Kodi kuphatikizika kwamafuta ndi momwe zimachitikira
Zamkati
- Zoyambitsa zazikulu
- Zizindikiro zotheka
- Fat Embolism Syndrome ikachitika
- Momwe mankhwalawa amachitikira
Kuphatikizika kwamafuta ndikutsekereza kwa mitsempha yamagazi ndimadontho amafuta omwe amapezeka, nthawi zambiri, pambuyo pamafupa a mafupa atali, monga mafupa a miyendo, ntchafu kapena chiuno, koma omwe amathanso kuwonekera munthawi ya opaleshoni ya mafupa esthetics, monga liposuction, mwachitsanzo.
Madontho amafuta amatha kufalikira kudzera mumitsempha ndi minyewa ya thupi, amatengedwa ndimagazi ndipo amatha kufikira malo ndi ziwalo zosiyanasiyana za thupi. Nthawi zambiri, embolism imangowononga kwambiri ikachitika kwambiri, ndipo izi zikachitika, ziwalo zomwe zakhudzidwa kwambiri ndi izi:
- Mapapo: ziwalo zazikuluzikulu zimakhudzidwa, ndipo pakhoza kukhala kupuma pang'ono ndi kutsika kwa magazi oxygenation, vuto lotchedwa pulmonary thromboembolism. Mvetsetsani zambiri za momwe zimachitikira ndi zina zomwe zimayambitsa kuphatikizika kwamapapu;
- Ubongo: zikakhudzidwa, zimayambitsa kusintha kwa sitiroko, monga kuchepa mphamvu, kusintha kuyenda, kusintha masomphenya ndi kuvutikira kuyankhula, mwachitsanzo;
- Khungu: Kutupa kumachitika komwe kumayambitsa zilonda zofiira komanso kutuluka magazi.
Komabe, ziwalo zina monga impso, retinas, ndulu kapena chiwindi, mwachitsanzo, zitha kukhudzidwanso ndipo ntchito yawo imasokonekera.
Zoyambitsa zazikulu
Kuphatikizika kwamafuta kumatha kuyambitsidwa ndi zinthu monga:
- Kuphulika kwa mafupa, monga femur, tibia ndi chiuno, pambuyo pangozi yamagalimoto kapena kugwa;
- Opaleshoni ya mafupa, monga bondo kapena ntchafu arthroplasty;
- Opaleshoni yapulasitiki, monga liposuction kapena kudzaza mafuta.
Kuphatikizika kwamafuta kumathanso kuchitika popanda chifukwa chomveka, zokha, zomwe ndizosowa kwambiri. Ena mwa anthu omwe ali pachiwopsezo chachikulu ali ndi matenda opatsirana, anthu omwe ali ndi vuto la cellle, kapamba, matenda ashuga, chiwindi chamafuta, kugwiritsa ntchito nthawi yayitali ma corticosteroids kapena kutentha kwambiri.
Zizindikiro zotheka
Nthawi zambiri, kuphatikizika kwamafuta kumakhudza ziwiya zazing'ono zomwe zimazungulira, chifukwa chake sizimayambitsa matendawa nthawi zonse, kupatula pakachitika embolism yayikulu, ndiye kuti ikafika pamitsempha yambiri yamagazi mpaka kufooketsa kufalikira ndi kugwira ntchito kwa ziwalozo. Zina mwazizindikiro zomwe zingabuke ndi monga kupuma movutikira, kupweteka mutu, kusintha masomphenya kapena kuyankhula, kufooka, kuwodzera, kutaya chidziwitso ndikukomoka, komanso zotupa pakhungu.
Kupezeka kwa embolism kumachitika chifukwa chakuwunika kwamankhwala kwa dokotala, ndipo mayeso ena atha kuwonetsa madera owonongeka kwa ziwalo chifukwa chosowa magazi, monga MRI.
Fat Embolism Syndrome ikachitika
Kuphatikizika kwamafuta kumatha kutchedwa Fat Embolism Syndrome ikakhala yayikulu ndipo imakhudza mapapo, ubongo, kutseka magazi ndi khungu nthawi imodzi, kuyambitsa vuto lalikulu lomwe limaphatikizapo kupuma movutikira, kusintha kwa ubongo ndi zotupa pakhungu lofiira., Zomwe zimawonetsa kutupa komanso kukonda magazi.
Pafupifupi 1% yamatenda a embolism omwe amayambitsa matendawa, omwe ndi owopsa chifukwa, kuwonjezera pakulepheretsa zotengera ndi madontho amafuta, zimayambitsanso kusintha kwamankhwala komwe kumatulutsa kotupa mthupi.
Momwe mankhwalawa amachitikira
Ngakhale kulibe mankhwala enieni ochiritsira kuphatikizika kwamafuta, pali njira zomwe dokotala amagwiritsira ntchito kuwongolera zizindikilo ndikuthandizira kuti achire. Nthawi zina, kuwunikira kumeneku kumatha kuchitidwa m'malo a ICU, mpaka pakhale kusintha ndi kukhazikika kwazachipatala.
Zosankha zina zomwe dokotala amagwiritsa ntchito ndizophatikizira kugwiritsa ntchito catheter wa oksijeni kapena chigoba, kuphatikiza pakuwunika kosalekeza kwa zizindikilo zofunika. Ngati ndi kotheka, hydration itha kuchitidwa mumtsinje ndi seramu, komanso mankhwala owongolera kuthamanga kwa magazi.
Kuphatikiza apo, madotolo ena amatha kugwiritsa ntchito mankhwala a corticosteroid poyesa kuchepetsa kukhudzika kwa matendawa.