'Aʻe' ana iʻike ākea koko holo. Thrombosis a me ka embolism

Kāna hana a ka Central a me kaʻike ākea koko holo e hoʻomōhala ai no kekahi mau kumu. Eia naʻe, no ka lapaʻau kiʻi o keʻano o typical a me ka recognizable i loko o nā hihia. Maʻoki lāʻau lapaʻau hana, keia mea he mau pilikia, nā i na mea he nui pathological rula, kekahi aoao ai kekahi aloha ia i ke koko.

Kumu o circulatory kāna hana

Ālai ia 'ana me ka mea maʻamau neʻeʻana o ke koko ma na moku i e kekahi mau wahi, i hiki:

1. Ke lumen o ka moku, ua impassable. Ua hiki i ka wā pōʻino o ka blockage (e laʻa me, thrombus ole atherosclerotic plaque) a hou (stenosis).
2. Pathological pa loli (hypertrophy o arterial hypertension).
3. 'ōpā pū i ka ipu, mai ka waho (e laʻa me,ʻeho).
4. Poino i ka vascular paia.
5. Loli i loko o ke koko rheology.
6. Hoemi i ka buke o ke hoʻolahaʻia ke koko (no ka kahe ana ke koko, dehydration).
7. Hakumakuma ke koko, (kŰia, naʻau ole).
8. Ke pathology o ka naau (mā, naau hoʻokō 'ole'), ma i ka hoemi ka leo o ke koko kipaku i systole.

A pau o kēia mau wahi, i hiki ke loli i ke koko, e like me ka nui a me kaʻike ākea vascular maʻi. I Ina o ka pilikia a me ka naau, hemodynamic haunaele, loli i loko o ke koko buke, pathological clotting maomeka o ke koko holo ua hihia hoʻi i nā mea a pau pae - mai ka nui a hiki i ka ipu huna uuku koko. Local ia kāna hana (stenosis, thrombosis, vascular paia hypertrophy) e lewa ana ma ke kahi o kaua kipi.

Kumu o kāna hana aʻike ākea holo, ma ka rula, o ka ia me ka mea kikowaena. Eia naʻe, e olelo ana i ka pathology o ke koko ma ke periphery, kuhikuhi pū kūloko koko holo kāna hana.

'Aʻe' ana iʻike ākea koko holo iʻoki kino - He kuhikuhi i ke kulana home 'ole e pili ana i ka cessation o ke koko i kaiakū thrombosis, embolism, ka hopuʻana moku atherosclerosis. A pau o kēia Hawaii (me ke koe, paha, o ka atherosclerosis) i ka manaʻo, e noi ana kōkua koke.

'Aʻe' ana iʻike ākea koko holo: na symptoms

He aha; ua hoikeia mai kūloko cessation o ke koko? 'aʻaʻa, ike lakou ia lakou iho me he kūpono koko lako, hoʻomaka e 'ike ischemia, no ka mea, e ka mea e ole kiʻi i ke koi' ia o oxygen no ka maʻamau functioning. Ua nui ka nele o ka mana, ka halepaahao make ia lŘlŘ oi hikiwawe loa. I ka wa e kaawale aku o ka mea kupono kōkua ulu gangrene (m. E. Necrosis nā'aʻaʻa nele o ke koko lako).

'Aʻe' ana i kaʻike ākea holo o ka lalo lala - ka loa luku kumu hoʻohālike. koko kāna hana i loko o keia hihia e hoʻomōhala koke 'ole i nā.

intermittent claudication

Ka loa pinepine kumu o keia kulana i atherosclerosis haʻahaʻa lala arteries, nonspecific aortoarteriit, thromboangiitis obliterans. I ke koko i loko o na moku ua wāwahiʻia ma muli o ka hou ana o ka lumen ma ka holumua ai atherosclerotic plaque ka ulu o ke 'ole ai hanaʻia naʻe o nā pā, e like me ka hopena o non-i ho'ākāka' hoʻoʻino naoh.

