Obliterating endarteritis yog ib yam kabmob tsis zoo rau cov pojniam, feem ntau kuaj tau cov txiv neej. Nrog rau tus kab mob no, kev puas tsuaj rau cov hlab ntsha me me nyob hauv cov ceg yog pom, feem ntau ntawm cov taw, nrog kev nruj nreem obliteration - overlapping lumen. Peb yuav kawm ntau ntxiv txog qhov tshwm sim, qhov ua rau thiab qhov tshwm sim ntawm kev mob ntsws.
Obliterating endarteritis - ua rau
Tus kab mob no pib nrog cov kab mob uas muaj zog nyob rau hauv cov taw, uas cuam tshuam tus kab mob ntawm cov phab ntsa ntawm cov hlab ntsha thiab qhov nqaim ntawm lawv cov lumen vim thickening ntawm txheej txheej. Feem ntau cov kws tshwj xeeb tau nyeem hais tias qhov xaus ntawm qhov kawg ntawm qhov cov hlab ntsha muaj lub npe pib ntawm nws lub cev, Nyob rau hauv cov ntshav ntawm cov neeg mob, autoantibodies thiab circulating lub cev tsis muaj zog.
Obliterating endarteritis ntawm cov hlab ntsha ntawm sab qis extremities yog txuam nrog cov nram qab no yam tseem ceeb:
- haus luam yeeb;
- quav quav cawv;
- frostbite ntawm tus taw;
- hnav cov khau tsis khab;
- ceg raug mob;
- neuritis;
- kab mob ntev;
- muaj kev nyuab siab heev.
Obliterating endarteritis ntawm qis extremities - cov tsos mob
Ntxiv nrog rau cov kab mob hauv cov hlab ntsha lawv tus kheej, tus kab mob yog los ntawm cov kab mob inflammatory-dystrophic hauv cov nqaij perivascular fatty, uas ua rau tom kawg ntawm nkoog los ntawm kev zawm ntawm lub nkoj tawm sab nraud. Nyob rau hauv tej yam kev mob ntawm tsis txaus noj cov ntshav, cov nqaij hauv qhov ntswg poob oxygen thiab cov as-ham, lawv pib tuag. Thaum pib theem pib, cov tsos mob ntawm qhov kev tshem tawm ntawm qhov xaus ntawm qhov xaus tsis meej yog tsis qhia meej thiab feem ntau muaj xws li:
- hnyav hnyav hauv ob txhais ceg;
- ntau ntxiv ntawm qis dua;
- tawm hws ntawm ko taw;
- ua ntu zus ntawm kev txhaub ntawm taw;
- npu, qhuav ntawm daim tawv nqaij hauv thaj tsam cuam tshuam;
- mob tsis xis nyob hauv cov ceg tawv.
Raws li cov pathology loj zuj zus, muaj tshwm sim ntau tshaj yog ntxiv:
- mob heev hauv cov ceg;
- kev hnov mob xws li loog, kev xav ntsiag to, kev sib ceg ;
- muaj zog pallor thiab dryness ntawm daim tawv nqaij, plaub hau poob ntawm ob txhais ceg;
- los nag txias;
- deformation cov ntsia thawv;
- sib quas ntus thaum sib tw - ib qho syndrome los ntawm qhov pib sai ntawm mob mob hauv cov leeg ntawm ob txhais ceg thaum mus taug kev, me me ntxiv tom qab ib qho chaw luv luv;
- cov tsos mob ntawm qhov mob;
- tsis muaj mem tes nyob rau hauv qis nqua.
Obliterating endarteritis - mob
Lub caij nyoog kawg ntawm cov hlab ntsha ntawm qhov chaw qis qis dua tau pom zoo los ntawm cov tswv yim niaj hnub no uas pab txhawm rau txiav txim siab seb qhov chaw muaj tus kab mob qhov twg:
- angiography ntawm cov hlab ntsha thiab cov hlab ntsha ntawm cov ceg;
- dopplerography ntawm cov hlab ntsha ntawm sab qis;
- volumetric sphygmography;
- capillarography, capillaroscopy;
- rheovasography.
Obliterating endarteritis ntawm qis nquag - kev kho mob
Vim lub fact tias muaj ib lub sij hawm ntawm ib theem thaum ntxov los tsim obliterating endarteritis, kev kho mob ntawm no pathology yuav muaj zoo tshwm sim. Txawm hais tias tag nrho kev rov qab los yog tam sim no tsis tau, vim muaj kev xyuam xim siv tawm tag nrho cov kev kho mob, feem ntau nws yog ua kom tsis txhob muaj cov tsos mob, kom tsis txhob muaj qhov mob ntawm qhov chaw.
