Into efana nebhaluni encinci emzimbeni wakho? Masithethe ngale aneurysm!

Ngaba wakha weva ngegama elithi 'aneurysm'? Mhlawumbi wakha weva ngomhlobo okanye ilungu losapho elinayo. Okanye mhlawumbi wakha weva ugqirha ethetha ngayo. Nangona igama lisenokuvakala lisoyikisa kancinci, ukuba siyazi kakuhle ukuba liyintoni, singakuphepha uloyiko olungeyomfuneko. Ngoko ke, ngaba singathetha ngayo namhlanje?

Yintoni kanye kanye i-aneurysm?

Ngamafutshane, i-aneurysm yindawo ebuthathaka eludongeni lomthambo wegazi emzimbeni wethu evuthuluka njengebhaluni. Uyazi, imithambo yethu yimibhobho emikhulu ethwala igazi elineoksijini ukusuka entliziyweni ukuya emzimbeni wonke. Ngoko ke, ukuba indawo eludongeni lwalo mthambo iba buthathaka, uxinzelelo oludalwa ligazi elihamba ngokukhawuleza lubangela ukuba loo ndawo ibuthathaka ivuthuluke. Loo mvuthuluko yinto esiyibiza ngokuba yi-aneurysm.

Ixesha elininzi, asiziva ngathi sine-aneurysm, kwaye asiziva ntlungu. Nangona kunjalo, ukuba iqhuma ngequbuliso, inokuba yingozi kakhulu, kwaye ngamanye amaxesha ide ibulale. Kungoko ke, kubaluleke kakhulu ukuqaphela oku.

Ngaba kukho iintlobo ezahlukeneyo ze-aneurysms? Zenzeka phi?

Ewe, ii-aneurysm zinokwakheka kuyo nayiphi na imithambo yegazi emzimbeni wethu. Oko kuthetha ukuba zinokwakheka kwiindawo ezahlukeneyo ezifana nentliziyo, isisu, ingqondo, kunye nemilenze. Uhlobo lwe-aneurysm luxhomekeke ekubeni lwenzeka phi.

Uhlobo oluqhelekileyo lwe -aneurysm olubonakala rhoqo yi-aortic aneurysm . Ubusazi ukuba i-aorta yeyona mithambo mikhulu emzimbeni wethu? Ngumthambo othwala igazi ukusuka entliziyweni ukuya emzimbeni wonke. Ii-Aneurysms ezenzeka kwimithambo engaphandle kwe-aorta zibizwa ngokuba zii-peripheral aneurysms.

Makhe sijonge iintlobo ezimbalwa eziphambili:

• I-Abdominal Aortic Aneurysm (AAA): Olu lolona hlobo luxhaphakileyo. Lukhula kwinxalenye ye-aorta ehamba ngesisu.
• I-Cerebral Aneurysm/Brain Aneurysm: Njengoko igama lisitsho, oku kwenzeka kumthambo osebuchotsheni. Uhlobo oluqhelekileyo lwale nto yi -saccular aneurysm, ekwaziwa ngokuba yi-berry aneurysm . Ifana nengxowa encinci egcwele igazi elinamathele kumthambo, efana ne-berry.
• I-Thoracic Aortic Aneurysm: Le yincinci kancinci kune-Aortic Aneurysm yesisu. Ivela kwinxalenye ephezulu ye-aorta, kwindawo yesifuba.
• I-Carotid Aneurysm: Ezi zikhula kwimithambo ye-carotid, enika igazi engqondweni, entanyeni nasebusweni bethu. Ezi azifumaneki lula.
• I-Popliteal Aneurysm: Oku kwenzeka kumthambo ohamba ngasemva kwedolo.
• I-Mesenteric Artery Aneurysm: Olu hlobo lwe-aneurysm lukhula kumthambo ohambisa igazi emathunjini ethu.
• I-Splenic Artery Aneurysm: Oku kwenzeka kumthambo okhokelela kwi-spleen.

