Hanji Thrombosis: haddasawa, cututtuka, magani

Tsofaffi mutane sau da yawa da za a magance wannan cuta, kamar yadda hanji thrombosis. Bugu da ari, sun bayyana kai tsaye dogara a kan yadda azumi da suka samu zuwa asibiti da likita zai rubũta mutum magani. Domin kada ya rasa daraja lokaci, kowa da kowa ya kamata ka sani game da farko bayyanar cututtuka da wannan cuta sannan dauki dukkan matakan da suka dace.

Abin da ya kamata ka sani game da cutar?

Jini, kamar yadda muka sani, o ƙarin jini. A magani, wannan tsari shine ake kira coagulation. Wannan ne mai matukar muhimmanci aiki ba tare da abin da wani mutum bayan samun raunuka a rasa duk jini kuma saboda haka ya rasu. A daya hannun, ta inganta coagulation kan lokaci da samuwar clots, wanda zai in ba haka ba magana thrombi. A cewar masana, da suka za a iya kafa gaba daya a kowane sashi na jiki. Alal misali, ya shiga cikin hanji jijiya thrombi jẽre sanƙarar ta lumen, haka damuwa al'ada feed wasu jiki rabo. A sakamakon, necrosis lura a cikin Gut. Cutar da ake kira thrombosis (mesenteric) hanji. A musamman tsanani lokuta, shi zai iya kai ga mutuwa.

Hanji mesenteric thrombosis - akwai wata cuta da cewa faruwa a saboda patency babba celiac ko da na baya mesenteric jijiya. Wannan Pathology sau da yawa yana sa canje-canje a cikin jini ya kwarara a cikin narkewa kamar fili. A cewar masana, da wannan cuta ne daidai da na kowa daga maza da mata, amma mafi sau da yawa shi ya auku a cikin tsofaffi.

etiology

Yau, da rashin alheri, da cikakken Ba wanda ya tsira daga wannan cuta. Duk da haka, likitoci kiran lamba daga predisposing abubuwan da tsokana da ci gaba da kuma fi dacewa pathologies kamar hanji thrombosis. A dalilan iya zama kamar haka:

• Atherosclerosis (jijiyoyin bugun gini cuta halin da bi da bi samuwar plaques, wanda aka kafa a hutu clots).
• Tsokar zuciya infarction.
• Hauhawar jini (hawan jini).
• Thrombophlebitis (kumburi sarrafa a cikin jijiyoyinmu na da kafafu da kuma yana tare da stagnation na jini).
• Endocarditis (kumburi da ciki rufi na zuciya, na taimaka wa bayyanar jini clots).
• Septicemia (jini guba).
• Rheumatic zazzabi (a cutar da ke shafar cikin connective nama, wanda a cikin sa masu tasowa cututtukan zuciya).
• Zubar jinni thrombosis.

Sau da yawa, misali, thrombosis na kananan hanji tasowa nan da nan bayan m hanyoyin da sauran gabobin. Duk da haka, a cikin wannan yanayin da mãsu haƙuri yana da mafi alhẽri dama na rayuwa, kamar yadda na dan lokaci bayan da aiki da shi ne a hankali kula da likitoci. A irin wannan yanayi, da gwani za sauri yanke shawara a kan magani. Gabatar da anticoagulant ko wani miyagun ƙwayoyi, diluting da thrombus.

A farko na asibiti ãyõyi

Masana sun ce cewa a farkon matakai na ci gaba zai iya zama mai wahala a gane asali hanji thrombosis. A bayyanar cututtuka da aka jera a kasa, ko da yaushe ta zama ƙararrawa karrarawa, kuma ya kamata faɗakar da kowa da kowa.

• Kwatsam zafi a cikin ciki yankin, abin da ya auku nan da nan bayan na gaba abinci.
• Blanching na fata, ya bushe baki, sweating.
• Tashin zuciya da kuma amai, illa stool (zawo ko maƙarƙashiya).
• Flatulence.
• Low jini.
• A gaban da jini a cikin stool.

