Dego ta cutar. jijiyoyin bugun gini stenting

Dego ta cuta - a rare cutar da cewa yana farawa da fata cututtuka da kuma sau da yawa ne m tare da bayyanar "m ciki". Ya fara da bayyanar a kan fata na maimaita haske ruwan hoda. dan kadan kumbura rash papular, tsakiyar ɓangare na abin da bayan wani lokaci kula retracted. A wannan lokaci sun zama fari fat. Suna located mafi yawa a akwati da kuma wuyansa fata. A wannan mataki, da modified masana'anta ake ƙi, kuma a wuri na kansu, bude sores tare da baki yankin Flushing. A 'yan makonni da mãsu haƙuri yana da kaifi zafi a dama epigastric yankin, zazzabi, amai jini. Hare-hare na zafi faruwa bayan cin abinci. Kusan bayan kowane hari akwai profuse zawo. M zafi tare adynamia, asarar ƙarfi ne, kuma sha daga mãsu haƙuri. Marasa lafiya tasowa proteinemiya, hypotension, bilirubinemia. Jini hoto a waxannan cututtukan yawanci al'ada. Bayan bayyanar bayyanar cututtuka irin mutuwa na iya faruwa a cikin 'yan kwanaki. A lokacin autopsy saukar thrombosis na jijiyoyinmu da hanji necrosis na hanji ba tare da perforation.

Dego ta cuta - cutaneous na ciki ciwo, a cikin abin da likitoci kusan ko da yaushe ba wani matalauci hangen nesa. Rash a wannan cuta yawanci kunshi dama abubuwa wanda dole daban-daban cin saukarwa. Papules akwai game da wata, kuma wani tabo da aka kafa a kan 0.5 shekaru.

A histological bincike a cikin dermis na haƙuri an lura da manyan canje-canje a cikin jijiyoyin bugun gini tsarin. Saboda haka sau da yawa akwai jini clots, arterioles, endothelial, blockage na manyan da kananan tasoshin. A collagen nama a kusa ya shafa tasoshin da kuma su ganuwar suna lura foci na fibrinoid necrosis. A cikin kananan capillaries auku tromboendoteliit. A wuri na collagen atrophic rabo karfi da compacted kuma an rufe tare da Sikeli da epidermis aka thinned. A cikin karkara papular tsarin akwai dilated jini da aka kewaye da lymphohistiocytic infiltrate. Dego ta cutar na kama da girma tasoshin located zurfi a cikin dermis kuma subcutaneous nama. Wannan tsari tare da mahara infiltration da degeneration na hanji jini, fata da kuma sauran gabobin ne sosai kama da knotty panarteriit.

Ko da yake Dego ta cutar da m ci gaban yana da wani matalauci hangen nesa, akwai kuma lokuta da dogon tarihi cewa za a iya bi. A far da cutar ne da za'ayi tare da maganin rigakafi, jini, Corticosteroid, heparin, bitamin da kuma antihistamines. A cikin "m ciki" magani kusan ba ya ba da sakamako mai kyau.

Duk wani jijiyoyin bugun gini cuta, musamman a tsofaffi mutane, na iya samun sosai tsanani sakamakon. Atherosclerotic canje-canje wani lokacin shafi dukan jijiyoyin bugun gini tsarin. A raunuka na jijiyoyin zuciya da kuma carotid arteries, wata gabar jiki, jijiya restenosis shawarar wani aiki kamar jijiyoyin bugun gini stenting. Musamman nuna irin wannan hanya ne a babban hadarin da tsokar zuciya infarction, Sistem sakulasan cuta a cikin kwakwalwa, ƙeta na reshe aiki, trophic canje-canje.

Stenting contraindicated a kananan diamita arteries (kasa da 2.5 mm), yaxuwa stenosis (na manyan shafukan vasoconstriction), koda da kuma na numfashi insufficiency, pathologies a cikin jini coagulation tsarin, alerji zuwa aidin-dauke da formulations (amfani da X-ray bambanci halitta).

Kafin aiki, da za'ayi wannan bincike kwayoyin na haƙuri, duban dan tayi intravascular binciken, Doppler duban dan tayi, angiography, lissafta tomography, MRI, EEG, echocardiography, electrocardiography. Kafin aiki ne da za'ayi na antiplatelet far kwayoyi da rage hadarin thrombotic rikitarwa.

Operation na jijiyoyin bugun gini stenting aka yi a karkashin maganin sa barci, yi a cikin wata babbar jijiya wuri a kan kafa ko hannu. Domin ayyukan radial, femoral ko mammary jijiya za a iya amfani da su. Likita ya yi aikin huda na gefe jijiya bango da kuma shiga cikin shi da agảrả (tube ta hanyar abin da sauran kayan bushe aka saka).

Thin catheter ya sadar da wani stent ta hanyar balonchikom gefe tasoshin zuwa so jijiya. A fesa Can ne wani X-ray bambanci wakili. Yana aka mĩƙe da stent, wanda aka folded, da raga karfe tsarin da aka mike. A dukan aiki da aka nuna a allon. Kam na stent shi ne da za'ayi da alama a cikin jijiya da bango. A daidai wannan lokaci zai yiwu a kafa mahara stents. Sa'an nan da kayayyakin aikin da ake mika daga lumen da jirgin ruwa. The aiki yana game da awa daya. A haƙuri kusan ba ya ji zafi da rashin jin daɗi bayyana ne kawai a lokacin da inflating balonchika. Bayan tiyata, da mãsu haƙuri bar asibiti a cikin 'yan kwanaki. A wannan lokaci nada antiagregatnaya, antibacterial, anti-kumburi far.

Zai yiwu rikitarwa bayan tiyata: lalacewar jijiya ganuwar, hematoma samuwar a huda site, zubar da jini, clogging arteries, koda tabarbarewa, rashin lafiyan halayen, clotting yankin na stent.