Mtima kulambalala opaleshoni ya nthambi m'munsi: zizindikiro, zotsatira

matenda mtima zimapezeka akazi ndi amuna onse. The matenda ambiri zimakhudza anthu a zaka pakati ndi akale. Zochepa wamba matenda anati achinyamata. Nthawi zina, matenda awa kobadwa nako. Malo lililonse kwa chotupa cha dongosolo mtima ndi inatsekeratu oziziritsa mitsempha, mitsempha ya rectum ndi m'munsi malekezero. Komabe, pamene zokhudza zonse vasculitis ndondomeko akhoza anagawira thupi lonse. Chimodzi mwa zifukwa ambiri chithandizo kwa dokotala ndi varicose mitsempha. kudwala Izi nthawi zambiri vuto la akazi. Zizindikiro khalidwe ndi: tortuosity wa mitsempha, kutambasuka awo, protrusion. matenda ena mtima akuti ndi atherosclerosis. Zimadzetsa kuonongeka kwa mitsempha yatsekera ndi mavuto ndi patency magazi. Nthawi zamakono, kulambalala opaleshoni wa malekezero a m'munsi ikuchitika pa pathologies onse. Iyi ndi ntchito opaleshoni, amene amalowerera kubwezeretsa kwathunthu magazi.

Kodi cholinga imagwiridwa ziwiya kulambalala wa miyendo?

A muyeso zofunika pa matenda a mitsempha ndi mitsempha ndi kulambalala wa malekezero a m'munsi. Chithandizo mu magawo oyambirira njira ndiwofatsa. Odwala matenda zotupa atherosclerotic, mankhwala zamadzimadzi-kutsitsa mankhwala (mankhwala "Atorvastatin" "Fenofibrate") zakudya. Ndi varicose mitsempha tikulimbikitsidwa kuvala wapadera zotanuka kabudula, sclerotherapy. M'munsi ziwiya nthambi kuzilambalala kumezetsanitsa imagwiridwa mu kutsekeka aakulu wa lumen wa mtsempha wamagazi kapena mtsempha, chiopsezo thrombosis ndi chitukuko cha chilonda. njirayi ndi opaleshoni, ayenera kugwira dokotala-mtima opaleshoni. Kulambalala opaleshoni m'malo chotengera pa analili malo. Chifukwa, kusowa magazi wabwezeretsedwa, ndi chiopsezo thrombosis yafupika kwambiri. The shunt akhale wa angapange kapena zimakhala za wodwalayo mwini. Nthawi zambiri ziwiya moyandikana wa miyendo m'munsi ntchito monga analili ndi. Kusankha zinthu zimadalira awiri mwa mtsempha wamagazi akhudzidwa kapena mtsempha, komanso maonekedwe a kudwala lapansi.

Zikuonetsa kuti kulambalala opaleshoni wa malekezero a m'munsi

Kulambalala opaleshoni wa malekezero a m'munsi ikuchitika katswiri kapena chipatala dipatimenti opaleshoni. Zikutanthauza njira zosavuta, choncho ziyenera kuperekedwa kokha zikuonetsa kwambiri. Kuti kulambalala ziwiya ayenera adasonkhananso ngati obturated oposa 50% ya mitsempha m'mimba mwake kapena mitsempha. Musanayambe kusankha opaleshoni, madokotala mankhwala mankhwala ndiwofatsa. Opaleshoni imagwiridwa pakalibe zotsatira za chithandizocho. Pali zizindikiro zotsatirazi kwa kulambalala opaleshoni wa malekezero a m'munsi:

1. Atherosclerosis a mitsempha ya.
2. Kulankhula kudwala a dongosolo venous. Nthawi zambiri ndi mitsempha varicose ndi kumuopseza thrombophlebitis anachita stenting kapena angioplasty. Ndi contraindications kwa zochiritsira zamtunduwu ikuchitika ziwiya kulambalala.
3. Endarteritis. Pamene matenda yotupa Poyankha pamodzi ndi kufafaniza pang'onopang'ono kwa ziwiya yaing'ono. Pang'onopang'ono, mtsempha wamagazi ndi occluded kwathunthu, zikubweretsa chilonda phazi. Matendawa ambiri mwa amuna.
4. Aneurysm ya mitsempha m'munsi malekezero. Kudwala pangozi mosasamala mkulu wa magazi, amene ali ovuta kwambiri kuti asiye.

