Embolism yamaphaphu

Embolism yamaphaphu

 

Iyini i-pulmonary embolism?

I-pulmonary embolism wukuvinjwa komthambo owodwa noma eminingi ephakela amaphaphu. Lokhu kuvaleka kuvame ukubangelwa ihlule legazi (i-phlebitis noma i-venous thrombosis) eliya emaphashini lisuka kwenye ingxenye yomzimba, ngokuvamile lisuka emilenzeni.

I-pulmonary embolism ingenzeka kubantu abanempilo.

I-pulmonary embolism ingaba yingozi kakhulu empilweni yakho. Ukwelashwa ngokushesha ngamaphilisi e-anticoagulant kunganciphisa kakhulu ingozi yokufa.

Izinkinga ze-pulmonary embolism

Ihlule legazi elakheka emithanjeni ejulile emlenzeni, okhalweni, noma engalweni libizwa ngokuthi i-deep vein thrombosis. Uma lelihlule noma ingxenye yalelihlule lihamba emgudwini wegazi liye emaphashini, lingavimba ukujikeleza kwamaphaphu, lokhu kubizwa ngokuthi i-pulmonary embolism.

Ngezinye izikhathi, i-pulmonary embolism ingabangelwa amafutha avela emnkantsheni wethambo eliphukile, ama-bubbles emoyeni, noma amaseli avela ku-tumor.

Ungayihlola kanjani?

Kubantu abanesifo samaphaphu noma isifo senhliziyo, kungase kube nzima ukukhomba ukuba khona kwe-pulmonary embolism. Uchungechunge lokuhlola, okuhlanganisa ukuhlolwa kwegazi, i-x-ray yesifuba, i-lung scan, noma i-CT scan yamaphaphu kungasiza ekuhlonzeni imbangela yezimpawu.

Izimpawu ze-pulmonary embolism

  • Ubuhlungu obukhulu besifuba, obungase bubukeke njengezimpawu zokuhlaselwa yinhliziyo futhi obuqhubekayo naphezu kokuphumula.
  • Ukuphefumula kungazelelwe, ukuphefumula kanzima, noma ukushaywa umoya, okungenzeka lapho uphumule noma uzikhandla.
  • Ukukhwehlela, kwesinye isikhathi kube nesikhwehlela esinegazi.
  • Ukujuluka ngokweqile (diaphoresis).
  • Ukuvuvukala ngokuvamile emlenzeni owodwa.
  • I-pulse ebuthakathaka, engavamile noma esheshayo (tachycardia).
  • Umbala osasibhakabhaka emlonyeni.
  • Isiyezi noma ukuquleka (ukulahlekelwa ukwazi).

Izinkinga ezingenzeka

Uma ihlule legazi likhulu, lingavimba ukugeleza kwegazi emaphashini. I-pulmonary embolism ingaholela ku:

  • Ukufa.
  • Ukulimala unomphela ephashini elithintekile.
  • Izinga le-oxygen egazini eliphansi.
  • Ukulimala kwezinye izitho ngenxa yokuntuleka kwe-oxygenation.

Abantu abasengozini ye-pulmonary embolism

Abantu abadala basengozini enkulu yokuba namahlule egazi ngenxa yalokhu:

- ukuwohloka kwama-valve emithanjeni yemilenze engezansi, okuqinisekisa ukujikeleza kwegazi okwanele kule mithambo.

– ukuphelelwa amanzi emzimbeni okungase kushube igazi futhi kubangele amahlule.

- ezinye izinkinga zezokwelapha, njengesifo senhliziyo nemithambo yegazi, umdlavuza, ukuhlinzwa noma ukushintshwa kwamalunga (ukushintshwa kwelunga). Abesifazane nabesilisa asebevele bakha amahlule egazi noma i-deep vein thrombosis (phlebitis).

Abantu abanelungu lomndeni eselivele laba namahlule egazi. Isifo esitholakala ngofuzo singaba yimbangela yokuphazamiseka kokujiya kwegazi.

Vimbela i-embolism

Kungani uvimbela?

Iningi labantu liyalulama embolism yamaphaphu. Kodwa-ke, i-pulmonary embolism ingaba yingozi kakhulu futhi ingaholela ekufeni uma inganakekelwa ngokushesha.

Singakwazi ukuvimbela?

Ukuvimbela ukwakheka kwamahlule egazi, ikakhulukazi emilenzeni, kusengenye yezinyathelo eziyinhloko zokuvimbela i-pulmonary embolism.

Izindlela eziyisisekelo zokuvimbela

Ukungasebenzi isikhathi eside kungabangela amahlule egazi emilenzeni.

  • Hlala usebenza: hamba kancane nsuku zonke.
  • Uma udinga ukuhlala noma ulale isikhathi eside, yenza izivivinyo zokuthi uhlale phansi, njengokunwebeka, ukugoba, neziyingi zamaqakala. Cindezela izinyawo endaweni eqinile. Khomba izinzwane zakho.
  • Ohambweni olude uhlezi uhlezi (indiza, imoto), vuka njalo ngemva kwamahora amabili, uhambe kancane uphuze amanzi.
  • Ngisho nangemva kokuhlinzwa, ungahlali embhedeni. Ngangokunokwenzeka, sukuma uhambe.
  • Gcina imilenze yakho ingaphambanisiwe futhi izinyawo zombili ziphansi.
  • Gwema ukugqoka amasokisi aqinile noma amasokisi. 
  • Kwezinye izimo, njengemithambo ye-varicose, gqoka amasokisi asekelayo asiza ukujikeleza nokunyakaza koketshezi.
  • Phuza kakhulu. Ukuphelelwa amanzi emzimbeni kukhuthaza ukuthuthukiswa kwamahlule egazi. Amanzi awuketshezi olungcono kakhulu lokuvimbela ukuphelelwa amanzi emzimbeni. Gwema utshwala neziphuzo ezine-caffeine.

Abantu abalaliswe esibhedlela ngenxa yokuhlaselwa yinhliziyo, unhlangothi, izinkinga ezibangelwa umdlavuza, noma ukusha bangase babe sengcupheni yamahlule egazi.

Ukwelashwa kwe-Anticoagulant, njengomjovo we-heparin, kunganikezwa njengendlela yokuvimbela.

Izinyathelo zokuvimbela ukuphindeka

Kwabanye abantu abasengozini yezinkinga noma ukuphindaphinda kwe-pulmonary embolism, isihlungi singase sibekwe ku-vena cava engaphansi. Lesi sihlungi sisiza ukuvimbela ukuqhubeka kwamahlule akheke emithanjeni yezitho ezingezansi ukuya enhliziyweni nasemaphashini.

 

 

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