Endarterectomy artery: muujinaya, dhibaatooyin postoperative, ku shaqeeya dib u eegista, faa'iidada iyo khasaaraha

Qof walba waa ogyahay in stroke a waxaa loo arkaa mid ka mid ah sababaha ugu badan ee dhimashada ka mid ah dadka ku nool caalamka oo dhan. Cudurka Tani waxay dhacdaa iyada oo inta jeer ee loo siman yahay ee dalalka oo dhan ee dunida. Inta badan wareegga cerebral keenaysaa in curyaannimo iyo paresis, keenaya naafada ku meel gaar ah ama joogto ah. Si looga fogaado horumarinta cudurkan, waxaad u baahan tahay waqti ay ku ogaado stroke arrimo xanaajiyey oo ay wax uga qabtaan. Sababta ugu wayn ee stroke - waa atherosclerosis of the xididdada oo ka mid ah qoorta iyo madaxa. lungemboli in da'da dhexe iyo jir waxaa jira qof kasta. Inta badan dadka ka weyn 60 sano bixiya caafimaadka ka hortagga atherosclerosis. Xaaladaha qaarkood, daawaynta daawada aan saamayn la doonayo. Markaas qaliin tilmaamay - endarterectomy artery. Howshaan waxay ku lug leedahay ka kaxayntu ay of qayb weel waxyeeleeyeen atherosclerosis ah.

Maxaad qaataan endarterectomy artery?

maskaxda Krovosnabzhnenie ku xiran tahay halbowlayaasha artery. weelashuna waa laamood quseyo. Waxay waxaa lagu abaabulaa symmetrically labada dhinac ee qoorta. Gelin saabka cranial, halbowlayaasha artery kala qaybsan yihiin laamo yaryar maskaxda. In dadka buka ka atherosclerosis, halis sare u ah xinjiro dhiig oo weelashan. Waxay ka kooban yihiin dabar kolestaroolka iyo unugyada buunshada ku. Marka korodhka cadaadiska dhiigga ee thrombus artery ka derbiga markabka iska jebin kartaa kana gala maskaxda. Sidaas darteed, waxay keeni ischemia - la'aanta sahayda oxygen in unugyo ka. socodka dhiigga maskaxda noocan oo kale ah u keenaysaa in cawaaqib aad looga cabsado. Si looga hortago stroke, endarterectomy artery waxaa la sameeyaa. Waxay kaa caawinaysaa in looga hortago in stroke iyo raadadkii.

nidaamka Overview

endarterectomy artery - waa qalitaan, kaas oo daahirintiisa ee lakabka hoose ee markabka by huurada atherosclerotic. Waxaa la sameeyaa in kiisaska daawada waa yaraa ama khatarta istaroogga waa mid aad u sareeya. Daawooyinka ma awoodaan in ay bixiyaan saamayn la doonayo marka huurada atherosclerotic degan in ka badan nus dhexroorka of artery. Ama haddii kolestaroolka xirmin Lumen ee markabka ka dhowr kooxood isku mar. Intaa waxaa dheer, halista faaligga kordhiyaa si weyn ay joogaan hypertension caasiyoobay. Xaaladdan oo kale, atheroma laga yaabaa in waqti kasta off endothelium ah, iyadoo aan loo eegin inta ay le'eg tahay. Natiijadan ayaa waxa laga yaabaa in aanay xannibaadda ugu of artery oo laamaheediina in ay ku quudiyaan maskaxda. Sidaas darteed of horumarinta stroke ischaemic.

Tilmaamayaasha for endarterectomy artery

Qalliinka (endarterectomy artery) waxaa lagu fuliyaa ma qof walba. In dhakhtarka ayaa fasax loo siiyay qalliinka, waa in ay noqdaan caddeyn u daran. Inta howlgalka waxaa lagu qabtaa bukaannada leh taariikh hore ayaa loo wareejiyay wareegga cerebral. Sidaas daraaddeed, in mararka qaarkood xaq endarterectomy artery? Tilmaamayaasha soo socda:

1. Dhexroor ee markabka waa la xiray by huurada atherosclerotic in ka badan kala bar.
2. stroke soo noqnoqda ee taariikhda.
3. Isku darka of hypertension (tallaabo magdhow) iyo atherosclerosis of xididdada artery.

Sababo qalliinka

Inkastoo faa'iidooyinka qalliin, mararka qaarkood, ay ma la fulin karo. Sida hawlaha kale, waxa ay leedahay sababo iyo endarterectomy artery. Reviews bukaannada qaba atherosclerosis, ka dhigaysa cadeeyay in tiro ka mid ah sahamo kala duwan sameeyaa qalliinka ka hor. Kaliya ka dib markii dhakhtarka ku qanacsan in ay jiraan sababo jirin, bukaanka bilaabmin si ay isugu diyaariyaan hawlgalka. endarterectomy artery waa ka mamnuuc in arrimaha soo socda:

1. daawooyinka la xakamaynin (decompensated) hypertension.
2. Balaaran stroke ischaemic ba'an.
3. angina deganayn ama Wadnaxanuun myocardial dhawaan.
4. wadnaha Ba'an.
5. stroke Recent.
6. Chronic la'aan wareegga 2-aad iyo 3 digrii.
7. cudurka Alzheimers.
8. Kansarka oo aad u daran.

