Ngaba ukhe weva ngemeko eyingozi ebizwa ngokuba yi-Aortic Dissection? Makhe sithethe ngayo ngokweenkcukacha!

Ngaba wakha wazibuza ukuba loluphi uhlobo lomonakalo onokwenzeka kumthambo wegazi oyintloko emzimbeni wethu, umbhobho omkhulu othwala igazi lisuka entliziyweni ukuya emzimbeni wonke? Ukuqhaqha kwe-aorta yimeko eyingozi enokuba yingozi ngequbuliso. Nangona oku kuyoyikisa kancinci, kubaluleke kakhulu ukukwazi oku. Kuba ukuba kuqatshelwe kwangethuba, kunokunyangeka.

Yintoni i-Aortic Dissection? Masiyiqonde ngokulula.

Ngamafutshane, ukuqhekeka kwe-aorta kukukrazuka (ukukrazuka) eludongeni lwe -aorta yakho, umthambo wegazi oyintloko othwala igazi elineoksijini ukusuka entliziyweni yakho ukuya emzimbeni wakho wonke. Cinga nge-aorta njengombhobho wamanzi oyintloko ekhayeni lakho. Idlula esifubeni sakho, esiswini sakho, ize iye emilenzeni yakho.

Le yimeko engaqhelekanga kakhulu. Kwenzeka ngolu hlobo: Udonga lwe-aorta lwenziwe ngamaleya amathathu. Ngesizathu esithile, umaleko ongaphakathi kolu donga uba buthathaka, nto leyo ebangela ukukrazuka okuncinci kulo. Emva koko, igazi elinoxinzelelo oluphezulu lidlula kuloo krazuka, lahlula umaleko ongaphakathi nophakathi. Kufana nodonga oluqhekekayo kubini. Oku kubizwa ngokuba kukuqhekeka .

Xa igazi liqala ukuhamba ngendlela engalunganga ngolu hlobo, ukuhamba kwegazi okuqhelekileyo kwamanye amalungu omzimba kunokuvaleka okanye kunciphe. Kwezinye iimeko, yonke i-aorta inokuqhuma.

Le yimeko embi kakhulu, esongela ubomi. Ukuba ayifunyaniswanga kwaye ayinyangwa ngokukhawuleza, ukufa kunokuvela. Ke ngoko, ukuba ufumana ezi mpawu, ungoyiki kwaye uye kwigumbi likaxakeka ngokukhawuleza.

Kubikwa ukuba le meko yenzeka kubantu abaphakathi kwe-5 kunye ne-30 kwisigidi ngasinye ngonyaka.

Ziziphi iintlobo eziphambili zokuqhekeka kwe-aorta?

Kukho iintlobo ezimbini eziphambili zokuqhekeka kwe-aorta:

1. Ukuqhaqha kwe-Aortic yohlobo lweStanford Type A: Oku kuqala ekuqaleni kwe-aorta yakho, indawo ekufutshane nentliziyo yakho. Kunokuba yingozi ebomini . Kudla ngokufuna utyando olukhawulezileyo oluvule isifuba. Oku kuquka ukulungisa isiqalo se-aorta ekrazukileyo okanye ukuyisusa uze ufake indawo ye-prosthetic part. Uninzi lwexesha, ukuqhaqha kuqhubeka kude kube yi-aorta. Uhlobo A luxhaphake kakhulu kunohlobo B.

2. Ukuqhaqhwa kwe-Aortic yohlobo B lweStanford:Iqala kwinxalenye esezantsi ye-aorta, kude kancinci nentliziyo, emva nje kwe-aorta arch, kwi-aorta ehlayo. Njengohlobo A, idla ngokusuka kwi-aorta ehlayo iye kwi-aorta yesisu. Nangona kunjalo, ayibandakanyi inxalenye yokuqala ye-aorta. Isenokufuna okanye ingadingi utyando kwangoko. Oku kuxhomekeke ekubeni iphi i-dissection kwaye ingaba ithintela ukuhamba kwegazi kwamanye amalungu omzimba wakho.

