Aneurysm - wani hukuncin kisa?

Aneurysm - wani tsawo da jirgin ruwa, fiye da sau biyu, ta al'ada diamita. Fiye da 60% na dukkan aneurysm located in ciki lakã. Wannan Pathology faruwa akai akai a mutanen da fama da rheumatism, aortoarteritis, syphilis, atherosclerosis, da tarin fuka. A na kowa hanyar aneurysm - ciki rauni, tiyata na lakã.

Ginshikai na aukuwa

Ana zargin da bazuwa ne saboda degenerative canje-canje a aortic na roba firam. By kara juriya a cikin distal arteries qara matsa lamba a ciki lakã. Idan babu wani yiwuwar na jirgin ruwa da yin tsayayya overpressure taso ta tsawo a wani musamman wuri. Aneurysm - aortic sashe tare da m jini halin yanzu, wanda sukan kafa thrombi.

asibitin

Tare da karamin diamita na aneurysm (kasa da 20% na lokuta) na iya asymptomatic. A wasu lokuta, duk na asibiti ãyõyin aneurysms kasu kashi hankula da kuma kai tsaye ba. Hankula: pulsatile ciki zafi, amo a lokacin ƙanƙancewa na zuciya da aneurysm. A zafi na iya kama da hanta ko koda colic, sarrafa a kan hagu na umbilicus, iya haskaka da baya ko kugu.

kaikaitaccen ãyõyi

• Ciki ciwo: tashin zuciya da amai, rashin ci, nauyi asara.
• Urological ciwo: hematuria dizuricheskie cuta.
• Ishioradikulyarny ciwo: zafi, motor kuma azanci shine cuta a kafafu.
• Kullum ischemia kafafu ciwo: intermittent claudication, trophic canje-canje.

Aneurysm - ne kullum ci gaba cuta. Fiye da rabin da marasa lafiya mutu a cikin shekaru 2 da ganewar asali na wani rikitarwa.

bincikowa da

Duban jarrabawa ba ka damar saita wuri da kuma girma na ilimi. A kan duba da aneurysm - wani taso tsawo na ganga da hujjõji contours, pristenochnymi overlays da ci m kwarara. Angiography saukar kara girma na lakã. X-ray image a cikin Siffar gabobin da kogon ciki za a iya gani mika contours na lakã da shaida na calcifications, sau da yawa tare da depressions a cikin vertebrae - Uzury. A RT ayyana madauwari samuwar da hujjõji contours, bakin ciki ganuwar, mural thrombus da calcifications.

magani

Aneurysm - wata cuta a cikin abin da mafi yawan lokuta, tiyata da aka yi, wanda ake dangantawa da wani babban Yiwuwar rikitarwa. Operation ne contraindicated a marasa lafiya da suka sha wahala wani m tsokar zuciya infarction, sun mai tarihi na Sistem gazawar, bugun jini.

gudanar da sa baki

Akwai daban-daban zabin ga m magani:

• kau na wani aneurysm da aneurysmal buhu ko} afar roba aortic kewaye dasa.
• ba tare da kau da aneurysm jakar kwai da vnutrimeshkovym prosthesis.

Prosthetics ne sau da yawa tare aortofemoral prosthetics. Mace-mace bayan da baki ya kasa da kashi 10%. A babban hadarin ga tiyata na aortic stenting aka yi: dauke ta cikin femoral jijiya kai-fadada prosthesis.

rikitarwa aneurysms

A sakamakon aneurysm ne kai tsaye dogara da ya size: da ya fi girma shi ne - da mafi kusantar da shi daure ko katsewa.