He aha ka "Leriche maʻi pale"?

Leriche maʻi pale - he maʻi o ka arterial nenoaiu, i mea i waena o nā pathologies o kēiaʻano o ka loa, he pono ole. , Ae waiho nei ma ka lesion aorto-iliac kino kuleana, kūpono ma dramatically hoemi koko lako i na pelvis a me nā wāwae.

Keia inoa? Aaeaaaaony e F. Morel i ka 1943, hoʻohala ai ia i ka Farani surgeon Leriche, ka mea 'Imi mau papa hana noiʻi i kēia malaise.

Leriche maʻi pale hiki aku ai i ka papa kuhikuhiE kāna hana ekolu i kauka i kapa aku ai "triad o symptoms." Ma nā mea maʻi me kaʻole aortic koko lako i Konakele. Intermittent claudication, nalo ka lāʻau ikiʻai i loko o ka lalo wāwae pauku, impotence e hoʻomōhala ai.

I keia la, i ka 'ikepili helu hiki ole ke olelo no ka ike i ka pono o ka maʻi: ka mea, ua diagnosed, i nā mea a pau kauka. Eia naʻe, circumstantial hoike (i loko o 'ana, ka helu o ka hana, e hoihoi koko i loko o ka aorta) e alakai ai i ka hopena i loko o ka US wale ae aku mai keia maʻi no ma kahi o kanaha tausani kanaka no ka makahiki.

Hoʻokumu i ka etiology o ka maʻi. I ka 95% o nā hihia ka mea, ua kena ae la ma ka obliterating atherosclerosis, 4% - nonspecific aortoarteritis, ma na mea e ae - a muscular fibrous dysplasia o arteries, aplasia paha hypoplasia o ka aorta, postembolic occlusion, maʻi 'ē aʻe o ka circulatory nenoaiu.

Ke kumu nui, no ka mea e hoʻomōhala ana i Leriche maʻi pale - occlusion (blockage) o ka aorta, i mahana koko no i ka panina o kona plaque.

Ua Ua loaʻa i ke malaise ma ka nui o ka paku ole ia na kanaka, o ka oi aku ma hope o 45 makahiki. I ka papa kuhikuhiE kamepiula ololi - momoku.

Pehea o ka maʻi?

I ka papa kuhikuhiE hoopii hoike no ka eha ma kona mau wawae. Ua hookupaa akamai i kaʻeha kena ae la ma ischemia o ka lalo lala koko hiki i 4 kahua o ka hoʻonaʻauao o? acaeoey:

• I ka wā o ka maʻi i loko o kona wā kamaliʻi, uhaʻeha ia lŘlŘ ka wā kaumaha a hooloihi ae i physical haʻawina, e like me ka hele ana i ka mamao oi aku ia mamua o ka kilomika o.
• Ka lua o ke kahua Ua wehewehe aku ma keʻano o ka eha, a hiki ma haʻahaʻa wahie.
• I ke kolu o ka mua o ka ikaika eha ko lakou kupikipikio nā mea maʻi, a hiki ma maha.
• I ka hā trophic kāna hana hou: ulcers, gangrene, necrosis.

Leriche maʻi pale, lapaau no i ka hope ke kahua komo ai amputation, ua mau pu ma ka loaʻeha i loko o ka wahi o ka lākou kīkala, puhaka, pūhaka, a me nā mea pinepine - i loko o ka loira wahi o ka nohona kiwikā. Ke kumu - ka hooulu ana o ka ischemia (lawa koko lako), ka pelvic papahele nāʻiʻo. Kēia no laila,-kapa intermittent claudication , piʻi pū i nā, ischemia e loli ai,ʻaʻole wale nō ka pelvic papahele, akā, i ka spinal kaula, i mea no ke aha la he mea ka hoʻomaka koke ka ulu a me ka impotence.

Ma waho aʻeo ia ka luna symptoms i loko o nā mea maʻi kaʻina hana he nui na mea ulu o ka kui, aia no he fragility a me excessive lilo o ka huluhulu ma luna o nā wāwae huliʻeleʻele a lilo uliuli manamanalima. Inā untreated, ka mea e hoʻomōhala ana i loko o ka uliuli gangrene.

E diagnose i ka maʻi hoʻohana angiography, Doppler ultrasound.

Lapaau ana i ka maʻi me kaʻoki kino, a ua ana lawe mai i loko o nā kūlana, Ua inefficient.