Mitsipa mikuru yeropa inopa ropa kuuropi hwedu, mumusoro, nekumeso iri kumativi ese emutsipa wedu. Iyi yakafanana nemigwagwa mikuru mumuviri wedu. Fungidzira kuti zvaizova sei dai imwe yemigwagwa iyi iine rusvingo rusina kusimba uye yakabukira sebharumu. Ndizvo zvatiri kutaura nezvazvo nhasi, aneurysm yetsinga yeropa ine ropa. Kunyangwe zvinganzwika zvichityisa, zvakakosha kuti uzvizive.
Chii chinonzi Carotid Artery Aneurysm?
Zvichitaurwa zviri nyore, aneurysm yetsinga yeropa inonzi carotid artery chirwere apo chikamu chemadziro etsinga huru yeropa (carotid artery) inotakura ropa kubva kumativi ese emutsipa wako kuenda kuuropi chinopera simba, zvichiita kuti BP ibude ichibuda kunze semafuro.
Funga nezvebharumu rinofuridzirwa. Rusvingo rwebharumu runofuridzirwa runoita rutete parunofuridzirwa, handiti? Chii chinoitika kana ukarifuridzirwa zvakanyanya? Rinoputika. Ndizvo zvinoita kuti aneurysm iyi ifuridzike. Nekufamba kwenguva, inogona kukura. Painokura, madziro ayo anofuridzirwa, uye pane njodzi yekuti ichaputika rimwe zuva. Saka kana aneurysm ikawedzera kukura, ndipo panogona kuva nengozi.
Mamiriro ezvinhu aya anogona kunge akakomba zvakadini?
Kuora kwetsinga dzeropa mutsinga dzemutsinga dzemutsinga chirwere chakakomba chinokanganisa tsinga dzeropa dzinoendesa ropa zvakananga kuuropi hwedu, saka hazvisi zvekurerutsa. Zvisinei, hazvisi zvese zvine njodzi zvakafanana. Zvimwe zvidiki kwazvo uye zvinogona kuramba zviripo kwemakore pasina kukonzera matambudziko.
Asi pane njodzi huru mbiri:
1. Kugwamba kweropa: Kugwamba kweropa kunogona kuumbwa mukati me aneurysm, uye chidimbu charo chinogona kutyoka chonamira mutsinga diki yeropa muuropi. Izvi zvinogona kumisa kuyerera kweropa kuenda kuuropi uye kukonzera kurwiswa kwe ischemic kwenguva pfupi (TIA) , "mini stroke," kana kuti full-blood ischemic stroke .
2. Kuputika kweAneurysm: Kana aneurysm yakakura ikaputika, inogona kukonzera kubuda ropa kwakanyanya muuropi kana kutenderedza uropi. Kuputika kweropa kunonzi stroke yeropa . Iyi injodzi yakakura uye inogona kuisa hupenyu panjodzi.
Ndeupi musiyano uripo pakati peaneurysm yechokwadi nenhema?
Izvi zvine chekuita nekurapa, asi ngatizvinzwisisei zviri nyore. Madziro etsinga dzedu dzeropa akaumbwa nezvikamu zvitatu.
- Aneurysm Yechokwadi: Apa ndipo apo zvikamu zvitatu zvetsinga zvinopera simba uye zvinobuda kunze. Izvi zvinowanzokonzerwa nemafuta ari mumadziro etsinga (atherosclerosis).
- Aneurysm yenhema kana Pseudoaneurysm:Izvi zvinoitika kana jira rimwe kana maviri emadziro etsinga yeropa akakuvara, zvichiita kuti ropa ribude roungana rakatenderedza tsinga yeropa, zvoita bubble. Kutaura chokwadi, uku hakusi kubuda ropa chaiko. Kunogona kuitika nekuda kwetsaona, hutachiona, kana matambudziko anokonzerwa nekurapwa.
Rudzi rwese runogona kukonzera matambudziko, saka zvose zvingada kurapwa.
Ndiani anonyanya kukonzera chirwere ichi? Uye chinowanzoitika here?
Kunyange hazvo aneurysms yetsinga dzeropa (carotid artery aneurysms) ichigona kuitika kune chero munhu mukuru, inonyanya kuitika kuvanhu vane makore ari pakati pe50 ne60. Hazviwanzoitikawo kuvana.
Asi mashoko akanaka ndeekuti ichi chirwere chisingawanzoitiki . Carotid artery aneurysms inoumba isingasviki 1% yeaneurysms dzese dziri mumuviri.
Ndezvipi zviratidzo zveizvi?
Kazhinji, aneurysms idzi dzinogona kuvapo pasina zviratidzo. Dzimwe nguva dzinowanikwa netsaona kana chimwe chinhu chakadai sekuongororwa kwemusoro chikaitwa nechimwe chikonzero.
Asi kana zviratidzo zvikaitika, zvinowanzova zviratidzo zvestroke kana transient ischemic attack (TIA).
