Femoral tsinga: imwe aneurysm uye thrombosis. Thromboembolism femoral tsinga

Femoral tsinga mudziyo guru vane chikuru nerevane - ropa wedzerai kumativi ose rezasi wamativi, kubva hudyu kusvika tsoka nezvigunwe. By nomurwizi mapazi makumbo zvinovaka muviri uye ropa riyerere achitevedza femoral tsinga mapazi kubva capillaries uye maduku nemidziyo ropa. Ose zvirwere yeropa kungaita kuti Kuparara chikuru basa repasi wamativi, abdominal uye pelvic nhengo.

Where zviri

tsinga ichi chinobva pakutanga zvachero iliac kutsemuka rusvingo ane nechiuno yomukati, uko pemvura iri. Saka, zviri kunzi "hudyu." Nepano iliac uye femoral pectinate fossa, popliteal rusesi uye gwara. By nzvimbo proleganiya nemakumbo akariisa pedyo kwokunze pasikarudzi uye epigastric yeropa, anoumba femoral Triangle uye zvakadzika femoral tsinga.

Zvachero femoral tsinga anoonekwa kuva mudziyo zvakakwana guru inotarisira kupa ropa rezasi wamativi, zvimwewo nhengo dzokubereka nadzo uye inguinal nodes. anatomical Chimiro Its zirokwazvo kufanana kuvanhu vose, kunze Kusiyana dzisinganyatsooneki. Kuziva apo femoral tsinga, zvinokosha kuongorora payo pamusoro groin - nayo asiwo kunze kwazviri. In mapazi ichi ngarava kwazvo tisanzwe zvemaziso makuvaro.

aneurysm

yeropa kwakadaro, uyewo mamwe midziyo, nacho zvirwere uye inotungamirwa anomalies. Rimwe pathologies izvi vangazivikanwa - the femoral tsinga aneurysm. anomaly uyu anonzi imwe pfungwa yakajairika zvirwere mudziyo uyu. Zvinoreva kuva bulging aneurysm anoshongwa arterial passageway somugumisiro rive dete. Nemaziso chirwere chinogona kuonekwa sechinhu kuzvimba iri vibrating munzvimbo mudziyo nzvimbo. Zvakanyanyokosha kuoneka aneurysm ari muhudyu chikamu kana pazasi ibvi, apo achiumbwa rimwe dzinotsanagura ngarava - yeropa rorudyi.

anomaly ichi, kazhinji zvikuru yaisangana nevakadzi, sapamazuva varume zviratidzo femoral tsinga chirwere vakachengeta ndoda kakawanda. Pane aneurysm mashoma uye diffuse.

zvinokonzera

Manyuko nucleation zvirwere zvakadai ndizvo zvinhu zvichiita kuti rive dete kwemasvingo rwengarava ropa, zvinoti:

• neBP (cheBP);
• chirwere;
• Migumisiro tara uye chikakananda mu kusvuta;
• kufutisa;
• kunotevera;
• vakawedzera yaunodya pamusoro remafuta akawandisa;
• Kuvhiya (ropa zvinogona kuitika kubva femoral tsinga);
• enhaka chikonzero.

Kukuvara uye akavhiyiwa kazhinji anotaura Yaunoti aneurysm "venhema". Pakadaro, mumatenhere mudziyo, sezvo vakadaro, hauna muchimucherechedza, uye hosha kunoratidzirwa pulsating hematoma takapoteredzwa payakabatanidzwa tishu.

umboo

Start anomalies murwere haigoni kubatwa, kunyanya kana diki mari idzodzo. Zvisinei, pamwe nekukura bundu zvinogona akanzwa vibrating gumbo marwadzo - nayo kunowedzera kurovedza muviri. Zviratidzi aneurysms vanobatwawo muzvidimbu kurwadza kwacho, rufu zvinyama, uyewo kuzvimba maoko nemakumbo. Zviratidzo akafanana dzinoitwa nokusava kweropa iri gumbo.

Diagnostics

The chirwere kwechirwere chacho, apo kunyange vanhuwo femoral tsinga, kazhinji kacho vari kushandiswa, nzira inogona kukuvaradzwa paku kuongororwa, zvisinei, inokurudzirwa uye rabhoritari chirwere mune mamwe mamiriro ezvinhu. By paku Diagnostics zvinosanganisira: Ultrasound, angiography, MRI uye CT Scans. Murabhoritari: rwevanhu uye nokukanganisika ropa uye weti kuongorora. Kuwedzera zvidzidzo izvi zvinoda humwe kuongorora vascular chiremba.

