Embolism pūkahukahu

Embolism pūkahukahu (PE abbr.) - he blockage o te iatuku toto pūkahukahu clots (thrombi). I roto i te nuinga o te wā, tae clots toto ki te iatuku pūkahukahu o nga oko o te topito o raro, rawa i te rua femoral. I tua atu, ahakoa, me blockage o clots toto ko te take nui o te Embolism pūkahukahu, engari i reira ko te mōrea o blockage o te iatuku pūkahukahu me te ngako, rangi ranei te emboli ke.

Take o te Embolism pūkahukahu

Ko te take matua o tenei mate, rite Embolism pūkahukahu ko, rite whakahuatia, Thrombosis o nga topito o raro, na te iwi nei mamae i uaua tīponapona, i te mōrearea nui o ahua māhorahora o Embolism pūkahukahu.

Hoki, kia ngā te āhuatanga mōrearea te aroaro i roto i te manawanui o te mate io tahi e paresis o wahi, o te mate pukupuku i te wāhanga hohe, o mate nei e here ki te moenga manawanui, therapy hormonal, me te whakamahi o te whakawhānau-waha.

Ehara i tae noa ki tonu te mutunga ki fakamahino'i e te hononga i waenganui i PE ko CCH (mate Cardiovascular). I roto i te tua, he ōrau nui o te mate i roto i kaipaipa, iwi e mate ana i te takawhita me te mōmona.

Tino maha, i roto i te 30% o ngā take puta te mate noa, kahore predisposing āhuatanga, rawa mai te tohu takitahi o te mate e kore e e uru ki roto ki te pikitia whānui o te mate, kahore i tangohia matou ki pūkete.

pōauautanga Thromboembolic (tohu)

I roto i te 90% o te wā katoa o te Embolism pūkahukahu tīmata ki te mamae i roto i te pouaka, dyspnoea (breathlessness) me te āhua semiconscious, a taea enei tohu puta katoa tahi, wehe ranei.

Methods mō te Tātarihia te Embolism pūkahukahu

• Whakatau i o wē D-dimer i roto i te toto. D-dimer - he taonga e te mea he hua o te wāhinga o pūtōtepe. Ko tōna piki taumata i roto i te wē toto i roto i te aroaro o clots toto, arā e taea D-dimer tātai i te mōrea o te Embolism pūkahukahu, i te iti rawa he Embolism venous ranei.

• CT venography. Mai Tuhinga i 90% o te Thrombosis rua kitea o te topito o raro, he mea ka taea ki te ārai i te mate i mua te CT venography.

• stsinigrafiya ventilation-perfusion. AMS Ko tetahi o te haumaru tikanga mō te tātaritanga o te Embolism pūkahukahu - whakakitea tenei ra iti rawa tauhohenga pāwera ki te tarukino tātaritanga. Ko te parau tumu whakahaere o te UPU - te whakataki o matūriki albumin tapanga e arotake pūkahukahu perfusion i te taumata kiko.

• Angiography o oko pūkahukahu. Angiography - tawhito ara nui ki te tātari i taua mate rite Embolism pūkahukahu. kua pehia teie mahana te tikanga whakapai ake i roto i te taimaha, na e, ara i roto i te rahi thrombus 1 mm taea te feruri i roto i angiography.

• Echocardiography. kitea te roha o te mānawanawa matau o te ngakau i roto i te hauwhā o tūroro katoa ki PE, pera he ano hoki tenei tikanga o te tātaritanga tino nui.

Treatment me te ārai o pōauautanga thromboembolic.

• maimoatanga momo. tavini te reira rite te maimoatanga tiaki o te hauora i roto i te tahi atu mehua haumanu.

• Thrombolysis. therapy Thrombolytic he pānga pai i runga i hemodynamics me tino hohoro ake te arai.

• therapy Anticoagulant. I teie mahana, tata anticoagulation ko te rangatira i roto i nga tikanga katoa o te maimoatanga o te Embolism pūkahukahu. Therapy he iti heparin taimaha rāpoi , me te tahi atu tikanga aktikoagulyatornymi.

• whiriwhiringa venous. Eke i runga i nga uaua hohonu o te topito o raro, haere i runga te ārai thrombus. Ka taea e taua whiriwhiringa e rawa he wa roa, te āwhina iwi ki te karo i te fifi o te thromboembolism venous.

• Embolectomy - he tikanga hāparapara o te tango i thrombus, kua whakamahia te reira pai mai 1924, na i reira he nui o ngā kōwhiringa mo tona whakahaere, tae atu ki te catheterization percutaneous me tango o emboli kahore tapahi.

e kore e rongoā hou tu tonu. Doctors me pūtaiao e whakapai ake tonu tikanga o te maimoatanga. Heoi, mataara atu hoki ratou ake hauora - te titauraa i roto i te wahi tuatahi o te tangata ia ia.