Dego ka maʻi. vascular stenting

Dego ka maʻi - he pohihihi keia maʻi i hoʻomaka me ka ili symptoms a pinepine aku i ona me ka helehelena o ka "huʻi abdomen". Ua hoʻomaka me ke ano ma ka ili o recurrent malamalama a pink. iki pehu lapuwale ia papular, kikowaena hapa o a ma hope o ka manawa noticeably retracted. I keia manawa ka mea, e keʻokeʻo. Ka mea, i aia ka hapanui ma ke kumu a me ka'ā'ī ili. Ma keia kahua, ua hoomalau ka Hoʻololi 'lole, a ma ko lakou wahi, e wehe ae na mai hehe me ka Park flushing. A mau pule ma hope o ka hoʻomanawanui i kaʻoi kaʻeha ma ka akau epigastric aina, ke kuni, ka luaʻi koko. Ino o ka eha ana ma hope o kaʻaiʻana. Ua aneane ma hope o nā kaua, he mea profuse diarrhea. Paakiki eha pu adynamia, poho o ka ikaika a me ka exhaustion o ka hoʻomanawanui. E hoomanawanui i ka ulu 'proteinemiya, hypotension, bilirubinemia. Koko kiʻi i loohia i IeAUPIIe, IAa IO maʻamau. Ma hope iho o ka helehelena o symptoms ia make e hana ana i loko o kekahi mau lā. Iloko o ka autopsy hoike thrombosis o na aa koko a me intestinal necrosis o ka naʻau liʻiliʻi me perforation.

Dego ka maʻi - cutaneous abdominal maʻi pale, ma i kauka aneane mau haawi i ka poe ilihune prognosis. Poʻe noʻonoʻoʻole i kēia maʻi ana iloko o kekahi mau oihana mua a i okoa ulu kahua o ka hoʻonaʻauao. Papules laila e pili ana i ka mahina, a me ka me ka makaʻu no ua hanaʻia ma luna o ka 0.5 makahiki.

At histological noiʻi i loko o nā dermis o ka hoʻomanawanui i kaulana nui loli ma ka vascular nenoaiu. No laila, pinepine loaʻa i ke koko clots, arterioles, endothelial, blockage o ka nui a me ka uuku o na moku. Ke collagen'aʻaʻa a puni na moku e pili mai a me kā lākou mau pā i malama foci o fibrinoid necrosis. Ma ka capillaries uuku ia lŘlŘ tromboendoteliit. I wahi o collagen atrophic'āpana ikaika kana olelo hoopomaikai, a ua uhiʻia me ka unahi, a me nā epidermis ua thinned. Ma ke anapuni papular me ka ho okumu loaʻa nō dilated ipu koko i ua hoopuniia e lymphohistiocytic infiltrate. Dego ka maʻi ka hopuʻia, a nui na moku ke aupuni 'hohonu i loko o na dermis a me subcutaneous'aʻaʻa. Kēia kaʻina hana me ka mau infiltration a me degeneration o na ipu intestinal koko,ʻili, a me nā loko ka mea i like loa ke knotty panarteriit.

ʻOiai Dego ka maʻi me ka huʻi kūpono 'ana mai i ka poe ilihune prognosis, eia kekahi hihia me ka lōʻihi moolelo e hiki ke hana. Ke Inc o ka maʻi ua lawe mai me antibiotics, koko transfusion, corticosteroid, heparin, nā wikamina a me antihistamines. Ma ka "huʻi abdomen" lapaʻauʻaneʻane, aole e haawi maikaʻi hopena.

Kekahi vascular maʻi, pakahi aku la ia i ka poʻeʻelemākule kanaka, ke i ka hopena mea nui. Atherosclerotic loli i kekahi manawa pili ka holoʻokoʻa vascular nenoaiu. Ma lesions o coronary a me ka carotid arteries, mau lala, arterial restenosis paipai i ka hana e like me vascular stenting. No hōʻike e like me ke kaʻina hana nei ma kiʻekiʻe kamepiula o myocardial infarction, circulatory kāna hana i loko o ka lolo,ʻaihue o ka lala hana, trophic hou.

Stenting contraindicated i ka poe liilii, anawaena arteries (emi o 2,5 mm), eiei? Stenosis (no ka nui kahua vasoconstriction), ʻaʻa puʻuwai a me ka ÷ naehana hanu insufficiency, pathologies i loko o ke koko coagulation'ōnaehana, allergy i ka iodine-i loaʻa ka mea haʻilula keimikala (hoʻohana 'ia ma ka X-Ray Akä naÿe hoʻomanaʻo).

Mamua o ka hana, lawe mai i kēia noiʻi meaola o ka hoomanawanui, ultrasound intravascular study, Doppler ultrasound, angiography, Me tomography, MRI, EEG, echocardiography, electrocardiography. Ma mua o ka hana ua lawe mai o antiplatelet Inc ai 'e emi ai ka pilikia o thrombotic complications.

Hana o vascular stenting ua hana ma lalo o kaiakū anesthesia, hana i loko o ka nui artery wahi ma luna o ka uha mua a me ka lima. No ka hana kahahānai, femoral a mammary artery hiki ke hoʻohana. Ke surgeon hanaʻia punctureʻike ākea artery paia, a komo i loko o ia i ka wahi (Tube ma i nā mea hana i hookomoia).

Lahilahi catheter e haawi i ka stent ma balonchikomʻike ākea moku i ka makemake artery. Kaʻehu Hiki mea he X-Ray Akä naÿe hope paha. Ua Ua'ō a me ka stent, i pelupelu ia, i ka hei metala 'ole ua straightened. Ka mea a pau ana i ka lewa ma luna o ka pale. Fixation o stent ka mea, ua lawe mai ka manaʻo i loko o ka artery paia. I ka Ia manawa hiki e onoaiiaea mau stents. A laila, i ka hana ua o ia mai mai ka lumen mai o ka moku. Ke hana mau e pili ana i ka hora. Ke hoomanawanui kokoke 'aʻole i haha aku i ka eha a me ka discomfortʻikeʻia ma ka manawa o ka inflating balonchika wale. Ma hope oʻoki kino, i ka hoʻomanawanui haʻalele i ka haukapila i kekahi mau lā. I keia manawa i'ōleloʻia ai antiagregatnaya, antibacterial, Anati-hoʻoʻino Inc.

Hiki complications ma hopeʻoki kino: pohō i ka artery paia, hematoma ho okumu ma ka puncture paena, kahe ana ke koko, puka liiiU arteries,ʻaʻa puʻuwai dysfunction, allergic reactions, clotting māhele o ka stent.