Ngwarira "muurayi akanyarara" - pulmonary embolism (PE)

Nekuvandudzwa kwemishonga uye kutarisa kwevanhu kune hutano, zvirwere zvakawanda zvinogona kunyatsogadziriswa uye kunyange kurapwa.Zvisinei, panewo zviitiko apo vamwe varwere vanoratidzika kuva vakagadzikana kana kuti vasina chiri pachena chokukurudzira chirwere vanofa kamwe kamwe.Chikonzero chii?

Pamusoro pezvipingamupinyi zvakadai semyocardial infarction uye sitiroko, pane imwe njodzi inonzi "pulmonary embolism", iyo inonzi "silent killer" nevechiremba.

Pulmonary embolism, pamwe chete nemyocardial infarction uye sitiroko, ndechimwe chezvirwere zvitatu zvikuru zvinouraya zvemoyo, zvine huwandu hwevanhu vanofa zvakanyanya uye huwandu hwekuremara.Uyezve, chiitiko chayo chinowanzoerekana uye chakavanzika, izvo zvisiri nyore kuwanikwa.Zviratidzo zvekiriniki nezviratidzo zvakare kushaikwa kwehutsananguro, izvo zviri nyore kutariswa zvisizvo uye kupotsa, uye varwere ivo pachavo havazivi uye vanozviteerera.Nokudaro, pulmonary embolism yakafanana ne "mhondi yakanyarara", chinyararire inotivandira.

Chete kana taziva isu nemuvengi ndipo patinogona kusakundika.Nzira yekudzivirira uye kudzinga iyi "muurayi", ngatitangei kunzwisisa kuti chii chinonzi pulmonary embolism.

Pulmonary embolism inotevedzana yekuchinja kwepathophysiological iyo inotungamira mukupumha uye kutenderera kweropa uye kunyange kufa kamwe kamwe mushure me thrombus mutsinga yakadzika inodonha uye inosvika pulmonary artery nekutenderera kweropa uye inovhara pulmonary artery.Pakati pavo, kwenguva refu pamubhedha, bundu, kufutisa, mwoyo uye mapapu chirwere, kunyange kutsemuka, kukuvadzwa, kuvhiyiwa uye vamwe varwere vari mukuru-ngozi zvinhu nokuda kuitika pulmonary embolism.Nokudaro, varwere vane zvirwere zvakasiyana-siyana uye kunyange vanhu vane hutano vanofanira kudzivirira kuitika kwevenous thrombosis.

Zviratidzo zvayo zvikuru ndezvi:

Kamwe kamwe chikosoro, kurwadziwa muchipfuva, chipfuva kuoma, dyspnea, hemoptysis, syncope, fivha, nezvimwewo, izvo dyspnea ndiyo inowanzoitika (80% - 90%), kazhinji kacho kamwe kamwe kana kuwedzera kamwe kamwe;Inogonawo kuchinja kubva kune asymptomatic kusvika kuderera kweropa kana kunyange kufa kamwe kamwe;Kunewo vamwe varwere vane hemoptysis uye syncope sezviratidzo zvekutanga.