I-ANGIOPATHY YESIFO SIKASHUKELA SEMIKHAWULO EPHANSI: UKWELASHWA KWESIFO SIKASHUKELA

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I-angiopathy yesifo sikashukela yisifo esiyinkimbinkimbi esithinta izindonga zemithambo yazo zonke izinhlwayi: kusuka emithanjeni kuya kuma-capillaries amancane.

Namuhla sizogxila ekwelashweni kwe-angiopathy yesifo sikashukela semikhawulo. Njengoba lokhu kuqubuka kwengqondo kukhula ngenxa yesifo sikashukela, kungenxa yezokwelapha isifo sikashukela okufanele kuqalwe ngayo izindlela zokwelapha.

Izimiso zokwelashwa kwe-angiopathy yesifo sikashukela semikhawulo ephezulu nephansi

Ku-International Classifier of Diseases, lokhu kuphazamiseka kubekelwe ikhodi engu-10.5 (yohlobo 1 sikashukela) kanye nekhodi engu-11.5 (uhlobo 2 sikashukela). Amaqhinga okwelapha ahlose ukunciphisa ischemia ye-vascular kanye nokwenza ngcono ukuhamba kwegazi okujwayelekile.

Uma lokhu kungenzeki, futhi ama-abscesses nezindawo ezingama-necrotic akhona, ukwelashwa kwenziwa eminyangweni yokuhlinzwa kwe-purulent.

Ukwelapha i-angiopathy yesifo sikashukela (kulokhu okubizwa ngokuthi yi-DAC) kuhloswe ngayo ukumisa izimpawu zesifo esivusayo: isifo sikashukela i-mellitus. Isiguli sishintsha indlela yaso ejwayelekile yokuphila: senqaba imikhuba emibi, sizame ukwehlisa isisindo futhi silungisa indlela esidla ngayo, sifeza i-prophylaxis yemilenze enesifo.

Ngaphambi kokuqala ukwelashwa okujwayelekile, ukuxilongwa kwalesi sifo kwenziwa, kufaka phakathi:

I-Ultrasound yesimo semikhumbi;
i-angiography. Lolu cwaningo lusiza ukuqonda ukuthi kahle kangakanani umthamo we-vascular.

Phakathi kwezindlela zanamuhla zokwelapha, kufanele kuhlukaniswe:

i-lymphomodulation, esiza ukusiza ukujikeleza kwegazi kwe-lymph. Le ndlela engeyona yokuxhumana isiza ngempumelelo ekususeni ukuvuvukala kwezicubu;
ukwelashwa kwezidakamizwa;
ukwelashwa ngokomzimba;
ukungenelela kokuhlinzwa esimeni lapho umuthi kanye ne-physiotherapy kungazange kunikeze umphumela oyifunayo.

Kubalulekile ukuqonda ukuthi i-DAK ayelashwa ngokushesha. Kodwa-ke, izindlela zanamuhla zinikeza umphumela omuhle ngisho nasezigabeni zakamuva zesifo.

Ukunqunyelwa kusetshenziswa kuphela ezimweni ezimbi kakhulu (ezine-gangrenous lesion of izicubu zomlenze).

Ukwelashwa ngezidakamizwa

Kwenziwa nge-ischemia engamahlalakhona.

Yimaphi amaqembu izidakamizwa anqunyelwe abanesifo sikashukela?

Izimiso eziyisisekelo zokwelashwa okulondolozekayo yilezi ezilandelayo:

