Kodi pseudoaneurysm ndi chiyani? Kodi ndi chinthu choopa? Tiyeni tikambirane!

Nthawi zina mungamve ngati pali chotupa chaching'ono pathupi lanu, mwina chopweteka pang'ono, kapena chopweteka mukachikhudza. Kapena mutayesedwa ndi dokotala, pakhoza kukhala chotupa chaching'ono kapena kutupa pamalo pomwe chinachitikira. Kumbuyo kwa zinthuzi, pakhoza kukhala vuto lotchedwa Pseudoaneurysm, lomwe tikulankhula lero. Ngakhale dzinalo lingamveke lovuta pang'ono, tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse. Musadandaule, ichi ndi chinthu chomwe chingathetsedwe nthawi zambiri.

Kodi pseudoaneurysm kwenikweni ndi chiyani?

Mwachidule, pseudoaneurysm ndi kutupa kwa mtsempha wamagazi, nthawi zambiri mtsempha wamagazi, komwe kumachitika magazi ochepa akasonkhana pamalo pomwe pavulala. Amatchedwanso "false aneurysm" chifukwa si aneurysm yeniyeni.

Vutoli nthawi zambiri limachitika ngati vuto la njira yachipatala, monga angiogram. Izi zimachitika pamene magazi amasonkhana pamalo enaake omwe mitsempha yamagazi yawonongeka. Izi zikutanthauza kuti vutoli lili pamalo amodzi.

Ma pseudoaneurysm ena si owopsa kwambiri ndipo amatha okha. Koma ena ndi oopsa kwambiri. Ngati ataphulika, angayambitse mavuto aakulu azaumoyo, ngakhale imfa. Chifukwa chake, ndikofunikira kwambiri kudziwa chomwe chimayambitsa matendawa komanso zizindikiro zake. Kenako mutha kupeza upangiri wachipatala mwachangu ndikupewa mavuto akulu.

Kodi kusiyana pakati pa pseudoaneurysm ndi aneurysm yeniyeni ndi kotani?

Izi ndi zinthu ziwiri zosiyana kwambiri. Kapangidwe ndi mawonekedwe a "makoma" awo ndi osiyana. Tiyeni tiwone momwe zimagwirira ntchito.

Kusiyana kwa makoma

Kusiyana kwakukulu ndi mtundu wa "khoma" lozungulira izi.

Taganizirani izi, aneurysm yeniyeni ndi bulge yomwe imapangika mkati mwa mtsempha wanu. Bulge imeneyo imaphatikizapo zigawo zonse zitatu za khoma la mtsempha, intima, media, ndi adventitia, zomwe zimapanga khoma lake. Izi zikutanthauza kuti mtsempha wokha ukutuluka.

Koma mu pseudoaneurysm , gawo limodzi kapena awiri okha mwa magawo atatu a khoma la mtsempha wamagazi ndi omwe amakhudzidwa. Zotsalazo zimapangidwa ndi minofu yolumikizana yomwe imapangidwa pamene mtsempha wamagazi wavulala. Khoma ili ndi lofooka kwambiri kuposa khoma la aneurysm yeniyeni. Lili ngati chidutswa chatsopano cha pulasitala chomwe chayikidwa mozungulira chitoliro chakale chong'ambika. Sicholimba kwambiri, sichoncho?

Pseudoaneurysm nthawi zambiri imalumikizidwa ku mtsempha wamagazi ndi gawo laling'ono longa "khosi".

Kusiyana kwa mawonekedwe

Ma aneurysms amatha kubwera m'mawonekedwe ndi makulidwe osiyanasiyana. Koma nthawi zambiri amakhala a fusiform kuposa pseudoaneurysms. Izi zikutanthauza kuti, ndi otakata pakati komanso opapatiza m'mphepete. Zili ngati kuyika mpira mkati mwa sokisi yayitali. Imatupa mbali zonse za mtsempha wamagazi.

Komabe, pseudoaneurysm nthawi zambiri imakhala ngati thumba. Izi zikutanthauza kuti, imakhala yozungulira ndipo imatuluka kuchokera mbali imodzi ya mtsempha wamagazi, kudzera m'kabowo kakang'ono kotchedwa khosi. Ili ngati baluni yotuluka kuchokera pakhoma la mtsempha wamagazi. Siimatuluka kuchokera mbali zonse za khoma la mtsempha wamagazi.

Kodi n’chiyani chimayambitsa pseudoaneurysm?

Chifukwa cha izi chimasiyana malinga ndi komwe thupi lanu limapangidwira. Ma pseudoaneurysms amatha kugawidwa m'mitundu ingapo kutengera komwe amapangidwira. Mwachitsanzo, ma pseudoaneurysms amapezeka m'mitsempha ya femoral, visceral arteries, ndi aorta.

