Ganizirani mtima wanu ngati pampu yamadzi. Chubu chachikulu, chachikulu, komanso champhamvu kwambiri chomwe chimapopera madzi m'thupi lanu lonse ndi aorta . Ichi ndi chomwe chimanyamula magazi oyera komanso odzaza ndi mpweya kuchokera kumutu kupita ku miyendo yanu. Chifukwa chake ngati pali vuto ndi chubu chachikulu ichi, tikambirana za opaleshoni yochikonza. Ndizachilendo kumva mantha pang'ono mukamva izi, koma mukadziwitsidwa bwino, mutha kuthana ndi mantha amenewo.
Kodi mavuto akuluakulu omwe amabuka mu aorta iyi ndi ati?
Mwachidule, pali mavuto awiri akuluakulu omwe amakhudza aorta.
1. Aneurysm: Tangoganizirani chitoliro chakale chamadzi chomwe chikutuluka ngati baluni. Mofananamo, makoma a mtsempha wamagazi amafooka ndikutuluka ngati baluni chifukwa cha kuthamanga kwa magazi omwe amadutsamo. Ichi ndi chomwe timachitcha "Aneurysm".
2. Kung'ambika: Izi ndi zosiyana pang'ono. Khoma la mtsempha wamagazi lili ndi zigawo zingapo. Chomwe chimachitika pamenepa ndichakuti kung'ambika pang'ono kumachitika mkati mwa gawo lamkati, ndipo magazi amatuluka pakati pa zigawo ziwirizo. Ichinso ndi vuto loopsa kwambiri.
Ngati aneurysm kapena kusweka kumeneku kwaphulika mwadzidzidzi, kungayambitse kutuluka magazi ambiri m'thupi ndipo kungakhale koopsa. Ichi ndichifukwa chake madokotala amayesa kukonza ndi opaleshoni isanafike pamenepa.
N’chifukwa chiyani zinthu ngati zimenezi zimachitika?
Pali zifukwa zingapo zomwe zimapangitsa izi, zina zomwe tingathe kuzilamulira, ndipo zina zomwe sitingathe kuzilamulira.
| Zifukwa zazikulu | Kufotokozera kosavuta |
|---|---|
| Kuchuluka kwa atherosclerosis | Chifukwa chachikulu ndi kuchuluka kwa zinthu zofanana ndi cholesterol m'makoma a mitsempha yamagazi, zomwe zimalimbitsa ndikuchepetsa mitsempha yamagazi. |
| Kuthamanga kwa magazi | Kuthamanga kwa magazi kwa nthawi yayitali kungawononge makoma a mitsempha yamagazi. |
| Matenda a Minofu Yolumikizana | Izi ndi matenda a majini. Mwachitsanzo, anthu omwe ali ndi matenda monga Marfan Syndrome ali ndi minofu yofooka ya thupi, zomwe zingayambitse kufooka kwa mtsempha wamagazi. |
| Kuvulala komwe kwachitika chifukwa cha ngozi | Kuwonongeka kwamtunduwu kungachitikenso chifukwa cha kuvulala kwambiri pachifuwa, monga ngozi yayikulu yagalimoto. |
Kodi opaleshoni imachitidwa bwanji? Kodi njira zazikulu ndi ziti?
Dokotala adzasankha njira yoyenera kwambiri yochitira opaleshoni yanu kutengera zinthu zambiri, monga kuopsa kwa vuto lanu komanso komwe kuli aneurysm. Pali njira ziwiri zazikulu.
1. Opaleshoni Yotseguka
Iyi ndi njira yachikhalidwe. Apa, opaleshoni ya sternotomy imapangidwa pakati pa chifuwa, kapena mimba imatsegulidwa, kuti ifike mwachindunji ku gawo lowonongeka la mtsempha wamagazi. Kenako gawo lowonongeka limachotsedwa ndipo chogwirira chopangidwa ndi zinthu zopangidwa monga Dacron chimayikidwa m'malo mwake. Iyi ndi opaleshoni yayikulu, ndipo imatenga nthawi yayitali kuti ichiritse.
2. Opaleshoni ya Endovascular / Yosalowerera Kwambiri
Uwu ndi ukadaulo wamakono. Palibe kudula kwakukulu apa. Kudula pang'ono kumapangidwa mumtsempha wamagazi kudzera m'chiuno, ndipo stent graft imatumizidwa kudzera mmenemo mothandizidwa ndi catheter (chubu chopyapyala) kupita ku gawo lowonongeka la mtsempha wamagazi.
