Kodi mtsempha wanu wamagazi watupa? Tiyeni tikambirane za aorta!

Kodi munayamba mwaganizapo kuti ngakhale mtsempha waukulu kwambiri wamagazi m'thupi mwathu ungakhale ndi mavuto? Nthawi zina, ululu womwe timamva popanda chifukwa chomveka, kapena kusasangalala komwe timamva m'thupi mwathu, nthawi zina kungakhale chizindikiro cha chinthu chonga ichi. Lero tikambirana za aortitis, vuto lomwe lingachitike mu aorta, mtsempha waukulu wamagazi m'thupi mwathu.

Kodi aortitis ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, aortitis ndi kutupa kwa mtsempha wanu wamagazi . Tsopano ganizirani za chomwe mtsempha uwu uli. Ndi mtsempha waukulu kwambiri m'thupi lathu. Uli ngati chitoliro chachikulu chamadzi chomwe chimapatsa madzi m'nyumba mwathu. Ndi mtsempha uwu womwe umatuluka ndikupereka magazi oyera komanso odzaza ndi mpweya ku ziwalo zonse ndi minofu m'thupi lathu. Chifukwa chake, popeza mtsempha uwu ndi mtsempha wamagazi, titha kuwona vutoli lotchedwa aortitis ngati chimodzi mwa zizindikiro za vasculitis , kapena kutupa kwa mitsempha yamagazi.

Nthawi zina, aortitis imatha kufalikira ku aorta yokha. Kapena, ikhoza kuchitika limodzi ndi kutupa kwa mitsempha ina yamagazi m'thupi (yotchedwa systemic vasculitis). Pali mitundu yambiri ya mitsempha yamagazi. Madokotala amazindikira izi kutengera mitsempha yamagazi yomwe yakhudzidwa ndi zizindikiro zina zomwe ali nazo.

Aortitis ingayambitse kukula kwa mtsempha wanu wamagazi. Timaitcha kuti aortic aneurysm . Kapena, aorta imatha kupapatiza. Izi zimatchedwa aortic stenosis . Matenda onsewa akhoza kukhala oopsa . Chifukwa aorta ndiye mtsempha waukulu womwe umanyamula magazi ochulukirapo m'thupi lathu lonse. Ngati pali vuto, limakhudza thupi lonse.

Zizindikiro zomwe mumakumana nazo, momwe mumapezera matenda, ndi njira zochiritsira zomwe mumalandira zimadalira zinthu zingapo:

• Ndi gawo liti la mtsempha wanu wamagazi lomwe lakhudzidwa ndi vutoli ?
• Kaya pali kutupa m'mitsempha ina yamagazi.
• Kaya dokotala wapeza chifukwa chenicheni kapena matenda ena ofanana nawo.

Kodi Aortitis ndi matenda a autoimmune?

Inde, madokotala ambiri amaona kuti vasculitis (kutupa kwa mitsempha yamagazi) ndi matenda odziteteza okha . Apa ndi pamene chitetezo cha mthupi lanu chimaukira minofu yake, zomwe zimayambitsa kutupa. Zili ngati kuyatsa nyumba yanu.

Kodi vuto limeneli lotchedwa aortitis ndi lofala bwanji?

Kuchuluka kwa aortitis kumadalira vuto lomwe limayambitsa kapena chifukwa chake. Izi zikutanthauza kuti, kaya likugwirizana ndi matenda ena kapena ayi. Kawirikawiri, aortitis si vuto lofala kwambiri .

Kodi zizindikiro za aortitis ndi ziti?

Zizindikiro za aortitis zimatha kusiyana malinga ndi munthu. Zimatengera ngati imayamba chifukwa cha vuto lina lotchedwa vasculitis kapena matenda ena opatsirana. Nthawi zina, anthu omwe ali ndi aortitis sangakhale ndi zizindikiro zilizonse . Ndicho chimene chimapangitsa kuti zikhale zoopsa pang'ono.

