Kakī endarterectomy: tohu, pōauautanga postoperative, whakahaeretia arotake, me ngā raruraru

Te tangata e matau e whakaaro he patunga e tetahi o nga take tino noa o te mate i roto i te taupori o te ao katoa. Puta ana tēnei mate ki rite auau i roto i nga whenua katoa o te ao. E mea pinepine te tohanga kaka arata'i ki pāpāngia me paresis, meinga hauā rangitahi tūturu ranei. Ki te karo i te whanaketanga o tenei mate, e hiahia ana koe wa ki te tātari patunga āhuatanga mahi whakapataritari a ki te mahi ki a ratou. Ko te take matua o te patunga - ko atherosclerosis o te pera o te kaki, me te upoko. Embolism i roto i te tau waenganui, me te koroheke i reira he tata katoa. Te nuinga o te iwi i runga i 60 tau whakahere hauora ārai o atherosclerosis. I roto i ētahi wā, e kore e he maimoatanga tarukino te pānga e hiahiatia ana. Na ka tohu pokanga - endarterectomy kakī. Tenei tukanga tā te tango o te wahi oko pakaru e atherosclerosis.

He aha noho endarterectomy kakī?

Tei Krovosnabzhnenie roro i runga i te pera kakī. Enei oko Ko manga o te haoraora. E whakaritea ratou symmetrically i runga i ngā taha e rua o te kaki. Tomo ki roto ki te kōhao cranial, kua wehea pera kakī ki manga iti roro. I roto i te tūroro e mate ana i te atherosclerosis, he mōrea tiketike o clots toto i roto i enei oko. E tito ratou o whakatū papa cholesterol me kiko kaiota. A, no te taea te pēhanga hua toto i roto i te kakī thrombus whatiia atu i te taiepa oko, me te tomo i te roro. Ka rite ki te hua, meinga ratou ischemia - kore o te hāora supply ki te kopa. arata'i taua rere toto kaka ki nunu'a whakamataku. Kia kore ai patu, whakamana kakī endarterectomy te. E tauturu te reira ārai patunga me ona mau hopearaa.

tukanga Overview

Kakī endarterectomy - he pokanga, i te mea te purenga o te papanga o te oko roto i te tohu atherosclerotic. Kei te whakamana te reira i roto i te wā i reira he kahakore rongoā ranei he tiketike rawa mōrea o te patu. e kore e taea e ki te whakarato i te pānga e hiahiatia ana, ka noho a tohu atherosclerotic neke atu i te hawhe te diameter o te uaua kakī Drugs. ki te ranei kati te cholesterol te lumen o te oko i te maha o ngā taha wā kotahi. I tua atu, faarahi tino te mōrea o te patunga i roto i te aroaro o te takawhita whakakeke. I roto i tenei take, atheroma kia i tetahi wa atu te endothelium, ahakoa o tona rahi. kia kore e te hua te blockage te nuinga o te iatuku kakī me ona manga e whangai i te roro. Ka rite ki te hua o te whakawhanake patunga rere pūroto.

Tuhinga mō te kakī endarterectomy

kawea pokanga (kakī endarterectomy) te roto i kore hoki te katoa. E kua homai te tākuta whakaaetanga mo te pokanga, kia taunakitanga nui. E mea pinepine whakamana te mahi i roto i te tūroro ki te hītori kē kua whakawhitia te tohanga kaka. Na, i roto i ētahi wā whakatikaia kakī endarterectomy? Tuhinga mo te whai ake:

1. katia te diameter o te oko e tohu atherosclerotic e neke atu i te hawhe.
2. whiu toutou i roto i te hītori.
3. Ko te huinga o te takawhita (utu taahiraa) me atherosclerosis o nga pera kakī.

