Ileofemoralny Thrombosis: take, tohu, maimoatanga

E mate e taea te whai wāhi ki te pūnaha venous o te tangata? He aha puta he raruraru taua, a pehea te mea tukinotia? Enei a te tahi atu mau uiraa e whakahoki tatou i roto i te tuhinga nei.

Overview

Kei te patu Thrombosis te femoral hohonu me uaua iliac - Ileofemoralny Thrombosis. tohaina tēnei mate i roto i te puka motuhake, rite āhuatanga e te rere tika taimaha, me te kaha ake te tūpono o nui Embolism pūkahukahu hoki ia.

Āhuatanga o te mate

Ka taea e Thrombosis Ileofemoralny whakawhanake kore anake i roto i ngā pakeke, engari ano hoki i roto i ngā tamariki. I roto i tenei take, he pai tenei mate, me he tino angitu te maimoatanga. I roto i nga tamariki te nuinga whakawhanake Embolism pūkahukahu ranei tuhia retrombosis.

Ko tūroro pakeke, mo a ratou, e waha ana te mate ki reira he pōauautanga tino nui. Ko reira he mea nui ki te tautuhi i te reira i roto i te wa.

Ko te tohu matua

Thrombosis whakawhanakehia i roto i te uaua femoral iliac ranei, tahi e tohu pērā i:

• ira parauri rahi iti o, nga kaikōrero o ratou waewae ki runga ki a kahore e ngaro, ka aki;
• kirika;
• tetere nui e taea puta i runga i rua topito o raro i runga i tetahi o ratou ranei;
• papura-whero kikorangi ranei te tae kiri;
• āta intensifying mamae i roto i te e alangá mo ranei waewae e rua, me te tapatapa (i ētahi wā).

Tohu o te Thrombosis whakapeka. atamira

He maha ngā wāhanga o te whanaketanga ileofemoralny Thrombosis whakapeka. Runga anō i ratou tohu kia whai ratou ake āhuatanga. Kia whai whakaaro ano tatou ratou i roto i ngā kōrero ake:

• Ko te atamira prodromal. I tenei wā o te mate te manawanui he mamae o ngā localization. Ka taea te ite ratou i roto i te rohe lumbosacral, puku o raro, me te i roto i te hinga o te wahi o raro. Maru ai te mamae syndrome me he āhua puhoi. Ano, te manawanui he kirika.
• Hipanga korerotia tohu haumanu. Kei te āhuatanga i te reira e te topu- matarohia o te whakakitenga. I roto i te mau parau te tahi atu, te manawanui he tetere nui, huringa i roto i te tae kiri, me te mamae. Ratau, ua te muri kei roto i te kuao kau, tapatapa, me te huha anteromedial. He kaha me te E ruia ana te āhua o te mamae. Ko te puku, horo reira te rohe katoa, me te toro i te tapatapa ki te waewae. I te tahi taime te kitea huamo i runga i te nui ki kōtere me ngā ki te tikanga o te tini me te mana'o o te pouri i roto i te wahi o raro.

Mai te kiko edematous faaitoito pēhanga kaha i runga i te oko toto, puta ngangau rere toto, spasm me waewae whakawhanake ischemia whakapeka, faaite i roto i te mamae koi, kore o te aau mahora, me pulsations matua.

Ka rite ki whakahuatia i runga ake, tetahi o nga tohu o te mate i roto i te pātai ko te huringa i roto i te tae o te kiri. kia ratou tae koma cyanotic ranei. Puta tika ki pera e pā ana spasm tae White. haere tahi te āhua taua e mamae kino. kitea te tae tae puru cyanotic ranei kei roto i te take, no te kore e fakahoko te iliac iatuku femoral ranei ona mahi tika, arā, te matamua o te toto ki runga ki a ratou tata rawa whati. He mea tohumate tino nui ko e taea te kite i te manawanui i runga i te hip tauira korerotia o uaua subcutaneous.

