Tsinga huru, yakakura kwazvo inotakura ropa mumuviri wedu wese iaorta, kana kuti aorta. Funga nezvazvo sepombi huru yemvura inounza mvura mumba medu. Chii chinoitika kana rimwe remadziro epombi iyi rikapera simba panzvimbo imwe uye rikatanga kuzvimba pasi pekumanikidzwa kwemvura? Ndizvo zvakaita Thoracic Aortic Aneurysm. Chinoitika munyaya iyi ndechekuti madziro echikamu cheaorta chinopfuura nepachipfuva chedu anopera simba uye anozvimba sebharumu pasi pekumanikidzwa kweropa. Nhasi, tichataura nezvechirwere ichi, chinowanzoitika pasina zviratidzo, mumuviri.
Chii chinonzi Thoracic Aortic Aneurysm?
Zvichitaurwa zviri nyore, uku kuzvimba kana kuti kuzvimba (aneurysm) muaorta, tsinga huru inofamba nepachipfuva chedu (chipfuva). Aorta iyi yakaita sechubhu. Asi kana aneurysm yaumbwa, chimiro chechubhu iyoyo chinochinja, uye imwe nzvimbo inobuda sebharumu. Kazhinji, vanachiremba vanodana chirwere ichi kuti aneurysm kana chikamu ichocho chetsinga chikakura ne50% kupfuura upamhi hwayo hwenguva dzose.
Rudzi urwu rweaneurysm runogona kuumbwa chero kupi zvako muaorta yedu. Asi runowanzoonekwa mudumbu. Tinorudaidza kuti Abdominal Aortic Aneurysm. Asi inenge imwe chete paaneurysms ina inoumbwa inoitika muchipfuva. Tinorudaidza kuti Thoracic Aortic Aneurysm.
Kana uine aneurysm diki yakaita seiyi, ingasade kurapwa zvakanyanya. Paunenge uchitora mishonga yekudzora zvinhu zvakaita seBP, chiremba wako achakuongorora nguva nenguva kuti aone kana iri kukura. Asi kana aneurysm yakakura, kana kuti ichikura nekukurumidza, kuvhiyiwa kungave kwakakosha usati watanga matambudziko akakomba, anotyisidzira hupenyu.
Dambudziko iri rakajairika zvakadii?
Zvichienderana nehuwandu, chirwere ichi chinobata vanhu vari pakati pe6 ne10 pavanhu 100,000 vega vega. Zvisinei, nhamba chaiyo inogona kunge yakakwira. Izvi zvinodaro nekuti vanhu vazhinji havaratidzi zviratidzo uye vanorarama vasingatombozivi kuti vane chirwere ichi. Vanenge 20% yevarwere vanoonekwa vaine chirwere ichi vane nhengo dzemhuri dzinewo, zvichireva kuti chinogona kunge chiri chenhaka.
Ndezvipi zviratidzo zveizvi?
Njodzi huru yechirwere ichi ndeyekuti kazhinji hapana zviratidzo. Zvisinei, dzimwe nguva, kana aneurysm ikakura uye ikadzvanya nhengo dzakapoteredza, zvimwe zviratidzo zvinogona kuoneka.
| Chiratidzo | Chikonzero |
|---|---|
| Kurwadziwa mushaya, mutsipa, chipfuva, kana kumusana wepamusoro. | Nekuda kwekumanikidzwa kubva kuaneurysm. |
| Kuoma kumedza kana kurwadziwa pakumedza. | Kubuda kweropa mudumbu kunokonzerwa nekuzvimba kwegurokuro. |
| Kushoshoma kwezwi. | Nekuda kwekumanikidzwa kwetsinga dzinodzora inzwi. |
| Kukosora kana kufema zvakaoma. | Aneurysm inokonzerwa nekumanikidzwa kwetrachea. |
Zviratidzo zvekukurumidzira zvinoitika kana aneurysm ikaputika (kuputika) kana kupatsanurwa (kupatsanurwa)
Iyi ndiyo nhanho ine njodzi zvikuru yechirwere. Madziro eaneurysm anogona kupera simba uye kamwe kamwe anoputika (kubvaruka) kana kubvarura nepakati pezvikamu zviviri zvemadziro (kupatsanurwa). Ichi chirwere chinowanzoitika kamwe kamwe, chinotyisidzira hupenyu. Zviratidzo izvi zvinowanzoonekwa kamwe kamwe uye zvakanyanya.