kurapa

Saka kure, chete kurapwa ndiye kuvhiya aneurysm. Zvichienderana kuoma ari zvokurwara uye zvichiita yematambudziko pakuvhiya angashandiswa imwe nzira idzi: mudziyo yokunzvenga, prosthesis. Pane achiri mukana nokushandisa nzira stenting, iyo runoonekwa kuti kushivirira rusununguko. Kana chakaoma kunzwisisa anomalies vakauya kuna zvakakomba zvinyama necrosis, zvinoda kudimurwa pamusoro gumbo.

migumisiro

Zvikuru nguva nenguva kuomesa ndiyo chitarisiko thrombus ari mudziyo, nokuti izvo atore femoral tsinga thromboembolism. Mukuwedzera, panowanikwa ropa clots kungaita kuti kupinda uropi midziyo, izvo zvaizoita clogging dzavo, uye zvadaro zvichaita chete kutungamirira kudzikira mune murwere. Aneurysm ruptures kuitika Kazhinji kazhinji pane embolism kana neronda rinonyenga norutsoka.

Zvisinei, kana nguva kuti chirwere, kukura anomalies zvinogona kudziviswa, kumhanya mamiriro ezvinhu mukana wokuti migumisiro yakaipa ari muchimiro gumbo kudimurwa kana kunyange rufu murwere. Saka, kunyange kana ari muduku vakafunga zvokurwara, zvinokosha zvakaitika zvakakodzera Diagnostics.

thrombosis

chirwere ichi (anonziwo thromboembolism) iri kazhinji kuchiratidzwa nevanhu anomaly. Kana asazivikanwa thrombosis (blockage) mudziyo nezvimedu hematoma, mafuta embolism, uye atherosclerotic Dombo varwere pakutanga havana kuchengetwa kuchinja. Uye chete ane nouchapupu plugging ari mudziyo kuona zviratidzo chirwere ichi. Kana nokukurumidza occlusion ari mudziyo murwere pakarepo anonzwa kudzikira, izvo zvinogona papera kutungamirira zvinyama necrosis, kugura makumbo kana rufu.

zvekuchipatara hwakawanda

Thromboembolism apo tsinga (rorudyi) vari yekudyidzana makavhara, dzinoratidzwa nezvishoma kuwedzera kurwadziwa gumbo - ichi kunogona kuonekwa kunyanya kana achifamba kana siyana chaiko mabasa. Ichi chirwere Rinobatanidzwa ane kuoneka vasanyanye mudziyo, uyewo vasanyanye ropa wedzerai makumbo, kurasikirwa ayo kwetsandanyama. Panguva iyoyowo, kuvandudza kweropa inotanga kuitika mudziyo rubatso. Kazhinji ichi zvinoitika pasi nharaunda paiva clot ropa pacharo.

Pakuongorora netsoka pallor rweganda rake, vasanyanye tembiricha (kunonzwika inotonhorera). The aikanganiswa pakati njodzi chikamu muviri apo nhema tsinga (femoral) kunoderedza. Zvichienderana paumbwe vascular abnormalities kana pulsing nokungwarira kunogona kunzwika kana kunzwa.

Diagnostics

Voitakura kunze nokushandisa paku nzira. Nokuti chinangwa ichi rheography uye oscilloscope. Zvisinei, chinonyanya anodzidzisa nzira diagnosing mudziyo, izvo zvinoita kuti tikwanise zvakajeka havatsananguri nzvimbo nzvimbo ane ropa clot, uye mwero occlusion ari mudziyo, vaiona arteriography. Zvivabatsire neimwe ongororo yakadaro anopiwa kana kuona panguva rokuongorora zviratidzo zvakadai: Chiso chinopenya kana rakachenuruka ganda makumbo, kushaya ake nehanya, marwadzo munguva akadzikama. Uyewo akataura kushanya kune rimwe vascular wokuvhiya, ndiani bvunza pamusoro ndeipi femoral tsinga, uye chii pamigumisiro thrombosis kunogona kutarisirwa.

mabatiro

The thromboembolic mushonga kushandisa zvinodhaka, uye nokushanda rinoitwa. Kana mishonga yakatarwa anticoagulants uye thrombolytic vamiririri vane antispastic chiito. Kana zvomusejari dzakashandiswa angioplasty, embolectomy uye thrombectomy.

Occlusion of femoral tsinga

Strong occluded arteries ndivo ropa riparadzirwe unopinza distal chikamu tsinga nokuda thrombus kana embolus. Condition anonzi ngozi chaizvo. Somugumisiro occlusion ari aortas ropa kuyerera dzinongoitika akashatirwa, iyo inotungamira dzokuwedzera inotungamirwa clots. The muitiro zvingasanganisira collaterals, kuti thrombus anogona kupararira kunyange venous hurongwa. Mamiriro iri reversible kwemaawa 3-6 kubvira panguva yakaitika. Panoperera iyi, rakadzika ischemia kunotungamirira mberi irreparable necrotic kuchinja.