Chirwere Dego vake. vascular stenting

Dego nehosha - isingawanzowanikwi chirwere kuti kunotanga ganda zviratidzo uye kazhinji ndivo dzinouraya pakuonekwa "rikwanise dumbu". Kuchitanga chitarisiko paganda idzokororo chiedza Pink. zvishoma kuzvimba chimbi papular, chinokosha iyo pashure pechinguva zvinooneka retracted. Panguva ino vanova chena. Ivo dziri kunyanya pamusoro hunde uye mutsipa ganda. Panguva iyi, nhamba yevane jira vanorambwa, uye panzvimbo yavo, akazaruka pamwe pomukombero Flushing. Vhiki shomanana gare gare murwere ane marwadzo zvakarurama epigastric nharaunda, fivha, kurutsa ropa. Kurwisa kurwadziwa kuitika mushure kudya. Chinenge pashure Kurwisa ose pane kunonyengedza manyoka. Persistent marwadzo akaperekedza adynamia, kurasikirwa simba uye kuneta murwere. Varwere kusimukira proteinemiya, hypotension, bilirubinemia. Blood mufananidzo mune hosha kazhinji muupenyu. Pashure chimiro zviratidzo zvakadai rufu kunogona kuitika mumazuva mashomanana. Panguva kuvhuya chitunha kwakaratidza thrombosis pamusoro mutsinga uye intestinal necrosis pamusoro ura pasina perforation.

Dego nehosha - cutaneous abdominal urwere, umo vanachiremba dzinenge nguva dzose kupa varombo fungidziro. Mapundu pa chirwere ichi kazhinji ine zvakawanda zvinhu izvo zvine kukura yakasiyana nzendo. Papules ikoko pamusoro mwedzi uye vanga achiumbwa mumakore 0.5.

At histological tsvakurudzo ari dermis murwere kwakabatana kuchinja kukuru mune vascular ino. Saka kazhinji pane clots ropa, arterioles, endothelial, blockage makuru uye zviduku nemidziyo. The collagen rinenge akapoteredza zvakakanganisa midziyo uye kwemasvingo avo vari kuchengetwa foci pamusoro fibrinoid necrosis. Munguva capillaries duku kunoitika tromboendoteliit. Panzvimbo migove collagen atrophic zvakasimba nekuumbanidzwa uye wakafukidzwa chikero uye Epiderme e iri thinned. On the sekamufarenzi papular idzodzo pane dilated midziyo ropa kuti wakakomberedzwa lymphohistiocytic nda. Dego nehosha rinoburitsa nemidziyo hombe riri zvakadzama muna dermis uye subcutaneous tishu. Izvi multiple infiltration uye degeneration rimwe intestinal tsinga, ganda uye dzimwe nhengo zvakafanana zvikuru knotty panarteriit.

Kunyange zvazvo chirwere Dego pamwe rikwanise kukura ane murombo fungidziro, pane dzimwewo nyaya ine nhoroondo refu kuti chinogona kurapika. The kurapa chirwere rinoitwa pamwe nemishonga, ropa, corticosteroid, heparin, mavhitaminzi uye antihistamines. Mu "rikwanise dumbu" kurapwa anenge asingadi kupa migumisiro yakanaka.

Chero chirwere vascular, kunyanya vanhu vakwegura, vangava chakakomba zvikuru nemigumisiro. Atherosclerotic kuchinja dzimwe nguva kukanganisa rose vascular hurongwa. In maronda ose coronary uye carotid arteries, maoko nemakumbo, arterial restenosis yakarumbidza kuvhiyiwa akadai vascular stenting. Kunyanya zvinoratidza chakadaro nzira riri kumusoro mukana myocardial infarction, kweropa zvirwere muuropi, kukanganisa pamusoro muzvidimbu basa, trophic kuchinja.

Stenting contraindicated mune diki dhayamita arteries (asingasviki 2.5 mm), diffuse stenosis (nokuti makuru nzvimbo vasoconstriction), renal uye kufema insufficiency, pathologies muropa coagulation gadziriro, chisimbwa kuti ayodhini-tune Formulations (kushandiswa X-ray musiyano Pfungwa).

Pamberi oparesheni, akaita izvi tsvakurudzo muviri murwere, Ultrasound intravascular kudzidza, Doppler Ultrasound, angiography, computed tomography, MRI, eeg, echocardiography, electrocardiography. kuvhiyiwa ari pamberi akatakurwa kubva antiplatelet kurapa mishonga yekuzvidzivirira thrombotic yematambudziko.

Nokushanda vascular stenting rinoitwa pasi omunzvimbo yokutindivadza, akaita nenzira chikuru tsinga nzvimbo pamusoro gumbo kana ruoko. For pakuvhiya TOUR, femoral kana mammary tsinga anogona kushandiswa. The chiremba anoita kuponjesa peripheral tsinga rusvingo uye anopinda naro mumuhara (chubhu kuburikidza izvo namajoko vari akaiswa).

Mutete anobudisa mushonga zvishoma nezvishoma vazopa stent kuburikidza balonchikom peripheral midziyo kuti achida tsinga. The pfapfaidzo zvinogona ane X-ray musiyano mumiririri. Zvinonzi rwakatambanudzwa uye stent, izvo akapeta, pajira riya simbi mamiriro iri anombotwasanudza. The yose oparesheni zvinoratidzwa paTV. Kuda kutamba pamusoro stent zviri kuitwa pfungwa iri tsinga pamadziro. Panguva iyoyowo zvinobvira kuisa vakawanda stents. Ipapo zvokushandisa kumwezve kubva lumen ari mudziyo. The oparesheni rinovapo inenge awa. Murwere anenge asingadi kunzwa marwadzo uye kusagadzikana kungowanikwa panguva achiwedzeredza balonchika. Pashure pokuvhiyiwa, murwere muchipatara mumazuva mashomanana. Panguva antiagregatnaya nguva yakatarwa, antibacterial, Anti-anogumbura kurapa ichi.

Possible yematambudziko pashure kuvhiyiwa: kukuvadza tsinga masvingo, hematoma inotungamirwa panguva ponji site ropa, clogging arteries, renal dysfunction, neutachiona, pakugwamba munharaunda stent.