Zotsatira za zovuta zovulala kwambiri zogwirizana ndi fractures wa tubular ndi mafupa a m'mimba, nthawi zambiri amakhala mafuta embolism. Matendawa amapezeka ndi anaphylactic kapena matenda a mtima, kupweteka kwapadera, opaleshoni yophatikizapo komanso matenda a kuchipatala. Pofuna kupewa zotsatira zoopsa, muyenera kudziwa kuti mafuta ndi embolism, ndi momwe mungapewere.
Kuyamba kwa mafuta embromism syndrome
Ziwerengero za zamankhwala sizingatheke: Amuna nthawi zambiri amadwala mafuta embolism. Koma izi sizikutanthauza kuti matendawa sangathe kukula mwa amayi kapena oimira zaka zina. Pathogenesis ya matendawa sanaphunzire mokwanira, kotero n'zosatheka kufotokoza chifukwa chake mafuta embolism amapezeka. Koma pali lingaliro lakuti pamene vuto lopweteka kwambiri la mafuta, kuphatikizapo lalikulu la emboli, limateteza ma capillaries ndi mitsempha yaing'ono yamagazi. Chifukwa cha zotsatira za hydrolysis, mafuta acids ndi zinthu zina zimapangidwa zomwe zimakhudza kwambiri mkati mwa zitsulo mu ziwalo.
Zizindikiro za mafuta embolism
Mu maola oyambirira a zophulika, zizindikiro za mafuta embolism siziwoneka, koma madontho a mafuta ayamba kupezeka m'magazi. Pakatha tsiku limodzi kapena awiri, pamene pali chiwerengero cha capillary lumens, wodwalayo ali ndi kachilombo kakang'ono m'chigawo chakumtunda, m'khosi ndi m'kamwa. Potsatira matendawa:
- mpweya wochepa ;
- chifuwa chouma;
- tachycardia;
- magazi ochulukirapo m'zitsulo zogawanika za retina yamchere.
Wodwala ali ndi cyanosis, malungo komanso chisokonezo.
Mafuta a thrombus amatha kukhala mu mpumulo, koma nthawi zina amalowa m'ziwalo zofunikira ndi madzi. Panthawi imodzimodziyo, chifukwa cha thrombus imalowa m'mitima ya mtima, kusowa mtima kwa mtima kumapangika, mapapo amatha kupuma, impso kulephera kwa impso. Ngati magazi amalowa mu ubongo, munthu amakhudzidwa ndi stroke. Kuonetsetsa kuti matendawa akuthandizira kumathandiza kuti magazi ayambe kugwiritsidwa ntchito.
Chithandizo cha mafuta embolism
Njira zambiri zothandizira kuti thupi likhale ndi mafuta olimbitsa thupi limadalira nthawi yothandizidwa yoyamba pokhapokha ngati kuvulala ndi kuthamanga mwamsanga. Pokhala ndi kamphindi kakang'ono, mankhwala osayenera sali oyenera, popeza mafuta amachotsedwa pang'onopang'ono kuchokera ku thupi ndi mkodzo kapena kulowetsedwa ndi maselo. Wodwala wotere amasonyezera kupumula kwathunthu ndi jekeseni wodutsa wa 30% ethyl ester.
Ndi mafuta olimbikitsa kwambiri:
- Kupanga mpweya wabwino kumapangidwa.
- Mankhwala osokoneza bongo omwe amachititsa kuti thupi likhale lopanda mafuta komanso kulepheretsa kuyamwa kwa mafuta mu capillaries, zotengera:
- glucocorticoids;
- Lipostabil
- Pentoxifylline;
- Compalin;
- Essentiale , ndi zina zotero.
Kupewa mafuta embolism
Kupewa mafuta embolism ndi njira yofulumira ya opaleshoni yophulika (kupundula miyendo sikunatchulidwe). Patsiku loyamba wodwala ayenera kuyang'aniridwa mosamala, ndipo njira zonse zachipatala ziyenera kuchitidwa mosamala kwambiri. Asanayambe kutumiza wodwala, zovalazo zimagwiritsidwa ntchito. Pamene mukupeza vuto lopweteka kwambiri, muyenera kudandaula kwa katswiri wa sayansi ya ubongo, chifukwa panopa ndi kovuta kwambiri kupeza mafuta embolism.