Ingaba i-aorta yakho ivuvukile? Masithethe nge-aortitis!

Ngaba wakha wacinga ukuba nemithambo yegazi emikhulu emzimbeni wethu inokuba neengxaki? Ngamanye amaxesha, iintlungu esizivayo ngaphandle kwesizathu esicacileyo, okanye ukungonwabi esikuvayo emzimbeni wethu, ngamanye amaxesha kunokuba luphawu lwento efana nale. Namhlanje siza kuthetha nge-aortitis, imeko enokwenzeka kwi-aorta, umthambo wegazi oyintloko emzimbeni wethu.

Yintoni i-aortitis? Masiyiqonde ngokulula.

Ngamafutshane, i-aortitis kukudumba kwe-aorta yakho . Ngoku cinga ngento eyenzeka kule aorta. Ngumthambo omkhulu emzimbeni wethu. Ufana nombhobho wamanzi ophambili onika amanzi endlwini yethu. Ngulo mthambo ophumayo kwaye unike igazi elicocekileyo nelicebileyo ngeoksijini kuwo onke amalungu kunye nezicubu zomzimba wethu. Ngoko ke, ekubeni le aorta ikwangumthombo wegazi, singayibona le meko ibizwa ngokuba yi-aortitis njengenye yeempawu ze-vasculitis , okanye ukudumba kwemithambo yegazi.

Ngamanye amaxesha, i-aortitis inokuthintelwa kwi-aorta. Okanye, inokwenzeka kunye nokudumba kweminye imithambo yegazi emzimbeni (ebizwa ngokuba yi-systemic vasculitis). Kukho iintlobo ezininzi ze-systemic vasculitis. Oogqirha baxilonga ezi ngokusekwe kwimithambo yegazi echaphazelekileyo kunye nezinye iimpawu abanazo.

I-Aortitis inokubangela ukuba i-aorta yakho ikhule. Siyibiza ngokuba yi-aortic aneurysm . Okanye, i-aorta inokuncipha. Oku kubizwa ngokuba yi -aortic stenosis . Zombini ezi meko zinokuba yingozi ebomini . Kuba i-aorta ngumthambo ophambili othwala igazi elineoksijini emzimbeni wonke. Ukuba kukho ingxaki ngayo, ichaphazela yonke inkqubo yomzimba.

Iimpawu ozifumanayo, indlela ochongiweyo ngayo, kunye neendlela zonyango ozifumanayo zixhomekeke kwizinto ezininzi:

• Yeyiphi inxalenye ye-aorta yakho echaphazeleka yile meko .
• Ingaba kukho ukudumba nakweminye imithambo yegazi.
• Nokuba ugqirha ufumene unobangela okanye isifo esinxulumene noko.

Ngaba i-Aortitis sisifo se-autoimmune?

Ewe, uninzi loogqirha lubona i-vasculitis (ukudumba kwemithambo yegazi) njengesifo sokuzikhusela komzimba . Oku kwenzeka xa inkqubo yomzimba wakho yokuzikhusela ihlasela izicwili zayo, ibangela ukudumba. Kufana nokutshisa indlu yakho ngomlilo.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-aortitis?

Ukuba ixhaphake kangakanani i-aortitis kuxhomekeke kwimeko esisiseko okanye unobangela. Oko kukuthi, nokuba inxulunyaniswa nesinye isifo okanye akunjalo. Ngokubanzi, i-aortitis ayisiyonto ixhaphakileyo .

Ziziphi iimpawu ze-Aortitis?

Iimpawu ze-aortitis zingahluka kumntu nomntu. Kuxhomekeke ekubeni ingaba ibangelwa yimeko efihlakeleyo ebizwa ngokuba yi-vasculitis okanye esinye isifo esibangela ukudumba okanye esosulelayo. Ngamanye amaxesha, abantu abane-aortitis basenokungabi nazo iimpawu konke konke . Yiloo nto eyenza kube yinto eyoyikisayo.

