Ahụ ike, Ọrịa na ọnọdụ
Akpa ume infarction: akpata, ọgwụgwọ na ya pụta
Akpa ume infarction - a ọrịa mere site thromboembolic Filiks ke vaskụla usoro nke ngụgụ. Nke a bụ nnọọ a ajọ ọrịa na ike n'oké ikpe iduga ọnwụ.
Na-akpata ọrịa
Ọrịa nwere ike ịzụlite n'ihi na nke ịwa ahụ, a malfunction nke obi, ọkpụkpụ fractures, etuto ahụ, ọbara, mgbe ogologo oge bed ike. The kpụrụ thrombus emechi lumen nke arịa, dapụtara na ịmanye na akpa ume akwara na hemorrhage n'akparamagwa akpa ume anụ ahụ. Nọ n'ógbè banye bacteria, na-eduga na mbufụt.
Mmepe nke akpa ume infarction
Nnukwu akpa ume ọbara mgbali na ụba ibu na obi ziri ezi nwere ike ịbụ n'ihi obturation nke a arịa lumen, vasoconstriction metụtara na ntọhapụ nke biologically ifịk bekee, histamine, serotonin, thromboxane, na akpa ume akwara spasm mpiaji. N'ihi ya, ọ a odida nke oxygen mgbasa na ọbara hypoxemia emee, nke kachaa njọ emission nke unoxidized ọbara intersystem na akpa ume arteriovenous anastomoses. Mmepe nke akpa ume infarction emee megide ndabere nke ugbua ẹdude mkpọchi na veins. Day mgbe obsturatsii akpa ume arịa a kpụrụ infarct mezue ya mmepe agwụ dị 7 awa.
n'oké Mmebe
The ibé bụ ìhè, tie site a nkụchi obi, nwere n'ụdị oge ufodu pyramid, ya isi na-eduzi kwupụta mpụta. Otụk ebe nwere ike ịbụ dị iche iche nha. Mgbe ụfọdụ sonyeere pleural effusion ma ọ bụ infarction oyi baa. N'okpuru microscope, na-emetụta akpa ume anụ ahụ bụ ọchịchịrị red na agba, ọ bụ oké na aka, na n'elu larịị nke ike anụ ahụ. The pleura aghọ dull, inyoghi inyoghi, mgbe mgbe, na pleural oghere ọmụmụ nakọtara.
Akpa ume infarction: mgbaàmà ọrịa
Ediyarade na ogo nke ọrịa na-adabere size, ọnụ ọgụgụ na ọnọdụ nke arịa, thrombi-emechi, na site ịdọkapụta obi na akpa ume na ọrịa. obere obi agha mgbe ọ na-enye fọrọ nke nta ka ọ dịghị ihe mgbaàmà na achọpụtara site X-ray. More akpọ myocardial gosipụtara mgbu obi, mgbe na-ewere ọnọdụ na mberede, dyspnea, ụkwara, hemoptysis. More ebumnobi nnyocha e mere na-ekpughe ngwa usu na fever. Of mgbaàmà nke obi ọgụ bụ: bronchial ume na rales na crepitus,-acha ọbara ọbara. Ọzọkwa, e nwere atụmatụ dị ka:
acha, mgbe mgbe ashen akpụkpọ ụda;
bluish imi, egbugbere ọnụ, aka;
ẹsụhọde ọbara mgbali;
omume nke atrial fibrillation.
nnukwu akpa ume akwara alaka mmeri nwere ike ịkpalite nri ventricular ọdịda, ekochi ekochi. The ọbara achọpụtara leukocytosis, erythrocyte sedimentation ọnụego (ESR) na ukwu accelerated.
nchọpụta nsogbu
Ọtụtụ mgbe, ndị nchoputa ike zuru ezu. Ọ dị mkpa ka a mata ndị ọrịa, nke nwere ike nwere ike siere akpa ume infarction. Nke a na-achọ a nyochaa onye ọrịa (karịsịa ala ụkwụ). Mgbe a nkụchi obi, dị ka megide mbufụt nke akpa ume, ihe mgbu na akuku emee mbụ ahụ ọkụ na akpata oyi, sputum na ọbara na-egosi mgbe a na oké mgbu ya n'akụkụ. The ụzọ ya na-eji nchoputa nke ọrịa:
X-ray ule - ịchọpụta akpa ume mgbọrọgwụ mgbasa na deformation.
