Atherosclerosis nke arịa nke akụkụ ala (obleteric): mgbaàmà, ọgwụgwọ, ihe kpatara, nri

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Onye ọ bụla site n'oge ruo n'oge na-enwe obere ihe mgbu na nsọtụ nke ala. Dị ka a na-achị, ndị mmadụ anaghị elebara mgbaàmà ndị a anya, nke na-enweghị isi, n'ihi na mgbe niile ihe kpatara ụdị mgbu ahụ esighị ike gwụrụ ma ọ bụ ịba, kama ọ bụ ọrịa siri ike.

Otu n'ime ọrịa ndị a bụ atherosclerosis nke arịa nke ala ala. N’oge okenye mgbe afọ 65-70 gasịrị, ọrịa a na - akpokarị ihe.

Kedu ihe ọrịa a pụtara?

Atherosclerosis nke arịa nke ụkwụ bụ ọrịa na mmepe nke ọtụtụ mgbanwe na-eme, dịka ọmụmaatụ:

  • ihe omume nke trophic anụ ahụ;
  • nsogbu nke ọbara ọgbụgba na arịa oke.

Atherosclerosis na-emetụtakarị akwara akwara ndị dị ya n’obi na oghere dị n’afọ. Ọ bụ n'ihi nke a ka usoro ji arụ ọrụ na-ebilite na akwara femfiiki, tibial na popliteal arteries.

N'ime ha, lumen na-ede ihe kariri 50-55%. Ọrịa ahụ nwere ike itolite nwayọ ruo ihe karịrị afọ iri, mmadụ agaghịkwa eche ihe ọ bụla banyere ọrịa ya, ebe ọ nwere ike enweghị mgbaàmà doro anya nke ya.

Atherosclerosis na ọkwa ya

Atherosclerosis nke arịa nke ala akụkụ ahụ na-etolite n'ọtụtụ nkebi:

  1. A na-ewere usoro nke mbụ. Ya na Lipoidosis na - agakọ - nsogbu nke Lipid metabolism. Mgbu dị na mpaghara ikpere na-apụta naanị mgbe emechara njem ogologo ma nwee nnukwu ahụ ike.
  2. Ihe izizi nke atherosclerosis nke akwara akwara nke ala ala na-apụta n’ọkwa nke abụọ nke ọrịa ahụ. Legskwụ onye ọrịa na-amalite na-afụ ụfụ mgbe ọ gafesịrị 500-1000 mita.
  3. Agba nke ato bu oge oke nkpuchi ischemia. A na-ekwupụta mgbaàmà nke ọrịa ahụ. Ugbua mgbe mita 50 gasịrị, mmadụ na-amalite inwe ihe mgbu.
  4. A na - eji ọnya trophic, necrosis, na ahụ erughị ala na ụkwụ na - apụta ọnọdụ dị jụụ (enweghị oge abalị). Gangrene nwere ike ibute ọrịa shuga mgbe ụfọdụ.

Dị Mkpa! Ọ bụrụ na ịmaliteghị ọgwụgwọ maka atherosclerosis nke akwara akwara nke ala ala n'oge, ikpe ahụ nwere ike ibute mbepụ. Yabụ, a ga-ebu ọgwụgwọ ọgwụ ọbụlagodi na ọkwa ikpeazụ.

Ihe kpatara oria a

Ihe di iche iche nwere ike kpasu oria a, ma ot 'odi ihe kpatara ya.

  • A na-ewere ịokingụ sịga dị ka ihe kacha akpata atherosclerosis nke akwara ozi. Nicotine dị na ngwaahịa ụtaba na-eme ka akwara ghara iku ume ma gbochie ọbara ịbanye na arịa ahụ n'enweghị nsogbu. Pathzọ a na-eduga kpọmkwem na thrombophlebitis (mgbochi nke veins) na atherosclerosis.
  • Ibu oke ibu.
  • Iri oke ihe oriri nwere oke abụba anụmanụ, nke a na-ebute mmụba nke cholesterol ọbara.
  • Ọrịa ndị ọzọ, dị ka mellitus ọrịa shuga, ọbara mgbali akwara, belatara ọrụ nke homonụ thyroid na homonụ mmekọahụ.
  • Akpachapụ anya ketara eketa.
  • Nchekasị mmetụta uche, nchekasị, nchegbu.
  • Ọbara mgbali elu
  • Ọgbọ gboo.
  • Inwe nwoke (atherosclerosis nke n'ụkwụ karịa na-emetụta ụmụ nwoke).
  • Enweghị mmega ahụ.

