Cinga ngomthambo wegazi oyintloko oqala phakathi esifubeni sakho, entliziyweni, uze uthwale igazi emzimbeni wakho wonke. Oku sikubiza ngokuba yi-aorta. Ngokuchanekileyo, inxalenye yokuqala ephuma entliziyweni ibizwa ngokuba yi-ascending aorta. Oku kufana nombhobho wamanzi oyintloko womzimba wethu. Ngamanye amaxesha, olunye udonga lwalo mthambo wegazi luba buthathaka luze luqale ukudumba njengebhaluni. Kwizonyango, le meko siyibiza ngokuba yi-aneurysm. Oku kunokuba yinto enzulu, kuba ukuba lo mthambo uba mkhulu kakhulu, ungadumba. Ngoko ke namhlanje siza kuthetha ngendlela yokulungisa ngotyando i-bulge kwi-ascending aortic aneurysm.
Ngubani odinga olu tyando?
Ngamafutshane, olu tyando luyimfuneko kwiimeko ezimbini eziphambili.
1. Njengemeko engxamisekileyo: Ukuba le aneurysm kwi-aorta yakho iqhuma ngequbuliso (iyaqhekeka) okanye ikrazuke kwiindonga zayo (iqhekeke), lutyando olungxamisekileyo nolusindisa ubomi. Le yimeko eyingozi kakhulu.
2. Njengotyando olucwangcisiweyo: Emva kokuba ugqirha wakho efumanise ukuba une-aneurysm, uza kuvavanya umngcipheko wokuba iqhume, kwaye ukuba umngcipheko uphezulu, uza kucebisa utyando ngaphambi kokuba iqhume. Ugqirha uhlala ejonga ubungakanani be-aneurysm kunye nokuba ikhula ngokukhawuleza kangakanani ngeeskeni (`CT` okanye `Heart MRI`) ezihlala zenziwa kanye okanye kabini ngonyaka.
Kwiimeko ezininzi, i-aneurysm ekhula kancinci okanye encinci kakhulu ayifuni unyango kangangexesha elithile. Nangona kunjalo, ukuba ikhula ngokukhawuleza okanye ifikelele kubukhulu obuyingozi, kukhuselekile ukuyisusa ngotyando ngaphambi kokuba iqhume.
Liliphi ixesha elifanelekileyo lokwenza utyando?
Isigqibo sokuba uza kutyandwa nini sixhomekeke kwizinto ezininzi, kuquka ukuba uneempawu na, ubungakanani be-aneurysm, kunye nokuba ikhula ngokukhawuleza kangakanani.
Iimpawu ezifuna utyando olungxamisekileyo
Ukuba ufumana naziphi na kwezi mpawu, oko kuthetha ukuba i-aneurysm yakho sele iza kuqhambuka. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
| Qaphela! Ezi ziimpawu zengozi ezingxamisekileyo! | |
|---|---|
| Intlungu ebukhali yesifuba okanye umqolo ongasentla | Ukuziva intlungu eqatha ngokungathi kukho into ekrazukileyo ngaphakathi emzimbeni. |
| Ubunzima bokuphefumla | Ukukhohlela, ukurhawuzelela, ukuphefumla kancinci. |
| Ezinye iimpawu | Ukudinwa , ukuquleka, ukubila kakhulu, isicaphucaphu nokuhlanza, ukubetha kwentliziyo ngokukhawuleza. |
Amatyala otyando olukhethwayo
Nokuba awuboni zimpawu, ugqirha wakho unokucebisa utyando kwezi meko zilandelayo:
| Into echaphazela isigqibo | Inkcazo |
|---|---|
| Ubungakanani be-aneurysm |
|
| Isantya sokukhula |
|
| Ezinye izinto | Izinto ezinje ngobungakanani bomzimba wakho (umntu onomzimba omncinci unokufuna utyando nokuba mncinci) kunye nokuba ukhe watyandwa olunye utyando lwentliziyo. |
Injani indlela yokulungiselela ngaphambi kotyando?
Uza kube ulungele utyando kwiiveki ezimbalwa ngaphambi kokuba luqale.
- Uvavanyo lwezonyango: Uvavanyo lwegazi lokujonga ukusebenza kwezintso, ii-CT okanye ii-MRI scans zokujonga yonke i-aorta, kunye ne-coronary angiography yokujonga eminye imithambo yegazi entliziyweni.
- Ukuthetha nogqirha wakho: Ufanele uxelele ugqirha wakho ngazo zonke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu), kunye nazo naziphi na ezinye izifo onazo, ezifana noxinzelelo lwegazi oluphezulu kunye nesifo seswekile.
- Ukutshaya: Kubaluleke kakhulu ukuyeka ukutshaya ngokupheleleyo ubuncinane inyanga enye ngaphambi kotyando.
Ugqirha uza kukunika imiyalelo, efana nokungaseli manzi emva kobusuku ngosuku lotyando kwaye uthabathe amayeza amiselweyo kuphela kusasa.
Lwenziwa njani utyando?
Olu lutyando lwentliziyo oluvulekileyo. Lwenziwa xa ulaliswe ngokupheleleyo.
1. Ukusika: Ugqirha wenza ukusika okuthe nkqo embindini wesifuba sakho.
2. Ukujikeleza kwegazi: Uza kuqhagamshelwa kumatshini wentliziyo nemiphunga. Oku kuza kubonelela umzimba wakho ngegazi kunye neoksijini oyidingayo ngexesha lotyando.
