Pokanga karo iaia o te wahi o raro: tohu, hopearaa

E kitea mate iaia i roto i rua wahine me te tangata. pā te mate te nuinga noa te iwi o te tau waenga, me te koroheke. Iti mate noa kitea i roto i te iwi taitamariki. I roto i ētahi wā, he congenital enei mate. Ko te wāhi angamaheni o te lesion o te pūnaha iaia ko te coronary, pera kaka, nga uaua o te tōu me topito o raro. Heoi, ka vasculitis pūnahanaha taea te tohaina tukanga puta noa i te tinana. Ko tētahi o nga take tino noa mō te maimoatanga ki te taote ko uaua tīponapona. Ko atu maha tenei māuiuitanga te take mō ngā wahine. Ko te tohu āhuatanga e: tortuosity o uaua, ratou toronga, he protrusion. whakaaro tētahi atu mate iaia te ki hei atherosclerosis. arata'i te reira i ki pera tanumia me ngā raruraru ki patency toto. I roto i te wā matatau, kawea karo pokanga o nga topito o raro kei te roto i pathologies e rua. Ko te mahi hāparapara, i roto i nei whakahaere ki te whakahoki rawa te rere toto tenei.

He aha whakaaro kua whakamana oko karo o waewae?

He mehua tika i mate o nga uaua me pera ko te karo o te topito o raro. Treatment i roto i nga tīmatanga o te ara momo. Tūroro mate i te pāpaka atherosclerotic, whakahau taero lipid-tukupu (taero "Atorvastatin" "Fenofibrate") kai. Ki te tētere uaua tūtohutia te ki kakahu underwear rapa motuhake, sclerotherapy. Lower oko e alangá mo hipa whakamana täpiritanga e i roto i tukuna ai nui o te lumen o te iatuku ranei rua, he mōrea tiketike o Thrombosis me te whanaketanga o te kikohangatia. Tenei tukanga Ko te wawaotanga hāparapara, me ū te reira ki te tākuta tākuta-iaia. Karo pokanga Ko te whakakapinga o te oko i te pae ētehi. Ka rite ki te hua, toe fakafoki mai te supply toto te, a kei te nui heke te mōrea o te Thrombosis. kia hanga te whakanekeneke o nga papanga waihanga te kopa o te o ake manawanui ranei. E mea pinepine oko pātata o te wahi o raro whakamahia hei ētehi. Ko te kōwhiringa o te rauemi tei runga i te diameter o te iatuku pāngia rua ranei, me te i runga i nga āhuatanga o te māuiuitanga.

Tuhinga mō te karo pokanga o nga topito o raro

kawea Karo pokanga o nga topito o raro e i roto i roto i te mātanga i te tari hāparapara hōhipera ranei. E pā ana te reira ki te tukanga uaua, te tikanga kia pera kawea atu anake i raro i tohu tino. kia huihui ki te karo oko ki te obturated neke atu i te 50% o nga pera diameter uaua ranei. I mua i te whakatau koe i runga i te pokanga, whakahau tākuta maimoatanga momo. whakamana pokanga te i roto i te ngaro o te pānga o te therapy. He nga tohu e whai ake nei mō te karo pokanga o nga topito o raro:

1. Atherosclerosis o nga pera.
2. Whakahuatia māuiuitanga o te pūnaha venous. E mea pinepine ki uaua tīponapona me tuma thrombophlebitis whakamana stenting angioplasty ranei. Ki te contraindications hoki taua whakaora kawea atu oko karo.
3. Endarteritis. A, no te tenei mate urupare inflammatory ngā ki te obliteration whakamua o oko iti. Āta, Ko tino pōkia te iatuku, ārahi ki kikohangatia o te waewae. Ko atu noa i roto i nga tane i te mate.
4. Aneurysm o nga pera pito o raro. Māuiuitanga i mōrearea fakatu'utāmaki nui o toto, i te mea tino uaua ki te mutu.

I roto i ētahi wā, i mahi karo pokanga o nga topito o raro ki kikohangatia o te matimati waewae ranei. E kore te mea te waitohunga o tenei pokanga tonu pai, ka tei runga i te rohe o te necrosis me ngā āhuatanga takitahi o te rauropi. I roto i ētahi wā, arata'i pokanga ki te whakaora o kikohangatia whakaiti o te rahi lesion ranei.

I roto i te tahi mau āhuatanga, contraindicated karo pokanga te?

Ahakoa te miramira o te pokanga karo iaia, ko reira utu te haamana'oraa e te mea tino nui te mahi taua. Na reira, kua whakamana i reira anake i roto i te wā i reira kahore i awhinatia atu maimoatanga. Na roto i te mau ana i roto i karo pokanga kua he maha o contraindications. I roto ia ratou:

1. e kore te mate ngakau Hypertensive te mana ki te taero antihypertensive. I roto i tenei take, i te mahi i runga i oko taea meinga ru cardiogenic, infarction myocardial patunga ranei.
2. kore ngakau Decompensated, syndrome edematous haere tahi i te hāhā o te manawa, me te tamau.
3. angina iu.
4. kore ngakau Congestive me infarction myocardial.
5. aneurysm te pūtahi o, oko kaka.
6. arrhythmias cardiac Paroxysmal.

e kore e taea te whakamana i karo pokanga o nga topito o raro ki ngā mate hopuhopu, pāpaka o te kiri, decompensation o te mate huka. I roto i enei take, kawea mahi i roto i muri i te stabilization o te manawanui.

