Umthambo Femoral: i kwemithambo kunye thrombosis. Thromboembolism kwemithambo femoral

Umthambo Femoral isitya enkulu umsebenzi walo ongundoqo - kwegazi kuzo zonke iindawo kweqondo asezantsi, ukususela hip ukuya elunyaweni neenzwane. Ngu ehlayo zone imilenze izondlo ithombo legazi ecaleni kwemithambo femoral branched evela emithanjeni kunye imithambo yegazi. Zonke iintlobo zezifo aorta kungakhokelela yokuwa umsebenzi esisiseko weziphelo yasezantsi; esiswini kunye iindawo zangasese.

Apho ke

Le kwemithambo ivela ekuqaleni eludongeni phezulu iliac aortic kunye amathanga yangaphakathi, apho umphezulu na. Ngoko ke, ubizwa ngokuba 'hip. " Udlula iliac kunye femoral pectinate fossa, lokungahlangani popliteal nomzila. Xa indawo ezizitho proleganiya wasibeka ecaleni angasese lwangaphandle kunye aorta epigastric, neyenza unxantathu femoral kunye Umthambo enzulu femoral.

Umthambo phezulu femoral ithathwa sisitya elikhulu ngokwaneleyo ukuba isebenza ukunikezela igazi kweqondo asezantsi, esini zangaphandle kunye ezalathelwe inguinal. isakhiwo sayo yokwakheka efanayo ngokupheleleyo kubantu bonke, ngaphandle umahluko ngokungangqalanga. Ukuze ngqo apho kwemithambo femoral, kuyimfuneko ukuhlola kuyo phezulu nasemiphakathweni - nangabo ngaphandle lulo. Kulo mmandla isikepe-ethe kakhulu nomonzakalo koomatshini.

kwemithambo

aorta ezinjalo, ngokunjalo nezinye iimpahla, sinotyekelo izigulo kwaye ukuyilwa mgaqweni. Enye yezi ezimbi ziyakwazi ukuchongeka - kwemithambo kwemithambo femoral. Le anomaly ithathwa sesinye sezifo zixhaphakileyo yale nqanawa. Oku kuthetha ewayo namaqokobhe kwemithambo indlela esimbaxa ngenxa hedge. isifo abangaboniyo kungabonwa njenge uPienaar kummandla neentshukumo ze kwindawo inqanawa. Kungcono kwemithambo ebonakalayo nasemiphakathweni inxalenye okanye ezantsi kwedolo, apho amiliswe kwenye kwiinkqubo isitya - nomlenze aorta.

Le anomaly, ekufuneka ngakumbi ngabasetyhini, njengoko ngemiqondiso amadoda sokuvaleka femoral waphawula phi alufane. Kukho kwemithambo umda kunye kwentamo.

oonobangela

Imithombo nucleation kwezifo ezifana zezona zinto ekhokelela ukuxozwa beendonga kwemithambo yegazi, ezizezi:

• lwegazi (high blood pressure);
• usulelo;
• ifuthe tar kunye nicotine ukutshaya;
• ukutyeba;
• ukuphatheka;
• ukwanda kwe cholesterol;
• utyando (ukopha nga oluphumayo kwemithambo femoral);
• into njengelifa.

Ukwenzakala kunye imisebenzi ngokubanzi libhekisele ebizwa ngokuba yi-kwemithambo "bobuxoki". Kulo meko, ekweneni isikhephe, njengoko hlobo, akukho iphawulwe, yaye esi sifo wavakalisa hematoma eliguquguqukayo engqongwe kokubonisa kwithishyu.

ubungqina

Qalisa okungahambi ukungavakali isigulane, ingakumbi xa izixa ezincinane namabandla. Nangona kunjalo, kunye nongeniselo ithumba enokuphathwa iintlungu zomlenze neentshukumo - kwenyusa nentshukumo. Izalathisi aneurysms bayachatshazelwa inkantsi ngethambo, ukufa yethishyu, kwakunye nemilenze ukudumba. Iimpawu afanayo enxulumene beswele kwegazi emlenzeni.

ekuxilongweni

Lokufunyaniswa sifo, apho nkqu kwemithambo efanayo femoral, kuba becala zisetyenziselwa, indlela seyonakele zoviwo instrumental, Noko ke, kucetyiswa kunye laboratory Uxilongo kwiimeko ezithile. Ngu Uxilongo negalelo ziquka: ultrasound, angiography, MRI ne- CT. Le laboratory: igazi jikelele kunye kwemichiza kunye nocazululo nomchamo. Ukongeza kwezi zifundo zifuna ehlola ngugqirha nemithambo.

therapy

Ukuza kuthi ga ngoku, unyango kuphela uqhaqho kwemithambo. Kuxhomekeka lobunzima ngezifo kwakunye nezigulo kunokwenzeka ngexesha utyando ukuze zingasetyenziswa enye yezi ndlela: a esa isitya, afakelweyo. Kusekho ke kungenzeka ngokusebenzisa indlela stenting, egqalwa ukuba umguli kunye isiqabu. Kwimeko mgaqweni entsonkothileyo bazisa kakhulu izihlunu necrosis, kufuna ukusikwa yomlenze.

