Vascular ndavhiyiwa repasi Mbabvu: zvairatidza, migumisiro

Vascular zvirwere zvinowanikwa vose vakadzi nevarume. Rakajairika zvirwere sei vanhu nepakati uye kukwegura. Ishoma chirwere aona vechiduku. Mune zvimwe zviitiko, zvirwere ava vachiberekwa. Hwokufananidzira nzvimbo yacho lesion ari vascular ino ndivo coronary, chepfungwa arteries, ari mutsinga ari mugaranhoko uye ezasi migumo. Zvisinei, kana systemic vasculitis muitiro unogona richiparadzirwa munyika muviri. Chimwe chezvinhu zvakafanana zvikonzero kurapwa kuti chiremba ari varicose mutsinga. zvokurwara Iri kazhinji nyaya vakadzi. The maitiro Zviratidzo ndiwo: tortuosity pamusoro mutsinga, avo uyewo, mumwe protrusion. Chimwe chirwere vascular runoonekwa kuva atherosclerosis. It inoenda tsinga arteries uye matambudziko ropa patency. In yepamusoro Muzviitiko, ndavhiyiwa repasi wamativi rinoitwa pa vose pathologies. Uyu kuvhiya oparesheni, kuburikidza icho anokwanisa chose kudzosera ropa riyerere.

Nechinangwa rinoitwa yokunzvenga midziyo makumbo?

A zvakafanira chiyero panguva zvirwere mutsinga uye arteries ari yokunzvenga repasi wamativi. Treatment pakutanga zvokukura kumwe nzira. Varwere vanenge atherosclerotic maronda, kushandisa mishonga lipid-richikwidibira (zvinodhaka "Atorvastatin" "Fenofibrate") zvokudya. With varicose mutsinga inokurudzirwa kupfeka inokosha kwakavharwa nenyama andapeni, sclerotherapy. Lower muzvidimbu midziyo yokunzvenga kusonanidzwa rinoitwa kwazvo mhingaidzo pamusoro lumen of tsinga kana tsinga, yakakwirira mukana thrombosis uye kukura neronda rinonyenga. nzira iyi ndiyo kuvhiya, zvinofanira kutakurirwa kunze chiremba-vascular chiremba. Ndavhiyiwa ndiye yaitsiva mudziyo panguva kudyara nzvimbo. Somugumisiro, ropa rive anomutswa, uye ngozi thrombosis ipfupi kwazvo. The shunt anogona kuitwa kuti chakaita zvokugadzirwa nezvinhu kana nyama murwere pachake. Kazhinji pedyo nemidziyo rezasi Mbabvu kushandiswa kudyara. Pakusarudza zvinhu kunoenderana dhayamita pakati njodzi tsinga kana tsinga, uyewo pamusoro zvechadenga zvokurwara.

Zvairatidza kuti ndavhiyiwa repasi wamativi

Ndavhiyiwa repasi wamativi rinoitwa ari nyanzvi kana chipatara kuvhiya dhipatimendi. Rinoreva yakaoma muitiro, saka kunofanira kuitwa chete pasi oma zvairatidza. Yokunzvenga nayo vanofanira kushandisa kana obturated anopfuura 50% of dhayamita arteries kana mutsinga. Usati wasarudza pane vavhiyiwa, vanachiremba akarayira kuchinja kurapwa. Kuvhiya rinoitwa pasina kubata mishonga. Pane zvinotevera zvairatidza kuti ndavhiyiwa repasi wamativi:

1. Atherosclerosis of arteries.
2. Ataurwa zvokurwara of venous hurongwa. Kazhinji varicose mutsinga uye thrombophlebitis kutyisidzira vaiita stenting kana angioplasty. With contraindications nokuti kurapa kwakadaro kuitwa yokunzvenga midziyo.
3. Endarteritis. Kana ichi chirwere anogumbura norudaviro pamwe mberi obliteration rwengarava duku. Zvishoma nezvishoma, tsinga iri zvachose occluded, zvichitungamirira neronda rinonyenga norutsoka. The chirwere zvikuru chinoremedza vanhurume.
4. Aneurysm repasi kumugumo arteries. Zvokurwara panguva ngozi yakakwirira panjodzi ropa, riri zvakaoma kurega.

