Ileofemoralny Thrombosis: mea, lalau mai, symptoms, lapaʻau

I maʻi hiki ke olohelohe ia lakou i ka venous oihana o ke kanaka? No ke aha la keia o ka pilikia i, a pehea ka ia i hana? Mau a me nā nīnau mākou e pane i loko o ka keia pauku.

Overview

Ileofemoralny thrombosis - thrombosis ua hitting ka hohonu femoral a me iliac aa koko. Kēia maʻi ua anao? Aou i loko o ka kaʻawale palapala, e like me ka wehewehe aku ma ke kahe 'ano kaumaha a me ka hoonuiia pilikia o ka loa pulmonary embolism no ia.

Hiʻona o ka maʻi

Ileofemoralny thrombosis hiki hoʻomōhala ole wale i loko o nā mākua akā, i loko o nā keiki. Ma keia hihia, i kēia maʻi e maikaʻi, a me ka hana mea he holomua. I waena o nā mamo loa hoʻomōhala pulmonary embolism a retrombosis kaulana.

Like no kanaka makua nā mea maʻi, no ia mau mea, i ka maʻi hāpai me ia i ka nani loa complications. He nolaila, nui e hōʻike ia i ka manawa.

Ka papa kuhikuhiE symptoms

Thrombosis hoʻomohala i loko o ka femoral a iliac aa koko, pu ma symptoms e like me:

• eleele kiko huina o liʻiliʻi nui, i nā 'ōlelo ma ko lakou mau wawae, a mai i nalo ka wā i hopu ai;
• kuni;
• loa nani e hiki hana ma luna o nā laloʻaoʻao a ma luna o kekahi o ia mau mea;
• poni-ʻulaʻula paha bluish ili kala;
• ke kiʻekiʻe o intensifying eha i loko o ka lala a me na wawae, a groin (kekahi manawa).

Na hoailona o ka huʻi thrombosis. ke kahua me

Huʻi thrombosis ileofemoralny loaʻa paha kekahi mau kahua o ka hoʻonaʻauao o? Acaeoey. Ke kaumaha ma muli o ko lākou symptoms ke i kā lākou mau 'ano. E mākou noonoo ia i loko o aku au mamuli:

• Ke prodromal ke kahua. Ma keia kahua o ka maʻi i ka hoʻomanawanui i eha o ia wahi IIeEeAIEUAA. Ka mea, hiki ke ikeia ma ka lumbosacral aina, haʻahaʻa abdomen, e like me ia ma ka pio o ka lalo lala. Aching eha maʻi pale, a ua hoopaa hoi i ano. Nō hoʻi, i ka hoʻomanawanui i ka mai kuni.
• Kai hai lapaʻau symptoms. Ua Ua wehewehe aku ma ka Classic triad o ka hoike ana. Ma nā hua'ōlelo, ke hoʻomanawanui i ka wi nani, loli ma ka ili kala like 'ole, a me kaʻeha. Incidentally, i ka la mahope ua ikeia ma ka bipi keiki, a me ka groin anteromedial'ūhā. Ke ano o ka eha mea, pili a me ka eiei. Like no ka nani, ka mea hoʻopioʻana i ka mea a pau a kŰlń ao mai ka groin a hiki i ka wawae. I kekahi manawa, haanou ana ua ike ia ma ka gluteus maximus, a hui me ka pono o ke aupuni a me ka manao o ka naau ma ka lalo lala.

Mai ka edematous'aʻaʻa kulia ikaika puʻe ma luna o nā ipu koko, koko haunaele i, spasm a me nā wāwae hoʻomōhala huʻi ischemia, i hoike ma ka pahiʻeha, nele o ka pā lonoaʻili a me ka arterial pulsations.

I haiia ae maluna,, kekahi o na symptoms o ka maʻi ma ka ninau o ka loli ma ka ano o ka ili. Ka mea, i e haikea a cyanotic waihoʻoluʻu. White 'ia nā pōpō ia lŘlŘ ma muli o ke spasm pili arteries. Oia ka moku'āina ua pu ma ka loa eha. Waihoʻoluʻu uliuli a cyanotic ke kala ua ike i ka hihia i ka wa a ka iliac a femoral artery ua e hooko ana kona ala oihana, oa aneane loa i haki i ke outflow o ke koko ma luna o ia mau mea. He mea nui symptom mea i ka hoʻomanawanui hiki ke ike ma ka Hip haʻi kumu o subcutaneous aa koko.

