Esinye sezifo ezingavandekanga zezifo zengculaza kukuphela kwe-endarteritis, echaphazela izitho ezingaphantsi kwaye ihamba kunye nokunciphisa imiraro ye-lumen (stenosis) okanye ukuvalwa kwayo ngokupheleleyo (ukuchithwa). Isifo sinomgangatho oqhubekayo kwaye sisona sizathu esivakalayo sokubanjwa komlenze. Ukubandezeleka kwe-endarteritis yeziphelo ezingaphantsi kakhulu ngabantu: abafazi bafumana i-1% yezigulane kuphela.
Izizathu zesifo
Oogqirha bayaqhubeka bexubusha ngezizathu zesilonda esinjalo, kodwa bayavuma ukuba i-endarteritis yokutshabalalisa yeenyawo ezingaphantsi ibeka phambili izinto eziliqela ngexesha elilodwa, kuquka:
- ukutshaya;
- ngeqabunga ezinyaweni;
- utywala obungapheliyo;
- i- neuritis engapheliyo yesibindi se-sciatic ;
- nzakala.
Ezinye izazinzulu zakwazi ukufumana ubudlelwane phakathi kwe-syphilis, i-typhus, i-epidermophyte yenyawo kunye nokuphelisa i-endarteritis yeempahla zelungu elisezantsi. Kukho imfundiso malunga nesimo esizimeleyo sesi sifo. Ekuphuhliseni kwayo kudlala indima kunye nokuphulwa komsebenzi we-hormonal we-adrenal glands.
Kubalulekile ukuhlukanisa ukupheliswa kwe-endarteritis nokuphelisa i-atherosclerosis. Olu hlobo lugxininiswa ngabantu asebekhulile malunga ne-systemic atherosclerosis, kwaye eso sifo sihamba kunye nokunciphisa i-lumen yazo zonke iirriyiti ezinkulu. Xa i-endarteritis ibona i-stenosis kunye nokupheliswa kweenqanawa zomhlaba kwiindawo zeenyawo kunye nezicabha, kwaye zihlupheka kubantu abaneminyaka engama-20-40 ubudala. Izimpawu zezi zimbini izifo ziyafana, nangona izizathu zihlukile.
Iimpawu zokuphelisa i-endarteritis
Ngokuxhomekeke kwinqanaba lokuvalwa kweempawu zeempahla, izigaba ezine zesifo ziyahluka:
- Ekuphelelweni kwegazi, ukuguqulwa kwamathambo kuqala ukuvela, kodwa isigulane asinaso nantoni na.
- Kukho i-spasm yeempahla, ezibonakaliswa ukukhathala kwemilenze, iintlungu, ukutywala. Amalungu ayabanda.
- Ukutshatyalaliswa kwegazi kwimibhobho kubuthakathaka, isigulane sikhalazela intlungu emilenzeni, ephakanyiswayo nakwiindawo zokuphumla.
- Iinqwelo ziphephe ngokupheleleyo, izicubu (necrosis) kunye ne-gangrene ziyafa.
Ngamanye amaxesha i-endarteritis yabasetyhini kunye namadoda iqala ngokubonakaliswa kokufuduka kwe-thrombophlebitis - iintsontsho ezincinci ezinyaweni nasemilenzeni ziboshwe nge-thrombi.
Kwinqanaba lesibini kukho ukunciphisa ukukhutshwa kwezipikili kunye nokulahleka kweenwele kwimilenze, isikhumba esibhakabhaka, uvakalelwa ukutshatyalaliswa kuzo zombini okanye ezinye zazo zihluleka.
Isigaba sesithathu sibonakala nge-atrophy ye-muscle kunye nokubonakala kwezilonda ze-trophic kwiminwe nangeenyawo. Emva koko, esi sifo sidlulela kwisigaba sokugqibela (emanzini okanye esomileyo), kwaye unyango lwe-endarteritis ephazamisayo emacaleni angaphantsi kuthetha ukuba, okokuqala, ukuxothwa.
Ngamanye amaxesha isifo sifana kwifom epheleleyo - kungekhona nje kuphela iinqwelo zemilenze, kodwa kwakhona:
- iiberethri kunye neeronari;
- amasebe e-visceral we-aorta esiswini;
- amasebe e-arch of aorta.
Ukuxilongwa kwesi sifo
Xa ufumanisa ugqirha, ugqirha makangabandakanywa:
- macroangiopathy yesifo sikashukela;
- i-discogenic myelopathy;
- imilenze ye-varicose;
- i-arthrosis, i-arthritis, i- sciatica , enentlungu ebonakalayo kwimilenze.
Ngexesha lokuxilongwa, izitho ezingezantsi zihlolwe ngu:
- UZDG (i-ultrasound dopplerography);
- thermography;
- rheovasography;
- oscillography;
- i-angiography;
- capillaroscopy.
Unyango lokuphelisa i-endarteritis
Ukuba isifo sifumaneka kumanyathelo okuqala, unyango olulondolozayo luyenziwa ukukhupha i-vasospasm, ukuthintela ukuvalwa kwegazi kunye nokuyeka ukuvuvukala. Ukwenza oku, sebenzisa i-antispasmodics, antibiotics, i-corticosteroids, iivithamini, i-anticoagulants, i-antigregregants. Iinkqubo zePhysiotherapeutic zi luncedo.
Xa unyango lwe-endarteritis, ukuyeka ukutshaya kuyimfuneko.