Mune zvimwe zviitiko, akaita ndavhiyiwa repasi wamativi pamwe neronda rinonyenga pamusoro zvigunwe kana tsoka. The fungidziro wokuvhiya ichi hachisi nguva dzose zvakanaka, uye zvinoenderana nzvimbo necrosis uye munhu zvechadenga muviri. Mune zvimwe zviitiko, kuvhiya kunotungamirira nekupodzwa neronda rinonyenga kana zvinoderedza yacho lesion saizi.

Mune mamwe mamiriro ezvinhu, ndavhiyiwa iri contraindicated?

Pasinei efficacy pamusoro vascular ndavhiyiwa, zvinokosha kuyeuka kuti wakadaro kuvhiyiwa kunokosha chaizvo. Saka, zviri zviratidzo chete zviitiko apo mamwe marapiro havana kwakabatsira. Nokuita ndavhiyiwa ane nhamba contraindications. Pakati pavo:

1. chirwere mwoyo vane chirwere cheBP hainei pamwe antihypertensive zvinodhaka. Panyaya iyi, nokushanda pamidziyo zvinogona kukonzera cardiogenic kuvhunduka, myocardial infarction kana nevanga.
2. Decompensated mwoyo kukundikana, edematous chirwere aine kupfupika mweya uye nguva dzose.
3. Kusagadzikana angina.
4. Congestive mwoyo nokukundikana uye myocardial infarction.
5. Kutsemuka aneurysm, chepfungwa midziyo.
6. Paroxysmal cardiac arrhythmias.

Ndavhiyiwa repasi wamativi hazvigoni amakavaitira zvinotapuriranwa, maronda ganda, decompensation kuti cheshuga. Muzviitiko izvi, oparesheni rinoitwa mushure Kudzikamiswa murwere.

The nenyanzvi kusonanidzwa

tsinga ndavhiyiwa rinoitwa kakawanda. Izvi imhaka yokuti zvirwere izvi zvapararira. Uyewo, mamwe marapiro anokurudzirwa maronda ose mutsinga. Pakati pavo - chibharuma angioplasty uye stenting. Sezvo shunts kudzorera ropa riyerere vachishandisa saphenous tsinga pahudyu. Kana huru nzvimbo kukuvara kana murombo vascular ezvinhu akashandisa chakaita zvokugadzirwa anodyara. Kune nzira dzakawanda kushanda. Pakati pavo:

1. Bifemoralnoe aorto-ndavhiyiwa. Kuvhiya rinoitwa panguva ufanane muhudyu. Musimboti kuvhiyiwa kuti pave yokunzvenga anastomosis pakati abdominal yeropa uye femoral arteries.
2. Femoropopliteal ndavhiyiwa. Pokubatana anastomosis pakati maviri makuru arteries repasi richiripo. Shunt rinobva panguva pamagaro uye akapa kuna mujinga ibvi kwemajoini nharaunda (pamusoro kana pazasi pejoinhi).
3. Cross-ndavhiyiwa. Anastomosis akasungwa pakati maviri femoral arteries (kubva kurudyi gumbo kuruboshwe gumbo, kana vakutarisire).
4. Femorotibialnoe yokunzvenga. Vascular batanidza rinobatanidza femoral uye tibial tsinga.

Kugadzirira murwere nokuda vascular ndavhiyiwa

Kugadzirira shunting rinosanganisira nhevedzano chirwere maitirwo ezvinhu, uye kushandisa zvinodhaka. Pamberi oparesheni, unofanira kuenda kuburikidza sokuongorora kwomurabhoritari: KLA, OAM, ropa kemisitiri, coagulation. Uyewo akaita Doppler ropa midziyo repasi wamativi, ECG, EhoKS. Kuti adzivise thrombus inotungamirwa pakuvhiya, vhiki pamberi wake ushandiswe ropa thinners. Izvi zvinosanganisira mishonga "asipurini Cardio", "Magnikor". Also ushandiswe mishonga uye Anti-anogumbura zvinodhaka. The manheru asati avhiyiwa, unofanira kurega kutora mvura uye chikafu.