Ixhaphake kangakanani le aneurysm?

Ubusazi na ukuba ii-aneurysms zobuchopho ezingaqhekekanga zenzeka kwi-2% ukuya kwi-5% yabantu abaphilileyo? Kwaye, kwabo, malunga ne-25% bane-aneurysm engaphezulu kwesinye. Ngokuqhelekileyo, zikhula xa sele zikhulile, kodwa zinokubakho nakubantwana. Zihlala zifunyaniswa zimalunga neminyaka engama-50 ubudala. Kodwa eyona nto ilungileyo kukuba, uninzi lwee-aneurysms zobuchopho aziqhekeki.

Ii-Aortic aneurysms (AAAs) zixhaphake kakhulu xa uneminyaka yobudala. Ngokukodwa, ii-abdominal aortic aneurysms (AAAs) zixhaphake ngokuphindwe kane ukuya kathandathu kumadoda kunakwabasetyhini. Yi -1% kuphela yamadoda aneminyaka engama-55-64 anazo. Nangona kunjalo, eli pesenti linyuka nge-2% ukuya kwi-4% kwishumi leminyaka ngalinye.

Ngubani osengozini enkulu yokuba ne-aneurysm?

Iintlobo ezahlukeneyo ze-aneurysms zichaphazela amaqela ahlukeneyo abantu. Umzekelo, i-brain aneurysms ixhaphake kakhulu kwabasetyhini kunakwamadoda. Ngokufanayo, i-aortic aneurysms ixhaphake kakhulu kumadoda kunakwabasetyhini.

Ii-aneurysms ze-aortic zesisu (AAA) zixhaphake kakhulu kwezi:

• Kwamadoda.
• Kwabo baneminyaka engaphezu kwama-60 ubudala.
• Kwabo batshayayo. (Le yingxaki enkulu kakhulu!)
• Kwabamhlophe (kodwa banokukhula nakubani na walo naluphi na uhlanga).

Zithini iimpawu ze-aneurysm?

Ixesha elininzi, umntu akazi ukuba une-aneurysm. Isenokukhula buthule ngaphakathi emzimbeni. Nangona kunjalo, ukuba i-aneurysm iyaqhuma, yingxamiseko yezonyango! Kufuneka ufumane unyango ngoko nangoko. Ukuba wena okanye umntu onaye ubonisa iimpawu ze-aneurysm eqhumayo, fowunela ku-911 (1990 Suwaseriya eSri Lanka) ngoko nangoko.

Iimpawu ze-aneurysm eqhumayo zenzeka ngequbuliso:

• Ubuqhophololo /isiyezi.
• Ukubetha kwentliziyo ngokukhawuleza.
• Intloko ebuhlungu ngequbuliso, intlungu esifubeni, esiswini, okanye emqolo.
• Ukulahlekelwa yingqondo ngequbuliso emva kwentloko ebuhlungu.

Kubalulekile: Ukuqhuma kwe-aneurysm yimeko ethetha ubomi okanye ukufa, ngoko ke ukuba ufumana ezi mpawu, musa ukulibazisa umzuzwana.

Nokuba i-aneurysm ayidubuli, ngamanye amaxesha inokubangela iimpawu kuxhomekeke kwindawo ekuyo. Usenokuba neempawu zokothuka, ezinje ngoxinzelelo lwegazi oluphantsi, ukubila okubandayo, ukuziva ubuthathaka, kunye nokubetha kwentliziyo ngokukhawuleza.

Ezinye iimpawu zingabandakanya:

• Ukuziva udidekile okanye udidekile.
• Ubunzima bokuginya.
• Ukudinwa.
• Intloko ebuhlungu (ingakumbi kwiimeko ze-brain aneurysm).
• Isicaphucaphu okanye ukuhlanza.
• Intlungu esiswini sakho, esifubeni okanye emqolo.
• Ukubetha kwesisu okanye ukudumba entanyeni yakho.
• Isantya sentliziyo esikhawulezayo.
• Utshintsho Lombono.

