Methapo embolism

Methapo embolism (PE abbr.) - e blockage ea methapo mothapo mali clots (thrombi). Maemong a mangata, clots mali kene ka mothapo methapo ea lijana tsa lipheletsong tse tlaase, haholo-holo ho tswa ho mothapo femoral. Ho phaella moo, joalo, 'me blockage ea clots mali ke sesosa ka sehloohong ea embolism methapo, empa ho na le ke kotsi ya blockage ea mothapo methapo le mafura, moea kapa emboli tsoang linaheng tse ling.

Lisosa tsa embolism methapo

Sesosa se ka sehloohong sa lefu lena, joalokaha embolism methapo ke, joalokaha ho boletsoe, thrombosis ea lipheletsong tse tlaase, e le batho ba neng ba le bothata ba ho methapong varicose, ba kotsing e khōloanyane ea ponahalo e itlelang feela ea embolism methapo.

Hape, mabaka a kotsi 'na a akarelletsa ho ba teng ha ka mamello ba mafu a tšohile a tsamaea le paresis ea maoto le matsoho, ke kankere ka mohato ba mafolofolo, ba mafu a tse tlameletsoe ho bethe le mamello, phekolo hormonal,' me tshebediso ya lithibela-pelehi molomo.

Ha ho fihlela qetellong ea sala ho elucidate kamano e pakeng tsa PE le CCH (lefu la pelo). Ho phaella moo, karolo e phahameng ea lefu ka batho ba tsubang, batho ba nang le kgatelelo ya madi le botenya.

hangata ha ho, ka 30% ea linyeoe le lefu lena le hlaha ka boithatelo, ka ntle predisposing lintlha, haholo-holo kaha matšoao motho ya lefu hore u se ke ua lumellane ka setšoantšong e akaretsang ea lefu lena, re ba se ke ba isoa hloko.

mathata Thromboembolic (matšoao a)

Ka 90% ea linyeoe kaofela embolism methapo e qala ka bohloko ka sefubeng, dyspnoea (breathlessness) le naha semiconscious, 'me matšoao a tsena ka etsahala tsohle hammoho, kapa ka thoko.

Mekhoa bakeng sa diagnosing embolism methapo

• Boikemisetso ba Lero la mali D-dimer maling. D-dimer - ntho eo ke sehlahisoa sa bokaholimo ba matsoele tsa fibrin. boemo ba eketseha ea eona e leng lero la mali mali ka ho ba teng ha clots mali, ke hore, D-dimer ka a bale kotsing ea embolism methapo, kapa bonyane e embolism venous.

• CT venography. Kaha Pate ho 90% ya lemoha mothapo thrombosis ea lipheletsong tse tlaase, ho ka etsahala ho thibela lefu lena le pele ho etsa CT venography.

• Ventilation-perfusion stsinigrafiya. AMS ke e mong oa sireletsehileng ka ho fetisisa mekhoa bakeng sa fumanoe tsa embolism methapo - kajeno o ile a senola ho honyenyane haholo alejiki itšoara joang ka sethethefatsi tekotshupo. Molao-motheo o sebetsang oa UPU - ho qaloa ho likaroloana ngotsweng albumin hore hlahloba matšoafo perfusion ka boemo dinama tse nyenyane tse.

• Angiography likepe methapo. Angiography - old tsela e lekaneng ea ho hlahloba mafu a kang embolism methapo. Kajeno mokhoa o undergone lintlafatso ka boima ba 'mele, e le hore, esita le ka ho thrombus boholo 1 limilimithara ka visualized ka angiography.

• Echocardiography. Ho atolosoa ha ventricle nepahetseng ba pelo e fumanoa kotara ea bakuli bohle ba nang le PE, kahoo mokhoa ona oa ho fumanoe ke ea bohlokoa haholo hape.

Kalafo le thibelo la mathata a thromboembolic.

• kalafo mekhoa e tloaetsoeng. E sebeletsa e le tokiso kalafo ea tsa bophelo bo botle nakong ea mehato e meng ea phekolo.

• Thrombolysis. phekolo Thrombolytic e na le phello e ntle ho hemodynamics le haholo lebelo ho fihlela obstruction eo.

• Anticoagulant phekolo. Kajeno hoo e ka bang anticoagulation ke moeta-pele har'a mekhoa eohle ea phekolo ea embolism methapo. Phekolo e tlaase heparin limolek'hule boima le ka mekhoa e meng aktikoagulyatornymi.

• Venous filter. Mounted ka methapong tebileng tsa lipheletsong e ka tlaase, ho thibela thrombus ea mokatong o ka holimo. filter e joalo e ka ba le haholo nako e telele, ho thusa batho ho qoba mathata a sa thromboembolism venous.

• Embolectomy - le mokhoa ho buoa tsa ho tlosa thrombus, ho 'nile la sebelisoa ka katleho ho tloha 1924, kahoo ho na le ho hongata hoo ya dikgetho bakeng sa boitšoaro bo lona, ho akarelletsa le catheterization percutaneous le tlosa emboli ntle seha.

moriana morao-rao ha ho ema. Lingaka le bo-rasaense ba lula ho ntlafatsa mekhoa ea phekolo. Leha ho le joalo, ba lebele tsoa bakeng sa bophelo bo botle ba bona - tlamehang ho se etsa le sebaka sa pele ea monna ka boeena.