Atherosclerosis

Atherosclerosis, mwa matenda ena a Mitsempha zotumphukira iwo ali ndi udindo waukulu.

Nthawi zambiri, matenda amakhudza akulu kuposa zaka makumi anayi. Atherosclerosis zambiri chifukwa cha ischemia aakulu, kudzudzula odwala Chilango chowawa kwambiri. Komabe, odwala ena amasiya luso ntchito. Makamaka amalembedwa atherosclerosis a mitsempha m'munsi nthambi. Dongosololi akhoza isanafalikire mu msempha. Komanso, nthawi zambiri matendawa amakhudza srednekalibernye mtsempha wamagazi - femoral ndi popliteal.

Kuwononga atherosclerosis a m'munsi malekezero kugwirizana ndi mfundo yomweyo etiological ndi njira pathogenetic amene amayambitsa matenda a kutanthauzira ena.

The kusintha kwakukulu anati mu circumference lipoidoza foci. Izi zikutipatsa atsopano connective minofu. Kukhwima, tidzapeza kukula kwa mipukutuyi fibrous. Izi formations subsidence amapezeka Ulimbo ndi kupatsidwa zinthu za m'mwazi kuundana. Wochuluka zamadzimadzi kudzikundikira amakwiya matenda magazi aziyenda bwino mu mipukutuyi lapansi. necrosis kwawo chifukwa nawonso, mapangidwe atheroma. Ali cavities awo atheromatous misa kugwa mu lumen wa chotengeracho. Naomi motsogozedwa wapotalikira, iwo kungakhale embolism.

Pa nthawi yomweyo, poyera kuti kusintha mu zimakhala za mipukutuyi m'madera ulusi zotanuka kukumana alibe, anayamba kugona kashiamu salt. Choncho atherosclerosis atuluka mu gawo lotsiriza.

Pa lonse la matenda magawo anayi.

Atherosclerosis kwa zaka zingapo angathe popanda zizindikiro zilizonse. Komabe, kuyambira kumayambiliro zizindikiro matenda zambiri m'kati mofulumira kwambiri.

Nthawi zina, polingalira acceding thrombosis, matenda mawonetseredwe yodziwika modzidzimutsa. mbiri zambiri odwala ndi matenda oopsa, mbiri ya m'mnyewa wamtima, angina, shuga, matenda magazi a ubongo.

Zizindikiro za matenda ayenera wachinsinsi monga claudication likukulira, amene akuwonekera soreness minofu ng'ombe. The zomverera zambiri kumachitika nthawi kuyenda ndi kutha pambuyo yochepa zina.

zotupa Atherosclerotic ya mitsempha ya iliac ndi gawo osachiritsika a m'mimba msempha imfayo isanafalikire ululu osati shins, koma gluteal ntchafu minofu komanso m'dera lumbar. Kulimbikitsa a claudication likukulira anaona pa phiri kapena masitepe.

Zizindikiro Chitsanzo amaonedwa kukhala tanthauzo la chilliness, kulera miyendo tilinazo ozizira, mapazi dzanzi. Chifukwa cha ischemia pali kusintha kwa mtundu wa malekezero a m'munsi. Mu woyambirira wa matenda, iwo wotumbululuka mu mtundu. M'kupita kwa matenda pakhungu zala ndi mapazi kukhala wofiirira-cyanotic.

matenda Trophic kusokoneza kukula kwa misomali zimathandiza kuti tsitsi imfa.

Kukula kwa matendawa amakhala ndi kusintha anam'peza-necrotic mu zimakhala zofewa cha mabacteria ndi wapotalikira ya nthambi anakhudzidwa. Iwo amatchuka edema ndi hyperemia amasiya. Aortoiliac occlusion gawo ndi khalidwe chizindikiro cha mpheto chifukwa cha matenda a magazi.

Kupenda odwala zambiri limasonyeza manja kapena zingatiwonongere a minofu malekezero m'munsi.

Nthawi zambiri pali kugonjetsedwa kwa gawo femoropopliteal, kumene munthu amasonyeza pakalibe ripple aliyense pa mitsempha ya amasiya kapena mtsempha wamagazi popliteal ku nsonga ya chiyambi cha mtsempha wamagazi kwambiri femoral.

The njira yaikulu matenda imatengedwa angiography. Njira imeneyi zimathandiza kudziwa mmene ndi kutanthauzira za ndondomeko pathological, mlingo wa zotupa mtima, yodziwika ina kufalitsidwa, komanso kuti asa- boma la magazi wapotalikira njira.