Lokacin da sama da bayyanar cututtuka shi ne shawarar zuwa nan da nan nemi magani. A baya magani fara, da mafi alhẽri chances na nasara dawo. In ba haka ba mai kyau dama na bunkasa rikitarwa. Bayan da thrombus overlaps a cikin Gut lumen, akwai matalauta zagayawa a cikin art. Kamar yadda wani sakamako, akwai ya kasance wani ciwon zuciya da hanjinsu (spasm, har suka sa necrosis). A sakamakon haka, masu tasowa, peritonitis auku ko manyan ciki na jini a cikin peritoneum. A rashin dace m taimako yiwuwar mutuwa ne sosai high.

Babban mataki da cutar

Masana sun conventionally raba hanji thrombosis a matakai uku na ci gaba:

1. hanji ischemia. A wannan mataki, cutar ta shafi zuciya da sauransu iya har yanzu a dawo dasu. Marasa lafiya suna kullum tare da numfashi ba zafi a cikin ciki yankin, da kuma amai da bile impurities. A kujera zama ruwa.
2. hanji infarction. The rashin lafiya ba yana tsaye har yanzu a ci gaba. A sakamakon, da abin ya shafa Gabar consistently faruwa wasu canje-canje a sakamakon wanda akwai wani maye dukkan kwayoyin. Zawo da aka maye gurbinsu da maƙarƙashiya, shi ne a yanzu a cikin stool iya gane jini impurities. Ciki zafi ya wuce, kodadde fata, da kuma bayan sun zama bluish tint.
3. Peritonitis. A wannan mataki, ya furta gubobi guba jiki, akwai disturbances a cikin jijiyoyi. A zafi na iya daina dan lokaci, amma don maye gurbin shi zo quite tsanani amai, da kujera zama kawai m. Kumburi a kan lokaci kawai qara. Jimawa akwai inna, a sakamakon akwai wani bata lokaci ba wata kujera. Alama hypotension, da kuma wani kadan karuwa a yanayin jiki.

rarrabuwa

Dangane da ko shirya maido da jini ya kwarara da aka lura da shi a bãyan blockage, likitoci raba kara mana da cutar a cikin iri uku:

• Cika (wurare dabam dabam a cikin hanji hankali ya kõmo zuwa al'ada).
• Subcompensated (lura kawai a m mayar).
• Decompensated (ba shi yiwuwa a normalize jini wurare dabam dabam, kamar yadda sakamakon, hanji infarction lura).

Yadda za a gane asali hanji thrombosis?

Yana da muhimmanci a lura da jikinka. Lokacin da kake a ciki da kuma tumbi, gauraye da jini zafi ya kamata ka nemi likita nan da nan da hankali, kamar yadda akwai wani alama na irin cututtuka kamar hanji thrombosis. A bayyanar cututtuka kowane mutum haƙuri iya bambanta. Alal misali, wasu kodadde fata zafin jiki yakan zuwa 38 digiri, akwai wani hawan jini, sa'an nan akwai wani kaifi digo a cikin jini. Duk wadannan na asibiti ãyõyi kamata jijjiga. A irin wannan halin da ake ciki shi ne shawarar kira motar asibiti. Yana da muhimmanci a tuna cewa wani bata lokaci ba zai zahiri kudin rayuwarsu. Idan mutum ba ya je asibiti a lokacin da wadannan cututtuka, muna iya amincewa, tabbatar da cewa cutar sun kasance m.

