Aortoarteriit nonspecific: Bayyanar cututtuka da kuma Jiyya Hanyar

A halin yanzu, akwai wata babbar dama cututtuka za su iya shafar daban-daban gabobin da kuma jiki tsarin. Kuma daga gare su akwai wadanda suka fi son a zabi wani musamman jima'i. A cikin wannan labarin, za mu sami saba da daya daga cikin wadannan cututtuka - shi ne aortoarteriit nonspecific, wanda sau da yawa shan wahala daga mace jima'i, da kuma matasa. Da aka fi kamu da cutar a kasashen Asiya. Bari mu dubi ta haddasawa, cututtuka, da kuma lokaci guda tattauna ko yana yiwuwa mu jimre wa wannan Pathology.

Jigon da cuta

Nonspecific aortoarteriit ne rheumatic cuta a cikin abin da akwai hasara ciki surface na jijiya da rassan. Idan kumburi tsari progresses, da jijiyoyin bugun gini bango thickening, m tsoka Layer fara karya saukar da maye gurbinsu da connective nama, da kuma a cikin jini ya bayyana granulomas kunshi babbar cell.

A sakamakon irin matakai jini, don kara fadada da kuma kumbura tasowa wani aneurysm. Idan tsari ba a daina, to, shi ƙare da withering bãya daga cikin na roba zaruruwa na m tsoka nama. Fara sha da gabobin da kyallen takarda saboda sosai jini ya kwarara. A cikin kasa da kasa tsarin da rarrabuwa na cututtuka, kowane cuta na da code, ba togiya nonspecific aortoarteriit. ICD M31.4 bayar da shi da code (aortic baka ciwo).

A Sanadin cutar

Ya zuwa yanzu, haddasawa da cewa tsokana da ci gaban da wannan cuta, kuma sun ba da aka kafa. Mai bincike wanda tsunduma a wannan batun, ne na ra'ayin cewa shi ne, ba na karshe rawa a wannan buga da cututtuka, wanda kai ga immunodeficiency jihohi. Irin wannan ra'ayi da aka kafa saboda gaskiyar cewa ba takamaiman aortoarteriit sau da yawa dangantaka da cututtuka, wadda ake bisa rigakafi cuta.

A halin yanzu, akwai wata kungiyar masana kimiyya wanda ake karkata zuwa yarda da ka'idar autoimmune cuta ci gaba. Hujja na cewa ne ganewa na marasa lafiya da jini antiaortalnyh antibodies.

Za mu iya cewa ginshikai na autoimmune cutar za a iya tabbatar, amma ko shi ne na farko, ko da yake a mayar da martani ga kumburi tsari - ce ya zuwa yanzu da wuya.

rarrabuwa na cututtuka

Aortoarteriit nonspecific iya zama daban-daban dangane da abin ya shafa yankin:

1. Nau'i na farko - a cikin wannan harka bugi kawai aortic baka da kuma kananan rassan cewa mika daga gare ta.
2. A karo na biyu da irin ne ya shafa jijiya a cikin thoracic da kuma na ciki.
3. The uku irin - shafa aortic baka da thoracic da kuma na ciki.
4. Fourth ne halin da raunuka da na huhu jijiya.

Domin duk abin da makirci, ko inganta nonspecific aortoarteriit (Takayasu ta cuta), tawaya barazanar rashin lafiya sosai sau da yawa. Musamman idan suka kamu da latti.

symptomatology da cutar

Aortoarteriit nonspecific cututtuka ne daban-daban, shi ya dogara da tsari da cutar. Takayasu cuta na iya zama na kullum da kuma m lokaci.

The m lokaci da cutar aka bayyana ta da wadannan cututtuka:

• Janar gajiya.
• A lokacin motsa jiki, zafi a cikin tsokoki da kuma gidajen abinci.
• Yana bayyana haemorrhagic kurji.
• Ci gaba erythema nodosum.
• Fadada iyakoki na zuciya.
• Yana bayyana systolic kuma lokaci-lokaci diastolic gunaguni.
• Rare lokuta da ciwon mara.
• Idan muka gudanar da wani dakin gwaje-gwaje gwaje-gwaje, sun nuna matsakaici anemia, gaban C-amsawa gina jiki.

Popular sau da yawa, bayyanuwar irin cututtuka misdiagnosed - "rheumatoid amosanin gabbai", "tarin fuka" ko "sepsis." Wannan, da rashin alheri, na faruwa a 95% na lokuta.

