Loaʻa kēlā me kēia kanaka i ka manawa a pau i ka ʻeha o nā haʻahaʻa haʻahaʻa. Ma ke ʻano he kānāwai, ʻae ʻole ka nānā ʻana o nā kānaka i kēia mau maʻi, kahi lapuwale loa, no ka mea, ke kīnā ʻole nei ke kumu no kēlā mau maʻi, ʻaʻole i ka luhi a i ʻole ka malaise, akā ma kahi maʻi maʻi.
ʻO kekahi o kēia mau maʻi o ka atherosclerosis o nā moku o nā lalo haʻahaʻa. I ka wā pākeke ma hope o 65-70 mau makahiki, ʻo kēia ʻano kuʻuna i ka maʻamau.
Heaha ke ano o keia mai?
ʻO ka atherosclerosis o nā moku o nā wāwae he maʻi me ka hoʻomohala ʻana i loaʻa ka nui o nā loli, no ka laʻana:
- ka hopena o ka kiko trophic;
- nā kahe koko ke koko i loko o nā moku peripheral.
Hoʻokomo pinepine ʻo Atherosclerosis i nā ʻāpana nui o ka umauma a me ka ʻōpū o ka ʻōpū. ʻO ia kahi hopena o ia ala e hele ai nā kaʻina pathological i nā mākeke femoral, tibial a me nā popliteal.
I loko o lākou, uaʻike ka lumen ma mua o 50-55%. Hiki i ka maʻi ke hoʻomohala i kahi maʻi no 10 mau makahiki, a hiki ʻole paha i ke kanaka ke kānalua i kekahi o kāna maʻi, no ka mea, ʻaʻohe ʻano hōʻailona ʻano ʻo ia.
Atherosclerosis a me kāna mau pae
Hoʻokomo ʻia ka atherosclerosis o nā moku o nā ʻāpana haʻahaʻa lalo i kekahi mau manawa.
- ʻO ka hana mua e manaʻo ʻia he preclinical. Kau pū ʻia me ka lipoidosis - haʻi ʻia nā maʻi o lipid metabolism. Ke hōʻeha nei ka ʻeha i ka haʻahaʻa haʻahaʻa ma hope o ka huakaʻi lōʻihi i ka lōʻihi a me ka hoʻoikaika kino koʻikoʻi.
- ʻO nā hōʻailona mua o ka atherosclerosis o nā wahī o ka hopena haʻahaʻa e loaʻa ana i ka lua o ka maʻi o ka maʻi. Hoʻomaka nā wāwae o ka mea maʻi ma hope o ka hala ʻana o 500-1000 mika.
- ʻO ke kolu ke kolu ka manawa o ka ischemia koʻikoʻi. Hoʻomaopopo ʻia nā ʻano o ka maʻi. Ma hope o ka 50 mau mika, hoʻomaka ka manaʻo i kahi hōʻeha.
- ʻO ka hāhā hope loa e hōʻike ʻia e nā ʻōpio trophic, necrosis, a me ka hōʻeha ʻole i ka wāwae he mea i loko o kahi mālie (ʻo ka pō ka holi ʻole) Hiki i ke gangrene i kekahi mau lā ke hoʻomohala ma ka maʻi diabetes.
Nui! Inā ʻaʻole ʻoe e hoʻomaka i ka mālama maʻi no ka atherosclerosis o nā ʻāpana o nā haʻahaʻa haʻahaʻa ma lalo o ka manawa, hiki i kēia hihia ke hopena i ka amputation. No laila, pono e mālama ʻia ka lāʻau lapaʻau a hiki i ka hana hope loa.
Nā kumu kumu o ka maʻi
Hiki i nā mea like ke hoʻonāukiuki i kēia maʻi, akā naʻe ke kumu nui no kona loaʻa ʻana.
- ʻO ka ulaula ka mea i manaʻo ʻia i ke kumu nui o ka atherosclerosis o nā uʻi. ʻO nā Nikotine i loko o nā huahana tapaa e hōʻeha i nā wahī i ke kahe ʻana o ke koko i ka neʻe ʻole ʻana ma o nā moku. Ke alakaʻi pololei nei kēia ala i ka thrombophlebitis (pani ʻana i nā veins) a me atherosclerosis.
- ʻOi momona.
- ʻO ka hoʻohana nui ʻia o nā meaʻai i momona i nā momona holoholona, kahi e loaʻa ai ka nui o ke kolamu o ke koko.
- ʻO nā maʻi ʻē aʻe, e like me ka diabetes mellitus, hypertension arterial, i hōʻemi i ka hana o nā hormone thyroid a me nā hormones sex.
- Henereri predisposition.