'Aʻe' ana iʻike ākea koko holo i loko o keia hihia hōʻike i nā kēia lapaʻau kiʻi:

1. uku ke kahua. Ua Ua wehewehe aku ma ke ano o ka nawaliwali ma na wawae, cramps a me discomfort ma luna o ke kāʻei kua o physical haʻawina. Eia naʻe,ʻeha ia lŘlŘ wale ka wā e hele ana i ka mamao o ka ole emi malalo o 0.5-1 ei.
2. I Wa subcompensation. Pau ana e hele ana no ka mea, o ka eha ana ma nā wāwae ma hope o ka hoomanawanui ua puʻe wale akula kēlā i 0.2-0.25 ei. Lower lala undergo loli kekahi mau no a hiki i ka nele o ke koko lako: i ka haikea, maloo, flakyʻili, brittle kui, thinning o ka subcutaneous momona, ahu iho. Ripple ma ka arteries ua hoʻonāwaliwaliʻia.
3. I Wa decompensation. Ka Wailele O me kaʻeha mea hiki ma ke kaawale, o ka ole oi aku 100 m. Aia ka Muscle i hoomaunauna aku ai, o kaʻili i lahilahi-ua kēnā ma luna o kona ili i ka ai iiiaanoaa o na mawae a me na mai hehe.
4. Ke kahua luku hou. Ma keia kulana, i ke koko i loko o ka moku ua aneane loa hoʻi i kāpiliʻia. e uhi Lower lala a me na mai hehe, o ka oi aku ma ka loa hoopii, gangrene hoʻomōhala i ka manamanalima. Ikaika hoemiia hana i ka hana.

O ka holo ana, keʻike ākea koko holo i loko o kēia pathology e hoʻomōhala ana i lōʻihi. Ma mua o gangrene ke kahua hele o ka hailonaʻana o ka manawa, a ma ia 'oe ke lawe i ka mea ana e pale aku i ka piha cessation o ke koko.

Arterial thrombosis a me ka embolism

Ma keia hihia, he mau loa aʻe 'ana o kaʻike ākea koko holo, i loko o kekahi mau hora ke alakai i ke kūpono' ana o ke gangrene o ka lala, ina e 'eleu kōkua e e hoomakaukau ai.

Ke thrombus i loko o ka artery i ke i hanaʻia ma luna o ka atherosclerotic plaque, mau mea o ka li nui i loko o ka pā o ka moku a me ka pōʻino. I kapaia o embolus, thrombi lawe mai ke koko kahe mai kekahi hapa o ka vascular kahi moe. E like me ka hopena, ua pau loa ia wahi i ka moku lumen, i ke koko aɃe, nā'aʻaʻa hoʻomaka e 'ike ischemia, a make (gangrene e hoʻomōhala ana i) i loa-makahiki mālama' ana i keia kulana.

Ke Kalinika a huʻiʻike ākea circulatory kāna hana

Ka loa kokololio loli ma symptoms malamaia ma ka embolism, no ka mea, ma keia hihia i ke cessation o ke koko pele ia lŘlŘ koke, waiho ole manawa kūpono no ka uku 'hou.

Ka mua, elua no hora o ka hoʻomanawanui i ka hoao ana hanahana loa kaʻeha i loko o na lala. I ka la mahope i haikea a me ka anu i ka hoʻopā. Pulsation i loko o ka distal arteries mea kahi e. Ke kiʻekiʻe, ka eha emi, a me ia, hāmauʻana a me ka pā lonoaʻili i ka piha anesthesia. Hawaii lala kuleana pili i kekahi e ae e ho'ōla e hoʻomōhala ana i lōlō. Loa koke, irreversible loli ana i loko o nā'aʻaʻa a me kā lākou make. Thrombosis o ke kiʻi, ma ka rula, o ka ia, akā, i ke kūpono 'ana o ke? Aaieou mea ole pela hookeai. I ka ulu ana o ka thrombus koi i kekahi dala o ka manawa, a no ia mea, ua o Nyos koke koko pele. I kulike ai me ka Mea Maluna Savelieva hoomaopopo ischemia papa 3:

1. Wehewehe aku ma ka pā lonoaʻili kāna hana.
2. Hui ana kāna hana.
3. Ma kēia kahua hoʻomaka'aʻaʻa necrosis.

'Aʻe' ana iʻike ākea koko holo: i ka iapaau ana

Nā kaʻa mokulele hilinaʻi ma ka oolea o ke ischemia, a me ka mämä holo o ka? Acaeoey o irreversible loli ma na nā'aʻaʻa. Huʻi hoʻopilikia o ka holoʻike ākea koiʻoki lāʻau lapaʻau lapaau. Ma ka hanana o ka gradual mea hōʻemi o ke koko i loko o nā kuʻina o ka uku i ka hopena maikai hiki ke loaʻa, a me ka makeʻe kulana Inc.