Ziziphi iingxaki ezinokubakho ngenxa ye-aneurysm?

Ukuba i-aneurysm iyagqabhuka, ibangela ukopha ngaphakathi. Ngokuxhomekeke kwindawo eyenzeka kuyo, ukugqabhuka kunokuba yingozi kakhulu kwaye kube yingozi nakubomi.

Khawucinge nje, kwenzeka ntoni ukuba ihlwili legazi lenzeka kwi-aneurysm entanyeni yakho lize liye engqondweni yakho? Ukuba elo hlwili legazi lithintela ukuhamba kwegazi ukuya engqondweni yakho, kwenzeka istroke.

Ukuba i-brain aneurysm iyaqhuma, ibizwa ngokuba yi-subarachnoid hemorrhage. Abanye abantu babiza olu hlobo lwestroke ngokuthi yi-brain bleeding. Abantu badla ngokuba "nentloko ebuhlungu kakhulu ebomini babo." Oku kunokulandelwa kukungabi nangqondo, ubunzima bokuthetha, kunye nezinye iimpawu.

Kutheni le nto i-aneurysm isenzeka? Zithini izizathu?

Ngamanye amaxesha, abantu bazalwa bene-aneurysm. Oku kuthetha ukuba bakhona xa bezalwa. Nangona kunjalo, banokukhula nangaliphi na ixesha ebomini. Kwiimeko ezininzi, kunzima ukufumana unobangela othile we-aneurysm. Nangona kunjalo, kukho izizathu ezininzi ezinokwenzeka:

• I-atherosclerosis: Oku kuxa amanqatha eqokelelana eludongeni lwemithambo yegazi, ewanciphisa. Oku kunokwenza buthathaka udonga lwemithambo yegazi.
• Imbali yosapho ye-aneurysms: Ukuba umama wakho, utata, okanye abantakwenu bakha banale meko, nawe usemngciphekweni wokuba nayo.
• Uxinzelelo Lwegazi Oluphezulu: Ukuba uxinzelelo lwegazi luhlala luphezulu, udonga lwemithambo yegazi lunokonakala kwaye lube buthathaka.
• Ingozi okanye ukwenzakala kwi-aorta .

Oogqirha bayixilonga njani i-aneurysm? (Ukuxilongwa)

Ii-aneurysms ezininzi zikhula ngaphandle kweempawu. Ugqirha wakho unokuzifumana ngengozi ngexesha lokuhlolwa rhoqo okanye olunye uvavanyo.

Ukuba uneempawu ezibonisa ukuba unokuba ne-aneurysm, ugqirha uya kwenza uvavanyo oluninzi lwemifanekiso. Uvavanyo olunokunceda ekufumaneni nasekuxilongeni i-aneurysm luquka:

• Iskena se-CT
• I-CT okanye i-MRI Angiography: Le isetyenziselwa ukuthatha umfanekiso okhethekileyo wemithambo yegazi.
• Iskeni ye-ultrasound `(Ultrasound)`

Ugqirha uyichaza njani i-aneurysm?

Ugqirha wakho uza kuhlela i-aneurysm ngokusekwe kubukhulu bayo kunye nendlela eyakheke ngayo. Kukho iindlela ezahlukeneyo zokwahlulahlula:

• I-Fusiform aneurysm: Kule nto, umthambo uvuvukala uvela macala onke.
• I-Saccular Aneurysm: Oku kwenzeka xa icala elinye kuphela lomthambo livuvukala (ngokufana ne-Berry Aneurysm ekhankanyiweyo ngaphambili).
• I-Mycotic Aneurysm: Oku kwenzeka xa udonga lwemithambo yegazi lubuthathaka emva kosulelo (ngokuqhelekileyo kwiivalvu zentliziyo).
• I-Pseudoaneurysm okanye i-False Aneurysm: Kule nto, kuphela umaleko ongaphandle wodonga lwe-artery ovuthulukayo. Oku kunokwenzeka emva kokonakala komaleko ongaphakathi we-artery (ukuqhekeka).