3. Ukulungiswa: Inxalenye ebuthathaka nedumbileyo ye-aorta iyasuswa ize ithatyathelwe indawo yityhubhu (i-graft) eyenziwe ngezinto ezenziwe ngokwenziwa. Le isebenza njengomthambo wegazi omtsha.
4. Ukuvalwa: Emva kokuba ityhubhu entsha ithungwe yaza yalungiswa, ukusika esifubeni kuyavalwa ngezititshi okanye izitapile.
Olu tyando ludla ngokuthatha malunga neeyure ezintathu ukuya kwezine, kodwa ixesha linokwahluka ngokuxhomekeke kwinto ekufuneka ilungiswe.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) kangangeentsuku ezimbalwa kwaye ubekwe esweni ngokusondeleyo. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo. Lonke ixesha lokuhlala esibhedlele lingathatha iintsuku ezi-4 ukuya kwezi-10.
Ungalindela oku kulandelayo ngexesha lokuchacha kwakho:
- Ukunika amayeza okudambisa iintlungu.
- Ukufaka i-catheter ukuze kuphume umchamo.
- Ukusebenzisa umatshini ukunceda ukuphefumla (kwiiyure ezimbalwa zokuqala).
- Ukunxiba iikawusi ezikhethekileyo (iikawusi zokuxinzelela) ukuthintela ukuqhekeka kwegazi emilenzeni.
Zithini iingozi kunye neenzuzo?
Eyona nzuzo iphambili kukuba ithintela ukuqhekeka, okunokuba yingozi. Izinga lempumelelo lotyando olucwangcisiweyo liphezulu kakhulu (malunga ne-95%-98%). Oku kuthetha ukuba eli lelona thuba lilungileyo lokusindisa ubomi.
Kodwa khumbula, ukuba i-aneurysm iyaqhuma, amathuba okusindisa ubomi bakho aphantsi kakhulu. Ngoko ke ukuba ugqirha wakho ucebisa utyando, oko kuthetha ukuba umngcipheko wotyando uphantsi kunokungabi nalo.
Njengakwezinye iintlobo zotyando olukhulu, kukho iingozi. Iingxaki ezinje ngokopha kakhulu, usulelo, ukuhlaselwa yintliziyo, isifo sohlangothi, kunye nokungasebenzi kakuhle kwezintso zinokwenzeka. Nangona kunjalo, iqela lezonyango lenza konke okusemandleni alo ukunciphisa ezi ngozi.
Kuthatha ixesha elingakanani ukuchacha?
Kudla ngokuthatha iiveki ezi-4 ukuya kwezi-6 ukuze umntu aphile ngokupheleleyo. Kwabanye, kungathatha iinyanga ezininzi. Ngeli xesha, kuya kufuneka ulandele imiqathango ethile.
- Kuphephe ukuqhuba: De ugqirha wakho akunike imvume (ngesiqhelo ubuncinane iiveki ezi-1-2).
- Kuphephe ukuphakamisa iintsimbi: Musa ukuphakamisa iintsimbi ezingaphezu kwe-5 kg (kangangeeveki ezi-4-6).
- Ukuhlamba: Musa ukuhlamba de inxeba liphole. Ungahlamba.
- Ukuzilolonga: Kuphephe ukuzilolonga okunamandla kakhulu.
Ukuze unciphise iintlungu xa ukhohlela okanye uthimla , beka umqamelo phezu kwenxeba uze ulicinezele. Kwakhona, ukuphelelwa ngumdla wokutya kunye nokudinwa kakhulu kuqhelekile kwiiveki ezimbalwa zokuqala. Ungakhathazeki ngayo.
Ufika nini kugqirha
Ukuba ufumana naziphi na kwezi mpawu zilandelayo ngexesha lokuchacha kwakho, yazisa ugqirha wakho ngoko nangoko.
| Ingxaki | Iimpawu ekufuneka uzijonge |
|---|---|
| Iingxaki ezinxulumene namanxeba | Inxeba liba bomvu, lidumbe, libe buhlungu, lifudumale, likhuphe ububomvu obuluhlaza/obumthubi, kwaye imiphetho yenxeba iyahlukana. |
| Ezinye iimpawu ezinzulu | Intlungu esifubeni okanye ukuphefumla kancinci nokuba uphumle, ukudumba kwemilenze, ukutyhafa, umkhuhlane, ukukhohlela okunegazi okanye i-phlegm eluhlaza/etyheli, igazi elisesitulweni. |
Umyalezo Wokuya Ekhaya
- I-ascensive aorta aneurysm yimeko enzima. Utyando olucwangcisiweyo ngaphambi kokuba luqhekeke lunokuthintela iingxaki ezisongela ubomi.
- Ukuba ufumana iimpawu ezifana nentlungu yesifuba ngequbuliso kunye nobunzima bokuphefumla, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
- Kuthatha ixesha ukuchacha ngokupheleleyo emva kotyando. Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
- Emva kokuchacha, ukugcina ukutya okunempilo kwentliziyo, ukuphepha ukutshaya, kunye nokulawula iimeko ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu kubalulekile kwimpilo yexesha elizayo.
- Ukuba unemibuzo malunga noku, ungoyiki ukuthetha nogqirha wakho.
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