Kuyini angiopathy wemikhawulo aphansi? Indlela yokuphatha kulo?

Angiopathy iqembu pathologies ezihambisana ne ukulimala izakhiwo semithambo kanye Ukuwohloka kwegazi. Ukuthuthukiswa lesi sifo kwenzeka kancane kancane: imithambo kanye emithanjeni ziphelelwe yisimo sazo, izikhala phakathi ewumngcingo yabo. Ngenxa yalokho, ama-ejensi uhlangabezana ukusweleka kokudla. angiopathy ka emikhawulweni aphansi kutholakala ukuthi uphethwe yini ikakhulukazi iziguli sikashukela. Ukungabikho yokwelapha eyanele kungaholela ukunqunywa ngisho nokufa. Ukuze ugweme lezi yezinkinga kuyadingeka ukwazi ukuthi izimpawu ahambisana angahlangani nalapho okubiza udokotela.

Angiopathy - uphawu noma isifo?

Cishe kungenzeka zonke izitsha emzimbeni womuntu obala izinguquko sokugembula. Sinesithakazelo ngokukhethekile yilona isakhiwo microcirculatory ukwehluleka, okuyinto imelelwa plexuses sebuningini. Ekhuluma angiopathy, ngokuvamile bowuqonde zokugula wemikhawulo aphansi. Nge kokutshelwa ngokukhubazeka kwengane kufanele abhekane abantu ngisho engumqemane. Kungani lokhu kwakwenzeka? Lesi simo esiyingqayizivele sibangelwa zingachazwa ngezinqubo ukuntuleka noqondayo phakathi Ochwepheshe ezahlukene kanye neziguli ngokweqile izwele. I last ezwa sokutholakala ukuthi une-ezingaziwa, ngokushesha ukwethuka.

Kumelwe kuqondwe ngokucacile ukuthi lokuchezuka echazwe hhayi kungaba isifo ezimele. Angiopathy siwukubonakaliswa noma izinkinga zokwenza izifo ezithile obusebenzayo emzimbeni. essence yayo itholakala ukwehla kuyaqina kanye ukwehla mafutha anciphisa isikhala esingaphakathi semithambo. Ngenxa yalokho, kukhona izimpawu yokuphazamiseka kwegazi emisipheni. Lesi sithombe sokucindezeleka sici lesion ungqimba kwemisipha odongeni semithambo noma ushintshe innervation yayo. Uma lokhu kwenzeka spasm ngenkathi ekunqandeni velocity of ukugeleza kwegazi.

The main kubangela angiopathy

Odokotela ukuhlukanisa ezihlukahlukene izici ezibangela inqubo sokugembula. Phakathi kwabo endaweni yokuqala sikashukela. Angiopathy wemikhawulo aphansi e-70% amacala ukuthuthukisa ku isizinda ushukela ngokweqile egazini. indawo Okwesibili kungokwalabo nomfutho wegazi ophezulu. Ngesikhathi izimpawu uzwakalise yesifo Umthambo futhi capillary, asisakwazi ukumelana nalomsebenzi nge imisebenzi yabo abayabelwe. Kancane kancane umkhumbi izindonga embozwe amafutha, igazi uba mkhulu. Zizonke, lezi zici avuse ukuthuthukiswa angiopathy.

Phakathi kwezinye izizathu, inqubo sokugembula kungase kuqashelwe:

• ukubhema;
• sisebenze izinto ezinobuthi;
• hypotension;
• iziyaluyalu azalwa naso e isimiso sokujikeleza kwegazi;
• nezici ezithile sitholwa njengefa.

ukwelashwa angiopathy incike uphethwe ngesikhathi esifanele. Yingakho kubalulekile ukwazi ukuqaphela izimpawu zezifo ngendlela efanele usaqala.

Yiziphi izinhlobo owenza angiopathy wemikhawulo aphansi?

Ikhodi ye-ICD-10 (International Ukwahlukanisa Diseases) inikezwa lokhu zokugula 179,2. Ngo wamanje yayo wamukela ukwaba amafomu amabili:

1. Microangiopathy (umonakalo ka izilonda ezincane semithambo). Ngokuvamile elihlobene ne ukungasebenzi ngwengwzi, ukuphazamiseka kwezinso ukugeleza kwegazi.
2. Macrovascular (ukunqoba izakhiwo lwemithambo medium and osezingeni enkulu). Lokhu ukuhlukumeza kuphela nemilenze isici.

