Esinye sezifo ezingavamile kakhulu zezifo ze-vascular yi-endarteritis ephazamisayo, echaphazela izitho ezingezansi futhi ihambisane nokunciphisa imishanguzo ye-aren (stenosis) noma ukuvalwa kwayo okuphelele (ukuchithwa). Lesi sifo sinesimo esiqhubekayo futhi siyimbangela evamile kakhulu yokukhishwa kwesinyawo. Ukuhlushwa kwe-endarteritis emaphethelweni aphansi kuningi amadoda: abesifazane balinganiselwa ku-1% kuphela weziguli.
Izimbangela zesifo
Odokotela baqhubeka bexoxa ngezimbangela zesilonda esinjalo, kodwa bayavuma ukuthi i-endarteritis ebulalayo yamagatsha angaphansi yenza izici eziningana ngesikhathi esisodwa, kufaka phakathi:
- ukubhema;
- inhlansi yezinyawo;
- ukuphuza ngokweqile;
- i- neuritis engapheli yesibindi sciatic ;
- ukulimala.
Abanye ososayensi bakwazi ukuthola ubuhlobo phakathi kwe-syphilis, i-typhus, i-foot epidermophyte nokuqeda ukuphela kwe-endarteritis yezitsha zamalungu angaphansi. Kukhona inkolelo mayelana nesimo se-autoimmune yalesi sifo. Ekuthuthukiseni kwayo kudla indima nokuphulwa komsebenzi we-hormonal wezinhlayiya ezingenasisindo.
Kubalulekile ukuhlukanisa ukuphela kwesifo sokuphela kwesisu nokuqeda ukuqina kwe-atherosclerosis. Lezi zinsuku zibhekene nabantu asebekhulile ngokumelene nesistimu ye-atheistic atherosclerosis, futhi lesi sifo sihambisana nokunciphisa kwe-lumen yazo zonke izifo ezinamandla. Lapho i-endarteritis ibonakala i-stenosis nokuqothulwa kwemikhumbi yendawo yokusebenza endaweni yezinyawo nezindwangu, futhi ihlupheka kubantu abaneminyaka engu-20-40 ubudala. Izimpawu zezifo zombili zifana, nakuba izimbangela zihlukile.
Izimpawu zokuqeda i-endarteritis
Ngokuya ngesilinganiso sokuvalwa kwesibane semikhumbi, izigaba ezine zalesi sifo ziyahlukahluka:
- Ekuphelelweni kwemisipha, izinguquko ze-dystrophic ziqala ukwenzeka, kepha isiguli asisitholi lutho.
- Kukhona i-spasm yezimpahla, ezivezwa ukukhathala kwemilenze, ubuhlungu, ukuzinyaza. Amalungu ayabanda.
- Ukuxoshwa kwegazi emithanjeni kunobuthakathaka, isiguli sigxeka ubuhlungu emlenzeni, okuvela ngisho nokuphumula.
- Imikhumbi ivinjiwe ngokuphelele, izicubu (necrosis) ne-gangrene ziyafa.
Ngezinye izikhathi ukuphela kwesifo sokubeletha kwabesifazane nabesilisa kuqala ngokubonakaliswa kwe-thrombophlebitis - ukuhamba kwemithanjeni ezinyaweni nasemilenzeni kuhlanganiswe ne-thrombi.
Esigabeni sesibili kunciphisa ukukhula kwezipikili nezinwele ekulahlekeni emilenzeni, isikhumba esibhakabhaka, uzizwa ukushaywa komzimba kokubili noma enye yazo ihluleka.
Isigaba sesithathu sibonakala nge-muscle atrophy kanye nokubonakala kwezilonda ze-trophic eminwe nasezinyaweni. Emva kwalesi sifo, lesi sifo sidlulela esigabeni sokugcina (umgogodla omanzi noma owomile), futhi ukwelashwa kwe-endarteritis ebulalayo emaphethelweni aphansi kusho ukuthi, okokuqala, ukuxoshwa.
Ngezinye izikhathi lesi sifo senziwa ngendlela ejwayelekile - hhayi nje kuphela izitsha zemilenze zivaliwe, kepha futhi:
- imishanguzo ye-cerebral and coronary;
- ama-visceral amagatsha e-aorta esisu;
- amagatsha ohlangothini lwe-aorta.
Ukuxilongwa kwesifo
Lapho uthola udokotela, udokotela kufanele akhishwe:
- macroangiopathy yesifo sikashukela;
- i-discogenic myelopathy;
- i-varicose veins;
- i-arthrosis, i-arthritis, i- sciatica , enokuhlunguzeka emilenzeni.
Ngesikhathi sokuxilongwa, izitho ezingezansi zihlolwe yi:
- I-UZDG (i-ultrasound dopplerography);
- i-thermography;
- rheovasography;
- i-oscillography;
- i-angiography;
- i-capillaroscopy.
Ukwelashwa kokuqeda i-endarteritis
Uma lesi sifo sitholakala ezinyathelweni zokuqala, ukwelashwa okulindelekile kwenziwa ukuze kukhululwe ama-vasospasm, ukuvimbela ukuvala ama-clots wegazi bese uyeka ukuvuvukala. Ukwenza lokhu, sebenzisa ama-antispasmodics, ama-antibiotics, ama-corticosteroids, amavithamini, ama-anticoagulants, ama-antigregregants. Izinqubo ze-Physiotherapeutic ziyasiza.
Lapho ukwelashwa kwe-endarteritis, ukuyeka ukubhema kuyimpoqo.