Kutsemuka kwetsinga

Kutsemuka kwetsinga rikauya zvichiguma ropa chichipinda rusvingo rwaro nokuda hadzina kufambiswa zvakanaka marongerwo womukati nevamwe. zvokurwara Ndiwo chakasimba zvirwere rakajairika uye ngozi. Pasina nenguva Mabatirwo kutsemuka kwetsinga dzinenge nguva dzose kunoita rufu murwere.

The inokosha akaremara hurumende iri kutyora pakati mudziyo deko.

Kutsemuka kwetsinga (vachikwira) rinowanikwa kakawanda muna pakanyorwa neBP. Degeneration pakati goko (cystic medial necrosis) rinowanikwa munenge 20% wevarwere. It angaperekedzwa Marfan syndrome. Izvi majini abnormality mu connective zvinyama zvirwere dzinoratidzwa skeletal uye ziso, zvemwoyo matambudziko, concomitant kuparadzwa mudziyo rusvingo, uyewo insufficiency zvakarurama atrioventricular vharuvhu uye kutsemuka vharafu. Ruzhinji varwere Marfan chirwere havararami kusvika makore makumi mana.

Kutsemuka kwetsinga (downlink) kunoitika kakawanda achiperekedzwa zvikuru atherosclerosis uye BP. Mune zvisingawanzoitiki zviitiko, mamiriro ezvinhu achabatsirwa cystic necrosis (medial).

Dzinenge nguva dzose rinotanga pakaparadzwa kunetsa mukati goko imwe kana kupfuura nzvimbo. The vachikwira yeropa rinozivikanwa, yemanyorero kuti vaviri shanu masendimita kumusoro kwayo vharafu, vari pasi - kuerera mugove pazasi subclavian tsinga (kuruboshwe). Ngarava iri munzvimbo idzi pfupi yatarwa asi chinjwa kurutivi rumwe norumwe. Saka, pane vaifanira hemodynamic kushushikana mupfungwa zvikamu zviviri zviviri systolic vaise. Panyaya iyi romukati goko anogona overstrain chaiyo pa pfungwa idzi, kutsigira napanobudiwa napo ropa kupatsanura mudziyo rusvingo.

Zvinofanira kucherechedzwa kuti maronda uye zviratidzo, kazhinji nzira yokurapa akasiyana zvachose apo mutundu uchiburuka kana vachikwira yeropa.

Aneurysms of thoracal midziyo kuva, kazhinji asymptomatic, saka varwere kazhinji regai kugunun'una. anoratidza zvavo panguva X-ray kana Ultrasound tsaona.

Mune zvimwe zviitiko, kana ane aneurysm rinova guru saizi, pangava kurwadziwa muchipfuva, mutsipa kana musana. Saka pane compression kuti pedyo nhengo.

Zviratidzo ane aneurysm:

- chikosoro, kupfupika mweya;

- kutyora pakuparadza;

- mumatenhere chiso uye mutsipa;

- marwadzo.

Soreness uve hunhu uye akadzinga akafanana angina, asi haana kubviswa nitroglycerin.

Abdominal kutsemuka aneurysm varwere zvichemo dhipatimendi, sezvinoita mutemo, regai kuisa. Kukundwa rakawanikwa netsaona kuongorora dzimwe nguva. Mune zvimwe zviitiko, varwere akataura yakawedzera pulsation mudumbu uye kurwadziwa kana kusagadzikana mune yepazasi musana kana musana.

Nokupatsanura kutsemuka aneurysm kunoitika kuburikidza breakage rwomumwoyo mudziyo deko. Nokudaro ropa idonhe pakati rukoko uye pakati anoshongwa achiumba sumbu.

Saka, pane chete nhatu yose goko (yokunze), iro wakaremara mudziyo kuti hombodo, zvichitungamirira rufu murwere.

aneurysm atsamwira mu yeropa achabatsirwa zvisingatsungiririki kubikira kurwadziwa mudumbu kana bhokisi, rakapinza kuderera BP. The kunotoda mufananidzo Saka chaizvo rakafanana kutaura cardiogenic kuvhunduka uye myocardial infarction, izvo kunowanzoita vanachiremba zvakakwana kurasika.

Nokuti aneurysm anenge asingadi unooneka uye rinowanikwa netsaona, kutyora zviratidzo vake kuva haawirirani upenyu, uye murwere haagoni kubatsirwa, sezvo nguva mishonga iri uchakakwana sumbu akarasika.