Kodi pali kusiyana kotani pakati pa Thrombosis ndi Embolism?

Zamkati

• Zizindikiro
• Matenda opatsirana
• Kuphatikizika kwa pulmonary
• Matenda a thrombosis
• Nchiyani chimayambitsa zotchinga m'mitsempha yamagazi?
• Matendawa
• Chithandizo
• Zovuta
• Chiwonetsero

Chidule

Thrombosis ndi embolism zimagawana zofananira zambiri, koma ndizosiyana. Thrombosis imachitika pomwe thrombus, kapena magazi amatuluka, amatuluka mumtsuko wamagazi ndikuchepetsa magazi kutuluka. Embolism imachitika pamene chidutswa cha magazi, chinthu chakunja, kapena chinthu china chamthupi chimakhazikika mumtsuko wamagazi ndipo chimalepheretsa magazi kuyenda.

Chikhalidwe chofananacho, thromboembolism, chimatanthauza kuchepa kwa magazi komwe kumayambitsidwa makamaka ndi kuphatikizika kwa magazi.

Anthu ambiri amakhala ndi magazi oundana, ndipo pali mitundu yambiri ndi zomwe zimayambitsa thrombosis ndi embolism. Kutsekeka kwamagazi mumtsinje wakuya, mtsempha waukulu, kapena chotengera cha m'mapapo (m'mapapu) kumakhala ndi chiopsezo chachikulu chathanzi. Ambiri omwe amafa chaka chilichonse kuchokera ku vein thrombosis (DVT) kapena pulmonary embolism.

Werengani kuti mudziwe zambiri za izi.

Zizindikiro

Zizindikiro za thrombosis ndi embolism zimadalira:

• mtundu wa mitsempha yamagazi yomwe ikukhudzidwa
• malo
• zimakhudza kuthamanga kwa magazi

Ma thrombi ang'onoang'ono ndi ma emboli omwe samatseka kwambiri mitsempha yamagazi sangayambitse zizindikiro. anthu omwe ali ndi DVT alibe zisonyezo za vutoli. Komabe, zopinga zazikulu zitha kufa ndi njala yamagazi ndi mpweya wabwino, kuyambitsa kutupa ndipo pamapeto pake kufa kwa minofu.

Matenda opatsirana

Mitsempha ndiyo mitsempha yamagazi yomwe imayambitsa kubwezeretsa magazi pamtima kuti ayambirenso. Chovala kapena chotupa chimatseka mtsempha waukulu kapena wakuya, madzi am'magazi kumbuyo kwa kutsekeka, ndikupangitsa kutupa. Ngakhale zimatha kupezeka paliponse, nthawi zambiri venous thrombosis imayamba m'mitsempha yakuya yamiyendo. Kutseka komwe kumachitika m'mitsempha yaying'ono kapena yopanda chidwi sikungayambitse zovuta zazikulu.

Zizindikiro zofala za venous thrombosis ndi monga:

• ululu ndi kukoma mtima
• kufiira kapena kusintha
• kutupa, nthawi zambiri mozungulira akakolo, bondo, kapena phazi

Dera lomwe lakhudzidwa lidzakhalanso lofunda mpaka kukhudza.

Kuphatikizika kwa pulmonary

Embolism embolism (PE) imachitika pamene chidutswa cha magazi chimatuluka ndikudutsa mumtsinje wamagazi kupita m'mapapu. Kenako imakhala mumtsuko wamagazi. Kawirikawiri amagwirizanitsidwa ndi DVT.

Kuphatikizika m'mapapo kumatha kukhala koopsa ndipo kumakula mofulumira kwambiri. Pafupifupi milandu ya m'mapapo mwanga, kufa mwadzidzidzi ndi chizindikiro choyamba. Funsani kuchipatala mwachangu ngati mukukayikira PE.

Zizindikiro zodziwika za PE ndi izi:

• kuvuta kupuma
• kupuma mofulumira
• chizungulire komanso kupepuka
• kugunda kwamtima mwachangu
• kupweteka pachifuwa komwe kumakulirakulira mukamapumira
• kutsokomola magazi
• kufa

Matenda a thrombosis

Arterial thrombosis nthawi zambiri imalumikizidwa ndi atherosclerosis. Matenda a atherosclerosis ndikumanga kwa zikwangwani, kapena zolimba zamafuta, pakhoma lamkati lamtsempha. Zikwangwani zimapangitsa kuti mtsempha wamagazi ulimbe. Izi zimawonjezera kuchuluka kwa kuthamanga mumitsempha yamagazi. Kupanikizika uku kukakhala kokwanira, chikwangwani chimatha kusakhazikika ndikutha.

Nthawi zina chikwangwani chikaphulika chitetezo cha mthupi chimapupuluma. Izi zitha kupangitsa kukula kwa chovala chachikulu ndikuwopseza moyo, monga matenda amtima kapena sitiroko.

Funsani chithandizo chamankhwala mwachangu ngati muli ndi zizindikilo za arterial thrombosis kuphatikiza:

• kupweteka pachifuwa komwe kumangobwera mwachisawawa, monga pamene mukupuma, ndipo simukuyankha mankhwala
• kufupika kapena kutuluka mpweya
• thukuta
• nseru
• chiwalo kapena malo akhungu omwe asanduka ozizira, owala bwino kuposa momwe zimakhalira, komanso opweteka kwambiri
• kutayika kosadziwika kwamphamvu ya minofu
• gawo lotsika la nkhope limadumpha mbali imodzi

Nchiyani chimayambitsa zotchinga m'mitsempha yamagazi?

