Ingaba unomthambo ovuvukileyo emva kwedolo lakho? (I-Popliteal Aneurysm) Makhe sithethe ngayo!

Ngaba wakha waphawula ukuba kukho iqhubu elifana nebhaluni ngasemva kwedolo lakho, apho idolo ligoba khona? Usenokuba ukhe waziva iintlungu ezincinci, ubunzima, okanye iqhubu nje esandleni sakho. Uninzi lwexesha, usenokucinga ukuba oku akuyonto imbi kangako, kodwa kwezinye iimeko, oku kunokuba yimeko ebizwa ngokuba yiPopliteal Aneurysm . Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula namhlanje.

Yintoni i-popliteal aneurysm?

Ngamafutshane, i-popliteal aneurysm kukudumba kumthambo wegazi oyintloko emva kwedolo lakho, umthambo we-popliteal . Kufana nombhobho wamanzi oqhumayo ngaxesha lithile. Inokwenzeka kwimilenze yomibini kwabanye abantu.

Xa umthambo uvuvuka ngolu hlobo, iingxaki zinokuvela. Uyazi njani?

• Loo ndawo idumbileyo ingagqabhuka .
• Ihlwili legazi lingenza i-thrombose apho, kwaye iqhekeza lalo linokwaphuka lize ligqume umthambo emlenzeni ongezantsi.
• Okanye wonke umthambo ungavaleka.

Ukuba kwenzeka into efana nale, ngamanye amaxesha kunokubakho umonakalo omkhulu emlenzeni, abanye abantu banokuphulukana nomlenze wabo, okanye nobomi babo buchaphazeleke. Ngoko ke, kubaluleke kakhulu ukuqaphela oku.

Ixhaphake kangakanani le meko?

Ii-aneurysms ze-Popliteal azixhaphakanga kangako. Ngokwezibalo, zenzeka kumfazi omnye kwabayi-100,000. Phakathi kwamadoda, izinga liphezulu kancinci, malunga nabasi-7 kwabayi-100,000.

Nangona kunjalo, nangona ingaqhelekanga kangako, xa ithelekiswa nezinye ii-aneurysms emzimbeni, yeyona aneurysm yesibini ixhaphakileyo emva kwe-abdominal aortic aneurysm . Okumangalisayo kukuba, kukho unxibelelwano phakathi kwezi zimbini. Malunga nesiqingatha sabantu abane-popliteal aneurysm banokuba ne-aneurysm kumthambo wesisu. Ke ngoko, ukuba ugqirha uchonga enye yezi zimbini, kubaluleke kakhulu ukujonga enye.

Zithini iimpawu zoku?

Ixesha elininzi, abantu abane-popliteal aneurysm ababonisi zimpawu . Yiyo loo nto eyenza kube yinto eyoyikisayo. Nangona kunjalo, ukuba iimpawu ziyavela, zinokuba yingozi ebomini.

Khawucinge nje, bekuya kwenzeka ntoni ukuba loo mthambo uvuvukileyo uqhuma ngequbuliso (uqhekeke)?

• Kusenokubakho iintlungu eziqatha emva kwedolo.
• Loo ndawo isenokudumba .
• Amabala afana namanxeba angavela.

Okanye, zeziphi iimpawu ezinokubakho ukuba igazi liqhekeke ngaphakathi kuloo mthambo, iqhekeza lalo liqhekeke, kwaye ukuhamba kwegazi emlenzeni kuyeke (kufakwe i-embolised okanye kuqhekeke)?

• Intlungu yomlenze.
• Uziva ngathi umlenze wakho uyaphelelwa ngamandla .
• Iinyawo ziyabanda .
• Izihlunu zemilenze ziyabuthathaka .
• Ulusu lomlenzeIjika ibe mhlophe.

Ukuba unayo nayiphi na kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza , kuba oku kunokukhokelela kwimeko enzulu enokuphazamisa ukuhamba kwegazi emilenzeni.

Kutheni oku kusenzeka? Zithini izizathu?

