Asike aortic

asike Aortic ibuya okubangela egazini luchukumisa nodonga lwawo ngenxa nezitenxo kwezi isakhiwo iqokobhe embilwini. Le ngezifo na izifo eziqheleke kakhulu yingozi bukhali. Ngaphandle unyango ngexesha asike aortic phantse kusoloko kukhokelela ekufeni malunga nesigulane eso.

I siphene basic kule meko kukwaphula phakathi kweqokobhe inqanawa.

asike Aortic (zinyuka) yenzeka ngokufuthi yangasemva lwegazi. Ukonakala kwi iqokobhe eliphakathi (esinganyangekiyo necrosis medial) yenzeka malunga-20% yezigulane. Kusenokwenzeka ukuba sikhatshwe yiMarfan syndrome. Le angahlangani yemfuza enokuphazamisa zeethishu nokuqina esibonakala iliso skeletal kunye, iingxaki sentliziyo, ukutshatyalaliswa ehamba udonga inqanawa, kwakunye insufficiency kwi ivalve ekunene atrioventricular nesivalo aortic. Uninzi izigulane yiMarfan syndrome musa siphile ngokuvisisana iminyaka emashumi mane.

asike Aortic (downlink) lwenzeka rhoqo ekhatshwa yamafutha kakhulu kunye noxinzelelo lwegazi. Kwiimeko ezinqabe kakhulu, imeko sikhatshwa necrosis esinganyangekiyo (medial).

Phantse njalo iqala ngokutshatyalaliswa ubunzima ngaphakathi yeqokobhe kwiindawo omnye okanye ngaphezulu. Le aorta elinyukayo elaziwa, ngokuqhelekileyo kwezi cm ezimbini ukuya kwezintlanu ngentla isivalo walo, xa phantsi - inxalenye obhobhozayo ngezantsi kwemithambo subclavian (ekhohlo). Isikepe kwezi ndawo ezisisigxina uthelekisa, kodwa ezinokususwa kwicala ngalinye. Ngoko ke, kukho uxinzelelo eliphezulu hemodynamic kwiziqendu zombini ukuwutyhalela nganye iSystolic. Kulo mzekelo iqokobhe ephakathi ukuze overstrain kanye kwezi ngongoma, ukukhuthaza uphume igazi eyahlula udonga isitya.

Kufuneka kuqatshelwe ukuba izilonda iimpawu, ikakhulu iindlela zonyango zahluke ngokupheleleyo xa inyanda ukwehla okanye inyuka aorta.

Aneurysms iimpahla thoracic ukuphuhlisa, ngokuqhelekileyo nazimpawu, ngoko izigulane ngokuqhelekileyo musa ukukhalaza. bonisa sabo X-ray okanye ultrasound ingozi.

Kwezinye iimeko, xa kwemithambo kuba ubungakanani enkulu, kungakhona iintlungu esifubeni, entanyeni okanye umva. Ngenxa yoko kukho ucinezelo amalungu ezikufutshane.

Iimpawu i kwemithambo:

- ukukhohlela, ukuphelelwa ngumphefumlo;

- amalungelo kukuginya;

- ekweneni kobuso kunye nentamo;

- iintlungu.

Bomzimba inokuba uhlobo amahlanza efana angina, kodwa hayi kususwe nitroglycerin.

aortic izigulane kwemithambo izikhalazo besisu isebe, njengoko umthetho, musa ukubeka. Hlula wafumanisa kwazenzekela uphando nangezinye izihlandlo. Kwezinye iimeko, izigulane wakubona ukwanda pulsation esiswini kunye neentlungu okanye kabi elingasemva esicuthiweyo okanye ngasemva.

Sokuhlaziya kwemithambo aortic kwenzeka breakage ngaphakathi isitya iqokobhe. Ngoko ukuvuza igazi kule nwebu oluphakathi phakathi kweqokobhe uyila ezisebenzisanayo.

Ngoko ke, kukho enye kuphela yeqokobhe emithathu yonke (elingaphandle), nto leyo yonakele inqanawa ukuze iimvaba, nisingise ekufeni malunga nesigulane eso.

kwemithambo uqhekeko kwi aorta ihamba ziintlungu yokubhaka kunzima esiswini okanye esifubeni, ukwehla okukhulu uxinzelelo lwegazi. Lo mfanekiso yinto ngoko efana kakhulu nembonakalo ukothuka cardiogenic kunye iposi engabalulekanga, leyo izisa oogqirha ngokwaneleyo zingalahlekanga.

Ngenxa yokuba kwemithambo phantse akuthethi ukuzibonakalisa kwaye ifumaneka ngengozi, ukuba atyhudise iimpawu zakhe ukuphuhlisa zingaphawulwa nobomi, kwaye isigulane ayikwazi ukuncedwa, njengoko ixesha unyango nangoku Iqela yayinjalo ilahlekile.