Tūkinotanga o tohanga toto piringa: Thrombosis me Embolism

Disorders o te tohanga toto pokapū, me te piringa whakawhanake hoki take rerekē. Heoi, ko te pikitia haumanu o te huru o angamaheni, me te mōhiotia i roto i te wā katoa. I roto i te mahi hāparapara, ko te raruraru noa, e ngā maha ngā āhuatanga pathological, kotahi te ara ranei pā te bloodstream tetahi atu tenei.

Take o disorders circulatory

Pokanoa ki te kaupapa noa o toto i roto i te oko kia āhuatanga rerekē:

1. He mokemoke te lumen o te oko. Ko te taea tenei i roto i te take o te occlusion (hei tauira, thrombus ranei tohu atherosclerotic) ranei whāiti (stenosis).
2. huringa pakitara pathological (hypertrophy o matua takawhita).
3. Pēpēhinga te ipu i te waho (hei tauira, puku).
4. Tūkino ki te taiepa iaia.
5. Huringa i roto i te rheology toto.
6. Whakaiti i te rōrahi o te komuhumuhu toto (mo te toto, maroketanga).
7. pēhanga tukupu toto (ru, kore ngakau).
8. Ko te māuiuitanga o te ngakau (hē, kore ngakau), i roto i nei te rōrahi iti o te toto tuha i roto i systole.

Ka taea e pā katoa o enei āhuatanga te rere toto rite te mate iaia matua, me te piringa. I roto i te take o ngā raruraru ki te ngakau, raruraru hemodynamic, huringa i roto i te rōrahi toto, waimaero huarahi upoo- pathological o tohanga toto te i ngā taumata katoa - i te nui ki te oko toto iti. kitea taua te whakararuraru, Local (stenosis, Thrombosis, hypertrophy taiepa iaia) e tika i runga i te rohe i reira puta ake.

Take o disorders o tohanga piringa, i te parau tumu, te taua rite te pokapū. Heoi, korero o te māuiuitanga o te rere toto i te taha, matua whai wāhi disorders toto tohanga rohe.

Tūkinotanga o tohanga toto piringa i roto i te pokanga - he matua he āhuatanga e pā ana ki te mutunga o te rere toto ki Thrombosis rohe, Embolism, clamping oko atherosclerosis. Katoa o enei āhua (ki te okotahi, pea, o te atherosclerosis) he akiaki, tono āwhina tonu.

Tūkinotanga o tohanga toto piringa: te tohu

He aha te mea ka whakakite a mutunga rohe o rere toto? Kikokiko, kitea ratou kahore he supply toto e tika, timata ki te wheako ischemia, no te mea inaianei e kore ratou e whiwhi i te hāora e hiahiatia ana mō te mahi noa. Ko te nui te kore o te mana, puta atu tere te mate pūtau. I roto i te ngaro o te āwhina whakawhanake kikohangatia tika (m. E. Necrosis kopa tangohia o supply toto).

Tūkinotanga o te tohanga piringa o nga wahi o raro - te tauira tino a Tūrongo. kia whakawhanake ohorere āta ranei disorders rere toto i roto i tenei take.

claudication taratahi

Ko te take tino auau o tenei huru e atherosclerosis raro pera alangá, aortoarteriit nonspecific, thromboangiitis obliterans. Kei te pakaru te rere toto i roto i te oko e tika ana ki whāiti o te lumen roto i te ahu whakamua growths tohu atherosclerotic ranei thickening o te taiepa rite ki te hua o te tauhohenga inflammatory kore-motuhake.

Tūkinotanga o tohanga toto piringa i roto i tenei take whakaaturia te pikitia haumanu e whai ake nei:

1. atamira utu. Kei te āhuatanga i te reira e te ahua o te ngoikore i roto i nga waewae, cramps me hūhi i runga i te whakamārama o te mahi tinana. Heoi, puta mamae anake ka haere ana i te tawhiti o te kore iti iho i te 0.5-1 km.
2. subcompensation Hipanga. Kāti e haere ana no te mea o te mamae i roto i te waewae i muri i takoha te manawanui e ki 0.2-0.25 km. wahi o raro mamae tahi mau huringa tika ki te kore o te supply toto: he koma, maroke, kiri potakataka, whao pakarukaru, thinning o te apa ngako subcutaneous. ngoikore pōkare i runga i te pera te.
3. decompensation Hipanga. E haere ana i waho mamae he taea i runga i te tawhiti o te kore neke atu i te 100 m. He he uaua pahua, riro te kiri angiangi-kiri i runga i tona mata i roto i te plurality o kapiti me tuwhenua.
4. Atamira huringa haamou. I roto i tenei āhuatanga, kei te tata rawa mutu te rere toto i roto i te oko. hipoki wahi o raro e ki tuwhenua, rawa i roto i ngā take kino, whakawhanake kikohangatia maihao. Koi heke kaha ki te mahi.

O te akoranga, whakawhanake te tohanga toto piringa i roto i tenei māuiuitanga roa. I mua i kikohangatia atamira haere te rota o te wā, i roto i nei e taea te tango e koe i te mehua e tika ana ki te aukati i te mutunga oti o te rere toto.

Thrombosis matua me te Embolism

I roto i tenei take, i reira he maumaui nui o tohanga toto piringa, i roto i te torutoru haora taea arahi ki te whanaketanga o te kikohangatia o te e alangá, ki te ka te whakaratohia e kore wā āwhina.