Nthawi zina, anachita kulambalala opaleshoni wa malekezero a m'munsi chilonda cha zala kapena mapazi. Kuti madokotala ananena zawo za opaleshoni imeneyi si nthawi yabwino ndipo zimadalira dera necrosis ndi makhalidwe munthu wa chamoyo. Nthawi zina, opaleshoni kumabweretsa machiritso a chilonda kapena kuchepetsa kukula chotupa.

Nthawi zina, kulambalala opaleshoni ali contraindicated?

Ngakhale efficacy a mtima opaleshoni kulambalala, M'pofunikanso kukumbukira kuti ntchito yotere kwambiri. Choncho, imagwiridwa pokha pokha pamene mankhwala ena sanathandize. Ndi wozengereza kulambalala opaleshoni angapo a contraindications. Pakati pawo:

1. matenda Hypertensive mtima sumalamulidwa ndi mankhwala antihypertensive. Pankhaniyi, ntchito pa zotengera zingachititse cardiogenic mantha, m'mnyewa wamtima infarction kapena kachigawo.
2. Decompensated mtima kulephera, edematous syndrome limodzi ndi kupuma movutikira ndipo zonse.
3. Wosakhazikika angina.
4. Congestive mtima kulephera ndi m'mnyewa wamtima infarction.
5. Kung'ambika aneurysm, ziwiya ubongo.
6. Paroxysmal mtima arrhythmias.

Kulambalala opaleshoni wa malekezero a m'munsi sangathe anachita matenda opatsirana, zotupa pa khungu, decompensation a shuga. Mu milandu, ntchito ikuchitika pambuyo olimba wodwala.

The njira kumezetsanitsa

mtsempha wamagazi kulambalala opaleshoni imagwiridwa zambiri. Ichi ndi chifukwa chakuti matenda amenewa ndi zambiri ofala. Komanso, mankhwala ena tikuyivomereza mu zotupa za mitsempha. Pakati pawo - zibaluni angioplasty ndi stenting. Monga shunts kubwezeretsa magazi ntchito saphenous mtsempha ntchafu. Pamene lalikulu kuvulazidwa kapena osauka chikhalidwe mtima ntchito amadzala kupanga. Pali njira zosiyanasiyana ntchito. Pakati pawo:

1. Bifemoralnoe aorto-kulambalala opaleshoni. Opaleshoni amachitidwa pa mlingo wa groin lapansi. Akamanena za ntchito ndi kulenga kulambalala anastomosis pakati pa msempha m'mimba ndi mitsempha femoral.
2. Femoropopliteal kulambalala opaleshoni. Musayambe anastomosis pakati mitsempha awiri akuluakulu a nthambi m'munsi. Shunt zimachokera pa ntchafu ndipo umaperekedwa kwa m'munsi mwa bondo olowa dera (pamwamba kapena pansi pa olowa).
3. Cross-kulambalala opaleshoni. Anastomosis umachitika pakati mitsempha awiri femoral (kwa mwendo kuti mwendo kumanzere, kapena mosinthanitsa).
4. Femorotibialnoe kulambalala. Mtima kumezanitsa zikugwirizana ndi mtsempha wamagazi femoral ndi tibial.

Kukonzekera wodwalayo kwa mtima opaleshoni kulambalala

Kukonzekera shunting zikuphatikizapo angapo njira yodziwira, ndi kugwiritsa ntchito mankhwala osokoneza bongo. Pamaso ntchito, muyenera kupita anayesedwanso zasayansi: KLA, OAM, umagwirira magazi, coagulation. Anachita Doppler mitsempha ya m'munsi malekezero, ECG, EhoKS. Pofuna kupewa thrombus mapangidwe pa opaleshoni, sabata pamaso thinners magazi amene wapatsidwa. Zikuphatikizapo mankhwala "Aspirin Cardio", "Magnikor". Komanso Kwalamulidwa mankhwala ozunguza bongo odana ndi yotupa. Madzulo opaleshoni, muyenera kusiya kumwa madzi ndi chakudya.

