Kodi pali chinthu chonga buluni kakang'ono mkati mwa thupi lanu? Tiyeni tikambirane za aneurysm iyi!

Kodi munamvapo za liwu lakuti 'aneurysm'? Mwina munamvapo za mnzanu kapena wachibale amene ali ndi matendawa. Kapena mwina munamvapo dokotala akulankhula za matendawa. Ngakhale kuti dzinalo lingamveke ngati loopsa pang'ono, ngati tikudziwa bwino lomwe tanthauzo lake, tingapewe mantha osafunikira. Ndiye, kodi tikambirane za izi lero?

Kodi aneurysm kwenikweni ndi chiyani?

Mwachidule, aneurysm ndi malo ofooka pakhoma la mtsempha wamagazi m'thupi lathu omwe amatuluka ngati baluni. Mukudziwa, mitsempha yathu ndi machubu akuluakulu omwe amanyamula magazi okhala ndi mpweya kuchokera mumtima kupita ku thupi lonse. Chifukwa chake, ngati malo pakhoma la mtsempha uwu afooka, kuthamanga komwe kumachitika chifukwa cha magazi omwe akuyenda mofulumira kumapangitsa kuti malo ofookawo atuluke. Kutupa kumeneko ndi komwe timatcha aneurysm.

Nthawi zambiri, sitimamva kuti tili ndi aneurysm, ndipo sitimva kupweteka kulikonse. Komabe, ngati yaphulika mwadzidzidzi, ikhoza kukhala yoopsa kwambiri, ndipo nthawi zina ikhoza kupha. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi pali mitundu yosiyanasiyana ya aneurysms? Kodi imayambira kuti?

Inde, aneurysm imatha kupangika mumtsempha uliwonse wamagazi m'thupi lathu. Izi zikutanthauza kuti imatha kupangika m'malo osiyanasiyana monga mtima, m'mimba, muubongo, ndi m'miyendo. Mtundu wa aneurysm umadalira komwe umapangidwira.

Mtundu wofala kwambiri wa aneurysm womwe umapezeka nthawi zambiri ndi aortic aneurysm . Kodi mukudziwa kuti aorta ndiye mtsempha waukulu kwambiri m'thupi lathu? Ndi mtsempha womwe umanyamula magazi kuchokera pamtima kupita ku thupi lonse. Ma aneurysms omwe amapezeka m'mitsempha ina kupatula aorta amatchedwa peripheral aneurysms.

Tiyeni tiwone mitundu ikuluikulu ingapo:

• M'mimba mwa Aortic Aneurysm (AAA): Mtundu uwu ndi wofala kwambiri. Umakula m'mbali mwa aorta yomwe imadutsa m'mimba.
• Kutupa kwa ubongo/Aneurysm ya ubongo: Monga momwe dzinalo likusonyezera, izi zimachitika mu mtsempha wamagazi muubongo. Mtundu wofala kwambiri wa izi ndi saccular aneurysm, womwe umadziwikanso kuti berry aneurysm . Umaoneka ngati thumba laling'ono lodzaza ndi magazi olumikizidwa ku mtsempha wamagazi, lofanana ndi berry.
• Kutsekeka kwa mtsempha wa m'mimba: Uku ndi kakang'ono pang'ono kuposa kutsekeka kwa mtsempha wa m'mimba. Kumapezeka kumtunda kwa mtsempha wa m'mimba, m'dera la pachifuwa.
• Carotid Aneurysm: Izi zimakula m'mitsempha ya carotid, yomwe imapereka magazi ku ubongo, khosi, ndi nkhope. Izi sizimachitika kawirikawiri.
• Popliteal Aneurysm: Izi zimachitika mumtsempha wamagazi womwe umayenda kumbuyo kwa bondo.
• Mesenteric Artery Aneurysm: Mtundu uwu wa aneurysm umayamba mumtsempha womwe umapatsa magazi m'matumbo athu.
• Splenic Artery Aneurysm: Izi zimachitika mumtsempha wamagazi womwe umapita ku ndulu.