Nangona kunjalo, nazi ezinye zeempawu eziqhelekileyo:

• Intlungu yesifuba: Khawucinge ngentlungu ekhawulezileyo, ecinezelweyo okanye ehlabayo esifubeni sakho.
• Intlungu yesisu (intlungu yesisu): Intlungu ingenzeka kwisisu esisezantsi, esifubeni, okanye kuso sonke isisu.
• Intlungu yomqolo: Intlungu, ingakumbi kumqolo ongasentla.
• Intloko ebuhlungu : Ayifani nentloko eqhelekileyo, kodwa intloko ebuhlungu kancinci, engapheliyo.
• Ukutshintsha kombono: Ukubona okufipheleyo okanye ukulahleka kombono ngequbuliso.
• Umkhuhlane: Umzimba uba shushu kwaye ube nomkhuhlane ngaphandle kwesizathu.
• Ukuphefumla kancinci: Kuvakala ngathi unengxaki yokuphefumla nokuba ukhe wazama kancinci.
• Ukudumba kwemilenze: Amaqatha emilenze yomibini ayadumba.
• Intlungu emalungeni (xa usebenzisa): Intlungu yenzeka xa ushukumisa ingalo okanye umlenze okanye usenza umsebenzi.
• Iimpawu ezinxulumene nokudumba: izinto ezinje ngokudinwa, ukwehla kobunzima, kunye nokuphelelwa ngumdla wokutya.
• Iimpawu ezinxulumene ne-vasculitis ezichaphazela eminye imithambo yegazi.
• Iimpawu ezinxulumene nesifo esisisiseko (ukuba zikhona).

Ziziphi ezinye iziphumo ezinokubakho emzimbeni wam yi-aortitis?

Ukongeza kwiimpawu, abantu abane-aortitis banokuba neengxaki ezahlukeneyo. Ezi zinzima kakhulu :

• Ukungasebenzi kakuhle kwezintso: Oku kunokwenzeka ukuba imithambo yegazi ehambisa igazi ezintsoni iyachaphazeleka.
• Istroke: Ukuba kukho ingxaki kwimithambo yegazi ehambisa igazi engqondweni.
• Ukuhlaselwa yintliziyo: Ukuba kukho ingxaki kwimithambo yegazi ehambisa igazi entliziyweni.
• Ukungasebenzi kakuhle kwentliziyo: Intliziyo ayikwazi ukusebenza kakuhle.
• Ukuqhekeka okanye ukukrazuka kwe-aorta: Le yeyona nto iyingozi kakhulu. Ukuba i-aorta iyakrazuka, kunzima ukusindisa ubomi bakho.

Zithini izizathu ze-Aortitis?

Kukho izizathu ezininzi eziphambili ze-aortitis. Isenokuba yinxalenye yemeko engaphantsi ebizwa ngokuba yi -systemic vasculitis (ukudumba okuchaphazela imithambo yegazi emzimbeni wonke). Okanye isenokuba inxulumene nesinye isifo sokudumba. Kwezi meko, imbangela echanekileyo yesifo esingaphantsi kunye ne-aortitis ehambelana nayo ayaziwa okwangoku . Kwakhona, ezinye izifoI-Aortitis nayo inokukhula.

Ngamanye amaxesha, xa kusenziwa utyando kwi-aorta, i-aortitis inokufunyanwa ngokungalindelekanga. Ngale ndlela, i-aortitis ekhawulelwe kwi-aorta, ngaphandle kwesinye isifo okanye ukudumba kweminye imithambo yegazi, ibizwa ngokuba yi- "isolated focal aortitis."

I-vasculitis yenkqubo kunye nezinye izifo ezivuthayo

Ezinye zezifo ezinokubangela i-aortitis zezi:

• I-Giant cell arteritis: Le yimeko edla ngokuchaphazela imithambo yentloko nentamo, ngokuqhelekileyo kubantu abangaphezu kweminyaka engama-50 ubudala.
• I-Takayasu arteritis: Esi sisifo esichaphazela i-aorta kunye namasebe ayo amakhulu, ikakhulu kubasetyhini abaselula.
• I-Cogan syndrome: Isifo esingaqhelekanga esichaphazela amehlo neendlebe kwaye sinokubangela i-aortitis.
• Isifo sikaBehçet: Isifo esibangela izilonda emlonyeni nakwindawo yangasese, iingxaki zolusu, kunye nokudumba kwamehlo.
• Isifo sikaKawasaki: Esi sisifo esichaphazela kakhulu abantwana abancinci . Sibangela ukudumba kwemithambo yegazi.
• I-Polyarteritis nodosa: Isifo esichaphazela imithambo yegazi ephakathi.
• Ezinye iintlobo ze-'systemic vasculitis'.
• I-Ankylosing spondylitis: Isifo esibangela ukudumba kwamalungu omqolo.
• I-rheumatoid arthritis: Isifo esaziwayo esibangela ukudumba kwamalungu.
• I-Systemic lupus erythematosus (SLE): Sisifo esichaphazela amajoni omzimba esichaphazela amalungu ahlukeneyo omzimba.
• I-relapsing polychondritis: Isifo esichaphazela izicubu ze-cartilage.
• I-Sarcoidosis: Isifo apho amaqhuqhuva amancinci (iigranuloma) aqala khona kwizitho ezahlukeneyo zomzimba.
• Isifo esinxulumene ne-Immunoglobulin 4 (IgG4): Imeko eneentambo kunye nokudumba echaphazela amalungu ahlukeneyo omzimba.
• Izifo zamathumbu ezibangelwa kukudumba: ezifana nesifo sikaCrohn kunye ne-ulcerative colitis.

