A mapurmoni embolism inogadziriswa muyiti inotungamirira mapapu, kazhinji anokonzerwa neropa. Zvinonyanya kuitika kana chivharo chichiderera pane imwe yemakumbo, chirwere chakadzika chevhutu (DVT) chinosunungura pamakumbo kana pamapapiro uye inofamba nenzira yeropa kusvika pamapapu.
Sei Ropa Rinovhara Mumisungo Kuenda Kumakomba?
Zvinyorwa zvepulmonary zvinowanzokonzerwa neropa rinoputika mumakumbo, naizvozvo chinokonzera chirwere chemaplmoni chinokonzera kukonzera ropa.
Hatinzwisisi kuti nei zvivharo zvakasimuka uye kufamba uye vamwe havasi.
Vanhu dzimwe nguva vanoshamisika kuti nei zvipfeko zvichiitika mumakumbo uye kwete mumiromo. Sei mabheji achienda kumapapu pane pane imwe nzvimbo? Chikonzero ndechekuti ropa rinofamba zvishoma nezvishoma kuburikidza nemavhenda pane arteri uye inogona kuva nemukana we "kudzika" uye kuvhara.
Kuti unzwisise kuti nei mabhanhire aya apera mumapapu anobatsira kutaura zvishoma pamusoro pematomu. Mipfupa mumakumbo anouya pamwechete uye ropa rinodzokera kurutivi rworudyi rwemoyo kuburikidza nemuviri mukuru unonzi inferior vena cava. Kubva pamwoyo wakarurama, ropa rinoshanyira kumapapu kuburikidza nemapiritsi emapuraneti kuti avandudze kuwedzerwa kweokisijeni. Kuenda kumucheto kubva mumavheya mumakumbo, yese yemidziyo yeropa (kusanganisira mwoyo) yakawanda. Apo ropa rinopinda mumapapu, zvisinei, midziyo inowedzera zvishoma nezvishoma, uye iyi ndiyo inoshandiswa kuti "zviputi" zvive "zvakabatwa" mune rimwe remapuraneti ane mishonga inotungamirira kumapinetary infarction (rufu) rwechikamu chemapapu.
Ndepapi mune Makomba anoita Pulmonary Emboli Occur?
Zvivharo zvinogona kuvharwa zvese chero kupi zvako mumapapu zvichienderana nehukuru hwejira. Kana ichingwa chiduku (kana rutivi rwemakona maduku) vanogona kuiswa mumidziyo midzi yeropa uye vanobereka zviratidzo zviduku. Ichokwadi, vamwe vanhu vane pulmonary emboli vakatarira kumashure kuti vaone kuti vangave vari "kukanda" maduku maduku kwenguva yakati.
Kana chivharo ichi chikuru uye chikagara muhombe huru yeropa mumapapu, chigumisiro chinogona kuva chakaipa. Chivharo chikuru chinopesana nekukwanisa kwemapapu kusvika kune oxygenate yeropa ndokuzofa nenzara nehumwe muviri wose weokisijeni.
Zvinogona kuvhiringidza kana chiremba wako achitaura pamusoro pekuvhara kwacho kuchiiswa mumushonga wemapurmita. Mishonga yepulmonary ndiyo chete mitsetse iri mumuviri inotakura deoxygenated (bleu ropa.)
Zvinhu zvinotyisa
Zvimwe zvinokonzerwa nemapurmonary emboli zvinokonzera njodzi dzeDVT (tsvina yakadzika inopisa) kana kuti ropa rinowedzera uye inosanganisira:
- Kusagadzikana - Kusununguka zvakadai sekuzorora kwevheche uye kuporesa muzvipatara, munguva dzekutasva motokari refu, kana ndege dzendege dzinogona kukonzera kukura kwemafupa eropa nemapurmoni. Izvi zvakaziviswa kuvanhu vose mumakore achangopfuura apo mutori wenhau akafa kamwe-kamwe kubva pamapurmonary embolus, zvichida yakabatana nekugara ndege ndege. Ichokwadi, zvinodarika 2 vhururu pamwedzi zvinotakura ngozi yakawanda yeizvi.
- Mamiriro ezvinhu anowedzera mikana yekuvhara ropa, kusanganisira zvirwere zvakawanda.
- Kusvuta.
- Kanzira - Kurapa kwakadai sechemotherapy uye chirwere, pamwe chete nekenza pachayo, inogona kukonzera ngozi yeropa uye mapirmoni.
Zviratidzo Zvinozivikanwa
Zviratidzo zvingangotanga kuwirirana neropa rega muhudyu uye rinosanganisira:
- Urombo, kubwinya, unyoro, kana kuzvimba mumhuru dzako kana kugomera
Zviratidzo zvepolmary embolus zvinogona kusanganisira:
- Nokukurumidza kurwadziwa kwepfupa
- Kupfupika kwemhepo
- Chikoro uye / kana kukonzera ropa
- Heart arrhythmias yakadai seyetrial fibrillation
- Lightheadedness
- Kusanzwisisa
- Blue lips and extremities (cyanosis)
- Kuderera kweropa, kuwedzerwa kwemwoyo, kuwedzerwa kuputika
Emergency Emergency
Kubatana kwepulmonary chirwere chepfungwa chinogona kuuraya kana chikasatorwa. Kana iwe uine chinetso chero chipi zvacho chaunogona kuva nemaprommoni embolism, danai 911 pakarepo.
Kana iwe usina zviratidzo, dzidza pamusoro pezvaunogona kuita kudzivirira ropa.
Ramba uchifunga kuti zvipfeko zvinogona kuitika kunyange mudiki, vanhu vane hutano hwakanaka uye inokonzera kukonzera rufu muUnited States.
Kuziva
Mitsva yakasiyana-siyana yakasiyana inogona kuitwa kutarisa kuvepo kwekuita. Inonyanya kukosha ndeyechitatu nzira yekutsvaga kugadzirisa zvirwere zvepummoni kushandisa:
- Ventilation-perfusion scan
- D-dimer
- Pulmonary angiogram
Mishonga
Kurapa kwepermonary embolus kana emboli kunotarisana nehukuru uye huwandu hwejira. Kana zviratidzo zvisiri zvakanyanya, ropa rakanyanyisa rinogona kutanga kana iwe uchichengetwa pazororo kuti urege kudzivisa zvimwe zviputi. Pamusoro pemakwenzi makuru, thongedzero inonzi thrombolytics inogona kushandiswa (mishonga yakafanana neyaishandiswa kuzarura midziyo yemwoyo panguva yekurwadziwa kwemoyo.)
Matambudziko
Kana mumwe munhu akapona pakumukira kwepermonasi pane zvingave zvichiri nguva refu. Mucheka wacho unogona kuparadza zvachose mapapu. Ikoko kunogonawo kuva nekukuvadza kweuropi nekukuvadza kune dzimwe nhengo nekuda kwekushayikwa kweokisijeni yakabatana nevhara mumapapu.
Sources:
National Library yeMishonga. MedlinePlus. Pulmonary Embolism Updated 07/16/16. https://medlineplus.gov/pulmonaryembolism.html