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I-Pulmonary Embolism (PE) ichazweIyini i-Pulmonary Embolism (PE)?
I-pulmonary embolism (PE) yisimo esisongela ukuphila lapho i-clot yegazi iqala ukuhamba ngemikhumbi yomzimba futhi ifake emthini emaphashini. Kwezinye izimo, ama-clots amaningi (emboli) angahambisa emaphashini.
Uma i-clot ihlala emthini, igazi alikwazi ukufika endaweni yamaphaphu edlalwa yilowo mkhumbi wegazi. Lesi simo sína kakhulu futhi singabangela ukufa uma singaphathwa ngokushesha. Uma i-clot (s) inzima, lowo muntu uzodinga ukwelashwa okuphuthumayo ukuze asinde futhi avimbele ama-clots angaphezulu.
Yini Ebangelwa Ukuqhamuka KwamaPulmonary?
Ezingxenyeni eziningi, ukuvuthwa kwe-pulmonary kubangelwa uhlobo oluthile lwegazi, elibizwa nge-vein thrombosis ejulile noma i-DVT. I-thrombosis ejulile ye-vein imise kakhulu emithanjeni yemilenze. Lawa macwecwe angaqala ukuthutha aze afake emkhunjini omncane kakhulu ukuvumela i-clot ukuba iqhubekele phambili, ngokuvamile imishanguzo encane yamaphaphu.
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Izingozi Ze-Embolism Embolism (PE)Izingozi Zengozi Yokubumbana KwamaPulmonary
Iningi lemitholampilo yepulmoni liqala njenge- thrombosis ejulile ye-vein , ngakho-ke izinto eziyingozi zifana nalezi zimo ezimbili.
Izingozi ze-embolism ye-pulmonary zihlanganisa:
- Ukuhlinzwa: Ukuba nenqubo yokuhlinza kuyinkinga engozini ngezizathu eziningana. Isibonelo, ngesikhathi senqubo, isiguli sisekhona ngokuphelele ngenxa ye- anesthesia isikhathi esingeziwe, amahora amaningi kwezinye izimo. Futhi, emva kwenqubo eziningi iziguli zizwa ubuhlungu ngokunyakaza, ngakho-ke angeke zihambe ngendlela ejwayelekile.
- Ukubeka izikhalazo: Ukuhlala isikhathi eside isikhathi eside, njengesikhathi sokuhamba emoyeni noma endleleni yokuhamba, kuyisici esingozini yezindwangu zegazi ezenziwe emilenzeni.
- Ukuphula ithambo: Kungenzeka ukuthi ube nefomu ngemuva kokuba ithambo liphukile, ikakhulukazi ithanga (femur) ithambo.
- Ukuphazamiseka kwegazi lokugubha
- Ukuhamba okuhambayo: Lokhu kungabandakanya ukulala phansi noma ukuhamba nobunzima.
- Umlando wezingqimba zangaphambili zegazi
- Umlando we-embolism yamapayipi yangaphambilini
- Ukubhema / Ugwayi: Ukusetshenziswa kotshwala kwandisa ingozi yezindwangu zegazi.
- Ukukhulelwa noma Ukukhulelwa Kwamuva
- Ukukhuluphala
- Ukwelashwa kwamahomoni : Lokhu kuhlanganisa ukwelashwa kwe-hormone esikhundleni sokumisa esikhathini.
- Amaphilisi okulawula ukubeletha: Ama-clots egazi yiyona ingozi eyaziwayo yazo zonke izipilisi zokulawula ukuzalwa.
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Ukuhlanganiswa kwePulmonary: Signs and SymptomsIzimpawu Nezibonakaliso Zokubumbana KwamaPulmonary
I-pulmonary embolism ingabonisa izimpawu nezimpawu ezivela ngokungabonakali nakakhulu. Eqinisweni, ezinye iziguli ziqaphele kuphela izibonakaliso ze-thrombosis ejulile ye-vein eyabangela ukuhlanganiswa kwe-pulmonary hhayi ukumbumbulu ngokwayo. Ngenxa yalesi sizathu, izibonakaliso nezimpawu ze-thrombosis ejulile ye-vein engase ibonakale ingahambisani nesimo sephaphu, njengokubuhlungu kwethole, kufakwe kulolu hlu.