Ana i ka huʻi koko kāna hana

Makeʻe kulana lapaʻau mea ineffective ma keia hihia, 'ole. K. Aole i hiki ke loa luku i ka clot, a, e wehe iaʻi ke koko. Kona hookohu ia mea hiki wale i ka hihia o ka loa comorbidity me ka lawa uku 'reactions. Ma hope o noaaeeecaoee o ka hoomanawanui, he hana no kiʻi 'ia i koko clot mai o ka moku lumen. Hoemiia ke koko pele like penei. Nā lumen o ka loli ana o artery ma luna o ka blockage Fogarty catheter, ma ka mea o ka i paka i ka thrombus pōpilikia 'ana. No ka hoike ana o ka catheterʻoki lāʻau lapaʻau ka hookipaia a ua hana i ka pae ana o ka bifurcation o ka femoral artery (i loko o lesions o ka lalo lala), a brachial artery (no ka hoaka o ka nuku lesions). Ma hope o nā hana arteriotomy Fogarty catheter ka holomua i ka blockage o ka moku ma ke thrombus, ua lawe mai ma ka keʻakeʻa nei, a laila, inflated, a ma kēia moku'āina ua ola. Inflated hoʻonui ma ke kihi o ka catheter ka hopuʻia, a entrains ka thrombus.

Ma ka hanana o ke thrombosis i loko o ka mahinaʻai o ke aloha loli o ka moku paia mea kiʻekiʻe likelihood o relapse. No laila, ma hope o ka hoihoi hou ana o ke koko pele pono e hana i kekahi o ka hoʻoneʻe reconstructiveʻoki kino.

Inā ke kulana ua, ua hemo aku, a ulu gangrene lala amputation ua hana.

Inc no ka obliterating maʻi o arteries

Ua haawi mai makeʻe kulana lapaau i kakahiaka nui i ka maʻi, e like me contraindications iʻoki lāʻau lapaʻau lapaau. Walaʻauʻana me nā loina o ka Inc:

1. Hoʻopau o kumumea ma o na la he spasm o na arteries like e uwahi ana, ka waiʻona, hypothermia.
2. Ka hoʻokohu 'antispasmodics.
3. Analgesics no kaʻeha.
4. Ho'ēmi i ke koko (viscosity) ma ka hookohu ana o antiplatelet konohiki a me anticoagulants.
5. ʻai nona ma hoemi i ka pae o ka naʻokoko i loko o ke koko.
6. Statins no ka normalization o ka lipid pūnao.
7. Lapaʻau comorbidities he kūlana maikaʻiʻole moku: hypertension, mimikō, atherosclerosis.

Naʻe, i ka loa ka hoʻokō lapaʻau koe reconstructive ana - i ka holo alaʻokoʻa (holo alaʻokoʻa anastomosis hanaia'na), stent (stent i loko o ka lumen o ka moku).

e hōʻuluʻulu

Uaʻike ākea koko holo paha e ku pono ana i kekahi mau kumu. He nui e hoomanao i ka lōʻihi-a nei, kena ae la huʻi koko kāna hana ke alakai i irreversible loli ma ka'aʻaʻa a me ka hopena ma ka gangrene.

No ka mea Kāohiʻana o ka mea'ōnaehana mānowai koko kāna hana, ua pono e malama i ke ola i ke Aloha Hawaii, kuponoʻai, ae ho'āʻo ana nā palapalaʻano, e like me 'eleu lapaʻau o ka maʻi, ka hoʻopukaʻana i ka hooulu ana o ka angiopathy.