Oogqirha basebenzisa enye inkqubo yokwahlulahlula, ebizwa ngokuba yinkqubo yokwahlulahlula iDeBakey . Ineentlobo ezintathu. Uhlobo lokuqala (Uhlobo 1) luqala kwi-ascending aorta luze ludlulele kwi-descending aorta. Uhlobo lwesibini (Uhlobo 2) luqala kwi-ascending aorta kwaye lukhawulelwe kwi-ascending aorta (zombini zifana nohlobo lweStanford A). Uhlobo lwesithathu (Uhlobo 3) luqala kwi-descending aorta luze ludlulele ezantsi (oku kufana nohlobo B).

Zithini iimpawu zokuqhekeka kwe-aorta? Uyibona njani loo nto?

Uphawu oluphambili lokuqhekeka kwe-aorta kukuba kwenzeka ngequbuliso . Kunokwenzeka nangaliphi na ixesha. Kudla ngokwenzeka ngexesha lokuzilolonga, kunye nokunyuka ngequbuliso koxinzelelo lwegazi. Nangona kunjalo, kunokwenzeka naxa ulele okanye umile nje. Akukho zimpawu zesilumkiso eziza ngaphambi kwayo.

Ezi ziimpawu eziqhelekileyo onokuzifumana:

• Intlungu ebuhlungu, eqatha, nebukhali esifubeni okanye emqolo ongasentla. Ingavakala ngathi ikrazulwa ngaphakathi, ihlatywe ngemela, okanye ngathi lusu lukrazulwa.
• Intlungu ebuhlungu yesisu.
• Ubunzima bokuphefumla (ukuphelelwa ngamandla).
• Ukuquleka okanye isiyezi.
• Uxinzelelo lwegazi oluphantsi.
• Izandi zentliziyo ezingaqhelekanga (i-diastolic heart murmur okanye izandi zentliziyo ezifihliweyo).
• Ukubetha kwentliziyo okukhawulezayo nokubuthathaka.
• Ukubila okugqithisileyo.
• Ukudideka (ukungakwazi ukugxila).
• Ukulahlekelwa ngumbono.
• Iimpawu zestroke ziquka ubuthathaka kwelinye icala lomzimba kunye nobunzima bokuthetha.

Ukuba uneempawu zokuqhekeka kwe-aorta efana nale, ingakumbi iintlungu eziqatha esifubeni okanye iimpawu zestroke, fowunela u-911 ngoko nangoko okanye uye kwigumbi likaxakeka elikufutshane. Musa ukuyithatha lula le nto, yonke imizuzwana ibalulekile.

Zithini izizathu zokuqhekeka kwe-aorta?

Ukuqhekeka kwe-aorta kwenzeka xa iiseli ezikwiindonga ze-aorta zisiba buthathaka kancinci kancinci. Oku kubuthathaka kusenokwenzeka ukuba bekuqhubeka iminyaka, de indawo ebuthathaka eludongeni lwe-aorta ingasakwazi ukumelana nako. Kulapho ke kuvela khona ukukrazuka, okubangela ukuqhekeka kwe-aorta.

Oogqirha bakholelwa ukuba uninzi lweemeko zokuqhekeka kwe-aorta zibangelwa bubuthathaka obusisiseko eludongeni lwe-aorta (mhlawumbi oluzuzwe njengelifa). Kwezinye iimeko, uxinzelelo oluvela kuxinzelelo lwegazi oluqhubekayo lunokwenza buthathaka udonga lwe-aorta, nto leyo ekhokelela ekukrazukeni nasekuqhekekeni.

Ukuqhekeka kwe-aorta kudla ngokuvela kwiindawo apho udonga lwe-aorta luphantsi koxinzelelo olukhulu. Umzekelo, i-aorta yakho enyukayo. Ukuqhekeka kwi-aorta ephezulu kuxhaphake kabini kunezo zikwi-aorta esezantsi.

