Kodi pali kutupa kofanana ndi kwa baluni mu mtsempha wa splenic? Tiyeni tiphunzire bwino za Splenic Artery Aneurysm!

Kodi mudamvapo za aneurysm ya mitsempha ya splenic? Dzinalo lingamveke loopsa pang'ono, koma musadandaule. Tiyeni tikambirane za izi m'njira yosavuta yomwe mungamvetse. Nthawi zambiri, vutoli limatha kukhalapo popanda zizindikiro zilizonse, koma nthawi zina limatha kubwera ndi zinthu monga kupweteka kumtunda kumanzere kwa mimba.

Kodi aneurysm ya mtsempha wa splenic ndi chiyani?

Mwachidule, ndulu yanu ili ndi mtsempha waukulu wamagazi, mtsempha wamagazi , womwe umapereka magazi, ndipo gawo lina la khoma la mtsemphawo likafooka ndikutuluka ngati baluni, timatcha aneurysm . Taganizirani ngati chitoliro chamadzi chomwe chimatuluka pamalo amodzi chikakalamba. Pakapita nthawi, ndulu iyi imatha kukula. ndulu ikakula, ingayambitse kuwonongeka kwakukulu. Kunena zoona, ngati ndulu ya splenic ikukula ndi 1.0 cm kapena kuposerapo, timatcha aneurysm ya mtsempha wamagazi wa splenic. Nthawi zina imatha kukhala yopanda zizindikiro kwa nthawi yayitali. Koma nthawi zina imatha kuwonetsanso zizindikiro zomwe zimafuna chithandizo chadzidzidzi. Chifukwa chake, ndikofunikira kwambiri kudziwa izi, kutanthauza, zizindikiro ndi zoopsa.

Kodi vutoli ndi lofala bwanji? Ndani amene ali ndi mwayi waukulu wolitenga?

Matendawa, otchedwa splenic artery aneurysm, amakhudza munthu mmodzi pa anthu 1,000 ndi mmodzi pa anthu 2,500. Izi zikutanthauza kuti, ngakhale kuti sizingawoneke ngati nkhani yaikulu, ndi mtundu wofala kwambiri wa aneurysm womwe umapezeka m'mitsempha ya m'mimba mwathu (visceral artery aneurysm).

Izi zingakhudze akuluakulu azaka zonse. Koma ngati ndinu mkazi , makamaka wazaka zopitilira 60 , muli pachiwopsezo chachikulu. Ndipotu, ndizodziwikanso kuti pafupifupi 80% ya aneurysms iyi imachitika mwa akazi .

Kodi aneurysm imakhudza bwanji thupi? Kodi ndi yoopsa?

Kawirikawiri, mitsempha yathu yamagazi imasinthasintha kwambiri. Imapindika ndikukulirakulira pamene magazi akuyenda kudzera m'mitsempha, koma siitaya mawonekedwe ake abwinobwino. Koma pamene aneurysm imachitika, malo ofooka m'mitsempha yamagazi amachititsa kuti ituluke kunja. Zili ngati lamba wa rabara ukukokedwa pamalo amodzi. Khoma la mitsempha yamagazi limakhala lofooka kwambiri panthawiyo. Pakapita nthawi, ngati silinalandire chithandizo, izi zingayambitse mavuto aakulu .

Splenic Artery Aneurysm ndi matenda oopsa . Nthawi zina imatha kukhala pachiwopsezo chachikulu, makamaka ngati muli ndi pakati . Monga ma aneurysm ena, iyi ndi yoopsa chifukwa imatha kuphulika kapena kung'ambika . Kuphulika ndi kung'ambika kumeneku ndi ngozi zoopsa zomwe zimafuna chithandizo chamankhwala mwachangu.

Palinso china chake, chotchedwa pseudoaneurysms., chomwe chimatchedwa 'false aneurysm'. Izi zingakhudzenso mitsempha ya splenic. Mu aneurysm yeniyeni, zigawo zonse za khoma la mitsempha zimakhudzidwa. Mu pseudoaneurysm, gawo limodzi kapena awiri okha ndi omwe amakhudzidwa. Komabe, pseudoaneurysm iyi ya mitsempha ya splenic nayonso ndi yoopsa kwambiri ndipo ili ndi chiopsezo chachikulu cha kuphulika kuposa aneurysm yeniyeni.

