Ngatidzidzei nezve 'Descending Aorta' mumuviri wako.

Wakambozvibvunza here kuti ropa rinofamba sei mumiviri yedu? Kune tsinga huru yeropa inotakura ropa rine oxygen kubva mumoyo medu kuenda kumuviri wedu wese. Inonzi aorta. Nhasi tichataura nezvechikamu chakakosha cheiyi aorta, iyo descending aorta. Yakaita sepombi yemvura yakakura kwazvo mumuviri wedu!

Uku ndiko 'kuburuka kwemoyo weropa' chimwe chete kana zviviri here?

Kutaura zvazviri, 'aorta inoburuka' iyi itsinga yeropa imwe chete refu. Asi, sezvo zita remugwagwa mumwe chete richichinja kubva muguta kuenda kune rimwe, tsinga yeropa iyi inodanwawo nemazita akasiyana painopfuura nepakati pezvikamu zvakasiyana zvemuviri. Fungidzira, kana aorta iyi ichidzika nepachipfuva chako, tinoidaidza kuti ' Aorta Inoburuka muTsamba '. 'Tsamba' izwi rinoshandiswa navanachiremba pazvinhu zvine chekuita nechipfuva. Zvadaro, kana aorta iyi ichipinda nepadiaphragm yako, zita rayo rinoshanduka zvakare. Chikamu chiri pasi pediaphragm chinonzi ' Aorta Inoburuka mudumbu '. Iyi ndiyo inoenda kubva pamusoro pedumbu rako yoguma pedyo neguvhu rako.

Saka 'Thoracic Aorta' ne 'Descending Aorta' zvakafanana here?

Kwete, hazvisi chinhu chimwe chete. Patinoti 'thoracic aorta', tinoreva chikamu chose cheaorta chinofamba nepachipfuva chako. Chine zvikamu zvakati wandei:

• Mudzi weAortic: Ichi chikamu chakabatana nemoyo.
• Kukwira kwemoyo : Ichi chikamu chinokwira kubva pamoyo.
• Aortic arch: Ichi chikamu chinoita kuti aorta ive nechimiro chakakombama, setsvimbo.
• Kuburuka kwemoyo wechipfuva: Ichi chikamu che'kuburuka kwemoyo wechipfuva' chatiri kutaura nezvacho, chiri mukati mechipfuva.

Zvadaro, 'aorta inoburuka' ndiyo chikamu chinodzika pasi mushure meaorta. Inopinda nepachipfuva (aorta inoburuka pachipfuva) uye mudumbu (aorta inoburuka padumbu). Zvichitaurwa zviri nyore, 'aorta yechipfuva' ne'aorta inoburuka' hazvina kufanana. Zvisinei, kunewo chikamu che'aorta inoburuka' mukati me'aorta yechipfuva. Wanzwisisa here?

Musiyano uripo pakati pe'Ascending Aorta' ne'Descending Aorta' ndeupi?

Uyu uri nyorewo. 'Ascending Aorta' yako ndiyo chikamu chinokombama kubva pamoyo wako kuenda kuaortic arch. Chiri muchipfuva chako chete. Zvisinei, 'Descendeng Aorta' inotangira kune rimwe divi reaortic arch, ichikombama ichidzika. Inomhanya kubva pachipfuva chako kusvika mudumbu rako.

Basa re'aorta inoburuka' nderei? Sei ichikosha kudaro?

Kutaura zvazviri, 'Descending Aorta' itsinga yeropa inonyanya kupa miviri yedu ropa rakachena, rine okisijeni. Kufanana nemugwagwa mukuru, iyi ndiyo tsinga huru inotakura ropa muchipfuva chako nedumbu. Kubva pane izvi ndipo panobva tsinga zhinji diki, dzichipa ropa kunhengo dzako dzakasiyana-siyana nematishu. Tarisa kuti 'descending aorta' iyi nematavi ayo zvinopa ropa zvinhu zvingani:

• Kumadziro echipfuva chako
• Sisitimu yekugaya chikafu (kureva, gumbo , dumbu , ura hudiki nehukuru)
• Kune itsvo
• Yemakumbo
• Manodhi elymph
• Kunhengo dzekubereka nadzo (kureva machende muvarume uye mazamu muvakadzi)
• Kunzira yekufema
• Muzongoza
• Kunzira yeweti

Fungidzira kuti zvinhu zvingani zvaizokanganiswa dai tsinga imwe chete iyi yeropa isingashande zvakanaka!

Iyi 'tsinga huru inoburuka' iri kupi chaizvo?

