Engxenyeni yesibili yekhulu le-XIX, udokotela waseJalimane uVinivarter waphawula ukuthi ngokuvamile izigungu ezingenangqondo ezixoshiwe ngezizathu zezokwelapha zabonisa izibonakaliso ze-thrombosis. Leli fomu lesifo se-artery labizwa ngegama eliphayona - isifo sikaVinivarter Burger.
Isifo sika-Buerger (ukubhubhisa i-thromboangiitis) ukuvuvukala kwemikhumbi emincane naphakathi, okuholela ekuphazamiseni okujikelezayo. Ngokujwayelekile, isifo sikaBurger sithinta imithanjeni nemithambo yezinhlangothi ezingenhla nezingaphansi, okuchazwa ukude kwabo kusukela ekugejeni kwegazi phakathi komzimba futhi, ngokufanele, ngokunyakaza okubuthakathaka kwegazi kuzo.
Izimbangela zesifo se-Buerger
Naphezu kokuthi lesi sifo siye safundiswa isikhathi eside, izindlela zokuthuthukiswa kwazo azicaci kahle. Kodwa kuyaziwa kahle ukuthi izifo ezidalwa izifo zokuqala zesifo yilesi:
- amazinga aphezulu e-adrenaline egazini ngenxa yomsebenzi okhulayo we-adrenal;
- izakhi zofuzo;
- ukuphazamiseka kwe-autoimmune;
- ukutheleleka kwamagciwane nesibindi;
- izimo ze-neurogenic eziholela ekuguqulweni kwezinto eziphilayo ezitsheni (ukuvimbela, thrombi, dysstrophy spastic);
- ukuhlukunyezwa, isithwathwa , ukudakwa ne-arsenic.
Ukubhema kubhekwa njengenye yezimbangela eziyinhloko zokuthuthukiswa kwesifo sikaBuerger. Ucwaningo lubonise ukuthi i-nicotine ikhuthaza ukwakheka kwe-thrombi.
Izimpawu zesifo sikaBuerger
Izimpawu nezindlela zokwelashwa kwesifo sikaBugerger zihlobene kakhulu nesiteji sesifo:
1. Isigaba sokuqala sibonakala ngokubonakaliswa okucashile:
- imilenze noma izandla zikhathele;
- Kukhona izinzwa ezingathandeki ezandleni zakho (ukudonsa, ukuvutha);
- uma uhamba isikhathi eside, uvivinya uyabonakala.
2. Esigabeni sesibili, ukukhubazeka kwenzeka kaningi. Ngaphezu kwalokho, lezi zimpawu zilandelayo:
- I-pulse ayizizwa ezinyaweni;
- isikhumba soma;
- imicu ibe yinkimbinkimbi, izipikili zinyathela futhi zinyuka;
- Izitho zithwala isisindo ngenxa ye-atrophy yamafutha angaphansi.
3. Esigabeni sesithathu sesifo, kukhona:
- ukuvuvukala emaphethelweni;
- i-atrophy ye-fatty layer and imisipha yemilenze noma izandla;
- ukuhlukunyezwa kwezicubu eziphakeme.
4. Esigabeni sesine, izicubu ziyafa, kanti isiguli siqala izilonda ezinzulu, siphula emaphethelweni.
Ukwelashwa kwesifo se-Buerger
Ezigaba zokuqala zalesi sifo, ukwelapha izidakamizwa kusebenza kahle, kubandakanya:
- i-antithrombotics;
- ama-antihistamine;
- izidakamizwa ze-vasodilator;
- izidakamizwa ezivimbela izidakamizwa.
Usizo oluhle ekwelapheni yi-physiotherapy, isibonelo, ukwelapha okudinga ukudla. Esikhathini sokugcina, ukuxoshwa kwesigungu esithintekayo kunconywa.
Ukunakwa sicela! Isinyathelo esibalulekile sokuphumula ukuyeka ukubhema ! Uma uqeda umkhuba omubi ekuqaleni kwesi sifo, khona-ke amathuba okungabi yi-invalid avela okuningi.