Kodi zizindikiro za aneurysm ya mitsempha ya splenic ndi ziti?

Pali zizindikiro zingapo zomwe mungakumane nazo ngati muli ndi aneurysm iyi.

• Ululu kumtunda kwa mimba yanu kumanzere . Ululuwu ukhozanso kufika pa phewa lanu lakumanzere.
• Kumva kugunda kwa mtima kumtunda kumanzere kwa mimba.

Tangoganizirani zomwe zingachitike ngati aneurysm iyi itaphulika . Kenako mwadzidzidzi mungakumane ndi zizindikiro monga:

• Kusanza ndi kusanza .
• Kupweteka kwambiri m'mimba pamwamba , pansi pa nthiti.
• Kupweteka pa phewa lamanzere .
• Zizindikiro za kugwedezeka kwa magazi m'thupi ( hypovolemic shock ).

Kufalikira kumeneku kungachitike mwadzidzidzi, kapena kungachitike m'magawo awiri. Pafupifupi munthu m'modzi mwa anayi aliwonse amakumana ndi kuphatikiza kwa magawo awiriwa. Izi zikutanthauza kuti, zizindikiro zimawonekera mwadzidzidzi, kenako zimachepa kwakanthawi. Koma mpumulo umenewo ndi wa kanthawi kochepa, ndipo thupi limagwidwa ndi mantha mwachangu.

Chofunika kwambiri ndichakuti ngati muli ndi zizindikiro za aneurysm ya mtsempha wa splenic kapena kuphulika, muyenera kuyimbira foni 1990 nthawi yomweyo kapena nambala yanu yadzidzidzi yapafupi.

Anthu ambiri samakhala ndi zizindikiro zilizonse mpaka aneurysm itatsala pang'ono kuphulika kapena kuphulika. Ichi ndichifukwa chake ndikofunikira kudziwa zinthu zomwe zimayambitsa chiopsezo chanu ndikukambirana ndi dokotala wanu za kuchuluka kwa chiopsezo chanu.

N’chifukwa chiyani aneurysm ya mtsempha wa splenic imachitika?

Kufooka kwa khoma la mtsempha wa splenic ndiye chifukwa chachikulu cha aneurysm iyi. Sizikudziwika nthawi zonse chomwe chimayambitsa kufooka kumeneku. Komabe, ofufuza apeza kuti pali zinthu zambiri zomwe zingayambitse vutoli.

Mwa izi , kutenga mimba ndi chinthu chofunikira kwambiri pa chiopsezo. Komanso, chiopsezochi chimakhala chachikulu kwambiri kwa amayi omwe adakhalapo ndi pakati kale. Pa nthawi ya mimba, kusintha kwa mahomoni kumakhudza kuyenda kwa magazi anu, ndikuwonjezera kuthamanga kwa magazi mkati mwa mtsempha wa splenic. Izi zitha kufooketsa makoma a mtsempha ndikupangitsa kuti pakhale aneurysm.

Matenda ena ambiri angayambitsenso chiopsezo chokhala ndi aneurysm ya mitsempha ya splenic. Nazi zitsanzo zingapo:

• Kuthamanga kwa magazi (Arterial hypertension)
• Kuchuluka kwa atherosclerosis
• Kuchuluka kwa magazi m'mitsempha ya ubongo
• Matenda a chiwindi (cirrhosis)
• Matenda a minofu yolumikizana, mwachitsanzoMatenda a Marfan
• Matenda a Shuga (Diabetes Mellitus)
• Matenda a mkati mwa mtima (Endocarditis)
• Matenda a Fibromuscular dysplasia (FMD)
• Granulomatosis yokhala ndi polyangiitis (GPA) (yomwe kale inkadziwika kuti Wegener's)
• Kusamutsa chiwindi
• Polyarteritis nodosa (PAN)
• Kuthamanga kwa magazi m'mitsempha (kupanikizika kwambiri m'mitsempha yopita ku chiwindi)
• Vasculitis

Palinso zinthu zina zomwe zimayambitsa matenda a pseudoaneurysms omwe atchulidwa kale:

• Matenda a kapamba osatha
• Mavuto pambuyo pa opaleshoni.
• Ngozi, kuvulala monga ngozi ya galimoto kapena kubayidwa ndi mpeni.