ukwelashwa kwe-insulin nezidakamizwa ezinciphisa ushukela wegazi: ISiofor, iGlucofage, insulin neDiabetes. Futhi ukudla;
ukwelashwa okwehlisa i-lipid. Umgomo ukwenza ngokwejwayelekile i-lipid metabolism. Izidakamizwa: Simvastatin noma Atorvastatin. Kwemukelwa ngomlomo, isikhathi eside;
ukwelashwa kwe-anticoagulant. Umgomo ukuvikela i-thrombosis ngokwandisa isikhathi sokugcwala. Izidakamizwa ezinale mphumela - uHeparin, Enoxaparin. IHeparin kumthamo wokuqala amayunithi ayizinkulungwane ezi-5. futhi iphathwa ngokungakhethi noma ngemithambo. I-Enoxaparin - ifinyelela kuma-40 mg / ngosuku ngabazali;
ukwelashwa kwe-antibacterial. Uma kunobufakazi;
Ukwelapha okwenzeka esikhathini eside. Umgomo wayo ukuthuthukisa ukuvela kwegazi. Ukuthatha izidakamizwa ngomlomo kuphela (ngo-mg / ngosuku): IClopidogrel - 300, iDipyridomol - 30-450, i-Aspirin - 100-300. Umthamo uwumuntu ngamunye;
ama-angioprotectors. Isetshenziswa njengesengezo ekwelashweni okuyisisekelo ukuze kuthuthukiswe ukuhamba kwegazi. I-Xanthinol, iPentoxifylline noma i-Alprostan inqunyelwe. Lesi sakamuva iyi-vasodilator enhle kakhulu futhi sithuthukisa ukubonwa kwe-plasma. Ngisho nezingane ezisanda kuzalwa zingabekwa;
ukukhululeka kwesibonakaliso sobuhlungu yimithi elwa nokuvuvukala (engeyona i-hormonal). Uma zingasizi, ama-opioid ohlobo lweMorphine anikezwa kumthamo ojwayelekile;
ukuhlanzeka kwezinyawo. Leli iphuzu elibaluleke kakhulu ekwelashweni. Isiguli kufanele ngaso sonke isikhathi sigqoke izicathulo ezintofontofo, ezingasindi, zikwazi ukuphatha amabele noma amanxeba, futhi siqede nezimbila.

Amavithamini Nemithi Yasekhaya

Kumalungiselelo evithamini, kunqunywa amaT Thiogma noma amaBerlition. Bathuthukisa kakhulu ukuhamba kwegazi futhi baqinise imithambo yegazi. Ukwelashwa kwe-homeopathic kuthatha isikhathi eside futhi kudinga ukwelashwa okuqeqeshiwe okuphoqelekile.Kunganconywa ukuthi kusetshenziswe amakhambi alandelayo we-homeopathic:

Sekale Kortunum. Isetshenziselwa noma yiluphi uhlobo lwesifo sikashukela futhi uma kwenzeka ukuthi kuqhume i-gangrene kanye / noma unyawo sikashukela (DS);
I-Graphitis. Ukwelashwa kwesifo sikashukela sohlobo 2. Akukho okuphikisana. Kuboniswa ekwelashweni kwe-DS;
I-Arsenic. Isetjenziswa ngohlobo lwesifo sikashukela esinga-insulin futhi ichazwa ngokuhlangana nezidakamizwa ezinciphisa ushukela. Isifundo sithatha izinyanga ezi-2 noma ngaphezulu. Umuthi awunemiphumela emibi. Kepha ngomlutha wotshwala, akufanelekile ukuthatha.

Cabanga ngobuhle besenzo sezindlela zokwelapha i-homeopathic: zingadala ukonakala enhlalakahleni yezinsuku zokuqala eziyi-10 - 12. Uma kungekho mkhuba omuhle, ukwelashwa okuqhubekayo kufanele kuxoxwe futhi kulungiswe nodokotela.

Izindlela Zokuhlinzwa Zesifo Sikashukela

Ukungenelela kokuhlinzwa kwe-angiopathy yesifo sikashukela kwenziwa njengendawo yokugcina ukuze kubuyelwe ukuphuma kwegazi okungenampilo nokususa amasayithi afile.

