Wamathumbu Thrombosis: oonobangela, iimpawu, unyango

Abantu abadala basoloko kufuneka ukujongana nesi sifo, njengoko thrombosis emathunjini. Ngaphezu ikubeka kuxhomekeke ngqo kwi indlela ekhawuleza bafumana ukuya esibhedlele kunye ugqirha uyakukumisela unyango ngamnye. Ukuze ukuba bangalahlekelwa lixesha elixabisekileyo, wonke umntu kufuneka azi malunga iimpawu ephambili yale sifo yaye ngoko athathe onke amanyathelo ayimfuneko.

Into ekufuneka uyazile nge sifo?

Igazi, njengokuba sisazi, kuyaphela ihlwili. Xa amayeza, le nkqubo ibizwa ngokuba coagulation. Lo msebenzi ubaluleke kakhulu ngaphandle apho umntu emva kokufumana amanxeba ukuphulukana lonke igazi yaye ekugqibeleni wafa. Kwelinye icala, oko kukhuthaza coagulation ngokuhamba kwexesha ukuyilwa egazi, nto leyo ngenye ekubhekiselwe thrombi. Ngokutsho kweengcali, ukuba abunjwe ngokupheleleyo nayiphi na ilungu lomzimba indlebe. Umzekelo, engena kwemithambo thrombi wamathumbu ngokulandelelana ucingo sayo yayo, oko ephazamisayo feed ungcangcazelise umzimba ethile nesabelo. Ngenxa yoko, necrosis waphawula ethunjini. Isifo kuthiwa thrombosis (mesenteric) emathunjini. Kwiimeko ingakumbi kakhulu, kunokukhokelela ekufeni.

Wamathumbu thrombosis mesenteric - sisifo kwenzeka patency ngenxa celiac eliphezulu okanye mesenteric kwemithambo ophantsi. Le ngezifo sisoloko sisenza utshintsho flow igazi lokugaya. Ngokutsho kweengcali, esi sifo kuqhelekile ngokulinganayo phakathi kwamadoda nabafazi, kodwa kaninzi kwenzeka abadala.

umyalezo weimeyile

Namhlanje, ngelishwa, ngokupheleleyo akukho namnye uya kusinda na kwesi sifo. Noko ke, oogqirha bathi inani predisposing zinto ukuba bawaphikise uphuhliso kukhethwa ezimbi ezifana thrombosis emathunjini. Kusenokwenzeka kuba ngolu hlobo lulandelayo:

• Yamafutha (isifo semithambo luphawulwa ukuyilwa yokulandelelana of umonakalo, ezo luyasekwa amahlwili ikhefu).
• iposi engabalulekanga.
• Lwegazi (high blood pressure).
• Thrombophlebitis (ukukrala eyendayo ngemithambo emilenzeni kwaye lukhatshwa ekuma igazi).
• Endocarditis (ukudumba ephakathi ingaphakathi entliziyweni, kunegalelo ukuvela egazi).
• Septicemia (Ityhefu igazi).
• samathambo (sisifo kuchaphazela kwizicwili, nto leyo ekhokelele isifo sentliziyo asakhasayo).
• Kwasemva thrombosis.

Amaxesha amaninzi, umzekelo, thrombosis ye emathunjini amancinci uvela ngoko nangoko emva iinkqubo zotyando kwamanye amalungu. Noko ke, kule meko isigulane indenzele ithuba elingcono lokusinda, njengokuba kangangexesha elithile emva kokuba umsebenzi kokuba esweni ngokusondeleyo ngoogqirha. Kwiimeko ezinjalo, ingcali uya ngokukhawuleza isigqibo unyango. Yazisa i anticoagulant okanye nasiphi na isiyobisi, ngokuxuba thrombus.

Imiqondiso yokuqala clinical

Iingcali zithi xa nisaqala zophuhliso kunokuba nzima kakhulu ukubona thrombosis emathunjini. Iimpawu zidweliswe ngezantsi, andikhonze lonke ixesha njengoko iintsimbi alam, kwaye kufuneka wazise bonke.

• intlungu ngesiquphe kwindawo esiswini, olwenzeka ngokukhawuleza emva kwesidlo elandelayo.
• Blanching esikhumba, umlomo owomileyo, ukubila.
• Isicaphucaphu kunye nokugabha, isitulo kakuhle (isisu okanye ukuqhina).
• Flatulence.
• uxinzelelo lwegazi Low.
• Ubukho igazi kule esitulweni.

