Iliac jijiya: sifa da aiki

Iliac jijiya - daya daga cikin mafi girma a jikin kayayyakinsa. Suna guda biyu receptacles tsawon na 7 cm da diamita na 13 mm. Fara arteries located a yankin na 4th lumbar vertebra kuma shi ne, a ci gaba da ciki lakã (ta bifurcation). Ina da hadin gwiwa ne sacrum da iliac kasũsuwa, ashe, waɗannan kwanoni kasu kashi na waje da kuma na ciki iliac jijiyoyi.

Iliac jijiya kowa

Ya kamata a laterally kuma downward ga kananan kafafuwa. A cikin yankin na iliac-sacral hadin gwiwa na kowa iliac jijiya kasu ciki da waje jijiya daga cikin wannan sunan, kusa da hip da kafafuwa.

A. iliaca interna

Ciki iliac jijiya (2) Ciyarwa da gawawwakin da pelvic bango. Yana da dama a ciki da lumbar (babban) tsokoki. A sama na manyan bude na sciatic matattarã branched parietal da visceral jijiyoyi.

parietal rassan

• Lumbar-iliac reshe (3). Shi ne laterally kuma daga baya da lumbar manyan tsokoki, bada rassan da iliac tsoka da kashi na wannan sunan, kazalika da manyan square da lumbar tsokoki. Bugu da ƙari kuma, sun bayar da jini ne a kwakwalwa membranes da kuma kashin baya jijiyoyi.
• Kaikaice sacral jijiya (4). Ciyad da zurfin tsokoki na baya, sacrum, laka (jijiya tushen da kuma harsashi), coccyx da sacrum jijiya, da piriformis tsoka, da tsoka da cewa ta dage dubura.
• Jijiya obturator (6). Ya kamata ya zama a kan gaba bangarorin da kafafuwa. Rassan da jirgin ruwa su ne: pubic, gaban, raya arteries samar da fata na al'aura gabobin, da obturator da kuma haddasa cinya tsokoki, hip hadin gwiwa, cinya kashi (ta kai), da pubic symphysis, kashi iliac, bakin ciki tsefe, lumbar-iliac, square tsoka, obturator (external, ciki) tsoka da tsoka wanda kiwata dubura.
• Lower gluteal jijiya (7). Na pelvic ke ta Subpiriforme rami. Nourishes fata a gindi, hip, square, semimembranous, gluteus maximus, pear-dimbin yawa, semitendinosus, sakamakon (babban) tsokoki, twin (m, babba), da obturator (ciki, waje) tsokoki da biceps femoral tsoka (ta dogon kai).
• Upper gluteal arteries (5). Yana nadgrushevidnoe laterally kuma ta hanyar da rami kara da tsokoki da kuma fata na gluteal yankin a matsayin mai zurfi da kuma na waje rassan. Waɗannan kwanoni ciyad da kananan, matsakaici gluteal tsokoki, hip hadin gwiwa, fata na gindi.

visceral rassan

• Cibiyarki jijiya (13, 14). Yana gudanar tare da raya surface na ciki bango, tanã fita zuwa cibiya. A antenatal jirgin ruwa aiki da cikakken aiki. Bayan haihuwar da girma da ta zapustevaet da kuma zama cikin cibiyarki jijiya. Duk da haka, a kananan rabo daga jirgin ruwa da aka har yanzu aiki da kuma ba da babba vesical jijiya da kuma jijiya semyavyvodnogo bututu ciyar bango na karshen, kazalika da mafitsara da kuma mafitsara bango.
• Igiyar ciki jijiya. Ya kamata a tsakanin zanen gado na wani m igiyar ciki jijiya to ya zauna cikin mahaifa, da hanyar da giciye a ureter da kuma bada tube, ovarian da farji rassan. R.tubarius ciyarwa fallopian shambura, r. ovaricus ta cikin kauri daga cikin mesentery dace da kwai da kuma Forms wani anastomosis da ovarian jijiya rassan. RR. vaginales bi saukar da farji ganuwar (gefen).
• Rectal (talakawan) jijiya (9). Yana da su dubura (a kaikaice garun ta ampoules), ciyar da tsoka da cewa dage da dubura, da ureter, ƙananan da kuma tsakiyar rectal sassan, mata - farji, kuma a cikin maza - prostate da seminal vesicles.
• Cirrus (ciki) jijiya (10) - karshe reshe na ciki iliac jijiya. Bar jirgin ruwa tare da ƙananan gluteal arteries Subpiriforme ta hanyar rami skirting sciatic kashin baya sake ratsa cikin kananan kwari (zuwa rectal-ischial fossa) ta hanyar sciatic (kananan) rami. Wannan ya ba fossa jijiya proctal ƙananan jijiya (11) sa'an nan rassan cikin: dorsal jijiya na azzakari (shasshafa dan tsakar), perineal jijiya, urethral, zurfin clitoral jijiya (azzakari) jirgin ruwa samar da da kwan fitila na azzakari, kuma jijiyoyi samar da da kwan fitila na shirayin. Duk na sama arteries ciyad da ya dace hukumomi (ciki obturator tsoka, da ƙananan ɓangare na dubura, na waje al'aura gabobin, mafitsara, prostate bulbourethral, farji, perineal tsokoki da kuma fata).