Uma imithambo yezindawo zezinsikazi noma ze-popliteal yenze ushintsho olungenakuguqulwa, futhi ukuncipha kwayo kubhekwa endaweni engaphezulu kwama-50%, kuchaziwe:

thromboectomy. Kulesi simo, izingxenyana zegazi zitholakala endaweni yokwakheka futhi zisuswa emithanjeni. Indlela yesimanje kakhulu i-endovascular. Kulesi simo, isayithi lokwakheka kwe-thrombus limakwe futhi kwenzeke encane eceleni kwalo. Ngemuva kwalokho kufakwa i-catheter ekhethekile, ekhipha ingubo yegazi;
ukuthuthumela. Lawa ama-prostheses akhethekile adala ukuxhumana nemikhumbi eseduze. Ukusebenza kune-contraindication eminingi;
endarterectomy. Lo msebenzi uhlanganisa ukuhlanza i-atherosclerotic plaque ngudokotela ohlinzayo ovela ngaphakathi odongeni lwamathambo. Ngenxa yalokho, ukukhanya kwe-artery kukhuphuka, okuvumela igazi ukuba lijikeleze ngokukhululekile. Kwesinye isikhathi kuhlanganiswa nokuhlinzwa kwe-bypass;
profundoplasty. Kubekelwe i-ischemia ebucayi ethangeni elingaphezulu, lapho ama-atherosulinotic plaque anciphisa ukukhanya kwe-artery yomlenze kangangokuba igazi alikwazi ukungena ngaphakathi kulo. Okushiwo ukuhlinzeka ngalolu hlelo wukukhipha izingwegwe ezivela emthanjeni ojulile futhi kubuye kwandise ububanzi bawo ngesibambiso. Ubungozi buphansi: ngaphansi kuka-1%;
inhlokomo. Ngokusebenzisa umklamo okhethekile wezintambo (stent), amabhodlela asemkhunjini ayanwetshwa. Idivaysi iqonde ngebhaluni elikhethekile endaweni ebucayi, futhi yena, ekhulisa imvume, uhlala lapho kuze kube phakade;
ibhaluni dilatation. I-catheter ene-balloon encane ekugcineni ifakwa ngokusebenzisa ukubhoboza esikhunjeni. Ivuthwe endaweni efanele, ukuthopha kwethotho kuyabonakala, kanti nokuqina komkhumbi kuyabuyiselwa. Kepha, njengoba kunethuba lokuphindaphindwa kwe-stenosis, lo msebenzi uxhaswa ngokuxutshwa.

Lapho kutholwa i-gangrene, izitho ezingezansi zizonqunywa.

I-purulent foci kanye necrosis yamaseli wezicubu zidinga ukususwa okufanelekile. Le misebenzi ifaka ukuvula ukugxila kokutheleleka nokugeleza kwayo (ukuhlanzwa). Ukuphathwa okunjalo ngeke kuyixazulule inkinga, kepha ngeke kuvume inqubo ye-purother ukuthi isabalale ngokwengeziwe.

Izinqubo zesimanje zokuzivocavoca umzimba

I-Physiotherapy inezinhlobonhlobo zezinqubo ezahlukahlukene ezisebenzisa izinto ezibonakalayo njengokuthi kwamuva nokukhanya, imisebe yomoya kanye namandla kazibuthe, amanzi kanye nokushisa. Amasu wokufunda njalo athuthukiswa. Ukugcizelelwa okuyinhloko ekwelapheni i-angiopathy yezinto ezinqunyelwe kubekwe kuma-electrophoresis kanye ne-ultrasound therapy.

Ngaphezu kwalokho, lokhu okulandelayo kungabekwa:

i-magnetotherapy nokwelashwa ngodaka;
amabhathi onyawo nokugcotshwa (i-Hardware noma i-Manual);
imisinga ye-sinusoidal;
i-lymphomodulation;
ukwelashwa kwe-decimetric: kuthinta indawo ye-shin.

Ukuvuselela umsebenzi we-pancreatic, i-electrophoresis ngokusetshenziswa kwezidakamizwa iyasebenza futhi: i-nicotinic acid, iHeparin, i-magnesium ne-potassium. Inqubo ikhonjiswa sikashukela olinganiselayo. Isikhathi - izikhathi eziyi-10-12 futhi esibhedlela kuphela.

Ungawaphatha kanjani amakhambi abantu?