Kana iwe kana mumwe munhu mukaona chimwe chezviratidzo izvi, musanonoka kana miniti imwe chete. Endai kuchipatara cheEmergency Treatment Unit (ETU) nekukasika. Sekondi yega yega inokosha kuponesa hupenyu.
| Zviratidzo zvinoda kurapwa nekukurumidza | |
|---|---|
| Kurwadziwa kwakanyanya | Kurwadziwa kusingatarisirwi, kunorwadza, uye kubaya, muchipfuva kana kumusana. |
| Dzungu | Kunzwa dzungu, kuona zvisipo, kana kufenda. |
| Kuoma kufema | Kunzwa kamwe kamwe kwekufema kushoma. |
| Kurova kwemoyo | Kunzwa sekuti moyo wako uri kurova nekukurumidza. |
| Kudikitira zvakanyanya | Kudikitira zvakanyanya pasina chikonzero. |
| Zvimwe zvinhu | Kuvhiringidzika, kuoma kutaura, kurasikirwa nekuona, kusanzwa kana kushaya simba kune rumwe rutivi rwemuviri. |
Sei chimwe chinhu chakadai chichiitika?
Madziro etsinga dzedu anowanzova akasimba uye anochinjika. Anofanira kukwanisa kukwenya nekutambanudza pasi pekumanikidzwa kweropa rinouya nekurova kwemoyo kwega kwega. Asi kana madziro aya akaneta, haakwanise kubata kumanikidzwa uye otanga kuzvimba.
Chikonzero chikuru cheizvi chirwere chinonzi Atherosclerosis . Zvichitaurwa zviri nyore, zvinhu zvine mafuta zvakaita secholesterol zvinoiswa mutsinga dzeropa (tinoti izvi zvinonzi plaque), zvichiwedzera kukora uye kushayisa simba madziro etsinga. Sezvinongoita ngura inoungana mukati mepombi yemvura yekare. Izvi zvinoderedza simba madziro etsinga dzeropa uye zvinowedzera mukana wekuva ne aneurysm.
Ndezvipi zvinhu zvinowedzera njodzi?
Pamusoro pekushomeka kweropa mutsinga, chero chinhu chinopedza simba madziro etsinga yeropa chinowedzera njodzi yekukuvadzwa neaneurysm.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Kukwira kweropa | Nguva dzose inoisa kumanikidzwa kwakawanda pamadziro etsinga. |
| Kusvuta nekushandisa fodya | Inokuvadza zvakananga madziro etsinga uye inokurumidza kuumbwa kwe atherosclerosis. |
| Nhoroondo yemhuri | Kana mumwe munhu wemumhuri mako akambova neaneurysm, iwe uri panjodzi huru. |
| Kukwegura | Kazhinji, vanhu vane makore anopfuura makumi matanhatu nemashanu ndivo vari panjodzi huru. |
| Zvimwe zvirwere zvemajini | Matambudziko akadai seMarfan syndrome, Loeys-Dietz syndrome, Vascular Ehlers-Danlos syndrome, uye Turner syndrome anowedzera njodzi nekuti anopedza simba nhengo dzemuviri. |
| Zvimwe zvirwere | Zvirwere zvakaita seaortitis (kuzvimba kweaorta), bicuspid aortic valve disease (chirwere chevharuvhu yemwoyo), uye coronary artery disease (CAD). |
Vanachiremba vanozviwana sei izvi?
Kazhinji, izvi zvinowanikwa netsaona. Tinozviti "kuongorora chirwere chisina kurongeka." Kureva kuti, kana X-ray yechipfuva ikaitwa nekuda kwechimwe chikonzero, chiremba anogona kuona kuti chikamu chepakati chechipfuva (mediastinum) chakafara kupfuura zvakajairika. Ndipo panofungidzirwa kuti pane aneurysm.
Kana fungidziro yakadaro ikamuka, chiremba acharaira bvunzo dzakadai kuti asimbise:
- Kuongororwa kweCT (computed tomography): Izvi zvinogona kuburitsa mifananidzo yakajeka yeaorta.
- Echocardiogram (echo): Kuongororwa kwe ultrasound kuti uone mashandiro emwoyo nechikamu chekutanga che aorta.
- Magnetic resonance angiogram (MRA): Kuongororwa kwakafanana neCT scan, asi pasina kushandisa radiation.
- Ultrasound yedumbu: Vanhu vane aneurysm yechipfuva vanogonawo kuva neaneurysm yedumbu, saka tarisa izvozvo zvakare.
Ndeapi marapirwo aripo?
Kurapa kwechokwadi kwe aneurysm yechipfuva ndeyekuvhiyiwa. Zvisinei, nguva uye rudzii rwekuvhiyiwa kunoitwa zvinoenderana nehukuru hwe aneurysm, nzvimbo yayo, kuti iri kukura nekukurumidza sei, uye hutano hwako hwese.