Kodi ndi zifukwa ziti zomwe zimayambitsa kuphulika kwa aneurysm?

Pali zinthu zingapo zomwe zingayambitse kuphulika kwa aneurysm ya mtsempha wa splenic:

• Kuthamanga kwa magazi m'dera la aneurysm: Kuwonjezeka kwa magazi kupita kudera la aneurysm kumawonjezera chiopsezo cha kuphulika.
• Mimba: Pafupifupi 50% ya aneurysms mwa amayi apakati imaphulika panthawi ya mimba. Nthawi zambiri, kuphulika kumeneku kumachitika mu trimester yomaliza ya mimba.
• Kupezeka kwa zizindikiro: Anthu omwe ali ndi zizindikiro ali ndi chiopsezo cha 80% chotenga matenda. Izi ndi zazikulu kwambiri kuposa omwe alibe zizindikiro (omwe ali ndi chiopsezo cha 10%).

Kodi madokotala amazindikira bwanji vutoli?

Ndipotu, ma aneurysms a mitsempha ya splenic amatha kukhala ovuta kuwazindikira. Izi zili choncho chifukwa zizindikiro zake sizimveka bwino, ndipo zimatha kufanana ndi matenda ena ambiri. Nthawi zina, madokotala amapeza vutoli akamachita mayeso pazifukwa zina.

Mayeso apadera ojambulira ndi njira yabwino kwambiri yodziwira aneurysms izi, makamaka ngati mulibe zizindikiro.

Nazi mayeso ena omwe agwiritsidwa ntchito pa izi:

• CT Angiography (Computer tomography angiography - CTA)
• Angiography ya digito yochotsera (DSA)
• Kuyezetsa kwa Ultrasound (Ultrasonography) , kuphatikizapo kuyezetsa kwa endoscopic ultrasound .
• M.R. Angiography (Magnetic resonance angiography - MRA)

Mayeso aliwonsewa ali ndi ubwino wake wodziwira aneurysms ndikukonzekera chithandizo. Dokotala wanu adzakufotokozerani mayeso omwe mukufunikira komanso chifukwa chake.

Ndingadziwe bwanji ngati ndikufunika chithandizo?

Matenda a splenic artery aneurysms, omwe ali pachiwopsezo chophulika kapena kuphulika, ayenera kuchiritsidwa mwachangu. Ngati muli ndi vuto lililonse mwa zotsatirazi, dokotala wanu angakulangizeni chithandizo:

• Ngati aneurysm ndi yayikulu kuposa masentimita atatu (30 millimeters) m'mimba mwake.
• Ngati aneurysm ikukula pakapita nthawi .
• Ngati muli ndi zizindikiro .
• Ngati mukufuna kuikidwa chiwindi .
• Ngati muli ndi pakati , kapena ngati pali mwayi woti mutenge mimba .

Ngati aneurysm yanu siili pachiwopsezo cha kuphulika kwa magazi, dokotala wanu mwina angakulangizeni kuti muyang'anire , zomwe zikutanthauza kuti muyesedwenso mobwerezabwereza. Ngati chiopsezo chanu cha kuphulika chikuwonjezeka nthawi iliyonse, dokotala wanu angakulangizeni chithandizo.

Kodi njira zochizira aneurysm ya mitsempha ya splenic ndi ziti?

Pali njira zingapo zochiritsira izi.