Diyaarinta endarterectomy artery

Ka hor inta samaynaya endarterectomy artery waa lagama maarmaan si ay u qabtaan sahan kala duwan. marka hore waxay muujinaysaa a dabaq ultrasound, oo weelasha oo ah madaxa iyo qoorta. Iyadoo habkan dhakhtarka xukumi kara heerka uu xiritaanka of Lumen oo ka mid ah xididdada of dabar atherosclerotic. Xaaladaha qaarkood, ANGIOGRAFI a vascular. Daraasad Tani waa sal-galay wakiilka duwan dhiiga raacay by gacanta X-ray. Habka badan oo sax ah waa ANGIOGRAFI CT. Waxay kuu ogolaanaysaa inaad si ay u qiimeeyaan qaabka, size iyo deegaamaynta ah Isgoysmo kolestaroolka on endothelium ah. Haddii dhakhtarkaagu uu ka shakiyo ischemia qeybo ka mid ah maskaxda, oofiyey magnetic resonance imaging. Marka dhakhtarka shaaca ka muujinaya ee qalliinka, waxaa lagama maarmaan ah inay biyo dhaansato oo gabagabo ku saabsan gobolka guud ee bukaan-socodka. Si tan loo sameeyo hore ee endarterectomy artery sameeyo ECG, KLA, mari kimistari oo ah dhiig iyo xinjirowga. Haddii bukaanku leeyahay cudurrada kale, waxaa lagama maarmaan ah in aad la tashato takhasuska (endocrinologist, wadnaha).

Marxaladaha endarterectomy artery

Wejiga kowaad ee qaliinka waa suuxinta. Doorashada suuxinta waxay ku xidhan tahay aragtida dhakhtarka, iyo sidoo kale rabitaanka bukaanka. Waxaa la samayn karaa suuxin maxaliga ah ama suuxdinta guud. Intaas ka dib, qalliinka ka jeexayaa in meesha natiijada ultrasound ama ANGIOGRAFI waa dabar kolestaroolka. Tallaabada xigta waa ku tirtirayaan weelka. Dheeraad ah, cut la sameeyo on inta badan artery. Ka dib markii takhtarka si muuqaal qiimayna ku size iyo baaxadda of huurada atherosclerotic, uu soo gebogebeeyay, in sida ay in ay sii wadaan howlgalka. Waxaa jira farsamooyin dhawr ah. Inta badan door biday in la furo endarterectomy. By this waxaa loogu tala galay meesha la qalay a gaadhya markabka iyo "xoqid" Isgoysmo kolestaroolka. Ka dib markii in, meel of endothelium ku burburay waxaa laga codsadaa "balastar." Hab kale - endarterectomy eversion this. Ujeedada this markabka u rogmatay geddisan oo la nadiifiyaa of WT atherosclerotic. Haddii dhaawaca ee artery waa weyn yahay, ciddii beddesha waxaa lagu qabtaa meel gaar ah. Ujeedada this, leyloonka. heerka ugu dambeeya ee endarterectomy artery waa lakabka-tolo.

Sidee muddada post-operative?

Ka dib markii endarterectomy artery waqtiga si loo soo celiyo socodka dhiigga qaadataa. Waxay qaadataa dhowr toddobaad. Tan iyo markii la qalay oo qoorta of size yar, ayaa muujiyay dareenka wax yar ka daran. Si kastaba ha ahaatee, analgesics yaabaa in loo baahdo maalinteedii kowaad. Waxa kale oo aad uma qaadan kartaa alaab culus, iyo in uu adeegsado dhowr todobaad tan iyo markii, sida endarterectomy artery waxaa lagu sameeyaa. Koorsada postoperative wanaagsan tahay, haddii dhammaan warqad dhakhtar ee, ma aha oo kaliya inta aad isbitaalka, laakiin sidoo kale marka qofka bukaanka ah laga saaro. Tolay laga saaro 7-10 maalmood qalitaanka ka dib.

Dhibaatooyinka endarterectomy artery

Waa in la xusuusnaado in qaliin kasta oo ku lug leh khatar. No marka laga reebo iyo artery endarterectomy. Dhibaatooyinka howlgalkan ka dib waa dhif iyo naadir, ku saabsan 3% ee kiisaska. Si kastaba ha ahaatee, waa la helay, iyo bukaan-socodka waa in loo digay oo arrintan ku saabsan.

