Isikhali esihle sokuvimbela i-venous thrombosis ejulile (1)

I-thrombosis ejulile ye-venous kanye ne-pulmonary embolism

I-Deep venous thrombosis (DVT) kanye ne-pulmonary embolism (PE) kube yizinkinga ezibalulekile zezokwelapha nempilo emhlabeni.I-DVT kanye ne-PE empeleni kuwukubonakaliswa kwenqubo yesifo ezingxenyeni nezigaba ezahlukene.Ngokuhlangene zibizwa ngokuthi i-venous thromboembolism (VTE).Isigameko se-VTE ngemva kokuhlinzwa okukhulu siphezulu, okungenye yezimbangela eziyinhloko zokufa kwe-perioperative kanye nembangela ebalulekile yokufa okungalindelekile esibhedlela.

I-Deep vein thrombosis (DVT) ibhekisela kusifo somtholampilo lapho igazi emithanjeni ejulile lijiya futhi lenze i-thrombus, okuholela ebunzimeni bokubuya kwegazi emithanjeni yegazi ehambisanayo.Ngokuvamile kwenzeka emilenzeni.Lapho i-embolus iwa, ingangena emithanjeni yamaphaphu eduze nokugeleza kwegazi, ibangele i-pulmonary embolism, ukuphazamiseka kokushintshaniswa kwegesi, umfutho wegazi ophakeme wamaphaphu, kanye nokungasebenzi kahle kwenhliziyo efanele.Ezimweni ezimbi kakhulu, i-dyspnea, ukushaqeka ngisho nokufa kungase kwenzeke.Izehlakalo ze-venous thrombosis ejulile e-China zikhule zisuka ezigidini eziyi-1.1 ngo-2015 zaya ezigidini eziyi-1.5 ngo-2019, futhi kulindeleke ukuthi zikhuphuke ziye ezigidini ezi-3.3 ngo-2030, nenani leziguli landa.

Ukubonakaliswa kwemitholampilo ye-pulmonary embolism kungasukela ku-asymptomatic kuye ekufeni kungazelelwe.Izimpawu ezijwayelekile kwakuyi-dyspnea nobuhlungu besifuba, okunezehlakalo ezingaphezu kwama-80%.Ubuhlungu be-pleural bubangelwa ukuvuvukala kwe-pleural cellulose eseduze, futhi ukuvela kungazelelwe ngokuvamile kubonisa i-pulmonary infarction.Ukubandakanyeka kwe-diaphragmatic pleural kungase kukhanye ehlombe noma esiswini.Uma kukhona ubuhlungu ngemuva kwe-sternum, kufana ncamashi ne-myocardial infarction.I-infarction ye-pulmonary engapheli ingase ibe ne-hemoptysis.Ezinye izimpawu ukukhathazeka, okungase kubangelwe ubuhlungu noma i-hypoxemia.I-syncope ngokuvamile iwuphawu lwe-infarction yamaphaphu.