Umphumela wokulimala okunzima okuhlotshaniswa nokuhlukana kwamathambo we-tubular kanye ne-pelvic, ngokuvamile uba ngamafutha amaningi. Lesi sifo senziwa futhi ngokuphazamiseka kwe-anaphylactic noma cardiogenic, pancreatitis, ukungenelela kokuhlinzwa kanye nesimo sokufa komtholampilo. Ukuze uvimbele imiphumela emibi, udinga ukwazi ukuthi yikuphi ukugcoba amafutha, nokuthi ungakuvimbela kanjani.
Ukuqala kwamafutha embolism syndrome
Izibalo zezokwelapha zingenakulinganiswa: izinsizwa eziningi zivame ukuba izisulu zokugcoba amafutha. Kodwa lokhu akusho ukuthi lesi sifo asikwazi ukukhula kwabesifazane noma kubamele ezinye izigaba zeminyaka. I-pathogenesis yesifo ayizange ifundwe ngokwanele, ngakho-ke akunakwenzeka ukuchazela kahle ukuthi kungani kuvela ukugqama kwamafutha. Kodwa kunombono wokuthi lapho izinhlayiya ezinamafutha ezincane, ezihlanganisa zibe ezinkulu ngokwanele, zivimbela ama-capillaries nemithambo encane yegazi. Ngenxa ye-hydrolysis esilandelayo, ama-acids amaningi kanye neminye imikhiqizo yenziwa ukuthi ithinte kabi kakhulu ngaphakathi kwangaphakathi kwezitsha ezingxenyeni.
Izimpawu ze-embolism yamafutha
Emahoreni okuqala okuhlukana, izimpawu ze-embolism yamafutha azibonakali, kodwa amaconsi amafutha asevele eqala ukubuthelwa egazini. Ngemuva kwelanga noma ezimbili, lapho kuvinjelwa inani elibalulekile lamakhwala e-capillary, isiguli sinomsindo omncane esifundeni esiphezulu, entanyeni nasezintanjeni. Ukuhambisana nalesi sifo:
- ukuphefumula ;
- ukukhwehlela owomile;
- i-tachycardia;
- ukugeleza kwegazi kwezitsha ezihlangene ze-retina ocular.
Isiguli sinesifo se-cyanosis, umkhuhlane kanye nokudideka.
I-thrombus enamafutha ephumela kungase ibe esimweni sokuphumula, kodwa ngezinye izikhathi ingena ezithombeni ezibalulekile ngokusakaza kwegazi. Ngesikhathi esifanayo, ngenxa ye-thrombus engena enhlungwini yenhliziyo, ukungakwazi kahle inhliziyo kwenhliziyo, ukuphuza amaphutha ukuphefumula ukuphefumula, izinso ukuhluleka kwezinso izinso. Uma i-thrombus ingena ebuchosheni, umuntu uyashaywa yisifo. Ukumisa ngokuqondile ukuxilongwa kusiza ukuhlolwa kwegazi ukuze kubone ukuthi i-fat embolus (Indlela yeGadi).
Ukwelashwa kwamafutha embolism
Ngezindlela eziningi, ukuphumelela kokwelapha ukuqubuzana kwamafutha kuncike ekutheni isikhathi sokusiza sifike ngesikhathi kwenzeka ukulimala nokuthuthwa ngokushesha kwesisulu. Nge-embolus encane, ukwelashwa okhethekile akudingeki, njengoba amafutha ekhishwa kancane kancane emzimbeni nge-urine noma enziwe ngamaseli. Isiguli esinjalo siboniswa ukuphumula okuphelele kanye nokujova okungaphansi kwe-30% e-ester ester.
Nge-embolism enamandla kakhulu:
- I-ventilation yokufakelwa yenziwa.
- Izidakamizwa ezikhethiwe eziphuthumayo ukwakhiwa kwezinhlaka ezinamafutha futhi zivimbela ukumunca kwamanoni kuma-capillaries, imikhumbi:
- i-glucocorticoids;
- Lipostabil
- Pentoxifylline;
- I-Compalin;
- Essentiale , njll.
Ukuvimbela ukugqama kwamafutha
Ukuvimbela ukumbumbuluzwa kwamafutha ukuziphatha okusheshayo kokuhlinzwa okuhlinzekwa kwamafracture (ukukhishwa kwendima akukhipha). Ngosuku lokuqala isiguli kufanele sibe ngaphansi kokuqondisa okusheshayo, futhi zonke izinqubo zokwelapha kufanele zenziwe ngokuqapha okukhulu. Ngaphambi kokuthutha isiguli, ukugqoka okunamandla kuyasetshenziswa. Uma uthola ukuhlukunyezwa kwe-craniocerebral, udinga isikhalazo sokuqala kwesazi sezinzwa, ngoba kule nkinga kunzima kakhulu ukuthola ukuthi i-embolism ye-fat.