Abaphandi abakayazi kakuhle into ebangela i-popliteal aneurysm, kodwa bacinga ukuba kukho izinto ezimbalwa ezinokubangela oku:

• Ukudumba: Oku kubhekisa nakuphi na ukudumba okanye usulelo oluvela eludongeni lwemithambo yegazi.
• I-atherosclerosis: Oku kuxa izinto ezifana ne-cholesterol ziqokelelana ngaphakathi kwemithambo yegazi, nto leyo ebangela ukuba iindonga zemithambo yegazi ziqine. Oku kunokubangela ukuba imithambo yegazi ingaguquguquki kwaye ibe buthathaka.
• Ukuvalelwa kwemithambo yegazi ye-popliteal: Kwabanye abantu, lo mthambo wegazi uphambili unokucinezelwa zimisipha okanye ezinye izicwili ezingasemva kwedolo. Ekuhambeni kwexesha, olu xinzelelo lunokonakalisa umthambo kwaye lubangele i-aneurysm.
• Ukulimala Okubuhlungu: Le meko inokubakho ngenxa yokwenzakala okukhulu edolweni okanye kwindawo engqongileyo.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

Ngoku makhe sibone ukuba ngubani osengozini enkulu yokuhlaselwa yile (i-Popliteal Aneurysm).

• Ukuba kukho umntu kusapho lwakho oye waba ne-aneurysms efana nale: Ukuba umama wakho, utata, okanye abantakwenu bakhe baba ne-aneurysms efana nale, nawe usemngciphekweni omncinci.
• Kubantu abamhlophe: Uphando lubonise ukuba le meko ixhaphake kakhulu kubantu abamhlophe.
• Kubantu abangaphezu kweminyaka engama-50 ubudala: Le ngozi iyanda njengoko imithambo yegazi isiya isiba buthathaka njengoko iminyaka ikhula.
• Kumadoda: Njengoko besitshilo ngaphambili, oku kuxhaphake kakhulu phakathi kwamadoda.
• Abantu abaneengxaki zezicubu ezidityanisiweyo: Abantu abanezifo ezibangela ubuthathaka kwiindawo zomzimba ezidityanisiweyo nezicubu nabo basengozini enkulu.
• Kwabo basebenzisa iimveliso zecuba: Ukutshaya kubangela umonakalo omkhulu kwimithambo yegazi. Naso ke isizathu esikhulu sale nto.
• Kwabo bane-atherosclerosis: Le yinto ephambili ebangela ukuba imithambo yegazi ibe buthathaka.

Zeziphi iingxaki ezinokubangela oku?

Ukuba une-popliteal aneurysm, kukho iingxaki ezininzi ezinokubakho. Njengoko besikhe sathetha ngayo ngaphambili:

• Ukuvaleka kokuhamba kwegazi ukuya emlenzeni: Ukuba igazi liqhekeka ngaphakathi emthanjeni kwaye iqhekeza liqhekeka lize livale umthambo osemlenzeni ongezantsi, linokuwunqamla ngokupheleleyo ukuhamba kwegazi ukuya emlenzeni. Oku kuyingozi kakhulu.
• Ukuqhekeka kwe-Aneurysm: Oku kukwayinto engxamisekileyo.
• Ukucinezelwa kwemithambo yegazi ephuma kwi-popliteal: Umthambo ovuvukileyo ungacinezela umthambo ohamba kufutshane uze uthwale igazi elingcolileyo liye emlenzeni.
• Uxinzelelo lwemithambo-luvo:Kwakhona, ukucinezelwa kwemithambo-luvo edlula kuloo ndawo kunokubangela ukungaziva mnandi kunye nentlungu emilenzeni.

Ugqirha uyixilonga njani le nto? (Uxilongo)

Ukufumanisa i-popliteal aneurysm ngamanye amaxesha kunokuba nzima kancinci, njengoko iimeko ezifana ne -deep vein thrombosis (DVT) kunye ne-Baker's cyst , ingxowa egcwele ulwelo emva kwedolo, nazo zinokubangela iimpawu ezifanayo. Ngoko ke, ugqirha uya kuqala akhuphe ezo meko.

Ukuze afumanise imeko, ugqirha wakho uza kuhlola ngononophelo indawo engasemva kwedolo lakho. Usenokukwazi ukuva okanye ukubona umthambo ovuvukileyo. Usenokuyiva ibetha ngentliziyo yakho.