Kodi aneurysm iyi ndi yofala bwanji?

Kodi mukudziwa kuti aneurysms ya ubongo yosasweka imapezeka mwa anthu athanzi 2% mpaka 5%? Ndipo, mwa iwo, pafupifupi 25% ali ndi aneurysm yoposa imodzi. Nthawi zambiri, imayamba kukula, koma imathanso kuchitika kwa ana. Nthawi zambiri imapezeka ndi anthu azaka zapakati pa 50. Koma chabwino kwambiri ndichakuti, ambiri mwa aneurysms ya ubongo saphulika.

Matenda a mtsempha wamagazi (AAAs) amapezeka kwambiri ndi ukalamba. Makamaka, matenda a mtsempha wamagazi (AAAs) amapezeka kwambiri mwa amuna nthawi zinayi mpaka zisanu ndi chimodzi kuposa akazi. Amuna 1% okha azaka zapakati pa 55-64 ali ndi matendawa. Komabe, chiwerengerochi chimawonjezeka ndi 2% mpaka 4% pazaka khumi zilizonse.

Ndani ali pachiwopsezo chachikulu chotenga aneurysm?

Mitundu yosiyanasiyana ya aneurysms imakhudza magulu osiyanasiyana a anthu. Mwachitsanzo, aneurysms ya ubongo imapezeka kwambiri mwa akazi kuposa amuna. Mofananamo, aneurysms ya aortic imapezeka kwambiri mwa amuna kuposa akazi.

Matenda a m'mimba aorta (AAA) amapezeka kwambiri m'magulu awa:

• Kwa amuna.
• Kwa iwo omwe ali ndi zaka zoposa 60.
• Kwa iwo amene amasuta. (Ichi ndi chinthu chachikulu chomwe chingawabweretsere mavuto!)
• Kwa anthu oyera (koma amatha kukula mwa aliyense wa fuko lililonse).

Kodi zizindikiro za aneurysm ndi ziti?

Nthawi zambiri, munthu sadziwa kuti ali ndi aneurysm. Ikhoza kukula pang'onopang'ono mkati mwa thupi. Komabe, ngati aneurysm yaphulika, ndi vuto lachipatala! Muyenera kupeza chithandizo nthawi yomweyo. Ngati inu kapena munthu amene muli naye akuwonetsa zizindikiro za aneurysm yophulika, imbani 911 (1990 Suwaseriya ku Sri Lanka) nthawi yomweyo.

Zizindikiro za kuphulika kwa aneurysm zimachitika mwadzidzidzi:

• Kusamva bwino mutu /chizungulire.
• Kugunda kwa mtima mwachangu.
• Mutu waukulu mwadzidzidzi, kupweteka pachifuwa, m'mimba, kapena msana.
• Kutaya Chidziwitso Mwadzidzidzi pambuyo pa mutu waukulu.

Chofunika: Kuphulika kwa aneurysm ndi vuto la moyo kapena imfa, choncho ngati mukukumana ndi zizindikirozi, musazengereze kwa kanthawi.

Ngakhale aneurysm isaphulike, nthawi zina ingayambitse zizindikiro kutengera komwe ili. Mutha kukhala ndi zizindikiro za mantha, monga kuthamanga kwa magazi, thukuta lozizira, kumva ngati mukukomoka, komanso kugunda kwa mtima mwachangu.

Zizindikiro zina zingaphatikizepo:

• Kumva kusokonezeka kapena chizungulire.
• Kuvuta kumeza.
• Kutopa.
• Mutu (makamaka ngati pali aneurysm muubongo).
• Kusanza kapena kusanza.
• Kupweteka m'mimba, pachifuwa kapena kumbuyo.
• Kutupa kwa m'mimba kapena kutupa m'khosi mwanu.
• Kugunda kwa Mtima Mwachangu.
• Kusintha kwa Masomphenya.

