Yintoni "Leriche syndrome"?

Leriche syndrome - isifo kwenkqubo esimbaxa, leyo phakathi ezimbi yolu hlobo yeyona common kakhulu. Ihlala sisilonda esidumbileyoesingaphakathi aorto-iliac inxenye yomzimba, nto leyo kakhulu kunciphise ubonelelo isinqe kunye nemilenze.

Eli gama kucetyiswa yi F. Morel ngo-1943, ukunikezela ukuba lo gqirha French Leriche, ngubani ngenkuthalo uphando le umkhuhlane.

Leriche syndrome ikhokelela ukuphazamiseka ezintathu ezingundoqo ukuba oogqirha bathi "oneziqu iimpawu." Xa izigulane kakuhle igazi aortic ubonakala claudication ngakanye, liyalahleka ukubetha kumacandelo umzantsi womlenze, induku kuphuhliswa.

Namhlanje, la manani ayikwazi Asinakutsho siqiniseke ukuba yinto esi sifo: kubhaliwe unesifo, asingabo bonke oogqirha. Noko ke, kukho ubungqina (ngakumbi, inani imisebenzi ukuze abuyisele igazi flow kwi aorta) kukhokelela kwisigqibo sokuba kwi US kuphela ubunzima kwesi sifo malunga namashumi amane amawaka abantu nyaka ngamnye.

Wamisa umyalezo kwesi sifo. Ngowe-95% kwezi iimeko kubangelwa lokutshabalalisa yegazi, 4% - aortoarteritis nonspecific, kwabanye - okanye dysplasia dystrophy ezinezikhondo ezincinane, aplasia okanye hypoplasia le aorta, occlusion postembolic, ezinye izifo kwegazi.

Esona sizathu siphambili ngenxa apho iphuhlise Leriche syndrome - occlusion (ukuvaleka) loMthetho aorta, oyekayo ukuhamba kwegazi ngenxa yokuvalwa neplaque yayo.

Kuye kwafunyaniswa ukuba oluthile ngendlela amadoda bako, ingakumbi emva kweminyaka engama-45. The main ingozi - ukutshaya.

Njani na esi sifo?

Izikhalazo eziphambili okwabangela iintlungu imilenze yakhe. Iingcali ziye zasekwa ukuba ukwaphulwa ebangelwe ischemia alo mlenze igazi asezantsi unokuba zigaba 4 zophuhliso:

• Xa sifo usaqala, iintlungu umlenze kwenzeka xa umsebenzi onzima okanye elide emzimbeni, ezifana uhamba umgama ngaphezu kokuba sekhilomitha.
• Inqanaba lesibini luphawulwa yimbonakalo intlungu nokuba imithwalo eliphantsi.
• Xa inyathelo wesithathu buhlungu eyomeleleyo kuphazanyiswa izigulane, nokuba baphumle.
• Kule izifo yesine trophic kubonakala: izilonda, babe necrosis.

Leriche syndrome, unyango apho sigaba wokugqibela sibandakanya umlenze, njalo luhambisana iintlungu eziqatha ndawo ezimpundwini, iinyonga, esinqeni, kwaye kaninzi - kummandla ezimpundu ka vana. Isizathu - uphuhliso ischemia (supply igazi elanele), izihlunu floor zangasese. Oku kuthiwa- ngakanye claudication ukunyuka ngokuthe ngcembe, ischemia kuchaphazela kuphela umgangatho zangasese, kodwa umnqonqo, nto leyo esisizathu sokuba kukho olukhula ngokukhawuleza induku.

Ukongeza mpawu zingasentla kwizigulane uphawula ukukhula olucothayo kakhulu lezikhonkwane, kukho ubu kunye nelahleko ngokugqithisileyo kweenwele imilenze jikela abamnyama okanye babe iminwe blue. Ukuba lunganyangwa, uqala ibe ukubola oluhlaza.

Ukufumanisa isifo usebenzisa angiography, Doppler ultrasound.

Unyango zesifo ngaphandle kotyando, nto leyo ngokuqhelekileyo luqhutywa ngezigaba ezibini, alufanelekanga.