Kodi stent graft ndi chiyani?
Izi zili ngati chubu chaching'ono chopangidwa ndi ukonde wachitsulo ndipo chophimbidwa ndi nsalu. Izi zikayikidwa mkati mwa malo omwe pali ``(Aneurysm)``, magazi amatuluka mu chubu chatsopanochi. Kenako magazi amatuluka osagunda khoma la mtsempha wofooka. Chifukwa chake, amasiya kuphulika.
Ubwino wa njira ya endovascular:
- Chiwerengero cha masiku omwe amakhala kuchipatala chikuchepa.
- Iyi ndi njira yabwino kwa iwo omwe sangathe kupirira chiopsezo cha opaleshoni yotseguka.
- Popeza palibe kudula kwakukulu, nthawi yochira ndi yochepa kwambiri.
Kodi muyenera kukonzekera bwanji musanachite opaleshoni?
Ndikofunikira kwambiri kukonzekera bwino musanachite opaleshoni.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (ngakhale mavitamini ndi mankhwala azitsamba). Mankhwala ena angafunike kuti musiye kumwa masiku angapo opaleshoni isanachitike.
- Pezani mayeso onse omwe dokotala wanu adalamula, monga kuyezetsa magazi, EKG, ndi CT scan, zomwe zachitika panthawi yake.
- Pa nthawi yomwe anali kuchipatala komanso masiku oyamba atabwerera kunyumbaPezani munthu wokonzeka kukuthandizani.
- Dziwani nthawi yeniyeni yomwe muyenera kusiya kudya ndi kumwa usiku woti opaleshoni ichitike.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Mukamaliza opaleshoni, choyamba mudzalowetsedwa mu chipinda chosamalira odwala kwambiri (ICU). Mukayambiranso kuzindikira, mutha kuyikidwa chubu chopumira kuti chikuthandizeni kupuma. Chidzachotsedwa mukadzatha kupuma nokha. Mukadzatha kuyenda pang'onopang'ono, mudzasamutsidwira ku chipinda chogona chachizolowezi.
Nthawi yochira imasiyana malinga ndi mtundu wa opaleshoni:
- Ngati opaleshoni yotseguka yachitika, zingatenge miyezi iwiri kapena itatu kuti munthu achire bwino.
- Opaleshoni ya endovascular imafuna kukhala m'chipatala kwa masiku awiri kapena atatu komanso nthawi yonse yochira kwa milungu iwiri kapena inayi .
Zoopsa za opaleshoni ndi nthawi yoti muwone dokotala nthawi yomweyo
Monga opaleshoni yaikulu iliyonse, pali zoopsa zina, koma izi sizichitika kwa aliyense.
- Kutuluka magazi kwambiri
- Stroke
- Matenda amtima
- Kulephera kwa impso
- Matenda
- Kutaya ntchito kwa mwendo (makamaka pa opaleshoni ya m'munsi mwa chifuwa ndi m'mimba)
Ngati muli ndi zizindikiro izi mutabwerera kunyumba, muyenera kuyimbira dokotala nthawi yomweyo:
- Kufiira, kutupa, kapena mafinya omwe amatuluka pa bala la opaleshoni
- Malungo popanda chifukwa
- Kupweteka kwambiri pachifuwa
- Kuvuta kupuma
Chofunika kwambiri ndichakuti kupambana ndi chitetezo cha opaleshoni yokonzedweratu n’kwapamwamba kwambiri kuposa opaleshoni yadzidzidzi yomwe imachitidwa mu Emergency Treatment Unit (ETU) pambuyo poti aneurysm yaphulika. Chifukwa chake, ngati dokotala akulangiza opaleshoni, musachite mantha ndipo chitanipo kanthu kofunikira.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya mtsempha wamagazi ndi opaleshoni yofunika kwambiri yopulumutsa moyo, choncho musachite mantha nayo mopanda chifukwa.
- Kuchita bwino ndi chitetezo cha opaleshoni yokonzedweratu, m'malo moyembekezera mpaka pachitika ngozi, n'kwapamwamba kwambiri.
- Njira yamakono ya ``Endovascular`` ndi yothandiza kwambiri. Komabe, si yoyenera wodwala aliyense. Dokotala wanu adzasankha njira yoyenera kwambiri kwa inu.
- Kutsatira malangizo a dokotala pambuyo pa opaleshoni n'kofunika kwambiri kuti munthu achire msanga.
- Lankhulani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe muli nazo zokhudza thanzi lanu, opaleshoni, kapena nthawi yochira.
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