Thromboembolism wa miyendo m'munsi: ndi zotheka zimayambitsa, zizindikiro ndi mbali chithandizo

Mitsempha ya magazi a munthu ndi ofanana kwambiri mtengo, kumene mitsempha lalikulu - ndi mtsempha wamagazi m'mapapo mwanga ndi msempha, ndi udindo wa nthambi ziwiya kakang'ono ka magazi. Chifukwa chikhalidwe cha aliyense wa thupi ndi mwazi wa zinthu zambiri osalimba likuyenderera mu mitsempha, pa zonse zosiyana. Kuopsa ndi kuti nsupa akhoza kupanga thrombi - magazi kuundana - chifukwa cha thromboembolism. thrombosis ya nthambi m'munsi, kodi zimayambitsa ndipo kodi zizindikiro ndi mankhwala a matenda imeneyi n'chiyani, tiganizire moposera.

thromboembolism Kodi

Thromboembolism - matenda amene si palokha. Vutolo limachitika monga chotsatira cha njira zosiyanasiyana pathological mu thupi, amene anachititsa mapangidwe magazi kuundana.

Thromboembolism - ndi blockage wa magazi chotengera ndi thrombus, kuti kusiya malo inakhalapo ndi mu mwazi kufalitsidwa. Ndi magazi aumirira kuti wapanga chifukwa kutsegula kwa clotting magazi ndipo kungakhale kuyankha choipa pa khoma chotengera. Aumirira overlaps magazi m'chiwiya linkangopendamapendama, ndi chifukwa - chitukuko cha ischemia.

Nthawi zambiri, ndi kudwala akufotokozera mu mtsempha m'munsi dzenje, ndipo ndi kuukira chitukuko cha mtsempha wamagazi m'mapapo mwanga, msempha, ndi mtima occlusion mu zigawo zotsala za minofu mtima.

Thromboembolism ndi oopsa makamaka chifukwa lingachititse chitukuko cha nthambi chilonda.

Zifukwa thromboembolism

kuphwanya magazi mu mitsempha ya m'makona m'munsi imfayo makamaka matenda a dongosolo mtima, azitaya magazi kuundana, iwo amapanga 95% ya mavuto onse. Izi zikhoza monga pathologies amenewa:

• Cardiomyopathy.
• Mtima zopindika.
• Matenda fibrillation.
• Osauka kufalitsidwa kwa minofu mtima.
• La misempha ndi matenda valvular mtima.
• Atherosclerosis.
• Aneurysms ziwiya mtima.
• Endocarditis opatsirana-septic.

Ndipo pali zifukwa zina zimene zingachititse kuti pakhale thromboembolism wa miyendo m'munsi:

• Mwendo kuvulala.
• matenda a magazi zosiyanasiyana.
• matenda zokhudza zonse.
• misinkhu okwera a shuga magazi.
• Mkulu magazi clotting.
• matenda Oncological.
• mawonekedwe choopsa cha mitsempha varicose.
• The ntchito mopitirira muyeso ndipo zosayenera mankhwala.

Chifukwa cha mavuto amenewa akufotokozera thrombosis a m'munsi malekezero. Ndicho, izi n'zimene zicitika:

• Kusintha zikuchokera magazi, kumaonjezera kukhuthala ake.
• Ndi kubweza pansi pa magazi kudzera ziwiya ndi mitsempha.
• Kuonongeka chotengera makoma.

anthu okhudzidwa

M'pofunikanso n'kunena mawu ochepa za anthu amene ali pa chiopsezo. Ndi mu gulu la odwala thrombosis ya mitsempha m'munsi malekezero amakhala nalo. Mu gulu ili ndi:

• ogwira ntchito.
• Anthu akuvutika wongokhala.
• Kugwira ntchito mu malo omwewo tsiku lonse.
• Odwala amene ntchito kupanga, kumene katundu zamanja.

Komanso zone chiopsezo:

• akale anthu zaka zoposa 55.
• Pakati.
• Wonenepa.
• Akukonza ndi yobereka pathological.
• Anali opaleshoni.
• Kutenga kulera m'thupi.

Ndikufuna kutsindika kuti thrombosis wa malekezero a m'munsi sizachilendo mu okonda fodya. Kusuta kumachititsa mwayi wa magazi kuundana.

siteji matenda

Pali magawo anayi chitukuko cha miyendo m'munsi embolism.

1. Pa zina, wodwalayo kudandaula ayi. Pamene katundu pa nthambi m'munsi limapezeka nthawi zina kudzimva kulemera mu miyendo ndipo ululu pang'ono. Kuchira amapezeka mofulumira pambuyo pa maholide.
2. Njinga ntchito anakhalabe. Pali kutupa, ululu, imfa ya Timatha khungu. Miyendo zimasuluka, kukhala ozizira.
3. Akutukuka zimakhala ischemic. Mpaka 3 maola kusintha kusintha. Pa nthawi yomweyo pali mavuto, palibe zimachitika ndi tilinazo. Patapita maola 6, kulumikizana olowa stiffness.
4. Sizingasinthe njira. Kukula kwa chilonda, maonekedwe a bulauni mawanga.

Zonsezi zimachititsa zikukwaniritsidwa mofulumira kwambiri, kotero muyenera kudziwa zomwe ndi zizindikiro za thromboembolism wa miyendo m'munsi. Tiyeni tione iwo mopitirira.

zizindikiro

Usasiye popanda tcheru m'maboma zotsatirazi:

• Maganizo chilliness ngakhale mapazi ofunda.
• A kupweteka kwambiri mu miyendo chimene chimachitika mwadzidzidzi.
• Kufooka miyendo, amene salola kuti kusuntha momasuka.
• Dzanzi mu miyendo, kumva kulasalasa.
• Minofu ululu, mwendo omangana.
• Tilinazo mu m'munsi mwendo, phazi, kapena ntchafu yosweka.
• Khungu ndi wotumbululuka ndi ozizira.
• No pulsation Mitsempha.

