Nnukwu njigide akwara - akụrụ

Nnukwu njigide akwara bụ akwara na mberede, nnukwu mwakpo nke akwara na-enye ọbara akụrụ.

Akụrụ chọrọ ezigbo ọbara. A na-akpọ akwara akwara akụrụ akwara akwara akwara. Mbelata usoro ọbara site na akụrụ akwara nwere ike imerụ ọrụ akụrụ. Nchịkọta zuru oke nke mmụba ọbara na akụrụ nwere ike ibute ọdịda akụrụ na-adịgide adịgide.

Nnukwu njigide akwara nke akụrụ akụrụ nwere ike ime mgbe ọnyá ma ọ bụ trauma na afọ, akụkụ, ma ọ bụ azụ. Mgbochi ọbara nke na-agafe n'ọbara (emboli) nwere ike ịbanye n'ụlọ akwara akụrụ.Iberibe ihe e dere ede site na mgbidi nke akwara akwara nwere ike ịtọpụ (n'onwe ha ma ọ bụ n'oge usoro). Mpekere a nwere ike igbochi akwara akụrụngwa ma ọ bụ otu n'ime obere arịa.

Ihe ize ndụ nke igbochi akwara na-abawanye na ndị nwere ụfọdụ nsogbu obi, nke na-eme ka ha nwee ike ịmalite mkpụkọ ọbara. Ndị a na-agụnye mitral stenosis na atrial fibrillation.

Mbelata nke akwara akwara akpọrọ akwara akwara stenosis. Ọnọdụ a na-eme ka ohere nke mberede mgbochi na mberede.

May nwere ike ị gaghị enwe mgbaàmà mgbe otu akụrụ anaghị arụ ọrụ maka akụrụ nke abụọ nwere ike nyocha ọbara. Otú ọ dị, ọbara mgbali elu (ọbara mgbali elu) nwere ike ịbịa na mberede ma sie ike nchịkwa.

Ọ bụrụ na akụrụ gị nke ọzọ anaghị arụ ọrụ nke ọma, mkpọchi akwara akụrụ nwere ike ibute mgbaàmà nke nnukwu akụrụ akụrụ. Ihe mgbaàmà ndị ọzọ nke nnukwu akwara nke akwara akwara gụnyere:

• Ime mgbu
• Mbibi n'ike na mmamịrị mmepụta
• Azụ mgbu
• Ọbara na mmamịrị
• Ahụ mgbu ma ọ bụ ihe mgbu n'akụkụ
• Mgbaàmà nke ọbara mgbali elu dị ka isi ọwụwa, mgbanwe n'ọhụụ, na ọzịza

Mara: Enwere ike enweghi mgbu. Mgbu, ọ bụrụ na ọ dị, na-amalitekarị na mberede.

Onye nlekọta ahụike agaghị enwe ike ịchọpụta nsogbu ahụ naanị na nyocha ọ gwụla ma ị mepụtara akụrụ akụrụ.

Ule ị nwere ike ịgụnye:

• Nnyocha Duplex Doppler ultrasound nke akwara akụrụ iji nwalee ọbara
• MRI nke akwara akụrụ, nke nwere ike igosi enweghị ọbara na akụrụ metụtara
• Ihe odide Renal na-egosi kpọmkwem ebe mkpọchi ahụ dị
• Ultrasound nke akụrụ na-elele akụrụ size

Ọtụtụ mgbe, ndị mmadụ anaghị achọ ọgwụgwọ. Ọbara ọbara nwere ike ịka mma na nke ha karịa oge.

Nwere ike ịnwe ọgwụgwọ mepee akwara ma ọ bụrụ na achọpụta ngwa ngwa ma ọ bụ na ọ na-emetụta naanị akụrụ ọrụ. Ọgwụgwọ imeghe akwara nwere ike ịgụnye:

• Ọgwụ ndị na-agbaze agbapụta (thrombolytics)
• Ọgwụ ndị na - egbochi ọbara ịgbanye (anticoagulants), dị ka warfarin (Coumadin)
• Wa ahụ mmezi nke gbasara akụrụ akwara
• Ntinye nke ọkpọkọ (catheter) n'ime akwara akụrụngwa iji mepee mkpọchi ahụ

Nwere ike ịchọ ọnya oge iji gwọọ akụrụ akụrụ. Ọgwụ ga - eme ka cholesterol belata ma ọ bụrụ na mgbochi ga - abụ n'ihi mkpụkọ mkpụkọ site na ihe e dere ede na akwara akwara.

Mmebi nke ikpuchi arterial nwere ike pụọ. Otú ọ dị, n'ọtụtụ ọnọdụ, ọ na-adịgide adịgide.

Ọ bụrụ naanị otu akụrụ na-emetụta, akụrụ ahụ dị mma nwere ike weghara nzacha ọbara na ịmị mamịrị. Ọ bụrụ na ị nwere naanị otu akụrụ na-arụ ọrụ, nsị na-eduga na nnukwu ọdịda akụrụ. Nke a nwere ike ịmalite ịmalite ịda akụrụ na-adịghị ala ala.

Nsogbu nwere ike ịgụnye:

• Nnukwu akụrụ akụrụ
• Ọrịa akụrụ na-adịghị ala ala
• Ọbara mgbali elu
• Ọrịa ọbara mgbali ọjọọ

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Stop kwụsịrị imepụta mamịrị
• Feel na-eche na mberede, oke ihe mgbu na azụ, akụkụ, ma ọ bụ afọ.

Nweta enyemaka ahụike mberede ozugbo ọ bụrụ na ị nwere mgbaàmà nke ọgbụgba akwara ma nwee naanị otu akụrụ na-arụ ọrụ.

N'ọtụtụ ọnọdụ, enweghi ike igbochi ọrịa ahụ. Zọ kachasị mkpa iji belata ihe egwu gị bụ ịkwụsị ị smokingụ sịga.

Ndị mmadụ nwere ike ịnweta mkpụkọ ọbara nwere ike ịdị mkpa ị medicinesụ ọgwụ na-egbochi ọgbụgba. Ime ihe iji chịkwaa ọrịa ndị metụtara atherosclerosis (ime ka akwara na-ekwesi ike) nwere ike belata ihe egwu gị.

Nnukwu akwara akwara thrombosis; Gbasara akwara embolism; Nnukwu akwara akwara occlusion; Embolism - akụrụ akwara

• Akụrụ anatomi
• Akụrụ - ọbara na mmamịrị na-asọ
• Akụrụ ọbara ọkọnọ

DuBose TD, Santos RM. Ọrịa akwara nke akụrụ. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke iri abụọ na ise. Philadelphia, PA: Elsevier Saunders; 2016: isi 125.

Myers DJ, Myers SI. Nsogbu sistemu: gbasara akụrụ. Na: Sidawy AN, Perler BA, eds. Herwa Ahụ nke Vascular Rutherford na ọgwụgwọ Endovascular. Agba nke 9. Philadelphia, PA: Elsevier; 2019: isi 44.

Ruggenenti P, Cravedi P, Remuzzi G. Ọrịa akwara na macrovascular nke akụrụ. Na: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner na Rector nke akụrụ. Nke iri. Philadelphia, PA: Elsevier; 2016: isi 35.

Watson RS, Cogbill TH. Atherosclerotic gbasara akwara akwara stenosis. Na: Cameron JL, Cameron AM, eds. Usoro ọgwụgwọ nke oge a. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2017: 1041-1047.