Tiyeni tiphunzire zambiri zokhudza matenda a Fat Embolism.

Munthu akagwa n’kuthyoka mkono kapena mwendo, kapena akachita ngozi yaikulu, timaganizira kwambiri za kuvulalako. Koma nthawi zina, pamakhala vuto lomwe limatsatira zochitika zotere, lomwe sitilankhula kwambiri, koma limakhala loopsa. Limodzi mwa matenda otere limatchedwa ``Fat Embolism Syndrome .'' Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.

Kodi `(Fat Embolism Syndrome)` iyi ndi chiyani?

Mwachidule, `(Fat Embolism Syndrome)` ndi pamene tinthu ta mafuta, kapena madontho a mafuta, timakakamira m'mitsempha yamagazi yanu ndikusokoneza kuyenda kwa magazi. Taganizirani ngati dothi lomwe limakakamira mu chitoliro chamadzi ndipo madzi amasiya kuyenda. Pamene kuyenda kwa magazi kwatsekedwa mwanjira imeneyi, ubongo, mapapo, khungu, ndi ziwalo zina zambiri za thupi zimatha kukhudzidwa. Imeneyi ndi vuto losowa kwambiri. Nthawi zambiri, siloopsa kwambiri. Komabe, ngati vutoli likula, likhoza kukhala loopsa pang'ono.

Kodi kusiyana pakati pa embolism ya mafuta ndi embolism ya m'mapapo ndi kotani?

Tisanamvetse kusiyana pakati pa awiriwa, tiyeni timvetse tanthauzo la mawu ochepa.

• Embolism: Izi zimachitika pamene chinachake chimakakamira mkati mwa mtsempha wamagazi. Izi zitha kukhala magazi oundana, thovu la mpweya, kapena ngakhale tinthu tamafuta timene tikukamba.
• Kutsekeka kwa Mafuta: Izi zimachitika pamene tinthu tating'onoting'ono ta mafuta timalowa m'mitsempha yamagazi.
• Kutsekeka kwa Mapapo: Izi zimachitika pamene chinthu chimakakamira mu mtsempha wamagazi m'mapapo.

Kutupa kwa m'mapapo nthawi zambiri kumachitika chifukwa cha magazi kuundana, komanso kungachitike chifukwa cha kutupa kwa mafuta. Ndi vuto lachipatala lomwe lingayambitse imfa. Mu matenda a Fat Embolism, ngakhale kuti kutupa kwa m'mapapo sikungachitike, kupuma movutikira kungachitike.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Kutupa kwa mafuta m'thupi kungachitikire aliyense. Koma chodabwitsa n'chakuti, sikuchitika kawirikawiri mwa ana aang'ono. Kawirikawiri zimachitika ngati mwathyoka chiuno chanu kapena fupa lalitali m'thupi lanu.

Ngakhale kuti sizichitika kawirikawiri, zimathanso kuchitika chifukwa cha matenda ena. Nazi zitsanzo zingapo:

• Opaleshoni yosinthira bondo kapena chiuno
• Kupsa kwambiri
• Ngati mwalandira chithandizo chadzidzidzi cha matenda a mtima ndi mapapo (CPR)
• Kufufuza za mafuta a m'mafupa kapena kuika m'thupi
• Pancreatitis yoopsa
• Chiwindi chonenepa
• Kuchotsa liposuction
• Mu matenda monga sickle cell anemia.

Kodi vutoli ndi lofala bwanji?

Ndipotu, nthawi iliyonse mukathyola fupa, tinthu tating'onoting'ono ta mafuta timatha kulowa m'magazi anu. Koma nthawi zambiri, mafutawo sakhala aakulu mokwanira kuti abweretse vuto.

Matenda a Fat Embolism Syndrome amapezeka mwa anthu 0.5% mpaka 2% omwe amathyola fupa limodzi lalitali, monga la femur. Komabe, ngati mafupa angapo athyoka nthawi imodzi, makamaka chiuno, chiopsezocho chimawonjezeka kufika pa 5% mpaka 10%.

Kodi chimachitika ndi chiyani m'thupi pamenepa?

`(Fat Embolism Syndrome)` ikhoza kukhala yoopsa ngati yafika pamlingo woopsa. Chifukwa imatha kukupangitsani kuti muvutike kupuma. Ngati yafika poipa kwambiri, imatha kupangitsa kuti mtima uvutike kwambiri chifukwa cha momwe mapapo amakhudzira, kapena momwe imakhudzira mapapo imatha kupangitsa kuti mtima uvutike kwambiri, zomwe zimapangitsa kuti mtima usiye kugwira ntchito komanso kupha.