Chidobi of yokunzvenga repasi wamativi

Ndavhiyiwa repasi wamativi - kunzwisisa mashandiro, idzo yakakwirira nenhanho professionalism ari chiremba runodiwa. Bata rinoitwa pasi zvavo yokutindivadza. The ganda incision uye chaipo zvinyama akasungwa zviviri - kumusoro uye pazasi njodzi tsinga. Seari pasi mudziyo kudzivirira ropa okusungisa. Pashure Maonero of lesion incision akaita pamusoro mudziyo ndokuinama shunt neruoko rumwe. Zvadaro, vascular batanidza ndee pakati tsandanyama nemarunda. Saka shunt iri zvishoma nezvishoma zvokudya kusvikira nzvimbo rechipiri notch (pamusoro lesion) uye wakaiswa pamwe kuguma. Zvadaro, chiremba anoyera mamiriro ropa kuyerera. Panguva tsinga anotanga muriwo anobudirira oparesheni. Mune zvimwe zviitiko, akaita paku nzira bvunzo. The yokupedzisira pavaipfuura kuvhiyiwa ndiko suture rakadzika zvinyama uye ganda.

Sei post-kushanda nguva?

Zvakakosha inpatient pakuongorora murwere, uyo akavhiyiwa. Kunyanya kana iri kuchinja - ndavhiyiwa repasi wamativi. Postoperative nguva kana kubudirira kurapwa anenge 2 weeks. 7-10 Mazuva chiremba anobvisa vazvo. Nepo murwere ari muchipatara, unofanira kuita chirwere nzira kuongorora kubudirira kurapwa. Mukuwedzera, chiremba anofanira nechokwadi kuti hapana post-kushanda matambudziko. Nechekare mumazuva okutanga avhiyiwa Zvinokurudzirwa kuti netsoka dzayo. Muna agere chinzvimbo uye nhema Mbabvu repasi kuti ngadzirambe dziri yakakwirira ezvinhu.

Zvinotarisirwa ari kupora nguva

Mushure ndavhiyiwa repasi wamativi zvakafanira kuongorora mamiriro ropa kuyerera. Nokuti chinangwa ichi, murwere aifanira nguva nenguva rokuongorora (uye Doppler Ultrasound). Dzakamukurudzirawo:

1. Kusvuta.
2. Gamuchira zvinodhaka antiplatelet kudzivirira thrombosis.
3. Ramba uchiongorora uremu muviri. With kuwedzera BMI varayire lipid-richikwidibira zvokudya uye mishonga.
4. Ita kufamba daily.
5. Pfeka anokosha masokisi (masokisi) neshangu.

Ndavhiyiwa repasi wamativi: Murwere uchapupu

Reviews dzevarwere vakanga akavhiyiwa, kunyanya akanaka. Varwere yakashuma vasanyanye kurwadziwa, chiveve makumbo. Kunyange zvakadaro, mune zvimwe zviitiko, vanhu vakanyunyuta pamusoro kudzoka zviratidzo pashure pechinguva. Izvi imhaka pokukundwa ari pedyo arteries uye mutsinga. Zvinokosha kuyeuka kuti yokunzvenga haisi Mabatirwo atherosclerosis, uye mhaka vascular maronda regai kunyangarika pashure kuvhiyiwa. Saka, kudzivisa pave thrombosis uye neronda rinonyenga, zvakakosha kuti zvinoenderana matanho.

Ndavhiyiwa repasi wamativi: yematambudziko Kuvhiya

Matambudziko Kuvhiya zvinosanganisira paumbwe imwe ropa clot iri shunt, kuvandudzwa congestive mwoyo kukundikana, pulmonary embolism. The kupora nguva anogona chinoda kugadziriswa maronda majoini uye nekudeura ropa kubva kwaari. Pasinei nokuti oparesheni anoonekwa kuti zvakaoma uye kwenguva refu (maawa 3), matambudziko hadziwanzowaniki. The kakawanda pakukura anenge 2%.