Mate o Dego. stenting iaia

mate o Dego - he mate onge e tīmata ki te tohu kiri, me te maha e mate ki te ahua o "puku whakapeka". E haamata te reira ki te ahua i runga i te kiri o te māwhero te marama recurrent. papular hikaka paku pupuhi, wahi pokapū o nei i muri i te i kite he retracted. I tenei wa hei ratou ma. E tū ana te nuinga i runga i te kātua me te kaki kiri. I tenei wā, kua paopao te papanga whakarerekētia, me i to ratou wahi, tuwhera mariao ki niao Makere. Tau hepetoma i muri te manawanui he mamae koi i roto i te tika rohe epigastric, kirika, ruaki toto. Patua o te mamae puta i muri i te kai. Tata muri i nga whakaeke i reira he korere auau. mamae tamau haere tahi adynamia, mate o te kaha, me te rohirohi o te manawanui. Tūroro whakawhanake proteinemiya, hypotension, bilirubinemia. Toto pikitia i roto i te mate e te nuinga o noa. I muri i te ahua o te tohu taua mate kia puta i roto i te torutoru nga ra. I roto i te tūpāpaku whakakitea Thrombosis o nga uaua, me te necrosis intestinal o te whēkau, kahore perforation.

mate o Dego - waihakihaki syndrome puku, i roto i nei tākuta hoatu tata tonu te waitohunga rawakore. Ponana i tenei mate te tikanga ngā o te maha huānga e whai rerekē wāhanga whanaketanga. Papules reira e pā ana ki te marama, me te nawe i hanga te i runga i te tau 0.5.

I rangahau histological i te kiri o te manawanui e tuhia huringa nui i roto i te pūnaha iaia. Heoi maha i reira e clots toto, arterioles, endothelial, blockage o oko nui, me te iti. Ko te kiko collagen huri noa nga oko pāngia me ratou taiepa e kitea aronga o necrosis fibrinoid. I roto i te tōiti iti puta tromboendoteliit. I roto i te wahi o te collagen wahi atrophic kaha pēpēhia me te hipoki ki te unahi me nga kiriwaho whakaiti te. I runga i te paenga ngā papular reira he oko toto dilated e kua karapotia e te urutomo lymphohistiocytic. Tuhinga mate o Dego me oko nui kei hohonu i roto i te kiri, me te kiko subcutaneous. Tenei tukanga ki kookuhutanga maha, me te tupu o nga oko toto intestinal, kiri, me te tahi atu whēkau he tino rite ki te panarteriit tareka.

Ahakoa mate o Dego ki te whanaketanga whakapeka he waitohunga rawakore, i reira e ano take ki te hītori roa e taea te tukinotia. kawea te therapy o te mate i roto i ki te paturopi, huhu toto, corticosteroid, heparin, huaora me antihistamines. I roto i te "puku whakapeka" maimoatanga tata kore e hoatu hua pai.

Tetahi mate iaia, ngā i roto i te iwi paari, kia whai hopearaa tino nui. huringa atherosclerotic ētahi wā pā te pūnaha iaia katoa. I roto i te pāpaka o coronary me kakī pera, wahi, he mahi restenosis matua pērā i stenting iaia tūtohutia. Rawa whakaatu Ko te tukanga taua i mōrearea nui o infarction myocardial, disorders circulatory i roto i te roro, hara o e alangá mo mahi, huringa arataukai.

Stenting contraindicated i roto i pera iti diameter (iti iho i te 2.5 mm), stenosis E ruia ana (mō ngā pae nui vasoconstriction), iti hoki tākihi me te romahā, pathologies i roto i te pūnaha toto coagulation, pāwera ki formulations konutawa-kei roto (whakamahia i roto i te X-ray rerekē waihanga).

I mua i te mahi, kawea atu tenei kaiao rangahau o te manawanui, ultrasound ako intravascular, Doppler ultrasound, angiography, tomography computed, MRI, Tirohia te, echocardiography, electrocardiography. I mua i kawea te mahi i roto i o raau taero therapy antiplatelet e whakaiti i te tūponotanga o pōauautanga thrombotic.

whakamana Operation o stenting iaia te i raro i rehunga rohe, i mahi i roto i te wāhi iatuku nui i runga i te waewae ringa ranei. Hoki ngā mahi toropā, femoral taea te whakamahi iatuku mammary ranei. Te taote mahi poka, taiepa iatuku piringa, me te tomo ki reira te takotoranga (ngongo i roto i nei e whakaurua atu mea).

pū tōngāmimi angiangi ki te whakaora i te stent i roto i nga oko piringa balonchikom ki te uaua e hiahiatia ana. Ko te kēne i ringihia ko te kaihoko rerekē X-ray. Kei te totoro te reira i me te stent, takai nei, tika, te hanganga whakarewa mata te. kitea te mahi katoa i runga i te mata. Kei te kawea reira warea o stent i na ongo i roto i te taiepa uaua. I te taua wa ka taea ki te tāuta stents maha. Na e atu nga taputapu i te lumen o te oko. pumau te mahi e pā ana ki te haora. Te manawanui tata kore e ite i te mamae, me te puta hūhi anake i te wa o te pamû balonchika. I muri i te pokanga, mahue te manawanui te hōhipera i roto i te torutoru ra. I tenei wa i whakaritea antiagregatnaya, antibacterial, therapy anti-inflammatory.

pōauautanga pea i muri i te pokanga: kino ki taiepa iatuku, hanganga kanokanototo i te pae poka, toto, tanumia pera, pōrearea tākihi, mate pāwera, rohe upoo- o te stent.