Dhibka ugu horeysay postoperative waa tollin failure. Iyada oo howlgalkan, wax lays ee bakteeriyada galay nabarka waa mid aad halis u ah nolosha bukaanka, sida cut qaadeen si toos ah on sariirta vascular. Dhibaatada waxaa laga yaabaa in ay dhacaan sabab u hoggaansanaan la'aan la sharciyada goán.

xaalad khatar kale oo la xidhiidha EW, waa cay. shil Cerebrovascular laga yaabaa inuu dhaco iyadoo ay sabab u huurada atherosclerotic-soociddiisa jab intii uu howlgalku socday oo madaxa xiriir la weelasha. Dhibaatada Tani waa dhif, in 2-3% ee kiisaska.

Intaa waxaa dheer, waxaa mararka qaarkood qalliin lagu arkay cudurka ku meel gaar ah ee cod iyo wax liqidda. Tani waxay la xidhiidhaa waxyeello ku dhammaato dareemaha ku yaala qoorta.

dhibaatooyinka soo daahay ee restenosis endarterectomy artery waxaa loo arkaa. Tani waxa ay tilmaamaysaa in ay dib-u-cidhiidhi ah Lumen markabka. Inta badan restenosis dhacdaa in bukaan oo aan u hogaansamin amarada dhakhtarka.

Ka hortagga dhibaatooyinka postoperative

Dhibaha sida stroke iyo dhaawaca in dareemayaasha ee qoorta, ha ku xiran tahay qofka bukaanka ah, sida inay soo sara kacaan in koorsada qalliinka. Si kastaba ha ahaatee, ka hortagga xaaladaha kale ayaa suuragal ah keliya mahad shaqo isku dhafan oo ka mid ah dhakhtarkaaga iyo bukaanka. Gaar ahaan waxa uu ku saabsan dib-u-dhacdo ka mid ah dabar atherosclerotic. Marka howlgal ay ka badan tahay, bukaanka waa in la joogto ah lagu arkay by takhasus u leh. Waxa intaa dheer in nidaamka lagu ogaanayo, dhakhtarka siinayaa bukaanka talo waxtar leh. Gaar ahaan waxay khuseysaa nololeed, bukaanka waa in la joojiyo sigaar cabidda iyo isticmaalka khamriga, cunto (cunin cunto dufan). Sidoo kale si looga hortago daawada restenosis qoray. Bukaanka waa maalin qaadan daawooyinka la egyahay-hoos ( "atorvastatin" daroogada), wakiilada antiplatelet ( "Cardiomagnyl" kiniin "Clopidogrel").

Operation "endarterectomy artery": faa'iidada iyo khasaaraha

Sida qalliin oo dhan, howlgalkan ayaa faa'iidada iyo khasaaraha labada. dhakhaatiirta qaarkood ma ku talinaynaa endarterectomy artery ilaa iyo inta atherosclerosis la kabsado daaweyn karaa, iyo bukaanada aan haysan daliilka kiliinikada ee cudurka. dhakhaatiirta kale aaminsan yihiin qaliin in loo baahan yahay la cidhiidhi weyn oo Lumen ee halbowlaha ah, iyadoo aan loo eegin in calaamadaha joogin ama aan in bukaanka. Faa'iidada ee habkan waa nadiifinta dhamaystiran markabka ka kolestaroolka, hagaajinta socodka dhiigga. Hawlgalka ayaa si weyn hoos ugu dhigi kartaa halista faaligga. Si kastaba ha ahaatee endarterectomy ma aha ballanqaad in markabka doonaa mar dambe lama ay waxyeello. Sidoo kale, inta lagu guda jiro qalliinka dhibaatooyin horumarin karaan sida dhaawaca xididka ama stroke. Inta badan dhakhaatiirtu waxa ay tani u yeelaan salaysayn khalkhalgelinta ka yara dhib lahayn nidaamka iyo natiijada waxaa loo arkaa in ay macno leh.

Artery endarterectomy: dib u eegista dadka ku shaqeeya

fikradaha wanaagsan iyo mid xun kala kulantay dooda ee daaweynta kasta oo qalliin. No marka laga reebo iyo artery endarterectomy. Reviews shaqeeya dadka way kala duwan yihiin. Xaaladaha intooda badan, dadka ku qanacsan yihiin howlgalka. Thanks iyada u, calaamadaha ischemia (daciif ah dareenka, xusuusta, hurdo), hagaagtay natiijooyinka baadhitaan iyo xaaladda guud. Bukaanjiifka qaar ayaa xusay in isbedel codka, xanuunada liqidda ka dib markii endarterectomy. Xaaladaha intooda badan, astaamahaas socday oo ku saabsan bisha a, ka dibna gebi ahaanba la joojiyey.