Useshonile - isigwebo sokufa?

Useshonile - isandiso bomkhumbi, ezingaphezu kuka kabili ubukhulu bayo evamile. Abangaphezu kuka-60% azo zonke useshonile ise-aorta besisu. Lokhu zokugula kwenzeka kaningi kubantu abaphethwe rheumatism, aortoarteritis, ugcunsula, isifo sokuqina kwemithambo yegazi, isifo sofuba. Imbangela ezivamile useshonile - ukuhlukumezeka besisu, ukuhlinzwa le-aorta.

Mshini nesenzakalo

Ukuvela ijubane lokwanda komkhathi ngenxa yezinguquko esiwohlozayo ohlakeni yomthambo i-aorta nokunwebeka. Ngokwandisa ukumelana in imithambo distal kwandisa umfutho elikuyi-aorta besisu. Uma kungekho kungenzeka bomkhumbi ukumelana overpressure kuphakama isandiso yayo endaweni ethize. Useshonile - kwesigaba yomthambo i-aorta ne zeziyaluyalu igazi lamanje, avamise kwakhiwa thrombi.

umtholampilo

Nge ububanzi encane useshonile (ngaphansi kuka-20% amacala) Kungenzeka asymptomatic. Kwezinye izimo, zonke izimpawu zokwelashwa aneurysms zihlukaniswe ejwayelekile futhi engaqondile. Avamisile pulsatile ubuhlungu besisu, umsindo ngesikhathi ukusikwa inhliziyo useshonile. Lobu buhlungu zifane colic hepatic noma kwezinso, owenziwe waba owasendaweni ngakwesokunxele we umbilicus, ungakwazi akhipha ngemuva noma okhalweni.

izimpawu engaqondile

• syndrome besisu: isicanucanu, ukuhlanza, ukuntuleka esesuthi, kwesisindo.
• syndrome Urological: hematuria dizuricheskie sifo.
• syndrome Ishioradikulyarny: ubuhlungu, motor neziyaluyalu sezinzwa emilenzeni.
• Okungalapheki imilenze ischemia syndrome: claudication ngakanye, izinguquko trophic.

Useshonile - njalo ethuthuka isifo. Abangaphezu kwesigamu iziguli ufe kungakapheli iminyaka 2 ukuxilongwa nanoma yiziphi izinkinga.

ukuhlola

Ultrasound luhlolo ikuvumela ukusetha indawo nobukhulu balezi imfundo. On the qapha le useshonile - extension oyindilinga we isitsha wabuka ecacile, ukunqwabelanisa pristenochnymi asimame flow yezinxushunxushu. Angiography wembula ukukhulisa le-aorta. -X-ray isithombe izitho Uhlolojikelele we komgodi ongaphakathi kwamathumbu kungabonakala enwetshiwe wabuka le-aorta ne sebethule calcifications, ngokuvamile obuhambisana nokuthanda ayimigodi e amathambo - Uzury. Ngezinye RT kuchazwa kumiswa isiyingi ne wabuka ecacile, izindonga mncane, thrombus mural futhi calcifications.

ukwelashwa

Useshonile - ubulwelwe lapho iningi amacala, ukuhlinzwa wenziwa, okuyinto lihlotshaniswa awokuthi ukuxakeka. Umsebenzi contraindicated in iziguli abaye bahlupheka i infarction acute esivimba amanzi, baye umlando ukwehluleka kwegazi, unhlangothi.

kokungenela op

Kukhona ongakhetha ezahlukene ukuze bayothola ukwelashwa kuhlinzwa yilezi:

• ukususwa useshonile ne isaka aneurysmal noma wokufakelwa dlula yomthambo i-aorta xhumelela;
• ngaphandle ukususwa sac useshonile nge vnutrimeshkovym sokwenziwa.

Prosthetics uvame ukuhambisana emkhakheni wezitho zokwenziwa aortofemoral. Nokufa ngemva kokungenela kwaba ngaphansi kwama-10%. Usengozini enkulu yokusebenzisa ukuhlinzwa of stenting yomthambo i-aorta wenziwa: ethwele ngokusebenzisa femoral Umthambo sokwenziwa self wanda.

aneurysms kuyinkimbinkimbi

Imiphumela useshonile kuncike ngokuqondile ngokuthi lingakanani: sikhulu kangakanani - cishe enqwabelanisa noma ukudabuka.