Splenic artery aneurysm tih hi i hre tawh em? A hming hi a hlauhawm deuhin a lang thei a, mahse lungngai suh. I hriatthiam theih khawpin a awlsam zawngin sawi ila. A tam zawkah chuan he natna hi chhinchhiahna awm lovin a awm thei a, mahse a chang chuan pum veilam chunglam natna ang chi thil nen a lo lang thei bawk.
He splenic artery aneurysm hi eng nge ni?
A awlsam zawngin, i ril hian thisen kalna kawng bulpui, thisen petu artery , a nei a, chu thisen kalna kawngkhar ṭhenkhat chu a chak lo va, balloon ang maia a lo chhuah chuan aneurysm kan ti a ni. Tui pipe a upa tawh chuan hmun khata a bul chhuak ang maiin han ngaihtuah teh. Hun a kal zel a, he bulge hi a lian thei hle. Bulge a lian poh leh chhiatna a thlen tam thei. A dik tak chuan splenic artery hi 1.0 cm emaw a aia tam emaw a bulge chuan splenic artery aneurysm kan ti thin. A chang chuan hun rei tak chhung chu asymptomatic a ni thei bawk. Mahse a chang chuan emergency medical treatment mamawhna symptoms a lantir thei bawk. Chuvangin, hei hi hriat chian a pawimawh hle a, chu chu a natna lan chhuah dan leh a hlauhawmna te a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge dawng duh zawk?
He natna hi splenic artery aneurysm tia koh a ni a, mi 1,000 zinga pakhat leh mi 2,500 zinga pakhat inkar a ni. Chumi awmzia chu, thil lian tak angin a lang lo mai thei a, mahse kan pum chhunga thisen kalna kawng (visceral artery aneurysm)-a aneurysm chi khat lo awm tam ber a ni tihna a ni.
Hei hian kum tin puitlingte a nghawng thei a ni. Mahse hmeichhia i nih chuan , a bik takin kum 60 chunglam i nih chuan , i hlauhawmna a sang deuh hlek a ni. Dik tak chuan, heng aneurysm zinga 80% vel hi hmeichhiaah a thleng tih pawh hriat tur a ni .
Engtin nge aneurysm hian taksa a nghawng? A hlauhawm em?
A tlangpuiin kan arteries te hi a flexible hle. Thisen a luang chhuak ang zelin an inzawm khawm a, an zau zel a, mahse an pianzia pangngai chu an hloh lo. Mahse aneurysm a lo awm chuan artery-a hmun chak lo tak chuan pawn lamah a bulge chhuak thin. Rubber band hmun khata hrual ang mai a ni. Chutih lai chuan artery wall chu a chak lo hle a ni. Hun a kal zel a, enkawl loh chuan hei hian harsatna lian tak a thlen thei a ni .
Splenic Artery Aneurysm hi damdawi lam natna khirh tak a ni a . A châng chuan nunna atân a hlauhawm thei a, a bîk takin naupai i nih chuan . Aneurysm dang ang bawkin, hei hi a hlauhawm hle a, a chhan chu a rupture emaw dissect emaw thei a ni . Heng rupture leh dissection te hi nunna atana hlauhawm emergency a ni a, damdawi lam pan vat a ngai a ni.
Thil dang a awm a, chu chu pseudoaneurysms an ti., chu chu ‘false aneurysm’ an ti a ni. Hei hian splenic artery pawh a nghawng thei bawk. Aneurysm dik takah chuan artery wall layer zawng zawng a nghawng vek a ni. Pseudoaneurysm-ah chuan layer pakhat emaw pahnih emaw chauh a nghawng a ni. Mahse, he pseudoaneurysm of the splenic artery pawh hi a na hle a, aneurysm dik tak aiin a rupture theihna a sang zawk .
Splenic artery aneurysm natna lan chhuah dan chu engte nge ni?
He aneurysm hi i neih chuan symptom engemaw zat i nei thei.
- I pum veilam chunglam a na . He natna hi i ke veilam thlengin a radiate thei bawk.
- Pum veilam chunglam atanga pulsating feeling a awm.
He aneurysm hi a puak chhuak a nih chuan eng nge thleng ang tih han ngaihtuah teh . Tichuan, hetiang symptoms hi i nei nghal mai thei:
- Nausea leh luak chhuak .
- A sharp pain in the upper abdomen , i ruh hnuai lam chiah.
- A ke veilam a na .
