Take hakkin gefe jini zagayawa: thrombosis da embolism

Cuta na tsakiya da kuma na gefe jini zagayawa tasowa domin daban-daban dalilai. Duk da haka, da na asibiti hoto da yanayin da hankula da kuma recognizable a duk lokuta. A m yi, wannan ne na kowa matsalar, wanda ya hada da mutane da yawa pathological yanayi, ko ta wani hanya shafi cikin jini.

Sanadin Sistem sakulasan cuta

Tsoma baki tare da al'ada motsi na jini ta hanyar tasoshin iya zama daban-daban yanayi:

1. A lumen da jirgin ruwa shi ne m. Wannan shi ne zai yiwu a yanayin saukan occlusion (msl, thrombus ko atherosclerotic plaque) ko takaita (stenosis).
2. Pathological bango canje-canje (hypertrophy na jijiya hauhawar jini).
3. Squeezing ganga daga waje (msl, ƙari).
4. Lalacewar da jijiyoyin bugun gini bango.
5. Canje-canje a cikin jini rheology.
6. Rage ƙarar na zagawa da jini (ga zub da jini, dehydration).
7. Ragewan jini (bugu, zuciya rashin cin nasara).
8. A Pathology na zuciya (lahani, zuciya rashin cin nasara), a cikin abin da ya rage girma na jini fita a lokacin systole.

Dukkan wadannan yanayi na iya shafar jini ya kwarara a matsayin babban kuma na gefe jijiyoyin bugun gini cuta. A hali na matsalolin da zuciya, hemodynamic disturbances, canje-canje a cikin jini girma, pathological clotting sunadaran da jini wurare dabam dabam da aka sosai a dukkan matakai - daga cikin mafi girma a zuwa ga mafi karami jini. Local wannan cuta (stenosis, thrombosis, jijiyoyin bugun gini bango hypertrophy) an nuna kai tsaye a kan yankin inda taso.

Sanadin cuta na gefe wurare dabam dabam, bisa manufa, wannan a matsayin cibiyar. Duk da haka, da yake magana da Pathology na jini ya kwarara a periphery, musamman unsa na gida jini zagayawa cuta.

Take hakkin gefe jini wurare dabam dabam a tiyata - shi ne da farko a halin da ake ciki alaka da lõkacin fatara daga jini ya kwarara zuwa gida thrombosis, embolism, clamping jirgin ruwa atherosclerosis. Duk wadannan jihohi (tare da togiya, watakila, da atherosclerosis) ne gaggawa, bukata nan da nan taimako.

Take hakkin gefe jini zagayawa: bayyanar cututtuka

Abin da aka bayyana gida lõkacin fatara daga jini ya kwarara? Nama, sami kansu ba tare da wani isasshen jini wadata, za a fara fuskanci ischemia, saboda yanzu ba su samu da ake bukata oxygen ga al'ada aiki. A mafi girma da rashin iko, da cell mutuwa ya auku fiye da hanzari. A cikin rashi na zama dole taimako tasowa gangrene (m. E. Necrosis kyallen takarda hana jini wadata).

Take hakkin da na gefe zagayawa da ƙananan wata gabar jiki - mafi daukan hankali misali. jini ya kwarara cuta a cikin wannan harka iya ci gaba ba zato ba tsammani ko hankali.

intermittent claudication

A mafi m Sanadin wannan yanayin ne atherosclerosis ƙananan reshe arteries, nonspecific aortoarteriit, thromboangiitis obliterans. A jini ya kwarara a cikin tasoshin da aka karya saboda takaita na lumen ta hanyar da m atherosclerotic plaque growths ko thickening daga cikin ganuwar a sakamakon ba takamaiman kumburi dauki.

Take hakkin gefe jini wurare dabam dabam a cikin wannan harka farfado da wadannan asibiti hoto:

1. diyya mataki. An halin bayyanar rauni a kafafu, cramps da kuma rashin jin daɗi a kan bango na jiki aiki. Duk da haka, zafi yakan faru ne kawai a lokacin da tafiya a nesa ba kasa da 0.5-1 km.
2. Mataki subcompensation. Tsaya tafiya saboda zafi a kafafu bayan wani haƙuri aka tilasta 0.2-0.25 km. Ƙananan wata gabar jiki sha wasu canje-canje saboda da rashin jini wadata: a kodadde, bushe, ƙwayoyi fata, gaggautsa kusoshi, thinning na subcutaneous mai Layer. Ripple a kan arteries aka raunana.
3. Mataki decompensation. Tafiya tare da jin zafi mai yiwuwa ne a kan wani nesa na ba fiye da 100 m. Akwai tsoka, halakarwa, da fata ya zama bakin ciki-skinned a kan bãyan tẽkun a wani jam'i na fasa da miyakunsa.
4. Stage hallakaswa canje-canje. A wannan halin da ake ciki, da jini ya kwarara a cikin tasoshin da aka kusan gaba daya tsaya. Ƙananan wata gabar jiki an rufe tare da sores, musamman a cikin tsanani lokuta, gangrene tasowa yatsunsu. Sharply rage ikon aiki.

Hakika, da na gefe jini wurare dabam dabam a cikin wannan Pathology tasowa dogon. Kafin gangrene mataki wuce lokacin mai yawa, a lokacin da za ka iya yi da matakan da suka dace don hana cikakken lõkacin fatara daga jini ya kwarara.