'Aorta yako inoburuka' inotangira muchipfuva chako, uko kunogumira aorta. Kutaura chokwadi, iri kumashure kweaorta yako yeruboshwe inopatsanuka kubva kuaorta. Apa ndipo panosvika vertebra yako yechina yechipfuva (pfupa riri mumusana wako), pakati pemusana wako. Kubva ipapo, inodzika nepachipfuva chako, yobva yapinda nepadiaphragm yako, yozopinda mudumbu mako. 'Aorta iyi inoburuka' inogumira pedyo nedumbu rako. Ipapo, inopatsanuka kuita mitsipa miviri, mitsipa yerudyi nekuruboshwe. Masayendisiti anodana kupatsanurwa uku kuti aorta bifurcation . Izvi zvinodaro nekuti aorta inopatsanuka kuita nzira mbiri itsva dzekufamba kweropa. Mitsipa iyi yeiliac inobva yapatsanuka kuita mamwe matavi anopa ropa kumakumbo netsoka dzako. Kupatsanurwa uku kwakaita seY yakasimudzwa.

Matavi api anobuda kubva 'mutsinga huru inoburuka'?

Sezvatakambotaura, denderedzwa remoyo rine matavi akawanda anotakura ropa kuenda kunhengo dzakasiyana dzemuviri. Rakafanana nehunde yemuti ine matavi madiki. Mamwe ematavi makuru anobuda kubva padenderedzwa remoyo rechipfuva ndeaya:

• Mitsipa yebronchial
• Mitsipa yeropa
• Mitsipa yepakati pemukati me ...
• Mitsipa yeropa
• Mitsipa yepamusoro ye phrenic

Kunewo matavi makuru anobuda kubva paaorta yedumbu inodzika. Semuenzaniso:

• Mitsipa yeCeliac trunk
• Mitsipa yeGonadal
• Mitsipa yeIliac (iyi ndiyo yekupedzisira kupatsanurana)
• Mitsipa yeropa yakaderera
• Mitsipa yeitsvo yekuruboshwe nerudyi (iyo inoenda kuitsvo)
• Mitsipa yemusana

Hamufanirwe kurangarira mazita ese aya. Chinhu chakakosha ndechekunzwisisa kuti imwe neimwe yetsinga diki idzi inobatsira pakudya nhengo dzakasiyana dzemuviri wedu.

Iyi 'aorta inoburuka' yakaita sei? Yakakura sei?

Aorta yese yakafanana netsvimbo ine mubato wakakombama. Aorta inokwira neaorta inoumba chikamu chakaita semubato wetsvimbo. Aorta inoburuka ndiyo chikamu chekutanga mushure mearc, iyo inodzika yakananga pasi. Kana iri saizi yayo, dhayamita (ndiko kuti, upamhi hwechikamu chakachinjika) cheaorta inogona kusiyana zvichienderana nezera rako, nzvimbo yemuviri, uye murume kana mukadzi. Asi heano avhareji yemitengo inobvumiranwa nevaongorori:

• Avhareji yehukuru hweaorta inodonha pachipfuva isingasviki 1.6 centimeters pa square mita yenzvimbo yemuviri.
• Saizi yakajairika yedumbu rinoburukira muaorta: isingasviki masendimita matatu (kazhinji anenge masendimita maviri).

Iyi ndiyo tsinga huru kwazvo mumuviri wedu!

Madziro e'aorta inoburuka' anoumbwa sei?

Kana ukatarisa madziro etsinga iyi yeropa, ine zvidimbu zvitatu zvenyama. Zvakafanana nemadziro echubhu, asi zvakaoma zvikuru.

• Tunica intima: Iri ndiro divi remukatikati. Ropa rako rinoyerera nepakati paro. Rudzi urwu runodzora BP , runodzivirira ropa kuti risagwambe, uye runomisa chepfu kupinda muropa.
• Midhiya: Iri ndiro divi repakati. Rine tsandanyama diki dzinobatsira ropa kufamba nenzira imwe chete nekugumira. Rinewo shinda dzinopfava. Izvi zvinogona kupera simba nekufamba kwenguva.
• Adventitia: Iri ndiro jira rekunze. Rinopa aorta simba uye chimiro. Rinobatanidzwawo netsinga nematishu akaripoteredza.

Ndezvipi zvirwere zvinokanganisa 'aorta inoburuka' iyi?