Khoma lamitsempha yamagazi likavulala, maselo amwazi, otchedwa ma platelets ndi mapuloteni, amapanga gulu lolimba pachilondacho. Unyinjiwu umatchedwa thrombus, kapena magazi. Chotsekeretsacho chimathandiza kutseka malo ovulalawo kuti achepetse magazi komanso kuti atetezedwe pakachira. Izi zikufanana ndi nkhanambo pachilonda chakunja.

Chilondacho chikachira, kuundana kwamagazi nthawi zambiri kumasungunuka pawokha. Nthawi zina, kuundana kwa magazi kumapangika mwachisawawa, sikungasungunuke, kapena kumakhala kwakukulu kwambiri. Izi zitha kubweretsa kuopsa kwakuchepetsa kuchepa kwa magazi ndikuwononga kapena kufa kumatenda omwe amatulutsa.

Kuphatikizika kumathanso kuchitika zinthu zina zikatsekedwa m'mitsempha yamagazi, monga thovu lamlengalenga, mamolekyulu amafuta, kapena zidutswa zolembera.

Matendawa

Palibe mayeso enieni omwe amagwiritsidwa ntchito pozindikira kuti thrombosis ndi embolism, ngakhale duplex ultrasound, kapena kugwiritsa ntchito mafunde akumveka popanga zithunzi zamagazi, imagwiritsidwa ntchito kwambiri.

Mayeso ena omwe angagwiritsidwe ntchito kuthandizira kapena kuwunika magazi osadziwika kapena zotchingira ndi awa:

• kujambula kwa maginito (MRI), kapena sikani ya computed tomography (CT)
• kuyesa magazi
• venography, pomwe magazi amaganiza kuti ali mumtsempha
• arteriogram, pomwe kutsekeka kumaganiziridwa kuti kuli mtsempha wamagazi
• kuyesedwa kwa mtima ndi mapapo, monga magazi am'magazi kapena kupuma kwamapapu

Chithandizo

Nthawi zambiri, chithandizo chamankhwala chimadalira mtundu, kukula, ndi malo am'magazi kapena chotchinga.

Mankhwala ochiritsira omwe amagwiritsidwa ntchito pochiza thrombosis ndi embolism ndi awa:

• mankhwala a thrombolytic omwe amathandiza kusungunuka kwa magazi
• Mankhwala opatsirana pogonana omwe amalepheretsa kuundana
• catheter-led thrombolysis, yomwe ndi opaleshoni pomwe chubu lalitali, lotchedwa catheter, limapereka mankhwala a thrombolytic molunjika ku clot
• thrombectomy, kapena opaleshoni kuchotsa chovalacho
• Zosefera zapansi pa vena cava, kapena tinthu tating'onoting'ono tating'onoting'ono tomwe timayikidwa opareshoni kuti tigwire mazira ndikuwateteza kufalikira mpaka pamtima kenako

Kusintha kwa moyo wina kapena mankhwala opewera amatha kuthandizira kuundana kapena kuchepetsa chiopsezo chakukula.

Zotsatirazi zitha kuthandiza kupewa kuundana kwa magazi kapena zotchinga:

• kukhala wathanzi wathanzi komanso zakudya zabwino
• kusiya kusuta fodya komanso kumwa mowa
• kuchita masewera olimbitsa thupi
• khalani osamalidwa
• pewani kukhala nthawi yayitali kapena kusachita chilichonse
• chitani zotupa zosatha
• sungani milingo ishuga yamagazi yopanda thanzi
• tengani kuthamanga kwa magazi ndi mankhwala a cholesterol monga mwadokotala wanu
• lankhulani ndi dokotala wanu za kusiya kugwiritsa ntchito mankhwala opangidwa ndi estrogen
• gwiritsani ntchito zida zamakina monga kupondereza kwa masokosi kapena zida zapompo za pneumatic
• sungani miyendo yanu ndikukhala pansi
• onetsetsani kuti dokotala akudziwa za mbiriyakale kapena mbiri yabanja ya kuundana kapena zotseka
• Tambasulani phazi lanu ndi minofu ya mwendo tsiku lililonse
• valani zovala zosasunthika

Zovuta

Zovuta zomwe zimakhudzana ndi thrombosis komanso embolism zimasiyana kutengera:

• kukula kwa kutsekeka
• malo a chimbudzi
• momwe idakanirira
• zikhalidwe zaumoyo

Embolism nthawi zambiri imawerengedwa kuti ndi yoopsa kuposa thrombosis yofatsa mpaka yochepa chifukwa embolism imalepheretsa mtsempha wonse wamagazi.

Zovuta zamatenda apakatikati mpaka akulu a thrombosis ndi embolism ndi awa:

• kutupa
• ululu
• khungu lowuma, lokulitsa
• khungu
• mitsempha yotakasa kapena yotakasa, monga kangaude kapena mitsempha ya varicose
• kuwonongeka kwa minofu
• matenda a mtima kapena sitiroko
• kulephera kwa chiwalo
• kuduka kwamiyendo
• kuwonongeka kwa ubongo kapena mtima
• zilonda

Chiwonetsero

Pazovuta zochepa za thrombosis ndi embolism, zizindikilo zimatha kutha m'masiku ochepa mpaka masabata amankhwala komanso kusintha kwa moyo. Maganizo azovuta zazikulu zimadalira mtundu, kukula, ndi malo a chotsekera kapena cholepheretsa.

Pafupifupi anthu omwe ali ndi DVT amakhala ndi zovuta zazitali, zomwe zimakhudzana kwambiri ndi kuchepa kwa magazi. Pafupifupi anthu omwe ali ndi kuphatikiza kwa DVT ndi PE amayamba kuundana kwazaka 10.