Xa mpawu zingasentla kucetyiswa ukuba ngoko nangoko funa uqwalaselo lwamayeza. Unyango kwangoko luqala, i ngcono amathuba recovery ngempumelelo. Kungenjalo ithuba elihle kakhulu nengxaki. Emva kokuba thrombus esilala kwi sayo ethunjini, kukho kwegazi kwimizobo. Ngenxa yoko, kuye kubekho isifo sentliziyo amathumbu (spasm, ukumqumbisa necrosis). Ngenxa yoko, ukuphuhlisa peritonitis kwenzeka okanye yophela lwangaphakathi enkulu peritoneum. Xa kungekho ngexesha abaqeqeshiweyo uncedo ngenene ukufa uphezulu kakhulu.

Eyona Inqanaba lesi sifo

Iingcali ngokuqhelekileyo lahlulwe thrombosis wamathumbu akumanqanaba ezintathu zophuhliso:

1. wamathumbu ischemia. Kweli nqanaba, i-organ isifo ochaphazelekayo kusengenziwa wachacha. Izigulane zisoloko zihamba ziintlungu kunzima kwindawo esiswini, kunye nokugabha of ukungcola inyongo. Usihlalo liba lulwelo.
2. wamathumbu iqhosha. Le sifo ke limi ngxi lwalo lokukhawulelana nophuhliso. Ngenxa yoko, i-organ bachaphazelekayo gqolo kwenzeka utshintsho ngenxa yokuba apho kukho ukunxila yonke ephilayo. Urhudo luthathelwa ukuqhina, ngoku ithe bangabhaqa elimsulwa igazi. buhlungu besisu babukongamela, lisuke labuna eluswini, emva kokuba ithinti elinombala.
3. Peritonitis. Kweli nqanaba, abuthethe ubuthi ukonakalisa umzimba, kukho yokuphazamiseka kwegazi. Le ntlungu ayeke okwethutyana, kodwa endaweni kufika ukugabha zazinzima kakhulu, kusihlalo uba nje ezingalindelekanga. Ukudumba ngokuhamba kwexesha kwandisa kuphela. ngokukhawuleza kakhulu kukho umntu uphelelwa ngamandla, ngenxa kukho ukulibaziseka esitulweni. hypotension ziphawulwe, kwaye ukunyuka okungephi lobushushu emzimbeni.

ngezigaba

Kuxhomekeka ekubeni nokubuyiselwa ecwangcisiweyo yokumpompoza igazi kwaphawuleka emva ukuvaleka kwayo, oogqirha bayahlule ikhondo ngakumbi esi sifo ngokwendidi ezintathu:

• Ingahlawulwa (kwegazi ethunjini ngcembe ubuyela eziqhelekileyo).
• Subcompensated (elibukelweyo kuphela lokunye ukubuyisela).
• Decompensated (akunakwenzeka ukuba ukubuyisela kwegazi negazi, ngenxa yoko, kwesisu iqhosha waphawula).

Indlela ukuxilonga thrombosis emathunjini?

Kubalulekile ukujonga umzimba wakho. Xa esisu kunye ndle oxutywe iintlungu igazi kufuneka bafune unyango ngoko nangoko, njengoko kukho amathuba izifo ezifana thrombosis emathunjini. Iimpawu ze isigulane ngasinye ungahluka. Ngokomzekelo, lobushushu isikhumba sakuba lisingisa degrees 38, kukho uxinzelelo oluphezulu lwegazi, ngoko kukho ukuhla okukhulu uxinzelelo lwegazi. Yonke le miqondiso zonyango kufuneka uqaphele. Kwimeko enjalo ke kucetyiswa ukuba ubize inqwelo yezigulana. Kubalulekile ukukhumbula ukuba nawuphi na ukulibaziseka na ngokoqobo kuxabisa ubomi. Ukuba umntu uye esibhedlele xa ezi mpawu, siya ngengqiniseko singabhengeza ukuba sifo ziye obulalayo.