Kuvhiyiwa kunodiwa rini?
Kana aneurysm iri diki, chiremba anogona kusarudza kumirira asina kuvhiyiwa. Tinoti izvi "kumirira wakangwarira." Izvi zvinoreva kuti vanozoongorora aneurysm mwedzi mitanhatu kusvika gumi nemiviri yega yega kuti vaone kana iri kukura, uye vachakupa mishonga yekudzora BP yako.
Asi,
- Kana aneurysm iri 2 inches (anenge 5.5 centimeters) kana kupfuura,
- Kana aneurysm ichikura nekukurumidza kupfuura 0.5 cm pagore ,
- Kana aneurysm iri kukonzera zviratidzo ,
Kuvhiyiwa kunowanzo kurudzirwa nekuti kana aneurysm yakakura, njodzi yekuti iputike inowedzera.
Mhando huru dzekuvhiya
Kune mhando dzakasiyana-siyana dzekuvhiya dziri kushandiswa pari zvino.
1. Kuvhiyiwa kwechivanhu kwakavhurika: Kuchekwa kunoitwa pakati pechipfuva, chikamu chisina simba cheaorta chine aneurysm chinobviswa, uye graft inoiswa panzvimbo yacho.
2. Kugadziriswa kwetsinga dzeropa dzechipfuva (TEVAR): Iyi inzira isinganyanyi kukuvadza. Kuchekwa kudiki kunoitwa muhudyu, uye stent graft inopinzwa kuburikidza nekucheka uchishandisa catheter kuenda kune aneurysm uye inovharwa kubva mukati.
3. Kutsiva mudzi weAortic: Kuvhiyiwa uku kunoitwa kana aneurysm iri pamudzi weaorta, iyo inobatanidza nemoyo. Zvingave zvakare zvakakosha kutsiva vharuvhu yemoyo.
Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira.
Izvi hazvigone kudzivirirwa kuti zvisaitike here?
Hapana nzira yekudzivirira 100% kukura kwe aneurysm. Zvisinei, kudzora chinokonzera chirwere ichi, atherosclerosis, kunogona kuderedza njodzi yacho zvakanyanya.
- Dzora BP yako nemafuta ako emuviri nekutora mishonga yaunonyorerwa nachiremba.
- Tora maitiro ekudya ane hutano hwemwoyo, akadai seMediterranean Diet.
- Rega kusvuta fodya nefodya zvachose.
- Maekisesaizi. Ita maekisesaizi ane mwero, akadai sekufamba netsoka, kwemaminitsi angangoita 150 pasvondo. Asi taura nachiremba wako usati watanga chirongwa chitsva chekurovedza muviri.
- Ita ongororo yezveutano gore rega rega.
Kana uine chirwere ichi, unochengetedza sei hutano hwako?
Kana chiremba wako akakuudza kuti une aneurysm yechipfuva, usatye. Iye achakupa mazano ekuti ungazvichengeta sei paunenge uchirarama nayo.
- Dzivisa zvinhu zvakaita sekusimudza masimbi uye kurovedza muviri kwenguva refu (HIIT). Izvi zvinogona kuisa kumanikidzwa kusingakoshi paaorta. Bvunza chiremba wako kuti maekisesaizi api akakunakira.
- Dzivisa kushandisa fodya zvachose.
- Deredza munyu muchikafu.
- Inwa mushonga wakanyorerwa nachiremba panguva chaiyo uye nemazvo.
- Dzivisa mishonga inowedzera kurova kwemoyo (cocaine, amphetamines) nemimwe mishonga yemishonga.
- Gara uchisangana nachiremba wako nguva dzose. Kana ukaona zviratidzo zvitsva kana kuti ukasangana nemigumisiro yemishonga yako, muzivise nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Aneurysm yeTsamba inonzi Thoracic Aortic Aneurysm ibundu rakaita sebharumu mutsinga huru yeropa iri muchipfuva.
- Kazhinji, haina zviratidzo, saka kana uine zvinhu zvinogona kukonzera njodzi (BP, kusvuta, nhoroondo yemhuri), ziva nezvazvo.
- Kurwadziwa kwechipfuva kana musana kamwe kamwe, kunetseka kufema, kana kufenda chinhu chikuru chinonetsa. Enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kana aneurysm iri diki, inogona kurapwa nemishonga uye kuongororwa nguva nenguva. Kana yakakura, inogona kurapwa nekuvhiyiwa.
- Kana ukabatsirwa zvakanaka uye ukachinja mararamiro ako, unogona kurarama hupenyu hurefu, hune hutano pasinei nedambudziko iri. Gara uchitevera zano rachiremba wako.
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