Aneurysm na lakã na zuciya - abin da yake da shi? Aortic Aneurysm: Sanadin, Alamun, Jiyya

Daga cikin dukan da aka sani zuciya da jijiyoyin bugun gini cututtuka likitoci rarrabe category cewa wakiltar da girma hadarin a rayuwar mutum. Yana hada tsokar zuciya infarction, aortic aneurysm. A karshen, mu tattauna a zurfafe a cikin labarin.

Aortic aneurysm na zuciya: abin da yake da shi da kuma yadda yake da illa?

A lakã - wannan shi ne daya daga cikin mafi girma a jijiya a cikin jikin mutum, wanda aka located kusa da zuciya. Ta hanyar ta, da jini gudana daga babban tsokoki a duk sauran jijiyoyi. Cardiac aortic aneurysm ne wani mahaukaci, a da fadada rabo daga lakã saboda rinjayar da yawa dalilai. Pathology iya zama ko dai nakasar ko samu a yanayi.

Haka kuma cutar ta fara da cewa a karkashin matsin lamba na jini ya kwarara an tsage intima. Saboda haka, jini ne iya gudãna daga ƙarƙashinsu kai tsaye a cikin tsoka Layer. A wannan jiha da haƙuri yawanci ji m rashin jin daɗi a cikin kirji, a hagu. Kodadde fata, da matsa lamba ƙaruwa, akwai butoci sha'awa. Jikewa da jini, da aortic bango an mike da hankali. A katsewa na aneurysm mutum zai iya rasa sani. A wasu lokuta, akwai zo da wani nan take mutuwa daga m jini da asarar da kuma buga.

A pathogenesis da cutar

Ta yaya ne cardiac aneurysm na lakã? Mẽne ne ga Pathology, za a iya gane idan ka san ilmin jikin mutum daga cikin manyan tsokoki na jikin mutum. A cikin myocardium sun thinned ganuwar cewa protrude kullum a cikin jini famfo daga daya ventricle ga sauran. Idan mutum yana da wannan cuta, ƙunci ganuwar hankali slows saukar. Wannan halin da ake ciki da ke sa shi wuya ga m jini famfo.

Bugu da kari ga diyya a cikin ganuwar da lakã a cikin samuwar aneurysms ne ma aiki hemodynamic kuma inji dalilai. Pathology sau da yawa yakan faru a cikin operatively ƙunci yankunan da ake kullum fuskanci wani ƙara load saboda da high kwarara gudu. Kullum aortic rauni da kuma wuce kima aiki na proteolytic enzymes tsokane wajen lalacewar na roba firam da kuma bayyanar nonspecific canje-canje a degenerative halitta a cikin jirgin ruwa bango.

Kafa wani aneurysm ne na girma a cikin size, a matsayin matsin lamba a kan ta bango kawai qara. A daya hannun, da jini ya kwarara a cikin aneurysmal jakar kwai ne ragae saukar da zama abin da ake kira m. A distal shugabanci, kawai 45% na jini da dama daga cikin jimlar ba a cikin aneurysm kanta. Wannan shi ne saboda a cikin kogo da jini gudana tare ganuwar da tsakiyar rafi ne kiyaye m haukan kogi inji da kuma gaban manyan yawa na thrombotic talakawa.

Pathology Sanadin

Masana kimiyya daga ko'ina cikin duniya ta ci gaba da rayayye gano irin cututtuka a matsayin cardiac aneurysm na lakã, abin da shi ne da kuma abin da dalilai taimaka wajen raya kasa. Aka jera a kasa ne kawai da wasu daga cikinsu:

1. Atherosclerosis. Sclerotic plaques kafa a cikin shakka daga wannan cuta, za a iya shafar aortic bango da kuma sanya su m isa.
2. Kamuwa da yanayin da cutar. Cardiac aneurysm na lakã sau da yawa yakan faru da wani bango na syphilis, ko da tarin fuka.
3. Nakasar cututtuka (Marfan ciwo, Ehlers-Danlos ciwo). Sau da yawa cikin tarihin abin da ya faru na cutar da aka sanya idanu nazarin iyali tarihi.
4. Rauni da kuma inji lalacewar a sakamakon mota hatsarori.
5. Tsokar zuciya infarction. Wannan shi ne mafi kowa hanyar cutar. A 35% na mutanen da suka sha wahala a tsokar zuciya infarction, kamu zuciya aneurysm. A wannan yanayin, shi ana riskarsa kamar ta kai tsaye ci gaba.

By da ƙãra hadarin tasowa wani aneurysm hada Club, da hawan jinni, kiba mutane tare da high jini cholesterol. Bisa kididdigar da, cardiac aneurysm na lakã har zuwa sau biyar fiye da sau da yawa bincikar lafiya a cikin maza fiye da a mace. Matsayin mai mulkin, marasa lafiya shekaru - fiye da shekaru 50.

cuta rarrabuwa

A jijiyoyin bugun gini tiyata yana amfani da dama embodiments aortic aneurysms sukayi fassara bisa laákari da nan da nan sarrafawa bango tsarin, tsari da kuma etiology.

A daidai da segmental typology rarrabe: aneurysm na sinus na Valsalva, hawa / saukowa part, da aortic baka da kuma na ciki lakã.

Evaluation na morphological tsarin aneurysms jihar damar su raba su a cikin gaskiya da ƙarya. A bango na karshen da aka wakilta connective nama, wanda aka kafa saboda pulsatile hematoma samuwar.

A siffar da aneurysm iya zama saccular kuma fusiform.

Mene ne bayyanar cututtuka tare da Pathology?

