Aneurysm - he kupu mate?

Aneurysm - he toronga o te oko, neke atu i te rua i tona diameter noa. Neke atu i te 60% o te aneurysm katoa kei roto i te haoraora puku. puta atu pinepine tenei māuiuitanga i roto i te iwi e mate ana i te rūmātiki, aortoarteritis, pakewakewa, atherosclerosis, kohi. He take noa o te aneurysm - whētuki puku, pokanga o te haoraora.

Ko te tikanga o te takanga

Ko te putanga o te roha he tika ki huringa degenerative i roto i te tāpare rapa te pūtahi o. Na roto i te whakanui ake i te ātete i roto i nga pera distal whakanuia ana te pēhanga i roto i te haoraora puku. Ki te kahore he pea o te oko ki te tu overpressure whakatika tona toronga i roto i te wāhi ngā. Aneurysm - wāhanga te pūtahi o ki nāianei toto ririhau, e maha nei i hanga thrombi.

whare hauora

Ki te diameter iti o te aneurysm (iti iho i te 20% o ngā take) kia asymptomatic. I roto i te tahi atu te wā, kua wehea katoa o nga tohu haumanu o aneurysms ki angamaheni, me te autaki. Angamaheni: pulsatile mamae puku, haruru i roto i te hukihuki o te ngakau o te aneurysm. kia rite te mamae te colic ate tākihi ranei, paetata i runga i te maui o te umbilicus, ka taea e anaana ki te hoki hope ranei.

tohu autaki

• syndrome puku: whakapairuaki, ruaki, te kore o te hiahia, mate taimaha.
• syndrome Urological: hematuria whakararuraru, dizuricheskie.
• syndrome Ishioradikulyarny: mamae, nekeneke me disorders rongo i roto i nga waewae.
• Ma'i ischemia waewae syndrome: claudication taratahi, huringa arataukai.

Aneurysm - Kei te ahu whakamua tonu mate. Neke atu i te hawhe o nga tūroro mate i roto i te 2 tau o te tātaritanga o tetahi pōauautanga.

tātaringa

Ultrasound whakamātautau e āhei ki a koutou whakaturia i te wāhi me te korahi o te mātauranga. I runga i te aroturuki i te aneurysm - he toronga porotaka o te ipu ki takiwa mārama, paparua pristenochnymi me te rere ririhau paturuhia. whakakitea Angiography whakarahi o te haoraora. X-ray image i roto i nga whekau tirohanga o te kōhao puku taea te kitea atu takiwa o te haoraora ki te waipara o calcifications, maha haere tahi e depressions i roto i te pekehoe - Uzury. I RT tautuhia hanganga porohita ki takiwa mārama, taiepa kikokore, thrombus pikitia me calcifications.

maimoatanga

Aneurysm - he mate i roto i nei te nuinga o ngā take nui, whakamana pokanga te, e pā nei te ki te tūponotanga nui o pōauautanga. contraindicated mahi i roto i tūroro e kua tukua he infarction myocardial whakapeka, kua he hītori o te kore circulatory, patunga.

wawaotanga operative

He kōwhiringa ngā mō te maimoatanga hāparapara:

• tango o te aneurysm ki te peke aneurysmal prosthetic uhi karo te pūtahi o ranei;
• kahore tango o te pūwhera aneurysm ki vnutrimeshkovym prosthesis.

Kei te maha prosthetics tahi prosthetics aortofemoral. Te tahuti nei i muri i te wawaotanga i iti iho i te 10%. I mōrearea nui mō te pokanga o stenting te pūtahi o whakamana te: e mau ana i roto i te iatuku femoral whaiaro-whakawhänui prosthesis.

aneurysms uaua

Ko te mau hopearaa o te aneurysm ko tika ti'aturi i runga i tona rahi: te nui ko reira - te atu pea e takai ana te reira whaturama ranei.