Thromboembolism pamusoro ezasi Mbabvu: zvingangove zvinokonzera, zviratidzo uye kurapwa mamiriro

The kweropa hurongwa munhu wacho chaizvo yakafanana muti, apo arteries guru - ndiye pulmonary tsinga uye yeropa, uye basa mapazi vari vaduku midziyo ropa. Nokuda hunhu nerimwe muviri neropa dzakawanda zvinhu arambe achirema ruchiyerera napakati mutsinga, panguva dzose dzakasiyana. The ngozi ndechokuti pangagara anogona kuumba thrombi - ropa clots - somugumisiro thromboembolism. Chii thrombosis maoko nemakumbo maduku, chii ayo zvikonzero uye chii vari zviratidzo uye vabatwe ino chaiyo chirwere, funga zvakare.

Chii thromboembolism

Thromboembolism - chirwere haisi yakazvimirira. It chinovapo sezvo migumisiro siyana pathological pezvakaitwa mumuviri, zvakakonzera paumbwe ropa.

Thromboembolism - a blockage ane mudziyo ropa pedyo thrombus, akaidza kubva pakanga yakaumbwa uye kupinda achiparadzira ropa. Chinhu clot ropa kuti akaumba nokuda activation ropa pakugwamba uye muve mhinduro zvinokuvadza ari mudziyo rusvingo. Clot overlaps ropa riyerere mumudziyo rakaita koko, uye somugumisiro - kukura ischemia.

Kakawanda, munhu zvokurwara ikabuda rezasi mhango tsinga, uye chinotyisidzira pave pulmonary tsinga, yeropa, uye vascular occlusion ari kuruboshwe zvikamu pomwoyo.

Thromboembolism ndiyo ngozi zvikurukuru nokuti kungamutsawo kukura richiripo neronda rinonyenga.

Zvikonzero thromboembolism

zvaipesana ropa riyerere ari arteries repasi wamativi kutsamwisa zvikurukuru zvirwere kumwoyo, kuwedzera ngozi ropa clots, ivo vanoumba 95% vose zvinokonzera. Izvi zvinogona kusanganisira pathologies dzakadaro:

• Cardiomyopathy.
• Heart kuremara.
• Atrial fibrillation.
• Murombo kuparadzirwa mwoyo tsandanyama.
• Rheumatism pamwe valvular mwoyo chirwere.
• Atherosclerosis.
• Aneurysms mwoyo midziyo.
• Endocarditis chirwere-septic.

Uye pane zvimwe zvikonzero kuti pave kukura thromboembolism pamusoro ezasi Mbabvu:

• Gumbo kukuvara.
• Various zvirwere ropa.
• Systemic zvirwere.
• Dzakakwirira nhanho yomuropa.
• High pakugwamba ropa.
• Oncological zvirwere.
• Zvakakomba muchimiro varicose mutsinga.
• The kunyanyisa uye kukodzera kushandisa mishonga.

Somugumisiro izvi ezvinhu anovandudza thrombosis pamusoro ezasi wamativi. Kureva izvi ndozvinoitika:

• Changing murwiyo ropa, anowedzera viscosity kwayo.
• It DZEMUNHU DZINODZORA ropa riyerere kuburikidza midziyo uye mutsinga.
• Damage mudziyo madziro.

mapoka njodzi

Kuchitaura mashoko mashomanana nevaya ari pangozi. Iri muboka iri varwere thrombosis repasi kumugumo arteries kazhinji kutanga. In boka iri:

• hofisi vashandi.
• Vanhu chirwere nokusarovedza muviri.
• Ndichishanda chete nzvimbo yose zuva.
• Varwere vanoshanda mu mukugadzira, apo rinorema remaoko.

Uyewo ngozi mapazi:

• Vanhu vanopfuura 55 okuberekwa.
• Pregnant.
• Vakafutisa.
• Kuchiita pathological pakusununguka.
• Akanga ndavhiyiwa kuvhiyiwa.
• Kutora hormone pamuviri.

Ini ndingadawo kusimbisa kuti thrombosis repasi wamativi kwakakurumbira zvikuru vanoda fodya. Kusvuta kunowedzera mukana ropa.

chirwere rwakazara

Pane matanho mana kukura ezasi Mbabvu embolism.

1. Panguva yokuzorora, murwere haana kunyunyuta. Kana mutoro pamusoro rezasi Mbabvu dzimwe nguva anooneka manzwiro waziya makumbo uye zvishomanana kurwadziwa. Recovery kunoitika nokukurumidza pashure dzemazororo.
2. Motor basa anodzokororwa. Pane ari kuzvimba, irwadziwe kwazvo, kurasikirwa manzwiro ganda. Makumbo anowa, kuva chando.
3. Kukudziridza ischemic munyama. maawa anosvika 3 reversible kuchinja. Panguva iyo pane marwadzo, hapana kupomba uye aikanganiswa. Mushure memaawa 6, vachabatana kwemajoini kuomarara.
4. Kusingarapiki kwendangariro. Kukura neronda rinonyenga, zvakafanana shava makwapa.

pezvakaitwa zvose izvi kukura nokukurumidza, saka unofanira kuziva kuti muri zviratidzo thromboembolism ose ezasi maoko nemakumbo. Ngatimboongororai navo mberi.

zviratidzo

Usasiya pasina pfungwa dzinotevera inoti:

• Kunzwa chilliness kunyange tsoka kudziya.
• A marwadzo makumbo kuti kunoitika nokukurumidza.
• Kuneta makumbo, izvo haabvumiri kufamba zvakasununguka.
• Chiveve makumbo, tingling.
• Muscle marwadzo, gumbo chinyamunhari chinorwadza.
• The aikanganiswa panzvimbo dzapasi gumbo, rutsoka, kana chidya wakaputsika.
• The ganda chava nani uye kuchitonhora.
• No pulsation rwengarava ropa.