Matenda a Pseudoaneurysms a akazi

Mtundu uwu ndi wofala kwambiri. Umakula mumtsempha wamagazi pafupi ndi khosi lanu. Ungayambitsidwe ndi:

• Mavuto a chithandizo chamankhwala: Makamaka mayeso kapena chithandizo chomwe chimaphatikizapo kulowetsa catheter mu mtsempha wamagazi (ichi ndiye chifukwa chachikulu). Tangoganizirani kuti mwachita angiogram m'mimba mwanu. Nthawi zina bala laling'ono lingapangidwe pamenepo, zomwe zimayambitsa vutoli.
• Kuvulala: Kungachitike chifukwa cha ngozi kapena kumenyedwa kwambiri.
• Matenda.

Visceral Pseudoaneurysms

Mtundu uwu ndi wosowa kwambiri. Umapangika m'mitsempha yomwe imapereka magazi ku matumbo, ndulu, kapena chiwindi. Zimayambitsa:

• Mavuto a chithandizo chamankhwala kapena opaleshoni.
• Kutupa kwa kapamba (pancreatitis).

Mitsempha ya mtsempha wamagazi

Izi zimachitika mu aorta, mtsempha waukulu kwambiri m'thupi lanu.

• Kuvulala kosawoneka bwino pachifuwa.
• Matenda.
• Mavuto a opaleshoni ya mtima.

Anthu omwe ali ndi matenda monga Marfan syndrome kapena Loeys-Dietz syndrome ali pachiwopsezo chachikulu chifukwa matendawa amafooketsa makoma a mitsempha yawo yamagazi.

Kodi zizindikiro za pseudoaneurysm ndi ziti?

Onani ngati muli ndi zizindikiro izi:

• Kumva chotupa chopweteka komanso chopweteka pansi pa khungu lanu.
• Kumva kupweteka mukakhudza malo amenewo.
• Kutupa kwa khungu kapena kusintha mtundu .
• Ngati chotupacho chikukankhira mitsempha, mungamve kuyabwa kapena kupsa mtima .

Ngati mukuona chinthu chonga ichi, makamaka ngati mwangoikidwa catheter posachedwapa ndipo mwayesedwa, pitani kwa dokotala.

Kodi mungazindikire bwanji pseudoaneurysm?

Mukapita kwa dokotala, adzakuuzani za zizindikiro zanu kenako adzakuyesani thupi. Pa nthawi yoyezetsayi, adzafufuza zinthu zotsatirazi:

• Kodi pali kutupa m'dera la chiberekero?
• Kodi pali chotupa pansi pa khungu?
• Kodi zimapweteka mukakhudza malo amenewo?
• Kodi pali kusintha kwa mtundu wa khungu kapena kapangidwe kake (skin necrosis) komwe kumasonyeza vuto la kuyenda kwa magazi?
• Kodi mumamva kuyenda kwa magazi kosakhazikika (bruit - phokoso ngati "broo-ee")?

Kuphatikiza apo, dokotala wanu angachitenso duplex ultrasound. Iyi ndi njira yodziwika bwino yomwe imagwiritsidwa ntchito poyesa kuyenda kwa magazi m'mitsempha yanu. Iyi ndi njira yoyesera yopanda ululu. Ingathandize kudziwa kukula kwenikweni ndi malo a pseudoaneurysm.

Kodi mankhwala a pseudoaneurysm ndi otani?

Chithandizo chimadalira malo ndi kukula kwa chotupacho. Njira zina zochiritsira zimaphatikizapo kuyang'aniridwa, jakisoni, kuponderezedwa, ndi njira zochepetsera kufalikira kwa chotupacho. Ngati njirazi sizikuyenda bwino, opaleshoni ingafunike nthawi zina. Dokotala wanu adzakambirana nanu za chithandizo chabwino kwambiri kwa inu.

Kuyang'anitsitsa

Ngati muli ndi pseudoaneurysm yaying'ono m'mimba mwanu, yochepera masentimita awiri m'mimba mwake, mutha kungoyembekezera. Vutoli litha lokha pakatha milungu ingapo. Chifukwa chake dokotala wanu adzakuyang'anirani. Muyenera kuchitidwa duplex ultrasound sabata iliyonse mpaka pseudoaneurysm itatha. Panthawiyi, muyenera kupewa chilichonse chomwe chingakuvutitseni, monga kukweza kapena kupindika.

