Abụba embolism, thromboembolism

Embolism akpọ nnukwu vaskụla occlusion, dapụtara na akwusila ọbara na anụ ahụ ma ọ bụ ngwa. Abụba embolism, karị, bụ a mkpọchi nke ọbara arịa abụba. Nọmalị, a abụba onwe-si malite, bụ nnọọ obere - mba ọzọ (artificially ẹkenam n'ime ahụ a mgbaze ma ọ bụ ọgwụ maka achọpụta ọrịa nzube).

Abụba embolism bụ n'ihi traumatic nsogbu. Na-emekarị-ejikọta ya na oké skeletal trauma (fractures nke hip, pelvis, adị ka okporo ụkwụ, igweri abụba). Nwere ike ime mgbe pancreatitis, ọrịa shuga, septicemia, ujo na-ekwu, anaemia, postresuscitative oge, na-akpata na-ezighị ezi ochichi nke lipid-soluble ọgwụ ọjọọ, liposuction.

Abụba embolism chọpụtara obere ugboro ugboro karịa emee n'ihi na "masked" na n'okpuru ndị ọzọ ọnọdụ. Ka ihe atụ, n'okpuru oyi baa.

A iche: a àmụmà udi (n'ihi na ọnwụ n'ime a nkeji ole na ole); nnukwu ụdị (ịzụlite mgbe mmerụ nke mbụ); subacute ụdị (latent oge nke 12-72 awa.)

Clinically ekenyela akpa ume, ọrịa ụbụrụ na weere (kasị nkịtị) ụdị.

Abụba embolism, ọgwụgwọ

Ọgwụgwọ a na-iji isi na-akwado dị mkpa ọrụ. Nke a wuru akpa ume ventilashion, idebe nke oghere eji ekunye ume na bronchi. Ẹkenam mbuso hyperpyrexia lytic ngwakọta. Capillary permeability na elu doses ebelata steroid homonụ akwalite disaggregation sel ọbara. Infusions albumin, reopoliglyukina, glucose ngwọta rụrụ nke ọma n'ihi na mkpọchi nke ọbara arịa na abụba egwu bufee. Input pụtara nke normalize ọbara rheology (aminophylline, pentoxifylline, nicotinic acid, xantinol nicotinate, glyukozonovokainovaya ngwakọta). Heparin ekwesịghị eji, ọ bụ njọ akpa ume ọrụ na-amụba na ọkwa nke ọdụdụ asịd. Lipostabil Nọsi'ike abụba, calcium chloride, deholin. Ọ bụrụ na hụrụ abụba embolism, ị ga-ezere arụmọrụ ụzọ nke mgbaji ọkpụkpụ fixation, huu ha Immobilization site ụzọ ndị ọzọ. Stabilization nke fractures, rụrụ ná mmalite nkebi, ga-adọ aka ná ntị nke abụba embolism na iwepụ hypoxia.

Thromboembolism, mgbaàmà na-akpata.

Ọtụtụ mgbe gosipụtara na-ahụkarị ihe mgbaàmà: mkpụmkpụ nke ume, na mberede iku ume ọkụ ọkụ emee. Na supine ọnọdụ ndị ọrịa na-enwe a nta mfe. Ekwe Omume obi mgbu (dị iche iche agwa - si nwayọọ erughị ala na oké mgbu). Na obere okwu, ọ pụrụ ịbụ hemoptysis. O nwere ike ịbụ a pụta ìhè nke cyanosis - imi, egbugbere ọnụ, ntị na-acha ma ọ bụ bluish agba. E nwere a ụkwara, ngwa ngwa obi otiti quickens, onye ọrịa na-achụpụ na a oyi ajirija, ọ kwụsịlata, anya ntughari, na-ero ụra. Nwere ike cramps na ụkwụ na ọnwụ nke nsụhọ.

The akpata thromboembolic ihe na-egbochi mkpụkọ nke ọbara na-erukwa na veins. The thrombus nwere ike kpụrụ dị ka a n'ihi nke mmebi vaskụla mgbidi, ọbara na-kwụsịlata n'ebe a na e nwere a clot (egbochi mkpụkọ nke ọbara). The mgbidi nke veins nwere ike mebiri emebi na iche iche iche iche nke mkpali oria, unan, injections. Ngwa ngwa eruba nwere ike mere site obi ọdịda, ruo ogologo oge na ọnọdụ (ọdụ, dina). Mụbara ọbara clotting nwere ike butere n'aka na ọdịda ọbara coagulation usoro.

Egwu Factors: nká, malignancy, ịwa, afọ ime, trauma, ọrịa (lupus, erythremia, nephrotic syndrome, hemoglobinuria).

Larịị nke mbibi kpebisiri ike site ECG, X-ray, ventilashion-perfusion akpa ume scintigraphy. Ọgwụgwọ a rụrụ naanị na a ọgwụ. N'ụzọ dị mwute, ọbụna adọ ude ọ bụghị mgbe nile na-enye a nke ọma ọgwụgwọ. Iji zere ọnwụ mkpa ka ị na-achọ enyemaka ozugbo o kwere omume. Dị ka ihe mberede ẹkenam maka 10 000 nkeji nke heparin intravenously, ụlọ ọgwụ a chọrọ.

Isiokwu e dere maka akwụkwọ naanị. Biko kọwara ọdịdị mgbaàmà achọ ọgwụ na ndụmọdụ. Self-nchoputa na onwe-ọgwụ nwere ike ime ka oké ọdachi!