Qaphela "umbulali othule" - i-pulmonary embolism (PE)

Ngokuthuthukiswa kwemithi kanye nokunaka kwabantu empilweni, izifo eziningi zingalawulwa ngokuphumelelayo futhi zelashwe.Nokho, zikhona futhi izimo lapho ezinye iziguli ezibonakala zisesimweni esigculisayo noma ezingenaso isizathu esisobala sesifo zifa ngokuzumayo.Siyini isizathu?

Ngaphezu kwezinto eziyingozi ezifana ne-myocardial infarction kanye nesifo sohlangothi, kunenye ingozi ebizwa ngokuthi "i-pulmonary embolism", ebizwa ngokuthi "umbulali othule" umphakathi wezokwelapha.

I-Pulmonary embolism, kanye ne-myocardial infarction kanye ne-stroke, ingenye yezifo ezintathu ezinkulu ezibulalayo zenhliziyo nemithambo yegazi, enezinga eliphezulu lokufa kanye nezinga lokukhubazeka.Ngaphezu kwalokho, isigameko sawo ngokuvamile sizuma futhi sifihliwe, okungekho lula ukutholakala.Izimpawu zemitholampilo kanye nezimpawu nazo zisho ukuntula okucacile, okulula ukungazinaki kahle nokuphuthelwa, futhi iziguli ngokwazo azazi futhi ziyakunaka.Ngakho-ke, i-pulmonary embolism ifana "nombulali othule", ehlezi ngokuthula eduze kwethu.

Kuphela uma sizazi thina nesitha lapho singakwazi ukunqotshwa.Indlela yokuvimbela nokuxosha lo "mbulali", ake siqale siqonde ukuthi iyini i-pulmonary embolism.

I-Pulmonary embolism iwuchungechunge lwezinguquko ze-pathophysiological eziholela ekungasebenzi kahle kokuphefumula nokujikeleza kwegazi ngisho nokufa kungazelelwe ngemva kokuwa kwe-thrombus emthanjeni ojulile futhi ifinyelele umthambo wamaphaphu ngokujikeleza kwegazi futhi ivimbe umthambo wamaphaphu.Phakathi kwazo, ukuhlala isikhathi eside embhedeni, isimila, ukukhuluphala, isifo senhliziyo nesifo samaphaphu, ngisho nokuphuka, ukuhlukumezeka, ukuhlinzwa nezinye iziguli yizici eziyingozi kakhulu zokuvela kwe-pulmonary embolism.Ngakho-ke, iziguli ezinezifo ezihlukahlukene ngisho nabantu abanempilo kufanele zivimbele ukuvela kwe-venous thrombosis.

Ukubonakaliswa kwayo okuyinhloko yizi:

Ukuqala ngokuzumayo kokukhwehlela, ubuhlungu besifuba, ukuqina kwesifuba, i-dyspnea, i-hemoptysis, i-syncope, imfiva, njll., lapho i-dyspnea ivame kakhulu (80% - 90%), ngokuvamile iqala ngokuzumayo noma ukwanda okungazelelwe;Ingase futhi ishintshe isuke ekubeni i-asymptomatic iye ekuncipheni komfutho wegazi noma ngisho nokufa kungazelelwe;Kukhona nezinye iziguli ezine-hemoptysis ne-syncope njengezimpawu zokuqala.