Obliterating thromboangiitis (chirwere cheBugerger) chirwere chisingaperi chine utachiona umo mhirizhonga miduku uye midzi mishonga uye mitsipa inobatwa. Kazhinji kacho chirwere chinowanikwa mune varume, asi chinowanikwawo kuvakadzi vanopfuura makore makumi mana.
Zvinokonzera kuparadza trombangiitis emumucheto wakadzika
Kusvikira ikozvino, hazvizivikanwi chaizvo chinokonzera chirwere. Pano chete mafungiro mazhinji pamusoro pezvakabva kune-thromboangiitis inoparara, pakati payo:
- zvirwere zvinotapukira;
- fodya kusvuta;
- yakawedzera lipoprotein content;
- kukuvadzwa;
- zvinokonzera kugadzirisa;
- kusingaperi kudhakwa ne arsenic;
- genetic factor, nezvimwewo.
Zviratidzo zvekudzivirira thromboangiitis
Kuvhiringidza kwemakumbo uye mitsemhu yemakumbo, kuderera mukati maro mukati, kukwikwidza, kusakwana kwekupa ropa kumatumbu uye zvimwe zvirwere zvinokonzera chirwere zvinogona kukura zvishoma nezvishoma kana nokukurumidza. Muzhinji, kune zvikamu zvina zve thromboangiitis obliterans, iyo inoratidzirwa nehutachiona hunotevera:
1. Nhanho yekutanga:
- kunotonhora, kurira kana kupisa pamunwe;
- kuwedzera kuneta kwemakumbo;
- blanching ganda remakumbo;
- kunetseka;
- kurwadziwa mumhuru mutsvuku wegumbo kana gumbo kana uchifamba.
2. Nhanho yechipiri:
- claudication intermittent ;
- kurasikirwa kwehusimbe, ganda rakaoma remakumbo nemakumbo;
- hyperkeratosis yemakumbo;
- kunonoka kukura kwezvipikiri, kubwinya kwadzo, kubvunda, kuora;
- kukura kweatrophy ye-subcutaneous mafuta uye zviduku zvetsoka zvishoma;
- kusava nemapurisa pamagetsi etsoka.
3. Chitatu chechitatu:
- kurwadziwa pamakumbo pazororo;
- kuzvimba;
- kuonda kweganda;
- kuumbwa kwekuputsana, zvipembenene semusana pekukuvadza kuduku;
- kufambira mberi kweatrophy yemhuru nemakumbo etsoka.
4. Nharo yechina:
- necrotic kuchinja muzvigunwe;
- chirwere chetsoka.
Kuchengetedzwa kweplonditative thromboangiitis
Kurapa kwehutachiona mumatangiro epakutanga - kuchengetedza, kunangwa pa:
- kubviswa kwezvipingamupinyi;
- kurwadziwa kunorwadza;
- kubviswa kwepasimasi yemidziyo yeropa ;
- kunatsiridza kwemagetsi ekugadzirisa mukati memaviri;
- kuenzanisa kwezviitiko zveropa coagulation, kubudirira kwehuwandu hweropa.
Mumamiriro ezvinhu akaoma uye pasina kusarudzwa kwakanaka kwechirwere chekuchengetedza, kupindira kwekuvhiya kunoratidzirwa, kusanganisira lumbar sympathectomy, shunting, uye chikwata chinyorwa.