Komabe, nazi zizindikiro zodziwika bwino:

• Kupweteka pachifuwa: Tangoganizirani kupweteka mwadzidzidzi, kofinya kapena kobaya pachifuwa chanu.
• Kupweteka m'mimba (kupweteka m'mimba): Kupweteka kungachitike m'mimba yapansi, pachifuwa, kapena m'mimba yonse.
• Kupweteka kwa msana: Kupweteka, makamaka m'chiuno chapamwamba.
• Mutu : Si monga mutu wamba, koma mutu wopweteka pang'ono komanso wopitirira.
• Kusintha kwa masomphenya: Kusawona bwino kapena kutayika mwadzidzidzi kwa masomphenya.
• Malungo: Thupi limatentha komanso kutentha thupi popanda chifukwa.
• Kupuma movutikira: Zikumveka ngati mukuvutika kupuma ngakhale mutachita khama pang'ono.
• Kutupa kwa miyendo: Akakolo a miyendo yonse amatupa.
• Kupweteka kwa miyendo (mukamagwiritsira ntchito): Kupweteka kumachitika mukasuntha mkono kapena mwendo kapena mukugwira ntchito.
• Zizindikiro zokhudzana ndi kutupa: zinthu monga kutopa, kuchepa thupi, ndi kusowa chilakolako.
• Zizindikiro zokhudzana ndi vasculitis zomwe zimakhudza mitsempha ina yamagazi.
• Zizindikiro zokhudzana ndi matenda omwe amayambitsa (ngati alipo).

Kodi ndi zotsatira zina ziti zomwe aortitis ingakhale nazo pa thupi langa?

Kuwonjezera pa zizindikiro, anthu omwe ali ndi aortitis amatha kukhala ndi mavuto osiyanasiyana. Izi ndi zoopsa kwambiri :

• Kulephera kwa impso: Izi zitha kuchitika ngati mitsempha yomwe imapereka magazi ku impso yakhudzidwa.
• Stroke: Ngati pali vuto ndi mitsempha yamagazi yomwe imapereka magazi ku ubongo.
• Matenda a mtima: Ngati pali vuto ndi mitsempha yamagazi yomwe imapereka magazi kumtima.
• Kulephera kwa mtima: Mtima sungathe kugwira ntchito bwino.
• Kuphulika kapena kung'ambika kwa msempha wa magazi: Ichi ndi choopsa kwambiri. Ngati msempha wa magazi waphulika, zimakhala zovuta kupulumutsa moyo wanu.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a aortitis?

Pali zifukwa zingapo zazikulu zomwe zimayambitsa aortitis. Ikhoza kukhala gawo la vuto lotchedwa systemic vasculitis (kutupa komwe kumakhudza mitsempha yamagazi m'thupi lonse). Kapena ikhoza kukhala yogwirizana ndi matenda ena otupa. Pazochitika izi, chifukwa chenicheni cha matenda oyambitsa ndi aortitis yogwirizana sichikudziwikabe . Komanso, matenda enaAortitis imathanso kuchitika.

Nthawi zina, pochita opaleshoni pa msempha wa magazi, aortitis imatha kupezeka mosayembekezereka. Mwanjira imeneyi, aortitis yomwe imapezeka pa msempha wa magazi, popanda matenda ena aliwonse kapena kutupa kwa mitsempha ina yamagazi, imatchedwa "isolated focal aortitis."

Matenda a mitsempha yamagazi ndi matenda ena otupa

Zina mwa matenda omwe angayambitse aortitis ndi awa:

• Giant cell arteritis: Iyi ndi matenda omwe nthawi zambiri amakhudza mitsempha ya mutu ndi khosi, makamaka mwa anthu azaka zopitilira 50.
• Takayasu arteritis: Iyi ndi matenda omwe amakhudza aorta ndi nthambi zake zazikulu, makamaka mwa akazi achichepere.
• Matenda a Cogan: Matenda osowa omwe amakhudza maso ndi makutu ndipo angayambitse aortitis.
• Matenda a Behçet: Matenda omwe amayambitsa zilonda mkamwa ndi m'malo oberekera, mavuto a khungu, komanso kutupa kwa maso.
• Matenda a Kawasaki: Uwu ndi matenda omwe amakhudza kwambiri ana aang'ono . Amayambitsa kutupa kwa mitsempha yamagazi.
• Polyarteritis nodosa: Matenda omwe amakhudza mitsempha yapakati.
• Mitundu ina ya 'systemic vasculitis'.
• Ankylosing spondylitis: Matenda omwe amayambitsa kutupa kwa mafupa a msana.
• Matenda a nyamakazi: Matenda odziwika bwino omwe amayambitsa kutupa kwa mafupa.
• Systemic lupus erythematosus (SLE): Matenda a autoimmune omwe amakhudza ziwalo zosiyanasiyana za thupi.
• Kubwerezabwereza kwa polychondritis: Matenda omwe amakhudza minofu ya cartilage.
• Sarcoidosis: Matenda omwe tinthu tating'onoting'ono totupa (granulomas) timapangika m'ziwalo zosiyanasiyana za thupi.
• Matenda okhudzana ndi Immunoglobulin 4 (IgG4): Matenda a ulusi ndi kutupa omwe amakhudza ziwalo zosiyanasiyana.
• Matenda otupa m'matumbo: monga matenda a Crohn ndi ulcerative colitis.