Zvinosuwisa kuti, kunyangwe tsinga yeropa yakakosha kudaro inogona kukura nezvirwere zvakasiyana-siyana. Chinonyanya kuitika pazvirwere izvi i aortic aneurysms . Aneurysm inzvimbo isina kusimba pamadziro etsinga, zvichiita kuti tsinga ibunduke uye ibunduke. Kune mhando dzakasiyana dze aneurysms dzinogona kukanganisa aorta inoburuka:

Mhando dzeAortic Aneurysms

• Kuora kwetsinga dzemusana (TAA): Izvi zvinoitika muchikamu chepamusoro chetsinga dzemusana chinoyerera nepachipfuva. Zvinowanzo kukonzerwa neBP yakakwira kana kukuvara kwechipfuva. Vanhu vane mamwe matambudziko ekubatanidza nhengo dzemuviri, akadai seMarfan syndrome, vari panjodzi huru yekubatwa nechirwere ichi.
• Kuora kweropa mudumbu (AAA): Iyi ndiyo mhando inonyanya kuwanikwa yeaortic aneurysm. Inowanikwa muchikamu cheaorta chinofamba nemudumbu. (AAA) inowanzobata vanhu vane makore anopfuura 65. Inowanzo itika muvarume vane nhoroondo yekushandisa fodya. Atherosclerosis, kana kuti kuunganidzwa kwemafuta mumadziro etsinga, ndiyo inonyanya kukonzera.
• Thoracoabdominal aortic aneurysm (TAAA): Iyi ianeurysm inotangira pachipfuva kusvika mudumbu.

Zvakakosha: Kana uine aneurysm mu aorta inodonha, chiremba wako achaitarisa kwenguva yakareba. Kana ikakura zvakanyanya, ungangoda kurapwa kudzivirira matambudziko anotyisidzira hupenyu. Semuenzaniso:

Mamiriro ezvinhu ane njodzi anogona kuitika nekuda kweaneurysms

• Kuputika kweAneurysm: Apa ndipo panoumbwa buri mumadziro (ese matatu) e aorta. Buri iri rinogona kukonzera kubuda ropa rakawanda mumuviri, izvo zvinogona kukurumidza kuisa upenyu panjodzi.
• Rudzi rweB aortic dissection: Uku kubvaruka kwemukati me'descending aorta'. Ropa rinozadza nzvimbo iri pakati pemukati nepakati. Izvi zvinogonawo kukonzera kuti tsinga iputsike uye ropa rirege kufamba zvakanaka kune dzimwe nhengo dzemuviri.

Yeuka, kungava kuputika kweaneurysm kana kutsemuka kweaorta idambudziko rinoda kurapwa nekukurumidza!

Zvimwe zvinhu zvinogona kuitika

Kuwedzera kune aya aneurysms, kune mamwe mamiriro ezvinhu anogona kukanganisa 'kuburuka kweaorta':

• Atherosclerosis yeaorta: Mafuta anoungana muaorta yese.
• Chirwere cheAortoiliac occlusive: Mafuta akawanda anovhara chikamu chezasi cheaorta (pedyo ne aortic bifurcation) uye tsinga dzeIliac.

Ndezvipi zviratidzo zvinowanzoonekwa zvechirwere che'aorta inodonha'?

Iyi inyaya inokosha zvikuru . Kuderera kweAortic Disease kunogona kusaratidza zviratidzo . Izvi zvinoreva kuti ungasaziva kuti pane chakaipa kusvika wava nedambudziko rehutano.Ndosaka vanachiremba vachikurudzira kuti ugare uchiongororwa nguva nenguva. Apa ndipo paunokwanisa kuona zviratidzo zvekutanga zvechirwere chemwoyo. Kunyangwe uine aneurysm muropa rako rinodzika, ungasava nezviratidzo kusvika rava kuda kuputika. Heano mamwe machenjedzo anogona kuoneka risati raputika:

• Kunzwa kuguta kunyangwe usina kudya zvakanyanya.
• Kurwadziwa kusingaperi, kunorwadza kumusana, kumagaro, muhudyu, pagumbo, kana mudumbu.
• Kunzwa kurova kwemoyo mudumbu.
• Kuoma kufema kana kufemera.

Chenjerai! Aya ndiwo mamiriro ekunze!

Kutsemuka kweaneurysm kana kutsemuka kwetsinga yeropa idambudziko rehutano rinoda kurapwa nekukurumidza . Kana uine chimwe chezviratidzo zvinotevera , fonera 1990 (Sri Lanka's Suwaseriya Ambulance Service) nekukasika:

• Kurwadziwa kwakanyanya mudumbu kamwe kamwe.
• Kurwadziwa kwakakomba, kwakangoerekana kwaitika muchipfuva kana kumusana wekumusoro. Kunogona kunzwa sekunge kwakabvaruka kana kubaya.
• Ziya rinotonhora, rinotonhora.
• Kuvhiringidzika.
• Dzungu kana kufenda.
• Kurova kwemoyo kunowedzera.
• Kusvotwa nekurutsa.
• Kutadza kufema zvakanaka.
• Kuoma kutaura.
• Kurasikirwa kana kusviba kwekuona.
• Kushaya simba kana kuti kusanzwa zvakanaka kune rumwe rutivi rwemuviri.

Usatambisa nguva yakaita seiyi!

Nzira yekuongorora zvirwere zve 'aorta inodonha'?

