Dego oria. vaskụla stenting

Dego ọrịa - a obere ọrịa nke na-amalite na akpụkpọ mgbaàmà na mgbe na-egbu egbu na-ahụ nke "nnukwu afo". Ọ na-amalite na-ahụ na akpụkpọ ntighari ìhè pink. ubé aza ọkụ ọkụ papular, akụkụ bụ isi nke nke mgbe a mgbe otú ahụ retracted. N'oge a ha na-aghọ ọcha. Ha na-emi odude ukwuu n'ime on ogwe na olu akpụkpọ. Mgbe a na ogbo, ndị gbanwetụrụ ákwà na-jụrụ, na n'ebe ha na, na-emeghe ọnyá na rim flushing. A izu ole na ole mgbe e mesịrị onye ọrịa nwere a nkọ mgbu na nri epigastric region, fever, na-agbọ ọbara. Mmegide nke mgbu ime mgbe eri. Fọrọ nke nta mgbe ọ bụla agha na e nwere profuse afọ ọsịsa. Persistent mgbu so adynamia, ọnwụ nke ike na ike ịgwụ onye ọrịa. Ọrịa na-emepe emepe proteinemiya, hypotension, bilirubinemia. Blood picture na ọrịa ndị na-emekarị nkịtị. Mgbe ọdịdị mgbaàmà ndị dị otú ahụ ọnwụ nwere ike ime n'ime ụbọchị ole na ole. N'oge otopsii kpughere thrombosis nke veins na nsia necrosis nke eriri afọ enweghị perforation.

Dego ọrịa - cutaneous abdominal syndrome, na nke dọkịta fọrọ nke nta mgbe nye a ogbenye prognosis. Ọkụ ọkụ na ọrịa a na-emekarị iso nke ọtụtụ ọcha nke nwere dị iche iche mmepe nkebi. Papules e banyere a ọnwa na a onya a kpụrụ n'elu 0,5 afọ.

Na histological research na dermis onye ọrịa na-kwuru isi mgbanwe na vaskụla usoro. Mere mgbe e nwere ndị ọbara na-akpụkọ, arterioles, endothelial, mkpọchi nke buru ibu ma na obere arịa. The collagen anụ ahụ gburugburu otụk arịa na ha mgbidi na-hụrụ foci nke fibrinoid necrosis. Na obere capillaries emee tromboendoteliit. Na ebe nke collagen atrophic òkè ike sụkọtara na kpuchie akpịrịkpa na epidermis na-thinned. Na gbaa papular formations e nwere dilated ọbara arịa na-gburugburu lymphohistiocytic infiltrate. Dego ọrịa captures na ibu arịa dị n'ime dermis na subcutaneous anụ ahụ. Usoro a na otutu infiltration na mbelata nke nsia ọbara arịa, anụ na ihe ndị ọzọ na akụkụ dị yiri nnọọ knotty panarteriit.

Ọ bụ ezie na Dego ọrịa na nnukwu development nwere a ogbenye prognosis, e nwekwara ikpe na a ogologo akụkọ ihe mere eme nke nwere ike a na-emeso. The ọgwụ nke ọrịa a rụrụ na ọgwụ nje, mmịnye ọbara, Corticosteroid, heparin, vitamin na Antihistamines. Ke "nnukwu afo" ọgwụgwọ fọrọ nke nta adịghị enye ezi ihe.

Ọ bụla vaskụla ọrịa, karịsịa na ndị agadi ndị na, nwere ike dị oké njọ. Atherosclerotic mgbanwe mgbe ụfọdụ na-emetụta dum vaskụla usoro. Na ọnya nke akwara na carotid akwara, aka na ụkwụ, ọbara restenosis na-atụ aro ka a waa dị ka vaskụla stenting. Karịsịa na-egosi ndị dị otú ahụ a usoro bụ na elu n'ihe ize ndụ nke myocardial infarction, ọbara ọrịa na ụbụrụ, ịda iwu nke N'ịdị ọrụ, trophic mgbanwe.

Stenting contraindicated na obere dayameta akwara (erughị 2,5 mm), asị ibe stenosis (n'ihi na nnukwu saịtị vasoconstriction), gbasara akụrụ na akụkụ okuku ume insufficiency, pathologies n'ime ọbara coagulation usoro, asọ ayodiin-nwere formulations (eji na X-ray iche Nwa).

Tupu ọrụ, rụrụ a research organism onye ọrịa, ultrasound intravascular ọmụmụ, Doppler ultrasound, angiography, agbakọrọ tomography, MRI, Lee, echocardiography, electrocardiography. Tupu ọrụ a rụrụ nke antiplatelet ọgwụ ọgwụ ọjọọ na belata ihe ize ndụ nke thrombotic nsogbu.

Ọrụ nke vaskụla stenting a rụrụ n'okpuru obodo ná Nkụnwụ Ahụ, rụrụ na a isi akwara ebe na ụkwụ ma ọ bụ ogwe aka. Maka arụmọrụ radial, femoral ma ọ bụ mammary akwara nwere ike ji mee. The dọkịta na-awa anamde ịmapusị elu akwara mgbidi na-abatakwa n'ime ya n'ọbọ (tube site na nke ọzọ ngwá na-etinyere).

Thin catheter napụta a stent site balonchikom elu arịa ka a chọrọ akwara. The ịgba pụrụ bụ ihe X-ray iche n'ụlọnga. Ọ na-agbatị na stent, nke a na-apịaji, na ntupu metal Ọdịdị na-ịgbatị. The dum ọrụ na-egosi na ihuenyo. Mpụtị nke stent ọ na-rụrụ site na akara na akwara mgbidi. N'otu oge ahụ ga-ekwe omume iji wụnye multiple stents. Mgbe ahụ ngwá ọrụ na-akp si lumen nke arịa. The ọrụ dịruru banyere otu awa. Onye ọrịa fọrọ nke nta na-adịghị eche na ihe mgbu na ahụ erughị ala na-egosi na n'oge nke inflating balonchika. Mgbe ịwa ahụ, onye ọrịa hapụrụ ụlọ ọgwụ dị na a ụbọchị ole na ole. N'oge a kara aka antiagregatnaya, antibacterial, mgbochi mkpali ọgwụ.

Ekwe Omume nsogbu mgbe a wasịrị: mmebi akwara mgbidi, hematoma n'usoro na na mgbapu site, na-agba ọbara, karịrị akarị n'ụlọikpe akwara, gbasara akụrụ dysfunction, nfụkasị Jeremaya, clotting n'ógbè stent.