Contraindications mō te pokanga

Ahakoa nga hua o te pokanga, i roto i ētahi wā, e taea e kore e kawea ratou ki waho. Ka rite ki te tahi atu ngā mahi, kua reira contraindications me kakī endarterectomy. Reviews o tūroro ki te atherosclerosis, hanga ana e ia mārama e te maha o rangahau rerekē i mahi i mua i pokanga. Anake i muri he ngata e reira e kore contraindications te tākuta, ka tīmata te manawanui ki te faaineine no te te mahi. rāhuitia kakī endarterectomy te i roto i te wā e whai ake nei:

1. ngā rongoā whakakeke (decompensated) takawhita.
2. Whānui patunga rere pūroto whakapeka.
3. angina iu ranei tata infarction myocardial.
4. kore ngakau whakapeka.
5. patunga Tata.
6. Ma'i iti hoki circulatory 2 me 3 nekehanga.
7. te mate o Alzheimer.
8. Cancer me kino.

Te faaineineraa no te kakī endarterectomy

I mua i te mahi kakī endarterectomy he tika ki te whakahaere i ngā rangahau. E whakaatu ana te tuatahi, he Matarua ultrasound o oko o te matenga, me te kaki. Ki tenei tikanga te tākuta e taea te whakawa i te tohu o te katinga o te lumen o nga pera o whakatū papa atherosclerotic. I roto i ētahi wā, he angiography iaia. Tenei ako Ko te whakataki ki te kaihoko rerekē toto aru i te mana X-ray. He tikanga tika atu ko CT angiography. āhei te reira ki a koe te arotake i te āhua, te rahi me te localization o paparua cholesterol i runga i te endothelium. Ki te hae i te tākuta ischemia etahi wahi o te roro, i mahi atahanga te kōwarotanga autō. A, no te whakakitea te tākuta te tohu mo te pokanga, he mea e tika ana ki te utu i te mutunga e pā ana ki te āhua whānui o te manawanui. Ki te mahi i tenei i roto i mua o te endarterectomy kakī mahi ECG, KLA, haere toto matū me te coagulation. Ki te he te tahi atu mate te manawanui, he mea e tika ana ki te kōrero tohunga (tafe'anga, mafatu).

Ngā wāhanga o te kakī endarterectomy

Ko te wāhanga tuatahi o te pokanga he rehunga. Ko te kōwhiringa o te rehunga tei runga i te whakaaro o te tākuta, me te te hinaaro o te manawanui. Ka taea te whakamana te reira i rehunga rohe rehunga whānui ranei. I muri iho, hanga te taote i te kokoti i roto i te rohe i reira nga hua o te ultrasound angiography ranei he whakatū papa cholesterol. Kei te clamping te taahiraa i muri mai ipu. I tua atu, i hanga te tapahia i runga i te nuinga o te uaua kakī. I muri ki te tākuta arotake e ngā te rahi me te whānuitanga o te tohu atherosclerotic, faaoti ia e ki te ara i roto i nei tonu te mahi. He maha ngā tikanga. E mea pinepine huihui ki te whakatuwhera i endarterectomy. E tenei te tikanga o te he kokoti ahopou o te oko, me te "haro" paparua cholesterol. I muri i taua, i te wahi o te endothelium pakaru tono te "papaki." Ko tētahi atu tikanga - tenei eversion endarterectomy. Hoki tenei whakaaro tahuri te oko te roto i roto i, me te horoia o WT atherosclerotic. Ki te he nui te lesion o te iatuku kakī, whakamana tona whakakapi i roto i te wāhi ngā. Hoki tenei whakaaro, papanga waihanga. Ko te wāhanga whakamutunga o te kakī endarterectomy ko te apa-tuitui.

Kia pehea te ko te wā pou-mahi?

I muri kakī endarterectomy wā ki te whakahoki rere toto e. E te reira i te wiki ruarua. Mai te kokoti i te kaki o te rahi iti, ua faaite sensations paku mamae. Otiia, kia hiahiatia ai Pë i te ra tuatahi. Koe e kore e hoki e taea e ara ngā taimaha, me ki faaohipa i te wiki torutoru mai, pera i whakamana kakī endarterectomy. Ko pai te akoranga postoperative, ki te, e kore anake i roto i te fare ma'i, engari ano no te tukua katoa o whakahaunga a te taote e te manawanui. E nekehia atu Sutures 7-10 ra i muri i te pokanga.

Fifi o te kakī endarterectomy

Kia mahara te reira e tetahi pokanga tā mōrea. No okotahi me te kakī endarterectomy. Fifi i muri i tenei mahi e onge, e pā ana ki 3% o te wā. Otiia, e kitea ratou, a me fakatokanga te manawanui e pā ana ki tenei.

