Obliterating atherosclerosis ntawm qis qis hauv ntshav qab zib yog ib qho muaj ntau, kab mob insidious thiab txaus ntshai heev. Hauv tus neeg, cov ntshav hloov pauv, cov leeg nqaij atrophy, cov hlab ntsha loj ntawm lub plab voos yog cuam tshuam.
Raws li qhov tshwm sim, pathology txuas ntxiv mus rau popliteal, femoral, tibial circulatory system, qhov no ua rau kev puas tsuaj rau sab ceg qis thiab taw. Xws li tus kab mob tuaj yeem txhim kho yam tsis muaj kev pom zoo nyob rau ntau caum xyoo, nyob rau lub sijhawm ua nws tuaj yeem kuaj pom tsuas yog ib nrab kis.
Yog li, nws yog qhov tseem ceeb yuav tau paub txog yuav ua li cas sib txawv qhov ua txhaum cai txhawm rau txhawm rau txhawm rau txheeb xyuas thiab nres nws kom ncav sijhawm. Kev soj ntsuam yuav tiv thaiv kev txhim kho ntawm cov kev mob nyhav thiab xaiv txoj kev kho kom zoo.
Ua rau ntawm atherosclerosis ntawm ob txhais ceg
Vascular pathology tuaj yeem muaj ntau theem, nyob ntawm qhov mob hnyav thiab tus lej ntawm cov teeb meem. Thawj qib kawm ua ntej lub cim yog qhov muaj qhov pom ntawm lipoidosis lossis qhov ua txhaum loj ntawm lipid metabolism. Hauv cov xwm txheej no, tus neeg mob hnov mob hauv qhov qis qis yog tias nws taug kev ntev ntev lossis ua lwm yam qoj ib ce. Daim ntawv no feem ntau tsis muaj cov tsos mob tshwm sim.
Ntawm cov theem ob, qhov kev kuaj mob sib txawv ntawm obliterating atherosclerosis qhia txog qhov txhaws ntawm lumen ntawm cov hlab ntsha yog 60-80 feem pua. Hauv tus neeg mob, qhov mob ntawm ob txhais ceg tshwm tom qab dhau 250 meters. Yog tias tseem ceeb tshuaj ischemia raug kuaj pom hauv theem peb, pom cov tsos mob pom tseeb. Hauv qhov no, qhov mob tshwm tom qab 50 meters.
Qeb plaub yog nrog los ntawm kev vam meej cov qhov txhab ntawm qis qis, txhaws qog nqaij, nqaij tawv necrosis, mob qog nqaij hlav txhawm rau ua rau sab qis qis. Hnyav siab thiab mob ntawm ob txhais ceg tshwm thaum lub sijhawm twg los tau, suav nrog thaum tsaus ntuj.
Nws muaj cov ntsiab lus tseem ceeb uas tuaj yeem ua rau mob atherosclerosis:
- Kev haus luam yeeb ntau dhau los ua rau tus mob aorta thiab hlab ntsha, uas ua rau nws ntshav ntws tsis yooj yim, qhov no dhau los ua qhov tsim nyog rau kev tsim cov atherosclerotic plaques thiab ntshav txhaws.
- Kev quav cawv kuj ua rau atherosclerosis.
- Nrog rau kev rog hauv cov ntshav ntawm ib tus neeg, qhov concentration ntawm cov teeb meem roj cholesterol nce, kev siv cov rog thiab cov zaub mov muaj calorie ntau ua rau tib yam.
- Atherosclerosis ntawm kev mob ntshav ntawm cov hlab ntsha thiab cov hlab ntsha ntawm ob txhais ceg feem ntau tsim los tiv thaiv ntshav qab zib mellitus, kub siab, tsis txaus ntawm cov tshuaj hormones, thiab ua haujlwm tsis zoo ntawm cov thyroid caj pas.