Kodi zifukwa zake ndi ziti?

Kutupa kwa mafuta kumachitika pamene tinthu tating'onoting'ono tofanana ndi mafuta timalowa m'magazi mwanu ndikutseka kuyenda kwa magazi kudzera m'mitsempha ina yamagazi. Kutupa kwa mafuta kumeneku kumapangika nthawi iliyonse fupa likasweka. Koma nthawi zambiri, kumakhala kochepa kwambiri kotero kuti sikumayambitsa mavuto. Ichi ndichifukwa chake kutupa kwa mafuta kumeneku sikumayambitsa mavuto nthawi zambiri.

"Matenda otupa a mafuta" amenewa nthawi zambiri amayambitsa mavuto akamaswa mafupa amitundu ina. 95% ya milanduyi imakhudza kusweka kwa fupa la m'chiuno "(pelvis)" kapena mafupa atali a thupi. Chiwopsezochi chimakhala chachikulu makamaka pamene fupa la ntchafu "(femur)" (femur), fupa lalikulu pansi pa bondo "(tibia)" (tibia) ndi fupa lopyapyala kumbuyo kwake "(fibula)" lasweka.

Nthawi zambiri, tinthu ta mafuta timeneti tomwe timasonkhana m'magazi timatha kukhazikika m'mitsempha yamagazi yopyapyala yotchedwa capillaries, yomwe ili pafupi ndi pamwamba pa khungu lanu. Izi zingayambitse zizindikiro zazing'ono monga kutupa pakhungu. Koma nthawi zina, tinthu ta mafuta timeneti timatha kukhazikika m'mitsempha yamagazi yopyapyala m'malo ofunikira kwambiri monga mtima, ubongo, maso, ndi mapapo, zomwe zimayambitsa mavuto aakulu komanso oopsa.

Dokotala angakayikire kuti matendawa ndi owopsa ngati pali zizindikiro zitatu zazikulu (ngakhale kuti matendawa angadziwike popanda zonse zitatu). Izi ndi ziphuphu pakhungu, zotsatira zake pa ntchito ya ubongo, komanso zotsatira zake pa mapapo.

Kodi zizindikiro zake ndi ziti?

Matenda a Fat Embolism nthawi zambiri amawonekera mkati mwa masiku awiri kapena atatu kuchokera pamene munthu wasweka kwambiri kapena kuvulala kwina kwakukulu. Komabe, nthawi zina amatha kuonekera maola 12 kuchokera pamene munthu wavulala. Zizindikiro zazikulu ndi izi:

• Kuvuta kupuma: Kuvuta kupuma, kupuma mofulumira, ndi kupuma movutikira ndi zizindikiro zodziwika bwino za ``Fat Embolism Syndrome``. Zizindikiro izi nthawi zambiri zimakhala zoyamba kuwonekera.
• Kusintha kwa mkhalidwe wamaganizo: Matendawa angakhudze momwe ubongo umagwirira ntchito. Izi zingayambitse mutu, chisokonezo, kusintha kwa khalidwe, kusayankha bwino kapena kuchedwa kuyankha. Nthawi zina, khunyu ndi chikomokere zimatha kuchitika.
• Kutupa kwa Petechial:Ma Petechiae ndi madontho ang'onoang'ono, ofanana ndi mabala omwe amawonekera pakhungu lanu. Amachitika pamene mitsempha yamagazi yaying'ono yotchedwa capillaries pansi pa khungu iphulika. Madontho amenewa nthawi zambiri amawoneka pamutu, pakhosi, pachifuwa, ndi m'manja. Angathenso kuwonekera mkati mwa zikope ndi mkamwa. Ziphuphu izi zimasiyana pang'ono ndi matendawa.

Zizindikiro zina zomwe zingatheke:

• Kugunda kwa mtima
• Malungo
• Jaundice (kutuluka kwachikasu kwa khungu kapena maso oyera chifukwa cha matenda a chiwindi)
• Kusintha kwa masomphenya

Pali zizindikiro zina zachipatala zomwe madokotala angayang'ane. Izi sizingakhale zizindikiro zomwe mungazindikire, koma zitha kuzindikirika kudzera mu mayeso:

• Kuchuluka kwa mpweya m'magazi
• Kuchepa kwa magazi m'thupi
• Mavuto a impso
• Mavuto a masomphenya
• Kuchuluka kwa ma platelet m'magazi ndi kusintha kwina kwa kapangidwe ka magazi.