Matenda

Matenda ena akuluakulu angayambitsenso aortitis. Zitsanzo zina ndi izi:

• Salmonella: Bakiteriya yomwe imayambitsa poizoni m'chakudya.
• Chindoko: Matenda opatsirana pogonana.
• Staphylococcus: Bakiteriya yomwe imayambitsa matenda a pakhungu ndi matenda ena akuluakulu.
• Mafinya a Rocky Mountain spotted: Matenda ofalitsidwa ndi nkhupakupa.
• Matenda a Gonococcal: Chinzonono.
• Chifuwa chachikulu: Matenda a bakiteriya omwe amakhudza kwambiri mapapo.
• Chiwindi cha chiwindi B ndi C: Matenda opatsirana ndi mavairasi omwe amakhudza chiwindi.
• Matenda a Herpes:
• Matenda a bowa:

Kodi matenda a aortitis amachiritsidwa bwanji?

Kuti mudziwe ngati muli ndi aortitis, dokotala wanu adzatsatira njira izi:

• Adzakambirana za mbiri yanu yachipatala: adzakufunsani za matenda anu akale, matenda a banja lanu, ndi mankhwala omwe mumamwa.
• Kuyezetsa thupi kudzachitika: Thupi lanu lidzayezetsa.
• Mayeso ojambula zithunzi amalamulidwa: mayeso omwe angathandize kuwona bwino aorta yanu ndi nthambi zake zazikulu.
• Mayeso a magazi amalamulidwa: Izi zitha kuwona kuchuluka kwa kutupa m'thupi lanu.
• Ngati mwachitidwa opaleshoni yokhudza mtsempha wamagazi, chitsanzo cha minofu chomwe chatengedwa panthawiyo chidzayang'aniridwa ndi maikulosikopu.

Kodi ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira Aortitis?

Mayeso ojambula zithunzi:

• Echocardiogram: Kuyesa kuwona momwe mtima umagwirira ntchito komanso kapangidwe kake.
• Transesophageal echocardiogram: Iyi ndi njira yoyezera ma echo, koma chida chaching'ono chimadutsa mu esophagus kuti chiwone bwino mtima ndi mtsempha wamagazi.
• Ultrasound ya m'mimba: Onani aorta m'mimba.
• Kujambula kwa CT (computed tomography): Kujambula kwa CT kumatenga zithunzi za thupi lonse ndipo kumapereka chithunzi chatsatanetsatane cha mtsempha wamagazi ndi minofu yozungulira.
• Kujambula zithunzi za maginito (MRI): Kumagwiritsa ntchito mphamvu zamaginito ndi mafunde a wailesi kuti apange zithunzi zatsatanetsatane.
• Kujambula kwa positron emission tomography (PET): Kumathandiza kuzindikira malo omwe kutupa kumachitika m'thupi.

Kuyezetsa magazi:

• Erythrocyte sedimentation rate (ESR): Kuyesa komwe kumasonyeza kutupa m'thupi.
• Puloteni yogwira ntchito ya C (CRP): Iyi ndi njira ina yofunika yoyesera yomwe imasonyeza kutupa.
• Kuchuluka kwa magazi: Izi zimayesa mitundu ya maselo m'magazi ndi kuchuluka kwawo.
• Makemikolo omwe amayesa ntchito ya impso ndi chiwindi:
• Ngati pakufunika, kuyezetsa magazi kwina kwapadera kuti azindikire matenda a mitsempha yamagazi, matenda ena otupa, kapena matenda.

Kuwunika kwa minofu ya aorta:

Ngati mukuchitidwa opaleshoni ya aortic aneurysm , dokotala wanu angatenge chithunzi cha minofu panthawi ya opaleshoni kuti aone ngati pali kutupa. Anthu ena amapezeka kuti ali ndi aortitis panthawi ya opaleshoni yamtunduwu, popanda zizindikiro zilizonse zomwe adawonetsa kale.