Zviratidzo zvakadaro pasvika. Kana isu watova varicose insufficiency, zvinogona kukonzera kukura thromboembolism.

Chinhu chikuru - kwete kurasikirwa nguva uye munguva yakafanira kumbira rubatsiro, sezvo zvinyama nokukurumidza kufa.

rokuongorora chirwere

Zvaunoda kushandisa nzira nokuda zvokuongorora kunoenderana zvokurwara ari localization.

Kana uchifungidzira munhu thromboembolic kushandisa zvinotevera ongororo nzira:

• Kutsunga D-dimer. The kuverenga iri kuipa siyana rakapotsa anobvisa embolism.
• Ultrassom pamwe Doppler mutsinga wamativi. Panguva iyoyowo rakashandurwa peripheral venous thrombi.
• Angiography.
• CT uye MRI. Bvumira kutsanangura paumbwe ropa clot pose. Zvinowanzoshandiswa nengozi pulmonary embolism, uye thromboembolism kwazvo chimiro.
• Ultrassom mwoyo uye ECG.
• Chest X-ray. Wakashandiswa vanofungidzirwa pulmonary embolism.

Nokuti kuongorora murwere kutonga vamwe zvirwere kwakakwana, mishonga nevakawanda ropa, weti uye nemimwe miedzo.

Emergency rubatsiro vanenge vanofungidzirwa thromboembolism

Thromboembolism pamusoro Mbabvu akaderera - chirwere ngozi chaizvo uye zvakakura. Kana uchifungidzira munhu blockage ropa nhumbi murwere inofanira kuchipatara. Muchiitiko chino, chiito chinofanira sezvinotevera:

1. Nechokwadi murwere ari chinjikira.
2. Siya motokari uye sangano.
3. Zvaidiwa mubhedha zororo.

Kana mamiriro kwakakomba, kana zvakafanira, muchipatara pasi pokudzora chiremba kuita zvinotevera zviito:

• Simbisai anobudisa mushonga zvishoma nezvishoma kuva tsinga.
• Zvokuimba kufefetedza.
• Kusuma okisijeni kuburikidza nasal anobudisa mushonga zvishoma nezvishoma.

Shandisa zvinotevera zvinodhaka:

• "Heparin".
• "Dopamine".
• "Reopoliklyukin".
• "Eufillin".
• Mishonga.
• Inonyaradza marwadzo omusoro.

How kurapa thromboembolism

Zvinobudirira kurapwa zvakakodzera nekukurumidza kushanyira nyanzvi, kana paiva nokufungirana ane chirwere, akadai thrombosis repasi wamativi. Treatment inofanira nzwisisika.

Chokutanga, chiremba vanonyorera mishonga, anticoagulants, izvo zvinoita kuti liquefaction ropa. Zvinokoshawo kuti kuitisa kurapa zvirwere, waimira somunhu zvakasimbisa kukura zvokurwara kwakadaro.

Dzinenge nguva dzose kushandiswa inonyaradza marwadzo omusoro, Anti-anogumbura nevamiririri.

Thrombolytic kurapa. Shandisa mishonga yakadaro:

• "Heparin".
• "Tinzaparin".
• "Ukrokinaza".
• "Streptokinase".
• "Fraksiparin".

Drugs raitongwa nomutsinga kwemazuva 10. Uye panofanira kuva kuramba zvichiongororwa ropa pakugwamba - ose pezvizuva. Uyewo kugadza "Warfarin" Mahwendefa. mushonga uyu anogona kupiwa kushandisa rose gore. Chimwe chinoratidza antispastic zvinodhaka pamusoro kurwadza kwacho.

Zvipatara zvinofanira zvainanga kudzorera zvinyama uye nani ropa riyerere panzvimbo dzapasi migumo.

Kana kurapa haisi kunyatsobudirira, kuvhiya zvingava zvakakodzera. Nokubviswa thrombus kubva mudziyo kupfuura rinowanzoberekera pamwe occlusion pamusoro femoral uye popliteal arteries. Thrombectomy anogona kuitwa nyaya yokukurumidzira, kana zvinova pachena kuti kurapa haangavi inobudirira.

Pashure pokuvhiyiwa, murwere ari pasi pokudzora chiremba, panguva imwe chete, kuti kudzivirira kurega kunotanga ropa nemidziyo ropa unoratidzwa tanga mwero kurovedza muviri.

Kudzivirira repasi richiripo embolism

Kana vaitova blockage pakati arteries, zvaanofanira:

• Teverai chiremba audzwa.
• Zvakanyatsorongwa kutora ushandiswe mishonga.
• Nguva kubata chirwere, kuwedzera mukana thrombosis.
• Ita nguva Ultrasound mutsinga ari makumbo uye chiuno.
• Kupfeka compression nguo.
• Usava refu nguva mune imwe nzvimbo.
• Sports.
• Regai kusimudza masimbi.
• Kusvuta.
• Vanoomerera kudya zvinovaka muviri.
• Inwa zvakawanda mvura-mvura.

Vakadzi havafaniri kutora nguva yakareba hormone nhumbu uye nokufamba dzakakwirira zvitsitsinho kuti zuva rose.

Chete nokuomerera kunenge uye kuva nemararamiro ane utano anogona kuderedza ngozi zvirwere zvakadai ngozi zvakadai thrombosis kwakadzama mutsinga.