He aha te mea "syndrome Leriche"?

Leriche syndrome - he mate o te pūnaha matua, i te mea i roto i te pathologies o tenei momo ko te noa tino. takoto te reira i roto i te lesion wahi tinana aorto-iliac, hua i roto i te supply toto tino heke ki te papatoiake me waewae.

Tenei ingoa fokotu'u ko e F. Morel i 1943, fakatapui reira ki te taote Wīwī Leriche, e kaha rangahau tenei ahuatanga.

arata'i Leriche syndrome ki toru disorders matua taote e karanga "topu- o tohumate." I roto i te tūroro ki waimaero supply toto te pūtahi o puta claudication taratahi, riro pini i roto i te wāhanga waewae raro, whakawhanake paruparu.

I teie mahana, e kore e taea e te tatauranga te mea no te tino pehea noa te mate: kua pāngia reira, e kore kaiwhakaako katoa. Heoi, taunaki circumstantial (i roto i ngā, ki te maha o ngā mahi whakahokia rere toto i roto i te haoraora) arahi ki te mutunga e i roto i te US mamae i tenei mate anake hoki e pā ana ki e wha tekau mano iwi ia tau.

Whakapumautia te etiology o te mate. I roto i te 95% o nga take e meinga ai e obliterating atherosclerosis, 4% - aortoarteritis nonspecific, i roto i etahi atu - ranei uaua dysplasia kaiota o pera, aplasia hypoplasia ranei o te haoraora, occlusion postembolic, te tahi atu mate o te pūnaha reretoto.

Ko te take matua no o nei whakawhanake Leriche syndrome - occlusion (blockage) o te haoraora, e mutu rere toto e tika ana ki te katinga o tona tohu.

I kitea te reira e te ahuatanga i roto i nui o te tangata kitea, rawa i muri i 45 nga tau. Ko te take mōrearea matua - e paowa.

Kia pehea te ko te mate?

kiia nga amuamu matua mo te mamae i roto i tona waewae. Kua whakapumautia tohunga e taea whai i te pakaru meinga e ischemia o te raro e alangá rere toto 4 ngā wāhanga o te whanaketanga:

• A, no te Ko te mate i roto i tona tamarikitanga, puta mamae waewae, ka mahi tinana taimaha roa ranei, pērā i haere ana he tawhiti nui atu i te kiromita.
• āhuatanga te atamira tuarua e te ahua o te mamae noa i pikaunga iti.
• I roto i te toru o taahiraa i whakaohooho te mamae kaha tūroro, ara i era atu.
• I roto i te wha o nga disorders arataukai puta: tuwhenua, kikohangatia, necrosis.

Leriche syndrome, maimoatanga o nei te atamira whakamutunga tā tapuhia, e haere tahi tonu i te mamae kino i roto i te rohe o te papa, hope, hope, a he maha - i roto i te rohe whakaeneene o te piha. Ko te take - te whanaketanga o te ischemia (supply toto iti), te uaua papatoiake. Tenei pera-ka karanga claudication taratahi piki āta, pā ischemia kore anake te papatoiake, engari ano hoki te ua, i te mea he aha i reira he he tere te whanake, me te paruparu.

I tua atu ki te tohu i runga ake i roto i te tūroro kite i te tupu rawa puhoi o whao, i reira te mea he fragility me te mate nui o te huruhuru i runga i nga waewae e whakakahoretia mangu hei maihao puru ranei. Ki te kore maimoatia, whakawhanake reira ki te kikohangatia puru.

Hei tātari i te mate mā te whakamahi i angiography, Doppler ultrasound.

Ko hauarea Treatment o te mate, kahore te pokanga, te nuinga o te i kawea i roto i roto i rua ngā wāhanga,.