- Nyob rau hauv qhov muaj kab mob los ntawm kev muaj keeb rau hyperlipidemia, muaj qhov pheej hmoo ntawm kev tsim pathology.
- Kev ua txhaum ntawm lipid metabolism feem ntau tshwm sim los ntawm keeb kwm ntawm kev mob hnyav, kev ntxhov siab mob hlwb, ua si lub cev tsis txaus, thiab kev raug mob.
- Tus kab mob yog pom ntau nyob hauv tus txiv neej, thiab atherosclerosis kuj ua rau nws tus kheej hnov feem ntau hauv cov neeg laus thiab cov neeg laus.
Raws li txoj cai, pathology tsis pom nws tus kheej tau ntau xyoo, yog li ntawm 50, nws tau kuaj pom hauv txhua tus neeg mob thib tsib. Yog li, nws yog ib qho tseem ceeb uas yuav tau ua qhov kev kuaj mob sib txawv ntawm atherosclerosis ntawm cov hlab ntsha ntawm qhov qis qis hauv lub sijhawm kom tso tseg tus kab mob thaum ntxov.
Txwv tsis pub, yuav tsum muaj kev phais mob kom txog thaum txiav tawm ntawm txhais ceg cuam tshuam.
Yuav ua li cas txheeb xyuas tus kab mob
Qhov txaus ntshai yog tias tus kab mob no tsis pom nws tus kheej ntev npaum li cas. Thaum lub lumen ntawm cov hlab ntshav txhaws nrog cov qog roj, tus neeg mob pib muaj teeb meem kev noj qab haus huv ntau.
Tab sis tseem muaj qee cov tsos mob ntawm thawj theem ntawm pathology. Tshwj xeeb, tus neeg mob yuav muaj qhov cuam tshuam sib txuas, loog ntawm ko taw, embolism lossis mob plab, sab hauv ua daus, pallor thiab cyanosis ntawm daim tawv nqaij, cramps, mob rau hauv qis qis, uas ua kom lub zog ntog thaum taug kev, stratification ntawm cov rau tes, tsis muaj mem tes hauv lub hauv caug, lub duav thiab qij taws.
Yog hais tias kev kho mob tsis tu ncua ntawm cov atherosclerosis ntawm qhov qis qis tsis tau pib, kev txhaws tag ntawm cov leeg tau pib, atrophy ntawm ob txhais ceg, o, mob caj dab yog tsim.
- Thaum xub thawj, tus neeg mob yws yws ntawm cov pob txha hauv plab, tawv nqaij ntawm tus ntiv tes, thaum txhais ceg tau txias. Tsis tas li, ib tug neeg tau nkees sai nrog kev ua si.
- Hauv kev taug kev ntawm tus neeg mob, feem ntau tus neeg mob tau mob hnyav ceg thiab mob caj npab, zoo li zoo nkaus li tshwm sim, thiab tus neeg txav tsis taus. Tom qab so me ntsis, cov rog rov qab luv luv, tab sis qhov xwm txheej rov tshwm sim thaum ib qho kev thauj khoom.
- Arterial cramps tuaj yeem tshwm sim hauv cov neeg haus luam yeeb. Yog hais tias koj tau tshem ntawm cov quav, txoj kev loj hlob ntawm pathology tuaj yeem nres hauv lub sijhawm.
Nrog kev pab los ntawm cov kev kuaj mob niaj hnub txawv, kab mob nrog cov tsos mob zoo sib xws tuaj yeem raug tshem tawm, lub xeev ntawm cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha tuaj yeem tshawb xyuas, thiab mob hauv qhov chaw tuaj yeem kuaj tau. Cov kev pabcuam zoo sib xws yog muab los ntawm txhua lub chaw kuaj xyuas niaj hnub no.