imiphumela

Kakhulu ingxaki yimiyalezo na imbonakalo thrombus apha ngesitya, ngenxa enokuba kufumana umthambo thromboembolism femoral. Ukongeza, kukuvela egazi igazi kubangele ukuba zingene iimpahla ingqondo, nto leyo iza kukhokelela odla lwabo, yaye emva koko kuya kukhokelela kuphela ngezimvo kumguli. ugqabhuka kwemithambo kwenzeka kungafane, kwiimeko ezininzi kukho Embolism okanye njengesilonda senyawo.

Ukuba ixesha ukwenza sifo, uphuhliso mgaqweni zinokuthintelwa, Noko ke, imeko ukubaleka i amathuba iziphumo ezingalunganga kwi ngohlobo okwalandelwa umlenze okanye ukufa isigulane. Ngoko ke, nokuba umntwana kukrokrelwa ngezifo, kuyimfuneko ukuba baphumelele uxilongo eziyimfuneko.

thrombosis

Esi sifo (ekwabizwa ngokuba thromboembolism) ezimbini laziwa ngokuba i anomaly. Xa zokuqhubela thrombosis (ukuvaleka) isitya amasuntswana hematoma, Embolism namanqatha, kunye nezigulane ukubola atherosclerotic ekuqaleni na utshintsho ulandelwe. Kwaye kuphela wokufaka enkulu isitya wabona iimpawu zesi sifo. Xa occlusion ngokukhawuleza isitya isigulane nangoko uziva ukonakala, leyo kamva kukhokelela izihlunu necrosis, ukusikwa imilenze okanye ukufa.

izikolo clinical

Thromboembolism apho kwemithambo (ethangeni) uthintelwe kakhulu, lubonakala ukunyuka kancinane intlungu Umlenze - oku ibonakala ngakumbi xa uhamba okanye imisebenzi eyahlukeneyo yomzimba. Le meko esidityaniswe kunciphiso oluqaphelekayo apha ngesitya, kwakunye nokuhla kwi yonikezelo igazi imilenze, ukulahlekelwa ubunzima bayo kwezihlunu. Kwangaxeshanye, ukuphucula kwegazi iqala isombuluka inqanawa akananto. Ngokuqhelekileyo oku kwenzeka ngezantsi kummandla apho kwakukho ihlwili legazi ngokwayo.

Kuphononongo yonyawo pallor na isikhumba salo, ukuhla lobushushu (ukuba uziva cool). Uvakalelo inxalenye uchaphazelekayo lomzimba apho kulele Umthambo (femoral) kunciphisa. Kuxhomekeka ukuyilwa ukungaqheleki ezinemigca okanye kwamaza na ayivayo iviwe okanye akuvanga.

ekuxilongweni

It ikhutshwa phandle ngokusebenzisa iindlela instrumental. Ngenxa yale rheography njongo kunye oscilloscope. Nangona kunjalo, le ndlela yeyona efundisayo isixhobo zokufumanis, nto leyo eyenza kube lula ukuchaza ngokucacileyo indawo ekuyo ihlwili legazi, yaye iqondo occlusion wesitya, arteriography ingqalelo. Ukuthunyelwa kuphando olunjalo unikwa xa ufunyaniswe ngexesha uhlolo iimpawu ezinjalo: ezitum okanye lipholi imilenze yesikhumba, ukungabikho kwakhe onovakalelo, iintlungu kwisithuba ezizolileyo. Kwakhona livume ukutyelela ugqirha semithambo, ngubani na oya abonisane malunga yintoni kwemithambo femoral, yaye yintoni kulindeleke ngemiphumo thrombosis.

unyango

Uthomalaliso thromboembolic usebenzisa iziyobisi, kunye nokusebenza eyenziwa. Xa amayeza wamisa anticoagulants kunye arhente thrombolytic kunye nesenzo antispastic. Xa iindlela ngotyando lusetyenziswayo angioplasty, embolectomy kunye thrombectomy.

Occlusion kwemithambo femoral

imithambo Strong occluded ke igazi elibukhali inxalenye distal kwemithambo ngu thrombus okanye embolus. Condition uyingozi kakhulu. Ngenxa occlusion kwi aortas ze ukuhamba kwegazi yendalo kuphazanyiswa, nto leyo ebangela ukuba kusekwe eyongezelelweyo egazi. Le nkqubo ziquka collaterals, lo thrombus ingahlakazeki kude kwinkqubo lwemithambo. Le meko ingathityazwa iiyure 3-6 ukususela kwixesha ukwenzeka. Ekupheleni kweli thuba, ischemia enzulu kukhokelela utshintsho ngakumbi noqhekeko necrotic.