Ngaba ukhe wanentlungu eqatha esifubeni sakho ngequbuliso? Ngaba yi-Acute Aortic Syndrome? Makhe sithethe ngayo!

Ngaba wakha wazibuza ukuba wenze ntoni ukuba ngequbuliso uneentlungu eziqatha esifubeni? Ngamanye amaxesha isenokuba yigesi, okanye isenokuba sisifo sentliziyo. Nangona kunjalo, namhlanje siza kuthetha ngohlobo oluyingozi ngokulinganayo, kodwa olwahlukileyo kancinci lwengxamiseko. Oku kubizwa ngokuba yi-Acute Aortic Syndrome. Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, masiliqonde ngokulula.

Yintoni kanye kanye i-Acute Aortic Syndrome?

Ngamafutshane, eli ligama eliqhelekileyo leengxaki ezininzi ezingxamisekileyo ezenzeka kumthambo wegazi omkhulu emzimbeni wethu, i-aorta . Cinga ngayo njengepompo yamanzi. Le mpompi isasaza igazi emzimbeni wonke ngombhobho oyintloko. Loo mbhobho oyintloko yiloo nto siyibiza ngokuba yi-aorta. Ihamba esifubeni nasesiswini. Ngoko ke, "i-Acute Aortic Syndrome" yingxaki enkulu eyenzeka kwinxalenye yesifuba sale aorta, "i-Thoracic Aorta" okanye "i-Abdominal Aorta".

Eyona nto ibalulekileyo kukuba ezi meko zingxamisekile kwaye zinokuba yingozi ebomini . Kwiimeko ezininzi, kufuneka utyando. Kungoko ke, kubaluleke kakhulu ukukwazi oku.

Ziziphi iintlobo eziphambili zesi sifo?

Kukho iintlobo ezintathu eziphambili ze-`(Acute Aortic Syndrome)`. Masibone ukuba zeziphi.

1. Ukuqhaqha kwe-Aortic ebukhali: Le yeyona nto inzima nexhaphakileyo kwezi. Okwenzekayo apha kukuba kubekho ukukrazuka okuncinci ngaphakathi kodonga lwe-aorta, okuvumela igazi ukuba liphume phakathi kweengqimba zodonga. Cinga ngayo njengombhobho wamanzi onezingqimba ezimbini, kwaye ukuba ingqimba enye iyaphuka, amanzi anokuvuza kwezinye izingqimba ezimbini. Oku kunokuyenza buthathaka i-aorta kwaye kuyenze iqhume.

2. I-Intramural Hematoma: Oku kwenzeka xa umthambo omncinci wegazi ngaphakathi kodonga lwe-aorta uqhuma kwaye igazi elithile liqokelelana ngaphakathi kodonga lwe-artery. Njengokuba xa sifumana ihlwili legazi emzimbeni wethu, liyabhajwa. Oku ngamanye amaxesha kunokuphumela ekubeni yi-Aortic Dissection.

3. Isilonda se-Atherosclerotic Esingena: Esi sisilonda esikhula eludongeni lwe-aorta. Esi simo sixhaphake kakhulu kubantu abane-fatty deposits kwimithambo yegazi (atherosclerosis). Esi silonda sinokuba nzulu size siwenze buthathaka udonga lwe-artery.

Zontathu zihlobene kwaye zinokutshintsha ukusuka kwenye ukuya kwenye. Kungoko ke, kubalulekile ukufuna unyango ngokukhawuleza kuyo nayiphi na kwezi meko.

Ngaba unazo ezi mpawu? Jonga...

Uphawu oluphambili noluqhelekileyo lwe-`(Acute Aortic Syndrome)` yintlungu yesifuba eyenzeka ngequbuliso, enganyamezelekiyo, neqatha . Abantu abaninzi bayichaza njengentlungu ehlabayo nekrazulayo. Le ntlungu inokuvela emqolo, esiswini, okanye entanyeni nasemhlathini.

Ngaphandle koko, kunokubakho nezinye iimpawu ezininzi:

• Intlungu yesisu: Ingakumbi ukuba inxalenye yesisu ye-aorta ichaphazelekile.
• Intlungu yomqolo: Ingabangelwa ziintlungu zesifuba.
• Ukuquleka okanye ukulahlekelwa zingqondo: Ngenxa yokuncipha kokuhamba kwegazi ukuya engqondweni.
• Ukulahlekelwa okanye ubuthathaka kakhulu kwentliziyo emilenzeni okanye ezinyaweni: Oku kungenxa yokuvaleka kokuhamba kwegazi emilenzeni.
• Ubunzima bokuphefumla
• Ubuthathaka
• Ukubila

Khumbula, ukuba ufumana enye okanye ngaphezulu kwezi mpawu ngaxeshanye, kufuneka uye esibhedlele ngoko nangoko, ngaphandle kokulibazisa . Le yimeko engxamisekileyo!

Kutheni oku kusenzeka? Zithini izizathu?

