Cinga ngentliziyo yakho njengempompo yamanzi. Ityhubhu ephambili, enkulu, neyomeleleyo epompa amanzi emzimbeni wakho yi -aorta . Le yiyo ethwala igazi elicocekileyo nelicebileyo ngeoksijini ukusuka entloko ukuya emilenzeni yakho. Ngoko ke ukuba kukho ingxaki ngale mbhobho ibalulekileyo, siza kuthetha ngotyando lokuyilungisa. Kuqhelekile ukuba uzive usoyika kancinci xa usiva ngale nto, kodwa wakuba unolwazi olufanelekileyo, ungaloyisa olo loyiko.
Ziziphi iingxaki eziphambili ezivela kule aorta?
Ngamafutshane, kukho iingxaki ezimbini eziphambili ezichaphazela i-aorta.
1. I-Aneurysm: Khawuthelekelele umbhobho wamanzi omdala ophuma njengebhaluni. Ngendlela efanayo, iindonga ze-aorta ziba buthathaka kwaye zivuthuluke njengebhaluni ngenxa yoxinzelelo lwegazi oludlula kuyo. Oku sikubiza ngokuba yi-"Aneurysm".
2. Ukuqhekeka: Oku kwahlukile kancinci. Udonga lwe-aorta luneengqimba ezininzi. Okwenzekayo koku kukuba kubekho ukukrazuka okuncinci kwingqimba engaphakathi, kwaye igazi livuza phakathi kwezo zingqimba zimbini. Le yimeko enobungozi kakhulu.
Ukuba le aneurysm okanye ukuqhekeka kwemithambo yegazi kuqhambuka ngequbuliso, kunokubangela ukopha okuninzi emzimbeni kwaye kube yingozi ebomini. Yiyo loo nto oogqirha bezama ukuyilungisa ngotyando ngaphambi kokuba ifikelele kwelo nqanaba.
Kutheni iimeko ezinje zenzeka?
Kukho izizathu ezahlukeneyo zoku, ezinye zazo esinokuzilawula, kanti ezinye asinakuzilawula.
| Izizathu eziphambili | Ingcaciso elula |
|---|---|
| I-atherosclerosis | Eyona nto ibangela kukwanda kwezinto ezifana ne-cholesterol kwiindonga zemithambo yegazi, nto leyo eqinisa kwaye inciphise imithambo yegazi. |
| Uxinzelelo lwegazi | Uxinzelelo lwegazi oluphezulu, okanye uxinzelelo oluhlala luphezulu ixesha elide, lungonakalisa udonga lwemithambo yegazi. |
| Iingxaki zeTishu eziXhakamshelweyo | Ezi zizifo zemfuza. Umzekelo, abantu abanezifo ezifana neMarfan Syndrome banezicwili zomzimba ezibuthathaka, nto leyo enokubangela ukuba i-aorta ibe buthathaka. |
| Ukwenzakala okubangelwe yingozi | Olu hlobo lomonakalo lunokwenzeka nangenxa yokwenzakala okukhulu esifubeni, njengengozi enkulu yemoto. |
Yenziwa njani i-operation? Zeziphi iindlela eziphambili?
Ugqirha uza kugqiba ngenkqubo yotyando efanelekileyo kuwe ngokusekelwe kwizinto ezininzi, ezinje ngobunzima bemeko yakho kunye nendawo ekuyo i-aneurysm. Kukho iindlela ezimbini eziphambili.
1. Utyando Oluvulekileyo
Le yindlela yendabuko. Apha, kwenziwa i-sternotomy embindini wesifuba, okanye isisu sivulwe, ukuze kufikelelwe ngqo kwinxalenye eyonakeleyo ye-aorta. Emva koko inxalenye eyonakeleyo iyasuswa kwaye i-graft eyenziwe ngezinto zokwenziwa ezifana neDacron ifakwa endaweni yayo. Olu lutyando olukhulu, kwaye kuthatha ixesha elide ukuphola.
2. Utyando lwe-Endovascular / olungena kancinci
Le yiteknoloji yanamhlanje. Akukho sithuba sikhulu apha. Kwenziwa utyando oluncinci emthanjeni wegazi nge-groin, kwaye i -stent graft ithunyelwa ngayo ngoncedo lwe-catheter (ityhubhu encinci) ukuya kwinxalenye eyonakeleyo ye-aorta.
Yintoni i-stent graft?