A ci gaba da dagewa mataki da cutar

Idan na farko, saukarwa da cutar ba dauki tasiri matakan warkar da shi, Pathology zarar zama na kullum. Symptomatology riga daban-daban daga cewa a cikin m lokaci:

• Kusan akwai wani bugun jini a hannu daya, da kuma wani lokacin duka biyu.
• Marasa lafiya akai-akai koka zafi a cikin extremities, cewa tare da kara aza kawai Littafi.
• Hands zama mai rauni, da wuya mutane su rike abubuwa.
• Sau da yawa zama m, wanda na iya haifar da asarar sani.
• A lokacin da ka ziyarci wani ophthalmologist gano canje-canje a cikin fundus.
• Tun da aiwatar da hannu ne sau da yawa da jijiyoyin zuciya arteries, shi za a iya lura ischemic harin.
• Tare da shan kashi na ciki lakã fara sha koda.
• Neurological cuta suna bayyana yadda sosai da hankali da kuma memory, rage aiki iya aiki.
• Idan na gani jijiya an shafe su, sa'an nan shan wahala da hangen nesa, biyu wahayi bayyana, zai iya zama makafi a daya ido.
• A hannu na huhu jijiya kai ga ci gaban da nakasa daga 'ya'yan numfashi, zafi a kirji.
• Sha gidajen abinci na hannuwanku.
• Lokacin da nonspecific aortoarteriit yaduwa aiwatar farawa da babban arteries, wanda yawanci take kaiwa zuwa ƙãra jini saboda da takaita da jini.

Yadda aka saba, da m lokaci da cutar zama na kullum ga 6-8 shekaru. Marasa lafiya ya zama wary idan suna da kullum shan azaba da wani rauni, ciwon kai, jin zafi a cikin shakka daga cikin manyan jijiyoyi, sosai daidaituwa da ƙwaƙwalwar ajiyar. Kana bukatar ka sha wani cikakken jarrabawa domin kafa wani cikakken ganewar asali.

ganewar asali

Idan akwai tuhuma da ba-takamaiman aortoarteriit, farkon ganewar asali yana da muhimmanci sosai. Wannan cutar da ake gane da likitoci, idan akwai wadannan cututtuka:

• Idan akwai wani gagarumin bambanci a cikin jini a daban-daban hannuwanku.
• Pulse mai tsanani raunana ko babu detectable.
• Akwai intermittent claudication.
• Lokacin da sauraron da amo lura a cikin lakã.
• A jarrabawa saukar jijiya takaita.
• Insufficiency na aortic bawul.
• M karuwa a matsa lamba.
• ESR ne ta ƙara saboda wasu dalilai.

A karshe, don taimaka gane asali da wadannan karatu:

1. Biochemical bincike na jini ya nuna a cikin jini munanan cewa suna da halayyar wannan cuta.
2. Duban jarrabawa na tasoshin kimanta hãlãyensu da kudi na jini ya kwarara.
3. Angiography tare da bambanci allura detects jijiya constriction.
4. Chest X-ray Ganowar da wuri na raunuka na lakã da na huhu jijiya.
5. Echocardiography tantance aiki da zuciya.
6. By electroencephalography iya gane disturbances a cerebral jini.

Saboda haka, domin kowane cuta, ciki har in kamar nonspecific aortoarteriit, likita tarihi fara da cikakken binciken, wanda nufin gyara ganewar asali.

bambanci ganewar asali

Yana da muhimmanci sosai ga ganewar asali bambance aortoarteriit nakasar anomalies na jijiyoyin bugun gini tsarin da thromboembolism. Domin da karshen ne halin da wani m hanya na wani yiwu samuwar wani jini gudan jini a cikin kogo na zuciya tsoka.

An muhimmanci alama ne cewa ba takamaiman rinjayar aortoarteriit kungiyar na tasoshin, yayin ga nakasar anomalies sha wasu jijiyoyi.

Idan ka dõgara a kan wani ganewar asali renovascular hauhawar jini, shi wajibi ne mu tuna cewa shi zai iya ci gaba atherosclerosis kuma koda tasoshin. Idan aortoarteriit nonspecific tasowa, yafi a mata matasa, atherosclerosis rinjayar mazan maza.

Kawai cikakken jarrabawa da kuma m gwani zai taimake sa ganewar asali da kuma fara tasiri magani.

Clinical syndromes cikin Pathology

Ganin cewa a cikin wannan Pathology iya shafar sashe daban-daban na kayayyakin da samar da jini da kayan ciki, yana yiwuwa ya ware dama na asibiti syndromes:

1. kanjamau na gefe jini ya kwarara. A lokaci guda akwai sha raɗaɗin a cikin makamai da a ji na numbness a cikin yatsunsu. Idan buga da da vertebral arteries, da jin zafi a baya can.
2. Zuciya da jijiyoyin jini ciwo - ake dangantawa da ci gaban na biyu dabam dabam. Za a iya gane asali bayyanar cututtuka na myocarditis, ischemia.
3. Idan da abin ya shafa aortic baka, da bunkasa cerebrovascular ciwo. Bayyana ta da ciwon kai, rage hangen nesa, tashin hankali na cerebral wurare dabam dabam.
4. Ciki ciwo aka bayyana da zafi a ciki, wanda shi ne paroxysmal a yanayi. Wannan alama ba nadiri a raunuka na ciki lakã.
5. Hauhawar jini ciwo - ya bayyana a matsayin wani sakamako na raunuka na koda jijiyoyi.

far

Idan ganewar asali "nonspecific aortoarteriit" magani ne aka yi nufi ga:

1. Tasiri a kan mayar da hankali da kumburi, yiwu ta rage shi zuwa m.
2. Yaqi tare da ischemic rikitarwa.
3. Cire manifestations na hauhawar jini.