I roto i te ileofemoralny whānui āhuatanga Thrombosis huru whānui pai o te manawanui. Heoi, kia tino tupuheke te reira i roto i te whanaketanga o te mate whakapeka. tohu tenei te timatanga o te pōauautanga nui.

take o

kia ngohengohe ki ngā huringa te pūnaha venous o te tangata. E mea pinepine, tūroro i Thrombosis rua hohonu. Puta tika ki te pōturi rere toto, me ona disorders upoo-, me te kino ki te taiepa venous tenei mate.

Whanaketanga ileofemoralnogo Thrombosis taea puta i roto i te aroaro o tetahi take, me te mea i reira e rave rahi. Tohunga whakaaro nga ngā tīmatanga e whai ake nei e whai wāhi ana ki te putanga o tenei mate:

• whara whaiaro;
• moenga okiokinga auroa;
• hoki;
• mate ki te takenga huakita;
• wā e kulukia;
• fariiraa o te whakawhānau;
• hapūtanga;
• papatipu papatoiake mārere me mārire;
• aneurysm o te iliac me pera femoral me haoraora puku;
• whēwhē henemita;
• kakakīrehe retroperitoneal;
• kino iatrogenic ki te uaua hohonu.

Ko te take tino noa

Nuinga o ngā wā ileofemoralny Thrombosis o nga topito o raro, āhuatanga e stagnation o toto i roto i te uaua, whanake i roto i te hapūtanga. Ano, Ka taea e te mate puta tika ki immobilization roa me te iti hoki o vaolo venous.

Tētahi atu take nui i roto i te whanaketanga o te mate i roto i te pātai ko te māuiuitanga o te toto coagulation, tae atu congenital whiwhi āhua thrombophilic ranei.

tātaringa

Kia pehea te pāngia te Thrombosis o nga topito o raro? E faaite tino mārama Tohu o te mate. Otiia i roto i te tua ki te whakamātautau waho o te manawanui, maha huihui tākuta ki ētahi atu tikanga tātaritanga, e kua aroaro i roto i te puka o:

• matawai ki pūtaitoto;
• matawai Matarua;
• radionuclide venography, i kawea i roto i te kaupapa e te manawanui kei kātaki'i o radiopaque matū;
• heke e kake atu venography radiopaque ranei.

maimoatanga

kia tukinotia Thrombosis Ileofemoralny i rite te ara ano rite tahi atu mau huru o te Thrombosis. I roto i te nuinga o te wā, kawea maimoatanga o te mate i roto i roto i te taiao hōhipera. Kei te hāngai te reira i runga i te tango i te rongoa e whai ake nei:

• āpiha anti-inflammatory;
• āpiha antiplatelet;
• anticoagulants.

Ki te iliac ranei femoral iatuku miharo kore nui, a ka he te mate i roto i te tīmatanga o te whanaketanga, mo ona tikanga maimoatanga kia whakamahia ai ki te whakahaere i whakakorenga o thrombus.

Ki te reira te mea he riri o te thromboembolism, puritia reira ona ārai. whakamana ana tēnei tukanga te whakamahi i te ligation o te rua femoral, vena cava iahoki tāutanga tātari mauhia na iahoki vena cava iho ranei.

Ki te he ileofemoralny Thrombosis whakapeka te manawanui ka mahi tona transportation ki te hōhipera. I roto i tenei take, kia waiho te manawanui i roto i te tūranga e pängia ana. I mua i te whakamātautau, kua whakaritea e ia ki te moenga okiokinga, ka mahi ultrasound me venography.

I roto i te kaupapa e te hunga ngaro nga tikanga mo te whakamātautau o te manawanui, i raro i te mātakitaki o ngā tohunga e whakaritea ai anticoagulants, e kia tangohia hoki nga ra kotahi tekau.

E ai ki nga pūrongo o tohunga, kia tukinotia whakapeka Thrombosis venous whānui, te whakamahi i toru ngā rōpū o taero:

• thrombolytics fibrinolytics ranei;
• anticoagulants;
• āpiha Antiplatelet.

