Kodi munamvapo mawu akuti ' brain aneurysm'? Mwina munamvapo za mnzanu amene ali ndi vuto limeneli. N'zachibadwa kumva mantha pang'ono komanso kudabwa tikamva dzinali. Ndani amene sangaope akanena kuti mtsempha wamagazi mkati mwa ubongo ukuphulika, sichoncho? Koma m'malo mochita mantha mosafunikira ndi izi, ndikofunikira kwambiri kudziwa. Chifukwa chake lero, tikambirana za izi mosavuta, m'njira yomwe mungamvetse.
Mwachidule, kodi aneurysm ndi chiyani?
Taganizirani za buluni. Tikapitiriza kuipumira, ziwalo zina zimakhala zofooka ndipo zimatuluka ngati thovu laling'ono, sichoncho? Chinthu chomwecho chimachitika m'mitsempha yamagazi muubongo wathu.
Pamene mtsempha wamagazi womwe umatumiza magazi ku ubongo ufooka panthawi inayake, ndipo magazi akupitiriza kuyenda mofulumira, malo ofookawo amatuluka ngati baluni. Kutupa kumeneko kumatchedwa aneurysm . Izi zimatha kukula mpaka kukula kwa chipatso chaching'ono.
Ngakhale dzinali likumveka loopsa, ma aneurysm ambiri samayambitsa zizindikiro zilizonse kapena mavuto azaumoyo. Munthu akhoza kukhala moyo wake wonse osadziwa kuti ali ndi aneurysm, popanda mavuto aliwonse.
Komabe, nthawi zambiri, aneurysm iyi imatha kukula, kutulutsa magazi pang'onopang'ono, kapena kuphulika mwadzidzidzi. Ikaphulika ndikutuluka magazi muubongo, imatchedwa sitiroko ya magazi. Iyi ndi ngozi yayikulu kwambiri yachipatala yomwe ingawononge moyo. Pazochitika zotere, chithandizo chamankhwala mwachangu chimafunika kuchipatala.
Kodi mitundu ndi kukula kwa aneurysms ndi kotani?
Ma aneurysms amatha kugawidwa m'mitundu ikuluikulu ingapo. Tiyeni tiwone zomwe zili.
| Mtundu wa Aneurysm | Kufotokozera |
|---|---|
| Aneurysm ya m'maso | Uwu ndi mtundu wofala kwambiri. Umapanga thovu kunja kwa mtsempha wamagazi, lofanana ndi zipatso zomwe zimapachikidwa pa mpesa. Ichi ndichifukwa chake umatchedwanso "aneurysm ya zipatso." |
| Fusiform Aneurysm | Izi sizimapangika ngati thovu. M'malo mwake, makoma a mtsempha wamagazi amatupa mozungulira, ndikukulitsa malo amenewo. Izi sizofala kwambiri. |
| Mycotic Aneurysm | Mtundu wa aneurysm womwe umayamba pamene khoma la mtsempha wamagazi lafooka chifukwa cha matenda monga mabakiteriya kapena bowa. Izi zimachitikanso kawirikawiri. |
Ma aneurysm awa akhoza kukhala a kukula kosiyanasiyana.
- Kakang'ono ( SMA ll): Kalifupi ndi mamilimita 11 (pafupifupi kukula kwa chofufutira pensulo).
- Lalikulu: Pakati pa mamilimita 11-25 (pafupifupi kukula kwa ndalama ya rupee 5 ku Sri Lanka).
- Chachikulu: Chokulirapo kuposa mamilimita 25.
Kodi zizindikiro za izi ndi ziti? Izi ndi zomwe muyenera kudziwa!
Zizindikiro za aneurysm zimadalira ngati yaphulika kapena ayi. Gawoli ndi lofunika kwambiri , choncho samalani kwambiri.
| Zizindikiro zadzidzidzi za kuphulika kwa aneurysm (ngati muli ndi chilichonse mwa izi, pitani ku ETU nthawi yomweyo!) | |
|---|---|
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| Zizindikiro za aneurysm yomwe ikukula koma siikuphulika (onani dokotala nthawi yomweyo) | |
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N’chifukwa chiyani ma aneurysms amenewa amapangika? Ndani ali pachiwopsezo chachikulu?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa kupangika kwa aneurysm, koma zinthu zina zoopsa zapezeka.
Zoyambitsa zachibadwa
Matenda ena obadwa nawo angapangitse kuti pakhale vuto la kutsekeka kwa mitsempha yamagazi.
- Matenda a impso otchedwa Autosomal dominant polycystic ndi matenda omwe ma cysts amapangika mu impso.
- Mtundu woyamba wa Neurofibromatosis ndi matenda omwe amachititsa kuti zotupa zipangike pakhungu ndi mitsempha.
- Matenda omwe amakhudza minofu yolumikizana (Marfan syndrome, Ehlers-Danlos syndrome)
Zinthu zoopsa zokhudzana ndi moyo
Izi ndi zinthu zomwe tingathe kuzilamulira.
