Isiphumo sobunzima obunzima obunxulumene neentlobo zamathambo e-tubular kunye ne-pelvic, kaninzi luba ngumzimba oqatha. Esi sifo senziwa kunye ne-anaphylactic okanye i-cardiogenic shock, i-pancreatitis, ukungenelela kokuphaphazela kunye nelokufa kweklinikhi. Ukuthintela imiphumo emibi, kufuneka ukwazi ukuba kukuphi ukunyuka kwamafutha kunye nendlela onokuyithintela ngayo.
Ukuqala kwe-fat embolism syndrome
Iinkcukacha zonyango azixhomekeki: abafana abaselula bahlala bexhoba le-embolism. Kodwa oku akuthethi ukuba isifo asikwazi ukuhlakulela kwabasetyhini okanye kubameli bezinye iindidi zeminyaka. I-pathogenesis yesifo ayizange ifundwe ngokwaneleyo, ngoko akunakwenzeka ukuba uchaze ukuba kutheni kwenzeka ukugqithiswa kwamafutha. Kodwa kukho ingcamango yokuba xa i-particula ye-fat, ihlanganiswe ibe yindawo enkulu, i-capillaries kunye nemithambo encinane yegazi. Ngenxa ye-hydrolysis esilandelayo, i-fatty acids kunye nezinye iimveliso zenziwe zichaphazela ngokuthe ngqo umgangatho wangaphakathi weempahla kwizitho.
Iimpawu zokugqithisa amafutha
Kwiiyure zokuqala zeeqhekeza, iimpawu ze-embolism yamanqabile ayibonakali, kodwa i-fat drots of fat is already beginning to accumulate in the blood. Emva kwentsuku okanye ezimbini, xa kukho ukukhutshwa kwenani elikhulu lamagunya e-capillary, isigulane sinomonakalo omncinci kwiindawo eziphezulu zesifuba, entanyeni nakwi-armpits. Ukuhambelana nesi sifo:
- ukuphefumula okufutshane ;
- ukukhwehlela;
- tachycardia;
- ukukhukhula kwegazi kweenqanawa zecandelo le-retina ye-ocular.
Isigulane sine-cyanosis, isifo somkhuhlane kunye nokudideka.
I-fatromic infromotic thrombus ingaba kwindawo yokuphumla, kodwa ngamanye amaxesha ungena kwiimpawu ezibalulekileyo ngegazi. Ngexesha elifanayo, ngenxa ye-thrombus engena kwi-muscle ye-heart, ukungafihleki komzimba kuqhuma, imiphunga yokuphefumula ukuphefumula, ukungaphumeleli kwezintso. Ukuba i-thrombus ingena ebuchosheni, umntu uhlaselwa yintlungu. Ukuchonga ngokuchanekileyo ukuxilongwa kukuncedisa ukuhlolwa kwegazi ukuchonga ama-fat embolus (indlela yegadi).
Unyango lwe-fat embolism
Ngeendlela ezininzi, ukuphumelela kokuphathwa kwe-fat embolism kuxhomekeke ekufikeleleni kokuncediswa kokuqala xa kunobungozi nokuthunyelwa ngokukhawuleza kwexhoba. Ngomncinci omncinci, unyango olukhethekileyo alufunwa, kuba i-fat ekhishwa ngokukhawuleza emzimbeni ngomchamo okanye ifakwe ngamaseli. Isigulane esinjalo siboniswa ukuphumla okupheleleyo kunye nokuxutywa kwe-30% ye-ethyl ester.
Ukugqithisa okunzima kwamafutha:
- Ukufakelwa umoya okuqhutywayo kwenziwa.
- Ukuchongwa kweziyobisi ezikhawuleza ukukhawuleza kwezakhiwo ezinamafutha kwaye zivimbele ukuxutywa kwamafutha kwi-capillaries, iinqanawa:
- glucocorticoids;
- Lipostabil
- Pentoxifylline;
- Compalin;
- Essentiale , njl
Ukuthintela ukugqithiswa kwamafutha
Ukuthintela ukugqithiswa kwamafutha kukuziphatha ngokukhawuleza kokuqhutyelwa kwezinto eziqhekezayo (ukukhishwa kwesigxina akufakiwe). Ngosuku lokuqala isigulane sifanele sibe phantsi kweliso, kwaye zonke iinkqubo zonyango kufuneka zenziwe ngokuqaphela okukhulu. Ngaphambi kokuba uthumele isigulane, ukugqoka izixhobo zokugqoka zisetyenziswa. Xa ufumana ingcinezelo ye-craniocerrebral, udinga isikhalazo sokuqala kwi-neurologist, kuba kule ngxaki kunzima kakhulu ukuxilonga ukugqithiswa kwamafutha.