Ngubani osengozini enkulu yoku? Zithini izinto ezibangela oku?

Kukho izinto ezininzi ezibangela umngcipheko wokuba ne-aorta dissection. Jonga ukuba ezi zinto ziyasebenza na kuwe:

• Uxinzelelo lwegazi oluphezulu oluhlala luhleli (uxinzelelo lwegazi oluphezulu): Le yeyona nto ibalulekileyo nexhaphakileyo enobungozi . Uxinzelelo lwegazi oluphezulu lonakalisa ngokuthe ngqo iileya zezicubu ze-aorta. Oku kubangela ukuba imicu ye-elastic ilahleke, ulwakhiwo lodonga ludilike, kwaye udonga lube lukhuni.
• I-atherosclerosis (ukugcinwa kwamafutha kwimithambo yegazi) okanye i-cholesterol ephezulu.
• Ukusetyenziswa kweemveliso zecuba (iicuba, ii-beedis, njl.njl.).
• I-Aortic aneurysm (ukudumba okungaqhelekanga okanye ukudumba eludongeni lwe-aorta yakho).
• Isifo se-aortic valve.
• Iimeko zentliziyo ezizalwa nazo, ezifana nevalvu ye-aortic ye-bicuspid (ivavu eneencwadana ezimbini endaweni yezintathu eziqhelekileyo) okanye i-Turner syndrome .
• Iingxaki zezicubu ezidityanisiweyo, ezifana neMarfan syndrome kunye ne-Ehlers-Danlos syndrome, ziingxaki ezinokufunyanwa ngabazali ukuya ebantwaneni.
• Ezinye iimeko ze-aortic zesifuba ezizuzwe njengelifa, ezichaphazela kakhulu i-aorta yakho.
• Ukuba kukho umntu kusapho lwakho oye waqhaqhwa i-aorta (imbali yosapho).
• I-Aortitis (ukudumba/ukudumba kwe-aorta).
• Ukulimala kakhulu esifubeni. Umzekelo, ingozi yemoto ebaleka ngesantya esiphezulu, ukuwa ukusuka kubude obungaphezulu kweenyawo ezingama-20.
• Ukuba yindoda (amadoda asengozini enkulu kunabafazi).
• Ukuba phakathi kweminyaka engama-40 ukuya kwengama-70 ubudala. Njengoko ukhula, ukuguquguquka kodonga lwe-aorta kuncipha.
• Ukuba noxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa, ingakumbi ngexesha lokubeleka.
• Imisebenzi enokubangela uxinzelelo lwegazi oluphezulu ixesha elide, njengokusebenzisa iziyobisi ezifana ne-cocaine okanye ii-amphetamines.

Ezi meko zinokukhula ngokukhawuleza kubantu abasebenzisa i-powerlifting kwaye bathambekele kwi-aneurysms okanye i-dissection.

Ukuba unezi zinto zinobungozi obukhulu (ezifana ne-aneurysm okanye isifo se-connective tissue), fumana iziko le-aortic elibalaseleyo kunyango lwakho. Ezi ziko zineendlela zonyango zamva nje. Zikwabonelela ngonyango olungcono ngokusebenzisana neqela loogqirha abahlukeneyo (iingcali zentliziyo, iingcali ze-radiology, iingcali zemfuza). Izifundo zibonise ukuba iziko eligxile ekunyangeni izifo ze-aortic lineziphumo ezilungileyo kwezi meko zinzima.

Ziziphi iingxaki ezinokubakho zokuqhekeka kwe-aorta?

Ukuqhekeka kwe-aorta kunokubangela iingxaki ezinkulu ezifana nezi:

• Istroke.
• Ukonakala kwevalvu ye-aorta.
• Ukuhlaselwa yintliziyo.
• Ukumelwa yintliziyo.
• Ukonakala kwamalungu angaphakathi njengezintso.
• I-Cardiac tamponade: Ukuqokelelana kolwelo phakathi kwemisipha yentliziyo kunye nengxowa ejikeleze intliziyo (i-pericardium).
• Ukufa.