Ko te tikanga o te täpiritanga

whakamana iatuku karo pokanga te atu pinepine. Ko e tika ana ki te meka i he atu lahi enei mate tenei. I tua atu, i ētahi atu maimoatanga tūtohutia i roto i te pāpaka o uaua. I roto ia ratou - poihau angioplasty me stenting. Ka rite ki shunts ki whakahokia rere toto te whakamahi i huha rua saphenous. A, no te he wāhi nui o te whara huru iaia rawakore ranei whakamahia implants waihanga. He maha ngā tikanga o te mahi. I roto ia ratou:

1. Bifemoralnoe aorto-karo pokanga. whakamana pokanga te i te taumata o te tapatapa. Ko te ngako o te mahi ko te ki te waihanga i tētahi anastomosis karo i waenganui i te haoraora puku me pera femoral.
2. pokanga karo Femoropopliteal. Hanga he anastomosis i waenganui i rua pera nui o te e alangá raro. mea putake whakanekeneke i te hope, me te e tukua ki te turanga o te rohe tahi turi (runga ake i raro ranei i te tahi).
3. pokanga Cross-karo. puritia Anastomosis te i waenganui i te pera femoral rua (i huha matau ki mahue waewae, hurihia ranei).
4. karo Femorotibialnoe. uhi iaia hono te iatuku femoral me tibial.

Teuteu te manawanui mō te pokanga karo iaia

Teuteu ki whakanuku ngā he raupapa o ngā tukanga tātaritanga, me te whakamahi o te raau taero. I mua i te mahi, me haere koe i roto i ngā whakamātautau taiwhanga: KLA, OAM, toto matū, coagulation. i mahi hoki Doppler oko toto o nga topito o raro, ECG, EhoKS. Hei aukati i thrombus hanganga i roto i te pokanga, he wiki ki te aroaro o ona thinners toto whakaritea. Ēnei ngā taero "ahipirini manawa", "Magnikor". whakaritea hoki paturopi me taero anti-inflammatory. Te ahiahi i mua i te pokanga, me mutu koe tango wai, me te kai.

Technique o te karo o te topito o raro

Karo pokanga o nga topito o raro - te mahi matatini, mo e hiahiatia te taumata tiketike o te ngaiotanga o te tākuta te. whakamana whawhe kei raro i rehunga whānui. tū te kokoti kiri me te kiko e whāriki ana i roto i rua ngā wāhi - i runga, me te raro te iatuku pāngia. Superimposed i runga i te oko ki te aukati i te toto hononga. I muri i te aro mātai o te kokoti lesion whakamana i runga i te oko, me te whakaritea whakanekeneke ki kotahi ringa. Next, whakaritea te uhi iaia te i waenganui i nga uaua me tendons. Ko te kupu, Kei te te whakanekeneke āta whangai ki te wāhi o te kakari tuarua (i runga i te lesion) ka whakaritea ki tona mutunga. I muri iho, aro mātai ana te tākuta te āhua o te rere toto. I roto i te iatuku tīmata ki te pini i te mahi angitu. I roto i ētahi wā, i mahi tikanga mauhaa o te whakamātautau. Ko te wāhanga whakamutunga o te pokanga, ko te ki te suture kiko hohonu, me te kiri.

Kia pehea te ko te wā pou-mahi?

He mea nui ki te te mātakitaki tūroro noho o te manawanui, e kiri pokanga. Rawa, ki te tenei whawhe - pokanga karo o te topito o raro. wā Postoperative ka maimoatanga angitu ko e pā ana ki te 2 wiki. 7-10 ra te tākuta tango nga kaimono. Ahakoa ko te manawanui i roto i te fare ma'i, e hiahia ana koe ki te mahi i ngā tukanga tātaritanga ki te aromatawai i te whai huatanga o te maimoatanga. I tua atu, kia whakarite te rata e kore pōauautanga pou-mahi. Kua i te ra tuatahi i muri i te mahi e tūtohu ana ki te tiki i ake i runga i ona waewae. I roto i te tūranga e noho ana, me te teka wahi o raro ki te kia whakaritea i roto i te āhua a'e.

Tūtohutanga i roto i te wā whakaora

I muri i te pokanga karo o te topito o raro he tika ki te aroturuki i te āhua o te rere toto. Hoki tenei whakaaro, me amohia e te manawanui tirohanga wā (me Doppler ultrasound). tūtohutia hoki:

1. Kāti kai paipa.
2. Manakohia taero antiplatelet ki te ārai i Thrombosis.
3. Mau ki te ara o te taimaha tinana. Ki te whakanui ake BMI whakahau kai lipid-e tukupu ana me te rongoā.
4. Hanga haere rā.
5. Kakahu tokena motuhake (tōkena) me hu.

Karo pokanga o nga topito o raro: mua manawanui

Reviews o tūroro e Nōna ka pokanga, te nuinga pai. korerotia Tūroro he hekenga i roto i te mamae, te kōpā i te waewae. Otiia, i roto i ētahi wā, amuamu iwi e pā ana ki te hokinga mai o tohu i muri i te ia. Ko e tika ana ki te hinga o nga pera tata me uaua tenei. Ko reira utu te haamana'oraa e kore ko te maimoatanga o atherosclerosis te karo, me te take o pāpaka iaia e kore e ngaro i muri i te pokanga. Na reira, ki te karo i te whanaketanga o te Thrombosis me kaikai, he mea nui ki te ū ki te mehua ārai.

Karo pokanga o nga topito o raro: pōauautanga o te pokanga

Fifi o pokanga ngā te hanganga o te katinga toto i roto i te whakanekeneke, te whanaketanga o te kore ngakau congestive, Embolism pūkahukahu. Ko te wā whakaora ai hakihaki patunga i roto i te hononga, me te toto i ia. Ahakoa te meka i whakaaro te mahi te ki kia uaua, me te wā-roa (ki runga, ki te 3 haora), he onge ngā raruraru. Ko te auau o te whanaketanga, ko te pā ana ki 2%.