Aortic obstruction: mhedziso yeLeriche syndrome

By Cristiano Antonino On Aug 27, 2023

Leriche syndrome inokonzerwa nekusingaperi kuvharika kweaortic bifurcation uye zviratidzo zvinosanganisira kupfupika kwemukati kana zviratidzo zvechisingaperi ischemia, kuderedzwa kana kusavapo kweperipheral pulses, uye erectile dysfunction.

Kuongororwa kweLeriche syndrome kunoitwa neCT scan ine musiyano wepakati kana magineti resonance imaging

Abdominal ultrasound haisi nguva dzose inokwanisa kuziva dambudziko.

Zvisinei, ruvara rweDoppler ultrasound runogona kuratidza kusavapo kwevascular flow muiriac arteries.

Zvisinei, CT uye MRI zvinogara zvichidiwa pakusimbisa; kuti uwedzere kuongororwa kunobatsira kuita arteriography uye Doppler kuongororwa kwemakumbo ezasi.

Zviripachena, kuongororwa kweropa, ruoko uye kuyera kudzvanywa kwechidzitiro kuti uone misiyano pakati peimwe neimwe uye chero mimwe miedzo yakapihwa nachiremba haifanirwe kushaikwa.

Iwe unogona kuda kuvhiyiwa, kana iwe unogona kuenderera ne antiplatelet therapy iyo inobatsira kubvisa zviratidzo; mamwe madhiragi achashandiswa achave ayo ane chinangwa chekuvandudza kuyerera kweropa uye tishu oxygenation.

Compression stockings inogona kushandiswa kutsigira kurapwa kwekurapa.

Zvimwe zviitiko zvepamusoro zveLeriche syndrome zvingada kurapwa

Kuvhiya kwakajairika kurapa Leriche syndrome kunosanganisira: angioplasty, bypass graft, endarterectomy, iyo inosanganisira kuvhura tsinga yakavharika uye kubvisa plaque yakavakirwa.

Rudzi rwekuvhiya ruchaenderana nekuoma uye nzvimbo yezvironda: thromboendarterectomy ichaona kubviswa kwekuvhiyiwa kwekuvharwa kwe thrombus asi inongoitwa chete kune zviduku zviduku zviri mu aortoiliac tract, muvhareta yemukadzi inowanikwa kana yakadzika; revascularization; sympathectomy ichaona chivharo chemakemikari yetsitsi, inobatsira kune varwere vanonzwa kurwadziwa kwakanyanya, asi vasingakwanisi kuvhiyiwa kukuru; kuchekwa kuchaitwa kana paine kurwadziwa kusingadzoreki kana gangrene.

Padanho rekurapa zvakakoshawo kuita zvinhu zvinogona kukonzeresa atherosclerosis senge: kushaikwa kwekurovedza muviri, kudya kwakashata nekudya zvakapfuma zvakanyanya mumafuta, kufutisa, kuputa, kuchengetedza zvirwere zvinotangisa senge diabetes mellitus, high cholesterol uye systemic. hypertension iri pasi pekutonga.

Dzivirira Leriche Syndrome

Kunyange zvisingaite kudzivirira zvachose Leriche Syndrome, kuvandudza mararamiro ako kunogona kuderedza mukana wekuita chirwere ichi.

Kudzivirira kunoitwa nekuita basa renguva dzose, kutevera kudya kwakapfuma mumiriwo, michero, zviyo zvakakwana uye kuderedza kudya kwemafuta, kusasvuta, kuongorora nguva nenguva.