Iintsholongwane

Ezinye izifo ezinzulu zinokubangela i-aortitis. Eminye imizekelo ibandakanya:

• ISalmonella: Intsholongwane ebangela ityhefu ekutyeni.
• I-Syphilis: Isifo esidluliselwa ngesondo.
• I-Staphylococcus: Intsholongwane ebangela usulelo lolusu kunye nezinye izifo ezinzulu.
• Umkhuhlane onamabala eRocky Mountain: Isifo esithwalwa ziincukuthu.
• Usulelo lweGonococcal: IGonorrhea.
• Isifo sephepha: Usulelo lwebhaktiriya oluchaphazela kakhulu imiphunga.
• IHepatitis B kunye neC: Iintsholongwane ezichaphazela isibindi.
• Iintsholongwane zeHerpes:
• Usulelo lwefungus:

Ifunyanwa njani i-Aortitis?

Ukuze wazi ngokuqinisekileyo ukuba une-aortitis, ugqirha wakho uza kulandela la manyathelo:

• Baza kuthetha ngembali yakho yezonyango: baza kukubuza ngezifo zakho zangaphambili, izifo zosapho lwakho, kunye namayeza owaselayo.
• Kuza kwenziwa uvavanyo lomzimba: Umzimba wakho uza kuhlolwa.
• Uvavanyo lomfanekiso luyacwangciswa: uvavanyo olunokujonga ngcono i-aorta yakho kunye namasebe ayo amakhulu.
• Uvavanyo lwegazi luyalelwe: Olu vavanyo lunokujonga inqanaba lokuvuvukala emzimbeni wakho.
• Ukuba ukhe wenziwa utyando olubandakanya i-aorta, isampuli yethishu ethathwe ngelo xesha iya kuhlolwa phantsi kwe-microscope.

Ziziphi iimvavanyo ezisetyenziselwa ukuxilonga i-Aortitis?

Uvavanyo lomfanekiso:

• I-Echocardiogram: Uvavanyo lokujonga umsebenzi kunye nolwakhiwo lwentliziyo.
• I-Transesophageal echocardiogram: Olu luvavanyo lwe-echo, kodwa isixhobo esincinci sidluliselwa kwi-esophagus ukuze sibone intliziyo kunye ne-aorta ngokucacileyo.
• I-ultrasound yesisu: Jonga i-aorta esiswini.
• I-CT scan eqikelelweyo: I-CT scan ithatha imifanekiso yomzimba enqamlezileyo ize inike umbono oneenkcukacha ze-aorta kunye nezicubu ezingqongileyo.
• I-Magnetic resonance imaging (MRI): Isebenzisa amasimi emagnethi kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha.
• Iskeni ye-Positron emission tomography (PET): Inceda ekuchongeni iindawo ezinokuvuvukala emzimbeni.

Uvavanyo lwegazi:

• Isantya se-Erythrocyte sedimentation (ESR): Uvavanyo olubonisa ukudumba emzimbeni.
• Iprotheyini evuselelayo ye-C (CRP): Olu lolunye uvavanyo olubalulekileyo olubonisa ukudumba.
• Ubalo lwegazi olupheleleyo: Oku kulinganisa iintlobo zeeseli egazini kunye namanani azo.
• Iikhemistri ezivavanya ukusebenza kwezintso nesibindi:
• Ukuba kuyimfuneko, ezinye iimvavanyo zegazi ezikhethekileyo ukuze kufunyanwe i-systemic vasculitis, ezinye izifo zokudumba, okanye usulelo.

Uvavanyo lwezicubu ze-aorta:

Ukuba utyando lwe-aortic aneurysm , ugqirha wakho angathabatha isampuli yethishu ngexesha lotyando ukuze ajonge ukudumba. Abanye abantu bafunyanwa bene-aortitis ngexesha lotyando, bengenazo iimpawu zangaphambili.

