Lungemboli Fat, thromboembolism

Lungemboli yeedhay qabsamin vascular ba'an, taasoo keentay in qulqulka dhiigga khalkhal in unugyada ama xubin. Fat lungemboli, sida ay isugu xigaan, waa xannibaad ah baruurta xididdada dhiigga. Sida caadiga ah, this baruurta is-asal, aad ayey naadir - shisheeye (kiimikaysan dawadu meydadka sida dareeraha ah ama daroogada ujeeddooyin ogaanshaha).

lungemboli Fat waa natiijada dhibaatooyin argagax leh. Sida caadiga ah waxaa la xiriira dhaawacyada daran lafaha (jab misigta, miskaha, soo gaaray, burburiyo baruurta). laga yaabaa inuu dhaco marka ganaca, diabetes, septicaemia, dalalka lama filaan ah, dhiig-yaraan, muddo postresuscitative, taasoo keentay in maamulka khalad ah ee daroogada la egyahay-L, liposuction.

Fat lungemboli si aan joogto ahayn ka badan dhacaa cudurka sababtoo ah "duubtay" oo ku hoos jira xaalad kale. Tusaale ahaan, hoos pneumonia ah.

soocin A: qaabka hillaac ah (taasoo keentay dhimashada dhawr daqiiqadood gudahood); foomka ba'an (horumariyo ka dib dhaawac uu markii ugu horeysay); foomka subacute (muddo qarsoon ee 12-72 saacadood.)

pulmonary Caafimaad ahaan loo qoondeeyey, foomka cerebral oo isku dhafan (ugu badan).

lungemboli Fat, daaweynta

Daaweynta waxaa loogu talagalay ugu horeyn in la taageero howlaha muhiimka ah. Tani hawo sambabada macmal ah, fayadhowr oo ka mid ah dhuunta oo hawomareenno. Soo bandhigay si loola dagaallamo hyperpyrexia dar lytic. permeability beddelan at qiyaasood sare hoos u hormoonnada steroid kor u qaadida unugyada dhiigga disaggregation. Infusions of albumin, reopoliglyukina, xal glucose aad si taxadir leh loo sameeyaa ay sabab u tahay xannibaad marinnada dhiigga iyo xaydha ku hanjabay dollar. Input ka dhigan tahay oo caadi rheology dhiigga (aminophylline, pentoxifylline, nicotinic acid, nicotinate xantinol, glyukozonovokainovaya isku dar). Heparin waa in aan la isticmaali, taasu waa ka sii dari shaqada sanbabadaadu iyo in la kordhiyo heerka dufanka. Lipostabil xasilin baruurta, calcium chloride, deholin. Hadii lagu helo lungemboli baruurta, waa inaad ka fogaataan waxa jidadka hawl ah u qardarin jab, hubinta ay joojin by habab kale. Xasilinta oo jab ah, fuliyay marxaladaha hore, digayaa of lungemboli baruurta iyo baabi'iyo hypoxia.

Thromboembolism, calaamadaha iyo sababaha.

Inta badan muujiyey oo la mid ah astaamaha: neefta oo ku qabata, neefta oo lama filaan ah neefta ka dhacdaa. In booska la jiifo bukaanku uu wax yar ka sahlan. feedho xanuun suurto gal ah (qof oo kala duwan - ka lur iska yar in xanuun daran). Marar dhif ah, aad hemoptysis laga yaabaa. Waxa suurto gal ah muujin ka timid dhiigrooraan - sanka, dibnaha, dhegaha noqdaan midabka cirro leh ama buluug. Waxaa jira qufac, garaaca wadnaha oo degdeg ah nooleeyaa, bukaanka Tuuri dhididka qabow, uu hoos u dhac, wareer, hurdeysan. la kulmi karaan xanuun lugaha iyo miyirka oo luma.

Sababta oo ah dhacdooyinka thromboembolic waa xinjiro dhiig oo ka dhaca xididdada. thrombus waxaa lagu aasaasay laga yaabaa in ay sabab u tahay dhaawac derbiyada vascular, socodka dhiigga waxaa hoos at meeshan iyo jiro xinjir (xinjiro dhiig). Darbiyada of xididka dhaawacmi karaa noocyada kala duwan ee cudurrada bararka, dhaawacyo, irbado. socodka gaabis ah waxaa keeni kara failure wadnaha, meel dheer (fadhiya, jiifa). Kordhinta xinjirowga dhiigga noqon kartaa dhaxlo iyo failure in nidaamka xinjirowga dhiigga.

Arrimaha Halista: da 'wayni, kansar, qaliin, uurka, dhaawacyada, cudurka (lupus, erythremia, nephrotic syndrome, hemoglobinuria).

Heerka burburinta waxaa lagu go'aamiyaa ECG, X-ray, hawo-perfusion scintigraphy sambabada. Daaweynta waxaa lagu fuliyaa kaliya ee isbitaalka. Nasiib darro, xataa aqoonsiga waqtigii aanu had iyo jeer ma bixiyaan daaweynta guul. Si looga fogaado dhimasho aad u baahan tahay in ay gargaar u raadsatid sida ugu dhakhsaha badan. Sida xaalad deg deg ah soo bandhigay 10 000 cutub oo heparin intravenously, isbitaal ayaa loo baahan yahay.

Maqaalka waxaa qoray tixraac kaliya. Fadlan ku tilmaamay muuqaalka kore ee calaamadaha raadsatid la-talin caafimaad. Is-ogaanshaha iyo is-daawo u horseedi karaa cawaaqib naxdin leh!