ʻO kekahi o nā maʻiʻehaʻeha loaʻo ka endarteritis e hōʻino ana, e pili ana i nā lālā lalo a ua hele pū me ka liʻiliʻi o ka lumen (stenosis) a me ka pani piha (wīwī). ʻO ka maʻi keʻano holomua aʻo ka kumu maʻamau loa ia o kaʻokiʻana o ka wāwae. ʻO ka hopena o ka hopena o nā mea haʻahaʻa, he mau kāne kāne ia: kahiʻike wahine no ka 1% wale nō o nā maʻi.
Nā kumu o ka maʻi
Ke hoʻomau nei nā kākapa e kūkākūkā e pili ana i nā kumu o kēia līpī paʻakīpī, akā eʻaeʻoeʻo ka endarteritis pauʻole o nā lālā lalo e kau mua i nā kumu he nui, e like me:
- puaʻa;
- ka hina o nā wāwae;
- kaʻona mau loa;
- nā neuroitis lōʻihi o ke aʻalolo sciatic ;
- nāʻeha.
Ua loaʻa i kekahi o nāʻepekema ka pilina ma waena o syphilis, typhus, foot epidermophyte a me ka hemo endterteritis o nā moku o nā lālā lalo. Aia kekahi manaʻo e pili ana i keʻano autoimmune o kēia maʻi. I ka hoʻomohalaʻana o ia mea, he pāʻani ka hana a me ka uhakiʻiaʻana o ka hana hormonal o nā āpau.
He mea pono ke hoʻomaopopo i kaʻaeʻana i ka endarteritis a me ka hemoʻana i ke atherosclerosis. ʻO ka hope i loaʻa i nā poʻeʻelemakule e pili ana i ka'ōnaehana atherosclerosis, aʻo ka maʻi i hele pū me ka hoʻopiʻiʻana o ka lumen o nā kumuhana nui. Keʻikeʻia ka endenteritis stenosis a me ka holoiʻana i nā moku āpau i kahi o nā wāwae a me ke kuamo, a loaʻa iā lākou i ka 20-40 mau makahiki. ʻO nā hōʻailona o nā maʻiʻelua e like like ia, akā he likeʻole nā kumu.
Nā hōʻaia o ka hōʻinoʻana i ka endarteritis
Ma muli o ke kaʻina o ka paniʻana o ka lumen o nā moku, uaʻikeʻia nāʻanoʻehā o ka maʻi:
- Ma nā hopena o keʻano maʻiʻole, hiki ke hoʻololi i nā hoʻololi o ka dystrophic, akā,ʻaʻole i loaʻa i nā mea maʻi ka pilikia.
- Aia kahi spasm o nā moku, i hōʻikeʻia e ka luhi o nā wāwae, nāʻeha, nā laʻa. Ua anu nā lālā.
- ʻO ka pulsation o ke koko i loko o ke anʻale ua hoʻonāwaliwaliʻia,ʻo ka mea maʻi keʻehaʻeha i kaʻeha ma nā lālā, a ua kū i ka hoʻomaha.
- Hoʻopauʻia nā moku a pau, kaʻiʻo (necrosis) a me ke kualanerene.
I kekahi manawa, e hoʻomaka ana ka endarteritis i mua o nā wāhine a me nā kānaka me nā hōʻike o ka neʻeʻana i nā thrombophlebitis - ke kīʻia i nā maʻi i lalo o nā wāwae a me nā wāwae me ka thrombi.
I ka lua o ka manawa, e hoʻonui ana i ka uluʻana o nā kui a me ka poho hina i nā wāwae, kaʻulaʻula, eʻike i ka pulse ma nāʻaoʻaoʻelua a iʻole paha kekahi o lākou.
ʻO ke kolu o ka māhele e hōʻikeʻia e ke keʻokeʻo atrophy a me keʻano o nā maʻi maʻi pīpī ma nā manamana lima a me nā wāwae. Ma hope o kēia, e hele ana ka maʻi i ka hope hope (ʻeleʻele a maloʻo paha), a me ka hoʻomaluʻana i ka endarteritis pauʻole o nāʻaoʻao haʻahaʻa,ʻo ia hoʻi,ʻo ka mea mua,ʻo ka'ōpū.
I kekahi manawa, loaʻa ka maʻi ma kahiʻano maʻamau -ʻaʻole i ka moku wale nō nā kīʻaha o ka wāwae, akā, penei:
- nā'anakalupa a me ke kuamoʻo;
- nā lālā kūmole o ka aorta abdominal;
- nā lālā o ka pale o ka aorta.
ʻO ka hōʻoiaʻana o ka maʻi
Ke wehe i kahi kauka, pono e weheʻia ke kauka:
- ka diabetic macroangiopathy;
- kaolaʻula myelopathy;
- nā uala varicose;
- arthrosis,'opiʻo, sciatica , i loaʻa kaʻeha kūlana i ka wāwae.
I ka wā o ka weheweheʻana,ʻikeʻia nā lālā lalo e:
- UZDG (ultrasound dopplerography);
- Hoolaha;
- kekuhi;
- palapala kalipuni;
- ʻike wikiō;
- nā kālepa.
Hanaʻia no ka hōʻinoʻana i ka endarteritis
Ināʻikeʻia ka maʻi i ka wā mua, ua hanaʻia nā hana hoʻomalu mālamaʻole no ka mālamaʻana i ka vasospasm, e pale i kaʻahaʻana o ke koko a hoʻokuʻu i ka mumū. No ka hanaʻana i kēia, hoʻohana i nā antispasmodics, antibiotic, corticosteroids, vitamins, anticoagulants, antiaggregants. He mea maikaʻi nā kaʻina hana physiopepe.
I ka mālamaʻana i ka endarteritis, pono ka puhiʻana i kaʻaeʻana.