Chifuva chako chakaita sechibharumu here? (Thoracic Aortic Aneurysm) - Ngatitaurei nezvazvo!

Dzimwe nguva unonzwa kurwadziwa muchipfuva, mumutsipa, kana pashaya here? Kana kuti kunetseka kufema, kana kunzwa kudzipwa paunenge uchimedza? Kazhinji, tinokanganwa nezvezvinhu izvi, tichifunga kuti zvakajairika, pamwe chimwe chinhu chakaita segastritis. Zvisinei, dzimwe nguva izvi zvinogona kuva chiratidzo chechimwe chinhu chinoda kutariswa zvishoma. Saka, nhasi tichataura nezve kuzvimba kwakaita sebharumu kunogona kuitika mutsinga huru yeropa iri muchipfuva chedu, aorta . Mukurapa, tinodana izvi kuti 'Thoracic Aortic Aneurysm '.

Chii chinonzi 'Tsamba Aortic Aneurysm'? Zvichitaurwa zviri nyore...

Fungidzira kuti imba yako ine sisitimu huru yemvura. Ndiwo mashandiro anoita aorta mumuviri wedu. Iyi ndiyo tsinga huru uye inonyanya kukosha inotakura ropa kubva pamoyo kuenda kumuviri wese. Yakaita sechubhu.

Zvino, iyi `Thoracic Aortic Aneurysm` inoitika apo madziro eaorta yako anofamba nepachipfuva chako (ndosaka ichinzi `Thorax` kana kuti chipfuva chechipfuva) anoshaya simba uye anobuda sebharumu panzvimbo imwe chete. Vamwe vanhu vanoti izvi kuwedzera kana kuwedzera kwetsinga. Kazhinji, kana chikamu ichocho cheaorta chakafara kupfuura 50% yehupamhi hwayo hwakajairika, tinochiona se`Aneurysm`, kana kuti bulge/bulge. Iyi ``bulge yakajairika`` inogona kusiyana kubva panzvimbo nenzvimbo muaorta.

Mabundu aya anogona kuitika chero kupi zvako mu aorta. Kazhinji, anoitika mudumbu (tinoadaidza kuti `Abdominal Aortic Aneurysm`), asi munhu mumwe chete pavanhu vana anogona kuva nechirwere ichi muchipfuva.

Kubuda kweaneurysms diki kungasada kurapwa kwakanyanya. Mishonga uye bvunzo dzenguva dzose (dzakadai sekuskena) kudzora mamiriro aripo zvinogona kukwana. Zvisinei, kana aneurysm yako yakakura kana kuti ichikura nekukurumidza, kuvhiyiwa kungave kwakakosha kudzivirira matambudziko anotyisidzira hupenyu . Vanachiremba vachasarudza kurapwa kwakanakira iwe uye nguva yekuzviita, nekuti vanoda kuti uwane mhedzisiro yakanaka.

Dambudziko iri rakajairika zvakadii?

Dambudziko iri, rinonzi `Thoracic Aortic Aneurysm`, rinowanzo bata vanhu vari pakati pe6 ne10 pavanhu 100,000. Zvisinei, zvakaoma kutaura nhamba chaiyo, nekuti kazhinji aneurysms idzi hadziratidzi zviratidzo uye nekudaro hadzionekwe. Vanenge 20% yevarwere vari kuongororwa parizvino vane nhoroondo yemhuri yechirwere ichi, zvichireva kuti pane hukama hwemajini.

MuUnited States chete, zvinofungidzirwa kuti vanhu vanosvika zviuru makumi matatu vanofa gore rega rega nekuda kwekutsemuka kwetsinga yeropa kana kuputika kwetsinga yeropa, saka ichi hachisi chinhu chekurerutsa.

Ndezvipi zviratidzo zveAneurysm yeTsamba?

Kazhinji, vanhu vane "aneurysm" iyi havazvizivi, nekuti kazhinji hapana zviratidzo.Zvisinei, dzimwe nguva zviratidzo zvinogona kuratidza zviratidzo zvakadai:

• Kunzwa kurwadziwa mushaya, mutsipa, chipfuva, kana kumusana wekumusoro .
• Kuoma kumedza kana kurwadziwa pakumedza (kana aneurysm iri kudzvanya pagurokuro rako).
• Kunzwa kurira kwezwi (kana aneurysm iyi iri kudzvanya tsinga dzinodzora inzwi rako).
• Kukosora kana kuoma kufema (kana aneurysm iri kudzvanya nzira yako yekufema).