Kodi izi ndi zopatsirana?

Ayi, `(Fat Embolism Syndrome)` si matenda opatsirana.

Kodi izi zimazindikirika bwanji?

Pakadali pano, palibe njira yodziwika bwino yodziwira matendawa. Chifukwa chake, madokotala amazindikira matendawa kutengera zizindikiro zanu, kuyezetsa thupi, mayeso ozindikira matenda, komanso mayeso a labotale.

Pa nthawi yoyezetsa thupi, dokotala adzafufuza zizindikiro ndi zizindikiro m'thupi lanu. Adzamvetsera mtima ndi mapapo anu pogwiritsa ntchito stethoscope.

Zizindikiro zitatu zazikulu zomwe takambirana kale - kupuma movutikira, kusintha kwa maganizo, ndi ziphuphu za petechial - nthawi zambiri zimaonekera kunja. Chifukwa chake, nthawi zambiri, makamaka pazochitika zazikulu, matendawa amatha kupezeka powunika thupi lokha.

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa atha kuchitidwa kuti adziwe matendawa:

• Maphunziro a zithunzi: Madokotala angakufunseni kuti muwapime X-ray, CT scan, kapena MRI scans ya mutu wanu kapena pachifuwa kuti athetse matenda omwe angakupheni monga sitiroko kapena pulmonary embolism. Ma scan awa angathandize kuthetsa matenda otere ndikutsimikizira Fat Embolism Syndrome.
• Mayeso ozindikira: Zizindikiro za Fat Embolism Syndrome zikakhudza mtima, mayesowa angachitike. Mwachitsanzo, mayeso a Electrocardiogram (ECG), omwe amayesa momwe mtima umagwirira ntchito, kapena biopsy ya khungu, yomwe imatenga chidutswa chaching'ono cha khungu kuti ione ngati tinthu tamafuta takhazikika m'mitsempha yamagazi ya khungu.
• Mayeso a labu: Mayesowa amayang'ana kusintha kwakukulu kwa kapangidwe ka mankhwala m'magazi anu, komanso tinthu tamafuta m'magazi anu, mkodzo, kapena makoswe.

Kodi chimachiritsidwa bwanji? Kodi pali mankhwala a izi?

Palibe mankhwala enieni a `(Fat Embolism Syndrome)`.Palibenso njira yodziwika bwino yothandizira izi. Chithandizo chimaphatikizapo kuchepetsa zizindikiro, kugwiritsa ntchito zida zopulumutsa moyo, komanso kupewa mavuto ena.

Cholinga chachikulu apa ndikupereka chithandizo chothandizira. Izi zikutanthauza kuti, ogwira ntchito zachipatala amayang'ana kwambiri kuchiza zizindikiro ndi zotsatira za matendawa, m'malo mochiza matenda okha.

Ndi mankhwala/mankhwala amtundu wanji omwe amagwiritsidwa ntchito?