Isi ihe mgbaàmà

Ekwuputala ya n'elu na atherosclerosis nke arịa nke ala akụkụ ahụ nwere ike ọ gaghị adịte aka ogologo oge.

Ma mgbe ahụ, mgbaàmà ya nwere ike ime n'otu oge n'ọtụtụ.

Yabụ na ọgaghị enwe ụzọ isi mata ọrịa dị na mbido ya?

E kwuwerị, nke a ga - enyere aka izere nnukwu nsogbu ma malite ọgwụgwọ ngwa ngwa. N’ezie, enwere mgbaàmà, enwerekwa ọtụtụ:

  1. Uzo ukwu nke ukwu.
  2. Ọrịa thrombosis na-akụ nnukwu ahụ, adịkarịghị embolism.
  3. Esemokwu na-enweghị atụ.
  4. Mmetụta obi oyi na-atụ mgbe niile.
  5. Pallor na cyanosis nke anụahụ.
  6. Mbido, ọkachasị n’abali.
  7. Mgbu, sitere na ike na-esighi ike.
  8. Enweghi ogwe akwara n’apata apata, n’isi popliteal fossa, na nkwonkwo ụkwụ.
  9. Mgbaàmà nke ọdịdị oke ọkụ, gosipụtara na nkewa nke mbọ, ọnwụ ahịhịa n’ụkwụ ụkwụ, ọdịdị nke ọnya n’elu ukwu na mkpịsị ụkwụ.
  10. Mgbu nke akụkụ ala, nke na-akawanye njọ mgbe ị na-eje ije.
  11. Akpụ Crimson - cyanosis.

Otu esi amata

Nchọpụta ziri ezi na oge nke atherosclerosis nke akwara aka na ụkwụ bụ ihe bụ isi na-eduga n'ịgwọ ọrịa. Ọ ga-eme ka o doo anya: gịnị kpatara ọrịa ahụ ji bilite, na, malite na nke a, dọkịta ahụ depụtara ọgwụ ndị dị mkpa na ọgwụgwọ ndị ọzọ:

  • Usoro ihe omimi MSCT.
  • MR angiography.
  • Peripheral arteriography.
  • Mmeso nrụgide na mgbako ntụpọ nkwonkwo ụkwụ.
  • (UZDG) - duplex scanning of peripheral arteries.
  • Ingchọta pulsation nke akwara aka.
  • Aro ndị dọkịta na-awa ahụ.

Na mgbakwunye, ọkachamara ahụ ga-ahụ ọnụnọ ma ọ bụ ọnụnọ nke mgbanwe trophic n'ụkwụ, site n'enyemaka nke nyocha nke ultrasound na DS, guzobe ogo nke vaskụla pat patio, na-ege ntamu systolic banyere akwara akwara.

Ọ bụ ihe na-achọsi ike ịme nnwale a: na ọnọdụ supine, onye ọrịa na-ewelite ụkwụ ya site na 45 Celsius.

Kries kwesịrị ịdị. Nyocha a na-ekpebi ike niile nke ụkwụ na ọnụego ịchacha akpụkpọ ahụ na ọbụ ụkwụ ụkwụ ya, ihe mgbaàmà ya na-egosipụtakwa izi ezi nke nnwale ahụ.

Otu esi emeso

Usoro usoro ọgwụgwọ anụ ahụ na ọgwụgwọ ọgwụ ọ bụla dabere na ogo ọrịa ahụ na ngụkọta nke akara ya. Ofzọ ọgwụgwọ nwere ike ịbụ ndị mmadụ na nke ọdịnala.

Ọgwụ izugbe

Ọ bụrụ na onye ọrịa chọrọ inweta nsonaazụ dị mma site na ọgwụgwọ, ọ ga-enwerịrị ike itinye n'ọrụ siri ike nke ndụmọdụ niile nke ndị ọkachamara.