Zviratidzo zvekuputika kweaneurysm (`Rupture`) kana kupatsanurwa (`Kupatsanurwa`) - izvi zvinhu zvinongoitika nekukurumidza!

Vanhu vazhinji havana zviratidzo, uye kamwe kamwe aneurysm inogona kuputika kana kuparara. Zvese izvi injodzi dzehutano dzinoda kurapwa nekukasika! Zviratidzo zvinogona kutanga nekukasira uye zvinogona kuva zvakanyanya. Kana iwe kana mumwe munhu aine chimwe chezviratidzo izvi , munofanira kuenda kuchipatara nekukasira :

• Kurwadziwa kusingatarisirwi muchipfuva kana kumusana. Vamwe vanhu vanokutsanangura sekubaya, kubvarura, kana kuputika.
• Kunzwa dzungu kana kunzwa sekunge uri kutenderera.
• Kutadza kufema zvakanaka.
• Kurova kwemoyo kunowedzera.
• Kudikitira zvakanyanya.
• Kuvhiringidzika.
• Kuoma kutaura.
• Kurasikirwa nekuona.
• Kushaya simba kana kuti kusanzwa zvakanaka kune rumwe rutivi rwemuviri.

Mumamiriro ezvinhu akadai , awa neminiti yega yega zvinoverengwa. Kana ukanonoka kutsvaga kurapwa kwenguva refu, mikana yako yekuponesa hupenyu inowedzera kuva mishoma. Saka usatore zviratidzo izvi sezvisina basa.

Ndezvipi zvikonzero zve 'Tsamba Aortic Aneurysm'?

Chikonzero chikuru cheAneurysm yeTsamba chirwere chinonzi Atherosclerosis. Izvi zvinoitika kana mafuta aunganidzwa mukati memadziro etsinga dzedu dzeropa, zvichiita kuti aite mashoma. Nekufamba kwenguva, mafuta aya anoderedza simba remadziro etsinga dzeropa, zvichiita kuti pave neaneurysm.

Kazhinji, madziro etsinga yedu yeropa akasimba uye anofanira kukwanisa kukura nekukotama kana zvichidikanwa kana ropa richiyerera. Funga nezvazvo, iyi tsinga ndipo panobva ropa zvakananga kubva pamoyo. Saka, inofanira kukwanisa kutsungirira kumanikidzwa kunokonzerwa kana moyo uchipomba ropa nesimba.

Aorta ine hutano inogona kuita izvi pasina matambudziko. Zvisinei, kana madziro eaorta akaneta, kumanikidzwa kunobva pamoyo kunogona kukonzera chikamu cheaorta kuti chibude kunze, zvichiita aneurysm. Kubuda uku hakuna kujairika, kuchichinja chimiro chechubhu yeaorta. Sezvo ropa richiramba richiyerera nepaburi iri, kumanikidzwa kwakawanda kunoiswa pamadziro akatopera simba, zvichiaita kuti asanyanya kusimba. Nekuda kweizvozvo, madziro anobuda zvakanyanya. Kana aneurysm ikawedzera kukura, ndipo painova nengozi.

Ndezvipi zvinhu zvinokonzera njodzi?

Chero chinhu chipi zvacho chinopedza simba madziro e aorta chinowedzera njodzi yekukuvadzwa ne aneurysm. Kuwedzera kune atherosclerosis, kune zvimwe zvinhu zvakawanda zvinokonzera njodzi:

