Atherosclerosis

Atherosclerosis, pakati pezvimwe zvirwere peripheral tsinga ine aitungamirira chinzvimbo.

Kakawanda, chirwere chinobata varume vakuru makore makumi mana. Atherosclerosis chinokonzera chakakomba ischemia kazhinji, achishora varwere zvinorwadza chaizvo chirango. Zvisinei, varwere vakawanda vanorasikirwa kugona kwavo kushanda. Mostly akacherekedza atherosclerosis pamusoro akaderera richiripo arteries. The muitiro anogona vemunyika mu yeropa. Uyezve, kazhinji chirwere chinobata srednekalibernye tsinga - femoral uye popliteal.

Vatsvaire atherosclerosis pamusoro ezasi wamativi chokuita chete etiological zvinhu uye pathogenetic zvigadziriswe kuti chirwise chirwere vamwe localization.

Kuchinja kukuru vari kuchengetwa lipoidoza foci sekamufarenzi. Izvi zvinomutsa yakanaka connective tishu. Achikura, inotungamirira nekukura fibrous plaques. Izvi idzodzo subsidence kunoitika fibrin uye platelet clots. Zhinji lipid kuwanda chinokurwadzai kukanganisika kweropa iri plaques. necrosis kwavo kunokonzerwa, uyewo paumbwe atheroma. Iri in dzavo atheromatous uremu vanowira lumen ari mudziyo. Yakabvamburwa nezvikara distal gwara, vanogona vakamutsa embolism.

Panguva iyoyowo, pachena kuti kuchinja munyama pamusoro plaques munzvimbo dzine kwakavharwa nenyama fibers kumbotambudzika degeneration, tanga kuisa karusiyamu munyu. Saka atherosclerosis rinobva rokupedzisira danho.

Munguva yose chirwere vari muzvikamu zvina.

Atherosclerosis kwemakore zvingamuka pasina zviratidzo. Zvisinei, kubva pakatanga kurapwa zviratidzo kazhinji mberi nokukurumidza zvikuru.

Mune zvimwe zviitiko, tichitarisa acceding thrombosis, chirwere anokuzviratidza Paaiita kamwe kamwe. Nhoroondo kazhinji varwere neBP, nhau myocardial, angina, chirwere cheshuga, kweropa kusagadzikana uropi.

Zviratidzo chirwere anofanira semhosva inoratidza claudication, iyo kunoratidzwa soreness dzemhuru netsandanyama. The nezvekufadza kazhinji munguva kufamba, uye inonyangarika shure pfupi zororo.

Atherosclerotic maronda ari iliac arteries uye chinouraya chikamu abdominal yeropa vanotsamwisa vemunyika marwadzo kwete shins, asi gluteal rorudyi tsandanyama uyewo munzvimbo lumbar nzvimbo. Kusimbaradza kuti inoratidza claudication kwakacherechedzwa mumakore pamukwidza kana masitepisi.

Typical Zviratidzo vanoonekwa kuti pfungwa chilliness, vachisimudza makumbo aikanganiswa kune chando, tsoka bindira. Somugumisiro ischemia pane kuchinja ruvara repasi wamativi. Mukutanga kukura chirwere, vanova akacheneruka ruvara. Nokufamba hosha ganda minwe uye tsoka vave yepepuru-cyanotic.

Trophic Zvirwere kuvhiringidza kukura nembambo kubatsira kurasikirwa bvudzi.

Kuchiita hosha kunoratidzwa maronda-necrotic kuchinja zvinyoronyoro nyama pamusoro distal zvikamu zviri kwakakanganisa maoko nemakumbo. It rinozivikanwa edema uye hyperemia chemabhazi. Aortoiliac occlusion mugove ndiye anozivikanwa chiratidzo kusabetsera kunokonzerwa nyonganyonga iri kufamba kweropa.

Kuongorora varwere kazhinji anoratidza atrophy kana kuparadza kuti tsandanyama panzvimbo dzapasi migumo.

Kazhinji pane kukundwa vari femoropopliteal chidimbu, izvo zvinoratidzwa pasina chero ripple pamusoro arteries ari chemabhazi kana popliteal tsinga kubva pfungwa kwakabva yakadzika femoral tsinga.

The nzira chikuru nechirwere anonzi angiography. Nzira iyi inobvumira kuti kuziva papi uye localization pamusoro pathological muitiro, pachiyero vascular maronda, dzinoratidzwa rubatso kuparadzirwa, uyewo kuti vaongorore mamiriro ropa kuyerera distal gwara.