Oku kufana nombhobho omncinci owenziwe ngentsimbi kwaye ugqunywe ngelaphu. Xa oku kufakwa ngaphakathi kwindawo apho kukho khona i-``(Aneurysm)``, igazi lihamba ngale mbhobho intsha. Emva koko igazi lihamba ngaphandle kokubetha udonga lwe-aorta ebuthathaka. Ngenxa yoko, liyayeka ukuqhuma.
Iingenelo zendlela ye-endovascular:
- Inani leentsuku esibhedlele liyancipha.
- Olu khetho lulungile kwabo bangenako ukuthwala umngcipheko wotyando oluvulekileyo.
- Ekubeni kungekho kusikwa okukhulu, ixesha lokuphiliswa lifutshane kakhulu.
Ufanele uzilungiselele njani ngaphambi kotyando?
Kubaluleke kakhulu ukulungiselela kakuhle ngaphambi kotyando.
- Qiniseka ukuba uxelela ugqirha wakho ngayo yonke imithi oyithathayo (kwaneevithamini kunye namayeza esintu). Amanye amayeza anokufuna ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi kotyando.
- Fumana zonke iimvavanyo eziyalelwe ngugqirha wakho, ezinje ngovavanyo lwegazi, ii-EKG, kunye nee-CT scans, ngexesha elifanelekileyo.
- Ngexesha lokuhlala esibhedlele kunye neentsuku zokuqala emva kokubuyela ekhayaLungiselela umntu oza kukunceda.
- Fumana ngqo ukuba kufuneka uyeke nini ukutya nokusela ngobusuku bangaphambi kotyando.
Kwenzeka ntoni emva kotyando? Kuza kuthatha ixesha elingakanani ukuze umntu aphile?
Emva kotyando, uza kuqala ungeniswe kwigumbi lonyango olunzima (ICU). Xa ubuyela ezingqondweni, usenokuba ufake ityhubhu yokuphefumla ukuze ikuncede uphefumle. Iya kususwa xa ukwazi ukuphefumla wedwa. Wakuba ukwazi ukuhamba kancinci, uza kudluliselwa kwigumbi eliqhelekileyo.
Ixesha lokuchacha liyahluka ngokuxhomekeke kuhlobo lotyando:
- Ukuba utyando oluvulekileyo lwenziwa, kungathatha malunga neenyanga ezi-2-3 ukuze umntu aphile ngokupheleleyo.
- Utyando lwe-Endovascular lufuna ukuhlala esibhedlele iintsuku ezimbini ukuya kwezintathu kunye nexesha elipheleleyo lokuchacha leeveki ezi-2-4 .
Iingozi zotyando kunye nexesha lokubona ugqirha ngoko nangoko
Njengalo naluphi na utyando olukhulu, kukho iingozi ezithile, kodwa ezi azenzeki kuwo wonke umntu.
- Ukopha kakhulu
- Istroke
- Ukuhlaselwa yintliziyo
- Ukungasebenzi kakuhle kwezintso
- Iintsholongwane
- Ukungasebenzi kakuhle kwemilenze (ingakumbi kwiindlela ezisezantsi zesifuba nezesisu)
Ukuba unayo nayiphi na kwezi mpawu emva kokubuyela ekhaya, kufuneka ufowunele ugqirha wakho ngoko nangoko:
- Ububomvu, ukudumba, okanye ubomvu obuphuma kwinxeba lotyando
- Umkhuhlane ngaphandle kwesizathu
- Intlungu ebuhlungu esifubeni
- Ubunzima bokuphefumla
Eyona nto ibalulekileyo kukuba impumelelo kunye nokhuseleko lotyando olucwangcisiweyo kwangaphambili luphezulu kakhulu kunotyando olungxamisekileyo olwenziwa kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) emva kokuqhuma kwe-aneurysm. Ke ngoko, ukuba ugqirha ucebisa utyando, musa ukoyika kwaye uthathe amanyathelo afunekayo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-aorta lutyando olubaluleke kakhulu olusindisa ubomi, ngoko ke musa ukuloyika ngokungeyomfuneko.
- Impumelelo kunye nokhuseleko lotyando olucwangcisiweyo, endaweni yokulinda de kubekho imeko engxamisekileyo, ziphezulu kakhulu.
- Indlela yanamhlanje ethi ``Endovascular`` iyasebenza kakhulu. Nangona kunjalo, ayifanelekanga kubo bonke abaguli. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe.
- Ukulandela imiyalelo yezonyango kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye iinkxalabo onazo malunga nempilo yakho, utyando, okanye ixesha lokuchacha.
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