Isifo Buerger sika, umsuka walo, izimpawu kanye nokwelashwa

isifo Buerger sika - i ukuvuvukala isifo ngemithambo yegazi ka ububanzi amancane naphakathi elihlobene ne-pathology kwesimiso somzimba sokuzivikela ezifweni. Lesisifo ka ezintathu izinhlobo, kuncike kwasendaweni embhedeni ophakeme, lapho ukugeleza kwegazi itholwa inkinga:

- uhlobo Distal libhekene izilonda kwemithambo ye ubukhulu ezincane. Lokhu kungase kube izandla, izinyawo, imilenze ngemilenze. inombolo yayo Imininingwane Buerger sifo 60-65%.

- uhlobo proximal kudlulela imithambo ye ubukhulu esikhulu naphakathi, ezifana le-aorta, femoral futhi iliac imithambo. Isibalo lolu hlobo sifo 15-20%.

- okuxubile inhlanganisela izinhlobo ezimbili izilonda kwemithambo yegazi. Lolu hlobo% iyagula 15-20 iziguli.

Kuye ngezinga of ukugeleza kwegazi nobunzima, isifo Buerger sika izigaba ezine:

- Isigaba sokuqala sale sifo okuthiwa obusebenzayo isinxephezelo isikhathi. Iziguli esekhala zivutha ukunsonsotha kalula, Ukugodola nokukhathala. Phakathi lwaluyophola, izitho iyaphaphatheka abandayo. Lapho ehamba Isivinini isilinganiso phezu ibanga 1000 amamitha kukhona claudication ngakanye. Isiguli azizwa ubuhlungu amathole, izinyawo kanye nasemilenzeni ngenxa enganele liningi igazi. Ngo pedis Umthambo ishayela engekho noma wavuma wazwakalisa.

- Isigaba sesibili kuyinto ezimbili zama: uhlobo "A" lapho claudication ngakanye kwenzeka ngenkathi sokunqoba ibanga kusuka kwamamitha angu-200 kuya kwezingu-1000, bese uthayipha "B", lapho okuvela izinyonga ngokwanele ukuya ibanga ngamamitha angaphansi kuka-200.

isifo Buerger nganoma esiteji 2B libhekene yoma kwemisipha encane ngezinyawo, kanye amanoni awo ongama.

Pulse onyaweni akuyona avelayo. Isikhumba imilenze, izinyawo ilahlekelwa kuyaqina, uba omile futhi zibe maholoholo, liyavela yedwa ebusweni hyperkeratosis.

izinwele kanye nail ukukhula kuyehla, izinzipho kukhona aminyene futhi zomile.

- Isinyathelo sesithathu lihlukaniswe by uhlobo "A", lapho ubuhlungu kwenzeka lapho esephumule, bese uthayipha "B", lapho ubuhlungu uphumule nge ischemic edema evelele. Izifo Buerger sika ngesinyathelo 3B lubonakaliswa isikhumba thinning kanye sengozini lula. imihuzuko Iningi ezincane futhi ukulimala kuholele kumiswa imifantu kanye nezilonda okubuhlungu. Iza intuthuko okusheshayo yoma we imisipha unyawo nomlenze aphansi.

- isifo esigabeni sesine ehlukaniswa uhlobo "A" lapho ukuguqulwa necrotic e kwezinzwane, kanye kulondolozwe umsebenzi wabo asekelayo, bese uthayipha "B" lapho esibhibhayo izicubu kudinga okusezingeni eliphezulu esitho ukunqunywa. Ngezinye isinyathelo 4A izinguquko elimazayo zenzeka. Ngu ubuhlungu babulawa futhi njalo kulesigaba kuholela isifo Buerger, isithombe akashiyi kungabaza kule. Ezindaweni ezisemaphandleni emikhawulweni, ngokuvamile iminwe, akhiwa izilonda ezijulile. uhlobo ezimanzi esibhibhayo kudinga ngokushesha ukunqunywa.

Lesi sifo ezinzima yigama yezokwelapha - ". Thromboangiitis obliterans" Izikhalazo iziguli ezibangwa ezingamahlalakhona esitho ischemia. Iziguli ngokuvamile esekhala kucikelela okusezingeni eliphezulu okushisa aphansi, ukuba ndikindiki cramping ophikelelayo, ubuthakathaka kanye nobuhlungu ezingalweni nasemilenzeni.