Kodi mudamvapo za mtsempha waukulu komanso wofunika kwambiri m'thupi lathu? Timautcha kuti aorta. Monga momwe chitoliro chachikulu cha madzi chimabweretsera madzi m'nyumba mwathu, aorta iyi imanyamula magazi oyera kuchokera mumtima kupita ku thupi lonse. Koma nthawi zina, malo ofooka amapangika pakhoma la aorta iyi, ndipo dera limenelo limayamba kuphulika ngati baluni. Ndicho chimene timachitcha 'aneurysm'. Ngati kuphulika kumeneku kukuchitika mu aorta pachifuwa, kumatchedwa 'Thoracic Aortic Aneurysm'. Izi zingamveke zoopsa pang'ono, koma musadandaule. Tiyeni tikambirane zonse momveka bwino komanso mosavuta.
Kodi Aneurysm ya Thoracic Aortic ndi chiyani?
Mwachidule, ichi ndi kutupa komwe kumachitika mu gawo la mtsempha wa m'mimba mkati mwa chifuwa chathu. Tangoganizirani chitoliro chakale chamadzi, gawo limodzi ndi lofooka ndipo limatupa pang'ono. Ndicho chimene chimachitikanso pano. Ichi ndi vuto losowa kwambiri, munthu m'modzi yekha pa anthu 10,000 ali ndi vutoli.
Nthawi zambiri, palibe amene amadziwa kuti ali ndi kutupa kumeneku. Kumapezeka mwangozi panthawi yoyezetsa, monga CT scan, yomwe imachitika pazifukwa zina.
Kodi aliyense ayenera kuchitidwa opaleshoni iyi?
Ayi. Si aliyense amene ali ndi kutupa kwamtunduwu amene angafunike opaleshoni. Pali zinthu zingapo zomwe zingakuthandizeni kudziwa ngati mukufunika opaleshoni kapena ayi.
- Kukula kwa chiphuphu: Kukula kwake n'kofunika kwambiri. Kawirikawiri, ngati chili chachikulu kuposa masentimita 5.5, opaleshoni iyenera kuganiziridwa.
- Kukula kwa chilonda: Ngati kutupaku kukukulirakulira mofulumira kuposa masentimita 0.5 mkati mwa miyezi isanu ndi umodzi, chimenechonso ndi chifukwa chofunsira opaleshoni.
- Zizindikiro zanu: Anthu ena angakumane ndi zizindikiro monga kupweteka pachifuwa komanso kuvutika kupuma.
- Thanzi lanu lonse: Zaka zanu komanso ngati muli ndi matenda ena zimakhudzanso chisankho chokhudza opaleshoni.
Pambuyo poganizira zonsezi, dokotala wanu adzasankha chomwe chili chabwino kwa inu.
Pali mitundu iwiri ya opaleshoni: tiyeni tiwone zomwe zili
Pali njira ziwiri zazikulu zochitira opaleshoni pochiza vutoli. Onani tebulo ili m'munsimu kuti mumvetse kusiyana pakati pa ziwirizi.
| Mbali | 1. Kukonza Matenda a Chifuwa Chotseguka | 2. Njira ya TEVAR (Kukonzanso Mtsempha wa M'mimba wa Thoracic Endovascular Aortic) |
|---|---|---|
| Momwe mungachitire | Kuduladula kwa nthawi yayitali kumapangidwa m'mbali mwa chifuwa, gawo lowonongeka la mtsempha wamagazi limachotsedwa, ndipo chubu chopangira (graft) chimayikidwa m'malo mwake. | Kudula pang'ono kumapangidwa m'mimba, chubu chopyapyala (catheter) chimadutsamo kudzera mu mtsempha wamagazi, ndipo chipangizo chonga mesh (stent) chimayikidwa m'dera lotupa kuti chilimbitse kuchokera mkati. |
| Dulani | Pakufunika kudula kwakukulu komanso kwautali. | Kungofunika kudula pang'ono kwambiri. |
| Nthawi yomwe ndinali kuchipatala | Zingatenge masiku 10. | Kawirikawiri pafupifupi masiku atatu. |
| Nthawi yoti tichire | Zimatenga pafupifupi miyezi iwiri kapena itatu kuti munthu abwerere ku moyo wabwinobwino. | Mukhoza kugwira ntchito yanthawi zonse m'masabata angapo. Muyenera kudikira pafupifupi mwezi umodzi kuti mugwire ntchito yolemetsa. |
N’chifukwa chiyani opaleshoni imeneyi ndi yofunika kwambiri?
Chifukwa chachikulu chochitira opaleshoniyi ndikuchepetsa chiopsezo cha kuphulika kwa aneurysm . Sikuti ma aneurysm onse amaphulika. Komabe, ngati ataphulika, ndi ngozi yowopsa.
