Ib qho ntawm cov kab mob tsis tshua txaus siab yog qhov obliterating endarteritis, uas cuam tshuam qhov qis qis thiab yog nrog txoj hlab ntsha ntawm cov hlab ntsha dhia (stenosis) lossis nws txoj kev kaw (obliteration). Tus kab mob no muaj qhov hnyav zuj zus thiab yog qhov ua rau mob plab heev. Kev txom nyem los ntawm qhov kawg ntawm lub qis extremities yog cov txiv neej: cov poj niam tsuas yog 1% ntawm cov neeg mob.
Ua rau ntawm tus kab mob
Cov kws kho mob tseem tuaj yeem sib tham txog qhov ua rau muaj qhov vascular lesion, tab sis pom zoo tias qhov xaus ntawm qhov kawg ntawm qhov qis ntawm qhov qis tshaj qhov qub, xws li:
- haus luam yeeb;
- frostbite ntawm tus taw;
- mob qaug;
- mob hlwb keeb kwm ntawm cov hlab ntsha sciatic ;
- kev raug mob.
Qee cov kws tshawb fawb tau pom txoj kev sib raug zoo ntawm kev mob qog nqaij hlav, kab mob, qhov ncauj tawm ntawm qhov ncauj tawm ntawm cov hlab ntsha qis. Muaj ib txoj kev xav txog qhov kev kho mob ntawm tus kab mob no. Nyob rau hauv kev loj hlob ntawm nws plays lub luag hauj lwm thiab ib tug ua txhaum ntawm hormonal Function ntawm qog adrenal.
Nws yog worthwhile kom paub qhov txawv obliterating endarteritis thiab obliterating atherosclerosis. Cov yav tas los txom nyem los ntawm cov neeg laus cov neeg mob tawm tsam kev mob atherosclerosis, thiab tus kab mob no yog nrog los ntawm ib txoj hlab ntawm lub lumen ntawm tag nrho cov hlab ntsha loj. Thaum endarteritis tau pom stenosis thiab obliteration ntawm peripheral cov hlab ntsha hauv cheeb tsam ntawm cov taw thiab cov hlaws, thiab lawv raug kev txom nyem los ntawm cov neeg muaj hnub nyoog 20-40 xyoo. Cov tsos mob ntawm ob kab mob zoo sib xws, tab sis qhov ua rau txawv.
Cov tsos mob ntawm obliterating endarteritis
Nyob ntawm seb qhov kev kaw ntawm qhov lumen ntawm cov hlab ntsha, plaub theem ntawm tus kab mob yog qhov txawv:
- Nyob rau hauv cov paj hlwb, cov kev hloov dystrophic pib tshwm sim, tab sis tus neeg mob tseem tsis tau muaj kev tsis xis nyob.
- Muaj qee qhov hlab ntsha ntawm cov hlab ntsha, uas yog hais txog kev qaug zog ntawm ob txhais ceg, mob siab, lameness. Cov nquab yog txias.
- Tus pulsation ntawm cov ntshav hauv cov hlab ntsha tsis muaj zog, tus neeg mob yws ntawm qhov mob ntawm lub nqua, uas tshwm sim txawm nyob so.
- Cov nkoj muaj kev khaus, cov ntaub so ntswg (necrosis) thiab gangrene tuag.
Qee lub sij hawm endarteritis nyob rau hauv cov poj niam thiab cov txiv neej pib nrog cov manifestations ntawm migrating thrombophlebitis - lub subcutaneous leeg ntawm txhais taw thiab ob txhais ceg yog clogged nrog thrombi.
Hauv ob theem no muaj qeeb ntawm kev loj hlob ntawm cov rau tes thiab plaub hau poob ntawm ob txhais ceg, xiav ntawm daim tawv nqaij, hnov qhov mem tes ntawm ob qho tib si los yog ib leeg tsis.
Qhov thib peb theem yog cov leeg ntawm cov leeg atrophy thiab cov tsos mob ntawm trophic ulcers ntawm cov ntiv tes thiab taw. Tom qab qhov no, tus kab mob kis mus rau theem kawg (ntub los yog qhuav gangrene), thiab kev kho mob ntawm qhov kawg ntawm qhov chaw qis ntawm qhov chaw qis qis qis dua, ua ntej txhua yam, kev raug mob.
Qee lub sij hawm tus kab mob tshwm sim nyob rau hauv ib qho generalized daim ntawv - ces tsis tsuas yog lub vessels ntawm ob txhais ceg yog clogged, tab sis kuj:
- cerebral thiab coronary arteries;
- visceral ceg ntawm lub plab aorta;
- ceg ntawm tus koov ntawm lub tsho.
Kev mob ntawm tus kab mob
Thaum kuaj pom tus kws kho mob, tus kws kho mob yuav tsum muab cais tawm:
- ntshav qab zib macroangiopathy;
- discogenic myelopathy;
- varicose leeg;
- mob caj dab, mob caj dab, mob sciatica , uas muaj qhov hnov mob ntawm cov ceg.
Thaum kuaj xyuas tus mob nos sab nraud los ntawm:
- UZDG (ultrasound dopplerography);
- thermography;
- rheovasography;
- oscillography;
- angiography;
- capillaroscopy.
Kev kho mob ntawm obliterating endarteritis
Yog hais tias muaj tus kab mob nyob hauv cov theem thaum ntxov, kev kho kom nruj yog kho kom txo tau cov vasospasm, tiv thaiv kom tsis txhob txhaws cov ntshav txhaws thiab nres qhov mob. Ua li no, siv antispasmodics, antibiotics, corticosteroids, vitamins, anticoagulants, antiaggregants. Cov kev kho mob ntawm cev nqaij daim tawv yuav pab tau.
Nyob rau hauv kev kho mob ntawm endarteritis, kev haus luam yeeb tso tawm yog yuav tsum tau ua.