- Kuthamanga kwa Magazi Kwambiri: Ichi ndiye chinthu chachikulu komanso chofala kwambiri chomwe chimayambitsa matenda.
- Kusuta: Anthu omwe amasuta amakhala pachiwopsezo chachikulu chotenga aneurysms komanso kuphulika kwa magazi.
- Mbiri ya banja: Ngati mmodzi mwa achibale anu apamtima (amayi, abambo, abale anu) wakhala ndi aneurysm, inunso muli pachiwopsezo chachikulu.
- Zaka: Chiwopsezo chimawonjezeka munthu akakwanitsa zaka 40.
- Jenda: Akazi ali ndi mwayi waukulu wokhala ndi aneurysms kuposa amuna.
- Kugwiritsa ntchito mankhwala osokoneza bongo: Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine.
- Kumwa mowa mopitirira muyeso.
Kodi madokotala amapeza bwanji izi?
Ngati dokotala wanu akukayikira kuti pali aneurysm kutengera zizindikiro zanu, pali mayeso angapo kuti atsimikizire izi.
- Kujambula kwa CT: Izi zimatenga zithunzi za ubongo mwatsatanetsatane. Nthawi zina utoto wapadera umalowetsedwa mu ubongo kuti mitsempha yamagazi iwonekere bwino.
- Kujambula kwa MRI: Mphamvu ya maginito imagwiritsidwa ntchito kujambula zithunzi zomveka bwino za ubongo ndi mitsempha yamagazi.
- Angiogram:Iyi ndi njira yodalirika kwambiri yodziwira aneurysm. Mu njirayi, chubu choonda kwambiri (catheter) chimadutsa m'mitsempha yamagazi yomwe ili m'mwendo kapena mkono kupita ku mitsempha yamagazi muubongo, madzi apadera amabayidwa, ndipo zithunzi zingapo za X-ray zimatengedwa. Izi zimathandiza kuti malo enieni, kukula, ndi mawonekedwe a aneurysm awonekere.
- Kuboola kwa msana/Lumbar: Ngati pali kukayikitsa kuti aneurysm yaphulika, chitsanzo cha madzi a msana chimatengedwa kuchokera ku msana ndikuyesedwa magazi.
Kodi mankhwala ake ndi otani?
Chithandizo chimadalira zinthu zambiri, kuphatikizapo ngati aneurysm yaphulika kapena ayi, kukula kwake, malo ake, zaka zanu, ndi thanzi lanu lonse.
Pa aneurysms zazing'ono, zopanda zizindikiro, komanso zosasweka, n'zotheka kupewa chithandizo chilichonse ndikungodikira mwatcheru. Muyenera kukambirana izi ndi dokotala wanu kuti apange chisankho chabwino.
Kuphulika kwa aneurysm kuyenera kuchiritsidwa nthawi yomweyo chifukwa chiopsezo choti iphulikenso n'chokwera kwambiri. Pali njira zingapo zazikulu zochiritsira.
| Njira yochizira | Zimene zimachitika n’zosavuta. |
|---|---|
| Kuduladula kwa Opaleshoni | Opaleshoni yomwe imaphatikizapo kutsegula chigaza. Dokotalayo amapeza aneurysm ndikuyika kachitsulo kakang'ono pakhosi pake kuti asiye kutuluka magazi. |
| Kuzungulira kwa Mitsempha ya M'mimba | Iyi ndi njira yomwe sikutanthauza kutsegula chigaza. Monga momwe angiogram imachitira, chubu chopyapyala chimayikidwa kudzera mu mwendo, ndipo ma waya opyapyala kwambiri a platinamu amadutsamo ndikuyikidwa mu aneurysm. Kenako magazi amasiya kuyenda, ndipo magazi amaundana n’kutseka. |
| Opaleshoni Yosinthira Mafunde | Njira yogwiritsidwa ntchito pa aneurysms yayikulu. Mu njira iyi, stent yonga mesh imayikidwa mkati mwa mtsempha wamagazi komwe aneurysm ili. Izi zimathandiza kuti magazi ayende mwachindunji kudzera mu aneurysm, m'malo moidutsa. |
Uthenga Wopita Nawo Kunyumba
- Matenda ambiri a ubongo saphulika. Akhoza kukhala opanda zizindikiro, choncho musachite mantha ndi dzinalo.
- Mutu woopsa komanso wodzidzimutsa womwe simunakumanepo nawo m'moyo wanu ndi chizindikiro chochenjeza! Ngati izi zitachitika, musaganize kawiri ndipo pitani ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) yapafupi nthawi yomweyo.
- Kuthamanga kwa magazi ndi kusuta fodya ndi adani awiri akuluakulu. Kulamulira izi kungathandize kuchepetsa chiopsezo chanu.
- Ngati wachibale wanu wapafupi wakhala ndi aneurysm, lankhulani ndi dokotala wanu za vutoli.
- Ngati matendawa atapezeka msanga ndikuchiritsidwa bwino, matendawa amatha kuchiritsidwa kwathunthu. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro zake.
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