Masifunde nje nge-Aortic Aneurysm, iqhubu elifana nebhaluni kwimithambo yegazi ephambili yomzimba wethu!

Owu, ngamanye amaxesha asibonisi zimpawu, kodwa iingxaki ezinkulu zinokuvela ngaphakathi emzimbeni, akunjalo? Lolo hlobo lwemeko ekhula buthule, kodwa ukuba uyazi, inokulawulwa. I-Aortic Aneurysm iyoyikisa kancinci ukuva, kodwa masithethe ngayo ngokulula. Emva koko ungayiqonda ngcono.

Masiqale sibone ukuba yintoni le 'Aorta'?

Khawucinge nje, umthambo wegazi omkhulu emzimbeni wethu yi- 'Aorta' . Ufana nombhobho ophambili othwala amanzi ukusuka kwitanki yethu yamanzi ukuya kuyo yonke indawo endlwini yethu. Le aorta yileyo ithwala igazi elicocekileyo, elineoksijini ukusuka entliziyweni yethu ukuya emzimbeni wonke. Imile njengengcongolo egobileyo phezulu. Inxalenye enyukayo esuka entliziyweni ibizwa ngokuba yi-'Ascending Aorta' , kwaye inxalenye ehla iye esiswini ibizwa ngokuba yi-'Descending Aorta' .

Ngoko ke, yintoni le 'Aortic Aneurysm'?

Ngamafutshane, le 'Aortic Aneurysm' iyenzeka xa kukho ubuthathaka eludongeni lomthambo wethu oyintloko wegazi obizwa ngokuba yi-aorta, kwaye uxinzelelo lwegazi oluhambayo lubangela ukuba loo ndawo idumbe njengebhaluni. Kufana nombhobho wamanzi omdala oqhumayo. Oko kudumba njengebhaluni yinto esiyibiza ngokuba yi-aneurysm. Oku kunokwenzeka kuyo nayiphi na imithambo yegazi, kodwa xa kwenzeka kwi-aorta, siyibiza ngokuba yi-aortic aneurysm.

Ngaba zikhona ezi ntlobo ze-aneurysms?

Ewe, kukho iintlobo ezimbini eziphambili ze-aortic aneurysms. Ezi ntlobo zimbini zahlulwe ngokwendawo ezenzeka kuyo:

1. I-Aneurysm ye-Aortic yesisu (AAA): Olu lolona hlobo luqhelekileyo. Lukhula kwinxalenye esezantsi ye-aorta yethu, eyinxalenye eya esiswini. Cinga ngayo njengenxalenye eyehlayo ngenduku.

2. I-Thoracic Aortic Aneurysm (TAA): Oku kwenzeka kwinxalenye ephezulu ye-aorta, oko kukuthi, kwinxalenye egobileyo 'U' kwindawo yesifuba. Ngamanye amaxesha, kubantu abanezifo zezicubu ezidibeneyo ezifana ne -Marfan syndrome, le TAA inokwenzeka kwi-ascending tissue aorta, inxalenye ye-aorta enyuka kufutshane nentliziyo.

Ii-aneurysms ze-aortic zesisu (AAA) zihlala zixhaphake kakhulu kunee -aneurysms ze-aortic zesifuba (TAA) . Oku kusenokuba kungenxa yokuba udonga lwe-aorta esifubeni sethu lutyebile kwaye lunamandla kunodonga lwe-aorta esiswini sethu.

Ixhaphake kangakanani le meko?

Enyanisweni, amadoda anamathuba aphindwe kane ukuya kathandathu okufumana i-abdominal aortic aneurysm (AAA) kunabasetyhini. Ichaphazela malunga ne-1% yamadoda aphakathi kweminyaka engama-55 nama-64 ubudala. Nangona kunjalo, umngcipheko wokufumana le ngxaki uyanda njengoko iminyaka ikhula. Kuthiwa umngcipheko unokunyuka malunga ne-4% rhoqo emva kweminyaka eli-10.