- Hypovolemic shock (taksa chhunga thisen awm zat tlahniam avanga lo awm) symptoms.
He hri leng hi a lo thleng thut thei a, a nih loh leh stage hnih-ah a lo awm thei bawk. Mi pali zinga pakhat vel chuan heng stage pahnih inzawmkhawm hi an tawng thin. Chu chu symptoms a lo lang nghal a, chutah chuan rei lo te chhung a reh leh thin tihna a ni. Mahse chu hahdamna chu rei lo te chhung a ni a, taksa chu rang takin a mangang ta a ni.
A pawimawh ber chu splenic artery aneurysm emaw rupture emaw symptoms i neih chuan 1990 emaw i local emergency number emaw ah i call nghal tur a ni.
Mi tam tak chuan aneurysm a rupture dawn emaw, a rupture hma emaw chuan symptom an nei lo. Chuvangin i risk factors hriat a pawimawh em em a, i doctor nen i risk level chungchang sawipui a pawimawh hle.
Engvangin nge he splenic artery aneurysm hi a lo awm?
Splenic artery wall chak lohna hi he aneurysm thlentu ber a ni. Hetiang chak lohna hi eng nge ni tih chiang takin a chiang ngai lo. Mahse, zirchiangtute chuan he natna thlentu risk factor tam tak a awm tih an hmuchhuak.
Of these , naupai hi risk factor pawimawh tak a ni. Tin, hmeichhe naupai tawhte tan pawh he hlauhawmna hi a sang zawk bawk. Naupai lai hian hormone inthlak danglamna hian i thisen kal dan a nghawng a, chu chuan splenic artery chhunga pressure a tisang a ni. Hei hian artery walls a tichak lo thei a, aneurysm a siam thei bawk.
Damdawi lam thil dang hrang hrangte pawhin splenic artery aneurysm vei theihna a tipung thei bawk. Entirna tlemte chu hetiang hi a ni:
- Thisen sang (Arterial hypertension) .
- Atherosclerosis natna a ni
- Thluak thisen kalna (aneurysm) a awm
- Cirrhosis natna (liver) a awm
- Connective tissue natna te, entirnanMarfan syndrome a ni
- Zunthlum (Diabetes Mellitus) natna a ni.
- Thinlung chhungril lam natna (Endocarditis) .
- Fibromuscular dysplasia (FMD) natna hi a awm thei lo.
- Granulomatosis hi polyangiitis (GPA) (hmanlai chuan Wegener’s tia hriat) nen a awm a .
- Liver thlak danglam a ni
- A rilru a buai em em a, a rilru a hah em em bawk a. PAN) .
- Portal hypertension (liver panna vein-a pressure sang) 1.1.
- Vasculitis a ni
A hmaa kan sawi tawh ang khan pseudoaneurysms lo awm chhan tur risk factors a awm bawk :
- Pancreatitis natna rei tak a awm
- Operation hnua harsatna awm thei.
- Accident, hliam, car accident emaw, chemte kah emaw ang chi.
Aneurysm puak chhante chu engte nge ni?
Splenic artery aneurysm a rupture theihna tur risk factor lian tak tak engemaw zat a awm a:
- Portal hypertension: Aneurysm awmna hmuna thisen kal tam chuan a rupture theihna a tipung a ni.
- Naupai lai: Naupai lai hian aneurysm 50% vel chu a rupture thin. A tam zawkah chuan he rupture hi naupai thla thum hnuhnung berah a thleng thin.
- Symptoms awm dan: Symptoms nei te hian hri leng an vei theihna chance 80% an nei a ni. Hei hi symptom nei lo (10% risk nei) aiin a sang zawk hle.
Engtin nge doctor-te hian he natna hi an hriat theih?
Dik tak chuan splenic artery aneurysm hi hriat a harsa deuh thei. Hei hi a chhan chu a natna lan chhuah dan a chiang lo hle a, dinhmun dang tam tak an entawn thei bawk. A châng chuan, doctor-te chuan chhan dang vangin test an tih laiin he natna hi an hmuchhuak ṭhin.
Heng aneurysm te hi special imaging test hmanga hriat theihna tha ber a ni a, a bik takin symptom i neih loh chuan.
Chumi atana hman test thenkhat chu hetiang hi a ni:
- CT Angiography (Computed tomography hmanga angiography - CTA) hmanga enfiah a ni.
- Digital subtraction angiography (DSA) hmanga tihchhuah a ni.