TIA inogona kuva chiratidzo chekunyevera chakakomba chekuti sitiroko huru iri kuuya mumazuva kana mavhiki anotevera, saka zvakakosha kunyatsoteerera zviratidzo izvi.
| Zviratidzo zvechirwere chestroke kana TIA - kana uine chimwe cheizvi, enda kuETU nekukasika! | |
|---|---|
| Kutadza kuona zvakanaka kamwe kamwe | Kusaona zvakanaka kana kurasikirwa nekuona mumaziso rimwe chete kana ese ari maviri. |
| Kushaya simba kana kusasimba kune rumwe rutivi rwemuviri | Kunzwa kusanzwa zvakanaka kune rumwe rutivi rwechiso, ruoko, kana gumbo. (semuenzaniso, kurereka kwerumwe rutivi rwechiso) |
| Kuoma kutaura | Kusanzwisisa zviri kutaurwa, kuoma kunzwisisa zviri kutaurwa. |
| Kuoma kufamba uye kurasikirwa nechiyero | Dzungu, kutadza kumira zvakanaka, kudhonzwa parutivi kana uchifamba. |
| Kungoerekana wanzwa musoro wakanyanya | Kungoerekana watanga kurwadziwa nemusoro zvakanyanya zvisina kumboitika. |
Kana ukaona zviratidzo zvakaita seizvi, ungasakwanisa kufonera chipatara iwe pachako. Saka, zvakakosha kuzivisa vanhu vemumba mako nezveizvi.
Zvimwe zviratidzo
Pamusoro pezviratidzo zvestroke, kana aneurysm ikakura zvakakwana zvekumanikidza dzimwe tsinga kana tsinga dzeropa mumutsipa, zviratidzo zvakaita se:
- Musoro
- Kushoshoma kwezwi
- Kurwadziwa kwemutsipa
- Kuzvimba kwechiso
- Kunzwa kunge bundu riri mumutsipa uye richirova
- Kuoma kumedza chikafu
- Mamwe matambudziko ekuona
Kana uine chimwe chezviratidzo izvi, enda kuna chiremba wako nekukurumidza uye muudze nezvazvo.
Sei aneurysms ichiumbwa seizvi? Ndezvipi zvinokonzera?
Pane zvikonzero zvakawanda zvinogona kukonzera aneurysm yetsinga ye carotid.
- Atherosclerosis: Ichi ndicho chikonzero chikuru uye chinowanzoitika. Dambudziko iri rinogona kuitika kana cholesterol nemafuta zvaungana mumadziro etsinga dzeropa, zvichideredza simba remadziro.
- Zvirwere zvinoderedza simba remadziro etsinga dzeropa: Zvimwe zvirwere, zvakaita se "Fibromuscular dysplasia," zvinoita kuti madziro etsinga dzeropa asarambe akasimba.
- Matambudziko ekurapwa: Zvinogonawo kuitika sedambudziko remamwe maoparesheni emutsipa, mamwe ma central lines, kana radiation therapy yegomarara.
- Njodzi: Kukuvadzwa kwetsinga yeropa nekuda kwetsaona yakakura, yakadai sekupfurwa nepfuti kana kubaiwa nebanga.
Zvinhu Zvinokonzera Njodzi
Pane zvinhu zvakawanda zvinogona kunetesa madziro etsinga dzeropa, izvo zvinowedzera njodzi yekuve ne aneurysm:
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako akambova neaneurysm, iwe uriwo panjodzi huru.
- Kukwira kweropa (Hypertension): Kana kukwira kweropa kukawedzera, kunoisa kumanikidzwa kwakawanda pamadziro etsinga dzeropa. Izvi zvinogona kunetesa madziro.
- Kusvuta: Kusvuta ndicho chinhu chikuru chinokonzera kukuvara kwetsinga dzeropa. Kunoshayisa simba madziro etsinga uye kunowedzera njodzi yekubatwa neaneurysms.
Chiremba anoongorora sei chirwere ichi?
Chiremba anotora matanho akati wandei kuti aongorore chirwere ichi.
1. Kuongororwa kwemuviri: Chiremba achaisa stethoscope pamutsipa wako oteerera. Dzimwe nguva, ruzha rwakasiyana rwe 'swooshing' (carotid bruit) runogona kunzwika ropa richiyerera kuburikidza neaneurysm iyi.
2. Nhoroondo yezveutano hwako neyemhuri yako: Chiremba achakubvunza nezvezvimwe zvirwere zvaunazvo uye kana paine mumwe munhu mumhuri yako akambova nematambudziko akafanana.
3. Kuongororwa Kwemifananidzo: Iyi ndiyo nzira yakanakisisa yekusimbisa chirwere. Kuongororwa uku kunogona kuona zviri kuitika mukati metsinga yeropa.
- Kuongororwa kweCT (Computed Tomography scan)
- Kuskena kweMRA (Magnetic Resonance Angiography)
- Kuskena kweUltrasound
Miedzo iyi inobvumira vanachiremba kuona saizi chaiyo, chimiro, uye nzvimbo yeaneurysm, uye nekudaro kusarudza kurapwa kwakanakisa.
Ndezvipi zvingasarudzwa pakurapa?