Ugqirha wakho unokuchaza i-aneurysm yakho ngokuthi 'i-fusiform' (oko kuthetha ukuba ivuvukala ijikeleze yonke imithambo yegazi njengebhaluni) okanye 'i-saccular' (oko kuthetha ukuba ivuvukala kwicala elinye kuphela lemithambo yegazi).

Luhlobo luni lovavanyo oluqhutywayo?

Ugqirha angayalela iimvavanyo ezahlukeneyo ukuze axilonge ngokuchanekileyo isifo aze athathe amanyathelo afunekayo ukuze acwangcise unyango.

• I-Duplex ultrasound: Olu lolona vavanyo lusetyenziswa kakhulu, lulula, kwaye alunantlungu. Lunokujonga ubungakanani bemithambo yegazi kunye nokuba igazi lihamba kakuhle kangakanani na.
• I-Computed Tomography Angiography (CTA): Olu luvavanyo olusebenzisa ii-X-rays kunye nedayi ekhethekileyo (idayi yokwahlula). Ingavelisa imifanekiso eneenkcukacha zemithambo yegazi.
• I-Magnetic Resonance Angiography (MRA): Le mifanekiso isebenzisa amasimi emagnethi kunye namaza erediyo isetyenziswa ukuvelisa imifanekiso yemithambo yegazi. Inezibonelelo ezithile kune-CTA.
• I-Digital Subtraction Angiography: Olu luvavanyo oluntsonkothileyo kancinci. Ityhubhu encinci ifakwa emthanjeni, kufakwe idayi, kuthathwe imifanekiso ye-X-ray. Oku kudla ngokwenziwa xa kucwangciswa utyando.

Ukuba ugqirha wakho ukuxilonga nge-popliteal aneurysm, kusenokwenzeka ukuba uza kuhlola omnye umlenze wakho kunye nesisu sakho ukuze abone ukuba kukho naziphi na ii-aneurysms apho. Kuba, njengoko besitshilo ngaphambili, abantu abaninzi abanale meko banazo nee-aneurysms komnye umlenze wabo kunye nomthambo oyintloko esiswini sabo. Ukuba kukho ezinye ii-aneurysms, kuya kufuneka zijongwe nge-ultrasound scans ubomi babo bonke.

Inyangwa nini le nto?

Unyango lwe-popliteal aneurysm luyahluka ngokuxhomekeke kwimeko yakho. Ngokwesiqhelo, ububanzi be-aneurysm yi- 2 centimeters (cm).Ukuba iba nkulu kunoko (malunga ne-intshi enye), inobungozi obukhulu bokugqabhuka. Oku kuphindwe kabini kunobubanzi bomthambo oqhelekileyo. Ukuba unegazi elijiyileyo kwi-aneurysm yakho, ugqirha wakho unokugqiba ekubeni alinyange nokuba lincinci kunoko, ngenxa yomngcipheko wokuba iqhekeza layo lingaphuka lize livale ukuhamba kwegazi emlenzeni wakho.

Ukuba i-popliteal aneurysm yakho incinci kuneesentimitha ezi-2, kwaye awunazo iimpawu, ugqirha wakho uya kuyijonga rhoqo ukuze abone ukuba iyakhula na.

Ngaba kufuneka ndityandwe?

Ukuba uneempawu ezibangelwa yi-popliteal aneurysm, kunye/okanye ukuba inkulu kune-2 centimeters (nokuba akukho zimpawu), ugqirha wakho usenokucebisa utyando (`popliteal aneurysm repair`) njengonyango.

Zithini iindlela zonyango?

Kukho iindlela ezimbini eziphambili zonyango.

1. Utyando oluvulekileyo:

Kule nkqubo, ugqirha ubopha imithambo engaphezulu nangaphantsi kwe-aneurysm, etshintsha indlela yokuhamba kwegazi. Oku kudla ngokubandakanya ukusebenzisa i-vein graft evela kwenye indawo yomzimba wakho. Oku kuthetha ukuba kudalwe indlela entsha ukusuka kwimithambo engaphezulu kwe-aneurysm ukuya kwimithambo engaphantsi kwe-aneurysm. Emva koko i-aneurysm iyabotshwa ize ivalwe ('ligated').