Mankhwala otsatirawa angagwiritsidwe ntchito pa `(Fat Embolism Syndrome):`

• Corticosteroids: Mankhwalawa amachepetsa kutupa m'thupi. Ogwira ntchito zachipatala amawalembera kuti achepetse kutupa, athandize mapapo, komanso kuti mupume mosavuta. Komabe, kafukufuku wowonjezereka akufunika kuti atsimikizire ngati ayenera kugwiritsidwa ntchito ngati mankhwala wamba a vutoli.
• Mankhwala ochepetsa magazi: Mankhwalawa angathandize kupewa magazi kuundana omwe angachitike ndi Fat Embolism Syndrome. Komabe, palibe umboni wokwanira wosonyeza ngati ayenera kuperekedwa kwa aliyense amene ali ndi Fat Embolism Syndrome.
• Zosefera za Vena cava: Izi ndi zida zomwe madokotala amatha kuyika mumtsempha wanu umodzi ndikutumiza magazi kumalo enaake. Zikayikidwa mu vena cava, mtsempha waukulu kwambiri wamagazi m'thupi lanu (womwe umanyamula magazi kupita kumtima), zoseferazi zimagwira magazi omwe amaundana omwe amatha kutsekeka m'mapapo. Izi zingathandize kupewa embolism ya m'mapapo kapena zotsatira za matenda a embolism yamafuta.
• Mpweya woipa: Iyi ndi imodzi mwa njira zofulumira komanso zosavuta zochizira vuto lililonse la kupuma. Mukawonjezera mpweya woipa m'thupi lanu, mapapo ndi mtima wanu sizigwira ntchito molimbika kuti mpweya woipa ufike m'thupi lanu.
• Kutulutsa mpweya m'thupi la munthu (ECMO): ECMO ndi njira yomwe magazi amatengedwa m'thupi lanu, kudzera mu makina apadera, komwe amachotsedwa m'thupi ndikupatsidwa mpweya. Kenako magazi amabwezeretsedwa m'thupi lanu. Chithandizochi chingathandize mapapu anu kuchira mwa kuwapatsa mpumulo pang'ono ngati muli ndi vuto lalikulu la kupuma chifukwa cha Fat Embolism Syndrome.
• Kupumira mpweya: Chopumira mpweya ndi chipangizo chomwe chimagwira ntchito yopumira. Ichi ndi chithandizo chofala kwa anthu omwe ali ndi mavuto aakulu opumira omwe amaika moyo pachiswe. Chimayamba ndi kupumira mpweya, komwe kumaphatikizapo kulowetsa chubu mu payipi yanu ndikuchilumikiza ku chopumira mpweya. Nthawi zambiri mumagona nthawi imeneyi kuti mukhale omasuka.

Kodi mavuto/zotsatira zake za chithandizo ndi ziti?

Nthawi zambiri palibe mavuto enieni okhudzana ndi `(Fat Embolism Syndrome)`. Komabe, pakakhala zovuta kwambiri, pakhoza kukhala zotsatirapo za nthawi yayitali pa ubongo wanu, maso, kapena mapapo. Komabe, anthu ambiri amachira kwathunthu.Muyenera kufunsa dokotala wanu za zotsatirapo kapena zovuta zomwe zingachitike chifukwa cha vuto lanu. Iye akhoza kukupatsani chidziwitso chogwirizana ndi vuto lanu komanso zosowa zanu.

Umboni wina ukusonyeza kuti anthu omwe ali ndi Fat Embolism Syndrome ali pachiwopsezo chachikulu chotenga mavuto monga deep vein thrombosis (DVT) kapena zotsatirapo za nthawi yayitali pa ubongo. Komabe, umboniwu sunatsimikizidwebe. Kafukufuku wowonjezereka akufunika kuti adziwe ngati izi zili choncho.

Kodi ndimadzisamalira bwanji/ndingathetse bwanji zizindikiro?

Matenda a Fat Embolism Syndrome angayambitse mavuto opuma komanso kusokoneza magwiridwe antchito abwinobwino a ubongo, choncho musayese kudzichiritsa nokha. Chinthu chabwino kwambiri choti muchite ndikupita kuchipatala nthawi yomweyo ndikupempha upangiri kwa dokotala.

Kodi chiopsezo cha vutoli chingachepe bwanji - kapena kupewedwa?

Popeza `(Fat Embolism Syndrome)` nthawi zambiri imayenderana ndi kusweka kwa mafupa, ndikofunikira kwambiri kulimbitsa mafupa osweka. Izi nthawi zambiri zimachitika mwa kukhazikitsa mafupa osweka bwino ndikusunga kuti asasunthike. Pakusweka kwakukulu, opaleshoni ingafunike.

Nthawi zina, madokotala angapereke mankhwala a corticosteroid kuti ateteze vutoli kuti lisachitike pambuyo poti munthu wasweka kwambiri. Komabe, kafukufuku wowonjezereka amafunika kuti adziwe ngati ubwino wa njira imeneyi ndi woposa zoopsa zomwe zingachitike.

Kodi chiyembekezo cha vutoli n'chiyani?

Matenda a embolism a mafuta ali ndi chiwerengero cha imfa pakati pa 5% ndi 20%. Komabe, chiwerengero cha imfa chakhala chikuchepa m'zaka zaposachedwa. Izi makamaka chifukwa cha njira zodzitetezera komanso kuyang'anira mosamala anthu omwe ali pachiwopsezo chachikulu m'zipatala.