- ʻO ka manaʻo noʻonoʻo psycho-naʻau, ke kaumaha, hopohopo.
- Hypertension
- ʻO ke ʻano makahiki.
- ʻO ke kāne a me ka atherosclerosis o nā wāwae i pili pinepine i nā kāne).
- Kakahi o ka hoʻomaʻamaʻa.
Nā hōʻailona nui
Ua ʻōlelo ʻia ma luna nei, ʻaʻole paha e manaʻo ʻia ʻo ka atherosclerosis o nā moku o nā lalo haʻahaʻa loa i kahi manawa lōʻihi.
Akā laila hiki i kāna mau hōʻailona ke hiki i ka manawa like i kekahi mau.
No laila ʻaʻole ala maoli e ʻike i kahi maʻi ma kona hoʻomaka mua?
Ma hope o nā mea a pau, e kōkua kēia i ka hōʻalo ʻana i nā pilikia koʻikoʻi a hoʻomaka koke i ka mālama ʻana. ʻOiaʻiʻo, aia kekahi mau hōʻailona, a nui nā:
- ʻŌpū o nā wāwae.
- ʻO ka trombosis hoʻonani, ʻaʻole embolism.
- Hoʻohālikelike huakaʻi.
- Ka ʻike ʻana i ka pohō o loko a me ke kūwau mau.
- Pallor a me ka cyanosis o ka ʻili.
- ʻO ka pōpō, ʻoi loa ka pō.
- ʻO ka hōʻeha, mai ka palupalu a ikaika.
- Kuhi wahi ʻole i ka ʻāʻī, ma ka popliteal fossa, ma ka ʻōpū nui.
- ʻO nā hōʻailona o kahi ʻano trophic, hōʻike ʻia i ka hoʻokaʻawale o nā kui, ka nalowale o nā mea kanu ma ka wāwae haʻahaʻa, ke ʻano o nā ʻeha ma nā kuʻekuʻe a me nā manamana wāwae.
- ʻO ka ʻeha o nā haʻahaʻa haʻahaʻa, e hoʻonui ai i ka wā e hele ana.
- ʻO ka ʻili Crimson - cyanosis.
Pehea e ʻike ai
ʻO ka hoʻoponopono kūpono ʻana a me ka manawa o ka atherosclerosis o nā haʻahaʻa wāwae haʻahaʻa loa ke ʻano nui i ka mālama pono ʻana. E wehewehe pono ʻo ia iā lākou: no ke aha lā i kū mai ai ka maʻi, a, mai kēia, ua kuhikuhi ke kauka i nā lāʻau lapaʻau e pono ai a me nā mea ʻē aʻe.
- MSKi angiography.
- MR angiography.
- ʻO ke kiko kikoʻī Peripheral.
- ʻO ka hoʻopaʻa ʻana o ke kaomi me ka helu ʻana o ka mākeke ankle-brachial.
- (UZDG) - ka pālua o ka helehelena ʻana o nā hāmeʻe peripheral.
- Ke loaʻa nei nā pulsation o nā haole wāwae.
- Nā manaʻo o ka kauka maʻi vascular.
Eia kekahi, e hoʻomaopopo ka loea i ka nele a i ʻole ka loli o nā loli trophic i nā wāwae, me ke kōkua o ka pāʻana i ka ultrasound a me DS, hoʻopaʻa i ke kiʻekiʻe o ka vascular patency, hoʻolohe i nā ʻōmama systolic ma luna o nā stenotic arteri.
Ahea ʻia e mālama i kēia hōʻike aʻe: i ke kūlana supine, hoʻāla i ka mea maʻi i kona mau wāwae e 45 °.
ʻO nā Knees hoʻi. Ke hoʻoholo nei ka hoʻokolohua i ka luhi nui o nā wāwae a me ka piʻi ʻana o ka hōʻiliʻili o ka ʻili ma nā alohilohi o nā wāwae, a ke hōʻoia wale nei nā hōʻailona i ka pololei o ka hōʻike.
Pehea e mālama ai
ʻO kēlā me kēia kaʻina o ka physiotherapeutic a me ka lāʻau lapaʻau e pili ana i ke kiʻekiʻe o ka maʻi a me ka piha ʻana o kona mau hōʻailona. Hiki i nā ʻano o ka mālama ʻana i ka lahui a me nā kuʻuna.
ʻO ka lau nui
Inā makemake ka mea maʻi e loaʻa kahi hopena maikaʻi mai ka hoʻōla ʻana, pono ʻo ia ke hana i ka hoʻokō paʻa ʻana i nā ʻōlelo a pau a nā poʻe loea.
