Isifo Dego kaThixo. stenting olujikeleza

isifo Dego kaThixo - isifo esinqabileyo eziqala iimpawu ulusu yaye ngokufuthi ziyabulala kunye ukubonakala "esisu ahlekise". Iqala ukubonakala eluswini nezolo ukukhanya pink. papular kalanga kancinane irhashalala, yinxalenye engundoqo apho emva komzuzwana kubuyiswe ngokuphawulekayo. Ngeli xesha ke babe emhlophe. Bona ebekwe ubukhulu becala esiqwini kunye entanyeni ulusu. Okwangoku, eli laphu silungiswe zingafunwa, yaye indawo yazo, izilonda ezivulekileyo kunye udini ngamanzi. Emva kweeveki ezimbalwa emva koko isigulane ubuhlungu elibukhali kwi ekunene kummandla epigastric, ifiva, ukugabha igazi. Ukuhlaselwa buhlungu kwenzeka emva kokutya. Phantse emva zonke ukuhlaselwa na sorhudo lweenkcukacha. ubuhlungu Ukuqhubeka wahamba adynamia, kuphelelwa ngamandla nokudinwa malunga nesigulane eso. Izigulane asakhasayo proteinemiya, hypotension, bilirubinemia. Blood umfanekiso ababesifa zidla eqhelekileyo. Emva ukubonakala iimpawu ezinjalo ukufa kunokuba kwenzeke kwiintsuku nje ezimbalwa. Ngexesha Utyando lwatyhila thrombosis ye yegazi kunye necrosis wamathumbu yethumbu ngaphandle perforation.

isifo Dego kaThixo - cutaneous esiswini syndrome, apho oogqirha phantse lonke ukunika abantu abane amahlwempu. Irhashalala kule sifo lidla ngezinto eziliqela lwazo izigaba zophuhliso ezahlukileyo. Papules kukho malunga ngenyanga kunye kukuqulungana luqokelelane kule minyaka 0.5.

Xa uphando histological kwi dermis yesigulana ziyabonwa iinguqulelo ezininzinzi kweli olujikeleza. Kaninzi kukho egazi igazi, arterioles, endothelial, ukuvaleka iinqanawa ezinkulu nezincinane. Ijwabu collagen ngeenxa zonke iimpahla abachaphazelekayo kunye neendonga zawo kuvandlakanywa nakujoliso olutsha lwe necrosis fibrinoid. Kule emithanjeni ezincinane lwenzeka tromboendoteliit. Endaweni iinxalenye atrophic collagen ngamandla ubunjwe ze igutyungelwe isikali sangaphandle sele thinned. Ngomhla achazwe apha zolwakhiwo papular akubikho zitya yegazi inimba ukuba singqongwe infiltrate lymphohistiocytic. ithumba isifo Dego kunye nempahla ezinkulu ebekwe nzulu dermis kunye inyama ongama. Le nkqubo kunye nokungena ezininzi kunye angakwazi iimpahla igazi namathumbu, isikhumba kunye nezinye izigqeba iyafana kakhulu panarteriit knotty.

Nakuba isifo Dego kunye nophuhliso etsolo uba ALS ihlwempu, kukho iimeko apho imbali elide ukuze unyangwe. Uthomalaliso esi sifo lwenziwa kunye nemithi, ukutofelwa igazi, corticosteroid, lweeHedfowuni, iivithamini kunye antihistamines. Xa unyango i "esisu etsolo" phantse ayiniki iziphumo ezihle.

Nasiphi na isifo semithambo, ingakumbi abantu abadala, inokuba nemiphumela emibi kakhulu. utshintsho Atherosclerotic ngamanye amaxesha kuchaphazele olujikeleza lonke. Xa izitshanguba coronary kunye kwemithambo carotid, imilenze, restenosis esimbaxa kwenziwe utyando ezifana stenting nemithambo. Ingakumbi ubonisa nkqubo usemngciphekweni ophezulu iposi engabalulekanga, ukuphazamiseka yegazi ebuchotsheni, impazamo kwemilenze, utshintsho trophic.

Stenting contraindicated kwi imithambo ezincinane ubukhulu (ngaphantsi kwe 2.5 mm), stenosis ehlasela (kwiisayithi ezinkulu vasoconstriction), insufficiency kwezintso kunye zokuphefumla, ezimbi kwinkqubo coagulation igazi, aleji imixube ayodini aqulethe (asetyenziswe kwi X-ray kuqulunqo umahluko).

Phambi kokuba ukusebenza, kwenziwe olu phando eziphilayo yomguli, ultrasound isifundo intravascular, Doppler ultrasound, angiography, Itomography ngekhompyutha, MRI, EEG, echocardiography, electrocardiography. Phambi kokuba sebenziso yimithi antiplatelet unyango zokunciphisa umngcipheko iingxaki thrombotic kwenziwa.

Nokusebenza stenting semithambo lwenziwa phantsi zomzimba zasekuhlaleni, lwenziwa kwindawo kwemithambo enkulu kwi umlenze okanye ingalo. Ngokuba imisebenzi ziqu, femoral okanye ingasetyenziswa umthambo mammary. Ugqirha Ukwenza kwenzakalani udonga kwemithambo peripheral kwaye engena kuyo esingxotyeni salo (ityhubhu apho ezinye izixhobo befaka).

catheter Thin makanikelwe stent emithanjeni balonchikom peripheral ukuya umthambo oyifunayo. Le itoti spray yi-arhente nshita X-ray. It bulukwe kunye stent, nto leyo isongwe, ubume metal enemingxuma into ayinakolulwa. Ukusebenza yonke kubonakala kwi kwikhusi. Nitrogen of stent kokuba wenziwe uluvo eludongeni kwemithambo. Ngelo xesha kunokwenzeka ukufaka stents ezininzi. Ke zixhobo ziyanatyiswa ukusuka mithambo benqanawa. Olu tyando ithatha malunga neyure. phantse isigulane angacingi intlungu kunye nobunzima kuvela kuphela ngexesha ama balonchika. Emva kotyando, isigulane washiya esibhedlele iintsuku ezimbalwa. Ngeli xesha elimisiweyo antiagregatnaya, antibacterial, unyango anti-ukudumba.

iingxaki kunokwenzeka emva kotyando: umonakalo iindonga Umthambo, hematoma uluhlu kwisiza okuhlatywa, ukopha, Ukuxinana imithambo, kwekhono sezintso, negazi, ummandla ekunqandeni le stent.