Eyona nto ibangela le meko iyingozi kukungalawuleki koxinzelelo lwegazi oluphezulu (iHypertension) . Xa uxinzelelo luphezulu kangangeminyaka emininzi, iindonga zemithambo yethu ziyawohloka kwaye zibe buthathaka. Oku kwandisa umngcipheko wolu hlobo lokuqhekeka nokuqhekeka.

Ezinye izizathu zingaba:

• I-Aortic aneurysm: Le yi-bulge efana nebhaluni kwi-aorta. Le bulge ibuthathaka kwaye inokuqhekeka okanye iqhume lula.
• Iziphene zeValve yeAorta: Iziphene ezithile zokuzalwa zevalve yeaorta entliziyweni nazo zinokwandisa le ngozi.
• Ukugcwala kwamafutha kwimithambo yegazi (i-Atherosclerosis): Oku kubangela ukuba imithambo yegazi inciphe, ityebe, kwaye ibe buthathaka.

Ngubani onokuthi aphuhlise oku? (Izinto ezibangela umngcipheko)

Abanye abantu banamathuba amaninzi okufumana esi sifo (i-Acute Aortic Syndrome) kunabanye. Masibone ukuba bangoobani:

• Abantu abasele benesifo se-"Aortic Aneurysm".
• Abantu abanemeko ebizwa ngokuba yi-aortic coarctation (ukuncitshiswa kwe-aorta enkulu).
• Abantu abaneBicuspid Aortic Valve Disease (isiphene kwivalvu yentliziyo).
• Abantu abaneemeko ezithile zemfuza: Umzekelo, iimeko ezifana ne-`(Marfan syndrome)`, `(Turner syndrome)` okanye `(Ehlers-Danlos syndrome).` Ezi zibangela ukuba izicubu zomzimba ezidityanisiweyo zibe buthathaka. Ekubeni i-aorta yenziwe ngolu hlobo lwezicubu, inokuba buthathaka.
• Abantu abanoxinzelelo lwegazi oluphezulu: Le yeyona nto iphambili ebangela umngcipheko.

Ukongeza kwezi zinto, kukho nezinye izinto ezininzi ezibangela umngcipheko:

• Ubudala: Lo mngcipheko uphezulu kubantu abangaphezu kweminyaka engama-60 ubudala.
• Ukusetyenziswa kweziyobisi: Oku kunokwenzeka ngakumbi kubantu abasebenzisa iziyobisi ezifana ne-cocaine.
• Ukuphakamisa iintsimbi ngamandla: Abantu abaphakamisa iintsimbi kakhulu baze benze umthambo wokuxhathisa ngamanye amaxesha banokuba sengozini enkulu.
• Ukukhulelwa: Kunqabile kakhulu, le meko ikhe yenzeke nakoomama abakhulelweyo abangenazo ezinye izinto ezinokuba yingozi.
• Isini:Amadoda anamathuba amaninzi okufumana esi sifo.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Xa usiya esibhedlele uneempawu ezikhankanyiweyo ngaphambili, oogqirha baya kukhawuleza benze uvavanyo olumbalwa ukuze babone ukuba ingaba le yi-"Acute Aortic Syndrome".

Iintlobo zovavanyo

• I-CT scan: Le yeyona ndlela ilungileyo nechanekileyo yokuxilonga esi sifo (umgangatho ogqwesileyo) . Kufana nokuthatha umfanekiso we-3D wangaphakathi emzimbeni wethu. Oku kungayibona ngokucacileyo imilo ye-aorta, umsebenzi wayo, indlela igazi elihamba ngayo, nokuba kukho imifantu, okanye ukuba kukho amahlwili egazi.
• I-X-reyi yesifuba: Oku kunokunika umbono ocacileyo wemilo yentliziyo kunye namalungu angqongileyo. Ngamanye amaxesha, ukuba i-aorta ikhulisiwe, inokubonwa.
• I-Coronary Angiogram: Oku kujonga imeko yemithambo yegazi ehambisa igazi entliziyweni.
• I-E.C.G. (i-Electrocardiogram - EKG): Oku kuvavanya umsebenzi wombane wentliziyo. Oku kunceda ukwahlula phakathi kohlaselo lwentliziyo kunye nohlaselo lwentliziyo.
• I-Transthoracic Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Inokujonga imeko yamagumbi entliziyo, iivalvu, kunye nemithambo yegazi.

Ngolu vavanyo, oogqirha banokuqinisekisa ngokukhawuleza isifo.

Zithini iindlela zonyango zoku? Ngaba singasindiswa?

Indlela yonyango ixhomekeke kwindawo apho umonakalo we-aorta ukhoyo.

• Ingxaki nge-ascending aorta, inxalenye ye-aorta enyuka iye entliziyweni, ifuna utyando olungxamisekileyo . Oogqirha basusa inxalenye eyonakeleyo ye-aorta baze bayifake i-graft yokwenziwa . Kwezinye iimeko ezinzima, i-aortic valve nayo inokufuna ukutshintshwa.