2. Indlela yokusebenza kwe-Endovascular:

Le yinkqubo entsha. Isetyenziswa ngakumbi kubantu abanezinye izifo ezingapheliyo abasengozini enkulu yeengxaki ezivela kutyando oluvulekileyo. Kule nkqubo, kwenziwa umngxuma omncinci emlenzeni ongasentla, kufakwa ucingo kuwo, kwaye kufakwa isixhobo sentsimbi (i-stent graft) phezu kwe-aneurysm. Njengoko i-stent graft idlula kwi-aneurysm, igazi lihamba ngqo ukusuka phezulu ukuya ngaphantsi kwe-aneurysm. Ekubeni kungekho ukuhamba kwegazi ngqo kwi-aneurysm, iyancipha kancinci kancinci, ijije, kwaye ayisebenzi.

Indlela yokunyanga xa kukho imeko engxamisekileyo:

Ukuba une-blood clot emlenzeni wakho, ethintela ukuhamba kwegazi emlenzeni wakho, unyango lwahlukile kancinci. Kwiimeko ezinjalo, ugqirha wakho angakunika i-blood thinner kuqala, njenge -heparin, nge-IV. Emva koko, i- angiogram inokwenziwa ukubuyisela ukuhamba kwegazi emlenzeni nasenyaweni ochaphazelekayo. Kwezinye iimeko, banokukunika i-blood thinners (thrombolytics) ukuze banyibilikise i-clot, okanye banokuzama ukususa inxalenye ye-clot besebenzisa izixhobo ezikhethekileyo (izixhobo zokufunxa).

Ngaba unyango lungabangela iingxaki?

Njengakwezinye iintlobo zotyando, ezinye iingxaki zinokwenzeka ngexesha lonyango lwePopliteal Aneurysm.

• Ukuqhekeka kwegazi emlenzeni (i-embolism).
• Ukunqunyulwa kwemilenze:Oku kwenzeka kancinane kakhulu, kuphela xa kungekho ndlela yimbi.
• Iistenti ziyaphuka, ziyasuka endaweni yazo, okanye azihlali zivuliwe.
• Ukuvaleka kwe-graft ngendlela engafanelekanga.
• Ukulimala kwemithambo-luvo.
• I-thrombosis yemithambo enzulu.

Ugqirha uza kukuchazela kakuhle oku ngaphambi kotyando.

Kuthatha ixesha elingakanani ukuphiliswa?

Emva kotyando oluvulekileyo, kuya kufuneka uhlale esibhedlele malunga neentsuku ezimbini ukuya kwezintathu. Emva kwendlela yokuhlinzwa kwemithambo yegazi, ixesha lokuchacha lidla ngokuba lifutshane. Nangona kunjalo, kuya kuthatha ixesha elithile ukuba uphile ngokupheleleyo. Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngelo xesha.

Yintoni omele uyilindele xa uphila nale meko?

Nokuba awunazo iimpawu ze-popliteal aneurysm ngoku, usenokuba neempawu kwixesha elizayo. Kwaye iingxaki zinokubakho.

I-popliteal aneurysm ayiqhelekanga. Okuxhaphakileyo kukuba ihlwili legazi liqhekeke lize livale umthambo emlenzeni wakho. Ukuba wenze utyando lwe-endovascular, usenokuba neengxaki ezimbalwa ezinxulumene namanxeba kunotyando oluvulekileyo. Nangona kunjalo, inkqubo yokuphiliswa isenokungabi mide njengotyando oluvulekileyo.

Iyintoni imbono? (Imbono/Ukuqikelela)

Ukuba ulungiswa i-popliteal aneurysm ngaphambi kokuba kuvele iimpawu, i-prognosis yakho ingcono kakhulu . Uphando lufumanise ukuba ama-80% abantu abane-bypass graft basasebenza kakuhle emva kweminyaka emihlanu.

