Ngaba kufuneka wenze utyando ngenxa ye-aneurysm? (Utyando lwe-Aneurysm) Makhe sithethe ngale nto ngokulula.

Kuqhelekile ukuziva usoyika kwaye unexhala xa ugqirha ekuxelela ukuba okanye umntu kusapho lwakho une-"aneurysm" kwaye kufuneka utyando ngenxa yoko. Xa usiva eli gama, zininzi izinto ezifika engqondweni. Ngoko ke namhlanje, makhe sifunde ngakumbi ngale nto, oko kukuthi, olu tyando lwe-aneurysm. Ndiza kukuchazela yonke into ngokulula nangokucacileyo, njengokuba ubuya kuthetha nomhlobo.

Yintoni kanye kanye utyando lwe-aneurysm?

Ngamafutshane, utyando lwe-aneurysm lunyango lobuthathaka kwi-aorta, umthambo wegazi oyintloko emzimbeni wethu. Khawucinge ngombhobho wamanzi obuthathaka kwindawo ethile kwaye uvuthuza njengebhaluni. Ngendlela efanayo, xa i-aorta ibuthathaka kwindawo ethile kwaye ivuthuza, siyibiza ngokuba yi-aortic aneurysm. Oku kuyingozi kuba olu vuthuza lunokuqhuma (luqhekeke) okanye lukrazuke (luqhekeke) nangaliphi na ixesha. Ukuba oko kuyenzeka, kunokuba yingozi kakhulu kwanasebomini bonke.

Ngoko ke injongo ephambili yolu tyando kukususa umthambo wegazi ovuvukileyo nobuthathaka ngaphambi kokuba uqhume uze uwufake endaweni yawo umbhobho welaphu eliqinileyo. Oku sikubiza ngokuba yi-graft . Le graft isebenza njengomthambo wegazi omtsha kraca. Emva koko igazi lihamba kuyo ngaphandle komngcipheko.

Olu lutyando luthathwa njengotyando olukhulu. Ludla ngokwenziwa ngugqirha wesifuba okanye wemithambo yegazi kwigumbi lotyando esibhedlele. Ngokuxhomekeke kwindawo ekuyo i-aneurysm, ugqirha unokufuna ukwenza utyando olukhulu esifubeni okanye esiswini.

• Sibiza i-aneurysm kwindawo yesifuba ngokuba yi-Thoracic Aortic Aneurysm .
• Inxalenye esezantsi kancinci, oko kukuthi, kwindawo yesisu, ibizwa ngokuba yi-Abdominal Aortic Aneurysm .

Olu tyando lubalulekile ukuze kuthintelwe iingozi ezinkulu. Njengakuzo zonke iintlobo zotyando ezinkulu, kukho iingozi ezincinci, kodwa iingenelo zazo zingaphezulu kakhulu. Ugqirha wakho uza kuyihlola ngononophelo imeko yakho aze agqibe kwelokuba uyaludinga utyando okanye akunjalo.

Ngubani ngokwenene odinga olu tyando?

Oku kunokwahlulwahlulwa kube ngamacandelo amabini. Enye yimeko engxamisekileyo. Enye yimeko apho uceba kwangaphambili ngaphambi kokuba kwenzeke imeko engxamisekileyo.

1. Abantu abaye baba ne-aneurysm eqhumayo okanye eqhumayo (imeko engxamisekileyo)

Le yeyona meko iyingozi kakhulu nengxamisekileyo. Ukuba i-aneurysm iyaqhuma okanye iyaqhekeka, kufuneka utyando olukhawulezileyo. Le yindlela ekuphela kwayo yokusindisa ubomi. Ukuba iimpawu ezingezantsi zibonakala ngequbuliso, kufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele ngoko nangoko .