• Ukuba kukho ingxaki ngenxalenye ye-aorta eyehlayo ize idibane neminye imithambo yegazi, i-aorta ehlayo, oku ngamanye amaxesha kunokunyangeka ngamayeza. Amayeza alawula uxinzelelo lwegazi, anjenge -beta-blockers okanye i-vasodilators, ayanikwa. La mayeza asebenza ngokunciphisa isantya sentliziyo, ukwandisa imithambo yegazi, kunye nokunciphisa uxinzelelo kwi-aorta. Nangona kunjalo, ngamanye amaxesha iingxaki ngale nxalenye zinokufuna utyando okanye ukufakwa kwe-stent.

Eyona nto ibalulekileyo kukuba xa ulinda ixesha elide ukuqala unyango, kokukhona imeko inokuba yingozi ngakumbi. Ke ngoko, ukuya esibhedlele nokuqala unyango ngokukhawuleza kubalulekile ekusindiseni ubomi.

Singenza ntoni ukuze siphephe le meko iyingozi? ( Singayinciphisa njani ingozi?)

Ukuze sisinde kwimeko embi kangaka, kufuneka sinyamekele indlela esiphila ngayo.

• Ukugcina ubunzima obusempilweni:Gcina ubunzima bakho busempilweni ngokobude bakho, iminyaka yakho, kunye nesini sakho.
• Ukulawula uxinzelelo lwegazi: Le yeyona nto ibalulekileyo . Ukuba unexinzelelo lwegazi, thatha amayeza anikwe ngugqirha wakho ngexesha. Jonga uxinzelelo lwegazi lakho rhoqo.
• Ukulawula ezinye iimeko zempilo ezifihlakeleyo: Ukuba uneengxaki ezifana nesifo seswekile okanye i-cholesterol, zilawule kakuhle ngokwemiyalelo kagqirha wakho.
• Yeka ukutshaya ngokupheleleyo: Ukutshaya kuyingozi kakhulu kwimithambo yegazi.

Ngokulandela la manyathelo alula, unganciphisa kakhulu umngcipheko wokuba neemeko eziyingozi ezifana ne-"Acute Aortic Syndrome".

Kuza kwenzeka ntoni xa oku kusenzeka? Kuza kuthatha ixesha elingakanani ukuze umntu aphile? (Indlela esibona ngayo esi sifo)

I-Acute Aortic Syndrome yimeko engxamisekileyo esongela ubomi. Idla ngokufuna utyando olungxamisekileyo. Ukuchacha kwakho kuxhomekeke ekubeni ufumana unyango ngokukhawuleza kangakanani.

Kwiimeko ezimbini `(Intramural Hematoma)` kunye `(Penetrating Atherosclerotic Ulcer)`, amathuba okusinda aphezulu kune `(Acute Aortic Dissection)`.

Emva konyango, kuya kufuneka uqhubeke uphantsi kweliso likagqirha. Kuya kufuneka uhlolwe rhoqo ukuze kuhlolwe ukuba akukho nakuphi na ukopha kwi-aorta okanye ukwakheka kwe-aneurysms entsha. Kubaluleke kakhulu ukugcina uxinzelelo lwakho lwegazi lulawulwa kakuhle ubomi bakho bonke.

Ungalibali ukubuza ugqirha wakho ngezi zinto.

Ukuba ufunyaniswe une-Acute Aortic Syndrome, okanye ukrokrela ukuba unayo, ungabuza ugqirha wakho le mibuzo:

• Yintoni enokubangela iimpawu zam?
• Ndinengxaki yentliziyo engaphantsi. Ingakanani ingozi yam yokuba ne-`(Acute Aortic Syndrome)`?
• Ziziphi kanye kanye iimpawu ze-`(Acute Aortic Syndrome)` ekufuneka ndizazi?
• Ziziphi iindlela zonyango zoku? Yeyiphi engcono kum?
• Zeziphi iindlela zonyango ekufuneka ndizilandele emva konyango?

Ngamafutshane (Umyalezo Wokuya Ekhaya)

Kulungile, ukuze ukwazi ukukhumbula ezinye zezona zinto zibalulekileyo kwizinto esithethe ngazo.

I-Acute Aortic Syndrome yimeko eyenzeka ngequbuliso, esongela ubomi eyenzeka kwi-aorta.

Uphawu oluphambili ziintlungu zesifuba eziqatha ngequbuliso . Le ntlungu ingasasazeka nasemqolo nasesiswini.

Uxinzelelo lwegazi oluphezulu yeyona nto ibangela oku.

Ukuba ufumana ezi mpawu , yiya esibhedlele ngoko nangoko. Unyango olukhawulezileyo lunokusindisa ubomi bakho.

Le ngozi ingancitshiswa ngokuphila ubomi obusempilweni nokulawula uxinzelelo lwegazi.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho wosapho. Hlala usempilweni!

"I-Acute Aortic Syndrome, i-Aorta, Iintlungu Zesifuba, Uxinzelelo Lwegazi Oluphezulu, Isifo Sentliziyo, Utyando Olungxamisekileyo