Ngubani osengozini enkulu yoku? (Izinto Ezinobungozi)

Imfuza yosapho lwakho kunye nendlela ophila ngayo zonke zinokudlala indima ekuphuhlisweni kwale aneurysm ye-aortic. Le meko idla ngokubonakala kwi:

• Phakathi kwabantu abatshayayo .
• Phakathi kwabo baneminyaka engaphezu kwama-65 ubudala.
• Phakathi kwamadoda .
• Ukuba kukho umntu kusapho lwakho okhe waba ne-aortic aneurysm ngaphambili.
• Uxinzelelo lwegazi oluphezulu, oko kukuthi, kubantu abanoxinzelelo lwegazi oluphezulu .

Cinga ngako, ukuba kukho naziphi na kwezi zinto ezikukhathazayo, bekungayi kuba kuhle na ukuba nexhala kancinci ngale nto?

Yintoni ebangela oku?

Kudla ngokuba nzima ukufumanisa unobangela ochanekileyo we-aortic aneurysm. Nangona kunjalo, kukho izinto ezininzi ekucingelwa ukuba zinegalelo kuzo:

• I-Atherosclerosis: Oku kukuqokelelana kwamafutha ngaphakathi kwemithambo yegazi, okuyenza inciphe. Kufana nomhlwa owenzeka ngaphakathi kombhobho wamanzi.
• Ukudumba kwemithambo yegazi.
• Iimeko zemfuza: Izifo ezichaphazela ngokukodwa izicwili ezidityanisiweyo, ezifana ne -Marfan syndrome kunye ne -Ehlers-Danlos syndrome .
• Ukwenzakala kwi-aorta: Njengokuvela kwingozi ethile.
• Ezinye izifo: Umzekelo, zinokubangelwa sisifo esidluliselwa ngesondo esifana ne -syphilis .

Zithini iimpawu zoku?

Nantsi into ebalulekileyo. Abantu abaninzi abazi nokuba bane-aortic aneurysm. Oku kungenxa yokuba kusenokungabikho zimpawu de igqabhuke.

Nangona kunjalo, ukuba i-aneurysm iyagqabhuka, yimeko enzima efuna unyango olungxamisekileyo. Ukuba wena okanye umntu onayo uneempawu ezibonisa ukuba i-aneurysm igqabhukile, kufuneka uye esibhedlele ngoko nangoko.

Iimpawu ze-aneurysm ephukileyo zinokuvela ngequbuliso:

• Ukuba nesiyezi okanye ukuba nentloko ebuthathaka.
• Isantya sentliziyo esikhawulezayo.
• Intlungu eqatha ngequbuliso esifubeni, iintlungu zesisu, okanye umqolo.

Ukuba i-aortic aneurysm ifunyenwe ngaphambi kokuba iqhekeke, inethuba elihle lokuchacha. Njengoko i-aneurysm ikhula, unokubona iimpawu ezifana nezi:

• Ubunzima bokuphefumla okanye ukuphefumla kancinci.
• Ukuziva ugcwele nangona sele utye kancinci.
• Ukuziva iintlungu apho kukho i-aneurysm (oku kusenokuba sentanyeni, emqolo, esifubeni, okanye esiswini).
• Ukuva intlungu okanye ubunzima xa uginya.
• Ukudumba kwezandla, intamo, okanye ubuso.

Zeziphi iingxaki ezinokubangela oku?

Ukuba i-aortic aneurysm iyagqabhuka, inokubangela ukopha ngaphakathi. Ngokuxhomekeke ekubeni ikwindawo ephi i-aneurysm, oku kugqabhuka kunokuba yingozi kakhulu, kude kube yingozi nakubomi. Nangona kunjalo, ngonyango olukhawulezileyo, uninzi lwabantu lunokuphila kwi-aneurysm egqabhukileyo.