Ukwelashwa okuhlukile kungasetshenziswa ngendlela yezinyathelo ezingeziwe zokwelashwa kwe-DAK:

camomile. Kuyasiza ukubuyisela ushukela kokujwayelekile futhi kunomphumela omuhle kakhulu we-antimicrobial kanye ne-diaphoretic, kunciphisa amathumbu asemathunjini. Iresiphi: 1 isipuni esigcwele ikhemisi chamomile (noma izikhwama zemifanekiso ezintathu ezenziwe ngomumo) uthele amanzi abilayo (1 inkomishi) bese ushiya imizuzu engama-20. Umthamo odingekayo uhlukaniswe ngemithamo emibili ka-100 ml ngaphambi kokudla. Ingasetshenziswa njenge-compress ezindaweni ezibuhlungu;
i-sage. Lesi sitshalo sinamandla okwenza ukufihlwa kwe-insulin futhi kuthuthukise ukungatheleleki. Iresiphi: 2 wezipuni ezigcwele amaqabunga wezinto zokusetshenziswa athululela ama-400 ml wamanzi abilayo bese ushiya ihora elilodwa. Thatha njengetiye: uhhafu wenkomishi ngaphambi kokudla. Ithuluzi kufanele lidliwe usuku lonke ngokuphelele;
dandelion. Ukulungiselela isixazululo kusuka ezimpandeni zesitshalo kunconywa nsuku zonke. Iresiphi: 1 tbsp. izimpande ezichotshoziwe ze-1 tbsp. amanzi abilayo. Ungadla amaqabunga e-dandelion amasha nje. Ukuze wenze lokhu, hlanza amaqabunga ama-5, uwashe bese uwafaka ukunambitha uhhafu wesipuni samafutha zemifino;
calendula. Kuboniswa izifo zesikhumba kanye ne-atherossteosis, ngoba inomphumela oqinile wokubulala amagciwane. Ukwelapha izifo zesikhumba noma amanxeba, faka ujusi wesitshalo. Izingcindezi zenziwa kusuka kulo. Ungasebenzisa amafutha. Iresiphi: chop 100 g yezitshalo zezitshalo bese uthele u-2,5 tbsp. uwoyela sunflower (kushisa kakhulu, kepha hhayi okubilayo). Ngemuva kwamaviki ama-2 wokugcizelela, ukugcoba sekumi ngomumo.

Isiphetho kwi-ultrasound yemikhumbi yemilenze nezingalo

Lolu hlobo locwaningo lubhekwa njengolwesimanjemanje nolunolwazi.

Ukuskena kwe-Ultrasound kunikeza isithombe esibonakalayo sesimo semikhumbi.

Uma uqhubeka nenqubo esegumbini le-ultrasound, umphumela uzokhishwa ngendlela yombono obhaliwe. Kunzima impela ukuthola ukuthi uwedwa.

Udokotela wakho uzokwengeza incazelo, uzokuyalela nokwelashwa okulandelayo (uma kunesidingo). Uma ucwaningo lwenziwa udokotela ohlinzayo uqobo, khona-ke umphumela weskena nokuxilongwa kuzokwenziwa ngokushesha.

Isimo sokuphuma kwegazi sihlolwa yizinkomba ezilandelayo:

umehluko wokucindezela kwegazi okurekhodiwe okhalweni nasemahlombe. Okujwayelekile ngu-0.9. Amanani aphansi akhombisa i-stenosis ekhona;
ukugeleza kwegazi okuphezulu ku-artery femoral kanye nomlenze ophansi;
ukumelana nemithambo yegazi;
ukushuba kodonga lwe-vascular;
isilinganiso se-ripple.

Amavidiyo ahlobene

Ekwelapheni i-angiopathy ephansi yesifo sikashukela kuvidiyo:

I-angiopathy yesifo sikashukela, yize iyinkinga enkulu, iyelashwa. Iziguli kufanele ziqaphe njalo isimo segazi futhi zilandele yonke imiyalo kadokotela.

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