Umthambo Femoral: useshonile futhi thrombosis. Thromboembolism Umthambo femoral

Umthambo Femoral uyisitsha enkulu umsebenzi wakhe omkhulu - kwegazi zonke izingxenye wemikhawulo aphansi, kusukela hip ezinyaweni nasezinzwanini. Ngu esezansi zone imilenze izakhi nokugeleza kwegazi eduze Umthambo femoral branched kusukela capillary nezitsha ezincane igazi. Zonke izinhlobo izifo le-aorta kungaholela ukuwohloka umsebenzi eziyisisekelo emikhawulweni ephansi, lesisu nezingxenye okhalo.

Lapho kuba

Lokhu Umthambo ivela ukuqala kokuya ensimini iliac odongeni yomthambo i-aorta ne-kwamathanga elingaphakathi, lapho amaqabunga. Ngakho, ubizwa ngokuthi "hip." Udabula iliac futhi femoral pectinate fossa, ikhefu popliteal nesiteshi. Ngu indawo nemilenze proleganiya wasibeka eduze zangasese bangaphandle aorta epigastric, esiyingxenye unxantathu femoral futhi ijulile Umthambo femoral.

Okukha phezulu Umthambo femoral ubhekwa isitsha ngokwanele ezinkulu elikhonza ukunikela ngegazi wemikhawulo aphansi, zangasese bangaphandle ISIZINDA inguinal. isakhiwo sayo yokwakheka nakanjani ezifanayo ngoba bonke abantu, ngaphandle umehluko ezicashile. Ukuze sithole kahle lapho umfula femoral, kubalulekile ukuba ukuyihlola phezulu imbilapho - wenabisela nibonakala yilo. Kulesi zone isitsha kuyinto kakhulu sensitive ukulimala lokukhanda.

useshonile

I-aorta okunjalo, kanye nezinye izitsha, uthambekela izifo kanye kumiswa anomalies. Enye yalezi pathologies bungabonakala - the femoral Umthambo useshonile. Lokhu anomaly ubhekwa izifo ezivame kakhulu lokhu umkhumbi. Kusenza siphile bulging useshonile amagobolondo, umhubhe lwemithambo ngenxa thinning. isifo yesilinganiso kungatholakala njengendlela iqhubu esifundeni isixwayisi yendawo isitsha. Kungcono useshonile kubonakala imbilapho ingxenye noma ngezansi kwedolo, yakheke lapho kwelinye izinqubo bomkhumbi - kwethanga aorta.

Lokhu anomaly, ngokuvamile ngaphezulu olutholwa abesifazane, njengoba ezingabantu izimpawu femoral Umthambo isifo waphawula ingasaphathwa njalo. Kukhona isifo sokuvuvukala kwemithambo okulinganiselwe kanye ehlasela umzimba.

izimbangela

Imithombo nucleation kwezifo ezifana kuyizimbangela okuholela thinning izindonga imithambo yegazi, okuyilezi:

• nomfutho wegazi ophezulu (high blood pressure);
• ukutheleleka;
• imithelela itiyela nicotine ukubhema;
• ukukhuluphala;
• ukuhlukumezeka;
• anda engayitholi cholesterol;
• ukuhlinzwa (ukopha singenzeka kusukela Umthambo femoral);
• Isici sitholwa njengefa.

Ukulimala kanye nokusebenza ngokujwayelekile ubheke okuthiwa "false" useshonile. Kulesi simo, ukuvuvukala bomkhumbi, ngenxa yalokho, akufanele kumakwe, futhi lesi sifo sivezwe hematoma ejabhile sizungezwe coupling izicubu.

ubufakazi

Qala anomalies isiguli akuzwakali, ikakhulukazi uma amanani amancane zokwakheka. Nokho, saneliswe ngokuthela kwezindebe isimila okungase kuthintwe Isixwa umlenze ubuhlungu - ke kwandisa kanye nemsebenti lotsintsa umtimba. Izinkomba aneurysms nazo abathintekayo esitho zibe, ukufa kwezicubu, kanye nasemilenzeni ukuvuvukala. izimpawu ezifanayo ezihlobene nokusebenzelana yokuntuleka kwegazi emlenzeni.

ukuhlola

Imiphumela yaloku kuhlola okungenhla lesi sifo, lapho zisetshenziswa ngisho Umthambo ezivamile femoral, esikhathini esiningi, indlela seyonakele luhlolo wezinsimbi, Nokho, Kunconywa futhi laboratory uphethwe ezimweni ezithile. Ngu Ukuxilonga wezinsimbi zihlanganisa: ultrasound, angiography, i-MRI nakuma-CT scan. Ilabhorethri: igazi jikelele kanye kwamakhemikhali kanye nokuhlaziywa umchamo. Ngaphezu kwalezi izifundo zidinga eqhubeka ehlola udokotela ohlinza imithambo yegazi.

