Ngaba wakha weva igama elithi ' brain aneurysm'? Mhlawumbi wakha weva nangomhlobo wakho onayo. Kuqhelekile ukuba uzive usoyika kancinci kwaye wothukile xa sisiva eli gama. Ngubani ongenakukoyika xa esithi umthambo wegazi ngaphakathi kwengqondo uyaqhuma, akunjalo? Kodwa endaweni yokoyika ngokungeyomfuneko ngale nto, kubaluleke ngakumbi ukuyiqonda. Ke namhlanje, siza kuthetha ngayo ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-aneurysm?
Cinga ngebhaluni. Ukuba siqhubeka siyivuthela, ezinye iindawo ziba buthathaka kwaye iphume njengeqamza elincinci, akunjalo? Kwenzeka into efanayo kwimithambo yegazi engqondweni yethu.
Xa umthambo wegazi ohambisa igazi engqondweni uba buthathaka kwinqanaba elithile, kwaye igazi liqhubeka nokuhamba kuwo ngesantya esiphezulu, indawo ebuthathaka iphuma njengebhaluni. Elo qhuma libizwa ngokuba yi-aneurysm . Ezi zinokukhula zibe nkulu njengequnube elincinci.
Nangona eli gama livakala lisoyikisa, uninzi lwee -aneurysms azibangeli zimpawu okanye iingxaki zempilo. Umntu unokuphila ubomi bakhe bonke engazi ukuba une-aneurysm, ngaphandle kweengxaki.
Nangona kunjalo, kunqabile kakhulu, le aneurysm inokukhula ibe nkulu, ivuza igazi kancinci, okanye iqhume ngequbuliso. Xa iqhuma ize iphume igazi engqondweni, ibizwa ngokuba yi-hemorrhagic stroke. Le yingxamiseko yezonyango enzulu kakhulu, esongela ubomi. Kwiimeko ezinjalo, kufuneka unyango olukhawulezileyo esibhedlele.
Ziziphi iintlobo kunye nobukhulu be-aneurysms?
Ii-Aneurysms zinokwahlulwa zibe ziintlobo ezininzi eziphambili. Makhe sijonge ukuba zeziphi.
| Uhlobo lwe-Aneurysm | Inkcazo |
|---|---|
| I-Saccular Aneurysm | Olu lolona hlobo luxhaphakileyo. Lwenza iqamza ngaphandle komthambo wegazi, lifana nequnube elixhonywe kumdiliya. Yiyo loo nto likwabizwa ngokuba yi-"berry aneurysm". |
| I-Fusiform Aneurysm | Ezi azibonakali njengeqamza. Kunoko, iindonga zomthambo wegazi ziyadumba zijikeleze, ziwenze wande loo ndawo. Ezi azixhaphakanga kangako. |
| I-Mycotic Aneurysm | Uhlobo lwe-aneurysm oluvela xa udonga lomthambo wegazi lubuthathaka ngenxa yosulelo olufana neebhaktheriya okanye iifungi. Oku nako kunqabile kakhulu. |
Ezi aneurysms zinokuba ngobukhulu obahlukeneyo.
- Encinci ( SMA ll): Ngaphantsi kweemilimitha ezili-11 (malunga nobukhulu berabha yepensile).
- Enkulu: Iphakathi kweemilimitha ezili-11-25 (malunga nobukhulu bengqekembe ye-rupee ezi-5 eSri Lanka).
- Inkulu: Inkulu kuneemilimitha ezingama-25.
Zithini iimpawu zoku? Yile nto ekufuneka uyazi ngokuqinisekileyo!
Iimpawu ze-aneurysm zixhomekeke ekubeni iqhumile okanye ayiqhumanga. Le nxalenye ibaluleke kakhulu , ngoko ke nika ingqalelo.
| Iimpawu ezingxamisekileyo ze-aneurysm eqhumayo (ukuba unayo nayiphi na kwezi, yiya kwi-ETU ngoko nangoko!) | |
|---|---|
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| Iimpawu ze-aneurysm ekhula kodwa engadubuliyo (bona ugqirha ngokukhawuleza) | |
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Kutheni le nto ezi aneurysms zenzeka? Ngubani osengozini enkulu?
Akukho sizathu sinye sokwakheka kwe-aneurysm, kodwa ezinye izinto ezinobungozi zichongiwe.
Izizathu ezibangelwa lilifa
Ezinye iimeko zofuzo zinokwandisa umngcipheko wokuba ne-aneurysms.
- Isifo sezintso se-Autosomal dominant polycystic sisifo apho ii-cysts zenzeka khona kwizintso.
- Uhlobo lwe-Neurofibromatosis 1 sisifo esibangela ukuba kubekho iithumba eluswini nakwimithambo-luvo.
- Izifo ezichaphazela izicwili ezidityanisiweyo (iMarfan syndrome, i-Ehlers-Danlos syndrome)
Izinto ezinobungozi ezinxulumene nendlela yokuphila
Ezi zizinto esinokuzilawula.
- Uxinzelelo lwegazi oluphezulu: Le yeyona nto iphambili neyona ixhaphakileyo.
