Akpa ume embolism

Akpa ume embolism (Pee abbr.) - a mkpọchi nke akpa ume akwara ọbara -egbochi mkpụkọ (thrombi). N'ọnọdụ ka ukwuu, ọbara na-akpụkọ abata akpa ume akwara nke arịa nke ala na nsọtụ, karịsịa site n'aka femoral akwara. Ke adianade do, ọ bụ ezie na, na mkpọchi egbochi mkpụkọ nke ọbara bụ ihe kacha eme nke akpa ume embolism, ma e nwere ihe ize ndụ nke mkpọchi nke akpa ume akwara na abụba, ikuku ma ọ bụ a mba ọzọ emboli.

Akpata akpa ume embolism

Isi kpatara nke a na ọrịa, dị ka akpa ume embolism bụ, dị ka e kwuru, thrombosis nke ala na nsọtụ, ya mere ndị mmadụ na-ata ahụhụ site na varicose veins, nwere a n'ihe ize ndụ nke n'amaghi ọdịdị akpa ume embolism.

Ọzọkwa, ihe ize ndụ ihe nwere ike na-agụnye ọnụnọ a ndidi nke ụjọ ọrịa so site paresis nke aka na ụkwụ, nke cancer na-arụsi ọrụ ike na-adọ, nke ọrịa nke na-ịgà onye ọrịa bed, mmiri ọgwụ ọrịa, na ojiji nke ọnụ na gbochie afọ.

Ọ bụghị ruo mgbe ọgwụgwụ na-anọgide na elucidate mmekọrịta dị n'etiti Pee na CCH (ọrịa obi). Ke adianade do, a elu pasent nke ọrịa na-ese siga, ndị mmadụ na-ata ahụhụ site na ọbara mgbali na ibu oké ibu.

Ọtụtụ mgbe, na 30% nke ikpe ọrịa emee spontaneously, na-enweghị predisposing ihe, karịsịa ebe ọ bụ na onye mgbaàmà nke ọrịa na-adịghị dabara n'ime n'ozuzu picture nke ọrịa, anyị sonye na akaụntụ.

Thromboembolic nsogbu (mgbaàmà)

Na 90% nke ihe nile ikpe nke akpa ume embolism-amalite na ihe mgbu na obi, dyspnoea (breathlessness) na semiconscious ala, na ndị a mgbaàmà nwere ike ime ihe niile ọnụ, ma ọ bụ iche iche.

Ụzọ Ịchọpụta Otú Nsogbu akpa ume embolism

• Mkpebi siri ike nke Plasma D-dimer ke iyịp. D-dimer - a umi nke bụ ngwaahịa nke cleavage nke fibrin. Ya larịị na-abawanye n'ime ọbara plasma n'iru egbochi mkpụkọ nke ọbara, ie D-dimer nwere ike gbakọọ ihe ize ndụ nke akpa ume embolism, ma ọ bụ ọ dịghị ihe ọzọ a venous embolism.

• CT venography. Ebe ọ bụ na PATE na 90% nke ahụrụ akwara thrombosis nke ala na nsọtụ, ọ bụ omume na-gbochie oria na mbụ na-eme ka CT venography.

• Ventilashion-perfusion stsinigrafiya. AMS bụ otu n'ime ndị kasị dịrị nchebe ụzọ maka nchoputa nke akpa ume embolism - taa kpughere ihe dị nnọọ nta anabata a na-achọpụta ọrịa ọgwụ. The na-arụ ọrụ ụkpụrụ nke UPU - iwebata kpọrọ albumin ahụ na inwale akpa ume perfusion na anụ ahụ dị larịị.

• Angiography nke akpa ume arịa. Angiography - toruru n'ụzọ nchọpụta ọrịa ndị dị ka akpa ume embolism. Taa usoro agbanweela oganihu ibu, nke mere na, ọbụna thrombus size 1 mm nwere ike visualized site angiography.

• Echocardiography. Mmụba nke nri ventricle nke obi na-hụrụ na a ụzọ n'ụzọ anọ nke niile ọrịa na Pee, otú a usoro nke nchoputa bụ dịkwa nnọọ mkpa.

Ọgwụgwọ na mgbochi nke thromboembolic nsogbu.

• Conservative ọgwụgwọ. Ọ na-eje ozi dị ka a na-arụzi ọgwụgwọ ahụ ike n'oge ọzọ ọgwụgwọ jikoro.

• Thrombolysis. Thrombolytic ọgwụ nwere mmetụta dị mma n'ebe hemodynamics na budata gbapụrụ ọsọ ndị mgbochi.

• Anticoagulant ọgwụ. Taa fọrọ nke nta anticoagulation bụ onye ndú n'etiti niile ụzọ nke ọgwụgwọ nke akpa ume embolism. Agwọ bụ ala molekụla ibu heparin na ndị ọzọ na aktikoagulyatornymi n'aka.

• Venous nzacha. N'elu miri veins nke ala na nsọtụ, na-egbochi thrombus gaa elu. Dị otú ahụ nzacha pụrụ ịbụ nnọọ a ogologo oge, na-enyere ndị mmadụ aka izere nsogbu nke venous thromboembolism.

• Embolectomy - a ogwugwo usoro nke wepụ thrombus, ọ e ji mee nke ọma ebe ọ bụ na 1924, ya mere, e nwere ọtụtụ nhọrọ maka ya omume, gụnyere a percutaneous catheterization na mwepụ nke emboli enweghị ịcha.

Nkà mmụta ọgwụ ọgbara anaghị guzo. Dọkịta na ndị ọkà mmụta sayensị na-mgbe niile rụọ ụzọ nke ọgwụgwọ. Otú ọ dị, lezienụ anya maka ha onwe ha ahụ ike - ọrụ na akpa ebe nke nwoke ahụ n'onwe ya.