I- pulmonary embolus ibangelwa uma kunoma yikuphi ukwaziswa kwangaphandle okungena ngaphakathi futhi okuvimbela umthambo wepaymine noma elinye lamagatsha awo. Ngokuvamile, izinto ezivela ngaphandle ziyi-clot egazi, kodwa ngezinye izikhathi (okungavamile) nezinye izimo zingase zibe nephutha.
Ukuzibandakanya kwamapulmonary kuyimpilo evamile yezokwelapha. Ngokuvame ukukhiqiza ukugula okujulile nokufa kanye nokulandisa kwabantu abangaba ngu-100 000 ngonyaka e-United States kuphela.
Kodwa-ke, ihlotshaniswa nezinto eziningana zokubeka engozini yokuphila ezingaphansi kokulawula kwakho.
Imbangela evamile
Isizathu esivame kakhulu sokubambisana kwe-pulmonary is deep thin thrombosis . Uma i-thrombus (i-clot yegazi) eyakhelwe engxenyeni enkulu iphumula (ihlanganisa), ihamba ngepumalanga kwesokudla senhliziyo , iphinde ifake ukujikeleza kwepulmonary, iba yimbumbulu.
I-pulmonary embolony ne-deep vein thrombosis inamathele eduze kakhulu kangangokuthi, uma udokotela ehlonza noma esolula enye yalezi zimo, uzokufuna ngokushesha ubufakazi bokuthi esinye isimo sisekhona.
Izimbangela ezimbi
Ngokuvamile, izimo ngaphandle kwe-thrombosis ejulile ye-vein zingabangela ukungena kwe-pulmonary okungabangela ukugula okubucayi noma ukufa. Leminye imibandela ihlanganisa:
- Ukugqumisa amafutha. I-fat embolism ingenzeka uma izicubu ezinamafutha zonakalisiwe noma zenzeke, okwenza ukuba amangqamuzana amaningi amafutha angene ekujikelezeni, lapho angafaka khona ukujikeleza kwepulmonary. Isizathu esivame kakhulu sokugqumisa amafutha kuphazamiseka kwamapulangwe noma amathambo amade, omnkantsha wakhe unamafutha amaningi.
- Air embolism. Uma umoya ungena ekujikelezeni ungangena umshini wepmonta noma omunye umshini. Ukufudumala emoyeni kungabangelwa yinoma yiluphi uhlobo lwenqubo yokuhlinza, umoya ovunguzayo, noma abahlukahlukene abakhuphuka ngokushesha kakhulu.
- Amniotic embolism yamanzi. Ngokuvamile, i-amniotic fluid ingafaka ukujikeleza ngesikhathi sokubeletha okunzima futhi ikhiqize i-embolism e-pulmonary acute. Lo mcimbi, ngenhlanhla kakhulu kakhulu, uyingozi kakhulu yokuphila.
- Ukugqumisa ukugqumisa. Uma umdlavuza wamangqamuzana ungena ukusabalalisa ngamanani amakhulu angakwazi ukuvula izitsha zamapulmoni. Le nkinga yomdlavuza ivame ukubonakala kuphela kubantu abanezifo eziseduze.
Izingozi Zezingozi
Ngenxa yokuthi i-pulmonary embolus cishe iwumphumela we-thongsis ejulile ye-vein, izimo eziyingozi kulezi zimo ezimbili zifana ncamashi.
Lokhu kufaka phakathi izinto ezibeka ingozi ezihlobene nendlela yokuphila yomuntu, kuhlanganise:
- Ukungatholi umzimba owanele. Ukujwayela ukukhubazeka kukhuthaza ukungaqiniseki ngokweqile, okuyinto ebeka phambili ekudalweni kwegazi emithanjeni emikhulu.
- Ukuba ngokweqile. Ukuthatha isisindo esiningi kakhulu kukhuthaza ukuxuba igazi emithanjeni yemiphetho engezansi.
- Ukubhema. Ukubhema kubangela ukuvuvukala emifuleni yegazi, okungaholela ekugqibeleni ngokweqile. Eqinisweni, ukubhema kuyinto engozini ikakhulukazi yegazi elingavamile.
Ngaphandle kwalezi zifo ezingapheli, ezihlobene nokuphila, kunezinye izimo ezingakwandisa kakhulu ingozi yomuntu yokwakheka kwamapulmasi. Ezinye zalezi zingozi zingezesikhashana noma ezisezingeni lomvelo; ezinye zakha ingozi engapheli, engapheli yesikhathi eside se-pulmonary embolus:
- Ukuhlinzwa kwakamuva, ukuhanjiswa esibhedlela, noma ukuhlukumezeka okuholela ekutheni kungabi nakakhulu.
- Uhambo olude oluholela ekuhleleni isikhathi eside.
- I-trauma ebangela ukulimala kwezicubu ezingabangela ama-blood clots.
- Ukukhulelwa.
- Imithi, ikakhulukazi amaphilisi okulawula ukubeletha, ukwelashwa kwe-hormone esikhundleni , izithako ze-testosterone , i- tamoxifen , nezidakamizwa zokucindezeleka.
- Izifo zesibindi esingapheli.
- Isifo esiphelele sezinso.
- Izifo zesifo senhliziyo, ikakhulukazi ukwehluleka kwenhliziyo .
- Ukuba nesifo se-vein thrombosis noma se-pulmonary embolus esikhathini esidlule.
- Izimo ezithile zezakhi zofuzo zingenza igazi lihlambuluke (lilungiswe ukuvala i-clotting).
Noma ubani onalezi zimo kufanele enze yonke imizamo yokunciphisa izici eziyingozi ngaphansi kokulawula kwazo ukunciphisa ingozi yabo yokuthuthukisa i-thrombosis enesisindo ne-pulmonary embolus.
Ukubheka okuningi nokuzivocavoca kubalulekile; ukubhema kubalulekile.
> Imithombo:
> Alotaibi GS, Wu C, Senthilselvan A, uMcMurtry MS. I-Trends Sezimbangela Zokufa Nokufa Kwe-Thromboembolism Eyingozi Enomzimba: Isifundo Se-AB-VTE-Based Based Study. Am J Med 2016; 129: 879.e19.
> Søgaard KK, Schmidt M, Pedersen L, et al. Ukufa Kweminyaka Engama-30 Ngemuva Kwesifo Se-Thromboembolism Esiyingozi Ukujikeleza 2014; 130: 829.ngabe: 10.1161 / CIRCULATIONAHA.114.009107.
> I-Doctor General for Action Ukuvimbela I-Deep Vein Thrombosis And Embulism Embolism. UMnyango WezeMpilo WezeMpilo waseMelika, ngo-2008.