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:
- 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.
- 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.
- 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.
- 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:
- Uzo ukwu nke ukwu.
- Ọrịa thrombosis na-akụ nnukwu ahụ, adịkarịghị embolism.
- Esemokwu na-enweghị atụ.
- Mmetụta obi oyi na-atụ mgbe niile.
- Pallor na cyanosis nke anụahụ.
- Mbido, ọkachasị n’abali.
- Mgbu, sitere na ike na-esighi ike.
- Enweghi ogwe akwara n’apata apata, n’isi popliteal fossa, na nkwonkwo ụkwụ.
- Mgbaàmà nke ọdịdị oke ọkụ, gosipụtara na nkewa nke mbọ, ọnwụ ahịhịa n’ụkwụ ụkwụ, ọdịdị nke ọnya n’elu ukwu na mkpịsị ụkwụ.
- Mgbu nke akụkụ ala, nke na-akawanye njọ mgbe ị na-eje ije.
- 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:
- Cilostazolum.
- 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.
- Heparin.
- Warfarin.
Ọnụnọ nke ọnya trophic, a na-eji ọgwụ otite na ọgwụ nje:
- Dimexide.
- Levomekolle
- Delaskin.
- Oflokain.
Vasodilators:
- Trental.
- Pentillin.
- Pentoxifylline.
- Vazaprostan.
- Agapurin.
- 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?
- Wa ahụ - na-enye ụzọ ọzọ ọbara na-erugharị na mpaghara warara akwara ndị ahụ.
- Balloon angioplasty - a na-etinye balloon na-agbasawanye akwara n'ime oghere nke arịa.
- Stering artery - a na-etinye spuber tubular n'ime arịa ahụ gbanwere, nke ga-edobe dayameta nke akwara ahụ n'ogo ziri ezi.
- Endarterectomy - mwepu nke mpaghara emetụtara arịa ahụ yana ihe ncheta atherosclerotic.
- Autodermoplasty - a na-agwọ ọnya trophic, nke a na-agaghị agwọtali na ọgwụgwọ mpaghara.
- Prosthetics - jiri mmiri sịntetik dochie ebe akụkụ ahụ emetụtara nke akwara ndị ahụ.
- Mbepu akụkụ akụkụ ahụ necrotic nke aka yana itinye usoro prosthesis na - esote.