Oogqirha baxilonga njani ukuqhekeka kwe-aorta? Ziziphi iindlela zokuxilonga?

Ugqirha unokurhanela ukuba i-aorta iyaqhekeka ngokusekelwe kwiimpawu zakho. Nangona kunjalo, kuya kufuneka baqinisekise ukuba ngaba une-aorta eyaqhekeka okanye enye ingxaki yempilo eneempawu ezifanayo, njengokuhlaselwa yintliziyo okanye isifo sohlangothi. Xa i-aorta iyaqhekeka, kunokuba nzima ukuva ii-pulses ezingalweni nasemilenzeni yakho. Ugqirha unokufumanisa ukuba uxinzelelo lwegazi kwingalo enye luphezulu kunenye.

Oogqirha kufuneka baxilonge ukuqhekeka kwe-aorta ngokukhawuleza kuba unokufuna utyando olungxamisekileyo. Nje ukuba iqela lakho lezonyango lixilonge ukuqhekeka kwe-aorta, iqela elikhethekileyo lezothutho linokukuthumela kwiziko elilawula ezi meko zinzima.

Zithini iimvavanyo zokuxilonga?

Ugqirha angayalela iimvavanyo ezifana nezi:

• I-X-reyi yesifuba: Olu luvavanyo olukhawulezayo olusebenzisa ubungakanani obuncinci bemitha ukufota intliziyo yakho, imiphunga, imithambo yegazi (efana ne-aorta), kunye namathambo esifubeni sakho.
• I-CT scan: Olu vavanyo lunceda ekufumaneni umbono ongcono we-aorta ngokukhawuleza xa kukho imeko engxamisekileyo. Lunokunceda ugqirha ukuba abone ukuba kukho i-aneurysm okanye ukuqhekeka. Ungafakwa nolwelo olukhethekileyo (IV contrast) emthanjeni wakho njengenxalenye yolu vavanyo.
• I-Transthoracic echocardiogram (TTE): Oku kusebenzisa iteknoloji ye-ultrasound ukuvelisa imifanekiso eshukumayo yeevalvu zentliziyo yakho, amagumbi entliziyo, kunye nokuqala kwe-aorta yakho (ingcambu ye-aorta).
• I-Transesophageal echocardiogram (TEE):Oku kunokuvelisa imifanekiso ecacileyo neneenkcukacha ngakumbi yeevalvu zentliziyo kunye namagumbi kune-echocardiogram eqhelekileyo ye-transthoracic. Ikwabonelela ngombono ongcono we-thoracic aorta, umthambo wegazi esifubeni sakho. Kolu vavanyo, ugqirha ufaka isixhobo se-ultrasound ngomlomo wakho kwi-esophagus yakho. I-esophagus ikwindawo engasemva kwentliziyo yakho naphambi kwe-aorta ehlayo.
• I-MRI scan: Oku kusebenzisa imagnethi enkulu kunye namaza erediyo ukwenza imifanekiso eneenkcukacha zamalungu kunye nezakhiwo ezingaphakathi emzimbeni wakho, kuquka i-aorta. Ingabonisa imifanekiso ehambayo yeevalvu zentliziyo, amagumbi, kunye negazi elihamba nge-aorta. Nangona kunjalo, olu vavanyo luthatha ixesha elide kune-CT scan eqhelekileyo, ngoko ke alusetyenziswa rhoqo kwiimeko ezingxamisekileyo.

Iphathwa njani i-aortic dissection?

Unyango lokuqhekeka komthambo wentliziyo luxhomekeke kwindawo apho kukrazuke khona kunye nokuqhekeka kwawo.

