Aneurysm - aphedwa?

Aneurysm - mbali ya chotengeracho, kuposa kawiri awiri mwake. Pa 60% ya aneurysm yonse inali mu msempha m'mimba. kudwala Izi zimachitika kawirikawiri mu anthu akuvutika misempha, aortoarteritis, chindoko, atherosclerosis, TB. A chifukwa wamba aneurysm - zoopsa m'mimba, opaleshoni kwa msempha.

Limagwirira wa zosayembekezereka

Zikamera wa kuwonjezeka ndi chifukwa kusintha osachiritsika mu kung'ambika chimango zotanuka. Ndi kuwonjezera kukana mu mitsempha wapotalikira kumawonjezera kuthamanga mu msempha m'mimba. Ngati palibe kuthekera kwa chotengeracho kupirira overpressure ukapezeka kutambasuka ake mu malo makamaka. Aneurysm - kung'ambika gawo ndi chipwirikiti panopa magazi, zimene zimachizidwa anapanga thrombi.

chipatala

Ndi awiri ka aneurysm ndi (zosakwana 20% a milandu) Mwina asymptomatic. Nthawi zina zizindikiro zonse matenda a aneurysms anawagawa lililonse ndi zina. Chitsanzo: pulsatile ululu m'mimba, phokoso pa chidule cha mtima wa aneurysm lapansi. ululu mwina amafanana kwa chiwindi kapena aimpso colic, isanafalikire kumanzere kwa umbilicus, akhoza limatulutsa kumbuyo kapena m'chiuno.

zizindikiro tikupanga

• M'mimba syndrome: nseru, kusanza, kusafuna kudya, kuwonda.
• Urological syndrome: hematuria dizuricheskie matenda.
• Ishioradikulyarny syndrome: ululu, galimoto ndi matenda kwenikweni mu miyendo.
• Matenda ischemia miyendo syndrome: likukulira claudication, kusintha trophic.

Aneurysm - nthawi zonse patsogolo matenda. Anthu oposa theka la odwala kufa pasanathe zaka 2 matenda a mavuto alionse.

diagnostics

Ultrasound Kupenda limakupatsani kukhazikitsa malo ndi miyeso ya maphunziro. Pa polojekiti ndi aneurysm - ndi anamaliza kutambasuka kwa chidebe ndi contours bwino, overlays pristenochnymi ndi wolingalira chipwirikiti otaya. Angiography anaulula kukulitsa kwa msempha. X-ray chithunzichi ziwalo mwachidule za zinthu zonse m'mimba umaoneka anawonjezera contours ya msempha ndi mafunsidwe a calcifications, nthawi zambiri limodzi ndi matendawa, mu vertebrae wa - Uzury. Pa RT kumatanthauza mapangidwe zozungulira ndi contours bwino, malinga woonda, mural thrombus ndi calcifications.

chithandizo

Aneurysm - matenda imene ambiri milandu opaleshoni imagwiridwa, amene anagwirizana ndi Mwina mkulu matendawo. Opaleshoni ali contraindicated odwala amene akuvutika ndi pachimake m'mnyewa wamtima infarction, ndi mbiri za kulephera magazi sitiroko.

ntchito alowererepo

Pali zinthu zosiyanasiyana mankhwala opaleshoni:

• kuchotsa ndi aneurysm ndi aneurysmal thumba kapena apulasitiki kung'ambika kulambalala kumezanitsa;
• popanda kuchotsa aneurysm sac ndi vnutrimeshkovym prosthesis.

Yopanga kawirikawiri limodzi yopanga aortofemoral. Imfa pambuyo alowererepo anali zosakwana 10%. Pa chiopsezo kwa opaleshoni ya stenting kung'ambika imagwiridwa: onyamula mwa femoral mtsempha wamagazi kudziletsa kuwonjezera prosthesis.

aneurysms yovuta

Zotsatira za aneurysm mwachindunji amadalira kukula kwake: zikuluzikulu ndi - m'pamenenso iwo mitolo kapena chotupa.