Chida chabwino chopewera thrombosis yozama ya venous (1)

Deep venous thrombosis ndi pulmonary embolism

Deep venous thrombosis (DVT) ndi pulmonary embolism (PE) zakhala zovuta zachipatala ndi zaumoyo padziko lapansi.DVT ndi PE kwenikweni ndi mawonetseredwe a njira ya matenda mu magawo ndi magawo osiyanasiyana.Onse pamodzi amatchedwa venous thromboembolism (VTE).Zochitika za VTE pambuyo pa opaleshoni yaikulu ndi yaikulu, yomwe ndi imodzi mwa zifukwa zazikulu za imfa ya perioperative komanso chifukwa chachikulu cha imfa yosayembekezereka m'chipatala.

Deep vein thrombosis (DVT) imatanthawuza matenda omwe magazi omwe ali mumtsempha wakuya amaundana ndikupanga thrombus, zomwe zimapangitsa kuti magazi abwererenso m'mitsempha yofananira.Nthawi zambiri zimachitika m'miyendo.Embolus ikagwa, imatha kulowa m'mitsempha ya m'mapapo motsatira magazi, zomwe zimayambitsa pulmonary embolism, kusinthana kwa gasi, matenda oopsa a m'mapapo, komanso kusagwira ntchito bwino kwa mtima.Zikavuta kwambiri, dyspnea, mantha, ngakhale imfa.Chiwopsezo cha venous thrombosis ku China chakwera kuchoka pa 1.1 miliyoni mu 2015 kufika pa 1.5 miliyoni mu 2019, ndipo chikuyembekezeka kukwera mpaka 3.3 miliyoni pofika 2030, pomwe chiwerengero cha odwala chikuwonjezeka.

Mawonetseredwe azachipatala a pulmonary embolism amatha kukhala asymptomatic mpaka kufa mwadzidzidzi.Zizindikiro zodziwika bwino zinali dyspnea ndi kupweteka pachifuwa, zomwe zimachitika kuposa 80%.Kupweteka kwa pleural kumachitika chifukwa cha kutupa kwa cellulose pafupi ndi pleural, ndipo zochitika mwadzidzidzi nthawi zambiri zimasonyeza pulmonary infarction.Kuphatikizidwa kwa diaphragmatic pleural kumatha kufalikira pamapewa kapena pamimba.Ngati pali ululu kumbuyo kwa sternum, zimakhala ngati myocardial infarction.Chronic pulmonary infarction ikhoza kukhala ndi hemoptysis.Zizindikiro zina ndi nkhawa, zomwe zingayambitsidwe ndi ululu kapena hypoxemia.Syncope nthawi zambiri ndi chizindikiro cha pulmonary infarction.