Kodi mavuto omwe angakhalepo chifukwa cha aneurysm ndi ati?

Ngati aneurysm yaphulika, imayambitsa kutuluka magazi mkati. Kutengera ndi komwe imachitika, kuphulikako kungakhale koopsa kwambiri komanso koika moyo pachiswe.

Tangoganizirani, chimachitika ndi chiyani ngati magazi ataundana m'khosi mwanu ndipo akupita ku ubongo? Ngati magazi ataundanawo atseka kuyenda kwa magazi kupita ku ubongo wanu, sitiroko imachitika.

Ngati aneurysm ya ubongo yaphulika, imatchedwa kutuluka magazi m'thupi la subarachnoid. Anthu ena amatcha mtundu uwu wa sitiroko kutuluka magazi m'bongo. Anthu nthawi zambiri amakhala ndi "mutu wowawa kwambiri m'miyoyo yawo." Izi zimatha kutsatiridwa ndi dzanzi, kuvutika kulankhula, ndi zizindikiro zina.

N’chifukwa chiyani aneurysm imeneyi imachitika? Kodi zimayambitsa chiyani?

Nthawi zina, anthu amabadwa ndi aneurysm. Izi zikutanthauza kuti amakhalapo akabadwa. Komabe, amatha kukula nthawi iliyonse m'moyo. Nthawi zambiri, zimakhala zovuta kupeza chifukwa chenicheni cha aneurysm. Komabe, pali zifukwa zingapo zomwe zingayambitse:

• Matenda a atherosclerosis: Izi zimachitika pamene mafuta amasonkhana m'makoma a mitsempha, zomwe zimapangitsa kuti achepetse. Izi zimatha kufooketsa makoma a mitsempha.
• Mbiri ya banja la matenda a aneurysm: Ngati amayi anu, abambo anu, kapena abale anu adadwalapo vutoli, inunso muli pachiwopsezo chotenga matendawa.
• Kuthamanga kwa Magazi Kwambiri: Ngati kuthamanga kwa magazi kumakhala kokwera nthawi zonse, makoma a mitsempha yamagazi amatha kuwonongeka ndi kufooka.
• Ngozi kapena kuvulala kwa mtsempha wamagazi .

Kodi madokotala amazindikira bwanji aneurysm? (Kuzindikira)

Matenda ambiri a aneurysm amayamba popanda zizindikiro zilizonse. Dokotala wanu angawapeze mwangozi panthawi yowunika nthawi zonse kapena kuwunikira kwina.

Ngati muli ndi zizindikiro zosonyeza kuti muli ndi aneurysm, dokotala adzachita mayeso angapo ojambulira zithunzi. Mayeso omwe angathandize kupeza ndi kuzindikira aneurysm ndi awa:

• Kujambula kwa CT
• CT kapena MRI Angiography: Izi zimagwiritsidwa ntchito kujambula chithunzi chapadera cha mitsempha yamagazi.
• Kujambula kwa Ultrasound `(Ultrasound)`

Kodi dokotala amagawa bwanji aneurysm?

Dokotala wanu adzaika aneurysm m'magulu kutengera kukula kwake ndi momwe idapangidwira. Pali magulu osiyanasiyana:

• Fusiform aneurysm: Mu izi, mtsempha wamagazi umatuluka mbali zonse.
• Saccular Aneurysm: Apa ndi pamene mbali imodzi yokha ya mtsempha wamagazi imatupa (mofanana ndi Berry Aneurysm yomwe yatchulidwa kale).
• Mycotic Aneurysm: Izi zimachitika pamene khoma la mitsempha yamagazi limafooka pambuyo pa matenda (nthawi zambiri m'ma valve a mtima).
• Pseudoaneurysm kapena Aneurysm Yabodza: ​​Mu izi, gawo lakunja la khoma la mtsempha wamagazi ndi lomwe limatupa. Izi zitha kuchitika pambuyo poti gawo lamkati la mtsempha wamagazi lawonongeka (kugawanika).