Te thrombus i roto i te iatuku kia hanga e i runga i te tohu atherosclerotic, ngā wāhanga o te mumura i roto i te taiepa o te oko kino ranei. embolus huaina, kawea thrombi awa toto i tetahi atu wahi o te moenga iaia. Ka rite ki te hua, kei te tino nga lumen oko āraia, mutu te rere toto, timata te kopa ki te wheako ischemia me te mate (whakawhanake kikohangatia) i roto i te tiaki o tenei āhuatanga wā roa-.

Hauora o tāhapa disorders circulatory piringa

Ko te huringa tere te nuinga i roto i ngā tohu kitea i roto i te Embolism, no te mea i roto i tenei take puta te mutunga o te rere toto ohorere, mahue kahore pea mo huringa e vai.

Ko te haora tuatahi e rua nga wheako manawanui mamae nui i roto i te wahi. riro ha ma me te matao ki te pa te whakamutunga. Otu'itu'iraa i roto i nga pera distal he ngaro. Ina e, heke te mamae, me ki taua mea, kua ngū me te tūtohutanga ki runga ki te rehunga tonu. mamae hoki e alangá mo Motor mahi iku whakawhanake pāpāngia. Tino hohoro, huringa tina heke puta i roto i te kopa, me to ratou mate. e kore te mea pera nohopuku Thrombosis o te pikitia, i roto i te parau tumu, te taua, ko te whanaketanga o te whare hauora. titau te tupu o te thrombus tetahi wa, na e kore e pakaru tonu rere toto. I roto i te runga i te whakarōpū Savelieva wehewehe ischemia kōeke 3:

1. Āhuatanga e disorders tūtohutanga.
2. Hono disorders kaupapa.
3. I tenei wā tīmata kiko necrosis.

Tūkinotanga o tohanga toto piringa: te maimoatanga

Founga whakawhirinaki i runga i te pakeke o te ischemia, me te tere o te whanaketanga o ngā rerekētanga tina heke i roto i te kopa. titau waimaero whakapeka o te tohanga piringa maimoatanga hāparapara. I roto i te hui o te ino āta o te rere toto i roto i te wāhanga o te utu e taea e te hua pai e tutuki, me te therapy momo.

Operations i roto i disorders rere toto whakapeka

Ko te hua i roto i tenei take maimoatanga momo, e kore t. K. He taea ki te whakangaro rawa te katinga me ki te tango arai ki te rere toto. Ko taea tona whakarite anake i roto i te take o te comorbidity nui ki tauhohe e vai rawaka. I muri stabilization o te manawanui, he mahi hoki tiki he katinga toto i te lumen oko. Heke rere toto e whai ake. Ko te lumen o te iatuku pāngia runga ake te blockage Fogarty pū tōngāmimi, i te tikanga o nei hua te tango thrombus. Hoki te whakataki o te pū tōngāmimi whakamana wāhi hāparapara te i te taumata o te bifurcation o te iatuku femoral (i roto i pāpaka o nga wahi o raro), ranei brachial iatuku (mō pāpaka pito runga). I muri te raveraa i arteriotomy Fogarty pū tōngāmimi he matatau ki te blockage o te oko i te thrombus, kua kawea i roto i roto i te tutukitanga, a ka rimurapa me i roto i tenei ahua ora ake te. Rimurapa poihau i te matamata o te kitea ana pū tōngāmimi, me te entrains te thrombus.

I roto i te hui o te Thrombosis i te parae o huringa waro o te taiepa oko he tūponotanga nui o matahoki. Na reira, i muri i te whakahokinga mai o te rere toto tika ki te mahi i te pokanga reconstructive āta whakamaheretia.

Ki te mea kua kua whakarewahia te āhuatanga, me te whakamana i whakawhanakehia tapuhia e alangá mo kikohangatia te.

Therapy mō te obliterating mate o pera

homai maimoatanga tūpato te wawe i roto i te mate, me te contraindications ki te maimoatanga hāparapara. te mau parau tumu Basic o therapy:

1. Whakakorenga o ngā āhuatanga meinga te spasm o nga pera rite kai paipa, waipiro, hauhauaitu.
2. antispasmodics Wāhui.
3. Pë mō te mamae.
4. Whakaititia pokey toto i roto i te whakarite o āpiha antiplatelet me anticoagulants.
5. Diet hāngai ana te whakaiti i te taumata o te cholesterol i roto i te toto.
6. Statins mo te māori o te pākia lipid.
7. comorbidities Treatment pēhia ngā oko: takawhita, mate huka, atherosclerosis.

Heoi, noho tonu te maimoatanga whai hua tino mahi reconstructive - te karo (karo hanganga anastomosis), stent (stent ki te lumen o te oko).

Hei whakarāpopoto

kia tika ki take rerekē te tohanga toto piringa. He mea nui ki te mahara e taea te whakararuraru, toto whakapeka roa-ngā meinga ranei arahi ki huringa tina heke i roto i te kikokiko, me te hua i roto i te kaikai.

he tika ki te mau tonu i te āhua hauora, kai tika hoki te ārai o disorders Cardiovascular, te tupato peu kino, me te maimoatanga wā o mate, takoha ki te whanaketanga o te angiopathy.