Ngasinye ngendlela inqubo sokugembula has isithombe ethile yomtholampilo.

izimpawu microangiopathy

Ngo esigabeni sokuqala ephansi emikhawulweni microangiopathy kakhulu hhayi ukuzibonakalisa. Nokho, kulolu cwaningo izitsha kakade wembula izinguquko ezithile ukuthi uyogcina uqale ibakhathaze. Isikhumba iba ugodo amakhaza uma uyithinta. On the izinyawo avele izilonda ezincane ukuthi zanda ngokushesha ezindaweni ezintsha. Isiguli ungase uphazamise ukungakhululeki, ubuhlungu ngemva kokuzivivinya. Izilonda emhlabeni isikhumba kuba ngokubomvu nokuvuvukala. Ukungena yenqubo sokugembula e imisipha noma ithambo izicubu kuhambisana cellulitis. izindawo Necrotic kancane kancane ukunweba ngalé isilonda, esakaza iminwe. Lapho kunqotshwa lonke unyawo ukhetho kuphela ukulondoloza wakhe umlenze - ingxenye unqanyulwe.

izimpawu macroangiopathy

ukuthuthukiswa zokugula futhi senzeka kancane kancane. Okokuqala, iziguli esekhala ukuqina imilenze ekuseni. Khona-ke ukungakhululeki ingabe usekhona usuku lonke futhi is kwahambisana by ndikindiki iminwe. Imilenze njalo umnkantsha, ngezinye izikhathi kukhona claudication ngakanye. Skin iba okhanyayo. Kweseva claudication usuku nosuku kuba evelele. Zonke izimpawu kunezelwa eziningi ubuhlungu emilenzeni, amajaqamba. Ukungakhululeki (evutha, ukushoshozela ukuzwa) akabashiyi nesineke ngisho ngamaholide. Kamuva avele ukuvuvukala kanye nezilonda ngezibonakaliso necrosis. Inqubo sokugembula kancane kancane abathintekayo wonke amasayithi entsha. Macroangiopathy yezingalo nemilenze aphansi zivame ukuhambisana imfiva, ubuthakathaka jikelele.

I esiyingozi angiopathy sikashukela?

izinguquko sokugembula e imithambo yegazi esitho - Iziguli ezingamadoda njalo satellite sikashukela. Yoma futhi kahle kwegazi onyaweni kuwumphumela ekulahlekelweni nomthamo capillary. kashukela okweqile kancane kancane ubhubhisa Imithambo yegazi. Kwezinye izingxenye, ziba izacile, kwezinye - ukushwaqa. Ngenxa semithambo inesikhala uncipha futhi izicubu asifele ingemuva le-oxygen nendlala. Njengoba kuqala iminwe isifo yoma, khona-ke wonke ngezinyawo, umlenze aphansi ithanga. izakhiwo athintekayo adinga ukunqunywa ngokushesha njengoba izinqubo gangrenous zenzeka kuwo. It sivame ukuba kulondolozwe okusizwa ukushaya e emikhawulweni.

angiopathy Diabetic ka emikhawulweni ephansi - lena inkinga olunzima ababhekana nazo iziguli ezine-insulini ukuntula egazini. zokuvimbela yayo Kunconywa ngokushesha emva isiqinisekiso uphethwe.

izindlela zesimanje uphethwe

Uma usola ukuthi wemikhawulo aphansi angiopathy isinyathelo sokuqala Kuhlolisisa ukuqoqa umlando lesiguli kanye Ukuhlola babephephile ezindaweni ezithintekile. Ngemva kwalokho, ukuya izifundo laboratory usebenzisa amadivaysi zobuchwepheshe:

1. MR. Ukuze ukuhlola ukwakheka izicubu zomzimba ezithambile.
2. US. cwaningo Doppler kusiza sithole isimo izindonga isitsha, futhi Duplex ukuskena - the velocity of ukugeleza kwegazi.
3. Angiography. -X-ray ukuhlola nge Ngokuphambene kusetshenziswa ukuvumela ngeso of permeability semithambo.
4. CT. Sasitadisha esitho izigaba sokugembula.

Isicelo Kulezi zindlela ezingenhla, zokuxilonga kunesidingo ukuthola isithombe mazombe inqubo pathologic, ukuhlolwa izilonda semithambo. Ukuhlola nesineke futhi likuvumela ukunquma okuyifomu fanele angiopathy ka emikhawulweni aphansi.

Ukwelashwa: yezokwelapha futhi kuhlinzwa

Izindlela kokuphatha angiopathy incike imbangela lokho kwaqala ukubonakala kwakhe. Okwakuhlalwa kuzo lapho kusaqalwa futhi ngezinye izikhathi ngisho ukulungiswa okulula yokudla kanye yokuphila kuholela okwehlisa yenqubo sokugembula. Yiziphi ezinye izindlela zokwelapha?

