Yeropa - yeropa pamusoro mwoyo .... kutsemuka chisimbiso

Yeropa ndiro rakakura kupfuura mamwe ose mudziyo wemunhu. Kuti tibvunze kuti zvikuru nhamba arteries kuti kupa ropa kuti muviri, kuunza mumwe nhengo zvinovaka muviri zvakakwana uye oxygen.

Ndezvipi yeropa?

Izvi chikuru chikuru mudziyo kuti ane zviri mumuviri womunhu. Mune chiitiko chero mhando aiva pathologies chokuita yeropa, munhu upenyu pangozi dzakakomba.

Zvinokosha kucherechedza kuti yeropa - mudziyo unpaired. Kudzidza kwake ano anopiwa zvakakwana kutarisirwa. Izvi imhaka yokuti iye ane rakakura kukosha, mune chokwadi chiri chenguva uye mutoro guru chaizvo.

migove yeropa

Sezvatamboona, ngarava ndiye kupfuura ari mumuviri womunhu. Hazvishamisi kuti vanachiremba asarudza yakapatsanurwa kuva zvikamu. Somugumisiro yeropa mumoyo rakakamurwa muzvikamu huru 3:

• kumusoro;
• kutsemuka Arch;
• nekuburuka.

On the nechokumusoro kwerwizi chikamu

Pokutangira makurusa mudziyo munhu anogona kunzi kutsemuka vharafu. It Haabvumiri ropa kubva mumwoyo, musana, nokudaro kutyora hemodynamics. Akwira yeropa rakanyatsojeka pfupi uye anopa duku kufarira.

Pamusoro kutsemuka chematenga

Inofamba kumusoro muDhipatimendi kwaari. Uyewo kutsemuka chematenga hakusi kuguma mudziyo guru. Chokwadi kuti zvinopinda kworuoko wedhipatimendi ake. Kutsemuka Arch ari kutendeuka upwardly convex chikamu mudziyo. Yose dhipatimendi ichi kubva huru hunde yacho 3 zvikuru arteries abve. Tiri kutaura pamusoro brachiocephalic hunde, akasiya vakaderera carotid uye rworuboshwe subclavian arteries. Mune ramangwana, brachiocephalic hunde , akavapindurawo, rakakamurwa 2 mudziyo guru - zvakanaka vanhuwo carotid uye kodzero subclavian tsinga. Zviri nemhaka kutsemuka chematenga ropa rive rinoitwa rokumusoro muviri.

Descending yeropa

Inoitwa huru zvikamu zviviri - the thoracal uye lumbar. Wokutanga rinotanga pakarepo mushure kutsemuka chematenga. Kazhinji panguva nzvimbo iyi inokosha chaizvo zvazvinoita. Izvi imhaka rwakawanda ropa riyerere kuitika mushure nepamahofisi vachikwira mugove uye kutsemuka chematenga.

Chikamu ichi inotanga kubva pamwero 3-4 thoracal vertebrae. Gare gare chobudira kuti ufanane 4th lumbar vertebra, umo rikaitika bifurcation rwerudyi nekuruboshwe zvakajairika iliac arteries kuti vane basa ropa wedzerai vose yakaderera migumo.

At ufanane bifurcation yacho yeropa achizviparadzanisa uye mumwe mudziyo kuti pamutemo aiona zvakananga kuenderera. Zviri pamusoro evaMedhia sacral tsinga. Nepano ari Anterior pechiso sacrum.

kutsemuka Meaning

Kukosha kupfuura ari munhu mutumbi mudziyo rakaoma kuona. Chokwadi kuti ndiye hwaro pamusoro systemic riparadzirwe. Zviri kuonga kwaari akaita ropa rive zvomukati zvose uye nyama.

The zvokurwara of kutsemuka

Pari vose guru mudziyo chirwere vanokamurwa muzvikwata zvikuru zviviri:

• vachiberekwa;
• yakatengwa.

Pasinei etiology pakati kutsemuka zvirwere, dzinomirira zvikuru ngozi kuupenyu hwomunhu.

vachiberekwa zvirwere

All zvirwere izvi kune ngozi chaizvo uye kazhinji kacho zvinoda kuvhiyiwa. Pakati zvirwere zvikuru zvinofanira kucherechedzwa koortatsiyu yeropa uye Marfan kuti syndrome.

Koortatsiya yeropa iri vachiberekwa chirwere ngozi chaizvo. Zvinogona fungira nokuda gogonera kukura okumusoro nehafu muviri. Kuri kuti munhu ane koortatsiya yeropa, tsandanyama vaikudzwa nemakumbo kuva anowanzoita, uye nechepasi pane chirwere. Panyaya iyi, murwere anganyunyuta utera uye kurwadziwa dzakaderera kuviri, kunyanya pashure muviri.

