Vaskụla daa ọrịa. abdominal aortic aneurysm

The aorta a na-akpọ isi kasị akwara nke ahu. Ọ rụrụ ọrụ nke a njikọ n'etiti obi na esịtidem akụkụ.

Aneurysm - ndiiche nditat bụ na ọtụtụ mgbe na-egosi na aorta. Ha na-egosi na thinning, ndị ebelatawo ngalaba nke arịa. Ọbara mgbali elu na-eme ka mgbasa ahụ. Mbubreyo nchoputa nke ọrịa nwere ike ịkpata nkewa dịrị nke arịa na-egbu egbu ọbara ọgbụgba. Ọzọkwa, mgbasa na-akwalite-emeghasịkwa nke ọbara, nke n'aka nke na-enwekwu ihe ize ndụ nke ọbara clot guzobere (thrombosis). A ọbara clot nwere ike ịgbatị tinyere a vaskụla ọrịa strok, mgbe ya ezughi ezu ọcha nwere ike ime ka site n'ọbara. N'ihi ya, e embolism. Nakwa na thinning nke vaskụla mgbidi ii ngafe calcium nkwụnye ego.

Extensions pụrụ kpụrụ ọ bụla vaskụla saịtị. Abdominal aortic aneurysm na-hụrụ na atọ nke anọ ikpe nke aortic aneurysms. Ụdị n'ihi mmụba nwere ike bag-ekara ma ọ bụ fusiform.

Development nke ihe abdominal aortic aneurysm nwere ike mere site na atherosclerosis, ọbara mgbali elu, mkpali Filiks ke arịa mgbidi. Formation nke extensions nwere ike ejikọta ya na congenital connective anụ ahụ ọrịa, na-efe efe, Bilie mmebi nke aortic mgbidi.

Mgbaàmà nke abdominal aortic aneurysm-egosipụta site na mberede oké mgbu na azụ na afo. Ngosipụta nke ọrịa na-ebu sensations pulsing entities ke afo. N'otu oge ha n'afọ iri na ụma na-ekwekọ n'àgwà n'afọ iri na ụma nke obi ọnụego. Adịkarịghị hụrụ ihe mgbu na ụkwụ, Bilie ha pallor na "cyanosis", nke e mere site Mbugharị nke thrombus iberibe ọbara n'okporo ụzọ.

Abdominal aortic aneurysm agbawa so site na-agba ọbara. Symptomatology otú na-adabere na ntụziaka nke ọdịiche.

Intraperitoneal itunanya abdominal aortic aneurysm emee hemorrhagic ujo, Bilie a ike nke ọbara ọgbụgba. Ke adianade do, e nwere a nkọ blanching nke anụ ahụ, na ụba obi ọnụego. Abdominal percussion ekpughe ọnụnọ nke free ọmụmụ na ndị abdominal oghere. Kpata ajọ N'ezie nke ọrịa na nke a Ewezuga ọ bụla nnyocha. Ọnwụ emee ngwa ngwa-ezuru.

Retroperitoneal ọdịiche esonyere mgbu na ala azụ ma ọ bụ na afo.

Itunanya nke abdominal aortic aneurysms na ndị usụhọde vena cava e ji mkpụmkpụ nke ume, adịghị ike, palpitations. Na nke a na e nwere ihe mgbu na afo na-etolite n'ime ya a pulsating e ji mara na systolic-diastolic mkpọtụ (uzu). Dị ka pụta ụwa Ịhazi ngosipụta, ma inexorable progression. N'ihi bụ a ọrịa obi na ọrịa na a oké ụdị.

mgbasa ọdịiche n'akụkụ nke duodenum na-esonyere a dara na mberede na ọbara igbo.

Nnyocha nke onye ọrịa na a kehoraizin ọnọdụ mgbe ewetara ndị ike pulsation aneurysm. Palpation (probing mkpịsị aka) nke elu ọkara nke afo (na-emekarị na n'aka ekpe nke ya center akara) na-achọpụta rụọ ọnụnọ nke a pulsating akpụ guzobere. Dị ka a na-achị, ọ ka pụrụ ịdị maloboleznennym ma ọ bụ mwute na-adịghị. Auscultation (na-ege ntị) achọpụtara systolic hum n'elu-akụziri. Obere extensions nwere ike mata site na kọmputa tomography.

Dị ka a na-achị, general adakarị ojiji nke instrumental ụzọ na-eme ka o kwe omume n'ụzọ ziri ezi ịchọpụta ọrịa na ọtụtụ ọrịa. Ọ bụ ya mere nhọpụta nke aortography dị mkpa naanị na ọnọdụ ụfọdụ ebe nnyocha na ya pụta na-egosi a doro anya na foto nke ọrịa.

Nyere ịdị adị nke mberede nsogbu, ọgwụgwọ nke abdominal aortic aneurysms a mụụrụ site na ịkpa. N'oge a usoro mwepụ na nnọchi nke emetụta arịa.