Iindlela eziphambili kokuxilongwa kwiziko lonyango

On zokwamkelwa esibhedlele kunye kwesisu okusolwayo thrombosis yesigulane kudla phantsi uviwo eneenkcukacha diagnostic. Wayethetha yi nkqubo ilandelayo:

• Imbali kunye nokuhlolwa olubonakalayo.
• Uhlalutyo kwinqanaba igazi SOE kunye nenani leucocytes (la manani olunyuswe ngokugqithisileyo xa thrombosis).
• Ray.
• Itomography ngekhompyutha (nkulu isifundo oluneenkcukacha imo nezibilini).
• laparoscopy sokuhlola (ugqirha wenza okuhlatywa eluswini, ngenxa nefoni iya kuqaliswa kamva ikhamera kwi ekupheleni, nowomfanekiselo siboniswe ngqo kwi computer).
• Laparotomy (kwenziwa kwimeko apho kungekho ithuba ukwenza laparoscopy).
• angiography semithambo usebenzisa agents umahluko (ngulo uvavanyo ukuqinisekisa ubungakanani occlusion yegazi).
• Colonoscopy.
• Endoscopy.

therapy elondoloza

Kwi yokwamkelwa isigulane esibhedlele kwagqirha kwindawo yokuqala ukuhlola kuxeshani na uphuhliso thrombosis emathunjini. Treatment ngeendlela angqingqwa ngokuqhelekileyo isicelo xa kunokwenzeka ukuba esi sifo ukuqala inkqubela. It isebenzisa:

• indlela anticoagulation Parenteral, injongo ephambili yale nto ithinasi igazi. Ichiza ezininzi ezisetyenziswayo ngokuqhelekileyo "lweeHedfowuni" yaye ezinye analogue yayo.
• Izitofu thrombolytic kunye antiplatelet (amayeza "Trental", "Reopoligljukin", "Hemodez").

Nangona awu- eliphezulu kwesi sifo, kwimeko unyango kwangoko kuninzi lwe ithuba sokubuyisela ngokupheleleyo malunga nesigulane eso.

ukungenelela operative

Ukuba wamathumbu mesenteric thrombosis iqhubeka, okanye iindlela zonyango ayiphumelelanga ukoyisa sifo, ugqirha imisela izenzo utyando kunye nonyango neziyobisi unyango olongezelelweyo.

Kwimeko ischemia wamathumbu akufane eyipasile sifo ngokwabo, kodwa unyango lokuthintela zintsholongwane Kucetyiswa ukuba akhuphe ubuthi emzimbeni.

Lo msebenzi ubandakanya ukususwa inxalenye yomzimba ezonakeleyo crosslinking elandelayo ephilile kunye. Kwezinye iimeko, izidingo uqhaqho bypass. Ngexesha le nkqubo yingcali uyila "ukudlula" jikelele isitya occluded, igazi nako ukuhamba phambili.

Ukuba thrombosis kwemithambo yegazi wamathumbu lwenzeka ngendlela ebukhali, njengoko utyando umiswa. Ugqirha umisela ukuba luyafuneka ukwenza (ukususa i ihlwili legazi, ukuba aqhube angioplasty, utyando esa, njalo njalo. D.). usetyenziso lweenkcukacha negalelo ayeke kwesi sifo, ithishu necrosis kamva ibonakala.

kwimeko yesiqhelo

Emva zonke iinkqubo zotyando isigulane kudla uchitha ixesha elithile esibhedlele. Kwiiveki ezimbini ezayo contraindicated kuso nasiphi na isenzo ngokwasemzimbeni. Kungenjalo, mhlawumbi nimqumbise okuvela herniation.

Oogqirha yokunuyiselwa isindululo alale, ukuba kuyimfuneko ngokwazo ukwenza uhlikihla esiswini, olova nangesandla ke ngku.

Kubalulekile ukulandela zonke iingcebiso ezivela koogqirha. Ngapha koko, ekuphela kwendlela ukulibala ngengxaki efana thrombosis emathunjini.

Emva kotyando, kubaluleke ngokulinganayo ukunamathela ukutya ubisi-nemifuno. Adla kufuneka luqulathe igama irayisi isidudu, iziqhamo, libya-fat kuphekwe inyama / intlanzi, iimveliso zobisi. Vala zonke iimveliso agcinwe ngumsi yonke iphela, utywala, igalikhi netswele. Akucetyiswa ngenyanga yokuqala emva kotyando ukuze basele amasi yonke, ukuze bandiqumbise ukungacoleki kokutya.

Xa ndiqukumbela, kufanele kuphawulwe ukuba unyango kwangoko isifo phantse kuphetha alulame ngokupheleleyo. Asimele madolw 'ukutyelela ugqirha wakho uze ulandele-up unyango.