Yog tias tus kws kho mob xav tias pom muaj atherosclerosis ntawm ob txhais ceg, tus neeg mob yuav tau yauv mus MSCT angiography, MR angiography, hlab ntsha hauv plawv, thiab ultrasound ntawm cov hlab ntshav. Kuj, kev tso ntshav tawm hauv cov leeg ntawm cov leeg ntawm qis dua yog txheeb xyuas, ntsuas ntshav siab yog saib xyuas, cov qib roj hauv cov ntshav tau kuaj pom.
Thaum lub sijhawm tshuaj xyuas, tus kws kho mob txheeb xyuas qhov mob txhab rau phaum, ntsuas kev mob ntawm cov hlab ntsha thiab qhov ntsuas ntawm mem tes. Txhawm rau kom meej meej rau kev kuaj mob, tus neeg mob raug caw kom tsa ceg ncaj ntawm ntawm kaum ntawm 45 degrees. Raws li qhov sai sai cov roj ntsha tig daj ntseg thiab cov nqaj tau nkees, qhov kuaj pom los yog tsis muaj teeb meem lipid metabolism yog txiav txim siab.
Nrog kev pab ntawm peripheral angiography, qhov ntev ntawm cov hlab ntsha uas raug ntsuas, ntsuas qhov mob ntsws pom, lub xeev ntawm cov hlab ntsha tau raug txheeb xyuas.
Kev kho pathology
Cov txheej txheem kev kho yog xaiv raws li cov neeg kawm ntawv qib siab, cov kev kuaj pom thiab cov yam ntxwv ntawm tus neeg mob lub cev. Tsis tas li ntawd, cov tshuaj ib txwm siv los kho qhov xwm txheej dav dav.
Tus neeg mob yuav tsum ua raws li kev noj zaub mov tshwj xeeb thiab tswj qib theem ntawm cov cholesterol los ntawm cov khoom noj. Nws yog ib qho tsim nyog yuav tsum tso tseg cov rog ua kom tsis muaj rog, nqaij nyuj tawm, hla cov rog, gastronomic delicacies, confectionery, butter thiab roj qab zib ntau li ntau tau.
Kev hnyav yuav tsum tau hloov kho, vim kev rog yog qhov tseem ceeb ntawm atherosclerosis. Tus neeg mob yog xaiv tau yooj yim thiab xis khau zoo uas tsis txhuam tus taw. Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam cov mob ntawm qhov qis qis, kho qhov mob tshwm sim ntawm ob txhais ceg hauv lub sijhawm, thiab tiv thaiv kom tsis txhob mob siab. Nws raug nquahu kom koom ua luam dej, taug kev lub teeb txhua hnub hauv huab cua huv, caij tsheb kauj vab.
Cov tshuaj noj tuaj yeem txo qhov mob los ntawm qhov hnyav thiab mob siab, rov qab ua siab ntev rau kev ua kom lub cev, tiv thaiv qhov txhaws ntawm cov leeg ntshav, thiab tiv thaiv qhov tshwm sim ntawm atrophy thiab gangrene.
- Txhawm rau txhim kho ntshav txaus, tiv thaiv kom tsis txhob muaj mob thiab nws cov teeb meem, tus kws kho mob tau sau ntawv siv cov tshuaj antiplatelet, suav nrog Aspirin thiab Reopoliglyukin.
- Txhawm rau txhim kho kev ua kom lub cev muaj zog, ua kom yooj yim taug kev thiab txhim kho cov ntshav rau cov ceg, cilostazol thiab pentoxifylline yog siv.
- Anticoagulants pab tiv thaiv cov ntshav thiab ua kom cov ntshav txhaws. Cov tshuaj uas nrov tshaj plaws yog heparin thiab warfarin.
- Txo qhov mob thiab nres txhawm, noj Drotaverinum lossis lwm yam tshuaj antispasmodics.
- Nrog rau qhov mob txhab trophic, tshuaj pleev raws li cov tshuaj tua kab mob siv tau zoo - Delaskin, Oflokain, Levomekol
- Txo cov theem ntawm cov roj (cholesterol) phem, statins siv rau hauv daim ntawv ntawm Simvastatin, Lovastatin, Pravastatin. Cov qib triglyceride kom tsawg yog txo nrog kev pab ntawm fibrates Besafibrate, Clofibrate.
