Embolism Fat, thromboembolism

Embolism ngokuthi acute occlusion semithambo, okuholela iphazamiseke igazi ligeleze izicubu noma sitho. embolism Fat, ngokulandelana, kuyinto ukuvaleka imithambo yegazi amafutha. Ngokuvamile, lokhu kuzihlola imvelaphi amafutha, kuyinto evamile - angaphandle (eyayenziwe busuka emizimbeni njengoba kuphela noma izidakamizwa ngezinhloso zokuxilonga).

embolism Fat iyona ngenxa yobunzima esibuhlungu. Ngokuvamile ihlobenenamanye ezinzima ukuhlukumezeka lwamathambo (waphuka of the hip, ukhalo, tibia, ebhidliza amafutha). Kungenzeka uma pancreatitis, isifo sikashukela, septicemia, ukushaqeka uthi, ukuntuleka kwegazi emzimbeni, inkathi postresuscitative, okuholela kube nesimiso sokuqondisa yokuphambuka izidakamizwa lipid-encibilikayo, liposuction.

Fat embolism kutholakala ukuthi uphethwe yini kancane njalo kuka kwenzeka ngoba "isifihlwa" futhi ngaphansi kwezinye izimo. Ngokwesibonelo, ngaphansi nenyumoniya.

Kukhona umehluko: umumo umbani (okuholela ekufeni kwamaminithi ambalwa); ifomu acute (ukuthuthukisa ngemva ukulimala okokuqala); ifomu subacute (inkathi esicashile amahora 12-72.)

yamaphaphu emtholampilo esabiwe, (okuvame kakhulu) ifomu palsy futhi edidayo.

embolism Fat, ukwelashwa

Ukwelashwa kuhloswe ngokuyinhloko at asekelayo imisebenzi ebalulekile. Lokhu yokufakelwa wamaphaphu ukupholisa, ukuthuthwa kwendle we kuqhoqhoqho kanye bronchi. Ngihlangana ulwe hyperpyrexia ingxube lytic. Capillary permeability at ebulilini kwehle hormone steroid ukugqugquzela amaseli disaggregation igazi. Infusions of-albumin, reopoliglyukina, izixazululo glucose kwenziwe ngokucophelela ngenxa ukuvaleka imithambo yegazi namafutha ezisengozini sindisa. Wokufaka kusho okuyinto kujwayeleke igazi rheology (aminophylline, pentoxifylline, nicotinic acid, xantinol nicotinate, glyukozonovokainovaya ingxube). Heparin kumele kusetshenziswe kungenjalo, ukuba zimbi kakhulu wamaphaphu umsebenzi futhi ukwandisa ezingeni fatty acid. Lipostabil uhlaliseke amafutha, i-calcium chloride, deholin. Uma kutholakala embolism amafutha, kufanele sidede ezindleleni zokusebenza ukwa nenkanuko edlulele, ukuqinisekisa immobilization yabo nge ezinye izindlela. Ukuqina ka waphuka, kwenziwe kusaqalwa, ngeke axwayise embolism amafutha nekugwema hypoxia.

Thromboembolism, izimpawu kanye izimbangela.

Ngokuvamile wabonakaliswa futhi ejwayelekile zimpawu: iphika, kufushane ngokuzumayo umoya kwenzeka. Esikhathini isikhundla lisalele isiguli uzizwa kancane kulula. Okungenzeka ubuhlungu besifuba (uhlamvu ezahlukene - ukusuka ukungakhululeki imnene sebuhlungwini obunzima). Ezimweni ezingavamile kungase hemoptysis. Ngokunokwenzeka ukubonakaliswa cyanosis - ekhaleni, izindebe, amadlebe ahlale umbala okhanyayo noma bluish. Kukhona ukukhwehlela, ukushaya kwenhliziyo okusheshayo ophilisayo, nesineke Ufaka endaweni izithukuthuku abandayo, lapho behlisa ijubane, bakhathala isiyezi, bayozela. Kwangathi ukuzwa amajaqamba emilenzeni kanye nokulahlekelwa ukwazi.

Imbangela izenzakalo thromboembolic kukhona amahlule ezenzeka emithanjeni. kungenzeka Kumiswa thrombus ngenxa ukulimala izindonga imithambo yegazi, ukugeleza kwegazi is ehlile kule ndawo futhi kukhona ihlule (amahlule). Izindonga ngemithambo seyonakele at izinhlobo ezihlukahlukene zezindwangu ezingaba Izifo ukuvuvukala, ukulimala, imijovo. ukugeleza Slow kungadalwa ukumelwa inhliziyo, isikhundla isikhathi eside (ehlezi, ukuqamba amanga). Ukwandiswa igazi ekunqandeni kungaba zenani elikhulu eziyifa kanye ukwehluleka ohlelweni igazi coagulation.

Ingozi: ukuguga, umdlavuza, ukuhlinzwa, ukukhulelwa, ukuhlukumezeka, isifo (lupus, erythremia, nephrotic syndrome, hemoglobinuria).

Izinga nolokubhujiswa kunqunywa ECG,-X-ray, ukupholisa-perfusion wamaphaphu scintigraphy. Ukwelashwa Kwenziwa kuphela esibhedlela. Ngeshwa, ngisho ukuqashelwa ngesikhathi esifanele ayinikezi njalo ukwelashwa okuphumelelayo. Ukuze ugweme ukufa kudingeka ufune usizo ngokushesha ngangokunokwenzeka. Njengoba esiphuthumayo owethulwa amayunithi 10 000 heparin ngemithambo yegazi, esibhedlela liyadingeka.

Isihloko kwalotshwa inkomba kuphela. Sicela echazwe ukubonakala izimpawu ukufuna usizo lodokotela. Self-Ihlahlubo ukuzelapha kungaba nemiphumela edabukisayo!