- Ultrasound hmanga enfiah (Ultrasonography) , endoscopic ultrasound hmanga enfiah te pawh a tel.
- M.R. Angiography (Magnetic resonance angiography - MRA) hmanga enfiah a ni.
Heng test tin hian aneurysm hmuhchhuahna leh enkawl dan tur ruahmanna siamna atan hlawkna bik a nei vek a ni. I doctor chuan eng test nge i mamawh tih leh engvangin nge i mamawh tih a hrilhfiah ang che.
Engtin nge enkawlna ka mamawh tih ka hriat theih ang?
Splenic artery aneurysm, puak emaw, puak emaw hlauhawm tak chu enkawl vat a ngai a ni. A hnuaia natnate hi i neih chuan i doctor chuan enkawl dan tur a rawt thei ang:
- Aneurysm hi centimetre 3 (millimeter 30) aia lian a nih chuan.
- Hun kal zelah aneurysm a lian chhoh chuan .
- Symptoms i neih chuan .
- Liver transplant i mamawh chuan .
- Naupai i nih chuan , emaw naupai theihna a awm chuan .
I aneurysm chu a chhe thei lo a nih chuan i doctor chuan surveillance , chu chu a hun taka follow-up imaging test neih a rawt mai thei. Engtik lai pawhin i rupture hlauhawmna a san chuan i doctor chuan enkawl turin a rawt ang che.
Splenic artery aneurysm hi eng enkawlna nge ni?
Hei hi enkawlna kawng hrang hrang a awm.
- Endovascular procedure: Hei hi aneurysm a puak hmaa enkawlna atana tha ber a ni tlangpui (elective treatment). Hetah hian doctor chuan aneurysm kaltlangin thisen kal chu a block off thin. Chumi atan chuan hmanraw hrang hrang a awm. Entirnan, ‘coiling’ an tih method-ah chuan metal coil hmangin aneurysm chu an luah khat thin. Thil dang pakhatah chuan tui bik an inject a, chu chuan thisen kalna chu a ti thim a, thisen kalna chu a titawp a ni. Doctor chuan aneurysm awm dan leh a awmna hmun a zirin a hmanraw tha ber a thlang thin.
- Open surgery: Hei hi endovascular treatment nei thei lo emaw, hlawhtlinna nei lo emaw tan a tha hle. Hetah hian doctor chuan thisen kalna kawng chhia chu a la chhuak thin. I spleen pawh lakchhuah a ngai mai thei (splenectomy) .
- Laparoscopic procedure: Hei hi open surgery aiin invasive lo zawk a ni a, a dam hun pawh a tawi zawk. Hei hi naupai lai enkawl dan tha ber a ni fo thin.
I doctor nen eng treatment plan nge i tan a tha ber tih sawi rawh.
Enkawlna avanga harsatna awm thei
I doctor chuan enkawlna avanga hlauhawm leh harsatna awm thei te chu a hrilhfiah ang che. Chung zinga a tam ber chu post-embolization syndrome (PES) an tih hi a ni. PES natna lan chhuah dan chu:
- Khawsik.
- Nausea leh luak chhuak.
- Pum natna.
Enkawl hnua heng symptoms te hi i neih chuan doctor nen inbia ang che. I doctor chuan i dam leh hma loh chuan i natna lan chhuah dan tihziaawmna turin painkiller emaw saline (IV fluids) emaw a rawn rawt thei ang.
He risk tihtlem nan hian eng nge ka tih theih ang?
Damdawi dang i neih apiang uluk taka enkawl a pawimawh a, a bik takin splenic artery aneurysm i neih theihna tipungtu te hi uluk taka enkawl a pawimawh hle. I dinhmun atana i tih tur bikte chu i doctor nen sawiho rawh.
I tih theih tlangpui thenkhat chu hetiang hi a ni:
- Damdawi pek zawng zawng chu a hun takah ei vek rawh .
- Symptom thar i neih chuan emaw, i symptoms a danglam chuan doctor hnenah hrilh nghal rawh .
- Kum tin medical checkup-ah tel ve la , doctor nen hun ruat apiangah kal rawh.
Tin, nunphung tihdanglamna ṭhenkhat chuan i thisen kalna kawng zawng zawng hrisêlna vawng reng tûrin a ṭanpui thei bawk , chutah chuan i splenic artery pawh a tel.
- Meizial zu leh zuk leh hmuam hman kha bansan vek rawh .
- Thinlung hrisel ei tur ei rawh .
- Doctor-in a rawt angin exercise la fo ang che .