Babban hanyoyin da ganewar asali a cikin likita ma'aikata

A m zuwa asibiti tare da zargin thrombosis haƙuri ta hanji ne yawanci hõre wani cikakken bincike jarrabawa. Ya nufi da wata wadannan hanya:

• Tarihi da kuma gani dubawa.
• Analysis na jini matakin na Soe da kuma yawan leucocytes (wadannan Figures aka inflated a hali na thrombosis).
• Radiography.
• Lissafta tomography (maximizes da cikakken nazari na jihar ciki gabobin).
• Bincike laparoscopy (likita sa a huda a cikin fata, ta hanyar salula za a gabatar daga baya tare da kyamara a karshen, gunkin da aka nuna kai tsaye a kwamfuta allo).
• Laparotomy (da za'ayi a cikin akwati inda babu wani yiwuwar a gudanar da wani laparoscopy).
• jijiyoyin bugun gini angiography amfani da bambanci jamiái (ta wannan gwajin zai iya tabbatar da irin nisan da jijiyoyin bugun gini occlusion).
• Colonoscopy.
• Endoscopy.

ra'ayin mazan jiya far

A m da haƙuri zuwa asibiti likita da fari tantance a abin da mataki ne da ci gaban da na hanji thrombosis. Jiyya ta ra'ayin mazan jiya hanyoyin yawanci amfani a cikin taron cewa cutar ba a fara zuwa ci gaba. Yana yana amfani da:

• Parenteral anticoagulation hanya, babban manufar wanda shi ne jini thinners. Da aka fi amfani da miyagun ƙwayoyi "Heparin" da kuma wasu daga ta analogues.
• Injections thrombolytic da antiplatelet (magunguna "Trental", "Reopoligljukin", "Hemodez").

Duk da mun gwada high mace-mace daga wannan cuta, a cikin hali na farkon magani da yawa na da damar domin a cika dawo daga mãsu haƙuri.

gudanar da sa baki

Idan hanji mesenteric thrombosis progresses, ko likita nufin gaza shawo kan cutar, likita ya furta tiyata da miyagun ƙwayoyi far ayyukan matsayin ƙarin magani.

A cikin hali na hanji ischemia ne da wuya ya wuce cutar a kan nasu, amma a matsayin m kwayoyin magani bada shawarar a ja ruwa da gubobi daga jiki.

The aiki ya shafi kau na lalace jiki segments da m crosslinking lafiya nama tare. A wasu lokuta, bugu da žari bukata kewaye tiyata. A wannan hanya da gwani Halicci "kewaye" a kusa da occluded jirgin ruwa, da jini iya matsawa gaba.

Idan thrombosis na hanji jini yakan faru a cikin m tsari, kamar yadda tiyata da aka nada. A likita kayyade cewa shi ne ake bukata don yin (cire jini gudan jini, da za su gudanar angioplasty, kewaye tiyata, da sauransu. D.). magudi da data taimakawa wajen tasha da cutar, nama necrosis baya bayyana.

fi

Bayan duk m hanyoyin da haƙuri yawanci ciyarwa wasu lokaci a asibiti. Fiye da mako biyu na gaba, shi ne contraindicated a wani jiki aiki. In ba haka ba, shi iya tsokana da ya faru na herniation.

Likitoci a fi bayar da shawarar gado sauran, idan ya cancanta a kan nasu yi tausa da ciki, ɗauka da sauƙi stroking shi kewaye iri na agogo.

Yana da muhimmanci a bi duk shawarwari daga likitoci. Bayan duk, kadai hanya zuwa manta game da irin wannan matsalar kamar yadda hanji thrombosis.

Bayan tiyata, shi ne daidai da muhimmanci zuwa tsaya ga madara-kayan lambu. A rage cin abinci ya kamata kunshi shinkafa porridge, 'ya'yan itãcen marmari, low-mai dafa nama / kifi, kiwo kayayyakin. Haramta duk wani gwangwani da kuma kyafaffen kayayyakin, barasa, tafarnuwa da albasa. Ba da shawarar a watan farko bayan tiyata sha dukan madara, don haka kamar yadda ba su tsokane bacin.

A ƙarshe, ya kamata a lura da cewa jiyya da wuri da cuta ne kusan ko da yaushe ƙare a cikakken maida. Mun kamata ku yi shakka a ziyarci likita da kuma bi-up far.