1. ukwelashwa. Iziguli kwathiwa unesifo "angiopathy ka emikhawulweni aphansi" okunqunyiwe izidakamizwa ngokuthuthukisa ithoni semithambo futhi kujwayeleke blood pressure. Futhi kunconyiwe edonsa ukuthaka imithi ukufukula izinqubo kwegazi ( "Aktovegin", "Aescusan", "Heparin"). Yonke imithi zikhethwa umuntu ngamunye ikhumbula jikelele isithombe emitholampilo ye isifo.
2. Limfomodulyatsiya. Kuphethe izinqubo ezikhethekile ngokuthuthukisa igazi lymph kwegazi emzimbeni, ukususwa okusheshayo imikhiqizo umzimba. Ngemva amaseshini ukwelashwa eziningana kubonakale encishisiwe nokuvuvukala kwesikhumba abaningi babephephile ezindaweni ezithintekile.
3. Ukusebenza. Ukuhlinzwa Asho ukuthini izicubu plastic kanye ezishintshwe umsebenzi wokuvuselela izakhiwo semithambo. Ezimweni sina ngokukhethekile, lapho inqubo necrotic liye lasakazekela lonke unyawo, Ukhombisa ukunqunywa.

ukufinyelela esifike udokotela ikuvumela ikhefu inqubo sokugembula futhi ugweme ukuhlinzwa. Izibalo edabukisayo ukukhombisa ukuthi 10% amacala ngenxa yegazi elinobuthi liyabulala.

Ukwelashwa nokuvikelwa amakhambi abantu

Abelaphi bendabuko ukunikela nemiyalelo yabo ukwelapha lesi sifo njengoba angiopathy ka emikhawulweni aphansi. Izimpawu kanye izimpawu yenqubo sokugembula e esigabeni sokuqala akuyona ngokuvamile zilethwe kwezingqinamba. Uma ukuzibona ngendlela esifike ngesikhathi, kungenzeka ukuvimbela inchubekelembili okwengeziwe kuphazamiseka semithambo. Kuyaphawuleka ukuthi ukwelapha amakhambi abantu kufanele kuhlanganiswe amasu ezivamile.

Abelaphi ukunikela ukuphathwa ukusebenzisa izitshalo enesandla ukuzinza lokugayeka kokudla. Lokhu ginseng, Aralia Manchurian, levzei carthamoides nabanye. Kulawa izitshalo ingalungiswa Iziphungo kanye infusions. Ukuze uthuthukise carbohydrate umzimba odokotela batusa ukwengeza amaqabunga tea we dandelion zokwelapha elecampane. Coffee is kangcono sithathelwe indawo Chicory. Kufanele kube esomile, gazinga kwezingqimba ezinkulu ezinyakazayo. Amahlamvu zalesi sihlahla ingasetshenziswa kusaladi.

ukwelashwa angiopathy sikashukela

Ngaphambili, satshelwa ukuthi izimpawu ephelezelwa angiopathy ka emikhawulweni aphansi. Aphatha sikashukela cishe akahlukile ukuthi esimweni nezinye izimbangela inqubo sokugembula. Imithi isisekelo ukwenza imithi ukuthi ngcono igazi ekunqandeni. Izinkomba glucose kulawulwa nge-insulini. umphumela engeziwe zokwelapha kunikezwa Physiotherapy. Ngokwesibonelo, ukwelashwa udaka plasmapheresis ivumela ukuhlanza igazi.

Ezimweni eziphambili iphendukele ukuhlinzwa. Ngesikhathi besanda kuqala lesi sifo kusetshenziswa sympathectomy lumbar. Umphumela omuhle futhi sinikeze ukuhlinzwa reconstructive, sibonga ngalo kungenzeka kulesetayelekile microcirculation. angiopathy Yethulwe kwemithambo yegazi wemikhawulo aphansi, ephelezelwa esibhibhayo, ezidinga ukunqunywa. Ngemva Yiqiniso ukuvuselelwa isiguli wenza sokwenziwa eliphezulu.

izinyathelo

Uma unesifo sikashukela noma isifo unesifo sikashukela zokuvimbela angiopathy kuyadingeka ukuba uqale masinyane emva isiqinisekiso uphethwe. Kunconywa ukuthi ngezikhathi ezithile ukuze bamhlole futhi ngihlolwa. Kubalulekile njalo ukuqapha amazinga kashukela egazini, ukuqapha blood pressure kanye nesimo ngemithambo. angiopathy Diabetic ka emikhawulweni aphansi kudinga ukwelashwa ngokushesha lapho izimpawu zokuqala zesifo. Inkambo yokwelapha kumele udokotela.

Ngaphezu kwalokho, nokuvimbela izinguquko sokugembula semithambo kuhlanganisa lokhu okulandelayo:

• ukubhema lokuphela neminye imikhuba eluthayo;
• ekilasini umdlalo nokwenzeka;
• ekuqiniseni isimiso somzimba sokuzivikela futhi uqondiswe isimiso sezinzwa esiyinhloko,
• ukudla okunempilo;
• ekulweni ukhuluphele.

Into ebaluleke kakhulu - isimo sengqondo esiqondile. Nguye, njengoba umthetho, unomthelela juqu inqubo yokwelapha.