Waa maxay "Leriche syndrome"?

Leriche syndrome - cudur nidaamka halbowlaha ah, taas oo ka mid ah heley noocan ah waa waa kuwa ugu badan. Waa been in qayb jidhka aorto-iliac dhaawaca, taasoo keentay in si weyn hoos u qulqulka dhiigga u miskaha iyo lugaha.

Magacan waxa loo soo jeediyay by F. Morel 1943, waxaa daahirinta in qalliin Faransiiska Leriche, kuwaas oo si firfircoon u cilmi qidmeyntiibulshada this.

Leriche syndrome keenaysaa in saddex xanuunada ugu muhiimsan, in dhakhtarradu soo wac "triad of calaamadaha." In bukaanka qaba sahayda oo yaraada dhiig aortic muuqataa claudication go'aysa, baaba'aa garaaca wadnaha ee qaybaha lugta hoose, impotence yeesho.

Maanta, statistics ma odhan kartaa hubin sida caadiga ah cudurka, waxaa lagu ogaadaa, ma dhakhaatiirta oo dhan. Si kastaba ha ahaatee, daliil daruufaheeda (gaar ahaan, tirada howlgallada si loo soo celiyo socodka dhiigga ee quseyo) horseedi garawsannay in dalka Maraykanka oo keliya ku xanuunsado cudurka this for ah oo ku saabsan afartan kun oo qof sanadkiiba.

Aasaasay etiology cudurka. In 95% ee kiisaska waxaa sababa xaaqyna atherosclerosis, 4% - aortoarteritis nonspecific, in dadka kale - ama Kobac buunshada muruqa ah halbowlayaasha, aplasia ama hypoplasia quseyo, qabsamin postembolic, cudurrada kale ee nidaamka wareegga dhiigga.

Sababta ugu weyn ee sababta oo ah oo uu yeesho Leriche syndrome - qabsamin (xannibaad) ee quseyo, taasoo joojiyo qulqulka dhiigga sabab u ah in la xiro ee ay huurada.

Waxa la ogaaday in qidmeyntii in badan oo ka mid ah ragga qaawan, gaar ahaan 45 sanno ka dib. The arrin halis ugu muhiimsan - sigaarka.

Sidee cudurka?

The cabashooyinka ugu weyn ee lagu tiriyaa xanuunka lugaha uu. Khubarada ku adkeeyey in jebinta sababa ischemia socodka hoose addinka dhiig yeelan karaan 4 heerarka kala duwan ee horumarka:

• Marka uu cudurku waa bilaw, xanuun lugta dhacdaa marka culus ama dheer dhaqdhaqaaqa jirka, sida socda masaafo ka badan kiiloomitir ka weyn.
• Heerka labaad waxa lagu gartaa muuqaalka kore ee xanuun xataa xamuulka hooseeyo.
• In talaabada saddexaad xanuun xoog leh ugu rabshaysan tahay bukaanka, xitaa nasan.
• In cudurada trophic afaraad muuqato; boogaha, gangrene, galleeyda.

Leriche syndrome, daaweynta oo masraxa la soo dhaafay ku lug gooyo, waxaa had iyo jeer la socdo xanuun aad u daran degaanka ee barida, sinaha, dhexda, iyo inta badan waa - in meesha dabada ee waalka. Sababta - horumarinta ischemia (qulqulka dhiigga ku filnayn), muruqyada sagxada miskaha. Tani waxa loogu yeero claudication go'aysa koror tartiib tartiib ah, ischemia saameeyaa ma aha oo kaliya sagxada miskaha, laakiin sidoo kale laf dhabarta, taas oo ah sababta uu jiro si degdeg ah horumarinta iyo kacsi la'aanta ah.

Waxa intaa dheer in calaamadaha kor ku xusan in bukaanka aragto koritaanka aad u gaabis ah musmaarrada, waxaa jira dabacsanaan ah iyo khasaaro xad-dhaaf ah oo timaha on lugaha leexo madow ama faraha buluug. Haddii aan la daweyn, ay ku horumarineyso galay gangrene buluug ah.

Si loo ogaado ANGIOGRAFI cudur la isticmaalayo, Doppler ultrasound.

Daaweynta cudurka qaliin la'aan, taas oo sida caadiga ah loo fuliyay laba weji, waa hawlqabad la'aan.