Aortic arch dídùn

Ọfa aortic jẹ apa oke ti iṣọn-ẹjẹ akọkọ ti n gbe ẹjẹ lọ kuro ninu ọkan. Agesic arch syndrome n tọka si ẹgbẹ awọn ami ati awọn aami aisan ti o ni nkan ṣe pẹlu awọn iṣoro igbekalẹ ninu awọn iṣọn ti o yọ kuro ni ọna aortic.

Awọn iṣoro aarun aisan aortic le jẹ nitori ibalokanjẹ, didi ẹjẹ, tabi awọn aiṣedede ti o dagbasoke ṣaaju ibimọ. Awọn abawọn wọnyi ja si ṣiṣan ẹjẹ alaibamu si ori, ọrun, tabi apa.

Ninu awọn ọmọde, ọpọlọpọ awọn oriṣi awọn iṣọn-aaki aortic, pẹlu:

• Isansa Congenital ti ẹka kan ti aorta
• Ipinya ti awọn iṣọn subclavian
• Awọn oruka iṣan

Arun iredodo ti a pe ni aarun Takayasu le ja si idinku (stenosis) ti awọn ọkọ oju-omi aortic. Eyi maa nwaye ninu awọn obinrin ati awọn ọmọbirin. Arun yii ni a rii ni igbagbogbo julọ ninu awọn eniyan ti idile Asia.

Awọn aami aisan yatọ ni ibamu si iru iṣọn ara tabi eto miiran ti o ti kan. Awọn aami aisan le pẹlu:

• Awọn iyipada titẹ ẹjẹ
• Awọn iṣoro mimi
• Dizziness, iran ti o dara, ailera, ati ọpọlọ miiran ati eto aifọkanbalẹ (iṣan)
• Nkan ti apa kan
• Din ku polusi
• Awọn iṣoro gbigbe
• Awọn ikọlu ischemic kuru (TIA)

Isẹ abẹ nigbagbogbo ni a nilo lati tọju idi ti o fa aarun aisan aortic.

Aisan iṣan-ara iṣan Subclavian; Aisan iṣan-ara iṣan Carotid; Aisan jiji Subclavian; Iṣọn-ara iṣọn-ẹjẹ iṣọn-ẹjẹ iṣan-ọrọ; Arun Takayasu; Arun pululless

• Okan - apakan nipasẹ aarin
• Oru iṣan

Braverman AC, Schermerhorn M. Awọn arun ti aorta. Ni: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Arun Okan ti Braunwald: Iwe-kika ti Oogun Ẹkọ inu ọkan ati ẹjẹ. 11th ed. Philadelphia, PA: Elsevier; 2019: ori 63.

James WD, Elston DM, Toju JR, Rosenbach MA, Neuhaus IM. Awọn arun ti iṣan ti Cutaneous. Ni: James WD, Elston DM, tọju JR, Rosenbach MA, Neuhaus IM, eds. Andrews ’Arun ti Awọ: Itọju Ẹkọ nipa Iṣoogun. 13th ed. Philadelphia, PA: Elsevier; 2020: ori 35.

Langford CA. Takayasu arteritis. Ninu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: ori 165.