Aneurysm - rufu?

Aneurysm - zvakawedzerwa mudziyo, kupfuura kaviri zvarakanga dhayamita. Over 60% kuti aneurysm zvose riri abdominal yeropa. zvokurwara ichi rinowanikwa kakawanda vanhu vachitambura kubva rheumatism, aortoarteritis, njovhera, atherosclerosis, tiibhii. A zvakafanana chinokonzera aneurysm - abdominal kunotevera, kuvhiya yacho yeropa.

The mashandiro kuti chiitiko

The kwaita rokuwedzera imhaka chinopedza kuchinja kutsemuka kwakavharwa nenyama puranga. By kuwedzera kurwisa iri distal arteries anowedzera kumanikidzwa ari abdominal yeropa. Kana pasina mukana ngarava kutsungirira overpressure ichibudira chiwedzerwa yayo imwe nzvimbo. Aneurysm - kutsemuka chikamu chete ichivhiringidza ano ropa, anowanzoshandurwa kuumbwa thrombi.

kiriniki

With kadiki dhayamita pamusoro aneurysm (asingasviki 20% kacho) anogona asymptomatic. Mune zvimwe zviitiko, zvose zvekuchipatara zviratidzo aneurysms vari rakakamurwa zvemo uye zvisina kunanga. Typical: pulsatile abdominal marwadzo, ruzha munguva marwadzo ari pamwoyo aneurysm. The marwadzo anogona kufanana hepatic kana renal colic, vemunyika kuruboshwe ari umbilicus, anogona tichiratidza kuti musana kana muchiuno.

zvisina kunanga zviratidzo

• Abdominal chirwere: svoto, kurutsa, kushaya kudya, uremu.
• Urological chirwere: hematuria dizuricheskie nyonganyonga.
• Ishioradikulyarny chirwere: marwadzo, injini uye kutsinga dzinouya zvirwere makumbo.
• Chirwere ischemia makumbo chirwere: inoratidza claudication, trophic kuchinja.

Aneurysm - inongogara kufambira mberi chirwere. Vanopfuura hafu varwere vanofa mukati 2 makore nechirwere chero matambudziko.

Diagnostics

Ultrassom ongororo unokubvumira yokugadza nzvimbo uye kukura dzidzo. On the tarisisa yacho aneurysm - a woita kuwedzera mugaba pamwe pachena contours, pristenochnymi overlays uye ichivhiringidza chokubuda kwakamutsigira. Angiography kwakaratidza akawedzera yeropa. X-ray mufananidzo ari mamiriro zvomukati ari abdominal mhango anogona kuonekwa kumwezve contours pakati yeropa pamwe deposition pakati calcifications, kazhinji achiperekedzwa dzegirini ari vertebrae - Uzury. At RT rinotsanangurwa dzeraundi inotungamirwa pamwe pachena contours, matete masvingo, seinäkartta thrombus uye calcifications.

mabatiro

Aneurysm - chirwere umo vakawanda nyaya, kuvhiya rinoitwa, iyo chokuita yakakwirira mukana yematambudziko. Operation iri contraindicated Varwere vakatambura kusachengeteka kukuru myocardial infarction, vane nhoroondo kweropa kukundikana, sitiroko.

kushanda kupindira

Pane nzira dzakasiyana-siyana kuti kuvhiya kunorapwa:

• kubviswa imwe aneurysm chete aneurysmal saga kana prosthetic kutsemuka yokunzvenga batanidza;
• pasina nokubviswa aneurysm zai pamwe vnutrimeshkovym prosthesis.

Prosthetics kunowanzoguma aortofemoral prosthetics. Hunofa mushure kupindira akanga asingasviki 10%. Pangozi yokuva kuvhiyiwa kuti kutsemuka stenting rinoitwa: akatakura kuburikidza femoral tsinga kuzvipira kuwedzera prosthesis.

kuoma aneurysms

Migumisiro aneurysm iri zvakananga novimba kwayo size: rokudzora ndiwo - kakawanda mwanda kana atsamwira.