Pulmonary embolism

Pulmonary embolism (PE abbr.) - he blockage o ka pulmonary artery koko clots (thrombi). Ma ka hapanui o na hihia, ke koko clots e hele mai i loko o ka pulmonary artery o na ipu o ka laloʻaoʻao, ka oi aku, mai ka femoral aa koko. Eia hou, inā, a me ka blockage o ke koko clots mea he kumu nui loa o pulmonary embolism, akā, he mea i ka pilikia o ka blockage o ka pulmonary artery a me ke kaikea, ea paha he haole emboli.

Kumu o pulmonary embolism

I ka papa kuhikuhiE kumu o keia mai, me pulmonary embolism mea, e like me oleloia, thrombosis o ka laloʻaoʻao, no laila kanaka e hana eha iaʻi mai varicose aa koko, i ka oi aku pilikia o ka noho'na makaainana i ulu helehelena o pulmonary embolism.

Nō hoʻi, ke kamepiula kumumea i loaʻa i ke alo ma ka hoomanawanui ana i ko mākou hopohopo mai pu ma paresis no lala, o ka maʻi 'aʻai i loko o kaʻeleu pae, o ka poe mai, a i hoopaaia ai i ka hoʻomanawanui moe, hormonal Inc, a me ka pono o ke ku una ha contraceptives.

'Aʻole a koe i ka hopena, e elucidate i ka pilina ma waena o PE a me CCH (mea'ōnaehana mānowai koko maʻi). Eia hou kekahi, he pakeneka kiʻekiʻe o ka maʻi i loko o paka, kanaka e loaa ana mai ka hypertension a me ka obesity.

Muli o kona kulana pinepine, i ka 30% o ka hihia i ka maʻi ia lŘlŘ spontaneously, me ka predisposing kumumea, loa mai ke kanaka symptoms o ka maʻi i mai i pono i loko o ka nohona ma kiʻi o ka maʻi, mākou i ole ia i loko o nui.

Thromboembolic complications (symptoms)

I ka 90% o nā hihia o pulmonary embolism hoʻomaka me kaʻeha i loko o ka pahu, dyspnoea (breathlessness) a me ka semiconscious moku'āina, a me kēia mau symptoms ke kānāwai nā mea a pau i kahi hookahi, a kaawale.

Nā Papahana no ka diagnosing pulmonary embolism

• Hoʻoholo 'o wai koko D-dimer i loko o ke koko. D-dimer - he waiwai i mea i ka huina hoonui o ka cleavage o fibrin. Kona 'ilikai piʻina ma loko o ke koko wai koko i loko o ke alo o ke koko clots, oa D-dimer ke hoʻomaulia i ka pilikia o pulmonary embolism, a ma ka liʻiliʻi loa o ka venous embolism.

• HI venography. No ko poʻo, ma ka 90% o ka 'akomi i aa koko thrombosis o ka laloʻaoʻao, ka mea i hiki ke pale aku i ka maʻi mua ana HI venography.

• Hoʻokomo ea-perfusion stsinigrafiya. AMS o kekahi o ka safest ki ina hana like no kaʻike, o pulmonary embolism - i kēia lā hōʻike loa uuku allergic naoh i ka PalekanaEND_LINK lāʻau. Na ke hoʻohana rula o ka UPU - i ka hoike o ka 'ae' albumin (particles) e loiloi i akemāmā perfusion ma ka'aʻaʻa pae.

• Angiography o pulmonary moku. Angiography - kahiko lawa ala e diagnose na maʻi like pulmonary embolism. I kēia manawa i ka iaoiaeii ua undergone hana hou i loko o ke kaupaonaʻana, no laila ia, a hiki ma ka thrombus nui 1 mm o hiki ke visualized ma angiography.

• Echocardiography. Ke anoe o ka ventricle akau o ka naau ua loaʻa i loko o ka hapaha o nā mea maʻi a pau me ka PE, no laila, i kēia hana o kaʻike, Ua hoi loa nui.

Lapaau a me ka Kāohiʻana o thromboembolic complications.

• Makeʻe kulana lapaau. Ua lawelawe 'ana me ka mālama' ana i hana maikaʻiʻole o ke ola iloko o'ē aʻe pākōlea ana.

• Thrombolysis. Thrombolytic Inc i ka maikaʻi ia ma luna o hemodynamics, a me ka nui loa ka mämä holo i ka iaʻi.

• Anticoagulant Inc. I kēia lā kokoke anticoagulation o ka luna i waena o nā kiʻina hana a pau o ka hana maikaʻiʻole o pulmonary embolism. Inc mea haʻahaʻa hakakino kaumaha heparin a me nā aktikoagulyatornymi mea.

• Venous kānana. Ua kau ma luna o ka hohonu aa koko o ka laloʻaoʻao, pale thrombus hele upstairs. Oia kānana hiki e hala loa o ka lōʻihi manawa, e kōkua kanaka e pale i ka complications o venous thromboembolism.

• Embolectomy - heʻoki lāʻau lapaʻau ano o ka wehe thrombus, ka mea, ua hoʻohana ana mai makahiki 1924, no laila, loaʻa nō nui o nā koho no ka hana, a me ka percutaneous catheterization a me ka wehe 'ia o ka emboli meʻoki.

Hoikehonua, lapaau Aʻole e ku malie. Kauka a me nā kānakaʻepekema i mau ka hoʻomaikaʻi ki ina hana like o ka lapaau. Eia naʻe, kiai mai no lākou iho ola - ka malama ma ka mua wahi a ke kanaka ia ia iho.