Kana Marfan urwere, chinokonzera rufu chirwere ichi rinonyanya zvakafanana zvokurwara yacho yeropa. Kakawanda iri Kuparadzana rusvingo makurusa mudziyo mumuviri. Mikana chirwere ichi anokonzerwa ndechokuti pamadziro yeropa iri Marfan chirwere simba uye angakudzivisai ndoda kushushikana pane chaiye ezvinhu.

vawana zvokurwara

Yeropa - inokosha zvikuru uye kazhinji kukwana sei muviri dhipatimendi. Rakajairika nezvinetso yeropa, muka kwete somugumisiro fetus, uye muitiro roupenyu, muri zvose zvemarudzi aneurysm uye atsamwira.

Kana pakakoromoka parusvingo yeropa, zvichida kupfuura ngozi mamiriro ari mushonga. Kakawanda, vanhu vakambova zvokurwara akafanana vanokundikana kuponesa. Chokwadi ndechokuti pakaputsika makurusa mudziyo mumuviri achabatsirwa zvakakura kubuda ropa. Somugumisiro, vanhu vanoda kukurumidzirwa kuvhiya kurapwa. Small mukana rokuponesa murwere zvokurwara ichi inowanika chete kana watova yezvokurapa Zvivako, uye yakanaka - iri profile.

The inonyanya kukonzera kutsemuka atsamwira kunokosha rutapudzo iri elasticity rusvingo rwaro, iyo musi pakanyorwa deposits calcium munyu pamusoro payo.

Chimwe zvokurwara zvakakomba pakati kutsemuka aneurysm zviri. Pakati pezvimwe zvinhu, asiwo kungaita kuti atsamwira ngarava rusvingo. Musimboti chinhu aneurysm ndechokuti kuramba kumanikidzwa ropa kuyerera mumwe zvikamu yeropa anogona kuwedzera bhegi. Kakawanda, zvokurwara ichi chinoitika apo ngarava Rusvingo kanenge zvishoma simba. Yekushandisa localization kuchinja izvi ndiwo kutsemuka chematenga wayo abdominal chikamu. Panyaya iyi, chisimbiso yeropa kazhinji asingadi unooneka akaora chero nzira. Kuwedzera ngozi atsamwira ari mudziyo masvingo, munowedzera nengozi uye mikana rokuumba ropa. Kana achiumbwa uye otanga sangano racho muropa, zvinogona kutungamirira zvikuru taisireva nokuda kwevanhu venyama.

Kuongorora chirwere kutsemuka zvirwere

Pari zvino pane nzira dzakawanda chirwere, kukanganisa remasangano aivapo midziyo muvanhu. Huru pakati pavo vari:

• Echocardiography (transthoracic uye transesophageal);
• rinobva resonance kuri;
• Angiography.

Echocardiography ndiye nyore dzokudzidzisa pamusoro apa. Chaizvoizvo Its iri kushandisa chirwere midziyo iyo inongorira uye anogamuchira ultrasonic mafungu otraschonnye. Zvinowanzoshandiswa yokutsvakurudza transthoracic unyanzvi. In Switch ichi, wezvakakora gel chaiyo Uchibviswa pachipfuva murwere. Transesophageal kudzidza ndiko nzira zvikuru kunzwisisa uye rinoshandiswa ndoda kakawanda.

Magnetic resonance kuri chinhu ano uye anodzidzisa chaizvo, asi zvinodhura zvikuru nzira diagnosing kutsemuka zvokurwara. Pamusana kwaari, Anokwanisa kuona mumwe yeropa akasiyana pamakona. Izvi zvinoita kuti opareta kuona kuvapo kunyange kuchinja duku iri mumudziyo parusvingo, kusanganisira kwakajairika chisimbiso yeropa.

Angiography racho anodzidzisa chaizvo nzira kutsvakurudza. Muchiitiko chino, kushandiswa kwayo kwakabatana zvimwe nengozi. Chokwadi kuti musimboti nzira ine pakusuma kupinda mudziyo lumen radiopaque zvokunwa. dzimwe nguva anoita muviri womunhu siyana inokuvadza inogona kusvika chakakura chaizvo okuti. Saka yeropa - iyi yakati chinangwa pakudzidza zvakaoma. Nzira iyi inobvumira kuti vafungidzire ropa riyerere kuburikidza nhumbi. Somugumisiro chiremba kuitisa chidzidzo achaona ose zvikamu yeropa, nzvimbo marwadzo avo uye kuwedzera, uyewo mamwe abnormalities.