Kodi aneurysm imachiritsidwa bwanji?

Ngati dokotala akupeza kuti muli ndi aneurysm yosasweka, adzakuyang'anirani mosamala. Cholinga chachikulu cha chithandizo ndikuletsa aneurysm kuti isasweke.

Kutengera mtundu, malo, ndi kukula kwa aneurysm, chithandizo chingaphatikizepo mankhwala kapena opaleshoni. Dokotala angapereke mankhwala othandizira kuti magazi ayende bwino, kuchepetsa kuthamanga kwa magazi, kapena kuchepetsa cholesterol. Mankhwalawa angathandize kuchepetsa aneurysm kuti isakule ndikuchepetsa kuthamanga kwa magazi pakhoma la mitsempha.

Ma aneurysm akuluakulu omwe ali pachiwopsezo chophulika angafunike opaleshoni. Komanso, ngati aneurysm yaphulika, opaleshoni ndiyofunikira. Pali mitundu ingapo ya opaleshoni:

• Kukonza Endovascular Aneurysm (EVAR):Mu opaleshoni ya endovascular iyi, dokotala amaika catheter (chubu chopyapyala) mu mtsempha wamagazi. Kudzera mu catheter, dokotalayo amaika graft (chidutswa chapadera cha chubu) kuti alimbitse kapena kukonza mitsempha yamagazi. Pa aneurysms ya thoracic, njirayi imatchedwa Thoracic Endovascular Aneurysm Repair (TEVAR). Ngati graft yokhala ndi mipata yapadera ikugwiritsidwa ntchito, imatchedwa Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Opaleshoni Yotseguka: Nthawi zina, dokotala wa opaleshoni angadule (opaleshoni yotseguka) kuti aikepo chogwirira kapena kuchotsa aneurysm.
• Kuzungulira Mitsempha Yam'mimba: Njirayi imachiritsa aneurysms ya ubongo. Dokotalayo amaika ma coil angapo (monga ma coil a waya wa platinum) mu aneurysm kudzera mu catheter ndikudzaza. Izi zimachepetsa kuchuluka kwa magazi omwe amalowa mu aneurysm ndikuchepetsa chiopsezo cha kuphulika kwake.
• Kudula Mitsempha Yam'magazi: Iyi ndi mtundu wa opaleshoni yotsegula ubongo ya aneurysms ya ubongo. Dokotala wa opaleshoni amaika chodulira chachitsulo pansi pa aneurysm kuti aletse magazi kulowa.
• Kutulutsa Catheter: Njirayi imagwiritsidwa ntchito poletsa kutuluka kwa magazi mu aneurysm. Dokotala wochita opaleshoni amaika catheter mu mtsempha wokhudzidwa ndikugwiritsa ntchito chubucho kubaya mankhwala kapena zinthu zoletsa kutuluka kwa magazi.

Kodi ndingatani kuti ndipewe kupangika kwa aneurysm?

Matenda a aneurysm osasweka ndi ofala kwambiri. Sizingatheke kupewa nthawi zonse. Komabe, mutha kuchepetsa chiopsezo chanu chokhala ndi aneurysm mwa kukhala ndi moyo wathanzi:

• Idyani Zakudya Zopatsa Thanzi Mtima: Idyani mafuta ochepa, mchere, ndi shuga, koma idyani ndiwo zamasamba ndi zipatso zambiri. Zinthu monga masamba obiriwira, zitsamba, ndi nsomba zatsopano zomwe zimapezeka m'dziko lathu ndi zabwino kwambiri.
• Kuchita Maseŵero Olimbitsa Thupi Nthawi Zonse: Chitani zinthu monga kuyenda, kuthamanga, kapena kusambira kwa mphindi zosachepera 30 patsiku.
• Sungani Kulemera Koyenera: Kusunga kulemera koyenera kutalika kwanu n'kofunika kwambiri.
• Pewani Kapena Siyani Kusuta: Izi ndi zofunika kuchita. Kusuta ndi chimodzi mwa zifukwa zazikulu zomwe zimayambitsa aneurysms.