2. Abantu abane-aneurysm abasengozini yokuqhuma

Ukuba ugqirha wakho ufumanise ukuba une-aneurysm, nokuba ayigqabhukanga, kubalulekile ukubona ugqirha wakho rhoqo ukuze ajonge imeko yayo. Ugqirha wakho uza kujonga ubungakanani bayo kunye nokukhula kwayo ngokukhawuleza ukuze amisele ixesha elifanelekileyo lokwenza utyando. Ungadinga utyando ukuba unenye yezi meko zilandelayo:

• Ukuba i-aneurysm inkulu kune-5 centimeters ububanzi .
• Ukuba ikhula ngokukhawuleza (umzekelo, ngaphezulu kwe-1 centimeter ngonyaka).
• Ukuba ufumana iintlungu rhoqo kwiindawo ezifana nesisu, umqolo, isifuba, okanye i-groin.
• Ukuba uziva ukubetha esiswini sakho.
• Ukuba ukhohlela, urhawuzelelwa lilizwi, okanye uphefumla nzima.

Umzekelo, ukuba unesifo semfuza esifana neMarfan syndrome , nokuba kukho i-aneurysm encinci kunokuba yingozi kuwe. Ke ngoko, ungacetyiswa ukuba wenze utyando kwangethuba kunomnye umntu.

Ngamanye amaxesha, ngenxa yezinye iingxaki zempilo, kunokuba yingozi ukwenza utyando olukhulu olufana nolu. Kwiimeko ezinjalo, ugqirha wakho unokucebisa inkqubo elula ebizwa ngokuba yi -EVAR (Endovascular Aneurysm Repair) , apho kufakwa khona ityhubhu ngomngxuma omncinci kakhulu kwimithambo yegazi.

Ulungiselela njani ngaphambi kotyando?

Ukulungiselela utyando olukhulu olufana nolu kuqala kwiiveki ezimbalwa ngaphambi kokuba luqale. Ugqirha wakho uza kukuxilonga kakuhle aze enze uvavanyo oluninzi ukuqinisekisa ukuba umzimba wakho ukwimeko efanelekileyo yotyando. Ngeli xesha, ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho ngale nto ilandelayo:

• Ufanele uxelele ugqirha wakho ngazo zonke iindlela ozisebenzisayo: amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, amayeza esintu, nazo zonke ezinye izinto ozisebenzisayo. Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile ngaphambi kotyando. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho kanye njengoko inikwe.
• Malunga nezinye iimeko zempilo onazo: Ukuba uneengxaki zempilo ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile, kufuneka zilawulwe kakuhle ngaphambi kotyando.
• Malunga nempilo yakho yomzimba: Xelela ugqirha wakho ukuba unesifo somkhuhlane, i-flu, i-herpes, okanye nasiphi na esinye isifo. Akuyonto ilungileyo ukwenza utyando xa ugula.
• Ukuba uyatshaya: Kufuneka uyeke ngokupheleleyo ukutshaya ubuncinane inyanga enye ngaphambi kotyando. Ukuba ufuna uncedo ngale nto, buza ugqirha wakho, uya kukwazi ukukunceda.

Uza kunikwa uthotho lwemiyalelo ekhethekileyo yokulungiselela usuku lotyando. Eminye yayo iquka:

• Ngobusuku bangaphambi kotyando, uxelelwa ukuba ungaseli manzi emva kobusuku.
• Ngawaphi amayeza endifanele ndiwathathe kusasa emva kotyando?
• Ukucela ukuba umntu akuthathe xa ufika ekhaya uvela esibhedlele.

Landela yonke le miyalelo ngononophelo. Ukuba kukho into ongaqinisekanga ngayo, buza ugqirha wakho okanye umongikazi.

Kwenzeka ntoni ngokwenene ngaphakathi kolu tyando?