- Zu in hi tihtlem rawh .
Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang? Eng ang thlirna nge ni ang?
Splenic artery aneurysm i neih chuan i doctor thupek chu uluk takin zawm tur a ni. Enkawlna i mamawh nghal lo mai thei. Chu ai chuan i doctor chuan "watchful waiting" an tih chu a rawt zawk mai thei. Hei hian a awmzia chu imaging test (a tlangpuiin kum tin) i nei dawn tihna a ni a, chu chuan aneurysm a lian chho zel em tih i enfiah ang. Aneurysm a puak emaw, a puak emaw loh nan a hun taka enkawl a pawimawh hle .
Hetiang natna vei mi pakhat tan chuan thil engemaw zat a innghat a ni:
- Aneurysm lian tham leh awmna hmun .
- Aneurysm hi engtiang chiahin nge a lo thang chak .
- Aneurysm chu a puak dawn nge dawn lo .
- Damdawi lam dinhmun dang leh risk factors i neih te.
Splenic artery aneurysm ruptures hian thihna a thlen fo thin . Research atanga a lan dan chuan rupture hian mi a thihpui thei a, chungte chu:
* Naupai lo zingah 25% leh 40% inkar.
* Hmeichhe naupai zinga 65% leh 75% inkar (fetal mortality rate 90% leh 95% inkar).
* Portal hypertension vei zinga 50% aia tam .
Splenic artery a pseudoaneurysm rupture hi a thihpui fo thin .
I mimal dinhmun thlir dan tur chu i doctor nen sawiho rawh.
Engtin nge ka in enkawl ang? Engtikah nge Doctor ka hmuh ang?
Splenic Artery Aneurysm neia nun hi a tlem...A stressful thei hle . I taksa chhungah eng thil nge thleng tih i ngaihtuah mai thei a, a nih loh leh aneurysm chu a puak ang tih i hlau mai thei bawk.
Lungngaihna nei hi thil pangngai a ni. I rilru put hmang chu doctor hnenah sawi rawh. I doctor chuan aneurysm rupture hlauhawm tak chu proactive treatment a rawt thei ang. I doctor hnenah i imaging result entir turin hrilh la, a awmzia sawifiah rawh. I hriselna enkawlnaah i inrawlh tam poh leh i dinhmun chu i thunun thei ang.
I doctor chuan check-up leh imaging test neihna tur i rawn luh tam dan tur a hrilh ang che. Zawhna, ngaihtuahna, emaw, natna lan chhuah thar emaw, danglam emaw i neih chuan i doctor ko nghal rawh .
Doctor hnenah eng zawhna nge ka zawh ang?
I doctor hnenah i natna hmuhchhuah dan leh i enkawl dan tur sawifiah turin hrilh rawh. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:
- Ka aneurysm hi engtiang chiahin nge a lian ?
- Khawiah chiah nge a awm?
- A puak theihna chance chu eng nge ni ?
- Eng symptom nge ka fimkhur tur ?
- Engtikah nge 1990 hi ka biak ang ?
- Engzat nge medical checkup turin ka lo kal ngai ?
- Eng test nge ka tih ngai? Engtin nge an tan ka inbuatsaih ang?
Tin, i doctor hnenah i natna hmuhchhuah dan leh i enkawl dan tur hriatthiamna pe thei tur thu belhchian dawl zawkte zawt bawk ang che.
Take-Home Thuchah hnuhnung ber
Aneurysm dang ang bawkin, splenic artery aneurysm hi enkawl loh chuan a hlauhawm ber . I doctor-in he natna hi i nei tih a hriat chuan step khatin hma i sawn tawh a ni. Doctor chuan a dinhmun a enfiah ang a, enkawlna i mamawh hunah a hrilh ang che.
Aneurysm emaw rupture emaw enkawl i nih chuan hun rei tak chhunga fimkhur a pawimawh . Doctor appointment te chu tlai lo la, i doctor nen hian symptom thar emaw, danglam zel emaw i neih chuan sawipui thin ang che. I damdawi lam enkawlnaah hian active partner ni la , i dinhmun chungchang hi i theih ang angin zir rawh. Hriatna leh thu hriatna hmangin i medical team te nen thawk hovin nakin lawka harsatna lo awm tur tihziaawmna kawngah i pui thei ang.
` Splenic Artery Aneurysm, Spleen, Artery, Pum na, Naupai, Thisen kalna kawng











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