• `Kurwara kwemoyo`: Chirwere chekuzvimba chinoitika mu aorta.
• `Chirwere chevharuvhu yeaorta yeBicuspid` : Vharuvhu yeaorta yemoyo ine mapepa maviri (kazhinji anofanira kunge aine matatu).
• Chirwere chetsinga dzemwoyo (CAD) : Zvirwere zvine chekuita netsinga dzemwoyo dzinopa ropa kutsandanyama dzemwoyo.
• Kuva nenhoroondo yemhuri ye aneurysm (nhoroondo yemhuri).
• Kukwira kweropa .
• Loeys-Dietz syndrome : Chirwere chemajini chisingawanzoitiki chinosanganisira nhengo dzemuviri dzinobatana.
• Marfan syndrome : Chimwe chirwere chemajini chinokanganisa nhengo dzemuviri.
• Kuva nemakore anopfuura makumi matanhatu nemashanu ekuberekwa.
• Kusvuta kana kushandisa chero chinhu chefodya.
• `Turner syndrome` : Chirwere chemajini chinongobata vanhukadzi chete.
• Vascular Ehlers-Danlos syndrome : Chirwere chisingawanzoitiki chekubatanidza tsinga dzeropa.

Ko Aneurysm yeTsamba inogona kugarwa nhaka here?

Ehe, Thoracic Aortic Aneurysm inogona kuitika mumhuri. Izvi zvinoreva kuti inogona kupfuudzwa kuburikidza nezvizvarwa. Vaongorori vakaona shanduko dzakasiyana-siyana dzemajini dzinowedzera njodzi. Padzimwe idzi, shanduko dziri mujini reACTA2 ndidzo dzinonyanya kuitika.

Jini reACTA2 rinoudza muviri wedu kuti ugadzire mapuroteni akati wandei mumadziro etsinga dzedu. Mapuroteni aya anobatsira madziro etsinga dzedu kuchengetedza chimiro chadzo nekutsigira kumanikidzwa kweropa richiyerera nepakati padzo. Kana paine shanduko mujini reACTA2, madziro etsinga dzedu anogona kutatamuka zvakanyanya kana ropa richiyerera nepakati padzo.

Zvisinei, haugone kutaura kuti wakagara nhaka genetic mutation nekuti une aneurysm. Zvisinei, njodzi yacho yakakura. Kana mumwe munhu wemumhuri yako yepedyo (ane hukama nehupenyu) akambova neThoracic Aortic Aneurysm, zvakanaka kutaura nachiremba wako. Anogonawo kukurudzira kuongororwa kwemajini .

Iyi `Thracic Aortic Aneurysm` inoitika kupi?

Izvi zvinoumba apo madziro e-aorta anodzikira. Zvinhu zvakaita se 'Atherosclerosis' (mafuta akachengetwa) zvatakambotaura nezvazvo, kana kuti zvirwere zve connective tissue, zvinodzikisa simba madziro e-aorta, zvichiita kuti zvive nyore kuti 'Aneurysm' iumbwe.

Waizviziva here kuti aorta ndiyo tsinga yeropa yakakura kwazvo mumuviri wedu? Yakaita setsvimbo yekare. Inotangira pamoyo, yokombama, yozodzika nepachipfuva nepadumbu. Inogumira pamusoro peguvhu.

Kazhinji, Aneurysm yeTsamba inokura mu ascending aorta kana descending aorta. Kashoma, inogonawo kukura muchikamu chakakombama che aorta - chikamu chinoita semubato wetsvimbo.

`Thracic Aortic Aneurysm` yakakomba zvakadini?

Kuora kwetsinga yeropa muchipfuva chirwere chakakomba. Pane matambudziko akawanda anogona kuitika:

• Kuputika kweAneurysm.
• Kutsemuka kwetsinga yeropa .
• Madota eropa anoumbwa panzvimbo ine aneurysm uye anoenda kune dzimwe nhengo dzemuviri (thromboembolism). Madota aya eropa anogona kukonzera zvirwere zvakakomba zvakaita sestroke kana mesenteric ischemia .
• Kudzoreredza vharuvhu yeaorta .

Aya matambudziko akakomba zvikuru. Ndosaka tichifanira kungwarira nezve 'Aneurysm' iyi.

Chirwere ichi chinonzi 'Thracic Aortic Aneurysm' chinoonekwa sei?