Jakisoni wa thrombin wotsogozedwa ndi ultrasound

Kutupa kwa femoral pseudoaneurysm komwe kuli kokulirapo kuposa masentimita awiri kapena kopweteka kwambiri kungafunike chithandizo chadzidzidzi. Njira yodziwika kwambiri ndi jakisoni wa thrombin motsogozedwa ndi ultrasound. Mu njirayi, dokotala amachotsa dzanzi pamalopo kuti musamve kupweteka kulikonse. Kenako, motsogozedwa ndi ultrasound, enzyme yotchedwa thrombin imalowetsedwa mu pseudoaneurysm. Izi zimasungunula magazi oundana ndikuletsa kutuluka magazi.

Chithandizochi ndi chothandiza kwambiri . Nthawi zina, ngati izi sizithetsa vutoli, opaleshoni ingafunike. Koma zimenezo sizichitika kawirikawiri.

Kupanikizika kotsogozedwa ndi ultrasound

Madokotala ankagwiritsa ntchito njira imeneyi nthawi zambiri m'mbuyomu, koma kafukufuku wasonyeza kuti siigwira bwino ntchito poyerekeza ndi jakisoni wa thrombin ndipo imakhala ndi chiopsezo chachikulu cha mavuto.

Komabe, njira iyi ingakhale yothandiza pa matenda ang'onoang'ono a femoral pseudoaneurysms, osakwana sentimita imodzi kukula, chifukwa chiopsezo cha zovuta panthawi ya jakisoni chingakhale chachikulu pang'ono pazochitika zotere.

Njira zochepetsera kuwononga

Ma pseudoaneurysms a m'mimba amatha kuchiritsidwa ndi stent kapena ma coil ang'onoang'ono. Zipangizozi zimaletsa kuyenda kwa magazi kupita ku pseudoaneurysm ndikuletsa mavuto.

Ngati muli ndi pseudoaneurysm mu mtsempha wanu wamagazi, iyenera kuchiritsidwa mwachangu isanaphulike. Njira yopulumutsa moyo yotchedwa endovascular aneurysm repair (EVAR) ingathe kuthetsa vutoli popanda kuchitidwa opaleshoni ya mtima.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Nthawi yochira imadalira mtundu wa chithandizo chomwe mudalandira komanso thanzi lanu lonse. Dokotala wanu adzakutsogolerani pakuchira kwanu. Mungafunike kugona pansi (mopingasa) kwa maola angapo mutalandira chithandizo. Dokotala wanu adzakuyang'anirani kuti atsimikizire kuti palibe zovuta. Mungafunikenso kupewa kuyendetsa galimoto kapena kunyamula zinthu zolemera kwakanthawi. Koma muyenera kuyambiranso ntchito zanu zachizolowezi popanda mavuto posachedwa.

Kutengera ndi chithandizo chomwe mudalandira komanso thanzi lanu, mungafunike kupita kukakumana ndi dokotala wotsatira. Mwachitsanzo, ngati mudayika stent, dokotala wanu adzafuna kuonetsetsa kuti ikugwirabe ntchito bwino. Adzafufuzanso ngati pali zovuta kapena matenda. Ndikofunikira kuti thanzi lanu lizitsatira mayesowa.

Kodi mungachepetse bwanji chiopsezo chokhala ndi pseudoaneurysm?

Zinthu zina zomwe sitingathe kuzilamulira, monga ukalamba. Anthu azaka zopitilira 75 ali pachiwopsezo chachikulu chotenga pseudoaneurysm. Koma pali matenda ena omwe mungathe kuwaletsa, monga kunenepa kwambiri ndi kuthamanga kwa magazi, omwe amawonjezera chiopsezo chanu.

Mukhoza kuchita izi kuti mupewe pseudoaneurysm ndikusunga thanzi lanu lonse:

• Tsatirani zakudya zopatsa thanzi la mtima .
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Imwani madzi ambiri .
• Pewani zakudya zokhala ndi mchere wambiri (sodium).
• Gonani mokwanira.
• Lamulirani kupsinjika maganizo .

Kodi chimachitika ndi chiyani ngati ndili ndi pseudoaneurysm?

Ngati pseudoaneurysm yaphulika, ingayambitse mavuto aakulu. Ingayambitse kutuluka magazi mkati mwa thupi komanso imfa. Komabe, ngati yapezeka ndikuchiritsidwa mwachangu, pseudoaneurysms imatha kuthetsedwa mosavuta.