• Njira yogwiritsira ntchito Endovascular: Iyi nthawi zambiri ndiyo njira yabwino kwambiri yothanirana ndi aneurysm isanaphulike (mankhwala osankha). Apa, dokotala amaletsa kuyenda kwa magazi kudzera mu aneurysm. Pali njira zosiyanasiyana zochitira izi. Mwachitsanzo, mu njira yotchedwa 'coiling', zitsulo zimagwiritsidwa ntchito kudzaza aneurysm. Mu njira ina, madzi apadera amabayidwa, omwe amakhuthala ndikuletsa kuyenda kwa magazi kudzera mu aneurysm. Dokotala amasankha njira yoyenera kwambiri kutengera mawonekedwe ndi malo a aneurysm.
• Opaleshoni yotseguka: Izi zimalimbikitsidwa kwa anthu omwe sangathe kulandira chithandizo cha endovascular kapena omwe sanapambane nacho. Apa, dokotala amachotsa gawo lowonongeka la mtsempha wamagazi. Mungafunikenso kuchotsedwa ndulu yanu (splenectomy) .
• Njira ya Laparoscopic: Iyi ndi njira yosavuta kupha ziwalo kuposa opaleshoni yotseguka, ndipo nthawi yochira imakhala yochepa. Iyi nthawi zambiri ndiyo njira yabwino kwambiri yothandizira panthawi ya mimba.

Lankhulani ndi dokotala wanu za njira yothandizira yomwe ili yabwino kwa inu.

Mavuto a chithandizo

Dokotala wanu adzakufotokozerani zoopsa ndi zovuta za chithandizo. Chofala kwambiri mwa izi ndi matenda otchedwa post-embolization syndrome (PES) . Zizindikiro za PES ndi izi:

• Malungo.
• Kusanza ndi kusanza.
• Kupweteka m'mimba.

Ngati mukumva zizindikiro izi mutalandira chithandizo, lankhulani ndi dokotala wanu. Dokotala wanu angakulangizeni mankhwala ochepetsa ululu kapena a saline (madzimadzi a m'mitsempha) kuti akuthandizeni kuchepetsa zizindikiro zanu mpaka mutachira.

Kodi ndingatani kuti ndichepetse chiopsezochi?

Ndikofunikira kusamalira bwino matenda ena aliwonse omwe muli nawo, makamaka omwe amawonjezera chiopsezo chanu chokhala ndi aneurysm ya mitsempha ya splenic. Lankhulani ndi dokotala wanu za zomwe muyenera kuchita makamaka pa vuto lanu.

Nazi zinthu zina zomwe mungachite:

• Imwani mankhwala onse omwe mwapatsidwa pa nthawi yake .
• Ngati muyamba zizindikiro zatsopano kapena ngati zizindikiro zanu zasintha, uzani dokotala wanu nthawi yomweyo .
• Pitani kukaonana ndi dokotala chaka chilichonse , ndipo pitani ku nthawi iliyonse yomwe mwakonza.

Komanso, kusintha moyo wanu kungathandize kuti mitsempha yanu yonse yamagazi ikhale ndi thanzi labwino , kuphatikizapo mtsempha wanu wamagazi.

• Siyani kusuta fodya ndi kugwiritsa ntchito fodya kotheratu .
• Idyani zakudya zopatsa thanzi pamtima .
• Chitani masewera olimbitsa thupi nthawi zonse monga momwe dokotala wanu akulangizirani.
• Chepetsani kumwa mowa .

Ngati ndili ndi vutoli, ndiyenera kuyembekezera chiyani? Kodi chiyembekezo changa ndi chotani?

Ngati muli ndi aneurysm ya mtsempha wa splenic, tsatirani malangizo a dokotala wanu mosamala. Simungafunike chithandizo nthawi yomweyo. M'malo mwake, dokotala wanu angakulangizeni zomwe amatcha "kudikira mosamala." Izi zikutanthauza kuti mudzayesedwa nthawi zonse (nthawi zambiri chaka chilichonse) kuti muwone ngati aneurysm ikukulirakulira. Chithandizo cha panthawi yake n'chofunikira kuti aneurysm isaphulike kapena kusweka.

Chiyembekezo cha munthu amene ali ndi vutoli chimadalira zinthu zingapo:

• Kukula ndi malo a aneurysm.
• Kuchuluka kwa aneurysm m'magazi kumakula mofulumira bwanji .
• Kaya aneurysm idzaphulika kapena ayi .
• Matenda ena ndi zinthu zina zoopsa zomwe muli nazo.

