Vim tias txoj kev ua neej tsis zoo, kev noj haus, kev hloov hauv hnub nyoog, thiab cov caj npab, cov phab ntsa hauv cov hlab ntsha yog them cov roj cholesterol thiab tso qee feem ntawm lipid feem. Yog li pib lub atherosclerosis ntawm cov hlab ntsha ntawm sab qis extremities - cov tsos mob thiab kev kho mob ntawm tus mob no tau kawm txog ntau tshaj 100 xyoo. Txawm hais tias kev ua tau zoo hauv cov tshuaj, qhov kev mob plawv no tseem yog ib qho tseem ceeb hauv lub ntiaj teb no.
Cov tsos mob thiab kev kho ntawm txoj kev atherosclerosis ntawm cov hlab ntsha ntawm sab qis
Qhov txaus ntshai ntawm tus kab mob nthuav qhia yog tias nws nyiag nyiag mus txog rau ib lub caij. Thaum lub lumen ntawm cov hlab ntsha mob tsawv nyob rau thaj tsam ntawm 20-40% ntawm lub cev, ib tus neeg kuj tsis txawm txhawj xeeb ntawm txoj kev loj hlob ntawm obliterating atherosclerosis. Cov kab mob tshwm sim ntawm tus kab mob no tau pom muaj kev sib zog los yog tag nrho kaw cov hlab ntsha (ntawm 60 mus rau 80%):
- periodic tshwm sim ntawm qhov mob hauv cov leeg ntawm cov ceg;
- lameness, tshwj xeeb tshaj yog cov cwj pwm ntawm cov neeg haus luam yeeb;
- qhov mob syndrome tom qab so, nrog rau hmo so;
- kev hnov mob hauv siab , tsis muaj kev tswj hwm lawv;
- tiv taus lossis mob fungal mob ntawm cov ntiv tes thiab tes;
- pallor thiab dryness ntawm daim tawv nqaij, plaub hau poob ntawm ob txhais ceg;
- chilliness nyob rau hauv ko taw, feem ntau lawv yog txias dua lwm qhov ntawm qhov nqua;
- qhov tsim ntawm qhov mob rau ntawm sab laug ntawm taw;
- disappearance ntawm pulse nyob rau hauv cov hlab ntsha ntawm cov ceg;
- qhov tsos ntawm qhov tsaus nti rau ntawm taw;
- gangrene.
Hauv cov theem thaum ntxov ntawm atherosclerosis, nws yog txaus los tua cov yam uas ua rau nws mob - kom cev yuag, khoom noj khoom haus thiab kev ua neej, tswj ntshav qab zib thiab ntshav siab.
Rau qhov nruab nrab ntawm cov vascular lesion, conservative therapy yog ua kom rov qab ntshav thiab ua kom txo cov concentration ntawm cov roj cholesterol.
Yog tias cov kev hais los saum toj no tsis muaj txiaj ntsim, kev kho mob qog lossis phais mob yuav tsum muaj:
- Stenting;
- endarterectomy;
- kws lij choj;
- balloon angioplasty ;
- bypass phais.
Kho kev kho mob ntawm atherosclerosis ntawm lub vessels ntawm qis extremities
Lub ntsiab pawg ntawm cov cuab yeej siv los tshem tawm cov phenomena ntawm obliteration ntawm cov hlab ntsha:
- thrombocyte disaggregants;
- statins;
- antioxidants;
- fibrates;
- nicotinic acid derivatives;
- anticoagulants;
- warfarins;
- yeeb tshuaj uas ua kom cov ntshav microcirculation;
- heparins;
- beta-blockers;
- multivitamins;
- txhais tau tias kev ua haujlwm ntawm metabolic.
Lwm txoj kev kho rau obliterating atherosclerosis ntawm cov hlab ntsha ntawm sab qis extremities muaj xws li mus ntsib rau cov chaw kho mob, cov kev kho mob physiotherapy, kev xyaum mus kev. Nws yog ib qho tseem ceeb uas yuav tau mus ntsib tus kws kho mob tsis tu ncua, saib xyuas cov txiaj ntsim ntawm kev ntsuas.
Npaj rau conservative kev kho mob ntawm atherosclerosis ntawm lub vessels ntawm qis extremities
Lub tswv yim pes tsawg ntawm txoj kev kho yuav tsum tsim tshwj xeeb heev los ntawm ib tug kws kho mob tshwj xeeb, kev xav txog qhov loj qhov ntawm obliteration, lub sij hawm ntawm qhov kev kawm ntawm pathology. Ntawm qhov tseem ceeb tshaj - muaj cov kab mob sib kis, mob tus neeg mob hnub nyoog, theem ntawm nws lub cev ua ub ua no, qhov khoom noj khoom haus thiab lwm yam nuances.
Cov tshuaj tseem ceeb rau kev kho mob ntawm kev hnyav atherosclerosis ntawm cov hlab ntsha ntawm lub nraub qaum sab (piv txwv ntawm ib qho chaw kho mob sab nraud):
- Tsheb nqaj hlau los yog Pentoxifylline;
- Simvastatin;
- Dipyridamole;
- Plavix;
- Kapilar;
- extract ntawm ginkgo biloba.
Nyob rau hauv lub tsim ntawm yaig los yog ulcers ntawm daim tawv nqaij, cov nram qab no yog tshuaj ntxiv:
- Actovegin;
- Papaverine;
- Sulodexide lossis Wessel Douay F;
- Riboxin;
- Tshaj tawm;
- Diphenhydramine;
- Nikoshpan;
- Cardiomagn.
Nrhav, ncaj qha ntawm cov tawv nqaij, nws yog qhov pom zoo kom siv Salcoseril ointment los Actovegin.