Lerish's syndrome ndi chiyani?

Lerish's syndrome ndi matenda a dongosolo lokonzekera, limene pakati pa zovuta za mtundu uwu ndizofala kwambiri. Zili mu kugonjetsedwa kwa dera la aorto-iliac la thupi, chifukwa cha magazi omwe ali m'madera amtunda ndi miyendo imachepa.

Dzina limeneli linaperekedwa ndi F. Morel mu 1943, kumupereka kwa dokotala wa opaleshoni wa ku France Lerish, yemwe anafufuza mwakhama za matendawa.

Lerish's syndrome imayambitsa mavuto aakulu atatu, omwe madokotala amatcha "zizindikiro zitatu." Kwa odwala omwe akuphwanya magazi ku aorta, pali zizindikiro zomveka pakati, miyendo ya m'mapazi imatha.

Masiku ano, ziŵerengero sizikhoza kunena ndendende momwe matendawa amachitikira: si onse madokotala omwe amadziwa izo. Komabe, deta yosadziwika (makamaka, chiwerengero cha ntchito zobwezeretsa magazi mu aorta) chikusonyeza kuti ku United States kokha matendawa amakhudza anthu zikwi makumi anai pa chaka.

Matenda opatsirana a matendawa amakhazikitsidwa. Pazirombo 95, zimayambitsa kuthetsa matenda a atherosclerosis, 4% - mwa nonspecific aortoarteritis, mwa ena - ndi fibrous kapena muscular dysplasia ya mitsempha, aplasia kapena hypoplasia ya aorta, Kuchokera pamtundu, matenda ena a ma circulation.

Chifukwa chachikulu, chifukwa chomwe Lerish syndrome imakula - kutsekemera kwa magazi a aorta, kuthamanga kwa magazi komwe kumayima chifukwa cha chipika chophatikizidwa.

Anapezeka kuti amuna ndiwo omwe ali pachiopsezo kwambiri kwa matenda, makamaka patatha zaka 45. Choopsa chachikulu ndicho kusuta.

Kodi matendawa amakula bwanji?

Kudandaula kwakukulu ndikumva ululu m'milingo. Akatswiriwa adanena kuti ischemia ya m'munsi mwazimene zimayambitsa kusokonezeka kwa magazi kungakhale ndi magawo anayi a chitukuko:

• Matendawa atangoyamba kumene, kupweteka pamilingo kumachitika ndi kuyesetsa mwamphamvu kapena kwanthawi yaitali, mwachitsanzo, kuyenda kwa ma kilomita oposa.
• Gawo lachiŵiri limakhala ndi maonekedwe a ululu ngakhale pansi.
• Gawo lachitatu, zowawa zowawa zimadandaula odwala ngakhale pogona.
• Pachinayi pali matenda ena: zilonda zam'mimba, zilonda zam'mimba, necrosis.

Lerish syndrome, yomwe chithandizo chake pamapeto pake chimaphatikizapo kuchotsedwa kwa miyendo, nthawi zonse imakhala limodzi ndi ululu m'mapako, m'chiuno, m'chiuno, ndipo nthawi zambiri mumachubu ya ana. Chifukwa chake ndi chitukuko cha ischemia (osakwanira magazi) a mitsempha yaing'ono. Chomwe chimatchulidwa kuti chidziwitso chimakhala chowonjezereka, amachimake amachititsa kuti phokoso limakhudzidwe, komanso kuti msana umatuluka, ndipo umayambitsa msanga.

Kuwonjezera pa zizindikirozi, odwala amadziwa kuchepa kwa misomali, kupunduka ndi tsitsi lopweteka kwambiri, zimaoneka ngati zala zakuda kapena za buluu pamilingo. Popanda chithandizo, kutuluka kwa mtundu wa bluu kumatenda.

Kuti mudziwe matendawa, mawonekedwe a radiophysipathy angiography, akugwiritsa ntchito ultrasound dopplerography.

Kuchiza kwa matenda popanda opaleshoni, yomwe kawirikawiri imachitidwa mu magawo awiri, sikungatheke.