Lumka "umbulali othuleyo" - pulmonary embolism (PE)

Ngophuhliso lwamayeza kunye nengqalelo yabantu kwimpilo, izifo ezininzi zinokulawulwa ngokufanelekileyo kwaye zinyangeke.Nangona kunjalo, kukwakho iimeko apho ezinye izigulana ezibonakala zikwimeko ezinzileyo okanye ezingakhange zibonakale zibangela isifo zife ngequbuliso.Siyintoni isizathu?

Ukongeza kwizinto ezinobungozi ezifana ne-myocardial infarction kunye ne-stroke, kukho enye into enobungozi ebizwa ngokuba yi-"pulmonary embolism", ebizwa ngokuba "ngumbulali othuleyo" luluntu lwezonyango.

I-Pulmonary embolism, kunye ne-myocardial infarction kunye ne-stroke, sesinye sezifo ezithathu eziphambili ezibulalayo kwi-cardiovascular, kunye nokusweleka okuphezulu kunye nezinga lokukhubazeka.Ngaphezu koko, ukwenzeka kwayo ngokuqhelekileyo kwenzeka ngokukhawuleza kwaye kufihliwe, okungekho lula ukufunyanwa.Iimpawu zeklinikhi kunye neempawu nazo zinqongophala kokucacileyo, okulula ukungaziqondi kwaye uphoswe, kwaye izigulane ngokwazo aziyazi kwaye zinike ingqalelo kuyo.Ngoko ke, i-pulmonary embolism ifana "nombulali othuleyo", ethule ngokuzolileyo kuthi.

Kuphela kuxa sizazi thina kunye notshaba apho sinokuthi singoyiswa.Indlela yokuthintela nokugxotha le "mbulali", masiqale siqonde ukuba yintoni i-pulmonary embolism.

I-Pulmonary embolism luluhlu lweenguqu ze-pathophysiological ezikhokelela ekuphefumlweni kunye nokungasebenzi kakuhle kwe-circulatory kunye nokufa ngequbuliso emva kokuba i-thrombus kwi-vein deep iwele kwaye ifikelele kwi-pulmonary artery ngokujikeleza kwegazi kwaye ithintele umthambo we-pulmonary.Phakathi kwabo, ukulala ixesha elide, i-tumor, ukutyeba, isifo sentliziyo kunye nemiphunga, ukuphuka, ukwenzakala, utyando kunye nezinye izigulana zizinto ezinobungozi obuphezulu bokuvela kwe-pulmonary embolism.Ngoko ke, izigulane ezinezifo ezahlukahlukeneyo kunye nabantu abanempilo kufuneka zithintele ukwenzeka kwe-venous thrombosis.

Iimpawu zayo eziphambili zezi:

Ukuqala ngokukhawuleza kokukhohlela, intlungu yesifuba, ukuxinana kwesifuba, i-dyspnea, i-hemoptysis, i-syncope, umkhuhlane, njl., apho i-dyspnea ixhaphake kakhulu (i-80% - 90%), iqala ngokukhawuleza okanye ukugqithisa ngokukhawuleza;Inokutshintsha kwakhona ukusuka kwi-asymptomatic ukuya ekunciphiseni uxinzelelo lwegazi okanye nokufa ngequbuliso;Kukho nezinye izigulane ezine-hemoptysis kunye ne-syncope njengeempawu zokuqala.