I-aortic aneurysm eyandisiweyo inokubangela ukukrazuka eludongeni lomthambo wegazi (i-aortic dissection) . Oku kukrazuka kuvumela igazi ukuba livuze kwiindonga zomthambo. Oku kunciphisa umthambo, kunciphisa okanye kuthintele ngokupheleleyo ukuhamba kwegazi ukusuka entliziyweni ukuya kwezinye iindawo zomzimba. Uxinzelelo olungaphakathi kumthambo nalo lunokunyuka, nto leyo ebangela ukuba i-aneurysm iqhekeke.

Uyixilonga njani le nto?

Ngenxa yokuba uninzi lwee-aneurysms luvela ngaphandle kweempawu, oogqirha bazifumana kuphela ngexesha lovavanyo lwezonyango oluqhelekileyo okanye iskeni esenziweyo ukuze babone enye into.

Ukuba usemngciphekweni omkhulu wokuba ne-aortic aneurysm, okanye ukuba uneempawu ze-aneurysm, ugqirha wakho unokuyalela uvavanyo lwemifanekiso , oluyimvavanyo ejongeka ngaphakathi emzimbeni wakho. Imizekelo yale mizekelo ibandakanya:

• Iskeni ye-CT.
• I-CT okanye i-MRI angiography.
• Iskeni ye-ultrasound.

Uyinyanga njani i-aneurysm engaqhekekanga?

Ukuba une-aortic aneurysm engaqhekekanga, oko kukuthi, engekadubuli, ugqirha wakho uza kukujonga ngokusondeleyo. Ugqirha wakho unokucebisa ukuba uhlolwe rhoqo ukuba unezinto ezinokubangela ukuba ube ne-aneurysm.

Injongo ephambili yonyango kukuthintela i-aneurysm ukuba ingabi nkulu ize ibangele ukuba umthambo wegazi uqhekeke okanye uqhume. Kwi-aneurysms encinci, engaqhekekanga , ugqirha wakho unokukunika amayeza okuphucula ukuhamba kwegazi, ukwehlisa uxinzelelo lwegazi, okanye ukulawula i-cholesterol. Zonke ezi zinto zinokunceda ekunciphiseni ukukhula kwe-aneurysm kunye nokunciphisa uxinzelelo eludongeni lomthambo wegazi.

Ziziphi iintlobo zotyando lwe-aortic aneurysm ezikhoyo?

Ii-aneurysms ezinkulu ezisengozini yokuqhekeka okanye ukuqhuma zisenokufuna utyando . Ugqirha wakho angasebenzisa enye yezi ndlela zotyando:

1. Ukulungiswa kwe-aneurysm evulekileyo: Kule nkqubo, ugqirha usika i-aneurysm, asuse indawo ebuthathaka, aze ayifake ityhubhu ekhethekileyo yokulungisa umthambo wegazi. Olu tyando luvulekileyo lunokuba yimfuneko ukuba i-aneurysm iqhuma.

2. Ukulungiswa kwe-Endovascular Aneurysm (EVAR):Le yindlela yotyando engenamsebenzi kangako. Oko kuthetha ukuba yenziwa ngaphandle kokwenza umngxuma omkhulu. Kule nkqubo, ugqirha usebenzisa ityhubhu encinci (i-catheter) ukukhokela i-graft kwi-aneurysm kunye nokuqinisa okanye ukulungisa umthambo wegazi. Le nkqubo ikwabizwa ngokuba yi -thoracic endovascular aneurysm repair (TEVAR) okanye i-fenestrated endovascular aneurysm repair (FEVAR) .

Yintoni onokuyilindela emva kotyando?

Kungathatha inyanga okanye ngaphezulu ukuze uphile emva kotyando lwe-aneurysm. Ugqirha wakho uza kuqhubeka ekujonga utshintsho, ukukhula, okanye iingxaki kwi-aneurysm. Uninzi lwabantu lufumana iziphumo ezilungileyo emva kotyando.