Me kï reira e hāngai ana therapy anticoagulant te i runga i te whakamahi o te tikanga e whai ake nei:

• iti heparin taimaha rāpoi ;
• heparins unfractionated;
• fondaparinux pentasaccharide.

Ki te whanaketanga o te thrombolysis e titau te whakamahi o te streptokinase urokinase ranei, Kei te tino nui haere te tahuti nei manawanui e tika ki te hua i roto i te toto. Na reira, whakamahia tenei tikanga te anake i roto i te wā tino, mo te tauira, ki te whakawhanakehia Thrombosis whānui atu tata, arā, e kore neke atu i te wiki ki muri.

kawea maimoatanga Thrombolytic mō te Thrombosis ileofemoralnogo momo i roto i muri i tua, rite ka kia whakatakotoria tātari iahoki. Ko e tika ana ki te meka e tauturu tenei therapy neke katinga toto i roto i te iatuku pūkahukahu, e taea arahi ki te whanaketanga o ngā thromboembolic tenei.

wawaotanga hāparapara

A, no te Thrombosis ileofemoralnom kōwhiringa taea o te pokanga. Kei te whakahaere te reira e tohu faufaa, i runga i te mōrea o te whakawhanake i Embolism pūkahukahu rānei.

Me mahara hoki käore te reira e te maha i te mahi kawea i roto i ka i reira te mea he riri o te kikohangatia venous me te whakatö o te tukanga pathological i roto i te iahoki vena cava iho.

Ka taea hoki te tango i hanga i roto i te thrombus rua iliac maui retrograde. kawea ana tēnei tukanga i roto i roto i poka flebotomicheskoe, e hanga i roto i te rua femoral. Me kï reira e kore te mea tonu taea te kōwhiringa taua, mai taea whai i te iliac tika Vienna te pēhanga nui.

E ai ki nga tohunga, he mahi ki te tango i te katinga toto i roto i tetahi take e kore e taea te kawea atu i adhesions puta i roto i te rua, ka i roto i te aroaro o pātaki intravascular.

pōauautanga

Ko te hui o te kore ki te tākuta, me te te maimoatanga he ileofemoralnogo Thrombosis manawanui kia whakawhanake pōauautanga rawa kino o Embolism pūkahukahu. Na reira he mea tino nui ki te matau e ka mātakitaki i tetahi tohu, me te māharahara o Thrombosis, kia kōrero tonu koe i te tākuta mātanga.

ārai mate

I roto i te tikanga ki te karo i te pānga o te mate i roto i mehua pātai ārai hiahiatia ki te pupuri i raro i, e kua hāngai i te whakapai ake i te huru whānui o te manawanui, me ana oko i roto i ngā.

Ko hoki te reira i te kī ki te ora roa, me te hauora, ko te mahi āhua me te kai tōtika tika.

Ki te karo i tino te whanaketanga o Thrombosis, kia āta aroturuki te manawanui mo ratou ara o te ora. he tika ki te whakakore i nga peu kino katoa te reira, a wā kitea te tākuta.

I roto i te kua timata kē te take o te mate pūnaha venous ki te whakawhanake, me ū koe ki nga mehua ārai katoa e kua hāngai ana te ārai pōauautanga taea. I roto i tenei tukanga tā te whakakorenga oti o ngā āhuatanga mōrearea katoa, aratau āhua mahi, me te anticoagulant tīpakohia tika me te therapy antiplatelet.

E ai ki te tohunga, Thrombosis ileofemoralnoy ahua - he rawa, he mate nui e he taea ki te meinga nui kino ki te hauora tangata tenei. Heoi, kia tuhia te reira e ko treatable te mate, tae atu ka ka whakarewahia te reira i roto i te wa. Ko te mea matua - mahi kore hepohepo, me te kore e hoatu ki runga, a ka whai taunakitanga katoa o te tākuta mātanga.