Pulmonary embolism

Pulmonary embolism (Pe abbr.) - iri blockage of pulmonary tsinga ropa clots (thrombi). Kazhinji, clots ropa kupinda pulmonary tsinga midziyo rezasi wamativi, kunyanya kubva femoral tsinga. Uyezve, kunyange zvazvo, uye blockage ropa clots ari kukonzera pulmonary embolism, asi pane mukana blockage pamusoro pulmonary tsinga uye mafuta, mhepo kana yokumwe emboli.

Zvinokonzera pulmonary embolism

The chikuru chinokonzera chirwere ichi, sezvo pulmonary embolism ndechokuti, sezvambotaurwa, thrombosis repasi wamativi, saka vanhu vanotambura varicose mutsinga, kuva mukuru pangozi vaingoerekana chitarisiko pulmonary embolism.

Uyewo, zvinhu pangozi vanosanganisira kuvapo ari murwere ane huta zvirwere aine paresis nhengo dzake, kenza yezviri chokutambudzika, zvirwere izvo necheni murwere mubhedha, hormone kurapa, uye kushandisa nomumukanwa pamuviri.

Kwete kusvikira pakuguma inoramba kuti elucidate ukama pakati Pe uye cch (zvemwoyo chirwere). Uyezve, vakawanda vanotanga hosha iri vanosvuta, vanhu nechirwere neBP uye kufutisa.

Kazhinji 30% nyaya hosha kunoitika nomuzvarirwo, pasina predisposing zvikonzero, kunyanya sezvo munhu zviratidzo chirwere usingakwani muchikwata kupinda zvizere pamusoro chirwere, hatina kumbofunga nezvarwo.

Thromboembolic yematambudziko (zviratidzo)

Muna 90% vose nyaya pulmonary embolism anotanga kurwadziwa muchipfuva, dyspnoea (breathlessness) uye semiconscious ehurumende, uye zviratidzo izvi zvinogona kuitika zvose pamwe chete, kana yoga.

Nzira dzekufambisa diagnosing pulmonary embolism

• Kutsunga Plasma D-dimer muropa. D-dimer - mumwe venhumbi chibereko pakati cleavage pakati fibrin. Its mwero kunowedzera ari plasma pamberi ropa clots, kureva D-dimer anogona ngaaverenge ngozi pulmonary embolism, kana munhu venous embolism.

• CT venography. Sezvo Pate pa 90% of dzakaonekwa tsinga thrombosis repasi wamativi, zvinokwanisika kuti kudzivisa chirwere kare kuita CT venography.

• Kufefetedza-perfusion stsinigrafiya. AMS mumwe zvikuru nzira kuti chirwere pakati pulmonary embolism - nhasi kwakaratidza zvishomanana sema paakasangana yokuongororwa zvinodhaka. The kushanda nheyo UPU - pakatanga akanzi sealbumin inoramba kuti vanoongorora zvemapapu perfusion panguva tishu pamwero.

• Angiography pamusoro pulmonary midziyo. Angiography - nzira wanyatsokura rokuongorora zvirwere zvakadai pulmonary embolism. Nhasi nzira kwave kuchiita kuvandudzwa uremu, zvokuti, kunyange thrombus saizi 1 mm inogona mufanidziro kuburikidza angiography.

• Echocardiography. Kuwedzera rworudyi ventricle mwoyo unowanikwa kota varwere vose pe, saka nzira iyi nechirwere kunokoshawo chaizvo.

Treatment uye kudzivirira thromboembolic yematambudziko.

• Kuchinja mabatiro. Inoshanda sechiratidzo Nokuraramisa Mabatirwo utano munguva dzimwe kuchirapa matanho.

• Thrombolysis. Thrombolytic kurapa kunobatsirawo pamusoro hemodynamics uye yekudyidzana zvinoita kuti ukurumidze mhingaidzo.

• Anticoagulant kurapa. Nhasi anenge anticoagulation ndiye mutungamiri pakati zvose nzira mishonga pulmonary embolism. Zvipatara zviri pasi samolecular uremu heparin nezvimwe aktikoagulyatornymi nzira.

• Venous filters. Akatasva yakadzika mutsinga repasi wamativi, kudzivirira thrombus kuenda mudenga. filters kwakadaro kunogona kuva kwenguva refu, vachibatsira vanhu kudzivisa matambudziko anoitika venous thromboembolism.

• Embolectomy - a kuvhiya Inzira achibvisa thrombus, rave richishandiswa zvinobudirira kubvira 1924, saka pane zvakawanda zvokusarudza kuti mufambiro wayo, kusanganisira percutaneous catheterization uye kubviswa emboli pasina achicheka.

mushonga Modern hakuiti mira. Doctors uye masayendisiti vari kuramba kuvandudza nzira kurapwa. Zvisinei, chenjerera utano hwavo - zvamaisungirwa panzvimbo munhu pachake wokutanga.