ECG - maka ihe ịrịba ama nke bufee nke obi ziri ezi.
Echocardiography - kọwaa mgbaàmà nke nri ventricular bufee.
Doppler ultrasound nke ala na nsọtụ - nchoputa nke miri emi akwara thrombosis.
Radioisotope ịgụ isiokwu ìhè - maka nchọpụta nke mbenata òkè akpa ume perfusion.
Angiography - mata okpo akpa ume akwara alaka, intra-ọbara na-ejuputa ntụpọ.
Akpa ume infarction: pụtara
The ọrịa na-adịghị amị a oké egwu egwu ka ndụ mmadụ. Otú ọ dị, mgbe ndị dị otú ahụ a na ọrịa dị ka akpa ume infarction, ndị na-esi pụrụ isi ike. Ikekwe mmepe nke a dịgasị iche iche nke nsogbu. Dị ka ihe atụ, dị ka post-infarction oyi baa, etuto na mgbasa mbufụt na pleura, akpa ume edema. Mgbe a nkụchi obi nwere a dị ize ndụ nke ịbụ purulent emboli (ọbara clot) na arịa. Nke a, n'aka nke ya, na-akpata a purulent usoro ma na-akwalite myocardial etuto na saịtị. Akpa ume edema, myocardial infarction amalite, na mbụ, na a ọnụ ke contractile ike nke obi muscle na ọbara mgbe n'out oge na-egbu oge na a obere gburugburu. Ebe ọ bụ na osisi ike nke obi ọnụego tụlee na mberede, e nwere a mmepe nke nnukwu syndrome nke obere emission, nke na-akpata oké hypoxia. N'ihi ya e ụbụrụ mmalite, ntọhapụ nke biologically-arụ ọrụ bekee akwalite permeability nke alveolar-capillary akpụkpọ ahụ, na enwekwukwa redistribution ọbara na akpa ume mgbasa si nnukwu. Akpa ume infarction prognosis na-adabere na kpatara ọrịa, quantities nke emetụtara ebe na ogo nke ndị nkịtị n'obiọma.
ọgwụgwọ nke ọrịa
Mgbe ịchọputa mbụ na-egosi na akpa ume infarction, ọgwụgwọ a ga-butere ozugbo. Onye ọrịa a chọrọ ozugbo o kwere omume ịnapụta iji tụtee mmadụ ngalaba nke a ọgwụ alụmdi. Ọgwụgwọ-amalite na dosing "Heparin", ngwá ọrụ a anaghị igbari clot, kama ọ na-egbochi ndị na-abawanye nke thrombus na bụ ike kwụsịtụ ndị thrombotic usoro. The agwọ ọrịa "Heparin" ike attenuate na bronchospastic platelet vasoconstrictor mmetụta nke histamine na serotonin, nke na-enyere aka belata spasm akpa ume arterioles na bronchioles. Heparin a rụrụ maka 7-10 ụbọchị, si otú ọ na Monitors na-arụ ọrụ ele mmadụ anya n'ihu thromboplastin oge (aPTT). Ọzọkwa, jiri obere molekụla ibu heparin - dalteparin, enoxaparin, fraxiparine.
ọrịa mgbochi
Iji gbochie akpa ume infarction, ọ dị mkpa nke mbụ niile iji gbochie venous mkpọchi na ụkwụ (venous thrombosis nke ala na nsọtụ). Ọ na-atụ aro ka ịhịa aka n'ahụ na-aka na ụkwụ ọrịa emume ịwa ahụ, myocardial infarction, na-eji na-agbanwe bandeeji na ụkwụ. Ọ na-atụ aro ka anyị zere iji ọgwụ ọjọọ eme ihe na-eme ka ọbara clotting, na-amachi ngwa nke usoro nke igba ogwu n'akwara ochichi nke ọgwụ. Dị ka ihe àmà nke na o kwere omume prescriptions, mbenata ọbara clotting. N'ihi mgbochi nke opportunistic na-efe efe na-kenyere a N'ezie nke ọgwụ nje. Iji gbochie akpa ume ọbara mgbali, ọ na-atụ aro iji "Eufillin" n'aka.
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