A mafi yawan lokuta da cutar ne asymptomatic. Gane asali shi a bazuwar, sau da yawa a lokacin na yau da kullum dubawa ko a kan jarrabawa na sauran gabobin. Gunaguni da marasa lafiya bayyana idan aneurysm ne halin da m girma da kuma riga a kan Hauwa'u na hutu.

Aneurysm na hawa lakã na zuciya da kuma ta baka ne yawanci tare da wani haske asibiti hoto, dalilin wannan ne musamman ilimin Halittar Jiki wuri. Pathology iya sa matsa lamba a kan hakarkarinsa, kuma thoracic kashin baya. Marasa lafiya koka tari, kuma shortness na numfashi saboda da matsawa na bronchi, zuciya palpitations, hoarseness.

Tsawo kona zafi a cikin mayar da shi ne halayyar da pathologies daga cikin thoracic lakã na zuciya. A wannan yanayin, marasa lafiya yawanci alama bayyanar bushe tari, edema, dizziness da rauni a ko'ina cikin jiki.

A lokacin bincike jarrabawa, likita ya kamata ba musamman da hankali ga waje fasali na mutum. Elongation na dabino, da tsayi, kyphosis, sternal deformity - duk wadannan alamu na iya zama nuni da Marfan ciwo. Mun riga ya yi magana game da shi a wannan labarin.

Abin baƙin ciki, sau da yawa sosai farko alamar Pathology ne aortic katsewa. Yana bayyana profuse zub da jini a cikin narkewa kamar gabobin. A haƙuri da aka amai da jini, tsananin ciwon kirji cewa shimfidawa saukar da kashin baya. A rashin dace taimako zai iya haifar da haƙuri mutuwa.

Yadda za a gane wani aneurysm?

Mafi sau da yawa a lokacin wani zaman yau da kullum duba, likitoci kamu a matsayin "cardiac aneurysm na lakã." Mene ne shi, abin da suke haddasawa na cutar da kuma babban hanyoyin da magani, da gwani ya gaya primary liyafar. Domin ƙarin bayani nazarin matsalar iya bukatar wani yawan ƙarin karatu, ciki har da CT, MRI, duban dan tayi. Bisa ga sakamakon karshe ganewar asali, likita sami cikakken asibiti hoto da cutar.

A jarrabawa yana da muhimmanci a yi la'akari da cewa wani aneurysm na bayyanar cututtuka ne kama da sauran cututtuka. Wannan shi ne dalilin da ya sa na musamman rawa a cikin ganewar asali da aka ba wa bambanci karatu.

Pathology ganewa da yiwu ta nunawa. Masana sun bada shawarar a kai a kai dauki cikin maza bayan shekaru 60, wanda ba zai iya ba up miyagun halaye ko da wani tarihi na wannan cuta.

Aneurysm na lakã na zuciya: magani

Kuma da bayyanar cututtuka da cutar da kuma magani kai tsaye alaka. Bayan likita zai tabbatar da karshe ganewar asali, za ka iya ci gaba zuwa jiyya.

A asymptomatic Pathology far da aka iyakance zuwa dubawa na jihar ta jijiyoyin bugun gini likita da akai X-ray iko. Don rage hadarin rikitarwa a wasu marasa lafiya gudanar anticoagulants.

Surgery aka nuna a aneurysm manyan size (4 cm), kazalika da ta m girma. Wannan magani bada shawarar ga kusan dukan marasa lafiya da suka yi a magance da Pathology kira "cardiac aneurysm na lakã."

Operation nufi da excising wani da waxannan cututtukan jirgin ruwa rabo, suturing, ko ta maye da lahani jijiyoyin bugun gini prosthesis.

Abin baƙin ciki, da hangen nesa da wannan cuta a cikin mafi unfavorable lokuta. Tun farkon da ci gaban aneurysm kuma mutu game da 75% na marasa lafiya a cikin shekaru biyar. Rabin su aka kashe da kwatsam katsewa na lakã, da kuma sauran - by concomitant pathologies (bugun jini, ischemia).

rikitarwa na aneurysm

1. Flaws aortic bawul da zuciya rashin cin nasara.
2. Aneurysm katsewa. Kamar wancan akwai m zub da jini a cikin pleural kogo, na numfashi, zuciya ko esophagus jakar. A hali na zub da jini kai tsaye a cikin pericardial rami na tasowa cardiac tamponade.
3. M aneurysm clotting.

A muka ambata a sama rikitarwa, idan ba su samar da dace kula da lafiya, zai iya zama m ga marasa lafiya da ganewar asali "cardiac aneurysm na lakã." Jiyya da wannan cuta likita ance, bisa ga] aukacin yanayin haƙuri, kuma mataki na tsanani daga cikin Pathology.

m matakan

Idan ya zo ga rigakafin irin wannan rashin lafiya mai tsanani, duk da shawarwari a kan lafiya salon da kuma kiyawar da miyagun halaye dole ne a yi la'akari da farko. Kamar yadda aka ambata riga, na dogon lokaci na iya faruwa a boye nau'i na cardiac aneurysm na lakã. Alamun a cikin wannan hali ba ya bayyana, da mãsu haƙuri Mai shagalã ne daga gaban wannan Pathology. Wannan shi ne dalilin da ya sa idan wani mutum ne a hadarin (shan taba, hawan jini, a tarihin iyali na aortic dissection lokuta), ya kamata a kai a kai sha cikakken bincike da kimantawa. Domin wadannan dalilai, kullum amfani da duban dan tayi, aortography amfani MRI bambanci wakili. Dace ganewa na cuta na iya ajiye rai.

ƙarshe

Wannan matakin na samar da bayani a kan "An aneurysm na lakã na zuciya: Sanadin, Alamun da jiyya." Kada ku ji tsoro na cuta, kamar yadda dace ganewar asali da kuma m jiyya a farkon matakai damar kusan har abada manta game da matsalar.