mpweya kungabwere chifukwa cha mtundu uliwonse wa opaleshoni, mpweya wotsegula mpweya, kapena osiyana omwe amapita mofulumira kwambiri.
- Amniotic madzi embolism. Kawirikawiri, amniotic madzi amatha kufalitsidwa pamene akubereka movutikira ndikupanga embolism yowawa kwambiri. Chochitika ichi, mwachimwemwe chosazolowereka, ndi choopsa kwambiri.
- Kutupa embolism. Ngati maselo amatha kufalitsa makina ambiri amatha kuyambitsa ziwiya za pulmonary. Kusagwirizana kwa khansa nthawi zambiri kumawoneka mwa anthu omwe ali ndi matenda osatha.
Zowopsa
Chifukwa chakuti mapangidwe a pulmonary amakhala pafupifupi nthawi zonse chifukwa cha mitsempha yambiri ya thrombosis, zifukwa zoopsya pazirombo ziwirizi ziri chimodzimodzi.
Izi zikuphatikizapo zifukwa zoopsya zokhudzana ndi moyo wa munthu, kuphatikizapo:
- Osalandira masewera olimbitsa thupi okwanira. Kukhala ndi chizoloŵezi chokhalira pansi kumalimbikitsa kuchepa kwa venous, zomwe zimapangitsa kuti magazi asapangidwe mu mitsempha yayikulu.
- Kukhala wonenepa kwambiri. Kutenga kulemera kwambiri kumalimbikitsanso kukhetsa magazi m'mitsempha ya m'munsi.
- Kusuta. Kusuta kumayambitsa kutupa m'mitsempha ya mitsempha, zomwe zingabweretse kuzing'amba. Ndipotu, kusuta ndi chinthu choopsa kwambiri chifukwa cha magazi osadziwika bwino.
Kuphatikiza pazirombozi, zomwe zimayambitsa matenda, pali zina zomwe zingapangitse munthu kutenga chiopsezo cha mimba. Zina mwa zoopsazi ndizokhalitsa kapena zachilengedwe; Zina zimapanga chiopsezo chokhalitsa, chokhalitsa kwa mitsempha ya pulmonary:
- Opaleshoni yaposachedwapa, kuchipatala, kapena zoopsa zomwe zimapangitsa kuti anthu asawonongeke.
- Ulendo wautali umene umatsogolera kukhale nthawi yaitali.
- Zoopsa zomwe zimayambitsa minofu zomwe zingayambitse magazi.
- Mimba.
- Mankhwala, makamaka mapiritsi oletsa kubereka, mankhwala othandizira mavitamini , testosterone zowonjezereka , tamoxifen , ndi zowononga.
- Matenda a chiwindi.
- Matenda a impso.
- Matenda a mtima kwambiri, makamaka mtima wosalimba .
- Atakhala ndi mitsempha yambiri ya thrombosis kapena pulmonary embolus m'mbuyomo.
- Zina zamoyo zimapangitsa kuti magazi asakanikizidwe (amatha kuzimitsa).
Aliyense amene ali ndi zifukwazi ayenera kuyesetsa kuti athetse mavuto omwe ali pansi pawo kuti athe kuchepetsa chiopsezo cha matendawa.
Kuchita masewera olimbitsa thupi ndi kulemera kwambiri n'kofunika; Kusuta fodya n'kofunika kwambiri.
> Zotsatira:
> Alotaibi GS, Wu C, Senthilselvan A, McMurtry MS. Zomwe Zikuchitika M'kuchitika ndi Kufa kwa Thromboembolism Yowopsa Kwambiri: Phunziro la Ophunzira za AB-VTE. Am J Med 2016; 129: 879.e19.
> Søgaard KK, Schmidt M, Pedersen L, et al. Kufa kwa Zaka 30 Pambuyo pa Thromboembolism Yopweteketsa: Phunziro la Ophunzira Pogwiritsa Ntchito Anthu. Circulation 2014; 130: 829.doi: 10.1161 / CIRCULATIONAHA.114.009107.
> Opaleshoni Yaikulu ya Opaleshoni Kuchitapo Kanthu Kuteteza Mthunzi Wozama Thrombosis And Embolism Embolism. Dipatimenti ya zaumoyo ku United States, 2008.