Iphathwa njani i-Aortitis?

I-Aortitis inganyangwa ngamayeza kunye/okanye utyando . Oogqirha baya kugqiba ngonyango olusekelwe kwezi zinto zilandelayo:

• Yeyiphi inxalenye ye-aorta yakho echaphazelekileyo ?
• Nokuba kukho i-aneurysm okanye ukuncitshiswa ngenxa ye-aortitis, kwaye imbi kangakanani .
• Nokuba kukho isifo esinxulumene naso okanye esinye isizathu esisisiseko .
• Nokuba ingaba ichaphazela neminye imithambo yegazi .

Into ebalulekileyo kukuba ukuba une-"isolated focal aortitis" (oko kuthetha ukuba iphelela kwi-aorta, ngaphandle kwesinye isizathu) kwaye wenze utyando lokuyisusa ngokupheleleyo, kwaye akukho sifo sisisiseko, usenokungadingi unyango olongezelelweyo. Nangona kunjalo, kubalulekile ukuqhubeka nokuhlolwa ngugqirha wakho . Ukuba kukho naziphi na iimpawu ezintsha ezivelelayo, unokufuna unyango olwahlukileyo.

Ziziphi iimithi ezisetyenziselwa i-Aortitis?

Ukuba ugqirha wakho ufumanisa imeko esebenzayo ye-vasculitis, esinye isifo sokudumba, okanye usulelo, unokukunika amayeza anjengala:

• Amayeza okulwa nokuvuvukala okanye okuthintela ukuvuvukala: Kwi-systemic vasculitis okanye ezinye iimeko zokudumba ezifihlakeleyo. La mayeza okuthintela ukuvuvukala asebenza ngokucinezela inkqubo yomzimba yokuzikhusela.
• Amayeza okubulala iintsholongwane: Ukuba i-aortitis ivele ngenxa yosulelo.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwezi ndlela zonyango?

Ewe, ingakumbi amayeza okunciphisa amajoni omzimba anokunciphisa amandla omzimba wakho okulwa nosulelo. Ke ngoko, ugqirha wakho uya kukuchazela iingozi kunye neenzuzo zonyango ngalunye. Uya kuthetha nawe ngeendlela zokunciphisa ezi ngozi. Ungoyiki, thetha nogqirha wakho kwaye uqonde yonke into.

Kunini apho kufuneka khona utyando kwi-aortitis?

Ungadinga utyando kwezi meko zilandelayo:

• Ukuba une-aortic aneurysm, ukuba ivakala inkulu ngokwaneleyo ukuba iqhume, okanye ukuba i-aneurysm ichaphazela ukusebenza kwentliziyo.
• Ukuba i-aorta yakho iyancipha, nto leyo ebangela ukuncipha okukhulu kwegazi kwizitho ezibalulekileyo.

Ndingayinciphisa njani le ngozi?

Kwiimeko ezininzi, i-aortitis kunzima ukuyithintela kuba inokunxulunyaniswa ne-systemic vasculitis, isifo esibangela ukudumba, inkqubo enye yokudumba, okanye usulelo.

Nangona kunjalo, kubantu abane-aortitis, kubaluleke kakhulu ukunciphisa ezinye izinto ezinokubangela umonakalo kwimithambo yegazi . Ezi ziquka:

• Ukulawula uxinzelelo lwegazi oluphezulu.
• Ukunciphisa amanqanaba e-cholesterol.
• Ukuyeka ngokupheleleyo ukusetyenziswa kweemveliso zecuba.
• Ukuzilolonga rhoqo.
• Ukugcina ubunzima bakho busempilweni.

Ukuba ndine-aortitis, ngubani omele abe kwiqela lam lezonyango?

Ngenxa yokuba i-aortitis ingabonakala ngeendlela ezahlukeneyo kwaye ifuna unyango olwahlukeneyo, unokufuna ababoneleli bezempilo abaninzi ukuba bakuncede. Umzekelo:

• Umboneleli wokhathalelo oluphambili: Umntu okhathalela impilo yakho ngokubanzi.
• Ingcali yentliziyo: Ingcali kwintliziyo nakwimithambo yegazi.
• Ingcali yeRheumatologist: Ingcali kwizifo zamalungu, izihlunu, kunye nezifo zokuzikhusela komzimba, njengoko uninzi lwezifo ze-vasculitis ziwela kolu didi.
• Ingcali yezifo ezisulelayo: Ukuba kukho isifo esirhanelwayo.
• Ugqirha wentliziyo okanye wemithambo yegazi: Ukuba kufuneka utyando.