`(Fat Embolism Syndrome)` ndi yoopsa kwambiri ngati imayambitsa mavuto aakulu opuma kapena kulephera kwa mtima. Chiwopsezo chotenga chilichonse mwa izi chimakhala chachikulu ngati vutoli lakula kwambiri, kapena ngati chithandizo chachedwa.

Pa milandu yocheperako mpaka yocheperako, "Fat Embolism Syndrome" nthawi zambiri imatha yokha. Zotsatira zake zimakhala zochepa kwa nthawi yayitali.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire?

Nthawi zambiri, `(Fat Embolism Syndrome)` si vuto lalikulu. Limatha lokha mkati mwa masiku ochepa. Pa milandu yoopsa, mavuto a pakhungu kapena mitsempha (ubongo) angatenge masiku kapena milungu kuti athetsedwe. Mavuto opuma amatha okha mkati mwa chaka chimodzi. Ngakhale atalephera kuthetsa okha, mavuto opuma nthawi zambiri samakhala aakulu mokwanira kuti afunikire chithandizo chamankhwala nthawi zonse.

Kodi ndimadzisamalira bwanji?

Kawirikawiri, sipafunika kusamala kwambiri mukatha kumwa mankhwala a 'Fat Embolism Syndrome'. Komabe, muyenera kusamala kwambiri ndi mafupa osweka omwe ayambitsa vutoli. Ngati fupa laswekanso, vutoli (ngati silinalipo kale) lingayambike kapena kubwereranso.

Ngati muli ndi mafunso okhudza vuto lanu, dokotala wanu ndiye munthu wabwino kwambiri woti akutsogolereni zomwe zingakuthandizeni pamene mukuchira vutoli.

Ndiyenera kupita liti kwa dokotala wanga?

Dokotala wanu adzakulangizani kuti mukakumane ndi dokotala nthawi yomweyo kuti akaone ngati pali zotsatirapo zilizonse za nthawi yayitali (zomwe sizichitika kawirikawiri) zokhudzana ndi ``Fat Embolism Syndrome``. Dokotala wanu adzakulangizaninso zizindikiro ndi zizindikiro zomwe zimafunikira thandizo lachipatala.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

. ‍ , ‍ .

Komanso, ngati muli ndi `(Fat Embolism Syndrome)`, muyenera kupita kuchipatala nthawi yomweyo ngati mwayamba kusintha maganizo anu, kapena ngati mukuwonetsa zizindikiro zokhudzana ndi `(Pulmonary Embolism)`.

Zizindikiro za kusintha kwa maganizo:

• Kusokonezeka kapena kukwiya
• Kusakhudzidwa kapena kuchedwa poyankha
• Kugwedezeka

Zizindikiro za `(Pulmonary Embolism)`:

• Kupweteka pachifuwa
• Kuvuta kupuma, makamaka ngati kwabwera mwachangu kapena mwadzidzidzi
• Kutsokomola kapena kupuma movutikira (makamaka ngati mukutsokomola magazi)

Matenda a Fat Embolism ndi matenda osowa omwe nthawi zambiri amatha okha popanda zotsatirapo zake kwa nthawi yayitali. Komabe, nthawi zina - makamaka pazochitika zoopsa kapena ngati sanalandire chithandizo mwachangu - amatha kukhala oopsa kapena kupha. Mwamwayi, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, makamaka kuzindikira matenda ndi chithandizo msanga, zoopsa zokhudzana ndi vutoli zachepa kwambiri.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Fat Embolism ndi matenda osowa koma nthawi zina oopsa omwe angachitike pamene tinthu ta mafuta timalowa m'mitsempha yamagazi pambuyo poti fupa lasweka.

>

Chofunika kwambiri ndikupita kuchipatala nthawi yomweyo ngati mwathyoka fupa kapena mutakhala ndi zizindikiro zomwe zatchulidwa pamwambapa (makamaka kupuma movutikira, kusintha kwa maganizo, ndi ziphuphu pakhungu) . Kulandira chithandizo msanga kungapewe zotsatirapo zoipa kwambiri. Musayese kudzichiritsa nokha. Dokotala wanu ndiye munthu wabwino kwambiri woti akupatseni upangiri.

Kutsekeka kwa mafuta m'thupi , kusweka kwa mafupa, mavuto opuma, matenda a mapapo, kutsekeka kwa mitsempha yamagazi, ziphuphu za petechial, chithandizo chadzidzidzi