• Kwi-aorta yohlobo lwe-A (ukuba inxalenye yokuqala ye-aorta, ekufutshane nentliziyo, ichaphazelekile), kuya kufuneka utyando ngoko nangoko.
• Kwi-B aortic dissection yohlobo lwe-B aortic, ukuba i-dissection ithintela ukuhamba kwegazi ukuya kwizitho ezibalulekileyo nakwizitho zomzimba, njengezintso zakho, amathumbu, imilenze, okanye umqolo, kuya kufuneka utyando olungxamisekileyo. Ukuba i-CT scan yakho ibonisa naziphi na iimpawu ezinobungozi obukhulu, kuya kufuneka utyando kungekudala.
• Kwiimeko ezingembi kangako, unyango lokuqhaqha umthambo wentliziyo lunokuqala ngamayeza okunciphisa isantya sentliziyo yakho okanye ukunciphisa uxinzelelo lwegazi. Utyando lunokwenziwa kamva ukuba kuvela iingxaki.

Utyando kunye noNyango lwe-Endovascular

Iindlela zotyando ziquka:

• Ukutshintshwa kwe-graft: Ugqirha wotyando ususa inxalenye eyonakeleyo ye-aorta yakho aze ayitshintshe ngetyhubhu eyenziwe ngezicubu zokwenziwa (i-graft). Ngokuxhomekeke kubungakanani bokuqhekeka, banokufuna ukulungisa i-aortic valve yakho, ingcambu ye-aortic, okanye i-aortic arch yakho kunye nemithambo ethwala igazi entlokweni nasezingalweni zakho. Olu lutyando lwentliziyo evulekileyo kwaye lolona nyango lungcono lokuqhekeka kwe-aortic yohlobo lwe-A olungxamisekileyo.
• Ukulungiswa kwe-endovascular stent-graft:Kule nkqubo, ugqirha ulungisa i-aorta yakho ngaphakathi. Basebenzisa i-stent graft. Le yityhubhu eyenziwe ngeengcingo zesinyithi enenkxaso (njenge-scaffold) eqhotyoshelwe kuyo. I-stent iqinisa inxalenye ebuthathaka ye-aorta. Olu lungiso lwe-endovascular lolona khetho lubalaseleyo kwingxaki enzima (ukuhamba kwegazi ukuya kwizitho ezibalulekileyo kuvaliwe, okanye kukho iimpawu ezinobungozi kwi-CT scan) yohlobo lwe-B dissection. Ugqirha wenza oku ngokwenza umngxuma omncinci kumthambo wakho we-femoral kwi-groin yakho aze asebenzise iingcingo kunye nee-catheters.
• Indlela exutyiweyo: Kule nkqubo, ugqirha usebenzisa zombini iindlela zotyando oluvulekileyo kunye neendlela zokufakelwa kwe-endovascular stent-graft ukulungisa i-aorta. Le ndlela isetyenziswa xa ukulungiswa kufuneka kudlulele kwi-aortic arch, enika igazi kwingqondo nakwiingalo. Oku kungenziwa njengenkqubo engxamisekileyo yokususwa kohlobo A. Ingenziwa njengenxalenye yokulungiswa kwamanqanaba amabini, kusetyenziswa i-bypass evela kumthambo wegazi entanyeni yakho ukunceda ukulungiselela ukulungiswa kwe-endovascular yokususwa kohlobo B.

Amayeza

Ugqirha unokukunika amayeza, anjenge- beta-blockers, okunciphisa izinga lentliziyo yakho kunye noxinzelelo lwegazi. Kwezinye iimeko zohlobo lwe-B aortic dissection, amayeza odwa angasetyenziswa ukunyanga ukuqhekeka ekuqaleni. Ngokuxhomekeke kubukhulu bokukrazuka kunye nobukhulu bokukrazuka, utyando lunokwenziwa emva kweenyanga okanye iminyaka.

Ngaba ukuqhekeka kwe-aorta kungathintelwa?

Zininzi izinto ongenakuzitshintsha eziyandisa umngcipheko wakho wokuba ne-aortic dissection. Umzekelo, ezinye iimeko zentliziyo zokuzalwa, iingxaki zezicubu ezidibeneyo, okanye izinto zemfuza ezinxulumene nembali yosapho yokuqhekeka kwe-aortic.

