Fat embolism, thromboembolism

Embolism akadana chenjera vascular occlusion, zvichiguma kwakakanganiswa ropa riyerere kuti zvinyama kana nenyere. Fat embolism ukuwo, ari blockage ropa midziyo mafuta. Kazhinji, izvi mafuta kuzviremekedza mavambo, kwava kushoma chaizvo - yokumwe (artificially chakaunzwa mitumbi ave solvent kana zvinodhaka kuti chirwere zvinangwa).

Fat embolism mugumisiro yaizoitika yematambudziko. Kazhinji Rinobatanidzwa ne zvakakomba skeletal kunotevera (mitswe ari hudyu, chiuno, tibia, unorema mafuta). Zvingaitika kana pfungwa nomuviri zvemwana asati, chirwere cheshuga, septicemia, kuvhunduka rinoti, kupererwa neropa, postresuscitative nguva, zvichiguma yakakanganiswa kwokubatsira lipid-soluble zvinodhaka, liposuction.

Fat embolism chirwere zvishoma kazhinji pane zvinoitika nokuti "Masked" uye mamwe mamiriro ezvinhu. Somuenzaniso, pasi mabayo.

A mutsauko: mumwe mheni chimiro (zvichikonzera rufu mukati maminitsi mashoma); chenjera chimiro (kuva pashure zvinokuvadza kekutanga); subacute chimiro (Isimba rakadini rinogona kubudiswa nguva maawa 12-72.)

Akaora dzinounzwa pulmonary, chepfungwa uye hwakakanyiwa (rakajairika) chimiro.

Fat embolism, kurapwa

Treatment nechinangwa zvikurukuru pane kutsigira anokosha. Izvi hazvizivi zvemapapu kufefetedza, kutsvinda pamusoro trachea uye principales. Kuonana kurwisa hyperpyrexia lytic nezvakasanganiswa. Rirambe richibvira permeability panguva yakakwirira mishonga ungaderedza steroid mahormone kutsigira disaggregation ropa masero. Infusions pamusoro sealbumin, reopoliglyukina, shuga zvingaitwa anoitwa vanyatsohuongorora nokuda blockage midziyo ropa uye mafuta akatyisidzira zadzisa. Chiyamuro zvinoreva izvo normalize rheology ropa (aminophylline, pentoxifylline, nicotinic acid, xantinol nicotinate, glyukozonovokainovaya masanganiswa). Heparin haafaniri kushandiswa, ndizvo achiipa zvemapapu kushanda uye kuwedzera padanho mafuta acids. Lipostabil akagadzikana mafuta, karusiyamu chloride, deholin. Kana akawanikwa mafuta embolism, unofanira kurega kubva operative nzira nokutyora Kuda kutamba, kuona immobilization zvavo nedzimwe nzira. Kudzikamiswa pamusoro mitswe, kuitwa tanga, achaita kuyambira mafuta embolism uye kubvisa hypoxia.

Thromboembolism, zviratidzo uye zvinokonzera.

Kakawanda akaratidza uye mifananidzo zviratidzo: kupfupika mweya, pakarepo kupfupika mweya kunoitika. Munguva supine nzvimbo murwere anonzwa kurerukira. Possible bhokisi marwadzo (zvakasiyana hunhu - kubva munyoro kusanzwa kuti kurwadziwa). Mune zvisingawanzoitiki Muzviitiko kungava hemoptysis. Pamwe nokuratidzwa cyanosis - mhuno, miromo, nzeve yaita nani kana rinokwanisa kucheneruka ruvara. Pane chikosoro, kukurumidza kurova kwehana unoraramisa, murwere vanorasira ari ziya kuchitonhora, iye seiyi, nzwa dzungu, kutsimwaira. Tinganetseka chinyamunhari chinorwadza makumbo uye kurasikirwa chavanoziva.

The chinokonzera thromboembolic zviitiko zviri clots ropa kuti kuitika mutsinga. The thrombus ingangoumbwa somugumisiro kukuvara vascular masvingo, ropa riyerere iri seiyi panzvimbo ino uye pane clot (ropa clots). Madziro mutsinga anogona zvakakuvadza panguva dzakasiyana-siyana anogumbura zvirwere, kukuvara, majekiseni. Slow kuyerera zvinogona kukonzerwa mwoyo kukundikana, kwenguva refu nzvimbo (agere, nhema). Inosimudzira kweropa kunogona kuva nhaka uye kukundikana muropa coagulation hurongwa.

Njodzi Zvinhu: kukwegura, malignancy, kuvhiyiwa, pamuviri, kunotevera, chirwere (lupus, erythremia, nephrotic urwere, hemoglobinuria).

Padanho kuparadzwa kunoyerwa ECG, X-ray, kufefetedza-perfusion ment scintigraphy. Treatment rinoitwa chete muchipatara. Zvinosuruvarisa, kunyange nenguva kuzivikanwa hapasi anopa anobudirira kurapwa. Kuti tidzivise rufu unofanira kutsvaka rubatsiro nokukurumidza sezvingabvira. Somunhu chimbichimbi akasuma kuti 10 000 vamapoka heparin nomutsinga muchipatara kunodiwa.

Nyaya zvakanyorerwa kuti bhuku chete. Ndapota akarondedzera chimiro zviratidzo kutsvaka zano zvokurapa. Self-chirwere uye dzokuzvirapa kungaita kuti inosuruvarisa!