Kazhinji, Aneurysm yeTsamba inowanikwa netsaona . Izvi zvinoreva kuti inowanikwa kana vanachiremba vachiita bvunzo nechimwe chikonzero. Semuenzaniso, X-ray yechipfuva inogona kuratidza kuti chikamu chepakati chechipfuva chako (mediastinum) chakafara kupfuura zvakajairika. Izvi zvinogona kuva chiratidzo che aneurysm.

Kana chiremba wako achifungidzira kuti une Thoracic Aortic Aneurysm, kungave kuburikidza neX-ray kana zvimwe zvikonzero, iye acharaira bvunzo dzinotevera:

• `Computed tomography (CT) angiogram` : Iyi iCT scan yakagadzirwa nehunyanzvi.
• `Echocardiogram (echo)` : Kuongororwa kwemoyo neultrasound.
• Magnetic resonance angiogram (MRA) : Kuongororwa kwetsinga dzeropa uchishandisa tekinoroji yeMRI.
• Ultrasound yedumbu : Kuongororwa kweultrasound kuti uone kana paine aneurysm mudumbu remusana.

Ndezvipi zvirongwa zvekurapa Thoracic Aortic Aneurysm?

Kuvhiyiwa kweAorta ndiyo nzira huru uye inogara iripo yekurapa Aortic Aneurysm yeTsamba. Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekuvhiya. Dzimwe dzadzo dzinosanganisira:

• Kuvhiyiwa kwechivanhu kwakavhurika : Izvi zvinosanganisira kugadzira kucheka kwenguva refu pakati pechipfuva, kubvisa chikamu cheaorta chakakuvara, uye kuchitsiva nechubhu yekugadzira (graft). Nzira iyi inoshandiswa kurapa aneurysms mu ascending aorta, pamwe chete neaneurysms dzakaoma muchipfuva nemudumbu.
• Kugadziriswa kwetsinga dzeropa dzechipfuva (TEVAR) : Uku kuvhiya kusingapindi zvakanyanya . Izvi zvinoreva kuti kunoitwa pasina kucheka kukuru. Kunoshandiswa kurapa aneurysms mu aorta inodonha. Mukuita uku, chiremba anochera zvidimbu zvidiki muhudyu mako, anoshandisa tsinga (femoral artery) inopfuura nepakati payo, uye anoshandisa catheter (chubhu tete) kuisa graft mu aneurysm.
• Kutsiva midzi yeAortic: Kuvhiyiwa uku kunoitwa pa `Aneurysm` panzvimbo iyo aorta inobatanidza nemoyo (`mudzi weAortic`). Izvi zvinogona zvakare kusanganisira kutsiva aortic valve yako. Neimwe nzira, `Valve-sparing techniques` dzinogona kushandiswa kuchengetedza valvu yako yechisikigo.

Dzimwe nguva, vanachiremba vanovhiya vanobatanidza nzira dzinopfuura imwe chete (semuenzaniso, kuvhiyiwa kwepachena uye kurapwa kwe endovascular) zvichienderana nerudzi rwe aneurysm. Kurapwa panzvimbo ye aorta kunowedzera sarudzo dzako uye mikana yako yekuwana mhedzisiro yakanaka.

Ndichazoda kuvhiyiwa rini?

Chiremba achasarudza kana uchida kuvhiyiwa, uye kana zvakadaro, rini, nekufunga nezvezvinhu izvi:

• Kukura uye nzvimbo yeaneurysm.
• Kukura kweaneurysm nekukurumidza .
• Kana aneurysm ichikonzera zviratidzo uye kuti zvakanyanya sei .
• Zvimwe zvirwere zvauinazvo.

Kana aneurysm yakakura kana kuti ichikonzera zviratidzo, kuvhiyiwa kungadiwa kudzivirira kuputika kwayo. Saizi yeaneurysm inokosha nekuti kana yakakura, mikana yekuputika kwayo inowedzera. Kazhinji, vanachiremba vanosarudza kuita kuvhiya kana aneurysm iri pakati pe 2 ne 2.2 inches (anenge 5 kusvika 5.5 centimeters), kana kuti iri kukura nehafu yesentimita pagore.