Kodi Aortitis imachiritsidwa bwanji?

Matenda a mtima (aortitis) amatha kuchiritsidwa ndi mankhwala ndi/kapena opaleshoni . Madokotala adzasankha chithandizo potengera zinthu zotsatirazi:

• Ndi gawo liti la aorta yanu lomwe lakhudzidwa ?
• Kaya pali aneurysm kapena kuchepa kwa mitsempha chifukwa cha aortitis, komanso kuopsa kwake .
• Kaya pali matenda ena kapena chifukwa china choyambitsa vutoli .
• Kaya zimakhudzanso mitsempha ina yamagazi .

Chofunika kwambiri ndichakuti ngati muli ndi "isolated focal aortitis" (kutanthauza kuti ndi yokhazikika pa aorta, popanda chifukwa china) ndipo mwachitidwa opaleshoni kuti muchotsedwe kwathunthu, ndipo palibe matenda enieni, simungafunike chithandizo china. Komabe, ndikofunikira kupitiliza kuyang'aniridwa ndi dokotala wanu . Ngati zizindikiro zatsopano ziyamba, mungafunike kuthandizidwa mosiyana.

Kodi mankhwala otani omwe amagwiritsidwa ntchito pa aortitis ndi ati?

Ngati dokotala wanu akupeza vuto la vasculitis yogwira ntchito, matenda ena otupa, kapena matenda, angapereke mankhwala monga:

• Mankhwala oletsa kutupa kapena oletsa chitetezo chamthupi: Pa matenda a mitsempha yamagazi kapena matenda ena oyambitsa kutupa. Mankhwala oletsa chitetezo chamthupi awa amagwira ntchito poletsa chitetezo chamthupi.
• Mankhwala oletsa mabakiteriya: Ngati aortitis yayamba chifukwa cha matenda.

Kodi pali zotsatirapo zilizonse pa mankhwala awa?

Inde, makamaka mankhwala oletsa chitetezo chamthupi amatha kuchepetsa mphamvu ya thupi lanu yolimbana ndi matenda. Chifukwa chake, dokotala wanu adzakufotokozerani zoopsa ndi ubwino wa chithandizo chilichonse. Adzakulankhulaninso za njira zochepetsera zoopsazi. Musachite mantha, lankhulani ndi dokotala wanu ndipo mumvetse chilichonse.

Kodi opaleshoni imafunika liti pa aortitis?

Mungafunike opaleshoni pazochitika izi:

• Ngati muli ndi aneurysm ya aorta, ngati ikuwoneka yayikulu mokwanira kuphulika, kapena ngati aneurysm ikukhudza magwiridwe antchito a mtima.
• Ngati mtsempha wanu wamagazi ukuchepa, zomwe zimapangitsa kuti magazi azichepa kwambiri ku ziwalo zofunika kwambiri.

Kodi ndingachepetse bwanji chiopsezochi?

Nthawi zambiri, aortitis imakhala yovuta kuipewa chifukwa imatha kugwirizanitsidwa ndi vasculitis ya m'magazi, matenda otupa, kutupa kamodzi kokha, kapena matenda.

Komabe, kwa anthu omwe ali ndi aortitis, ndikofunikira kwambiri kuchepetsa zinthu zina zomwe zingawononge mitsempha yamagazi . Izi zikuphatikizapo:

• Kulamulira kuthamanga kwa magazi.
• Kuchepetsa kuchuluka kwa cholesterol m'magazi.
• Kusiya kwathunthu kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Kusunga kulemera koyenera kwa inu.

Ngati ndili ndi aortitis, ndani ayenera kukhala m'gulu langa lazachipatala?

Popeza aortitis imatha kuchitika m'njira zosiyanasiyana ndipo imafuna chithandizo chosiyanasiyana, mungafunike akatswiri angapo azaumoyo kuti akuthandizeni. Mwachitsanzo:

• Wopereka chithandizo choyamba: Munthu amene amasamalira thanzi lanu lonse.
• Katswiri wa mtima: Katswiri wa mtima ndi mitsempha yamagazi.
• Katswiri wa matenda a mafupa: Katswiri wa matenda a mafupa, minofu, ndi matenda odziteteza ku matenda a autoimmune, chifukwa matenda ambiri a vasculitis amagwera m'gululi.
• Katswiri wa matenda opatsirana: Ngati mukukayikira kuti pali matenda.
• Dokotala wa mtima kapena wa mitsempha: Ngati opaleshoni ikufunika.

