Phello ea likotsi tse boima tse amanang le fractures ea masapo le masapo a pelvic, hangata e ba mafura embolism. Lefu lena le boetse le hlaha ka ho tšoaroa ke anaphylactic kapa lefu la pelo, ho phalla ha maikutlo, ho kenella ho buuoa le boemo ba lefu la bophelo bo botle. E le hore u thibele liphello tse bohloko, u lokela ho tseba hore na mafura a embolism ke eng, le hore na u ka e thibela joang.
Ho qala ha mafura a embolism syndrome
Lipalo-palo tsa bongaka ha lia khoneha: bahlankana ba atisa ho hlaseloa ke mafura a embolism. Empa sena ha se bolele hore lefu lena le ke ke la hlaha ho basali kapa ho baemeli ba mefuta e meng ea lilemo. Pathogenesis ea lefu lena ha e e-s'o ithute ka ho lekaneng, kahoo ho ke ke ha khoneha ho hlalosa hantle hore na ke hobane'ng ha embolism ea mafura e hlaha. Empa ho na le khopolo-taba ea hore ha lik'hemik'hale tse nyenyane haholo tsa mafura, tse kopantsoeng ka li-emboli tse kholo, li thibela li-capillari le methapo e mengata ea mali. Ka lebaka la ho latela hydrolysis, mafura a acids le lihlahisoa tse ling li thehoa ka matla ka hare ho lijana ka litho tsa 'mele.
Matšoao a mafura a embolism
Lihora tsa pele tsa fractures, matšoao a mafura a embolism ha a bonahale, empa marotholi a mafura a se a qala ho bokella mali. Kamora letsatsi kapa a mabeli, ha ho e-na le thibelo ea palo e kholo ea capillary lumens, mokuli o na le li-hemorrhages tse nyenyane sebakeng se ka lebokoseng, molaleng le ka marung. Ho felehetsa lefu lena:
- phefumoloho e khutšoanyane ;
- ho khohlela ho omeletseng;
- tachycardia;
- tšelo ea mali ea lijana tse arohaneng tsa retina ea mahlo.
Mokuli o na le cyanosis, fever le pherekano.
Mafura a bakoang ke li-thrombus a ka ba boemong ba ho phomola, empa ka linako tse ling o kenella litho tsa bohlokoa ka molatsoana oa mali. Ka nako e ts'oanang, ka lebaka la ho kenella pelong ea pelo, mesifa ea pelo e haella, matšoafo a phefumoloha, pheko ea liphio e hlōleha. Haeba tsrombus e kenella boko, motho o otloa ke stroke. Hlalosa hantle hore na lefu lena le na le tšoaetso ea mali le hokae ho hlahloba mafura a fatše (mokhoa oa Gard).
Phekolo ea mafura embolism
Ka litsela tse ngata, katleho ea ho phekola embolism e mafura e itšetlehile ka nako ea thuso ea pele ha ho e-na le likotsi le ho tsamaisoa ha sehlōhō ka potlako. Kaha ho na le li-embolus tse nyane, ha ho hlokahale phekolo e khethehileng, kaha mafura a senya butle-butle 'meleng ka mokokotlo kapa a kenngoa ke lisele. Mokuli ea joalo o bontšoa phomolo e feletseng le ente e tlaase ea 30% ea ethyl ester.
Ka oli e matla ea embolism:
- Ho hlahisa moea o kenang moeeng o etsoa.
- Lithethefatsi tse khethiloeng tse potlakisang mohaho oa mahlahahlaha a mafura le ho thibela ho kenngoa ha mafura ka capillaries, likepe:
- glucocorticoids;
- Lipostabil
- Pentoxifylline;
- Compalin;
- Essentiale , joalo-joalo.
Thibelo ea mafura a embolism
Thibelo ea embolism ea mafura ke mokhoa o potlakileng oa ho buuoa bakeng sa fractures (ho khaola maoto ha ho kenyeletsoe). Ka letsatsi la pele mokuli o lokela ho ba tlas'a taolo e haufi, 'me mekhoa eohle ea bongaka e lokela ho etsoa ka tlhokomelo e feteletseng. Pele o fetisetsa mokuli, ho apara liaparo tse ngata ho sebelisoa. Ha o fumana ts'oaetso ea "craniocerebral", o hloka ho ipiletsa pele ho ngaka ea methapo ea mafu, kaha tabeng ena ho thata haholo ho hlahloba fatše embolism.