Pono:
- hooki i ka ulaula a inu i ka waiona;
- ho'āʻo e hōʻemi i ka paona;
- e hahai i ka haʻalulu haʻahaʻa haʻahaʻa, ʻo ia hoʻi, hōʻole i ka momona, ka pata, nā pastes, margarine, sausages, nā hua momona momona, iʻa a me ka iʻa, nā momona momona, mayonnaise, pastry, etc.
- hoʻololi i nā kāmaʻa ākea a me nā leʻaleʻa;
- E makaʻala i ka wā e ʻokiʻoki ai i nā kui;
- nānā pinepine a mālama i nā hōʻeha o nā wāwae a me nā wāwae;
- hoʻoikaika kino kino e hoʻohana ai i nā dosed: i kēlā me kēia lā e hele ana i kahi wikiwiki, ʻauʻau kai, hoʻokau pilikino;
- pale i ka hypothermia o nā wāwae;
- hakakā me nā maʻi concomitant: maʻi diabetes a me hypertension.
ʻO ka lāʻau lapaʻau
ʻO ka mālama ʻana o ka atherosclerosis o nā kīʻaha o nā ʻoihana lalo o nā lāʻau lapaʻau, hiki ke kuhikuhi ʻia e kekahi loea ʻokoʻa.
ʻO nā lāʻau Antiplatelet e pale ai i ka hoʻokumu ʻana o nā māno koko a lawelawe ma ke ʻano maikaʻi o nā hōʻeha a me nā puʻuwai puʻuwai:
- Aspirin
- Reopoliglyukin.
ʻO nā lāʻau lapaʻau e hoʻomaikaʻi i ka hana kino o ka mea maʻi. Mahalo iā lākou, e hālei ke kahe koko nui i nā wāwae a me ka ʻeha ʻole:
- Cilostazolum.
- Pentoxifylline.
E hōʻoluʻolu i nā hōʻailona ʻeha a me nā pohō:
- Antispasmodics.
- Drotaverinum.
ʻO nā anticoagulants me kahi hopena antiplatelet e pale i ka hoʻomohala ʻana o nā māka koko, pale i ke koko i ke kī ʻana i nā kīʻaha koko, a e hōʻemi i ka kolamu ma ke kahe koko.
- Heparin.
- Warfarin.
I mua o nā ulia trophic, hoʻohana ʻia nā aila me ka pakano maʻi.
- Pāhuʻi liʻiliʻi.
- Levomekolle
- ʻŌpala.
- Oflokain.
ʻO nā ʻōhāwaʻa:
- Kauhi.
- Pentillin.
- Pentoxifylline.
- Vazaprostan.
- ʻO Agapurin.
- Kuahi pua.
Hoʻolaha nā hanana physiotherapeutic:
- ʻO ka oxygenation Hyperbaric.
- Electrophoresis me novocaine.
- Darsonvalization.
Eia kekahi, kuhikuhi nā loea i nā lāʻau lapaʻau e hoʻomaikaʻi i ka pono o ka momona a me nā huaora.
Hoʻopilikia i loko o ka hoʻomohalaʻana i ka mālama ʻana i ka maʻi
He hana ʻoi paha ka hoʻomaʻamaʻa ʻana i ke ʻano o ka atherosclerosis o nā hala. Kahi ʻia ka hana i ka hihia o nā hoʻopiʻi nui a me ka ischemia i haʻi ʻia.
He aha ka hana maʻi?
- Hoʻokomo ʻia ʻo Bypass - e hāʻawi i kahi ala hou i ke kahe koko e puni ana i ka wahi o ka hoʻopili ʻana i nā wahī.
- ʻO ka balloon angioplasty - kahi baluna e hoʻonui ana i ka lumen arterial e hoʻokomo ʻia i loko o ka ana o ka moku.
- Ka hoʻokau waiwai - ke hoʻokomo ʻia kahi tubular spacer i loko o ka moku i hoʻololi ʻia, ʻo ia ka mea e mālama ai i ka kiko o ke kīʻaha ma ke kūpono kūpono.
- Endarterectomy - ka hoihoi o ka wahi i hoʻopili ʻia o ka moku a me kahi pākeke atherosclerotic.
- Autodermoplasty - i hoʻohana ʻia e mālama i nā ʻōpala trophic, kahi i ʻike ʻole ʻia e ka lāʻau kūloko.
- Prosthetics - ke hoʻololi ʻia i nā wahi i hoʻopilikia ʻia o nā ʻalihi me kahi moku synthetic a i ʻole autogenous.
- ʻO ka hoʻololiʻana i ka ʻāpana necrotic o ke kino me ka hoʻopili o ka aihue.
