Femoral akwara: ihe aneurysm na thrombosis. Thromboembolism femoral akwara

Femoral akwara bụ a nnukwu arịa onye isi ọrụ - inweta ọbara n'akụkụ nile nke ala na nsọtụ, si hip ụkwụ ya na mkpịsị ụkwụ. Site downstream mpaghara ụkwụ nri na ọbara tinyere femoral akwara branched si capillaries na obere ọbara arịa. All iche iche nke ọrịa nke aorta pụrụ iduga mmebi nke ihe ndị bụ isi na-arụ ọrụ nke ala na nsọtụ, abdominal na pelvic akụkụ.

Ebee ka ọ bụ

Nke a akwara bụ site ná mmalite nke elu ọnụ iliac aortic mgbidi na ihe dị n'ime thighs, ebe n'elu bụ. Ya mere, ọ na-akpọ "hip." Ọ na-aga site iliac na femoral pectinate fossa, popliteal ezumike na ọwa. Site n'ebe proleganiya aka na ụkwụ dọba ya nso mpụga Genital na epigastric aorta, nke Nleta femoral triangle na miri femoral akwara.

Na -edozi femoral akwara na-atụle ga-zuru ezu nnukwu arịa na-eje ozi iji na-enye ọbara nke ala na nsọtụ, mpụga genitalia na inguinal ọnụ. Ya anatomical Ọdịdị bụ nnọọ yiri maka mmadụ nile, ma e wezụga n'ihi ọdịiche nwere aghụghọ. Iji chọpụta kpọmkwem ebe femoral akwara, ọ dị mkpa na-enyocha ya na n'elu nke ukwu - ọ gbatịrị atugharị na ya. Na nke a nkebi ụgbọ dị nnọọ mwute na n'ibu unan.

aneurysm

Dị otú ahụ aorta, nakwa dị ka ndị ọzọ nile, ewekarị ọrịa na guzobere anomalies. Otu n'ime ndị a pathologies nwere ike mata - na femoral akwara aneurysm. Nke a anomaly na-atụle otu n'ime ihe ndị kasị ọrịa nke a arịa. Ọ pụtara a bulging aneurysm shells ọbara passageway dị ka a n'ihi nke thinning. Anya ọrịa nwere ike achọpụtara dị ka a ntopute na jijiji n'ógbè arịa ebe. Ọ kasị mma anya aneurysm na ukwu akụkụ nke ma ọ bụ n'okpuru ikpere, ebe ọ na-guzobere otu nke Filiks nke arịa - na aorta ụkwụ.

Nke a anomaly, na-emekarị ihe ndị inyom, dị ka ndị mmadụ ihe ịrịba ama nke femoral akwara ọrịa hụrụ ọtụtụ obere ugboro ugboro. E aneurysm mmachi na asị ibe.

akpata

Isi mmalite nke nucleation nke ọrịa ndị dị bụ ihe na-eduga na thinning nke mgbidi nke ọbara arịa, ya bụ:

• ọbara mgbali (ọbara mgbali elu);
• ọrịa;
• mmetụta nke tar na nicotine na ise siga;
• ibu oké ibu;
• trauma;
• ụba oriri nke cholesterol;
• ịwa ahụ (na-agba ọbara nwere ike ime si femoral akwara);
• butere n'aka ihe na-akpata.

Unan na arụmọrụ n'ozuzu na-ezo aka a na-akpọ "ụgha" aneurysm. Ke idaha emi, na ọzịza nke arịa, dị ka ndị dị otú ahụ, ọ na-abụghị akara, na ọrịa na-kwupụtara pulsating hematoma gbara gburugburu njikọ anụ ahụ.

na-egosi

Malite anomalies onye ọrịa na-apụghị obi, karịsịa mgbe obere formations. Otú ọ dị, na ihe-ọmume nke akpụ nwere ike obi vibrating ụkwụ mgbu - ọ enwekwu na emega ahụ. Indicators aneurysms na-na-emetụta N'ịdị apịajighị apịaji, ọnwụ nke anụ ahụ, dị ka nke ọma dị ka ndị ozizi aka na ụkwụ. Yiri mgbaàmà na-metụtara enweghị ka ọbara na-ụkwụ.

nchọpụta nsogbu

The nchoputa nke ọrịa, ebe ọbụna nkịtị femoral akwara, n'ihi na ọtụtụ akụkụ na-eji, usoro nwere ike mebiri emebi instrumental nnyocha, Otú ọ dị, na-atụ aro na laabu nchoputa na n'ọnọdụ ụfọdụ. Site instrumental nchọpụta nsogbu na-agụnye: ultrasound, angiography, MRI na CT-enyocha kwa. The laabu: n'ozuzu na Biochemical ọbara na mmamịrị analysis. Tụkwasị na nke a ọmụmụ achọ n'ihu nnyocha nke vaskụla dọkịta na-awa.

