Kuyini "Leriche syndrome"?

Leriche syndrome - isifo kohlelo lwemithambo, okuyinto phakathi pathologies yalolu hlobo yisona esikhulunywa abantu abaningi. Ihlala e lesion aorto-iliac umzimba ingxenye, okuholela sanciphisa kangcono kwegazi ukhalo nasemilenzeni.

Leli gama esikiselwa F. Morel ngo-1943, belinikezela udokotela ohlinzayo French Leriche, ababehlanganyela ngenkuthalo ucwaningo kulo umkhuhlane.

Leriche syndrome kuholela iziyaluyalu ezinkulu ezintathu ukuthi odokotela ukubiza "uziqu-zintathu izimpawu." In iziguli nge kahle yomthambo i-aorta liningi igazi livela claudication ngakanye, ubalekela ishayela ephansi umlenze izigaba, ubuthakathaka eba.

Namuhla, izibalo azikwazi ngokuqiniseka ukuthi kwande sifo: ke sitholakale, akubona bonke odokotela. Nokho, ubufakazi bezimo (ngokukhethekile, inani imisebenzi ukubuyisela igazi flow le-aorta) ziholela esiphethweni ukuthi e-US kuphela yilesi sifo kubantu obakhathalelayo ngamashumi amane amawaka, ngonyaka.

Umi etiology lesi sifo. Ngo-95% of the izimo kubangelwa abhubhisa isifo sokuqina kwemithambo yegazi, 4% - aortoarteritis nonspecific, kwabanye - noma kwemisipha dysplasia fibrous lemithambo aplasia noma hypoplasia le-aorta, occlusion postembolic, ezinye izifo sokuhamba kwegazi.

Isizathu esiyinhloko ngenxa okuyinto eba Leriche syndrome - occlusion (ukuvaleka) le-aorta, okuyinto eyeka ukugeleza kwegazi ngenxa yokuvalwa koqweqwe yayo.

Kwatholakala ukuthi umkhuhlane ezingxenyeni eziningi amadoda obala, ikakhulukazi emva kweminyaka 45. The main eyingozi - ukubhema.

iyona isifo kanjani?

Izikhalazo main zaba ubuhlungu emilenzeni yakhe. Ochwepheshe batholé ukuthi ukwephulwa kubangelwa ischemia we ephansi esitho ukugeleza kwegazi ungaba 4 izigaba yentuthuko:

• Lapho lesi sifo isakhasa, ubuhlungu umlenze kwenzeka uma umsebenzi esindayo noma isikhathi eside somzimba, njengokushaya uhamba ibanga elikhulu ngaphandle ikhilomitha.
• Isigaba sesibili libhekene ukubukeka ubuhlungu ngisho at imithwalo ongaphakeme.
• In the isinyathelo sesithathu buhlungu eqinile siyabhubha iziguli, ngisho uphumule.
• Ekhulwini lesine iziyaluyalu trophic avele: izilonda, esibhibhayo, necrosis.

Leriche syndrome, ekwelapheni lapho esigabeni sokugcina kuhilela umlenze, ngaso sonke isikhathi sihambisana nobuhlungu obukhulu endaweni izibunu, okhalweni, okhalweni, futhi ngokuvamile - endaweni anal of valve. Isizathu - ukuthuthukiswa ischemia (enganele liningi igazi), imisipha esitezi okhalo. Lokhu okuthiwa ngakanye claudication inyuka kancane kancane, ischemia asithinti nje kuphela floor kwezitho zangasese, kodwa futhi emgogodleni, yingakho kukhona esithuthuka ngokushesha nokuvusa induku.

Ngaphezu izimpawu ngenhla iziguli uqaphele ukukhula kancane kakhulu izinzipho, kukhona fragility nokulahlekelwa ngokweqile izinwele on the imilenze jikela omnyama noma babe iminwe okwesibhakabhaka. Uma ungatholi ukwelashwa, sibangelwa ibe esibhibhayo okwesibhakabhaka.

Ukuxilonga izifo usebenzisa angiography, Doppler ultrasound.

Ukwelashwa lesi sifo ngaphandle kokuhlinzwa, ngokuvamile eyenziwa ngezigaba ezimbili, zinokungaqeqesheki.