Matenda Buerger a, magwero ake zizindikiro ndi mankhwala

matenda Buerger a - ndi yotupa matenda a mitsempha ndi mitsempha ya awiri ang'onoang'ono ndi sing'anga kugwirizana ndi kudwala kwa chitetezo cha m'thupi. matenda ndi a mitundu itatu, malinga ndi kutanthauzira kwa wolumikizira bedi, imene magazi ndi wapezeka vuto:

- mtundu wapotalikira amakhala ndi zotupa za mitsempha ya awiri ang'onoang'ono. Izi zikhoza kukhala manja, mapazi, miyendo ndi mkono wonse wakumanja. nambala yake ya matenda okwana Buerger ndi 60-65%.

- Proximal mtundu chimafikira kwa mitsempha ya awiri lalikulu ndi sing'anga, monga msempha, femoral ndi iliac mitsempha. chiwerengero cha mtundu wa matenda ndi 15-20%.

- obwerawa osakaniza mitundu iwiri ya zotupa za mitsempha ya. Mtundu wa kudwala 15-20% odwala.

Malinga mlingo wa mavuto magazi, matenda Buerger ndi wa magawo anayi:

- The gawo loyamba la nthendayo imatchedwa nthawi malipilo zinchito. Odwala amadandaula moto ndi kumva kulasalasa mu mosavuta, kuzizira ndi kutopa. Pa yozizira, nthambi kukhala wotumbululuka ndi ozizira. Poyenda ndi mathamangidwe pafupifupi pa mtunda wa mamita 1000 pali likukulira claudication. Wodwala akumva kupweteka ng'ombe, ndi mapazi ndi miyendo chifukwa kotunga osakwanira magazi. Mu pedis mtsempha wamagazi zimachitika palibe kapena ofooka chionetsedwe.

- Gawo lachiwiri ndi mitundu iwiri: Mtundu "A" pamene claudication likukulira kumachitika pamene kugonjetsa mtunda kuchokera mamita 200 1000, ndipo lembani "B", pamene pakutchulidwa wa kupunduka zokwanira kupita mtunda mamita osakwana 200.

matenda Buerger pa siteji 2B amakhala ndi manja a minofu ka phazi, komanso mafuta ake subcutaneous.

Kugunda phazi si zimadziŵika. Chikopa miyendo ndi mapazi wotaya elasticity, amakhala ouma ndi wazikang'a, limapezeka pa yekha pamwamba hyperkeratosis.

tsitsi ndi kukula msomali ndi liwiro, misomaliyo ndi wakuda ndi wosasamala.

- Chinthu chachitatu lagawidwa ndi mtundu "A", imene ululu limapezeka pa mpumulo, ndipo lembani "B", imene ululu pa mpumulo ndi ischemic kutchulidwa edema. Disease Buerger ku sitepe 3 chimaoneka mu khungu kupatulira ndi chiopsezo mosavuta. Ambiri abrasions zazing'ono ndi kuvulala zotsatira mu mapangidwe ming'alu ndi zilonda zopweteka. Akubwera patsogolo mofulumira manja a minofu ya phazi ndi mwendo m'munsi.

- matenda gawo lachinayi kugawidwa ndi mtundu "A" pamene necrotic kutembenuka mu zala, ndi kuteteza ntchito zawo yothandizira, ndipo lembani "B" pamene chilonda minofu amafuna mkulu nthambi amputation. Pa sitepe 4A kusintha zowononga zimachitika. Ndi mumamva ndipo zonse ululu pa siteji umenewu umatipatsa matenda Buerger ndi chithunzi molunjika mu izi. Mu akutali a malekezero, kawirikawiri zala, anapanga zilonda kwambiri. Chilonda yonyowa mtundu amafuna yomweyo amputation.

matenda aakulu ndi dzina mankhwala - ". thromboangiitis obliterans" Madandaulo odwala chifukwa cha aakulu nthambi ischemia. Odwala Kawirikawiri wa tilinazo mkulu kutentha otsika, dzanzi, kulimbikira cramping, kufooka ndi ululu nthambi.