Femoral jijiya: wani aneurysm da thrombosis. Thromboembolism femoral jijiya

Femoral jijiya ne babban jirgin ruwa wanda babban aiki - jinin samar wa dukan sassa na ƙananan extremities, daga hip da kafar da yatsun kafa. By nisa da tushe zone kafafu gina jiki da kuma jini ya kwarara tare da femoral jijiya branched daga capillaries da kuma kananan jini. Duk wani nau'i na cututtuka daga cikin lakã iya kai ga rashin lafiya na asali aiki na ƙananan extremities, na ciki da kuma pelvic sassa.

Inda shi ne

Wannan jijiya ne daga farkon waje iliac aortic bango tare da wani ciki cinyoyinsa, inda surface ne. Saboda haka, shi ne ake kira "hip". Yana wuce ta iliac da femoral pectinate fossa, popliteal lungu da kuma tashar. By wuri proleganiya wata gabar jiki sanya shi a kusa da waje al'aura da epigastric lakã, wanda Forms da femoral alwatika da kuma zurfin femoral jijiya.

Na waje femoral jijiya an dauke su isasshe manyan jirgin ruwa da ake amfani da su tabbatar da cewa jini daga cikin ƙananan extremities, waje genitalia da inguinal nodes. Its ilimin Halittar Jiki tsarin shi ne cikakken m ga dukan mutane, sai dai da bambance-bambance ne da dabara. Domin sanin daidai inda da femoral jijiya, shi wajibi ne, don su bincika shi a cikin saman makwancin gwaiwa - shi kara zahiri daga barinta ne. A wannan sashi da jirgin ruwa ne sosai kula inji raunin.

aneurysm

Irin wannan lakã, kazalika da sauran tasoshin, yiwuwa ga ailments da kuma samuwar anomalies. Daya daga cikin wadannan pathologies za a iya gano - da femoral jijiya aneurysm. Wannan anomaly an dauki daya daga cikin mafi kowa cututtuka na wannan jirgin ruwa. Yana nufin wani bulging aneurysm bawo jijiya Passageway a sakamakon thinning. Gani cutar za a iya gano a matsayin kumbura a cikin fašakarwar yankin na jirgin ruwa location. Shi ne mafi kyau a bayyane aneurysm a cikin makwancin gwaiwa na ko kasa da gwiwa, inda aka kafa a daya daga cikin matakai da jirgin ruwa - na lakã cinya.

Wannan anomaly, yawanci mafi samu da mata, kamar yadda a cikin maza ãyõyin femoral jijiya cuta lura da yawa kasa akai-akai. Akwai aneurysm da iyaka kuma yaxuwa.

Sanadin

Sources na nucleation na irin cututtuka suna da dalilai manyan zuwa thinning na ganuwar da jini, wato:

• hauhawar jini (hawan jini).
• kamuwa da cuta.
• effects na kwalta da nicotine a shan taba.
• kiba.
• rauni.
• ƙara ci daga cholesterol.
• tiyata (zub da jini za su iya faruwa daga femoral jijiya).
• hereditary factor.

Raunin da ya faru da kuma yadda ake gudanar da kullum koma zuwa wani da ake kira: "ƙarya" aneurysm. A wannan halin da ake ciki, da kumburi daga cikin jirgin ruwa, kamar yadda irin wannan, ba alama, da kuma cutar da aka bayyana pulsating hematoma kewaye da hada guda biyu tsoka.

shaida

Fara anomalies da haƙuri ba za a iya ji, musamman a lokacin da adadi kaɗan tsarin. Duk da haka, da karuwa da ƙari za a iya ji fašakarwar ƙafa zafi - shi qara da jiki aiki. Manuniya aneurysms ake ma shafi reshe spasms, mutuwa na nama, kazalika da busa wata gabar jiki. Similar bayyanar cututtuka suna hade da rashin jini wurare dabam dabam a cikin kafa.

bincikowa da

A ganewar asali da cutar, inda har ma da na kowa femoral jijiya, domin mafi yawan bangare aka yi amfani, da hanyar da za a iya lalace instrumental jarrabawa, duk da haka, an bada shawarar da dakin gwaje-gwaje ganewar asali a wasu yanayi. By instrumental kanikancin hada: duban dan tayi, angiography, MRI da CT scans. A dakin gwaje-gwaje: kuma biochemical fitsari da kuma jini gwaje-gwaje. Bugu da kari ga wadannan karatu bukatar kara jarrabawa na jijiyoyin bugun gini likita.