- Ukutshaya: Abantu abatshayayo basengozini enkulu yokuba ne-aneurysms kunye nokuqhuma kwayo.
- Imbali yosapho: Ukuba omnye wezalamane zakho ezisondeleyo (umama, utata, umntakwenu) ukhe waba ne-aneurysm, nawe usemngciphekweni omkhulu kancinci.
- Ubudala: Umngcipheko uyanda emva kweminyaka engama-40.
- Isini: Abafazi banamathuba amaninzi okufumana i-aneurysms kunamadoda.
- Ukusetyenziswa kweziyobisi: Ukusetyenziswa kweziyobisi ezifana ne-cocaine.
- Ukusela utywala ngokugqithisileyo.
Oogqirha bayifumana njani le nto?
Ukuba ugqirha wakho urhanela ukuba kukho i-aneurysm ngokusekelwe kwiimpawu zakho, kukho iimvavanyo ezininzi zokuqinisekisa oko.
- I-CT Scan: Oku kuthatha imifanekiso eneenkcukacha zobuchopho. Ngamanye amaxesha idayi ekhethekileyo ifakwe engqondweni ukuze imithambo yegazi ibonakale ngakumbi.
- I-MRI Scan: I-magnetic field isetyenziselwa ukuthatha imifanekiso ecacileyo yengqondo kunye nemithambo yegazi.
- I-Angiogram:Le yeyona ndlela ithembekileyo yokubona i-aneurysm. Kule nkqubo, ityhubhu encinci kakhulu (i-catheter) idluliselwa kwimithambo yegazi emlenzeni okanye engalweni iye kwimithambo yegazi esebuchotsheni, kufakwe ulwelo olukhethekileyo, kwaye kuthathwe uthotho lwemifanekiso ye-X-ray. Oku kuvumela ukuba kubonwe indawo echanekileyo, ubungakanani, kunye nokuma kwe-aneurysm.
- Ukubhaqwa koMgogodla/kweLumbar: Ukuba kukho isikrokro sokuba kukho i-aneurysm eqhumayo, kuthathwa isampuli yolwelo lomqolo kumqolo ize ivavanywe igazi.
Zithini iindlela zonyango?
Unyango lumiselwa zizinto ezininzi, kuquka nokuba i-aneurysm iqhumile okanye ayiqhumanga, ubungakanani bayo, indawo ekuyo, ubudala bakho, kunye nempilo iyonke.
Kwi-aneurysms encinci, engenazimpawu, nengaqhekekanga, kunokwenzeka ukuba ungayithinteli nayiphi na unyango kwaye ulinde nje ulinde. Kuya kufuneka uxoxe ngale nto nogqirha wakho ukuze wenze isigqibo esifanelekileyo.
I-aneurysm eqhumayo kufuneka inyangwe ngoko nangoko kuba umngcipheko wokuba iqhume kwakhona uphezulu kakhulu. Kukho iindlela ezininzi zonyango eziphambili.
| Indlela yonyango | Okwenzekayo kulula. |
|---|---|
| Ukunqunyulwa ngotyando | Utyando olubandakanya ukuvula ukhakhayi. Ugqirha ufumanisa i-aneurysm aze abeke intsimbi encinci entanyeni yakhe ukuze ayeke ukopha. |
| Ukujijeka kwe-Endovascular | Le yinkqubo engabandakanyi ukuvula ukhakhayi. Njenge-angiogram, kufakwa ityhubhu encinci emlenzeni, kwaye kudluliswa ii-coils zeplatinum wire coils ezincinci kakhulu kuyo zifakwe kwi-aneurysm. Emva koko ukuhamba kwegazi kuyo kuyamiswa, kwaye ihlwili legazi liyakhiwa lize livalwe. |
| Utyando lokuTshintsha iiFlow | Inkqubo esetyenziselwa ii-aneurysms ezinkulu. Kule nkqubo, i-stent efana ne-mesh ifakwa ngaphakathi komthambo wegazi apho i-aneurysm ikhoyo. Oku kuvumela igazi ukuba lihambe ngqo kwi-aneurysm, endaweni yokuyidlula. |
Umyalezo Wokuya Ekhaya
- Uninzi lwee-aneurysms zobuchopho aziphumi. Zinokuba zingenazimpawu, ngoko ke ungoyikiswa ngokungeyomfuneko ligama.
- Intloko ebuhlungu ngequbuliso, ebuhlungu ngendlela ongazange uyibone ebomini bakho, luphawu lwesilumkiso! Ukuba oku kuyenzeka, musa ukucinga kabini kwaye yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Uxinzelelo lwegazi oluphezulu kunye nokutshaya zezona ntshaba zimbini zinkulu. Ukulawula ezi zimbini kunokunciphisa kakhulu umngcipheko wakho.
- Ukuba ilungu losapho elisondeleyo liye lafumana i-aneurysm, thetha nogqirha wakho ngayo.
- Ukuba ifunyenwe kwangethuba kwaye inyangwa ngokufanelekileyo, le meko inokuphiliswa ngokupheleleyo. Ngoko ke, kubaluleke kakhulu ukuqaphela iimpawu.
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