Ma kekahi mau ileofemoralny thrombosis wehewehe aku kupono i mau ana o ka hoʻomanawanui. Naʻe, ka mea e me ka nui loa deteriorate i loko o ka ulu ana o ka huʻi maʻi. Kēia Hōʻike i ka hoʻomaka o ke koʻikoʻi complication.

kumu o ka

Ke venous nenoaiu o ke kanaka i hoʻokuleana i ka loli likeʻole. Pinepine, nā mea maʻi i hohonu aa koko thrombosis. Keia maʻi ia lŘlŘ ka manawa e 'ūlōlohi koko a me kona clotting kāna hana, e like me poho i ka venous paia.

Development ileofemoralnogo thrombosis hiki ana ma ke alo o kekahi ololi, a ina he mea mau. Poe akamai i paipai i ka kēia mau wahi ho omaka e hoʻonui ai i ka muli o kēia maʻi.

• ka eha;
• hooloihi ae i moe koena;
• DIC;
• maʻiʻaʻai me ka mea koʻohune me Kinohi;
• postpartum au;
• ? eaia o contraceptives;
• hāpai keiki;
• malignant a benign pelvic nuipa;
• aneurysm o ka iliac a me ka femoral arteries a me abdominal aorta;
• popliteal cyst;
• retroperitoneal fibrosis;
• iatrogenic poino i ka hohonu aa koko.

Ka loa, he pono ole, lalau mai

Loa pinepine ileofemoralny thrombosis o ka laloʻaoʻao, wehewehe aku ma stagnation o ke koko ma na aa koko, e hoʻomōhala ai i hāpai keiki. Nō hoʻi, i ka maʻi ke'ākoʻakoʻa ma muli o ke hoʻolōʻihiʻia immobilization a me ka insufficiency o venous kiwikā.

Kekahi mea nui ololi i loko o ka ulu ana o ka maʻi ma ka ninau o ka pathology o ke koko coagulation, me congenital a lilo thrombophilic moku'āina.

lapaʻau '

Pehea ua diagnosed thrombosis o ka laloʻaoʻao? Symptoms o ka maʻi hoʻohikiʻia he maopopo. Akā, ma waho aʻeo ia mawaho ninaninau o ka hoomanawanui, kauka pinepine, Kamuela i nā PalekanaEND_LINK ki ina hana like, a i hōʻike mai iā ia i loko o ka palapala o:

• kaʻimiʻana me ka fibrinogen;
• ʻelua papa kaʻimiʻana;
• radionuclide venography, a ua lawe mai i loko o ka hanana i ka hoʻomanawanui mea intolerant o radiopaque waiwai;
• e iho mai ana paha pii venography radiopaque.

lapaʻau

Ileofemoralny thrombosis E e hana i like na like me na ano o ka thrombosis. Ma ka hapanui o hoopii, lapaau o ka maʻi ua lawe mai i loko o ka haukapila kaiapuni. Ua Ua nānā 'ana i ka lawe ana i ka i kēia lāʻau:

• Anati-hoʻoʻino konohiki;
• antiplatelet konohiki;
• anticoagulants.

Inā iliac a femoral artery kahaha ole nui, a me ka maʻi i loko o ka kuʻina kakahiaka o? Acaeoey, no kona nohoʻana kāu kiʻina hana i ke hoʻohana 'e kōkua noho male' ana o ka thrombus.

Inā he mea i hoʻoweliweli 'o thromboembolism, ka mea, pilipu iho la kona Kāohiʻana. Kēia ke kaʻina hana no ua hana ka hoʻohana 'ana i ka ligation o ka femoral aa koko, vena cava Kānana mea hoʻonoho' ole plication emi iki mahope o vena cava.

Inā ke hoʻomanawanui i ka huʻi thrombosis ileofemoralny laila hana kona halihali ana i ka haukapila. Ma keia hihia, ke ahonui e ia i loko o ka prone kūlana. Ma mua o ka hōʻike,ʻo ia ke hāʻawi i ka moe koena, alaila, hana ultrasound a me ka venography.

I ka hanana i ka olelo no ka ninaninau ana i ka hoomanawanui ma kahi e, ma lalo o ka hooponopono ana o hoʻomalu ka mea, ua hoakaka ia anticoagulants, a e e ia no na la he umi.

E like me ka hoike o ka poe akamai, huʻi venous thrombosis E e hana comprehensively, hoʻohanaʻekolu pūʻulu o ka ai '.