Mkpa:

  • kwụsị ị smokingụ sịga na ị alcoholụ mmanya;
  • gbalịsie ike felata;
  • soro nri cholesterol dị ala, ya bụ, jụ abụba, bọta, achịcha, margarine, sausages, ngwaahịa mmiri ara ehi, azụ na anụ, ụdị abụba, Mayonezi, achịcha, wdg.
  • gbanwee akpụkpọ ụkwụ sara mbara na nke dị mma;
  • Kpachara anya mgbe ị na-egbu mbọ;
  • na-enyocha ma na-agwọkwa mmerụ ahụ nke ụkwụ na ụkwụ;
  • mmega ahụ ịchọrọ iji dosed: ịga ije kwa ụbọchị na nwayọ, igwu mmiri, igwe mmega ahụ;
  • zere hypothermia nke ụkwụ;
  • luso oria akpu agha: oria obara na obara mgbali elu.

Ọgwụ ọgwụ

Ọgwụ nke atherosclerosis nke akwara ndị ala nke ala gụnyere ọgwụ, nke ọ bụ naanị ọkachamara ruru eru ga-edepụta ya.

Ọgwụ Antiplatelet na-egbochi ịmalite ịmịnye ọbara ma mee ka ọ bụrụ ezigbo mgbochi nke ọrịa strok na nkụchi obi:

  • Aspirin
  • Reopoliglyukin.

Ọgwụ nke na-eme ka ahụ onye ọrịa dị ọrụ. Ekele dịrị ha, ọbara n'obara dị n'ụkwụ ya ga - eme ka ije wee bụrụ ihe na - enweghi mgbu:

  1. Cilostazolum.
  2. Pentoxifylline.

Wepụ aka mgbaàmà mgbu na ihe mgbu:

  • Ọgwụ antispasmodics.
  • Drotaverinum.

Ihe anakpo Anticoagulants nwere ihe mgbochi antiplatelet na - egbochi mmepe nke mkpụkọ ọbara, na - egbochi ọbara ikpuchi arịa ọbara, belata cholesterol n'ọbara ọbara.

  1. Heparin.
  2. Warfarin.

Ọnụnọ nke ọnya trophic, a na-eji ọgwụ otite na ọgwụ nje:

  • Dimexide.
  • Levomekolle
  • Delaskin.
  • Oflokain.

Vasodilators:

  1. Trental.
  2. Pentillin.
  3. Pentoxifylline.
  4. Vazaprostan.
  5. Agapurin.
  6. Ifuru.

Usoro ọgwụgwọ anụ ahụ:

  • Hyperbaric oxygenation.
  • Electrophoresis nwere novocaine.
  • Ntughari.

Na mgbakwunye, ndị ọkachamara depụtara ọgwụ ndị na-eme ka nri anụ ahụ na vitamin dị mma.

Ntinye ọgwụ ịwa ahụ n’ịgwọ ọrịa

Gerywa ahụ ma ọ bụ ịwa ahụ nke atherosclerosis nke nsọtụ ahụ bụ oke oke. A na-edenyekarị ịwa ahụ ahụ ma ọ bụrụ na enwere nnukwu nsogbu na ischemia akpọ.

Gịnị bụ ọgwụgwọ ahụ?

  1. Wa ahụ - na-enye ụzọ ọzọ ọbara na-erugharị na mpaghara warara akwara ndị ahụ.
  2. Balloon angioplasty - a na-etinye balloon na-agbasawanye akwara n'ime oghere nke arịa.
  3. Stering artery - a na-etinye spuber tubular n'ime arịa ahụ gbanwere, nke ga-edobe dayameta nke akwara ahụ n'ogo ziri ezi.
  4. Endarterectomy - mwepu nke mpaghara emetụtara arịa ahụ yana ihe ncheta atherosclerotic.
  5. Autodermoplasty - a na-agwọ ọnya trophic, nke a na-agaghị agwọtali na ọgwụgwọ mpaghara.
  6. Prosthetics - jiri mmiri sịntetik dochie ebe akụkụ ahụ emetụtara nke akwara ndị ahụ.
  7. Mbepu akụkụ akụkụ ahụ necrotic nke aka yana itinye usoro prosthesis na - esote.

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