Isifo Dego sika. stenting semithambo

isifo Dego sika - isifo ezingavamile oqala izimpawu esikhumbeni futhi ngokuvamile ziyabulala nge ukubonakala "esiswini oyingozi". Luqala ngokunikela ukubukeka esikhumbeni yansukuzonke ukukhanya pink. kancane evuvukele papular amawala, Ingcenye ephakathi yesigaba okuyinto emva kwesikhashana kubonakale sihoxisiwe. Ngalesi sikhathi ziba mhlophe. Basuke etholakala ikakhulukazi esiqwini nentamo isikhumba. Kulesi sigaba, indwangu Ushintshe ziyanqatshelwa, futhi esikhundleni sabo, izilonda okukhululekile usebe ngamanzi. Ngemva kwamasonto ambalwa isiguli ubuhlungu obuhlabayo ngakwesokudla esifundeni epigastric, imfiva, igazi ukuhlanza. Ukuhlaselwa zobuhlungu zenzeka ngemuva kokudla. Cishe ngemva kwakho konke ukuhlasela kukhona isifo sohudo kakhulu. ubuhlungu ophikelelayo ephelezelwa adynamia, siphelelwe amandla ukukhathala isiguli. Iziguli ekuthuthukiseni proteinemiya, hypotension, bilirubinemia. Igazi isithombe onesifo ngokuvamile evamile. Ngemva ukubonakala izimpawu ezinjalo ukufa kungenzeka ezinsukwini ezimbalwa. Phakathi kwesidumbu wembula thrombosis of emithanjeni necrosis emathunjini emathunjini ngaphandle perforation.

isifo Dego sika - cutaneous syndrome besisu, lapho odokotela cishe njalo ukunikeza Izibikezelo abampofu. Ukuqubuka ngalesi sifo ngokuvamile aqukethe izakhi eziningana ezithinta izigaba ukuthuthukiswa ezahlukene. Papules lapho cishe inyanga bakha isibanda is eminyakeni 0.5.

Ngezinye ucwaningo histological e dermis isiguli kubalwe izinguquko ezinkulu kule isimiso semithambo yegazi. Ngakho ngokuvamile kuba khona amahlule, arteriole, endothelial, ukuvaleka imithambo ezinkulu nezincane. Izicubu collagen emhlabeni izitsha ethintekile nezindonga zawo kuyagcinwa foci of necrosis fibrinoid. Ngo-capillary encane kwenzeka tromboendoteliit. Endaweni ye-collagen izingxenye atrophic kakhulu ohlangene futhi embozwe izikali kanye epidermis is thinned. On selilonke zokwakheka papular kukhona imithambo yegazi osuke usuvulekile ukuthi sizungezwe INGENA ISINYENYELA lymphohistiocytic. Dego sika isifo iqopha nezitsha emikhulu elise ekujuleni dermis nezicubu ongama. Le nqubo nge kokuziphatha amaningi futhi angakwazi imithambo yegazi emathunjini, isikhumba kanye nezinye izitho kuyafana panarteriit knotty.

Nakuba isifo Dego sika nge ukuthuthukiswa acute has a Izibikezelo abampofu, kukhona amacala enomlando omude ukuthi zingelashwa. Yokwelapha lesi sifo Kwenziwa ngemithi elwa namagciwane, ukumpontshelwa igazi, ngama-corticosteroid, heparin, amavithamini kanye antihistamine. In the ukwelashwa "esiswini oyingozi" cishe akukuniki imiphumela emihle.

Noma yimuphi isifo semithambo, ikakhulukazi kubantu abadala, singase sibe nemiphumela emibi kakhulu. Ngezinye izikhathi izinguquko Atherosclerotic ezithinta lonke uhlelo semithambo. Ngo izilonda yenhliziyo futhi carotid lemithambo nemilenze, restenosis lwemithambo kwenziwe ukuhlinzwa ezifana stenting semithambo. Ikakhulukazi sikhombisa inqubo enjalo isengozini eliphezulu isilethikusebenza zokukhukhumala, iziyaluyalu kwegazi ebuchosheni, ukwephula kwemilenze noma, izinguquko trophic.

Stenting contraindicated e kwemithambo emincane ubukhulu (esingaphansi kuka 2.5 mm), stenosis ehlasela umzimba (amasayithi ezinkulu vasoconstriction), esingamahlalakhona kwezinso futhi zokuphefumula, pathologies ohlelweni igazi coagulation, yokungezwani komzimba ukuze ukwakhiwa iodine-equkethe (elisetshenziswa-X-ray Ngokuphambene ekwakhiweni).

Ngaphambi kokuhlinzwa, kwenziwe lokhu umzimba ucwaningo esiguli, ultrasound cwaningo intravascular, Doppler ultrasound, angiography, tomography ngekhompyutha, i-MRI, Bheka, echocardiography, electrocardiography. Ngaphambi ukusebenza Kwenziwa ka antiplatelet yokwelapha izidakamizwa ukuthi kuncishiswe ingozi yezinkinga thrombotic.

Ukusebenza stenting semithambo wenziwa ngaphansi izinzwa wendawo, eyenziwa lapho ezinkulu Umthambo indawo umlenze noma ingalo. Ukuze imisebenzi osabalalayo, femoral noma ingasetshenziswa Umthambo mammary. Udokotela ohlinzayo isebenza lubhoboze neuropathy Umthambo odongeni bese engena kuwo emgodleni (tube lapho nezinye izinsimbi zomculo zifakwa).

ipayipi Izacile ukuletha stent emithanjeni balonchikom neuropathy ukuba umthambo oyifunayo. Isifutho ikani kuyinto-X-ray Ngokuphambene ejenti. It sisalokhu kanye stent, okuyinto eligoqiwe, isakhiwo metal anezikhala is waqonda. Lonke operation kubonakala esikrinini. Nenkanuko edlulele ka stent ke Kwenziwa ukuvela ngesikhathi udonga Umthambo. Ngesikhathi esifanayo kungenzeka ukufaka stents amaningi. Khona-ke amathuluzi kudluliselwa kusukela inesikhala bomkhumbi. Ukusebenza ihlala cishe ihora. Isiguli cishe engazizwa izinhlungu nokuphatheka kabi avele ngesikhathi eziyihaba balonchika kuphela. Ngemva kokuhlinzwa, isiguli ngesikhathi ephuma kulesi sibhedlela ezinsukwini ezimbalwa. Ngalesi sikhathi esimisiwe antiagregatnaya, elwa namagciwane, ukwelashwa eqeda ukuvuvukala.

yezinkinga ezingenzeka ngemuva kokuhlinzwa: ukulimala Umthambo izindonga, hematoma kumiswa kusayithi wokubhoboza, ukopha, odla lemithambo ukungasebenzi kwezinso, komzimba nezinto, esifundeni ekunqandeni le stent.