Kodi chiyembekezo cha aortitis ndi chiyani?

Momwe mumachitira ndi aortitis zimatengera zinthu zingapo:

• Ndi gawo liti la mtsempha wanu wamagazi lomwe lakhudzidwa ndi vuto lake komanso momwe limakhudzira .
• Kodi aortitis imayambitsa mavuto .
• Kaya pali matenda ena kapena chifukwa china choyambitsa vutoli .
• Yankho la chithandizo (ngati chithandizo chikufunika) komanso ngati chithandizocho chimayambitsa zotsatirapo zina .

Kodi ndimadzisamalira bwanji?

Chofunika kwambiri ndikupita kukaonana ndi dokotala wanu nthawi zonse, kumwa mankhwala anu monga momwe mwalangizidwira, ndikudziwitsa dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zatsopano kapena kusasangalala. Musachite mantha, chofunika kwambiri ndi kusamala thupi lanu.

Ndiyenera kupita kwa dokotala liti?

Dokotala wanu adzakuuzani kangati komwe muyenera kupita kwa dokotala wanu kapena kuyezedwa. Ngati zizindikiro zatsopano zayamba kapena zizindikiro zakale zabwereranso, funsani dokotala wanu nthawi yomweyo.

Kodi ndiyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Pangozi (ETU) liti?

Vuto loopsa kwambiri la aortic aneurysm ndi kuphulika kapena kuphulika kwake. Ili ndi vuto lalikulu kwambiri, chifukwa aorta yanu ndiye mtsempha waukulu womwe umanyamula magazi ambiri kupita nawo m'thupi lanu. Ngati muli ndi zizindikiro izi, zitha kukhala kuphulika kwa aorta:

* Ngati mwadzidzidzi mukumva kupweteka kwambiri pachifuwa, msana, kapena m'mimba (m'mimba) popanda chenjezo lililonse.

* Ngati kugunda kwa mtima kuli kofulumira.

* Ngati mukumva chizungulire.

* Ngati mukumva kufooka kapena dzanzi pankhope, mkono, kapena mwendo, kapena mukuvutika kulankhula kapena kuona.

Ngati mukumwa mankhwala oletsa chitetezo chamthupi a aortitis, kapena ngati muli ndi vuto la mitsempha yamagazi kapena matenda otupa, mutha kukhala ndi mavuto ena akuluakulu omwe amafunikira chithandizo chamankhwala mwachangu. Dokotala wanu adzakufotokozerani zizindikiro zomwe zimafuna kuti mupite kuchipatala chadzidzidzi, kutengera dongosolo lanu la matenda ndi njira zoyang'anira.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, musazengereze kufunsa mafunso ngati awa:

• Kodi matenda kapena chifukwa chake cha aortitis yanga chingapezeke?
• Kodi njira yabwino kwambiri yothandizira ndi iti?
• Kodi dokotala amandiyang'anira bwanji vuto langa?
• Kodi ndiyenera kuwona akatswiri ena?
• Ndi zizindikiro ziti zomwe ndiyenera kuyang'anitsitsa?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Popeza aortitis ikhoza kukhala vuto lomwe lingayambitse imfa, ndikofunikira kupitiliza kufunafuna chithandizo kuchokera kwa katswiri wazachipatala yemwe amadziwa bwino za aortitis ndi zomwe zimayambitsa . Muyenera kupimidwa nthawi zonse ndi dokotala kuti muwone aorta yanu. Izi zitha kuphatikizapo kupita kwa dokotala, kuyezetsa magazi, ndi kuyezetsa zithunzi.

Kumvetsetsa nkhawa zanu za aortitis, kudziwa zizindikiro za mavuto akuluakulu, komanso kudziwa komwe mungapite kuti mupeze thandizo mukafuna thandizo kudzakuthandizani kuthana ndi vuto lanu la aortitis. Limbani ndi izi molimba mtima komanso mopanda mantha. Simuli nokha.

Aorta , Kutupa, Matenda a Mtima, Mitsempha ya Magazi, Kupweteka pachifuwa, Aortic Aneurysm, Vasculitis