Ndicho chifukwa chake ndikofunikira kudziwa zizindikiro. Kenako mutha kuzindikira vutoli msanga ndikupempha thandizo. Matenda a pseudoaneurysms amatha kubwereranso mtsogolo. Chifukwa chake ngati mwakhalapo ndi chimodzi, dziwani zizindikiro zamtsogolo. Musaphonye nthawi yokumana ndi dokotala, ndipo uzani dokotala wanu za zizindikiro zilizonse kapena kusintha komwe mwawona.

Kodi ndiyenera kupeza upangiri wa dokotala liti?

Ngati muli ndi zizindikiro za pseudoaneurysm, kapena ngati mukumva kuti pali vuto, imbani dokotala nthawi yomweyo . Samalani kwambiri ngati mwalandira chithandizo cha endovascular (chithandizo pogwiritsa ntchito catheter). Mavuto ndi osowa. Koma ngati achitika, ndikofunikira kuwapeza msanga.

Kuphulika kwa pseudoaneurysm ndi vuto lachipatala! Ngati mukuona zizindikiro za kuphulika kwa pseudoaneurysm, imbani 911 kapena pitani kuchipatala chapafupi nthawi yomweyo. Zizindikiro izi zingaphatikizepo:

* Kupweteka kwambiri pamalo pomwe pali chotupa.

* Kupweteka pachifuwa .

* Kuvuta kupuma .

* Chisokonezo .

* Kuthamanga kwa magazi kotsika .

* Kugunda kwa mtima kosazolowereka .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati mwapezeka ndi pseudoaneurysm, mungakhale ndi mafunso ambiri. Yambani kudzifunsa zinthu monga:

• N’chifukwa chiyani ndinapanga pseudoaneurysm?
• Kodi ndingathe bwanji kuthana ndi zizindikiro zanga?
• Ndi njira ziti zochiritsira zomwe zili zabwino kwa ine?
• Kodi nthawi yanga yochira idzakhala bwanji nditalandira chithandizo?
• Ndi zinthu ziti zomwe ndiyenera kupewa pamene ndikulandira chithandizo?
• Ndi zochita ziti zomwe ndiyenera kupewa panthawi yochira?

Dokotala wanu adzakuthandizani kukhala omasuka ndikukupatsani chidziwitso chomwe mukufuna.

Ngati munakhalapo ndi pseudoaneurysm kale, lankhulani ndi dokotala wanu za zoopsa zomwe zingakuchitikireni mtsogolo. Funsani za izi:

• Kodi ndili pachiwopsezo chopezanso pseudoaneurysm?
• Kodi ndili ndi matenda ena omwe amakhudza chiopsezo changa?
• Kodi ndingachite chiyani kuti ndichepetse chiopsezo changa?

Ngakhale mutakhala kuti simunakumanepo ndi vutoli, mutha kulankhula ndi dokotala wanu kuti mudziwe zambiri za vutoli. Funsani za zinthu zilizonse zomwe mungakhale nazo zomwe zingakubweretsereni mavuto ndikuphunzira momwe mungachepetsere chiopsezo chanu cha mavuto amtsogolo.

Ngati mukufuna kuchita opaleshoni yomwe imagwiritsa ntchito catheter, lankhulani ndi dokotala wanu za zoopsa zake. Matenda a pseudoaneurysms ndi vuto lofala la njirazi. Koma sizikutanthauza kuti ndi lofala. Ndipotu, pafupifupi munthu m'modzi mwa anthu 200 aliwonse amakhala ndi vutoli atangochitidwa angiogram. Ubwino wa njirazi ndi woposa zoopsa zake. Koma ndikofunikira kulankhula ndi dokotala wanu kuti mafunso anu onse ayankhe.

Pomaliza, kumbukirani (Uthenga Wopita Nawo Kunyumba)

Kupeza kuti muli ndi pseudoaneurysm kungakhale koopsa komanso kosayembekezereka. Koma chifukwa cha mankhwala atsopano ndi ukadaulo, mutha kuchira ndikukhala moyo wabwinobwino. Chofunika kwambiri ndikupeza matenda mwamsanga zizindikiro zikayamba. Ndikofunikanso kudziwa zinthu zomwe zimayambitsa matenda a pseudoaneurysm. Mavuto ochokera ku njira zachipatala monga angiogram ndi omwe amayambitsa matendawa nthawi zambiri. Koma zinthu zomwe zimayambitsa matenda monga kunenepa kwambiri ndi kuthamanga kwa magazi nazonso zingathandize. Lankhulani ndi dokotala wanu kuti mudziwe zambiri za zoopsa zanu komanso momwe mungathanirane nazo. Musadandaule, pali njira zothetsera mavuto onse!

Pseudoaneurysm , mitsempha yamagazi, mitsempha yamagazi, kutuluka magazi, angiogram, thanzi la mtima, zizindikiro