Chii chinonzi mafuta embolism uye kuti zvinoitika sei

Zvemukati

• Zvinokonzera
• Zviratidzo zvinogona kuitika
• Kana Fat Embolism Syndrome ikaitika
• Kurapwa kunoitwa sei

Mafuta embolism ndiko kukanganisa kwemidziyo yeropa nemadonhwe emafuta anoitika, kazhinji nguva, mushure mekutsemuka kwemapfupa marefu, senge mapfupa emakumbo, zvidya kana chiuno, asi izvo zvinogona zvakare kuonekwa munguva yekuvhiya kwekuvhiya kwemapfupa kana maitiro. esthetics, senge liposuction, semuenzaniso.

Iwo madonhwe emafuta anogona kutenderera kuburikidza mutsinga dzemuviri uye tsinga, anotakurwa neropa uye anogona kusvika munzvimbo dzakasiyana uye nhengo dzemuviri. Kazhinji, embolism inongokanganisa zvakakomba kana ikaitika muhuwandu hwakawanda, uye kana izvi zvikaitika, nhengo dzakanyanya kubatwa ndedzekuti:

• Mapapu: ndiyo nhengo huru dzinokanganiswa, uye panogona kunge paine mweya wekufema uye yakaderera ropa oxygenation, mamiriro anonzi pulmonary thromboembolism. Nzwisisa zvimwe pamusoro pekuti zvinoitika sei uye zvimwe zvikonzero zve pulmonary embolism;
• Ubongo: pavanokanganiswa, vanokonzeresa shanduko mukurohwa, senge kushaya simba, shanduko mukufamba, shanduko mukuona uye kuoma kwekutaura, semuenzaniso;
• Ganda: kuzvimba kunoitika kunokonzera kutsvuka kwemaronda uye kuda kubuda ropa.

Zvisinei, dzimwe nhengo dzakadai seitsvo, retinas, spleen kana chiropa, semuenzaniso, zvinogonawo kukanganiswa uye kuita kuti basa ravo rikanganiswe.

Zvinokonzera

Mafuta embolism anogona kukonzerwa nemamiriro akadai se:

• Kutsemuka kwepfupa, senge femur, tibia uye pelvis, mushure me Tsaona yemotokari kana kudonha;
• Kuvhiya kweOrthopedic, senge mabvi kana hudyu arthroplasty;
• Kuvhiya kwepurasitiki, senge liposuction kana kuzadza nemafuta.

Mafuta embolism anogona zvakare kuitika pasina chikonzero chakajeka, zvega, izvo zvisingawanzoitika. Vamwe vevanhu vari panjodzi vane generalized hutachiona, vanhu vane jeko maseru dambudziko, pancreatitis, chirwere cheshuga, mafuta chiropa, kushandisa-kwenguva refu kwecorticosteroids kana nekupisa kwakanyanya.

Zviratidzo zvinogona kuitika

Kazhinji, mafuta embolism anokanganisa midziyo midiki mukutenderera, saka haigare ichikonzera zviratidzo, kunze kwekunge kuitika kwakakura kunoitika, ndiko kuti, painosvika kumidzi mizhinji yeropa kusvika pakukanganisa kutenderera nekushanda kwenhengo. Zvimwe zvezviratidzo zvinogona kumuka zvinosanganisira kupfupika kwemweya wekufema, kutemwa nemusoro, kushanduka pakuona kana kutaura, kushaya simba, kukotsira, kurasikirwa kwekuziva uye kukoma, pamwe nemaronda eganda.

Kuongororwa kweembolism kunoitwa nekiriniki yekuongorora, uye kumwe kuyedzwa kunogona kubatsira kuratidza nzvimbo dzekukuvara kwemitezo kubva mukushaikwa kweropa kuyerera, senge MRI.

Kana Fat Embolism Syndrome ikaitika

Fat embolism inogona kunzi Fat Embolism Syndrome kana yakanyanyisa uye inokanganisa mapapu, huropi, kugwamba kweropa uye ganda panguva imwe chete, zvichikonzera mamiriro akakomba anosanganisira kunetseka kufema, huropi hunochinja uye hutsvuku hweganda maronda., Izvo zvinoratidza kuzvimba uye kuda kubuda ropa.

Chete 1% yemafuta embolism kesi ndiyo inovandudza chirwere ichi, icho chakanyanyisa nekuti, pamusoro pekudzivirira iyo midziyo nemadonhwe emafuta, zvakare inokonzeresa kuita kwemakemikari mukutenderera uko kunogadzira kwakanyanya kuzvimba kuita mumuviri.

Kurapwa kunoitwa sei

Kunyangwe pasina kurapwa chaiko kurapa mafuta embolism, pane matanho anoshandiswa nachiremba kudzora zviratidzo uye kufambisa kupora. Mune zvimwe zviitiko, kuongorora uku kunogona kuitwa munzvimbo yeICU, kudzamara paine kuvandudzika uye kugadzikana kweclinic mamiriro.

Dzimwe sarudzo dzinoshandiswa nachiremba dzinosanganisira kushandisa oksijeni catheter kana mask, mukuwedzera kuenderera uchiona zviratidzo zvakakosha. Kana zvichidikanwa, hydration inogona kuitwa mutsinga neserum, pamwe nemishonga yekugadzirisa BP.

Uye zvakare, vamwe vanachiremba vanogona kuyedza kushandisa corticosteroid mishonga mukuyedza kudzikisira kuzvimba kwechirwere.