Kurwadziwa mupambare - chinokosha muzvidimbu kweropa nyonganyonga chiratidzo

Kweropa Zvirwere kazhinji pamwe nechitarisiko marwadzo. Chokutanga, richiwanika muzviitiko apo kusimukira ischemia nokuda kutyorwa pabazi tsandanyama wokufambisa ropa, riri kunyanya kuoneka kana achifamba, tsandanyama basa. Kurwadziwa yepazasi gumbo riparadzirwe akaratidza kutyorwa kuitika munguva kuzorora. Marwadzo yokuvamba kana kuipa apo tichifamba, dzainzi inoratidza claudication.

Intermittent claudication - chikuru chiratidzo peripheral kweropa zvirwere. Panguva kufamba pane kurwadziwa gumbo. The marwadzo rinowanika panguva dzakasiyana nguva zvikamu, nguva iyo kunoenderana kwokuomerwa chirwere. Kurwadziwa yepazasi gumbo rinowanzoshandiswa kureva yose yakaderera muzvidimbu kusanganisira hudyu uye netsoka.

Kurwadziwa yepazasi gumbo kana achifamba pamwe zvisingafadzi nezvekufadza pakati tingling ari tsandanyama, kurukutika, chiveve ari makumbo. Marwadzo kazhinji kwazvo kuti murwere panguva kufamba anomanikidzwa kurega. Rest kunotungamirira pfupi kumira marwadzo. Zvakare, murwere anotanga kufamba, marwadzo Tinoenderera mberi. marwadzo yakawedzera kunokonzera chando. Kusvika pamwero wakati, kwokuomerwa chirwere unogona chete kuongororwa maererano kuti pane marwadzo kuburikidza matanho akawanda. Kazhinji kurwisa wokutanga marwadzo atanga kufamba ikoko kwokutanga pane pashure mberi kwayo kuvandudzwa. Naizvozvo, murwere zvishoma nezvishoma anobvamburwa kushandiswa kuti chipimo chemushonga achifamba.

In Muzviitiko zvakaipisisa, kurwadziwa panzvimbo dzapasi gumbo hahungoshandi zororo, ari cramping zvakasikwa, zviri zvikuru kwazvo uye kurwadza kunyanya kana akarara pasi. Pi akashatirwa mukuru ezvinhu omurwere, anovandudza kushaya hope. marwadzo aya kuitika kazhinji zvichikonzerwa zvikuru zvinyama ischemia kuitika trophic maronda uye neronda rinonyenga. Muzviitiko zvakadaro, marwadzo ari yepazasi gumbo riri zvachose, iri yakakura pakupisa uye shoma sveshivanii rutsoka pasi. Treatment kune neronda rinonyenga yaifanira nokukurumidza, pamwe excision pamusoro necrotic zvinyama uye tipedzisire kudimurwa negumbo kana ruoko.

Nzira dzekuziva nadzo kweropa nepfungwa Kuwedzera pakuva kwazvo mupambare zvinoreva pallor pakati ari integument, inova zvikuru raidudzwa kana ezvamakaunganidza. Kana dangling tsoka ganda anova cyanotic-yakatsvuka. In siyana dzomuviri zvinzvimbo dziberekane dzinosiyana akatsvuka uye blueness kuti pallor. Palpation rinotsanangurwa kwakaderera kana zvachose kusavapo shure pulsation pedis tsinga uye posterior peroneal tsinga. Panguva imwe chete kuvapo ripple hakurevi kudzivirira kubata aienda pamusoro arteries, ivo arteries pakati minwe uye kunyange mukana neronda rinonyenga. Kuziva kweropa zvinetso paku nzira kuongorora anechekuita: arteriography, Ultrasound Doppler.

Kazhinji mhosva kweropa kusagadzikana maoko nemakumbo maduku ari nevakwegura atherosclerosis. Vanhu vaduku pakati zera chikuru chikonzero rinenge ischemia ndiyo thromboangiitis obliterans, aizivikanwawo chirwere-Winiwarter Burger. Uye zvichida mubatanidzwa zvirwere izvi.

In kurwadziwa atherosclerosis ari tibia pamwe nezvimwe zviratidzo zviri chirwere. Varwere kazhinji chokunyunyuta pamusoro atherosclerotic kudzvinya marwadzo mumwoyo, kupfupika mweya, kutemwa nomusoro zvichikonzerwa kusagadzikana BP, ndangariro vanotaura, hope. Kana atherosclerosis kunoitika hypercholesterolemia, kazhinji zviratidzo chirwere cheshuga, nechirwere chemwoyo, pakutsvaga kuwedzera huwandu lipids muropa, wechokwadi BP, nokuwedzera abdominal yeropa. About Buerger nehosha anoratidza akacherekedza kuzvimba ari arteries uye mutsinga.