A.Iliaca externa

External iliac jijiya fara a iliac-sacral hadin gwiwa da kuma sigar tsawo da na kowa iliac jijiya.

Yana ileal jijiya (alama da kibiya) zuwa ƙasa, kuma agara lumbar ciki surface na manyan tsokoki da inguinal jijiya ya wuce ta vasculature karkashin wanda lacuna tuba zuwa cinya jijiya. Branch cewa ya ba da waje iliac jijiya da kuma ya sanya ƙiba, da labia pubis, Kwalatai (Scrotum), iliac tsoka da ciki tsokoki.

External iliac jijiya rassan

• Lower epigastric jijiya (1). Yana juya daga tsakiya, sa'an nan har da rectus tsoka (da raya rabo). A jirgin ruwa yana kashe da dama rassan: da pubic jijiya cewa ciyarwar da periosteum da pubic kashi. cremasteric jijiya (rassan a yankin na inguinal zobe zurfi a cikin maza), da abinci membrane testicular spermatic igiyar da tsoka da cewa dage da kwai, ko jijiya igiyar ciki zagaye jijiya (a cikin mata), suna aika zuwa fata na al'aurar.
• Deep jijiya cewa encircles da iliac kashi (2). Yana fãra daga karkashin inguinal jijiya da kuma seduet m zuwa gaba layi daya da dagi da ilium, forming wani anastomosis tare da rassan daga lumbar-iliac jijiya. Deep jijiya ciyarwa garun (gaban) na ciki tsokoki da kuma ta bijiro da batun kafa: iliac, a kaikaice, Tailoring, QFontDatabase, kuma tanƙwara da fascia lata a kan cinyarsa.

Occlusion na iliac arteries

A Sanadin occlusion / stenosis na jijiya ne gaban data aortoarteritis, thromboangiitis obliterans, musculo-fibrous dysplasia, kuma atherosclerosis.

Abin da ya faru da wannan cuta yana sa nama hypoxia da kuma nama metabolism cuta da kuma, kamar yadda wani sakamako, ci gaban rayuwa acidosis da kuma na rayuwa jari na oxidized kayayyakin. Canza da kaddarorin platelets, ta ƙara jini danko da kuma saboda haka mahara thrombi kafa.

Akwai da dama iri occlusion (bisa ga etiology):

• Posttraumatic.
• Postembolic.
• Iatrogenic.
• Aortitis nonspecific.
• Mixed siffofin atherosclerosis, aortitis da arteritis.

A daidai da yanayi na lalacewar da iliac arteries saki:

• Kullum tsari.
• Stenosis.
• M thrombosis.

Wannan Pathology ne halin da dama syndromes:

• Ischemia na ƙananan wata gabar jiki (kafafu bayyanar sanyin cewa, intermittent claudication, numbness, gajiya da paresthesias).
• Rashin ƙarfi (ischemia gabobin a ƙashin ƙugu, Sistem sakulasan cuta daga cikin laka (ta ƙananan ƙungiyoyin)).

Occlusion far ne da za'ayi kamar yadda mazan jiya, ko m hanyoyin.

Conservative magani ne da nufin a optimizing jini clotting, kawar da zafi da spasm na jini. Don wannan karshen nada ganglioplegic, antispasmodics, da sauransu.

A hali mai tsanani claudication, zafi a sauran, nama necrosis, embolism amfani tiyata. A lokacin da wannan ne da za'ayi cire lalace rabo daga iliac arteries, tiyata don cire plaque, sympathectomy ko a hade da daban-daban dabaru.

Iliac jijiya aneurysm

Da farko asymptomatic, kuma kawai bayan da wani gagarumin karuwa fara bayyana kanta asibiti.

An aneurysm - wannan meshochkopodobnoe protrusion na jirgin ruwa bango, inda da elasticity daga kyallen takarda ne da yawa rage da kuma maye gurbinsu da connective nama growths.

aneurysm haddasawa iya sun hada da: atherosclerosis na iliac arteries, rauni, GB.

Wannan Pathology hadarin tasowa mai tsanani da rikitarwa - katsewa na aneurysm, wanda yana tare da m zub da jini, ragewan jini, zuciya kudi da kuma auka.

A hali na take hakkin jinin samar da hip thrombosis zai iya ci gaba a yankin na aneurysm, tibia da kafafuwa, wanda yana tare da ciwo mai tsanani da kuma dysuria.

Wannan Pathology da aka yi fama da duban dan tayi, CT ko MRI, angiography da Duplex scanning.