Nangona kunjalo, njengalo naluphi na utyando, kukho iingozi ezithile. Ezinye zeengxaki ezinokubakho emva kotyando zezi:

• Ukuvuza kwegazi okujikeleze i-graft. Oku kukwabizwa ngokuba yi-endoleak .
• Umbhobho wasuswa endaweni yawo.
• Amahlwili egazi.
• Usulelo.

Ngaba singayithintela le aneurysm ye-aortic ukuba ingenzeki?

Ewe, ukuya kuthi ga kwinqanaba elithile. Ukuba noxinzelelo lwegazi oluphezulu, i-cholesterol ephezulu, okanye ukusebenzisa iimveliso zecuba kwandisa umngcipheko wokuba ne-aneurysm. Ungawunciphisa umngcipheko wakho ngokuphila ubomi obusempilweni . Oko kuthetha ukuba:

• Ukutya ukutya okunempilo kwentliziyo.
• Ukuzilolonga rhoqo.
• Ukugcina ubunzima obusempilweni.
• Ukuyeka ngokupheleleyo ukutshaya nokusebenzisa iimveliso zecuba.

Khangela, ezi zinto azilungelanga nje kuphela i-aneurysms, kodwa nakwimpilo yomzimba wethu wonke, akunjalo?

Ithini intelekelelo yomntu one-aortic aneurysm?

Ngokujonga nonyango ngononophelo, ugqirha wakho unokukunceda ulawule i-aortic aneurysm. Eyona nto ingcono kukuba iqela lakho lezonyango lifumane kwaye linyange i-aortic aneurysm ngaphambi kokuba igqabhuke, ukuba kunokwenzeka.

Ukuba i-aortic aneurysm iyaphuka, kufuneka ufune uncedo lwezonyango ngokukhawuleza. Ngaphandle konyango olukhawulezileyo, i-aortic aneurysm ephukileyo inokubulala. Utyando oluvulekileyo kunye notyando lwe-endovascular lunokuphelisa ngempumelelo i-aortic aneurysm ephukileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ufumana naziphi na kwezi mpawu, bona ugqirha wakho ngoko nangoko:

• Ukulahlekelwa zingqondo (ukungakwazi ukuphumla, ukuquleka okanye ukuquleka).
• Uxinzelelo lwegazi oluphantsi.
• Isantya sentliziyo esikhawulezayo.
• Intlungu ebuhlungu ngequbuliso, esifubeni, esiswini, okanye emqolo.

Ndimele ndibuze ntoni kugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba ndisemngciphekweni wokuba ne-aortic aneurysm?
• Ndingayazi njani ukuba ndine-aortic aneurysm?
• Ndingenza ntoni ukuthintela i-aortic aneurysm ukuba ingaqhekeki okanye iqhume?
• Zeziphi iinguqu zendlela yokuphila ekufuneka ndizenze ukuze ndinciphise umngcipheko we-aortic aneurysm?

Okokugqibela, umyalezo oya ekhaya:

Ukuthatha amanyathelo okuphucula impilo yentliziyo yakho kunokunceda ukuthintela ukuba i-aortic aneurysm ingakhuli okanye ibe mandundu. Thetha nogqirha wakho malunga notshintsho kwindlela ophila ngayo. Ukuba usemngciphekweni wokufumana i-aortic aneurysm, qiniseka ukuba ufumana uvavanyo rhoqo. Ukufunyanwa kwangoko kunye nonyango lwe-aneurysm kunokunciphisa kakhulu umngcipheko wokuqhekeka okanye ezinye iingxaki. Khumbula, ukuqonda yeyona ndlela ilungileyo yokuzikhusela!

` I-Aortic Aneurysm, iAortic aneurysm, Ukuncipha kwemithambo yegazi, Isifo sentliziyo, AAA, TAA, Aota