Kurapwa kunoenderana nehukuru hweaneurysm yako, kukura kwayo nekukurumidza sei, uye kana uine zviratidzo. Kune nzira nhatu huru dzekurapa.
| Nzira yekurapa | Tsananguro |
|---|---|
| 1. Kutarisa | Kana aneurysm iri diki uye pasina zviratidzo, chiremba wako anogona kukurudzira kuti umirire kwenguva yakati pasina kuvhiyiwa. Izvi zvinonzi "waitingful waiting." Uchaongororwa mwedzi mitanhatu yega yega kana gore kuti uone kana aneurysm iri kukura. Panguva iyi, unogona kupihwa mushonga wekudzora pressure. |
| 2. Kuvhiyiwa Kwakavhurika | Uku ndiko kuvhiyiwa kwechinyakare. Mukuita uku, chiremba anochekwa mutsipa obvisa chikamu chetsinga yeropa chakakuvara, chine aneurysm. Zvadaro, chidimbu chetsinga yeropa kana chubhu yekugadzira (graft) inotorwa kubva kune imwe nhengo yemuviri wako (semuenzaniso, gumbo rako) inoshandiswa kugadzira nzira itsva yekuyerera kweropa. |
| 3. Kurapa Endovascular (Endovascular Stent Grafting) | Iyi inzira isinganyanyi kukuvadza muviri uye haidi kuchekwa kukuru. Chiremba wako achaboora buri diki mutsinga yeropa iri muruoko rwako oisa chubhu yakatetepa (catheter) nepairi. Achitungamirirwa neX-ray, chubhu inoendeswa kuaneurysm, uye chubhu yakaita semesh (stent graft) inoiswa mukati. Izvi zvinobvumira ropa kuyerera nepachubhu itsva pane kupinda muaneurysm. |
Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira mushure mekutaura newe uye kutsanangura zvese.
Ndingaitei kuti ndideredze njodzi iyi?
Hatigone kudzora zvimwe zvinhu zvine njodzi (senhoroondo yemhuri), asi pane zvakawanda zvatinogona kuita kuti tsinga dzedu dzeropa dzigare dzakagwinya uye kuderedza njodzi yedu yekubatwa neaneurysm.
- Kana uchisvuta, rega nhasi. Ichi ndicho chinhu chakanakisa chaunogona kuita. Kumbira rubatsiro kuna chiremba wako.
- Idya chikafu chine hutano pamoyo. Deredza kudya zvine mafuta akawanda, munyu, uye shuga. Idya miriwo yakawanda, michero, uye miriwo.
- Rovedza muviri nguva dzose. Ita maekisesaizi akakodzera iwe, sezvakarairwa nachiremba wako.
- Dzora BP yakakwira. Kana uine BP yakakwira, tora mishonga yawakanyorerwa nachiremba wako nenguva.
- Tevedzera mazano echiremba. Enda kunoongororwa nachiremba nenguva.
Pane musiyano here pakati peaneurysm mumutsipa neaneurysm iri mukati medehenya?
Izvi zvine chekuita nekurapa, asi ngatizvitaure zviri nyore: Tsinga yedu yeropa inoyerera mumutsipa ichipinda mudehenya.
- MaAneurysms anoumbwa kunze kwedehenya, ndiko kuti, mumutsipa, anonzi `extracranial` .
- MaAneurysms anoumbwa mukati medehenya anonzi `intracranial` .
Kana chiremba wako akashandisa mazwi aya kwauri, anenge achingoreva nzvimbo ine aneurysm. Haufanire kuyeuka mazwi aya nemusoro. Bvunza chiremba wako kuti akutsanangurire chero chausinganzwisisi.
Zvakajairika kuti unzwe kutya kana ukaona kuti une aneurysm. Asi nehunyanzvi hwemazuva ano hwekuongorora nekurapa, vanhu vazhinji vanogona kurarama hupenyu hwakajairika. Chinhu chakakosha ndechekutevera mirairo yachiremba wako nekungwarira uye kuenda kunoongororwa nguva dzose.
Mharidzo Yekuenda Nayo Kumba
- Aneurysm yetsinga yeropa inonzi carotid artery kushaikwa kwemadziro etsinga huru yeropa iri mumutsipa inotakura ropa kuenda kuuropi, zvichiita kuti rizvimbe sebharumu.
- Njodzi mbiri huru dzinogona kuitika kubva pane izvi dzinosanganisira kuumbwa kweropa kunokonzera sitiroko uye kuputika kweaneurysm.
- Kana ukaona zviratidzo zvestroke, zvakaita sekunge kamwe kamwe kumeso kwako kwakatetepa, ruoko rusina simba, kana kuoma kutaura, idambudziko. Enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
- Kurapwa kunoenderana nehukuru hweaneurysm uye zviratidzo. Dzimwe nguva kungotarisa chete kunogona kukwana. Dzimwe nguva kuvhiyiwa kunogona kudiwa.
- Kudzora BP yakakwira uye kusasvuta fodya zvakakosha kudzivirira chirwere ichi.
- Kana muine mibvunzo kana zvinokunetsai nezvazvo, taurai nachiremba wenyu pachena nezvazvo.
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