Ukwelapha

Kuze kube manje, ukwelashwa kuphela ukuhlinzwa useshonile. Kuye nobunzima zokugula kanye nezinkinga kungenzeka phakathi nokuhlinzwa lingasetshenziswa eyodwa yalezi zindlela: a dlula isitsha, imilenze. Kusekhona kungenzeka ngokusebenzisa indlela stenting, okuyinto kubhekwa isikhathi nesineke impumuzo. Endabeni anomalies eziyinkimbinkimbi kakhulu alethwe sina izicubu necrosis, kudinga ukusikwa kwamalungu umlenze.

imiphumela

Izimo zethu zihluke kakhulu inkinga ukungasebenzisi Akukhona ukubukeka thrombus e umkhumbi, ngenxa okungase ukuthola femoral Umthambo thromboembolism. Ngaphezu kwalokho, nesenzakalo amahlule kungase kubenze zingene izitsha ingqondo, okuyinto nomphumela odla kwawo kwakuyovumelana, futhi kamuva kuzobalwa kuphela kuholele Oqala ukungezwa aze agcine isiguli. uyadabuka useshonile zenzeka njalo, ezimweni eziningi kukhona embolism noma esibhibhayo senyawo.

Nokho, Uma isikhathi lokwenza ukuxilongwa, ukuthuthukiswa anomalies kungagwenywa, isimo ukugijima amathuba nemiphumela enqabayo ngesimo a ukunqunywa umlenze noma kuholele ekufeni isiguli. Ngakho-ke, ngisho noma ingane esolwa zokugula, kubalulekile ukuba kudlule ukuhlahlwa kunesidingo.

thrombosis

Lesi sifo (obizwa nangokuthi thromboembolism) ngokuvamile ngempela buboniswa ngokuba anomaly. Lapho ukucasha thrombosis (ukuvaleka) ayesisebenzisa izinhlayiya hematoma, embolism amafutha, kanye neziguli atherosclerotic qwembe ekuqaleni ningagcini izinguquko. Futhi kuphela wokufaka eningi bomkhumbi wazibona izimpawu zalesi sifo. Lapho occlusion okusheshayo isitsha isiguli ngokushesha azizwa uwohloke ezingasetshenziswa kamuva kuholele izicubu necrosis, ukusikwa kwamalungu imilenze noma ukufa.

izikolo emitholampilo

Thromboembolism lapho Umthambo (ethangeni lesokudla) kuthiwa kakhulu ivinjiwe, elinesimo ukwenyuka kancane ubuhlungu emlenzeni - lalokhu lingabonakala ikakhulukazi uma uhamba noma imisebenzi ehlukene ngokomzimba. Lesi simo lihlotshaniswa ukwehla olubonakalayo umkhumbi, kanye ukwehla kwegazi emilenzeni, ukulahlekelwa kwemisipha yayo mass. Ngesikhathi esifanayo, ukuthuthukisa kwegazi iqala ukwembuleka isitsha izibambiso. Ngokuvamile lokhu kwenzeka ngezansi esifundeni lapho kwakukhona ihlule legazi uqobo.

Ocwaningweni unyawo pallor zesikhumba sakhe, ukwehla kwezinga lokushisa (uzizwa cool). Ukuzwela kwama-ingxenye ethintekile umzimba lapho itholakala Umthambo (femoral) incipha. Kuye kumiswa kwezinso semithambo noma Ukwedlula kungaba ngokuqonda izwakale noma lingezwakali.

ukuhlola

It Kwenziwa ngokusebenzisa izindlela wezinsimbi. Ngenxa yalesi rheography inhloso oscilloscope. Nokho, indlela kakhulu ulwazi ithuluzi ekuxilongweni, okwenza kube kungenzeka ngokucacile ukuchaza indawo indawo ihlule legazi, futhi degree of occlusion bomkhumbi, kubhekwe arteriography. Ukudluliselwa ukuze ucwaningo olunjalo unikezwa lapho Kutholwe ngesikhathi sokuhlolwa izimpawu ezifana: sikhanyise noma ogodweni isikhumba imilenze, yokuntula ukuzwela, ubuhlungu esikhathini ngizole. Futhi kunconyiwe ukuvakashela udokotela ohlinza imithambo yegazi, abayoba uthintane mayelana nokuthi iyiphi Umthambo femoral, futhi yini imiphumela thrombosis kungalindeleka.

ukwelashwa

Therapy thromboembolic izidakamizwa, futhi ukusebenza wenziwa. Lapho imithi esimisiwe anticoagulants namanxusa thrombolytic nesenzo antispastic. Lapho izindlela kuhlinzwa esetshenziswa angioplasty, embolectomy futhi thrombectomy.

Occlusion we Umthambo femoral

imithambo Namandla occluded kukhona kwegazi abukhali ingxenye distal we Umthambo ngu thrombus noma embolus. Isimo uyingozi kakhulu. Ngenxa occlusion ku aortas we zemvelo ukugeleza kwegazi kuyaphazamiseka, okuholela kwetinhlavu ezingeziwe amahlule. Inqubo ingase ihlanganise collaterals, le thrombus Zingase zande zisakazekele nakwezinye ngisho ohlelweni emithambo yegazi. Isimo esethola amahora 3-6 kusukela ngesikhathi nesenzakalo. Ekupheleni kwaleyo nkathi, ischemia ngokujulile kuholela okwengeziwe ungalungiseki izinguquko necrotic.