Buerger ka maʻi, kona ka molekumu o, symptoms a me ka lapaʻau

Buerger ka maʻi - he hoʻoʻino mai o na aa koko a me arteries o ka poe liilii, a me ka meakino anawaena pili me ka pathology o ka'ōnaehana paleʻea nenoaiu. Kēia maʻi mea o ka ekolu ano, ke kaumaha ma muli o ka IIeEeAIEUAA o ka arterial kahi moe, i ka i koko ua 'akomi i pilikia:

- Distalʻano ua wehewehe aku ma lesions o arteries o ka poe liilii, anawaena. Kēia i ia na lima, wawae, wāwae a me nā forearms. Kona helu o ka huina Buerger maʻi o 60-65%.

- Proximalʻano kŰlń ao i na arteries o ke anawaena nui a me ka meakino, e like me ka aorta, femoral a me ka iliac arteries. Ka helu o kēia 'ano o ka maʻi o 15-20%.

- i hui pūʻia nei he huihui 'ana o nā' ano o nā lesions o na arteries. Kēiaʻano o ka hana ino 15-20% o nā mea maʻi.

Ke kaumaha ma muli o ka degere o ke koko pele pilikia, Buerger ka maʻi mea o ka eha kahua o ka hoʻonaʻauao.

- ke kahua mua o ka maʻi ua kapaia ooieoeiiaeuiiai uku au. E hoomanawanui i ohumu mai o ke ahi tingling i loko o nā fingertips, ole a me ka luhi, a. Iloko anuanu, na lala e haikea a me ke anu. I ka wa e hele ana me ka awelika māmā holo ma luna o ka mamao o ka 1000 mika he mea intermittent claudication. Ke hoomanawanui Kahalaopuna ʻeha i loko o nā bipi, na wawae a me nā wāwae aie i lawa ke koko lako. I pedis artery ka lāʻau ikiʻai mea ma kahi'ē paha weakly hoikeia.

- ka lua o ke kahua o ka mau hoailona ia mea: 'ano "A" i ka wa a ka intermittent claudication "B" ia lŘlŘ oiai lanakila i ka mamao mai ka 200 a hiki i 1000 mika, a ua kikokiko, ka wā o ka hanana o ka lameness lawa, e hele i ka mamao i emi ma mua o 200 mau mika.

Buerger ka maʻi ma ke kahua 2B ua wehewehe aku ma atrophy o na nāʻiʻo uuku o ka wāwae, e like me ka pono me kona subcutaneous momona.

Ka lāʻau ikiʻai i loko o ka wāwae mea ole detectable. Ili wawae a me na wawae haalele i elasticity, i maloʻo a me ka scaly, ikeia ma ka poho ili hyperkeratosis.

lauoho a me ka ulu kui ua kāne i kāohi i lalo, i nā kui i manoanoa, a hoopaa hoi i.

- ke kolu o ka anu u Ua puunaueia ma ke 'ano "A", ma aʻeha ia lŘlŘ i maha, a ua kikokiko i "B", ma a he eha ma koena me ka ischemic hai edema. Buerger ka maʻi i loko o ka anu u 3B Ua olelo ia ma ka ili thinning a me ka maʻalahi hoʻonawaiwali. Most nīnūnē abrasions a me nā palapū palapala i loko o ke kahua o ka mawae, a ola ulcers. Comes ka kokololio holomua o atrophy o na nāʻiʻo o ka wāwae, a malalo wawae.

- ha o ke kahua maʻi i puunaueia ma ka 'ano "A" ka wā he necrotic huli ana i loko o na manamana, me ka mālama' ana i kā lākou kākoʻo hana, a ua kikokiko i "B" ka wā gangrene'aʻaʻa pono ke kiʻekiʻe lala amputation. I ka anu u 4A luku loli ana. Ma unbearable a ua ikaika aku kaʻeha ma kēia kahua hiki aku Buerger ka maʻi, Hawaii photo na lau i kanalua i loko o keia. Ma loihi māhele o nāʻaoʻao, i hookuu i ka manamana lima, e hana hohonu ulcers. Gangrene puluʻano pono koke amputation.

Kēia hanahana loa mai o ka 'inikua inoa - ". Thromboangiitis obliterans" Hoopii o ka hoʻomanawanui iki mai i ke kumu e maʻi lala ischemia. Nā mea maʻi pinepine ohumu o ka pā lonoaʻili kiʻekiʻe i haʻahaʻa mahana, numbness, ka pinepine cramping, nawaliwali a me kaʻeha i loko o na lala.