Chirwere Buerger vake, ayo mavambo, zviratidzo uye kurapwa

Buerger nehosha - ane anogumbura chirwere ari mutsinga uye arteries zviduku uye svikiro dhayamita chokuita zvokurwara of zvirwere. chirwere ichi ari matatu mifananidzo, zvichienderana localization ari arterial mubhedha, umo ropa riyerere riri dzakaonekwa dambudziko:

- Distal mhando kunoratidzwa maronda ose arteries ose dhayamita duku. Izvi zvingava maoko, tsoka, makumbo uye emberi. nhamba yaro zvachose Buerger chirwere 60-65%.

- Proximal mhando kunosvika kune arteries makuru uye svikiro dhayamita, akadai yeropa, femoral uye iliac arteries. Kuwanda ichi Chirwere 15-20%.

- Mixed kunosanganisira nezvemarudzi maviri maronda ose arteries. Izvi mhando husina 15-20% wevarwere.

Zvichienderana dhigirii ropa aibuda nezvinetso, chirwere Buerger ndiko kuti muzvikamu zvina:

- The Danho rokutanga hosha inonzi dzichipfekeka muripo nguva. Varwere vanotsutsumwa kazere uye tingling ari nyore, chills uye kuneta. Panguva kutonhora, maoko nemakumbo yaita nani uye kuchitonhora. Apo kufamba avhareji velocity pamusoro chinhambwe 1000 metres pane inoratidza claudication. Murwere anonzwa kurwadziwa zvemhuru, tsoka uye makumbo nokuda kukwana ropa rive. In pedis tsinga kupomba vasipo kana zvakaneta akaratidza.

- The Danho rechipiri iri mhando mbiri: mhando "A" kana inoratidza claudication kunoitika apo dambudziko kure 200 kusvika 1000 metres, uye kutaipa "B", apo panowanikwa lameness zvakakwana kuenda chinhambwe zvishoma pane 200 metres.

Buerger nehosha Panguva 2b kunoratidzwa atrophy duku tsandanyama norutsoka, uyewo ayo subcutaneous mafuta.

Pulse rutsoka hakusi detectable. Leather makumbo uye tsoka anorasikirwa elasticity, inova yakaoma uye scaly, rinowanika pamusoro bedzi pamusoro hyperkeratosis.

bvudzi uye chipikiri kukura iri kuderera, zvipikiri zviri gobvu uye mikukutu.

- The Danho rechitatu yakakamurwa mhando "A", umo marwadzo ndepana zororo, uye kutaipa "B", umo marwadzo ipapo zororo pamwe ischemic raidudzwa edema. Disease Buerger ari danho 3b runoratidzwa ganda rive dete uye nyore munjodzi. Most kuduku abrasions uye kukuvara kuchaguma paumbwe makatsemuka uye anorwadza maronda. Anouya kufambira mberi kuti atrophy tsandanyama norutsoka uchingodzikira gumbo.

- chechina Danho chirwere vakakamurwa mhando "A" kana paine necrotic kutendeutsa vari nezvigunwe, pamwe Kuchengetedzwa kwavo zvokutsigira basa, uye kutaipa "B" kana neronda rinonyenga rinenge kunoda yakakwirira gumbo kudimurwa. At danho 4a kuchinja zvinoparadza kuitika. By zvisingatsungiririki uye kugara marwadzo Panguva iyi inotungamirira chirwere Buerger vake, Photo inosiya pasina mubvunzo uyu. In kure zvikamu wamativi, kazhinji minwe, vari vakaumba nemaronda akadzika. Neronda rinonyenga nyoro mhando kunoda pakarepo kudimurwa.

chirwere ichi chakakomba ndiro yezvokurapa zita - ". thromboangiitis obliterans" Zvichemo varwere zvinokonzerwa chirwere richiripo ischemia. Varwere kazhinji chokunyunyuta pamusoro mukuru aikanganiswa yakaderera tembiricha chiveve, kuramba cramping, simba uye kurwadziwa maoko nemakumbo.