Abin da idan wani mutum yana da wani maras takamaiman aortoarteriit? Ganewar asali da za'ayi gwaje-gwaje izini, wani gwani aiki - don gina wani magani regimen. Far iya zama kamar haka:

• Magani.
• Surgery.

La'akari da shaida da kuma halaye na kowane zaɓi.

magani da kwayoyi

Magunguna wajabta aortoarteriit idan akai la'akari da tsananin haƙuri da yanayin da ya kwarara halaye na kumburi tsari. Wadannan kwayoyi suna wajabta mafi sau da yawa:

• "Prednisolone" a wani adadin 1-2 MG da kilogram na haƙuri nauyi. Kudin shiga da aka za'ayi domin 1-2 watanni.
• Idan kumburi yana da wani rauni da hali, an nuna samun aminohinolinovogo kwayoyi, misali, "yi Danau" to 0.25 g
• Basic far dogara ne a kan liyafar na "methotrexate". A sashi ne 7-10 MG da murabba'in mita jiki surface area. Yanayin aiki - sau ɗaya a mako.
• Karin jamiái ne anticoagulants, cardiac da kwayoyi da runtse jini.

Drug far yana da wani m hali, idan babu wani ci gaba, ko akwai wani alama rushewa daga wata gabar jiki, kwakwalwa, shi bada shawarar koma ga m baki.

m magani

Idan ra'ayin mazan jiya jiyya ba taimaka, da kuma halin da ake ciki zai kawai samun muni, dole koma ga m kula. Surgery taimaka mayar da jini ya kwarara zuwa gabobin da kyallen takarda. Amma dole ne a haifa tuna cewa wani kumburi tsari ya kamata a tsaya kafin tiyata. Akwai hanyoyin da dama ga irin wannan far:

• Endarterectomy. An yi a gaban ruwan dare segmental occlusion na arteries, wanda gudu kai tsaye daga lakã.
• Agnioplastika da za'ayi idan akwai canje-canje a cikin mutum tasoshin kodan.
• Kewaya grafting ne da za'ayi amfani da roba jijiyoyin bugun gini prosthesis. Irin wannan tsoma baki ne tasiri a mahara jijiyoyin bugun gini raunuka.

Bayan tiyata fi lokaci muhimmanci, yarda da likita shawarwari.

Advice ga marasa lafiya

Mun samu daga abin da aortoarteriit nonspecific cututtuka da kuma magani aka kuma dauke, amma da mãsu haƙuri ne daidai da muhimmanci don tsayar da wadannan jagororin:

1. Kowane haƙuri kamata ka sani cewa da magani daga wannan cuta na bukatar lokaci da kuma a kiyaye da dukkan likita ta alƙawura.
2. Wajibi ne a bi don makirci da kuma sashi na magani da cewa ya shawarci likita.
3. Tun da shan yawa da kwayoyi, akwai hadarin daban-daban illa a lokacin far. Don rage girman su, wajibi ne a sha na yau da kullum Nazarin da izinin gwaje-gwaje.
4. Lokacin da tabarbarewar da bukatar a sanar da gwani.

Idan ka bi don wadannan shawarwari, da far da cutar zai zama mafi nasara.

A hangen nesa ga marasa lafiya

Abin baƙin ciki, ya rabu da mu ba takamaiman aortoarteritis ba zai yiwu ba, amma idan duk likita ta shawarwari da kuma tasiri magani iya cimma gafarta musu. Wannan zai ba da damar marasa lafiya su shiga a cikin saba chores da kuma jin zafi.

A tasiri na magani ya dogara da tsanani daga kumburi da kuma gaban rikitarwa, kuma shi ne shafa da daidaito da kuma gudun ganewar asali. Saboda haka a sakamakon far ya tabbatacce, shi wajibi ne don gane da cutar a farkon matakai.

Special m matakan da aka ba bayar.

Wani ciwo na bukatar wani tsanani m, kadai hanya don cimma kyautata ko kayar da cutar. Kula da lafiyar ka da a yi kariya a kai a kai - don haka ba za ka iya gane munanan a wani wuri mataki da kuma zabi tasiri magani.