Kuphulika kwa aneurysm ya mitsempha ya splenic nthawi zambiri kumakhala koopsa . Kafukufuku wasonyeza kuti kuphulikako kungakhale koopsa mwa anthu omwe:

* Pakati pa 25% ndi 40% ya amayi omwe si apakati.

* Pakati pa 65% ndi 75% ya amayi apakati (chiwerengero cha imfa za ana osabadwa pakati pa 90% ndi 95%).

* Anthu opitilira 50% omwe ali ndi vuto la kuthamanga kwa magazi m'mapapo .

Kuphulika kwa pseudoaneurysms ya mtsempha wa splenic nthawi zambiri kumakhala koopsa .

Lankhulani ndi dokotala wanu za momwe zinthu zilili pa moyo wanu.

Kodi ndingathe kudzisamalira bwanji? Kodi ndiyenera kupita kwa dokotala liti?

Kukhala ndi Splenic Artery Aneurysm ndi vuto lalikulu ...Zingakhale zovutitsa maganizo . Mungadabwe kuti chikuchitika ndi chiyani m'thupi mwanu, kapena mungaope kuti aneurysm idzaphulika.

Ndi zachilendo kukhala ndi nkhawa. Uzani dokotala wanu zakukhosi kwanu. Dokotala wanu angakulangizeni chithandizo chothandizira pa vuto la aneurysm lomwe lili pachiwopsezo cha kuphulika. Pemphani dokotala wanu kuti akuwonetseni zotsatira za kujambula zithunzi zanu ndikufotokozera zomwe zikutanthauza. Mukamachita nawo kwambiri chisamaliro chanu chaumoyo, mudzamva kuti mukulamulira bwino vuto lanu.

Dokotala wanu adzakuuzani kangati komwe muyenera kubwera kudzayezetsa ndi kuyezetsa zithunzi. Ngati muli ndi mafunso, nkhawa, kapena zizindikiro zatsopano kapena zosintha, imbani dokotala wanu nthawi yomweyo .

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Funsani dokotala wanu kuti akufotokozereni za matenda anu komanso dongosolo lanu la chithandizo. Nazi mafunso ena omwe mungafunse:

• Kodi aneurysm yanga ndi yaikulu bwanji ?
• Kodi kwenikweni ili kuti?
• Kodi mwayi woti iphulike ndi wotani ?
• Ndi zizindikiro ziti zomwe ndiyenera kuyang'anitsitsa ?
• Kodi ndiyenera kulankhula ndi liti za chaka cha 1990 ?
• Kodi ndiyenera kubwera kangati kudzandiona kuchipatala ?
• Ndi mayeso otani omwe ndiyenera kuchita? Kodi ndiyenera kukonzekera bwanji mayesowa?

Komanso, funsani dokotala wanu za magwero ena owonjezera omwe angakuthandizeni kumvetsetsa matenda anu ndi dongosolo lanu la chithandizo.

Uthenga Womaliza Wopita Nawo Kunyumba

Monga ma aneurysm ena, ma aneurysm a mitsempha ya splenic ndi owopsa kwambiri ngati sanalandire chithandizo . Ngati dokotala wanu apeza kuti muli ndi vutoli, muli kale patsogolo. Dokotalayo adzayang'anira vutoli ndikukuuzani nthawi yomwe mukufuna chithandizo.

Ngati mukulandira chithandizo cha aneurysm kapena kuphulika kwa magazi, ndikofunikira kukhala maso kwa nthawi yayitali . Musaphonye nthawi yokumana ndi dokotala wanu, ndipo lankhulani ndi dokotala wanu za zizindikiro zatsopano kapena zosintha. Khalani mnzanu wodzipereka pantchito yanu yachipatala ndipo phunzirani zambiri momwe mungathere za vuto lanu. Ndi chidziwitso ndi chidziwitso, mutha kugwira ntchito ndi gulu lanu lachipatala kuti muchepetse mavuto amtsogolo.

` Mtsempha wa Splenic Aneurysm, Spleen, Mitsempha ya Mtsempha, Ululu wa M'mimba, Mimba, Mitsempha ya Magazi