Yog tias txoj kev kuaj ntawm cov hlab ntsha qis ntawm qhov qis dua, yuav tsum pib nrog kev tshem tawm cov teeb meem ntawm cov hlab ntsha: haus luam yeeb, haus cawv, hypothermia, ntxhov siab, khau khib thiab ris tsho, thiab lwm yam. Tus taw ntawm cov neeg mob yuav tsum tau ceev kom sov thiab ua siab zoo yuav tsum ceev faj . Cov neeg mob muaj feem xyuam ntau npaum li cas cov kev ua ub no, nrog rau kev mus txhua hnub. Cov cwj pwm physiotherapeutic zoo:
- thermal cov txheej txheem (UHF-kev kho, daim ntaub ntawv siv zom zaws);
- baromassage;
- kev kho mob da dej (kub, qhov sib txawv);
- magnetotherapy ;
- electrophoresis thiab lwm yam.
Obliterating endarteritis - kev kho mob, siv yeeb siv tshuaj
Txhaj tshuaj tiv thaiv ntawm kev kho ntawm obliterating endarteritis yuav tsum muaj kev siv cov tshuaj, uas yog tswj ntawm tshem vascular mob thiab o, txo cov nqaij mob, kev txhim kho cov kev mob rheological ntawm cov ntshav, normalizing cov hauj lwm ntawm lub paj hlwb. Kev siv tshuaj kho mob rau endarteritis yog teem rau cov pawg ntawm cov tshuaj:
- antispasmodics (angiotrophin, Tifen, Redergam, thiab lwm yam);
- vitamins (pawg B, C, E thiab PP);
- cov tshuaj tiv thaiv antithrombotic (Aspirin, Kaujruam, thiab lwmyam);
- anticoagulants (Fibrinolysin, Hirudin, Pelentan, thiab lwm yam);
- anti-inflammatory hormonal tshuaj (Prednisone, Cortisone, thiab lwm yam).
Obliterating endarteritis - lag luam
Qhov kev sim rau lub qhov kawg ntawm cov qis sab nraud, qhov kev kho mob uas tsis zoo los ntawm kev sib txuam nrog, yuav tsum muaj kev phais. Nws tuaj yeem yog ob hom kev qhia minimizing invasive, thiab radical ua haujlwm nrog kev sib txuas ntawm ib feem ntawm ib txoj hlab ntsha. Feem ntau qhov kawg ntawm lub qis ntawm cov sab nraub qaum raug kho los ntawm tej hom haujlwm:
- sympathectomy;
- bypass phais;
- trombendarteriectomy;
- autoplastic hloov ntawm cov hlab ntsws;
- necrotomy.
Endarteritis ntawm cov hlab ntsha ntawm sab qis extremities - kev kho mob nrog tshuaj tua neeg
Nrog rau kev kuaj mob ntawm qhov kev kho mob ntawm cov neeg pej xeem nrog kev kho mob yog qhov zoo rau qhov kev kho mob tseem ceeb, tab sis nws tsuas yog siv nrog kev tso cai ntawm tus kws kho mob. Yuav kom tsis txhob muaj zog hlab ntsha nrog los ntawm obliterating endarteritis, cov tshuaj nws kho kom pom zoo.
Daim ntawv qhia rau infusion
Cov khoom xyaw:
- nplooj ntoos vinca me me - 10 g;
- cumin noob - 10 g;
- hawthorn paj - 20 g;
- nplooj thiab stalks ntawm mistletoe dawb - 30 g;
- dej - 2 khob.
Kev npaj thiab siv:
- Raw ncuav dej kub npau npau thiab hais kom ob peb teev.
- Noj 4 zaug ib hnub tom qab ib teev tom qab ib pluas noj ntawm 100 ml.
- Lub sijhawm kawm yog 2 lub lim tiam, tom qab ntawd yog lub sijhawm so haujlwm. Ua kom tiav 3 txoj kev kawm.
Obliterating endarteritis - teeb meem
Thaum tsis muaj kev kho kom zoo, qhov chaw xaus ntawm qhov chaw qis qis ntawm qhov qis qis dua tuaj yeem cuam tshuam los ntawm necrosis thiab kev loj hlob ntawm cov qe los yog noo noo gangrene nyob rau thaj tsam ntawm pob taws, tom qab ntawm ko taw, thiab ntiv tes. Thaum ntau cov co toxins nkag tau cov ntshav, qhov kev pheej hmoo ntawm kev tuag yog siab. Yog li ntawd, nws tseem ceeb ua luaj li kom paub txog qhov kev ntsuam xyuas pathology hauv lub sijhawm thiab pib kho nws.