Njira ya kulambalala wa malekezero a m'munsi

Kulambalala opaleshoni wa malekezero a m'munsi - opaleshoni zovuta zimene mkulu mlingo wa Luso la dokotala ali wofunikila. Mpheto imagwiridwa pogonekedwa ndi mankhwala ambiri. Ang'ambe thupilo khungu ndi minofu chimapangitsa umachitika m'madera awiri - pamwamba ndi pansi mtsempha wamagazi wathuyo. Superimposed pa chotengeracho kupewa magazi clamps. Pambuyo kufufuza chotupa ang'ambe thupilo anachita pa chotengera ndi kuliika shunt ndi dzanja limodzi. Kenako, kumezanitsa mtima chili pakati minofu ndi tendons. Choncho, shunt ndi pang'onopang'ono kudyetsedwa kwa malo a mphako chachiwiri (pamwamba chotupa) ndi kuliika ndi mapeto ake. Kenako, dokotala amayankha boma la magazi. Pa mtsempha wamagazi akuyamba zimachitika opaleshoni bwino. Nthawi zina, anachita njira malangizo a zoona. Mapeto a opaleshoni ndi kuti suture minofu kwambiri ndi khungu.

Kodi nthawi pambuyo ntchito?

Nkofunika kuonerera inpatient wodwalayo, amene opaleshoni. Makamaka ngati izi mpheto - opaleshoni kulambalala wa malekezero a m'munsi. Postoperative nthawi pamene chithandizo bwino za 2 masabata. masiku 7-10 dokotalayo amachotsa matabwa. Pamene wodwala kuchipatala, muyenera kuchita njira yodziwira kuwunika mphamvu ya mankhwala. Komanso, dokotala awonetsetse kuti mavuto palibe pambuyo ntchito. Kale m'masiku oyambirira pambuyo opaleshoni Ndi bwino kudzuka pa mapazi ake. Mu malo atakhala ndi kunama miyendo m'munsi atathana mu boma okwera.

Ayamikira mu nthawi ayambe

Pambuyo opaleshoni kulambalala wa malekezero a m'munsi n'kofunika kuti aziona boma la magazi. Chifukwa chaichi, wodwala ayenera kukumana nthawi kuyendera (ndi Doppler ultrasound). Analimbikitsanso:

1. Kusiya kusuta.
2. Landirani mankhwala antiplatelet kuteteza thrombosis.
3. Muziona thupi. Ndi kukula BMI mankhwala zamadzimadzi-kutsitsa zakudya ndi mankhwala.
4. Kuyenda tsiku.
5. Kuvala masitonkeni wapadera (masokosi) ndi nsapato.

Kulambalala opaleshoni wa malekezero a m'munsi: wodwala umboni

Reviews cha odwala amene opaleshoni, makamaka positive. Odwala lipoti kuchepa ululu, kuchita dzanzi mu miyendo. Komabe, nthawi zina, anthu akudandaula za kubweranso zizindikiro pakapita kanthawi. Ichi ndi chifukwa kugonjetsedwa kwa mitsempha loyandikana ndi mitsempha. M'pofunikanso kukumbukira kuti kulambalala si mankhwala a atherosclerosis, ndi chifukwa cha zotupa mtima chiyani kutha pambuyo opaleshoni. Choncho, kupewa chitukuko cha thrombosis ndi chilonda, ndikofunika kutsatira njira zodzitetezera.

Kulambalala opaleshoni wa malekezero a m'munsi: mavuto opaleshoni

Zovuta za opaleshoni monga mapangidwe ndi magazi aumirira ku shunt, ndi chitukuko cha kulephera congestive mtima, embolism m'mapapo mwanga. Nthawi kuchira mwina zamafinya zinangoti zilonda mfundo ndi magazi kwa iye. Ngakhale kuti ntchito ya imatengedwa kukhala zovuta nthawi yaitali (maola 3), zosokonezeka n'zochepa. Pafupipafupi chitukuko ndi za 2%.