Nangona kunjalo, unganciphisa ezinye zeengozi zakho:

• Lawula uxinzelelo lwakho lwegazi.
• Ziphephe ngokupheleleyo iimveliso zecuba.
• Gcina ubunzima bakho busempilweni.
• Soloko unxibe ibhanti yesihlalo xa ukhwela imoto ukuze uthintele ukwenzakala esifubeni xa kwenzeka ingozi.
• Yiya kuxilongwa rhoqo ngugqirha, kwaye ubone ugqirha ukuba ubona naluphi na utshintsho kwimpilo yakho.
• Ukuba isalamane sakho esikwinqanaba lokuqala (umzali, umntwana, okanye umntakwenu) sikhe saqhaqhwa i-aorta, cela ugqirha wakho ukuba ahlole umngcipheko wakho wesifo se-aorta. Ugqirha wakho angakujonga aze akunike unyango olufunekayo ngaphambi kokuba kwenzeke isiganeko se-aorta.

Ukuba ufunyaniswe une-aortic aneurysm, bonana nogqirha ogxile kwizifo ze-aortic (ingcali yentliziyo okanye ugqirha wentliziyo). Banokuvavanya umngcipheko wakho, kwaye ukuba kuyimfuneko, bakujongele utyando lokulungisa i-aorta yakho.

Yintoni onokuyilindela ukuba une-aortic dissection?

Ukuqhekeka kwe-aorta sisiganeko esinokuba yingozi ebomini. Abantu abaqhekeka ngequbuliso kwi-aorta (uhlobo A) banezinga eliphezulu lokufa. Malunga nama-40% abantu abaqhekeka kwi-aorta yohlobo A bafa ngoko nangoko, ngenxa yokuba i-aorta iqhekeka ngokupheleleyo kwaye yopha.

Abantu abasindayo kwimeko engxamisekileyo badla ngokushiywa benotyando olungapheliyo kwiindawo ezinganyangwanga ze-aorta yabo. Oku kunokufuna unyango kamva.

Ngokuphucuka konyango lwanamhlanje, ingqikelelo kwisigaba esingapheliyo iyaphucuka. Nangona kunjalo, ixesha lokuphila emva kokuqhaqhwa kwe-aorta lifutshane xa lithelekiswa noluntu ngokubanzi. Nangona kunjalo, ngonyango olukhawulezileyo kunye nolawulo lweqela le-aorta eliqeqeshweyo, kunokwenzeka ukuba uphile ubomi obuqhelekileyo iminyaka emininzi emva kokuqhaqhwa kwe-aorta.

Ndingazinyamekela njani?

Ugqirha uhlala ekunika amayeza oxinzelelo lwegazi, anjenge-beta-blockers, ukulawula uxinzelelo lwegazi kunye nesantya sentliziyo yakho. Kuya kufuneka uwathathe ubomi bakho bonke . Ungadinga amayeza angaphezu kwelinye.

Kubaluleke kakhulu ukuphepha iimveliso zecuba emva kokuqhaqha kwe-aorta.

Imisebenzi ye-aerobic efana nokuhamba, ukukhwela ibhayisekile, kunye nokudada ilungile. Nangona kunjalo, eminye imisebenzi, efana nokuphakamisa izinto ezinzima (ngaphezulu kwesiqingatha sobunzima bomzimba wakho), kufuneka ithintelwe. Inganyusa uxinzelelo lwegazi kwaye ibeke uxinzelelo olongezelelweyo kwi-aorta.

Ndifanele ndimbone nini ugqirha wam?