Iyintoni imbonakalo ye-aortitis?

Indlela ofumana ngayo i-aortitis ixhomekeke kwizinto ezininzi:

• Yeyiphi inxalenye ye-aorta yakho echaphazelekileyo kwaye inzima kangakanani .
• Nokuba i-aortitis ibangela iingxaki na .
• Nokuba kukho isifo esinxulumene naso okanye esinye isizathu esisisiseko .
• Impendulo kunyango (ukuba unyango luyadingeka) kunye nokuba unyango lubangela naziphi na iziphumo ebezingalindelekanga .

Ndingazinyamekela njani?

Eyona nto ibalulekileyo kukuba uye kuzo zonke iintlanganiso zokulandela kunye nogqirha wakho, usele amayeza akho njengoko uyalelwe, kwaye wazise ugqirha wakho ngoko nangoko ukuba ufumana naziphi na iimpawu ezintsha okanye ukungakhululeki. Musa ukoyika, eyona nto ibalulekileyo kukunika ingqalelo emzimbeni wakho.

Ndifanele ndimbone nini ugqirha wam?

Ugqirha wakho uza kukuxelela ukuba kufuneka uye kugqirha wakho kangaphi okanye wenze uvavanyo. Ukuba ubonakalisa iimpawu ezintsha okanye iimpawu ezindala zibuya, nxibelelana nogqirha wakho ngoko nangoko.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Eyona ngxaki iyingozi kakhulu ye-aortic aneurysm kukuqhekeka okanye ukuqhuma kwayo. Le yimeko enzulu kakhulu, kuba i-aorta yakho yeyona mithambo iphambili ethwala igazi elininzi emzimbeni wakho. Ukuba unayo nayiphi na kwezi mpawu, isenokuba yi-aorta eqhekekileyo:

* Ukuba ngequbuliso ufumana iintlungu eziqatha esifubeni sakho, emqolo, okanye esiswini (esiswini) ngaphandle kwesilumkiso.

* Ukuba ukubetha kwentliziyo kuyakhawuleza.

* Ukuba uziva unesizungu.

* Ukuba ufumana ubuthathaka okanye ukungaziva kakuhle ebusweni, engalweni, okanye emlenzeni, okanye ubunzima bokuthetha okanye bokubona.

Ukuba uthatha amayeza okunciphisa amasosha omzimba kwi-aortitis, okanye ukuba unesifo se-vasculitis okanye isifo sokudumba, unokufumana ezinye iingxaki ezinkulu ezifuna unyango olukhawulezileyo. Ugqirha wakho uza kukuchazela ukuba zeziphi iimpawu ezifuna ukuba uye kwigumbi likaxakeka, ngokusekelwe kwisicwangciso sakho sokuxilongwa kunye nolawulo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa ubona ugqirha wakho, ungathandabuzi ukubuza imibuzo efana nale:

• Ngaba isifo okanye unobangela osisiseko ungafunyanwa kwi-aortitis yam?
• Yeyiphi isicwangciso sonyango esifanelekileyo kum?
• Ugqirha uyijonga njani imeko yam?
• Ngaba kufuneka ndidibane nezinye iingcali?
• Zeziphi iimpawu ekufuneka ndizijonge?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngenxa yokuba i-aortitis inokuba yimeko esongela ubomi, kubalulekile ukuqhubeka nokufuna unyango kwingcali yezempilo enolwazi malunga ne-aortitis kunye nezizathu zayo . Kuya kufuneka uhlolwe rhoqo ngugqirha ukuze ujonge i-aorta yakho. Oku kungabandakanya ukutyelela ugqirha, uvavanyo lwegazi, kunye novavanyo lwemifanekiso.

Ukuqonda iingxaki zakho ze-aortitis, ukuzazi iimpawu zeengxaki ezinzulu, nokwazi apho ungaya khona ukuze ufumane uncedo xa ulufuna kuya kukunceda ulawule imeko yakho ye-aortitis. Jongana nale meko ngenkalipho nangaphandle koloyiko. Awuwedwa.

I- Aorta, i-Aorta, Ukudumba, Isifo seNtliziyo, Imithambo yegazi, Intlungu yesifuba, i-Aortic Aneurysm, i-Vasculitis