Asi, haisi saizi chete inokosheswa. Kana uine chirwere chekubatanidza tissue, bicuspid aortic valve, kana zvimwe zvinhu zvinowedzera njodzi yako yekuputika kana kuputika, chiremba wako anogona kusarudza kuita oparesheni nekukurumidza. Taura nachiremba wako nezvehukuru hweaneurysm yako uye kuti kuvhiyiwa kungadiwa riini.

"Kumirira kwakasimba"

Kana aneurysm iri diki uye isina zviratidzo, ungasada kuvhiyiwa nekukasika. Pane kudaro, chiremba wako achatarisa mamiriro ako (izvi zvinonzi watchwilling waiting). Vanogonawo kukupa mishonga yekuderedza njodzi yematambudziko.

Semuenzaniso, ma "imaging scan" anogona kuodha mwedzi yega yega 6 kusvika ku12 kuti vaone kana paine shanduko mu aneurysm. Unogonawo kupihwa mushonga wekuderedza BP yako uye kuderedza pressure pachikamu chisina simba che aorta yako. Chiremba wako anogona kukurudzira kuvhiyiwa kana mabhenefiti ekuvhiyiwa achipfuura njodzi .

Aneurysm yeTsamba inogona kudzivirirwa here?

Hapana nzira chaiyo yekudzivirira chirwere ichi. Zvisinei, unogona kuderedza njodzi yako yekubatwa nechirwere che atherosclerosis (chinonyanya kukonzera aneurysms). Heano mamwe maitiro aunogona kuita:

• Dzora BP yako nemazinga echolesterol.
• Tevedzera kudya kunovaka muviri (semuenzaniso, kudya kweMediterranean ).
• Dzivisa zvigadzirwa zvese zvefodya.
• Ita maekisesaizi ane mwero kweinenge maminetsi zana nemakumi mashanu pasvondo (asi taura nachiremba wako usati watanga chirongwa chitsva cheekisesaizi).
• Ita ongororo yezveutano yegore negore, uye enda kune dzimwe nguva dzese dzakarongwa dzekuonana nadzo.

Unogona kurarama kwenguva yakareba sei uine Thoracic Aortic Aneurysm?

Nguva yekupona inoenderana nezvinhu zvakawanda, kusanganisira saizi yeaneurysm uye kana ichikonzera matambudziko. Ma aneurysm makuru anogona kuva nengozi. Vanhu vanosvika 65% vane aneurysm yakakura isina kurapwa vanorarama gore rimwe chete mushure mekuonekwa kuti vane chirwere ichi. 20% chete ndivo vanorarama kwemakore mashanu.

Zvisinei, kana ukarapwa zvakanaka, hupenyu hwako hunogona kuwedzerwa zvakanyanya uye unogona kurarama hupenyu hurefu uye hune hutano. Ndosaka zvichikosha kuziva kana uri panjodzi yekubatwa nechirwere cheThoracic Aortic Aneurysm uye kushanda nachiremba wako kugadzirisa dambudziko racho.

Ndinozvitarisira sei?

Kana uine aneurysm, chiremba wako achakupa mazano ekuti ungazvichengeta sei. Anogona kutaura zvinhu zvakaita seizvi:

• Dzivisa maekisesaizi anorema. Zvinhu zvakaita sekusimudza zvinorema kana kurovedza muviri kwenguva refu (HIIT) zvinogona kuwedzera simba patsinga dzeropa. Bvunza chiremba wako kuti ndeapi marudzi eemaekisesaizi akachengeteka kwauri.
• Dzivisa kushandisa fodya. Fodya inowedzera njodzi yezvirwere zvakawanda zvemwoyo. Kana ukasvuta kana kushandisa zvimwe zvigadzirwa zvefodya, tsvaga rubatsiro kuti urege.
• Chinjai kudya kwenyu. Mungada kuderedza munyu wakawanda kana kuita zvimwe zvinhu zvinobatsira pahutano hwetsinga dzenyu.
• Inwa mishonga yako sezvawakarairwa. Ungangoda mishonga yekudzivirira matambudziko ehutano aripo. Bvunza chiremba wako kana uine mibvunzo yekuti unganwa sei mishonga iyi.
• Dzivisa zvinhu zvinowedzera kurova kwemoyo. Mimwe mienzaniso inosanganisira cocaine, amphetamines, nezvimwe zvinowedzera mishonga.