Ko te pōauautanga postoperative rawa tuatahi he kore suture. Ki tenei mahi, he tino kino hoki te ora o te manawanui te kătahi o huakita ki te motu, pera i te tapahia kawea i roto i tika i runga i te moenga iaia. kia puta tenei pōauautanga tika ki ngā hanganga ture-kore ki te ture o antiseptics.

Ko tētahi atu huru kino e pā ana ki KMO, ko te tawai. kia puta aituā iaia roro rite ki te hua o te wehenga tohu atherosclerotic kongakonga i roto i te mahi, me tona matenga i roto i te whakapā ki te oko. Ko te onge tenei pōauautanga, i 2-3% o te wā.

I tua atu, kei te te tahi mau taime kite pokanga whakararuraru, rangitahi o reo me te horomia. e pā ana tēnei i te kino ki te hopearaa io kei roto i te kaki.

whakaaro pōauautanga Late o kakī endarterectomy restenosis te. E pā ana tēnei ki te re-whāiti o te lumen oko. Nuinga maha restenosis puta i roto i tūroro kore e nei e ü ana ki whakahau a te tākuta.

Prevention o pōauautanga postoperative

Pōauautanga pērā i te patunga me te kino ki nga raru o te kaki, e kore e whakawhirinaki i runga i te manawanui, kia rite ki whakatika ratou i roto i te akoranga o te pokanga. Otiia, he taea te ārai o te tahi atu tikanga whakawhetai anake ki te mahi ngā o te tākuta, me te manawanui. Rawa āwangawanga reira te re-takanga o whakatū papa atherosclerotic. Kia Ko te rangatira o te mahi, te manawanui me te tonu kitea e te mātanga. I tua atu ki te tukanga tātaritanga, te rata homai te manawanui he kupu tohutohu whai hua. I roto i ngā pā tenei ki āhua: me mutu te manawanui paowa, me te whakamahi waipiro, kai (kai kai ngako-iti). hoki te ārai o te restenosis i whakaritea rongoā hoki. kia tango ra te manawanui taero lipid-tukupu ( "atorvastatin" tarukino), āpiha antiplatelet ( "Cardiomagnyl" papa "Clopidogrel").

Mahi "kakī endarterectomy": pai me ngā raruraru

Ka rite ki ki ngā tukanga hāparapara katoa, kua rua huapai me ngā huakore tenei mahi. e kore e ētahi tākuta tūtohu kakī endarterectomy rite te roa rite taea atherosclerosis te tukinotia conservatively, a kahore e tūroro i mau faaiteraa haumanu o mate. Ētahi atu tākuta whakapono he tika taua pokanga ki te whāiti nui o te lumen o te iatuku, ahakoa o ahakoa he hakari e kore ranei i roto i te manawanui tohumate. Ko te painga o tenei tikanga ko te horoi tino o te oko i cholesterol, te whakapai ake rere toto. Ka taea e tino te mahi whakaiti i te mōrea o te patu. Otiia e kore e endarterectomy kī e kore e kia pakaru ano te oko. Ano, Ka taea e i roto i te pokanga pōauautanga whakawhanake rite te whara io patunga ranei. Te nuinga tākuta ahua tenei ki te whawhe āhua kinokore o nga ngā tukanga, me e whakaaro nga hua ki te kia whai kiko.

Kakī endarterectomy: arotake o te iwi whakahaeretia

whakaaro pai me te kino tūpono i roto i te kōrero o tetahi maimoatanga hāparapara. No okotahi me te kakī endarterectomy. whakahaeretia Reviews He rerekē te iwi. I roto i te nuinga o te wā, he makona ki te mahi te iwi. Ngā mihi ki a ia, Ko nga tohu o te ischemia (waimaero whakarongo, mahara, moe), pai ake ngā hua o te rangahau, me te huru whānui. tuhia ētahi tūroro i te huringa i roto i te reo, horomia disorders i muri i endarterectomy. I roto i te nuinga o te wā, roa enei tohu e pā ana ki te marama, a ka tino ngaro.