Vanachiremba vanoongorora zvirwere zve descending aorta kuburikidza nekuongororwa kwakasiyana-siyana kwemifananidzo. Idzi inzira dzinotora mifananidzo yemukati memuviri. Heano mimwe mienzaniso:

• Ultrasound yemudumbu
• CT Angiography (Computed tomography angiography - CTA)
• MRI (Magnetic resonance imaging - MRI)
• Kuongororwa kwemoyo kuburikidza neTransesophageal echocardiogram

Chiremba wako ndiye achasarudza bvunzo yakakodzera iwe.

Ndezvipi zvinorapwa zvezvirwere izvi?

Chiremba wako achaongorora mamiriro ako uye achakurudzira kurapwa kana zvichidikanwa. Dzimwe nzira dzekurapa aneurysm mu aorta inodonha dzinosanganisira:

• Kuvhiyiwa kweAneurysm: Uku kuvhiyiwa kunoitirwa kubvisa kana kugadzirisa chikamu chakazvimba cheaneurysm.
• Kugadziriswa kweEndovascular aneurysm (EVAR):Izvi zvinosanganisira kuisa chinhu chakaita sestent mutsinga yeropa kuburikidza nechubhu diki (catheter) pasina kucheka kukuru, uye kusimbisa nzvimbo yave kuzvimba. Iyi inzira itsva.
• Mishonga yekudzora kukura kweaneurysm: Izvi zvinogona kusanganisira mishonga yekuderedza BP kana cholesterol.

Chinhu chakakosha ndechekutevera mazano echiremba uye kuongororwa panguva.

Ndingachengetedza sei 'aorta yangu inodonha' iine hutano?

Ehe, uyu mubvunzo wakanaka kwazvo. Pane zvinhu zvaunogona kuita kudzivirira kana kunonotsa kutanga kwechirwere cheaortic. Chinokosha ndechekutevedzera mararamiro ane hutano hwemoyo. Heano mamwe mazano ekuita izvi:

• Deredza kunwa doro: Varume havafaniri kunwa doro rinodarika mayuniti maviri pazuva. Vakadzi havafaniri kunwa doro rinodarika rimwe pazuva.
• Idya chikafu chine hutano uye chakaringana chine munyu mushoma, cholesterol, uye mafuta akazara.
• Rovedza muviri nguva dzose: Ronga kurovedza muviri zvine mwero kwemaminitsi angangoita 150 pasvondo (semuenzaniso, kufamba nekukurumidza, kuchovha bhasikoro).
• Dzora kushushikana: Zvinhu zvakaita seyoga nekufungisisa zvinogona kubatsira.
• Rega kusvuta uye kushandisa zvigadzirwa zvefodya zvachose! Izvi zvinofanirwa kuitwa.

Kudonha kwetsinga yeropa (descending aorta) inzira inokosha zvikuru inobatsira kutakura ropa mumuviri wako wese. Saka, zvakakosha kuita zvese zvaunogona kuti ugare uine hutano. Kudya zvakanaka, kurovedza muviri, uye kusadya fodya zvinogona kubatsira kudzivirira chirwere chetsinga yeropa (aorta). Zvakare, usakanganwa kuongororwa nachiremba kanenge kamwe chete pagore.

Saka, ndezvipi zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva pane izvi zvose?

Zvakanaka, kuti zvinyatsojeka, pfungwa huru dzaunofanira kurangarira kubva pane zvatataura nezvadzo ndedzi:

• 'Drescending Aorta' chikamu chakakosha chetsinga huru mumuviri, inotakura ropa rine oxygen kubva pamoyo wako richidzika nepachipfuva nepadumbu.
• Izvi ndizvo zvinopa ropa kunhengo dzakawanda dziri muchipfuva chako, mudumbu, nemakumbo.
• Iyi tsinga inogona kukura nezvirwere zvakaita se aneurysm uye atherosclerosis.
• Kazhinji, zvirwere izvi hazviratidzi zviratidzo pakutanga, saka zvakakosha kugara uchiongororwa nachiremba.
• Kana ukaona zviratidzo zvakaita sekurwadziwa kwechipfuva kana mudumbu kamwe kamwe, kuoma kufema, kana kupera simba, zvinogona kunge zviri zvekukurumidzira. Tsvaga rubatsiro rwechiremba nekukasika.
• Kutevera mararamiro ane hutano (kudya zvakanaka, kurovedza muviri, uye kusaputa) zvinobatsira zvikuru mukuchengetedza tsinga iyi ine hutano.

Saka, usakanganwa kunyatsotarisira 'mugwagwa mukuru' uyu uri mumuviri wako, zvakanaka here?

---

Aorta, Aorta Inoburuka, Chirwere chemwoyo, Chirwere cheArterial, Aneurysm, Kutenderera kweropa