Iphathwa njani i-aneurysm?

Ukuba ugqirha ufumanisa ukuba une-aneurysm engaqhekekanga, uza kukujonga ngokusondeleyo. Injongo ephambili yonyango kukuthintela i-aneurysm ukuba ingaqhekeki.

Ngokuxhomekeke kuhlobo, indawo, kunye nobukhulu be-aneurysm, unyango lunokubandakanya amayeza okanye utyando. Ugqirha unokukunika amayeza okuphucula ukuhamba kwegazi, ukwehlisa uxinzelelo lwegazi, okanye ukulawula i-cholesterol. Olu nyango lunokunceda ukulawula i-aneurysm ekubeni ibe nkulu kwaye lunciphise uxinzelelo eludongeni lwemithambo yegazi.

Ii-aneurysms ezinkulu ezisengozini yokuqhuma zisenokufuna utyando. Kwakhona, ukuba i-aneurysm iyaphuka, utyando luyafuneka ngokuqinisekileyo. Kukho iintlobo ezahlukeneyo zotyando:

• Ukulungiswa kwe-Endovascular Aneurysm (EVAR):Kolu tyando lwe-endovascular, ugqirha ufaka i-catheter (ityhubhu encinci) kwimithambo yegazi. Nge-catheter, ugqirha ufaka i-graft (icandelo elikhethekileyo letyhubhu) ukuqinisa okanye ukulungisa umthambo. Kwi-thoracic aneurysms, le nkqubo ibizwa ngokuba yi-Thoracic Endovascular Aneurysm Repair (TEVAR). Ukuba kusetyenziswa i-graft enezimbobo ezikhethekileyo, ibizwa ngokuba yi-Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Utyando Oluvulekileyo: Kwezinye iimeko, ugqirha otyandayo angenza utyando oluvulekileyo ukuze afake i-graft okanye asuse i-aneurysm.
• Ukugoba kwemithambo yegazi: Le nkqubo iphatha ii-aneurysms zobuchopho. Ugqirha ufaka ii-coils ezininzi (oko kukuthi, ii-coils zeplatinum wire) kwi-aneurysm nge-catheter aze ayizalise. Oku kunciphisa inani legazi elihamba kwi-aneurysm kwaye kunciphisa umngcipheko wokuba iqhume.
• Ukusika imithambo yegazi emincinci: Olu luhlobo lotyando oluvulekileyo lwengqondo kwi-aneurysms yobuchopho. Ugqirha ubeka i-metal clip ezantsi kwe-aneurysm ukuze anqande ukuhanjiswa kwegazi.
• Ukufakelwa kweCatheter: Le nkqubo isetyenziselwa ukunqanda ukopha kwi-aneurysm. Ugqirha ufaka i-catheter kumthambo ochaphazelekayo aze asebenzise ityhubhu ukufaka amayeza okanye ii-embolic agents ezithintela ukopha.

Ndingayithintela njani i-aneurysm ukuba ingenzeki?

Ii-aneurysms ezingaqhekekanga zixhaphakile. Azinakuthintelwa rhoqo. Nangona kunjalo, unganciphisa umngcipheko wakho wokuba ne-aneurysm ngokugcina indlela yokuphila esempilweni:

• Yitya Ukutya Okunempilo Entliziyweni: Yitya ioyile encinci, ityuwa, neswekile, kodwa yitya imifuno neziqhamo ezininzi. Izinto ezifana nemifuno eluhlaza, imifuno, neentlanzi ezintsha ezikhoyo kwilizwe lethu zilungile kakhulu.
• Zilolonge rhoqo: Yenza into efana nokuhamba, ukubaleka, okanye ukudada ubuncinane imizuzu engama-30 ngosuku.
• Gcina Ubunzima Obusempilweni: Ukugcina ubunzima obufanele ubude bakho kubaluleke kakhulu.
• Kuphephe okanye uyeke ukutshaya: Oku kuyimfuneko. Ukutshaya yenye yezona zinto zibangela i-aneurysms.