Kodi chiyembekezo cha munthu amene ali ndi aneurysm ndi chiyani?

Kuphulika kwa aneurysm ndi ngozi zoopsa zomwe zingawononge moyo. Ngati aneurysm yaphulika muubongo, ingayambitse sitiroko. Ikhoza kupha ngati sichitha kuchiritsidwa nthawi yomweyo. Ndi chithandizo chachangu, zotsatira zake zimatha kusiyana. Anthu ambiri amachira bwino ndi chithandizo chamankhwala komanso njira zina zochiritsira.

Madokotala nthawi zambiri amatha kuthandiza anthu omwe ali ndi aneurysms yaying'ono komanso yosasweka. Dokotala wanu adzayang'anira bwino vuto lanu. Mankhwala kapena opaleshoni ingachepetse chiopsezo cha kuphulika.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukukumana ndi zizindikiro ngati izi, muyenera kuwona dokotala nthawi yomweyo:

• Kupusa.
• Kugunda kwa Mtima Mwachangu.
• Mutu waukulu mwadzidzidzi, kupweteka pachifuwa, m'mimba, kapena msana.

Zizindikiro zimenezi zingakhale chizindikiro cha kuphulika kwa aneurysm, choncho ndikofunikira kufunafuna upangiri wa dokotala popanda kuwononga nthawi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mukuganiza kuti muli ndi aneurysm, kapena ngati muli kale ndi vutoli, mutha kufunsa dokotala wanu mafunso monga awa:

• Kodi ndili pachiwopsezo chotenga aneurysm?
• Kodi ndiyenera kuchita mayeso ojambulira kuti ndipeze aneurysm?
• Kodi ndingatani kuti aneurysm yanga isakule kwambiri kapena kuphulika?
• Kodi ndi kusintha kotani kwa moyo komwe ndingachite kuti ndichepetse chiopsezo changa?

Kumbukirani, aneurysm ikhoza kuchitika m'mitsempha iliyonse yamagazi m'thupi lathu. Dokotala wanu akhoza kuyang'anira aneurysm ndikuchiza kuti achepetse chiopsezo cha kuphulika kwake. Komabe, ngati aneurysm yaphulika, ndi vuto lachipatala. Muyenera kufunafuna thandizo lachipatala nthawi yomweyo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, lero takambirana zambiri za aneurysms, sichoncho? Mwachidule, ndi gawo lofooka la imodzi mwa mitsempha yathu yamagazi yomwe imatuluka ngati baluni. Nthawi zambiri, simumawazindikira, koma akhoza kukhala oopsa kwambiri ngati ataphulika.

Chofunika kwambiri ndikudziwa zinthu zomwe zingakubweretsereni chiopsezo. Ngati muli ndi zinthu monga kusuta fodya, kuthamanga kwa magazi, kapena mbiri ya banja lanu, ndi bwino kupita kukayezetsa kuchipatala nthawi zonse.

Ngati mukukumana ndi zizindikiro zadzidzidzi, monga mutu waukulu mwadzidzidzi, kupweteka pachifuwa, kapena kutaya chidziwitso, pitani kuchipatala mwamsanga.

Moyo wathanzi, monga kudya bwino, kuchita masewera olimbitsa thupi, komanso kupewa kusuta fodya, zingathandize kuchepetsa chiopsezochi. Choncho, samalirani thupi lanu. Chifukwa thanzi ndiye chinthu chofunikira kwambiri!

Aneurysm , mtsempha wamagazi, aorta, aneurysm yaubongo, aneurysm yamimba, mtsempha wamagazi wosweka, mutu wopweteka mwadzidzidzi, opaleshoni