Usenokuba nomdla kakhulu kwaye uyoyika ngale nto. Kodwa ungakhathazeki. Iqela lakho lezonyango liza kukunyamekela kakuhle. Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia jikelele . Emva koko uza kube ulele ngokupheleleyo kwaye ungaziva nto. Emva koko utyando luza kwenzeka ngokwala manyathelo:

1. Ukusika: Ugqirha wenza umkrwelo omde eluswini lwesifuba okanye isisu sakho ukuze afikelele kwindawo ene-aneurysm.

2. Ukuqiniswa kwemithambo: Okulandelayo, umthambo omkhulu ongaphezulu nangaphantsi kwe-aneurysm uvalwa okwethutyana kusetyenziswa izixhobo ezikhethekileyo (ii-clamps). Ngeli xesha, ukuhamba kwegazi emzimbeni wonke kuvunyelwe ukuba kuqhubeke, kwaye ungaqhagamshelwa kumatshini wentliziyo nemiphunga . Oku kuthatha okwethutyana umsebenzi wentliziyo nemiphunga yakho ngexesha lotyando.

3. Ukufakwa kwe-Graft: Le yeyona nxalenye ibalulekileyo yotyando. Ugqirha usika umthambo wegazi odumbileyo nobuthathaka aze awutshintshe ngetyhubhu yokwenziwa ekhankanyiweyo ngaphambili, i-graft. Le graft yenziwe ngezinto eziqinileyo zokwenziwa ezifana ne-polyester.

4. Ukuvalwa kwesikhewu:Emva kokuba umthambo wegazi omtsha unamathele, ugqirha uza kuwuvala umngxuma osesifubeni okanye esiswini sakho ngezititshi okanye nge-staples.

Ngokwesiqhelo, olu tyando luphela luthatha malunga neeyure ezintathu ukuya kwezine.

Kwenzeka ntoni emva kotyando?

Emva kotyando, uza kusiwa kwigumbi lokhathalelo olunzulu (ICU) . Apho, imeko yakho iza kuhlolwa ngononophelo kangangeentsuku ezimbalwa. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo. Lilonke, kuya kufuneka uhlale esibhedlele malunga neentsuku ezintathu ukuya kwezilishumi.

Ngelixa usesibhedlele, uza kujongana nezinto ezifana nezi:

• I-catheter yomchamo.
• Ityhubhu efakwa ngempumlo ukuze kususwe ulwelo esiswini.
• Amayeza okuthintela ukujiya kwegazi (i-anti-coagulants).
• Iisokisi zokucinezela luhlobo olukhethekileyo lweesokisi ezinxitywayo ukuthintela ukuqhekeka kwegazi emilenzeni.
• Umatshini okuncedayo ukuphefumla.
• Iipilisi zokunciphisa iintlungu ngexesha lokuphola.

Uza kuqala kancinci kancinci ukuhamba kwaye ufumane amandla. Kodwa khumbula, wenze utyando olukhulu. Kufuneka unike umzimba wakho ixesha lokuphola. Mamela ngononophelo oko kuthethwa ngugqirha, ungangxami. Phumla ngokwaneleyo.

Njengazo zonke iintlobo zotyando, ngaba kukho iingozi ngale nto?

Ewe. Nangona olu tyando lusindisa ubomi, njengakuzo zonke iintlobo zotyando, kukho iingozi kunye neengxaki ezinokwenzeka. Ezinye zazo zezi:

• Ukopha kakhulu.
• Amahlwili egazi.
• Ubunzima bokuphefumla.
• Ukonakala kwamathumbu okanye ezinye izitho zomzimba.
• Ukuhlaselwa yintliziyo okanye isifo sohlangothi.
• Usulelo lwe-graft efakiweyo.
• Iintsholongwane zemiphunga, indlela yomchamo, okanye isisu.
• Ukungasebenzi kakuhle kwezintso.
• Umonakalo wemithambo-luvo.

Ukuba utyando lucwangcisiwe kwaye lwenziwa ngaphambi kokuba i-aneurysm igqabhuke , amathuba okusinda aphezulu kakhulu, phakathi kwe -95% kunye ne-98% .

