Kutsekeka kwa Aortic: mwachidule za Leriche Syndrome

By Cristiano Antonino On Aug 27, 2023

Leriche syndrome imayamba chifukwa cha kutsekeka kwa mtsempha wa aortic bifurcation ndipo zizindikiro zake zimaphatikizira kumveka kwapakatikati kapena zizindikiro za ischemia, kuchepetsedwa kapena kusakhalapo kwapang'onopang'ono, komanso kusagwira bwino ntchito kwa erectile.

Kuzindikira kwa Leriche syndrome kumapangidwa ndi CT scan yokhala ndi maginito apakati kapena maginito a resonance

Ultrasound ya m'mimba si nthawi zonse yomwe imatha kuzindikira vutoli.

Komabe, mtundu wa Doppler ultrasound ukhoza kusonyeza kusapezeka kwa mitsempha ya mitsempha mu mitsempha ya iliac.

Komabe, CT ndi MRI ndizofunikira nthawi zonse kuti zitsimikizidwe; kukhathamiritsa matenda ndi zothandiza kukumana arteriography ndi Doppler kufufuza m`munsi miyendo.

Mwachiwonekere, kuyezetsa magazi, mkono ndi m'miyendo yamagazi kuti muwone kusiyana pakati pa wina ndi mzake ndi mayesero ena aliwonse omwe atchulidwa ndi dokotala sayenera kusowa.

Mungafunike opaleshoni, kapena mutha kupitiriza ndi mankhwala a antiplatelet omwe angathandize kuthetsa zizindikiro; mankhwala ena omwe adzagwiritsidwe ntchito adzakhala omwe cholinga chake ndi kupititsa patsogolo kayendedwe ka magazi ndi oxygenation ya minofu.

Ma compresses angagwiritsidwe ntchito kuthandizira chithandizo chamankhwala.

Milandu yapamwamba kwambiri ya Leriche syndrome ingafunike chithandizo chamankhwala

Maopaleshoni ambiri ochizira matenda a Leriche ndi awa: angioplasty, bypass graft, endarterectomy, omwe amaphatikizapo kutsegula mtsempha wotsekeka ndikuchotsa zolembera zomwe zamangidwa.

Mtundu wa opaleshoni udzadalira kuopsa ndi malo a zilondazo: thromboendarterectomy idzawona kuchotsedwa kwa opaleshoni ya thrombus occlusion koma idzangoperekedwa kwa zilonda zazing'ono zomwe zili mu aortoiliac thirakiti, mumtsinje wamba wa chikazi kapena chakuya; revascularization; sympathectomy idzawona chipika cha mankhwala chachifundo, chothandiza kwa odwala omwe amamva kupweteka kwakukulu, koma omwe sangathe kuchitidwa opaleshoni yaikulu; kudulidwako kudzachitidwa ngati pali ululu wosalamulirika kapena chilonda.

Pazithandizo zamankhwala ndikofunikiranso kuchitapo kanthu pazifukwa zomwe zingayambitse atherosulinosis monga: kusachita masewera olimbitsa thupi, kudya molakwika ndi zakudya zokhala ndi mafuta ambiri, kunenepa kwambiri, kusuta, kusunga matenda omwe amayambitsa matenda monga shuga mellitus, cholesterol yayikulu komanso systemic. matenda oopsa akulamulidwa.

Pewani Leriche Syndrome

Ngakhale kuti sizingatheke kupewa Leriche Syndrome, kusintha moyo wanu kungachepetse mwayi wokhala ndi matendawa.

Kupewa kumagwiritsidwa ntchito pochita ntchito zokhazikika, kutsatira zakudya zomwe zili ndi masamba, zipatso, mbewu zonse komanso kuchepetsa zakudya zamafuta, osasuta, kuwunika pafupipafupi.