Ngakhale pali zoopsa zina zomwe zimachitika pa opaleshoni, chiopsezo cha kuphulika kwa mitsempha yamagazi ndi chachikulu kwambiri. Ichi ndichifukwa chake madokotala amalangiza opaleshoni panthawi yoyenera.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Dokotala wanu adzakupatsani malangizo ofunikira musanachite opaleshoni.
- Mayeso: Kukula ndi mkhalidwe wa kutupa kumayang'aniridwa nthawi zonse pochita zinthu monga `CT scan`.
- Mankhwala:Mungapatsidwe mankhwala oletsa kuthamanga kwa magazi anu komanso kumasula mitsempha yamagazi masiku angapo opaleshoni isanachitike.
- Mankhwala Oletsa Kutsekeka kwa Magazi: Ngati mukumwa mankhwala oletsa kutsekeka kwa magazi, dokotala wanu adzakulangizani kuti musiye kuwamwa nthawi yochepa musanachite opaleshoni. Musasiye kumwa mankhwalawa popanda upangiri wa dokotala.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mukachita opaleshoni yotseguka, mudzayang'aniridwa mu chipinda chosamalira odwala kwambiri (ICU) kwa tsiku limodzi kapena awiri. Kenako mudzasamutsidwira ku chipinda chokhazikika ndipo muyenera kukhala m'chipatala kwa masiku pafupifupi 10.
Mukamaliza opaleshoni ya TEVAR, nthawi zambiri mumayenera kukhala m'chipatala kwa masiku atatu. Madokotala adzakupatsani mankhwala othandizira kupweteka mukamaliza opaleshoni.
Kodi zoopsa zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?
Ngakhale kuti opaleshoni iyi ndi yopulumutsa moyo, monga opaleshoni ina iliyonse yaikulu, pali zoopsa zomwe zingachitike. Komabe, gulu lachipatala likuchita zonse zomwe lingathe kuti lichepetse zoopsazi.
- Kutuluka magazi
- Matenda a m'mapapo (chibayo) kapena mavuto ena opuma
- Matenda amtima
- Stroke
- Kuchepa kwa ntchito ya impso
- Matenda pamalo opaleshoni
- Kufooka kwa miyendo chifukwa cha kuchepa kwa magazi kupita ku msana
Musachite mantha mukamva izi. Izi ndi zinthu zomwe zingatheke kuchitika . Lankhulani momasuka ndi dokotala wanu za izi ndipo funsani mafunso aliwonse omwe muli nawo.
Nthawi yoti mukaonane ndi dokotala mutatha opaleshoni
Mukapita kunyumba mutachita opaleshoni, ndikofunikira kwambiri kudziwa zizindikiro zilizonse za mavuto mwamsanga. Ngati muli ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala wanu nthawi yomweyo.
| Chizindikiro | Zoyenera kulabadira |
|---|---|
| Malungo | Ngati kutentha kwa thupi kuli kokwera kuposa 100.4 F (38 C). |
| Kusintha kwa njira yodulira | Kufiira kwambiri, kutupa, kapena chotupa chomwe chimapangika mozungulira chodulidwacho. |
| Ululu | Ululu waukulu womwe umapitirira ngakhale mutamwa mankhwala. |
| Kutupa | Kutupa kosazolowereka pamalo ochitira opaleshoni kapena miyendo. |
Ma opaleshoni onsewa ndi opambana kwambiri. Mu njira ya TEVAR, stent imatha kuyikidwa bwino 99%. Opaleshoni yotseguka nayonso imapambana kwambiri. Chofunika kwambiri ndikumvetsetsa kuti ichi ndi chinthu chomwe chimachitidwa kuti apulumutse moyo.
Uthenga Wopita Nawo Kunyumba
- Aneurysm ya mtsempha waukulu wa magazi m'chifuwa ndi kufooka ndi kutumphuka kwa gawo la chifuwa cha mtsempha waukulu wamagazi wochokera mumtima.
- Chifukwa chachikulu cha vutoli ndi kufooka kwa khoma la mitsempha yamagazi.
- Kaya opaleshoni ikufunika kapena ayi zimadalira kukula kwa chotupacho, momwe chimakulira mofulumira, komanso thanzi lanu.
- Pali njira ziwiri zochizira: opaleshoni yotseguka ndi TEVAR, yomwe imaphatikizapo kulowetsa chubu chopyapyala kudzera m'chiuno.
- Chifukwa chachikulu chochitira opaleshoniyi ndikuletsa kuti mtsempha wotambasuka usaphulike ndikupangitsa kuwonongeka komwe kungawononge moyo.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala nthawi yomweyo mutachita opaleshoni ndikudziwitsa dokotalayo nthawi yomweyo ngati muwona zizindikiro zachilendo.
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