- Ukuphefumula okunzima (i-dyspnea)
- Ukushaya
- Ukuhlwitha i-sputum enegazi
- Ukuphelelwa umoya
- Ubuhlungu besifuba
- Ukushisa
- Ubuhlungu bomlenze
- Umlenze owodwa omkhulu kunomunye (ngokuvamile ithole lomlenze owodwa uphuphukile)
- Izwa izinwele ezikhanyayo
- Ukuzwa buthaka
- Isikhumba se-Clammy noma i-sweaty
- Ukushaya kwenhliziyo okungavamile
- Ukushaya kwenhliziyo okusheshayo (tachycardia)
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Ukubumbana kwePulmonary: Ukwelashwa OkuvamileUkwelashwa Kwe-Pulmonary Embolism Treatments
Inkambo yokwelashwa kwe-embolism ye-pulmonary ihlukahluka ngokusekelwe ebuqini be-embolus, imbangela ye-embolus, inani lezinto ezikhona, impilo ejwayelekile yesiguli kanye nanoma yisiphi isimo sezokwelapha esingathinta umphumela wokwelashwa.
- I-Anticoagulation: Imithi ye-prescription ethi "unciphisa igazi" futhi isiza ukuvimbela ama-clots wegazi ngokuvamile inikezwa ukuvimbela ama-clots ezayo futhi ukuvimbela ama-clots wamanje ukuthi angabi nakakhulu. I-Coumadin neHeparin kukhona imithi esetshenziswe njalo kule njongo futhi ngokuvamile idinga ukuhlolwa kwegazi njalo ukuthola ulwazi mayelana nomthamo ofanele. Iklasi elisha lezidakamizwa, elibizwa ngokuthi i-oral direct factor Xa, inhibitors, liye lavame kakhulu ekwelapheni ama-clots asevele akhiwe.
- Susa i-Clot: Kunezindlela eziningi zokususa ama-clots wegazi, kusuka ezinkambisweni ezincane ezingenayo ezenziwa ngokufaka izinsimbi ezincane emithanjeni yegazi nokuzifaka emkhunjini ku-clot, ekuhlinzekeni okuphuthumayo ukususa i-clot.
- I-Thrombolytics: Izidakamizwa zokuqhakaziza, ezaziwa ngokuthi ama-thrombolytic agents, zinikezwa ukuqothula ama-clots asevele akhiwe. Lolu hlobo lwemithi lusebenza kahle, kepha lungase lungasetshenziswa ezimweni lapho kunengozi yokuphuma. Isibonelo, isiguli esine-pulmonary embolism emva kokuhlukunyezwa okukhulu singasengozini yokuphuma kwesinye isitho somzimba uma sinikezwa i-thrombolytic.
- Ukuhlunga ukuhlunga: Eyaziwa ngamagama ahlukahlukene, kufaka phakathi i-Inferior Vena Cava Filter, i-IVC, ne-Greenfield Filter, lokhu kuyisihlungi esincane esivela endaweni yesitsha esikhulu segazi esibuyisela igazi emzimbeni kuya enhliziyweni. Lesi sihlungi senzelwe ukuthi "sibambe" ama-clots amancane wegazi ngaphambi kokuba asakazwe ngenhliziyo futhi aya emaphashini. Ngokuvamile, lezi zihlungi zingafakwa ngokusebenzisa amasu amancane angenawo amandla.
Umthombo:
I-National Heart, Lung, ne-Blood Institute. "Kuyini Ukugqama Kwemvelo?" http://www.nhlbi.nih.gov/health/health-topics/topics/pe/