ọgwụ

N'ihi ya, anya, nanị ọgwụgwọ bụ ịwa ahụ aneurysm. Dabere na ike nke daa ọrịa na o kwere omume nsogbu n'oge ịwa ahụ nwere ike ji mee otu n'ime ndị a ụzọ: a arịa uzo, prosthesis. A ka nwere ohere nke iji usoro nke stenting, nke a na-ewere maka a ndidi na enyemaka. Na ikpe nke oké mgbagwoju anomalies me ka oké njọ anụ ahụ necrosis, na-achọ bepụ ụkwụ nke ụkwụ.

mmetụta

Ezi ugboro ugboro sikwuoro bụ ọdịdị thrombus na arịa, n'ihi na nke a nwere ike na-enweta a femoral akwara thromboembolism. Ke adianade do, na omume egbochi mkpụkọ nke ọbara nwere ike ime ka ha banye n'ime ụbụrụ arịa, nke ga-eme na ha karịrị akarị n'ụlọikpe, na ekemende ọ ga na-eduga a na-arịa ọrịa na-enwe ndidi. Aneurysm ruptures ime infrequently, ọtụtụ mgbe e nwere embolism ma ọ bụ ure anụ ụkwụ.

Ọ bụrụ na oge ahụ mee ka a nchoputa, mmepe nke anomalies nwere ike isi gbochie, Otú ọ dị, ndị na-agba ọsọ na ọnọdụ ndị likelihood nke njọ n'ụdị a ụkwụ bepụ ụkwụ ma ọ bụ ọbụna ọnwụ nke onye ọrịa. Ya mere, ọbụna ma ọ bụrụ na obere enyo enyo daa ọrịa, ọ dị mkpa na-agafe dị mkpa nchọpụta nsogbu.

thrombosis

Ọrịa a (na-akpọ thromboembolism) na-ezi mgbe akara ihe anomaly. Mgbe inconspicuous thrombosis (mkpọchi) awụnye ahụ hematoma, abụba embolism, na atherosclerotic e dere ede ndị ọrịa ibido bụghị hụrụ mgbanwe. Na naanị na a ọkpụrụkpụ ịkwụnye arịa hụrụ ihe mgbaàmà nke ọrịa a. Mgbe ngwa occlusion nke arịa ọrịa ozugbo chee arịa ọrịa, nke nwere ike mgbe e mesịrị iduga anụ ahụ necrosis, bepụ ụkwụ nke ụkwụ ma ọ bụ ọnwụ.

adakarị scores

Thromboembolism ebe akwara (apata) na-budata egbochi, ji a nwayọọ nwayọọ na-abawanye na ihe mgbu na ụkwụ - nke a nwere ike hụrụ karịsịa mgbe na-eje ije ma ọ bụ dị iche iche nke anụ ahụ na-eme. Nke a ọnọdụ jikọtara a kwesiri ngosi ọnụ na arịa, nakwa dị ka a ọnụ ke inweta ọbara ụkwụ, ọnwụ nke ya muscle uka. N'otu oge ahụ, mma ọbara amalite ime nnochianya arịa. Na-emekarị nke a mere n'okpuru mpaghara ebe e a ọbara clot onwe ya.

Na a na-amụ ụkwụ pallor nke ya akpụkpọ, a ọnụ ke okpomọkụ (ọ na-ele mma). The uche nke emetụtara nke ozu ebe ina akwara (femoral) mbelata. Dabere na guzobere vaskụla abnormalities ma ọ bụ pulsing nwere ike akọ na-nụrụ ma ọ bụ nụ.

nchọpụta nsogbu

Ọ na-rụrụ site na iji instrumental ụzọ. N'ihi nke a rheography na oscilloscope. Otú ọ dị, ndị kasị ọmụma usoro Ịchọpụta Otú Nsogbu ngwá ọrụ, nke na-eme ka o kwe omume n'ụzọ doro anya kọwaa ebe ọnọdụ nke a ọbara clot, na ogo occlusion nke arịa, na-ewere arteriography. Ntuziaka ndị dị otú ahụ a nnyocha e mere na e nyere mgbe ahụrụ n'oge nnyocha dị otú ahụ ihe mgbaàmà: flushed ma ọ bụ acha akpụkpọ ụkwụ, ya enweghị uche, ihe mgbu na oge nke udo. Ọzọkwa na-atụ aro a nleta a vaskụla dọkịta na-awa, onye ga-ịkpọ banyere ihe bụ femoral akwara, na ihe ndị na-esi nke thrombosis nwere ike na-atụ anya.

ọgwụgwọ

The thromboembolic ọgwụ eji ọgwụ ọjọọ eme ihe, na-arụ ọrụ na-rụrụ. Mgbe ọgwụ họpụtara anticoagulants na thrombolytic mmadụ na antispastic edinam. Mgbe ịwa ahụ na usoro ahụ angioplasty, embolectomy na thrombectomy.

Occlusion nke femoral akwara

Strong occluded akwara bụ ọbara na nkọ distal akụkụ nke akwara site thrombus ma ọ bụ embolus. Ọnọdụ a na-ewere nnọọ ize ndụ. Dị ka a n'ihi nke occlusion na aortas nke eke ọbara na-nsogbu n'obi, nke na-eduga ndị ọzọ guzobere egbochi mkpụkọ. The usoro pụrụ ịgụnye collaterals, na thrombus nwere ike na-agbasa ruo ọbụna venous usoro. The ọnọdụ bụ reversible maka 3-6 awa site n'oge omume. Ná ngwụsị nke oge a, miri ischemia na-eduga ná n'ihu irreparable necrotic mgbanwe.