Isixhobo esilungileyo sokuthintela i-thrombosis enzulu ye-venous (1)

I-thrombosis ye-venous enzulu kunye ne-pulmonary embolism

I-Deep venous thrombosis (DVT) kunye ne-pulmonary embolism (PE) ibe yingxaki ebalulekileyo yezonyango kunye nempilo kwihlabathi.I-DVT kunye ne-PE ziyimpawu zenkqubo yesifo kwiindawo ezahlukeneyo kunye nezigaba.Ngokudibeneyo zibizwa ngokuba yi-venous thromboembolism (VTE).Isiganeko se-VTE emva kokuhlinzwa okukhulu kuphezulu, enye yezona zinto zibangela ukufa kwe-perioperative kunye nesizathu esibalulekileyo sokufa okungalindelekanga esibhedlele.

I-Deep vein thrombosis (DVT) ibhekisa kwi-syndrome yekliniki apho igazi elikwi-deep vein lijija kwaye lenze i-thrombus, ekhokelela kubunzima bokubuya kwegazi kwimithambo yegazi ehambelana nayo.Ngokuqhelekileyo kwenzeka emilenzeni.Xa i-embolus iwa, inokungena kwi-pulmonary artery kunye nokuhamba kwegazi, okubangela ukuba i-pulmonary embolism, i-gas exchange disorder, i-pulmonary hypertension, kunye ne-right heart dysfunction.Kwiimeko ezinzima, i-dyspnea, ukothuka kunye nokufa kunokwenzeka.Iziganeko ze-venous thrombosis enzulu e-China ziye zanda ukusuka kwi-1.1 yezigidi ngo-2015 ukuya kwi-1.5 yezigidi ngo-2019, kwaye kulindeleke ukuba zinyuke ukuya kwi-3.3 yezigidi ngo-2030, kunye nenani lezigulane ezikhulayo.

Ukubonakaliswa kweklinikhi ye-pulmonary embolism inokuqala ukusuka kwi-asymptomatic ukuya ekufeni ngequbuliso.Iimpawu eziqhelekileyo zaziyi-dyspnea kunye neentlungu zesifuba, kunye nesiganeko esingaphezu kwe-80%.Iintlungu zePleural zibangelwa kukudumba kwe-pleural cellulose, kwaye ukwenzeka ngequbuliso kudla ngokubonisa i-pulmonary infarction.Ukubandakanyeka kwe-diaphragmatic pleural kunokugqama emagxeni okanye kwisisu.Ukuba kukho iintlungu emva kwe-sternum, kufana ne-myocardial infarction.I-infarction ye-pulmonary engapheliyo inokuba ne-hemoptysis.Ezinye iimpawu kukuxhalaba, okunokubangelwa yintlungu okanye i-hypoxemia.I-syncope idla ngokuba luphawu lwe-pulmonary infarction.