Lower limb obliterative arteriopathy (AOMI) yog txhais los ntawm kev nqaim ntawm cov hlab ntsha ntawm cov hlab ntsha hauv cov ceg qis, uas ua rau mob thiab mob plawv.

Arteriopathy obliterating ntawm cov ceg qis (PAD) yog qhov txo qis ntawm txoj kab uas hla ntawm cov hlab ntsha muab cov ceg qis: lub duav, ceg, taw, thiab lwm yam.

Cov hlab ntsha tseem ceeb uas muab cov ntshav rau qhov no ntawm lub cev yog: cov hlab ntsha iliac (hauv lub plab), cov hlab ntsha femoral (hauv femur) thiab tibial hlab ntsha (hauv tibia). Lawv kuj yog cov hlab ntsha feem ntau cuam tshuam nrog tus kab mob.

Qhov nqaim ntawm cov hlab ntsha ntawm cov hlab ntsha no yog qhov tshwm sim ntawm kev tsim cov atheroma plaques: cellular khib nyiab, thiab khaws cov roj cholesterol.

Obliterating arterial kab mob ntawm cov ceg qis yog feem ntau tsis-symptomatic thaum xub thawj. Tus neeg mob tseem tsis paub tias nws muaj.

Kev txo qis hauv cov hlab ntsha hauv cov hlab ntsha ua rau poob qis hauv systolic siab (cov ntshav siab nyob hauv lub cev, thaum lub plawv dhia), hauv cov ceg qis.

Ob hom ischemia (txo qis hauv arterial vascularization) tuaj yeem sib txawv:

• exertional ischemia, uas tej zaum yuav los yog tsis muaj cov tsos mob ischemic
• ischemia mus tas li, cov tsos mob tshwm sim feem ntau pom.

Epidemiologically, cov kab mob no cuam tshuam txog ze li ntawm 1,5% ntawm cov neeg Fab Kis uas muaj hnub nyoog qis dua 50 xyoo. Tab sis tseem muaj ntau dua 5% ntawm cov neeg laus dua 50 thiab 20% ntawm ntau dua 60 xyoo.

Cov txiv neej tau hais tias muaj kev pheej hmoo siab ntawm kev tsim cov kab mob arterial no, nrog rau qhov sib piv ntawm 3 tus txiv neej rau 1 tus poj niam.

Nrhiav keeb kwm kho mob, nrog rau pom cov tsos mob tshwj xeeb, yog thawj kauj ruam hauv kev kuaj mob tus mob no. Kev kuaj mob raws li nram no: ntsuas pulse, lossis systolic siab Performance index (IPS). Cov kauj ruam thib ob no tso cai tshwj xeeb kom muaj lub zeem muag ntawm lub chaw ntau pob ntawm AOMI.

Lub hauv paus ua rau tus kab mob yog:

• un mob ntshav qab zib
• a rog los yog rog dhau
• hypercholesterolemia
• a tawg
• haus luam yeeb
• lub cev tsis ua haujlwm

Txhua tus neeg tuaj yeem txhawj xeeb los ntawm kev txhim kho ntawm xws li pathology. Txawm li cas los xij, qhov tseem ceeb tshaj plaws yuav tsum cuam tshuam nrog cov neeg tshaj 50 thiab nrog cov txiv neej.

Cov tsos mob ntawm tus kab mob yog:

• mob nqaij nyob rau hauv qis qis, tshwj xeeb tshaj yog nyob rau hauv ob txhais ceg
• qhov pib ntawm qhov rov ua dua, kuj hu ua intermittent claudication
• Kev hloov ntawm daim tawv nqaij, qhov kub thiab txias hloov ntawm cov ceg qis tuaj yeem yog cov cim qhia tseem ceeb.

Cov tsos mob no tau nthuav dav hauv cov ntsiab lus ntawm ntau dua lossis tsawg dua rau qhov txias.

Qee qhov kev pheej hmoo muaj tshwm sim thaum kev loj hlob ntawm hom kab mob no. Hauv tshwj xeeb hauv qab kev puas tsuaj ntawm cov hlab plawv, lossis lub hnub nyoog siab ntawm tus neeg.

Thawj theem ntawm kev kuaj mob ntawm arteritis obliterans ntawm qhov qis qis tshwm sim los ntawm kev soj ntsuam thiab kev kuaj mob: pom pom cov tsos mob thiab cov tsos mob, ntsuas qhov ntsuas systolic siab, ntsuas pulse, thiab lwm yam.

Lwm qhov kev ntsuam xyuas ntxiv tuaj yeem txhawb nqa cov thawj theem no: Doppler ultrasound ntawm cov ceg qis, ib qho kev sim taug kev, ultrasound ntawm lub aorta, electrocardiogram, lossis txawm tias qhov tob hauv plawv thiab lipid kev ntsuas.

Kev tiv thaiv tus kab mob no feem ntau yog nyob ntawm kev hloov pauv hauv tus neeg mob txoj kev ua neej:

• kev haus luam yeeb, yog tias tom kawg yog tus neeg haus luam yeeb
• xyaum ua lub cev tsis tu ncua thiab yoog raws. Taug kev, piv txwv li, tuaj yeem pom zoo heev
• tswj qhov hnyav li niaj zaus
• txais yuav kev noj qab haus huv thiab sib npaug.