far

Ya zuwa yanzu, kawai magani ne tiyata aneurysm. Dangane da wahala daga cikin Pathology kuma zai yiwu rikitarwa a lokacin tiyata iya amfani da ɗaya daga cikin waɗannan hanyoyi: a jirgin ruwa kewaye, prosthesis. Akwai har yanzu da yiwuwar amfani da hanyar na stenting, wanda aka dauke a haƙuri da taimako, A cikin hali na musamman hadaddun anomalies kawo tsanani nama necrosis, na bukatar yanki na kafa.

effects

Quite wanda ba safai ba ne wahala ne bayyanar thrombus a cikin jirgin ruwa, saboda wanda zai iya karba a femoral jijiya thromboembolism. Bugu da kari, da ya faru na jini clots sa su shiga cikin kwakwalwa tasoshin, wanda zai haifar da su clogging, kuma baya da shi za kawai kai ga wani deterioration a cikin haƙuri. Aneurysm ruptures faruwa infrequently, a mafi yawan lokuta akwai embolism ko gangrene na ƙafa.

Idan lokacin da za a yi a ganewar asali, da ci gaban anomalies za a iya hana, duk da haka, halin da ake ciki Gudun alama da m sakamakon a cikin hanyar wata kafa yanki ko ma mutuwa daga mãsu haƙuri. Saboda haka, ko idan qananan da ake zargi Pathology, shi wajibi ne auku dole bincikowa.

thrombosis

Wannan cuta (wanda kuma ake kira thromboembolism) ne quite sau da yawa alama ta wani anomaly. Lokacin da inconspicuous thrombosis (blockage) matattarã barbashi hematoma, mai embolism, kuma atherosclerotic plaque marasa lafiya da farko ba ya lura canje-canje. Kuma kawai tare da wani gwaji plugging da jirgin ruwa gani bayyanar cututtuka da wannan cuta. Lokacin da m occlusion da jirgin ruwa da haƙuri nan da nan ji tabarbarewar, wanda zai iya sai kai ga nama necrosis, yanki na kafafu ko mutuwa.

asibiti scores

Thromboembolism inda jijiya (cinya) suna da muhimmanci katange, halin da hankali karuwa a zafi a cikin kafa - wannan za a iya gani musamman a lokacin da tafiya ko daban-daban jiki ayyuka. Wannan yanayin da ake dangantawa da wani m karu a jirgin ruwa, kazalika da rage a cikin jini wadata da kafafu, asarar ta tsoka taro. A lokaci guda, don inganta jini wurare dabam dabam ya fara bayyana tabbaci jirgin ruwa. Yawanci wannan ya faru a kasa da yankin inda akwai wani jini gudan jini kanta.

A wani binciken da kafar pallor na ta fata, wani karu a zazzabi (shi ji sanyi). Ji na ƙwarai daga shafa sashi na jikin inda ya ta'allaka jijiya (femoral) rage-rage. Dangane da samuwar jijiyoyin bugun gini munanan ko pulsing iya discreetly a ji ko ba ji.

bincikowa da

An za'ayi da yin amfani da instrumental hanyoyin. A saboda wannan dalili rheography da oscilloscope. Duk da haka, mafi m Hanyar diagnosing kayan aiki, wanda ya sa ya yiwu a fili ayyana wurin location da wani jini gudan jini, da kuma mataki na occlusion da jirgin ruwa, gani arteriography. Game da irin wannan wani binciken da aka ba a lokacin da gano a lokacin dubawa na irin cututtuka: flushed ko kodadde fata kafafu, ta rashin ji na ƙwarai, zafi a cikin tsawon kwantar da hankula. Har ila yau shawarar ziyara a wani jijiyoyin bugun gini mai fiɗa, wanda zai shawarci game da abin da yake cikin femoral jijiya, da kuma abin da sakamakon thrombosis za a iya sa ran.

magani

The thromboembolic far amfani da kwayoyi, da kuma aiki da aka yi. Lokacin da magani nada anticoagulants da thrombolytic jamiái da antispastic mataki. Lokacin da m hanyoyin amfani angioplasty, embolectomy da thrombectomy.

Occlusion na femoral jijiya

Strong occluded arteries ne jini zagayawa kaifi distal ɓangare na jijiya ta thrombus ko embolus. Yanayin an dauki hadarin gaske musamman. A sakamakon occlusion a aortas na halitta jini ya kwarara da aka gaji da damuwa, wadda take kaiwa zuwa ƙarin samuwar clots. A tsari na iya hada collaterals, da thrombus iya yada har zuwa venous tsarin. Da yanayin ne reversible for 3-6 hours daga lokacin da ya faru. A karshen wannan lokaci, zurfin ischemia take kaiwa zuwa kara irreparable necrotic canje-canje.