Kodi chithandizo chazoyipa zam'mapapo mwanga

Zamkati

• Pofunika kuchita opaleshoni
• Muyenera kukhala nthawi yayitali bwanji muchipatala
• Zotsatira zotheka za embolism
• Zizindikiro zakusintha
• Zizindikiro zakukula

Embolism embolism ndi vuto lalikulu ndipo ayenera kuthandizidwa mwachangu kuchipatala, kuti mupewe kuyika moyo wanu pachiwopsezo. Ngati zizindikiro zikuwoneka zomwe zimayambitsa kukayikira kuphatikizika kwamapapu, monga kumva kupuma pang'ono, chifuwa chachikulu kapena kupweteka pachifuwa, ndibwino kuti mupite kuchipinda chodzidzimutsa kuti mukawone momwe zinthu ziliri ndikuyamba chithandizo, ngati kuli kofunikira. Onani zina zomwe zitha kuwonetsa kuphatikizika kwamapapu.

Ngati pali kukayikira kwamphamvu pakumaphatikizira kwamapapu, chithandizo chitha kuyamba ngakhale matendawa asanatsimikizidwe ndipo nthawi zambiri amachitidwa ndi kuperekera mpweya ndi jakisoni wa anticoagulant mwachindunji mumitsempha, yomwe ndi mankhwala omwe amathandiza kuteteza khungu kuti likule mu kukula kapena kuundana kwatsopano kungapangitse, kukulitsa vutoli.

Ngati kuyezetsa matenda, monga chifuwa cha X-ray kapena pulmonary angiography, kutsimikizira kuti matendawa ali m'mimba, munthuyo ayenera kupita kuchipatala kuti akapitilize chithandizo kwa masiku ambiri ndi ma anticoagulants ndi thrombolytics, omwe ndi mtundu wina wa mankhwala omwe amathandiza kuthetsa matumbo omwe zilipo kale.

Pofunika kuchita opaleshoni

Kuchita opareshoni yothandizira kuphatikizira m'mapapo mwanga kumachitika nthawi zambiri kugwiritsa ntchito maanticoagulants ndi thrombolytics sikokwanira kukonza zizindikiritso ndikusungunula matumbo omwe amaletsa magazi kupita m'mapapu.

Zikatero, pamafunika kuchitidwa opareshoni momwe adokotala amalowetsa chubu chofewa, chotchedwa catheter, kudzera mumtsempha wamkono kapena mwendo mpaka ikafika pachimake chomwe chili m'mapapo, ndikuchotsa.

Catheter itha kugwiritsidwanso ntchito kuyika fyuluta mumitsempha yayikulu, yotchedwa inferior vena cava, yoteteza kuundana kwa mayendedwe asadutse m'magazi kupita m'mapapu. Fyuluta iyi imayika anthu omwe sangamwe mankhwala a anticoagulant.

Muyenera kukhala nthawi yayitali bwanji muchipatala

Pambuyo pochotsa mapapo, nthawi zambiri pamafunika kukhala mchipatala kuti muwonetsetse kuti magazi atsopano sawoneka komanso kuwunika kuti mpweya wabwino m'thupi ndiwokhazikika.

Vutoli likawoneka kuti lakhazikika, dokotala amatulutsa, koma nthawi zambiri amaperekanso mankhwala a anticoagulant, monga Warfarin kapena Heparin, omwe amayenera kupitilizidwa kugwiritsidwa ntchito tsiku lililonse kunyumba, chifukwa amachepetsa magazi ndikuchepetsa chiopsezo chobwereranso. chovala. Dziwani zambiri za ma antiticoagulants ndi chisamaliro chomwe chimayenera kuthandizidwa.

Kuphatikiza pa izi, adotolo amathanso kuwonetsa opweteka kuti athetse kupweteka pachifuwa m'masiku oyamba komanso atalandira chithandizo.

Zotsatira zotheka za embolism

Popeza kuphatikizika kwamapapu kumalepheretsa magazi kulowa m'mapapu, gawo loyamba limakhudzana ndi kuchepa kwa kusinthana kwa gasi, chifukwa chake, mumakhala magazi ochepa. Izi zikachitika, mtima umadzaza, zomwe zimapangitsa kuti zizigwira ntchito mwachangu kwambiri kuyesa kupeza mpweya wofanana kuti ufikire thupi lonse.

Nthawi zambiri, embolism imachitika mdera laling'ono lamapapu, chifukwa chake munthu samakumana ndi zovuta. Komabe, ndipo ngakhale ndizosowa, kulepheretsako kumatha kuchitika mumtsuko wamagazi wokulirapo, womwe umayang'anira kuthirira gawo lalikulu lamapapu, momwe zimakhalira zotsatira zake zimakhala zoyipa kwambiri chifukwa minofu yomwe siyilandira magazi okhala ndi mpweya imabwerera m'mbuyo ndipo mulibe mpweya wosinthanitsa ndi gawo limenelo lamapapu. Zotsatira zake, munthuyo amatha kufa mwadzidzidzi, komwe kumachitika mwadzidzidzi, kapena atha kukhala ndi sequelae yamapapo, monga kuthamanga kwa magazi m'mapapo.

Zizindikiro zakusintha

Kukula kwa zizindikirazo kumawonekera patangopita mphindi zochepa chithandizo chadzidzidzi chitapuma movutikira kupuma ndikuchepetsa kupweteka pachifuwa.

Zizindikiro zakukula

Zizindikiro zakukulirakulira ndizovuta kupuma ndipo, pamapeto pake, kukomoka, chifukwa chakuchepa kwa mpweya m'thupi. Ngati chithandizo sichinayambike mwachangu, zovuta zazikulu monga kumangidwa kwamtima zitha kupha moyo.