Zizindikiro ayenera kuchenjeza. Ngati ife kale varicose insufficiency, kungayambitsenso chitukuko cha thromboembolism.

Chinthu chachikulu - kuti asataye nthawi ndi nthawi yake kupempha thandizo, ngati minofu mofulumira kufa.

matenda

Kodi muyenera kugwiritsa ntchito njira kwa matenda zimadalira kudwala ya kutanthauzira ndi.

Ngati mukukayikira kuti munthu thromboembolic ntchito zotsatirazi njira kafukufuku:

• Khama la D-dimer. Kuwerenga mu zosiyanasiyana zachilendo pafupifupi kumatha embolism.
• Ultrasound ndi Doppler mitsempha wa malekezero. Pa nthawi yomweyo anawamasulira zotumphukira venous thrombi.
• Angiography.
• CT ndi Kujambula. Lolani kuti chimatanthauza mapangidwe magazi aumirira kulikonse. Chimagwiritsidwa ntchito chiopsezo embolism m'mapapo mwanga, ndi thromboembolism mu mawonekedwe kwambiri.
• Ultrasound wa mtima ndi ECG.
• Pachifuwa X-ray. Ntchito ndi amaganiziridwa m'mapapo mwanga embolism.

Pakuti kafukufuku lathunthu la wodwalayo akatsimikizire matenda ena, mankhwala magazi wamba, mkodzo ndi mayesero ena.

thandizo Emergency mu milandu amaganiziridwa thromboembolism

Thromboembolism wa miyendo m'munsi - matenda oopsa kwambiri yoopsa. Ngati mukukayikira kuti munthu blockage Mitsempha wodwalayo ayenera kuchipatala. Pankhaniyi, Tichite motere:

1. Onetsetsani wodwala yopingasa.
2. Musakhale magalimoto ndi kayendedwe.
3. Compliance ndi bedi zina.

Ngati vutoli likupitirira ndi ngati n'koyenera, m'chipatala kuyang'aniridwa ndi dokotala kuchita zotsatirazi:

• Kukhazikitsa catheter mu mtsempha wa.
• Mawotchi mpweya wabwino.
• Chiyambi mpweya kudzera m'mphuno catheter.

Gwiritsani ntchito mankhwala zotsatirazi:

• "Heparin".
• "Dopamine".
• "Reopoliklyukin".
• "Eufillin".
• Mankhwala.
• Othetsa ululu.

Kodi kuchitira thromboembolism

mankhwala m'pofunika posachedwapa kukaona katswiri, ngati panali kukayikirana wa matenda, monga thrombosis wa malekezero a m'munsi. Chithandizo akhale mabuku.

Choyamba, adokotala mankhwala, anticoagulants, zomwe zimalimbikitsa liquefaction magazi. M'pofunikanso kuchititsa mankhwala a matenda, amene anali kutsogolera chitukuko cha kudwala zimenezi.

Pafupifupi nthawi zonse ntchito mankhwala othetsa ululu, odana ndi yotupa wothandizira.

Thrombolytic mankhwala. Gwiritsani ntchito mankhwala amenewa:

• "Heparin".
• "Tinzaparin".
• "Ukrokinaza".
• "Streptokinase".
• "Fraksiparin".

Mankhwala kutumikiridwa m'nsinga kwa masiku 10. Ndipo ayenera pangakhale nthawi zonse kuwunika clotting magazi - pakangopita masiku. Akulu "Warfarin" miyala. mankhwalawa akhonza kupatsidwa ntchito chaka chonse. Wina limasonyeza mankhwala antispastic ndi spasms.

Therapy ayenera umalimbana kubwezeretsa minofu ndi bwino magazi ambiri malekezero m'munsi.

Ngati mankhwala si ogwira opaleshoni kungakhale kofunika. Kuchotsa thrombus ku chotengeracho nthawi zambiri amapezeka ndi occlusion wa femoral ndi mitsempha popliteal. Thrombectomy akhoza ikuchitika milandu mwadzidzidzi, pamene zimaonekeratu kuti mankhwala sadzagwira ntchito.

Pambuyo pa opaleshoni, wodwalayo kuyang'aniridwa ndi dokotala, pa nthawi yomweyo, kupewa stagnation magazi mu zotengera magazi zikusonyezedwa magawo oyambirira a zinthu zolimbitsa thupi.

Kupewa m'munsi nthambi embolism

Ngati inu kale blockage wa mitsempha, ndi zofunika:

• Tsatirani malangizo dokotala.
• Mwadongosolo kumwa mankhwala amene wapatsidwa.
• Nthawi kuchiza matenda, azitaya thrombosis.
• Nthawi zonse ultrasound mitsempha ya miyendo ndi mafupa a chiuno.
• Kuvala psinjika chovala.
• Musakhale nthawi yaitali pamalo amodzi.
• Sports.
• Musati zolemera.
• Kusiya kusuta.
• Kutsatira zakudya zoyenerera.
• Imwani madzi ambiri.

Akazi asamatenge nthawi yaitali kwambiri kulera m'thupi ndi kuyenda mu zidendene mkulu tsiku lonse.

Only mwa kutsatira malangizo ndi moyo wathanzi angathe kuchepetsa chiopsezo cha matenda oopsa monga thrombosis ya mitsempha kwambiri.