Mene ne "Leriche ciwo"?

Leriche ciwo - wata cuta daga cikin jijiya tsarin, wanda yana daga cikin pathologies daga irin wannan shi ne ya fi kowa. Shi ya ta'allaka ne a rauni aorto-iliac jiki rabo, sakamakon cika fuska rage jinin samar da kafafuwa da kuma kafafu.

Wannan sunan yana da shawarar da F. Morel a 1943, ware shi da Faransa likita Leriche, wanda rayayye gudanar da bincike da wannan malaise.

Leriche ciwo take kaiwa zuwa uku main cuta da cewa likitoci kira "triad na bayyanar cututtuka." A marasa lafiya da illa aortic jinin samar bayyana intermittent claudication, vuya bugun jini a cikin ƙananan kafa sassan, rashin ƙarfi tasowa.

Yau, da statistics ba zai iya cewa don tabbatar da yadda kowa da cutar: shi ne kamu, ba dukan likitoci. Duk da haka, na hali shaida (musamman, yawan ayyukan mayar jini ya kwarara a cikin lakã) kai ga ƙarshe cewa a Amurka kadai wahala daga wannan cuta for game da dubu arba'in mutane a kowace shekara.

Kafa etiology da cutar. A 95% daga cikin lokuta da shi ne ya sa ta obliterating atherosclerosis, 4% - nonspecific aortoarteritis, a wasu - ko murdede fibrous dysplasia na jijiya, aplasia ko hypoplasia na lakã, postembolic occlusion, da sauran cututtuka na jijiyoyi.

Babban dalilin saboda wanda tasowa Leriche ciwo - occlusion (blockage) na lakã, wanda tsaya a nan jini ya kwarara saboda ƙulli daga ta plaque.

An gano cewa malaise a da yawa daga cikin fallasa maza, musamman bayan shekaru 45. Babban hadarin factor - shan taba.

Ta yaya ne cuta?

Babban gunaguni lissafta ga zafi a kafafu. Masana sun tabbatar da cewa warwarewarsu lalacewa ta hanyar ischemia daga cikin ƙananan reshe jini ya kwarara iya samun 4 matakai na raya kasa:

• Lokacin da cutar ne a cikin jariri, da kafa zafi faruwa a lokacin da nauyi ko shafe tsawon jiki aiki, kamar tafiya a nesa mafi girma daga wani kilometer.
• A mataki na biyu ne halin da bayyanar zafi ko da a low lodi.
• A cikin uku mataki mai karfi da zafi gaji da damuwa da marasa lafiya, har ma a sauran.
• A karo na hudu trophic cuta bayyana: ulcers, gangrene, necrosis.

Leriche ciwo, lura da abin da na karshe mataki ya shafi yanki, an yaushe tare da ciwo mai tsanani a yankin na gindi, kwatangwalo, kugu, da kuma shi ne sau da yawa - a tsuliya yankin na bawul. A dalilin - da ci gaban ischemia (kasa jini wadata), da pelvic kasa tsokoki. Wannan ake kira intermittent claudication ƙaruwa hankali, ischemia rinjayar ba kawai pelvic bene, amma kuma da laka, wanda shi ne dalilin da ya sa akwai wani hanzari tasowa, da kuma rashin ƙarfi.

Bugu da kari ya na sama cututtuka a marasa lafiya lura da wani sosai m girma na kusoshi, akwai wani fragility da kuma wuce kima asarar gashi a kan kafafu Juya baki ko zama blue yatsunsu. Idan untreated, shi tasowa a cikin wani blue gangrene.

Don gane asali cutar ta amfani da angiography, Doppler duban dan tayi.

Jiyya da cutar ba tare da tiyata, wanda mafi yawa ana da za'ayi a cikin biyu bulan, shi ne wanda ya kasa aiki.