Ndinofanira kuona chiremba wangu rini?

Ona chiremba wako kuti akuongorore gore rega rega, uye chengeta nguva yako yese yekutevera. Fonera chiremba wako nekukasika kana:

• Kana ukaona zviratidzo zvitsva kana shanduko pazviratidzo zviripo .
• Kana mushonga wacho uchikonzera migumisiro isingatarisirwi .
• Kana muine mibvunzo kana zvinokunetsai nezvechirongwa chenyu chekurapa.

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Zviratidzo zve aneurysm yakaputika kana yakaputikaKana zvakadaro, fonerai 911 (1990 muSri Lanka) kana kuti shanyirai imba yekukurumidzira iri pedyo nekukasika. Aya ndiwo mabasa ekurapa anoda kurapwa nekukasika kuti aponese hupenyu.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana chiremba wako akakuudza kuti une Thoracic Aortic Aneurysm, ungasaziva zvekubvunza pakutanga. Heano mimwe mibvunzo yekukubatsira kutanga:

• Aneurysm yangu yakakura sei?
• Mari iyi ndechimwe chinhu chekufunga nezvacho here?
• Chii chingave chakakonzera `aneurysm' iyi?
• Munondikurudzira kuti ndirapwe sei?
• Ndezvipi zvandinofanira kuchinja muhupenyu hwangu?
• Ndinofanira kuuya kakawanda sei kuzoongororwazve?

Chii chinonzi 'Thoracoabdominal aneurysm'?

Iyi imhando ye'Aneurysm' zvakare. Iyi i'Aneurysm' inotambanuka muchipfuva chako ('Chifuva') nemudumbu mako ('Dumbu'). Rudzi urwu runoumba inenge 15% ye'Aneurysms' dzese dzinokura muaorta.

Kuziva kuti une aneurysm muchipfuva chako kunogona kutyisa. Pamwe hauna kumbobvira wafunga nezvehutano hwetsinga dzako kana mashandiro adzo. Kana kuti, pamwe wakazvarwa uine chirwere che connective tissue, saka unoziva mashandiro emukati memuviri wako. Pasinei nezvaunoziva, ino ndiyo nguva yekudzidza zvakawanda nezvechirwere chako uye kutora matanho ekuderedza njodzi yako yematambudziko.

Taura nachiremba wako nezvezvaungatarisira zvichienderana nemamiriro ako ezvinhu. Iye achakwanisa kugadzirisa hurongwa hwekurapa hunoenderana nezvaunoda, kupindura mibvunzo yako, uye kukupa ruzivo rwaunoda kuti uenderere mberi.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kuora kwetsinga dzemudumbu (thoracic aortic aneurysm) chirwere chakakomba. Zvisinei, kana ukakurumidza kuziva, ukabatsirwa nachiremba, uye ukarapwa zvakakodzera, une mukana mukuru wekurarama hupenyu hune hutano uye hurefu.

• Nyatsoteerera zviratidzo: Usaregeredza zvinhu zvakaita sekurwadziwa kwechipfuva kamwe kamwe, kwakanyanya kana kuti musana.
• Ongororwa kana uine zvinhu zvinokukonzera njodzi: Kana mumwe munhu mumhuri mako akambova nechirwere ichi, kana kuti uine BP yakakwira kana kusvuta, tsvaga rubatsiro rwechiremba.
• Tevedzera mirairo yachiremba wako nemazvo: tora mishonga yawakanyorerwa, tevera mirairo yekurovedza muviri nekudya, uye enda kunoongororwa kwakarongwa uye kugadzwa kwenguva.
• Dzivisa kusvuta zvachose: Ichi ndicho chimwe chezvinhu zvakakosha zvaunogona kuita.

Usazvidya moyo, hausi wega. Chikwata chako chekurapa chakagadzirira kukubatsira. Chinhu chakakosha ndechekuziva nezvechirwere ichi uye kutarisira hutano hwako.

` Aneurysm yeAortic yeTsamba, aorta, kurwadziwa kwechipfuva, chirwere chemwoyo, mitsipa yeropa, aneurysm, kuvhiyiwa