Jijiya thrombosis da embolism

A wannan yanayin, akwai mai tsanani take hakki na gefe jini wurare dabam dabam, a cikin 'yan sa'o'i zai kai ga ci gaban da gangrene na reshe, idan ba dace taimako za a bayar.

A thrombus a jijiya da za a iya kafa a kan wani atherosclerotic plaque, yankunan da kumburi a bango na jirgin ruwa ko lalacewa. Kira embolus, thrombi kawo jini rafi daga wani sashi na jijiyoyin bugun gini gado. A sakamakon haka, da jirgin ruwa lumen ne gaba daya katange, da jini ya kwarara tsaya a nan ba, kyallen takarda fara fuskanci ischemia kuma mutu (gangrene tasowa) a cikin dogon lokacin da adana wannan halin da ake ciki.

Clinic na m gefe Sistem sakulasan cuta

A mafi m canji a bayyanar cututtuka lura a embolism, saboda a wannan yanayin da lõkacin fatara daga jini ya kwarara auku ba zato ba tsammani, da barin wani yiwuwar for compensatory canje-canje.

A farko da sa'o'i biyu da haƙuri abubuwan ciwo mai tsanani a cikin wata gabar jiki. A karshen zama kodadde da kuma sanyi ga tabawa. Pulsation a distal arteries ne mãsu fakowa ba. A hankali, da zafi rage-rage, da kuma tare da shi, muted da kuma ji na ƙwarai har zuwa cikakken maganin sa barci. Motor reshe aiki ma sha ƙarshe tasowa inna. Bada jimawa ba, babu ja canje-canje faruwa a kyallen takarda da mutuwarsu. Thrombosis na hoto, bisa manufa, wannan, amma da ci gaban da asibitin ba haka ba ne azumi. A ci gaba da thrombus bukatar wani lokaci, saboda haka jini ya kwarara da aka ba nan da nan karya. A daidai da rarrabuwa Savelieva rarrabe ischemia sa 3:

1. Halin da ýan cuta.
2. Join motsi cuta.
3. A wannan mataki zai fara nama necrosis.

Take hakkin gefe jini zagayawa: jiyya

Dabara dogara ne a kan mai tsanani na ischemia, da kuma gudun na ci gaba komowar canje-canje a cikin kyallen takarda. M hanawa na gefe zagayawa bukatar m magani. A taron na sauka a hankali tabarbarewar jini ya kwarara a cikin matakai na ramuwa mai kyau sakamakon za a iya cimma, da kuma ra'ayin mazan jiya far.

Ayyuka a m jini ya kwarara cuta

Conservative magani ne m, a wannan yanayin, t. K. Shin ba su iya hallakar da gudan da kuma cire toshewa zuwa jini ya kwarara. Nadin mai yiwuwa ne kawai idan akwai mai tsanani comorbidity tare da isasshen compensatory halayen. Bayan karfafawa na haƙuri, wani aiki saboda maidowa wani jini gudan jini daga jirgin ruwa lumen. Rage jini ya kwarara kamar haka. A lumen na shafa jijiya sama da blockage Fogarty catheter, ta hanyar da ya zo da wani thrombus kau. Domin gabatarwar da catheter m damar da aka yi a matakin na bifurcation na da femoral jijiya (a raunuka na ƙananan wata gabar jiki), ko brachial jijiya (ga babba ƙwarai raunuka). Bayan yin arteriotomy Fogarty catheter ne ci-gaba da blockage da jirgin ruwa da wani thrombus, yana da za'ayi ta hanyar wata matsala, sa'an nan inflated da kuma a cikin wannan jiha da aka dawo dasu. Inflated balan-balan a tip na catheter na kama da entrains da thrombus.

A taron na thrombosis a filin na Organic canje-canje da jirgin ruwa bango ne m alama na sake komowa. Saboda haka, bayan maido da jini ya kwarara zama dole su yi wani shirin kaiwa reconstructive tiyata.

Idan halin da ake ciki, an kaddamar da kuma raya gangrene reshe yanki da aka yi.

Far ga obliterating cututtuka na jijiya

Conservative aka ba da jiyya da wuri a cikin cuta, kazalika da contraindications wa m magani. Ka'idodi na far:

1. Kawar da dalilai haddasa wata spasm na arteries kamar shan taba, barasa, hypothermia.
2. Ganawa antispasmodics.
3. Analgesics ga zafi.
4. Rage jini danko ta hanyar da nada antiplatelet jamiái da anticoagulants.
5. Rage cin abinci da nufin rage matakin na cholesterol a cikin jini.
6. Statins ga daidaita da lipid metabolism.
7. Jiyya comorbidities adversely shafi tasoshin: hauhawar jini, da ciwon sukari, atherosclerosis.

Duk da haka, mafi tasiri magani zauna reconstructive aiki - da kewaye (kewaye anastomosis halittar), stent (stent cikin lumen na jirgin ruwa).

don takaita

A gefe jini wurare dabam dabam na iya zama saboda daban-daban dalilai. Yana da muhimmanci a tuna cewa dogon-data kasance ko ya sa m jini cuta iya kai ga babu ja canje-canje a cikin nama da kuma haifar da gangrene.

Ga masu rigakafin cututtuka na zuciya wajibi ne don kula da lafiya salon, ta dace rage cin abinci, guje wa cutarwa halaye, kazalika dace magani daga cututtuka, bayar da tasu gudunmuwar da ci gaban angiopathy.