Chii chinonzi "Leriche urwere"?

Leriche chirwere - chirwere of arterial ino, riri pakati pathologies ino mhando ndicho. It iri lesion aorto-iliac muviri mugove, zvichiguma akaderedza zvinoshamisa ropa Kusasvika chiuno uye makumbo.

Zita iri chinorehwa F. Morel muna 1943, kutsaurira kuti chiremba French Leriche, vanoshingaira akaongorora zvakawanda zvive ichi.

Leriche chirwere kunotungamirira zvinetso zvikuru zvitatu kuti vanachiremba kuti "vanamwari vatatu vatatu zviratidzo." In varwere havachanyatsogoni kutsemuka ropa rive sokuti inoratidza claudication, haazombotaurwi kupomba panzvimbo dzapasi gumbo zvikamu, kusabetsera hwapedyo.

Nhasi, ari nhamba havagoni kutaura kuti chokwadi sei nevakawanda chirwere: iri panoonekwa, kwete vanachiremba vose. Zvisinei, nemamiriro ezvinhu uchapupu (chaizvoizvo, nhamba remapazi kudzorera ropa riyerere munzira yeropa) kutungamirira pakugumisa kuti US moga vanotambura nechirwere ichi kuti vanenge zviuru makumi mana vanhu pagore.

Chigaro etiology chirwere. Muna 95% of kacho kunokonzerwa vatsvaire atherosclerosis, 4% - nonspecific aortoarteritis, mune vamwe - kana tsandanyama fibrous dysplasia pakati arteries, aplasia kana hypoplasia yacho yeropa, postembolic occlusion, zvimwe zvirwere kweropa hurongwa.

Chikonzero chikuru nokuda iyo nezvechinhu Leriche chirwere - occlusion (blockage) of yeropa, anodzivira ropa riyerere nokuda kuvhara vayo Dombo.

It Vakawana kuti zvakawanda zvive muna yakawanda pachena varume, kunyanya pashure pemakore 45. Huru ngozi - kuputa.

Ko chirwere?

Huru zvichemo chakaita kuti marwadzo makumbo ake. Nyanzvi yakasimbiswa kuti pakakoromoka anokonzerwa ischemia repasi muzvidimbu ropa riyerere anogona 4 zvokukura budiriro:

• Kana hosha iri kuchangotanga, gumbo marwadzo kunoitika apo rinorema kana refu kurovedza muviri, akadai achifamba kure zvikuru kupfuura kiromita.
• Danho rechipiri kunoratidzwa nechitarisiko marwadzo kunyange panguva yakaderera zvinorema.
• In danho rechitatu kurwadziwa simba anetseka varwere, kunyange panguva yokuzorora.
• Mugore trophic rechina zvinetso ngapaonekwe; maronda, neronda rinonyenga, necrosis.

Leriche urwere, mabatiro iyo rokupedzisira Danho kunosanganisira kudimurwa, nguva dzose pamwe kurwadziwa munzvimbo yacho magaro, hudyu, muchiuno, uye kazhinji - munzvimbo nekunobuda netsvina nzvimbo vharuvhu. Chikonzero - kukura ischemia (kukwana ropa romugove), kuti pelvic uriri netsandanyama. Izvi zvinonzi inoratidza claudication inowedzera zvishoma nezvishoma, ischemia inobata haangogoni pelvic pauriri, asiwo musana, ndokusaka pane kukurumidza kukura uye kusabetsera.

Kuwedzera pamusoro apa zviratidzo Varwere kucherechedza zvishoma chaizvo kukura wezvipikiri, pane fragility uye kunyanya kwebvudzi pamusoro makumbo Tendeukirai vatema kana kuva rwebhuruu minwe. Kana untreated, inokudziridza rive rwebhuruu neronda rinonyenga.

Rokuongorora maperembudzi uchishandisa angiography, Doppler Ultrasound.

Pakurapa chirwere pasina kuvhiyiwa, iyo kazhinji kuitwa maitikiro maviri, riri va neudhadha.