Nangona kunjalo, xa kwenzeka utyando olungxamisekileyo emva kokuqhekeka kwe-aneurysm , amathuba okusinda anokwehla aye phakathi kwama-50% nama-70%. Kodwa ekubeni ukufa kuqinisekile ukuba akunyangwa, utyando lolona sisombululo silungileyo nesilungileyo.

Ixesha lokuchacha kunye nezinto ekufuneka uziqwalasele ekhaya

Le yinxalenye ebalulekileyo kubantu abaninzi.

Kuthatha ixesha elingakanani ukuphiliswa?

Kudla ngokuthatha iiveki ezine ukuya kwezintandathu ukuze umntu aphile ngokupheleleyo.Kuthatha malunga neentsuku ezili-10-20. Kodwa abanye abantu banokuya iinyanga ezimbini ukuya kwezintathu. Kuyahluka kumntu nomntu.

Izinto ekungamele zenziwe ngeli xesha

• Musa ukuqhuba imoto de ugqirha wakho akunike imvume (ngesiqhelo iveki enye ukuya kwezimbini).
• Musa ukungena ebhafini yamanzi de inxeba liphole. Ungahlamba, kodwa lumka inxeba.
• Musa ukudada de inxeba liphole.
• Musa ukuphakamisa izinto ezinzima (ezingaphezu kwe-4-5 kg) ubuncinane iiveki ezi-4-6.
• Musa ukuzilolonga kakhulu de uphelelwe ngumphefumlo.

Ungayinyamekela njani inxeba lotyando?

Kubaluleke kakhulu ukugcina inxeba lakho licocekile. Njengoko ugqirha esitsho, kuya kufuneka utshintshe ibhandeji enxebeni yonke imihla. Linokuba buhlungu kancinci xa uthimla okanye ukhohlela. Ngelo xesha , thatha umqamelo uwubeke phezu kwenxeba uze uwucinezele . Oko kuya kunciphisa iintlungu kwaye kukhusele inxeba.

Umnqweno wokutya kunye namandla

Ngexesha lokuchacha kwakho, usenokungabi namdla wokutya. Yinto eqhelekileyo leyo. Usenokuziva udiniwe kakhulu. Zonke ezi ziyinxalenye yenkqubo yokuchacha.

Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!

Lumka kakhulu ngomzimba wakho emva kokuba ufikile ekhaya. Ukuba unezinye zeempawu ezingezantsi, yazisa ugqirha wakho ngoko nangoko.

Utshintsho kwindlela yokuphila ekufuneka ulwenze emva kotyando

Olu tyando lutyalo-mali olukhulu kwimpilo yakho. Kuxhomekeke kuwe ukukhusela olo tyalo-mali.

• Ukutya okunempilo kwentliziyo: Nciphisa ityuwa, iswekile, kunye neoyile. Sela amanzi amaninzi.
• Ukuzilolonga: Buza ugqirha wakho ukuba zeziphi izilolonga ezifanelekileyo kuwe.
• Ukuba uyatshaya, yeka ngoku: Ukutshaya kuyingozi kakhulu kwimithambo yegazi yakho.
• Lawula uxinzelelo lwegazi oluphezulu, i-cholesterol, kunye nesifo seswekile: Sela amayeza akho ngexesha.

Utyando lwe-Aneurysm luyindlela esindisa ubomi enceda imithambo yegazi yakho iphile. Kwabanye, yinkqubo engxamisekileyo. Kwabanye, yinto ecwangcisiweyo kwiinyanga kwangaphambili. Nangona kunjalo, ayinazo iingozi. Ngoko ke, thetha nogqirha wakho malunga nonyango olungcono kuwe. Ukuhlolwa rhoqo yeyona ndlela ilungileyo yokufumana i-aneurysm ngaphambi kokuba ikhule kwaye ibe yingxaki.