• thrombolytics paha fibrinolytics;
• anticoagulants;
• Antiplatelet konohiki.

It E e kaulana i anticoagulant Inc ua ma muli o ka hana o ka kēia mau mea:

• haʻahaʻa hakakino kaumaha heparin ;
• unfractionated heparins;
• pentasaccharide fondaparinux.

Me ka hooulu ana o ka thrombolysis i pono i ka hana o ka streptokinase a urokinase, ua me ka nui loa, a mahuahua nui hoʻomanawanui make ma muli o ia ka hoomahuahua i loko o kahe ana ke koko. No laila, ua hoʻohana 'ia kēia hana wale nō i loko o loa hoopii, no kekahi laʻana, ina he ākea thrombosis ulu nui nei,' o ia hoʻi,ʻaʻole oi ma mua o ka pule aku nei.

Thrombolytic lapaʻau no ka thrombosis ileofemoralnogo? Ueo ua lawe mai ma hope hou, like e e waiho cava Kānana. O ke kumu ho i ka mea i keia Inc kōkua hoʻoneʻe koko clot i loko o ka pulmonary artery, a hiki e alakai ai i ka hooulu ana o thromboembolic hanana.

ʻoki lāʻau lapaʻau 'uao

I ka ileofemoralnom thrombosis hiki koho o keʻoki kino. Ua Ua lawelawe 'ia e nui na hoailona, ke kaumaha ma muli o ka pilikia o ka ulu pulmonary embolism.

Ua E hoi e kaulana i ua pinepine i lawe mai i ka hana ia he mea i ka hoʻoweliweli 'ana o venous gangrene a me ka propagation o ka pathological kaʻina hana i loko o ka emi vena cava.

Oe i ke wehe i hanaʻia i loko o ka hema iliac aa koko thrombus retrograde. Kēia ke kaʻina hana no ua lawe mai ma flebotomicheskoe puka, aʻo ia ma ka femoral aa koko. It E e kaulana ia ia he koho mea,ʻaʻole e mau ana e hiki, mai ka'ākau iliac Vienna hiki i ka nui puʻe.

E like me ka poe akamai, he hana e wehe i ke koko clot i loko o kekahi hihia hiki ole ke lawe mai ma adhesions 'ia i loko o ka aa koko, a ma ka alo o intravascular i pohā.

complications

Ka hanana o ka hoʻokō 'ole' ana i ke kauka, a pēlā hoʻi me ka hewa lapaʻau ileofemoralnogo thrombosis hoomanawanui e hoʻomōhala muli o kona kulana pilikia loa complication o pulmonary embolism. No ia mea, ka mea mea mea nui i ka ike i ka wā i nānā i kekahi symptom, e like me hoʻohuoiʻia o ka thrombosis, oe e ike koke nīnau i ka hoao ana i kauka.

maʻi Kāohi

I mea e pale aku i ka ona o ka maʻi ma ka ninau kāohi ana koi 'ia e malama i lalo, i mea nona ma ka hoʻomaikaʻiʻana i ka nohona ma ke ano o ke ahonui, a me konaʻoihana a pau i loko o pakahi.

Ua mea i ke ki i ka loa a me ka olakino ke ola o ka lōpū haʻawina a me ka pono no kou kino.

E loa pale ia i ka hooulu ana o thrombosis, ka hoʻomanawanui E e akahele ua hoʻonānā no lākouʻaoʻao o ke ola. He pono, e hoʻopau i ka hewaʻano a me ke kauka mau malama.

Ma ka hihia o ka venous'ōnaehana maʻi i mua ka hoomaka ana e ulu, e pono e like me nā mea a pau i ke kāohi ana i ka pahuna i pale hiki complications. Ma kēia kaʻina komo ai i ka piha hoʻopau o nā mea a pau kamepiula kumumea, lōpū hana 'ano, a me ka pono i koho anticoagulant a me antiplatelet Inc.

E like me ka poe akamai, thrombosis ileofemoralnoy palapala - keia mea hala loa he maʻi nui i mea hiki ke i nui poino i kanaka ola. Naʻe, ka mea e e hoʻomaopopo i ka maʻi mea treatable, a me ka wā e i ee aku i ka manawa. Na ka papa kuhikuhiE mea - hana i ka manao a me ka mai e haawi mai, a me ka hahai i nā koi o ka hoao ana i ka kauka.