Nrog rau tus neeg mob yuav siv ntau lub vitamins kom ua kom lub cev ntawm lub cev ib txwm muaj. Electrophoresis, darsonvalization, oxygenation kuj pom tau tias zoo. Yog tias pom muaj tachycardia, ntxiv rau, tus kws kho mob tuaj yeem sau b-blockers. Cov tshuaj pleev Sophora yog siv los kho cov qhov txhab me me ntawm cov ceg.
Yog hais tias pib muaj tus kabmob thiab kev kho mob nrog tshuaj tsis pab, tus neeg mob xa mus rau kev phais mob. Kev txhaws qhov ua tiav yog ua kom cov ntshav khiav hauv thaj chaw muaj teeb meem. Siv cov zais pa angioplasty, ib lub zais pa tso rau hauv lub vascular txaj, qhov no tso cai rau koj nthuav cov clogged lumen.
Stenting yog ua los tswj qhov loj ntawm lub lumen los ntawm nruab ib lub raj raj ib lub raj nyob rau hauv cov hlab ntsha uas raug puas lawm. Thaj chaw muaj kev cuam tshuam thiab kev txuam nrog cov txhaws yog tshem tawm thaum qhov kawg ntawm lub cev. Autodermoplasty tau txhaj tshuaj tiv thaiv thaum mob raum tsis ua kom zoo rau kev kho mob hauv zos.
Yog tias nws tsis tuaj yeem hloov qhov xwm txheej, lub ntsej muag necrotic ntawm txhais ceg tau txiav tawm, tom qab uas tau ua yeeb yam.
Kev tiv thaiv ntawm atherosclerosis ntawm ob txhais ceg
Txij li thaum mob ntshav qab zib atherosclerosis ntawm cov hlab ntshav ntawm qhov qis qis yog qhov mob hnyav, nws yooj yim los tiv thaiv dua li kho. Txawm hais tias qhov tseeb hais tias pathology niaj hnub no tshwm sim heev txawm nyob hauv cov tub ntxhais hluas, tsis txhob ntshai ua ntej.
Yog tias koj siv txoj hauv kev los tswj koj txoj kev noj qab haus huv thiab kom ncav sijhawm txhua yam tsis zoo, koj tuaj yeem tiv thaiv qhov pom ntawm ntau yam teeb meem. Ua ntej tshaj plaws, koj yuav tsum tso kev haus luam yeeb thiab haus dej cawv, vim cov cwj pwm tsis zoo ua rau muaj kev cuam tshuam sai ntawm cov hlab ntshav.
Los ntawm kev tswj hwm koj tus kheej qhov hnyav thiab txo qhov hnyav hauv lub cev, koj tuaj yeem txo qhov hnyav ntawm ob txhais ceg, thiab tseem yuav zam kev txhim kho atherosclerosis vim yog qhov ua txhaum ntawm cov ntshav txuam. Nws yog ib qho tseem ceeb kom tsis txhob hnov qab txog kev ua kom lub cev mus rau kev siv lub cev kom hnyav, kom lub cev tau zoo.
Tus neeg mob yuav tsum ua txhua yam los txo cov kev xav ntawm lipids teeb meem nyob rau hauv cov ntshav thiab kom tshem ntawm cov atherosclerotic plaques. Nws raug nquahu kom muaj lub rooj noj mov nrog txhua cov zaub mov muaj kev phom sij zoo nrog cov roj (cholesterol). Txhawm rau kom paub tseeb tias tsis muaj mob, nws tsim nyog mus dhau los ntawm kev niaj hnub kuaj xyuas los ntawm tus kws kho mob thiab dhau qhov kev kuaj mob tsim nyog.
Txog obliterating atherosclerosis tau piav qhia hauv video hauv kab lus no.