Emva kokuba usindile ekuqhekekeni kwe-aorta - nokuba awuzange wenze utyando - kuya kufuneka ubone ugqirha rhoqo (ngesiqhelo rhoqo emva kweenyanga ezi-3 ukuya kwezili-12) ukuze ahlolwe i-CT okanye i-MRI scan. Oku kuvumela oogqirha ukuba babone naluphi na utshintsho kwangethuba baze benze ngokufanelekileyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Luhlobo luni lokuqhaqha kwe-aorta endinalo?
• Ngaba ndiza kufuna utyando?
• Ungandithumela kwiqela lenkxaso labantu abakhe baqhaqha umthambo omkhulu?

Yintoni umahluko phakathi kwe-aneurysm, ukuqhekeka, kunye nokuqhekeka?

La magama anokuba yinto edidayo kancinci, ngoko masicacise:

• I-Aortic aneurysm: Le yi-bulge efana nebhaluni, efana nebhaluni kwindawo ebuthathaka eludongeni lwe-aorta yakho. Okanye lonke icandelo le-aorta liyavuvukala. I-aortic aneurysm inokubangela ukuqhekeka kwe-aortic okanye ukuqhekeka kwe-aortic.
• Ukuqhekeka kwe-aorta: Oku kukukrazuka okupheleleyo, okanye umngxuma, eludongeni lwe-aorta, okubangela ukuba igazi livuza ngomngxuma liye kwindawo ejikelezileyo.
• Ukuqhaqha kwe-aorta:Oku kukukrazuka okungaphakathi kwi-aorta. Kuvumela igazi ukuba liphume, lize lahlukanise iileya zangaphakathi neziphakathi zodonga lwe-aorta. Oku kunokwanda umgama omde kumacala omabini kwi-aorta yakho, kwaye kunokusasazeka nakwimithambo yegazi ephuma kwi-aorta.

Ukuqhekeka komthambo womthambo yinto eyoyikisayo nedidayo. Ukusinda kuyo kunokuba yingqokelela yeemvakalelo ezixutyiweyo. Iimvakalelo zakho zifanelekile, kwaye kukho abanye abayiqondayo into ojongene nayo. Yiba lilizwi lakho, ubuze imibuzo ngayo nayiphi na into engacacanga. Qhubeka usela amayeza akho, ulandele yonke imiyalelo kagqirha wakho, kwaye uye kuzo zonke iintlanganiso zikagqirha wakho.

Kubaluleke kakhulu ukuya kwiziko le-aorta elibalaseleyo, elinamava amaninzi ekunyangeni ezi ntlobo zezifo kwaye lixhaswa ziingcali ezahlukeneyo. Iziphumo ezifunyenwe kwiziko elinjalo zingcono kakhulu kunezo zonyango lwenani elincinci kakhulu lezigulana.

Umyalezo obalulekileyo onokuwuthatha ekhaya

Ngoko ke, mhlawumbi ngoku uyaqonda ukuba i-Aortic Dissection yimeko eyenzeka ngequbuliso, eyingozi kakhulu, nesongela ubomi. Ukuba ufumana iintlungu zesifuba eziqatha, iintlungu zomqolo, okanye iimpawu zestroke, musa ukuyityeshela. Funa uncedo lwezonyango ngokukhawuleza.

• Ixesha bubomi: Ukuxilongwa kwangoko kunye nonyango kunokusindisa ubomi.
• Ziqaphele izinto ezinobungozi: Ziqaphele izinto ezifana noxinzelelo lwegazi oluphezulu, ukutshaya, kunye nembali yosapho. Zama ukuzilawula.
• Unyango olufanelekileyo kunye nokulandelela: Sebenzisa amayeza anikwe ngugqirha wakho kanye njengoko eyalelwe. Yiya kuhlolwa ngugqirha ngexesha.
• Uncedo lweengcali: Ukuba kunokwenzeka, funa unyango kwiziko leengcali elinyanga ezi ntlobo zezifo.

Siyathemba ukuba olu lwazi luluncedo kuwe. Hlala usempilweni!

Ukuqhekeka kwe - aorta, i-aorta, i-aorta, iintlungu zesifuba, isifo sentliziyo, uxinzelelo lwegazi oluphezulu, utyando, unyango olungxamisekileyo