Ithini intelekelelo yomntu one-aneurysm?

Ii-aneurysms eziqhekekileyo zizinto ezisongela ubomi. Ukuba i-aneurysm iyaqhekeka engqondweni, inokubangela isifo sohlangothi. Ingabulala ukuba ayinyangwa ngokukhawuleza. Ngonyango olukhawulezileyo, iziphumo zingahluka. Uninzi lwabantu luyaphila kakuhle ngokuvuselelwa kunye nolunye unyango.

Oogqirha badla ngokubanceda abantu abane-aneurysms encinci nengaqhekekanga. Ugqirha wakho uza kuyijonga imeko yakho ngokusondeleyo. Amayeza okanye utyando lunokunciphisa umngcipheko wokuqhekeka.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana iimpawu ezinjalo, kufuneka ubone ugqirha ngoko nangoko:

• Ubukrelekrele.
• Isantya sentliziyo esikhawulezayo.
• Intloko ebuhlungu ngequbuliso, intlungu esifubeni, esiswini, okanye emqolo.

Ezi mpawu zinokuba luphawu lokuqhekeka kwe-aneurysm, ngoko ke kubalulekile ukufuna iingcebiso zonyango ngaphandle kokuchitha ixesha.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ukrokrela ukuba une-aneurysm, okanye ukuba sele unayo le meko, ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba ndisemngciphekweni wokuba ne-aneurysm?
• Ngaba kufuneka ndenze uvavanyo lwemifanekiso ukuze ndifumane i-aneurysm?
• Ndingayithintela njani i-aneurysm yam ukuba ingabi mbi okanye iqhume?
• Zeziphi iinguqu endinokuzitshintsha kwindlela endiphila ngayo ukuze ndinciphise umngcipheko?

Khumbula, i-aneurysm inokukhula kuyo nayiphi na imithambo yegazi emzimbeni wethu. Ugqirha wakho unokujonga i-aneurysm aze ayinyange ukunciphisa umngcipheko wokugqabhuka kwayo. Nangona kunjalo, ukuba i-aneurysm iyagqabhuka, yingxamiseko yezonyango. Kufuneka ufune uncedo lwezonyango ngoko nangoko.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-aneurysms namhlanje, akunjalo? Ngamafutshane, ziyinxalenye ebuthathaka yomnye wemithambo yethu yegazi evuvukala njengebhaluni. Uninzi lwexesha, awuziboni, kodwa zinokuba yingozi kakhulu ukuba ziyaqhuma.

Eyona nto ibalulekileyo kukwazi izinto ezikubangela umngcipheko. Ukuba unezinto ezinje ngokutshaya, uxinzelelo lwegazi oluphezulu, okanye imbali yosapho, licebo elihle ukuba uye kuhlolo lwezonyango rhoqo.

Ukuba ufumana iimpawu zongxamiseko, ezinje ngentloko ebuhlungu kakhulu ngequbuliso, iintlungu zesifuba, okanye ukulahlekelwa zingqondo, yiya esibhedlele ngokukhawuleza.

Indlela yokuphila esempilweni, njengokutya ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya, inokunciphisa le ngozi. Ngoko ke, khathalela umzimba wakho. Kuba impilo yeyona nto ibalulekileyo!

I- Aneurysm, umthambo wegazi, i-aorta, i-brain aneurysm, i-abdominal aneurysm, umthambo wegazi oqhekekileyo, intloko ebuhlungu ngequbuliso, utyando