Nangona kunjalo, ukuba uneempawu ezibangelwa yi-aneurysm, imeko yakho isenokungabi ntle kangako.

Olunye uphando lufumanise ukuba ngabantu abangaphezu kwesiqingatha kuphela abatyandwa ngenxa yokuqhekeka kwe-popliteal aneurysm abasaphila kunyaka olandelayo. Kwakhona, malunga ne-15% yabantu ababene-blood clot kwi-popliteal aneurysm kwafuneka banqunyulwe umlenze.

Musa ukothuka zezi zibalo. Olu lulwazi nje oluqhelekileyo. Ezi zinto zinokutshintsha ngokuxhomekeke kwimeko yakho, unyango olufumanayo, kunye nendlela ozinyamekela ngayo. Ngoko ke, thetha nogqirha wakho uze ufumane ulwazi oluhambelana nemeko yakho.

Ingancitshiswa njani le ngozi?

Oogqirha bakholelwa ukuba unobangela oyintloko we-popliteal aneurysm yi -atherosclerosis . Ngoko ke, ukuba ungayilawula loo meko, ungayinciphisa le ngozi.

• Yeka ukusebenzisa iimveliso zecuba ngokupheleleyo. Le yeyona nto ibalulekileyo.
• Gcina inani lakho le-cholesterol liqhelekile.
• Ukuba une- high blood pressure , yilawule kakuhle.
• Yitya ukutya okunempilo kwentliziyo okunamafutha aphantsi.
• Zilolonge ubuncinane imizuzu eli-150 ngeveki.

Ndingazinyamekela njani?

Ukuba usebenzisa icuba, ukuyeka icuba kuya kuyinceda kakhulu impilo yakho. Kwakhona, ukuba unenye yezi meko zilandelayo, thabatha amanyathelo okuzilawula:

• I-cholesterol ephezulu (i-Hyperlipidemia)
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Isifo seswekile

Emva kotyando, ugqirha wakho angakuxelela ukuba uthathe amayeza okunciphisa iiplatelets, anjenge -aspirin, ukunciphisa umngcipheko wokwakheka kwamahlwili egazi kwi-bypass yakho. Qiniseka ukuba uyayigcina intlanganiso yakho nogqirha. Kuya kufuneka uhlolwe rhoqo ukuqinisekisa ukuba i-bypass yakho isebenza kakuhle. Oku kubalulekile emva kotyando kwaye ngelixa i-aneurysm ijongwa de kube kugqitywe ngotyando.

Ndifanele ndimbone nini ugqirha?

Emva kokulungiswa kwe-popliteal aneurysm, kuya kufuneka uhlolwe rhoqo nge-ultrasound ukuqinisekisa ukuba i-bypass yakho isebenza kakuhle. Kubalulekile ukwenza olu hlolo kwinyanga yokuqala, kwinyanga yesithathu, kwinyanga yesithandathu, nakunyaka omnye emva kotyando, uze emva koko rhoqo ngonyaka kangangeminyaka eliqela emva koko.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ucinga ukuba i-Popliteal Aneurysm yakho iqhumile okanye ihlwili legazi liqhekekile , yiya kwiSebe leNgxamiseko (ETU) ngoko nangoko. Ezi zilandelayo ziimpawu ezinokubakho:

• Ukudumba emva kwedolo okanye emlenzeni.
• Kuvela amabala afana nokukrwela .
• Intlungu ebuhlungu.
• Ukungakhululeki kwemilenze.
• Iinyawo ezibandayo .
• Ubunzima bokushukumisa umlenze ochaphazelekileyo.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa ufumanisa ukuba une-Popliteal Aneurysm, kuyinto eqhelekileyo ukuba nemibuzo emininzi engqondweni yakho. Ungabuza ugqirha wakho imibuzo efana nale:

• "Gqirha, ingakanani i-Popliteal Aneurysm yam?"
• "Ngaba ndiyaludinga ngokwenene utyando?"
• "Yeyiphi inkqubo yotyando efanelekileyo kwimeko yam?"
• "Ingaba ndine-popliteal aneurysm emva kwelinye idolo lam?"
• "Ingaba ndine-aneurysm ye-aortic yesisu?"

Kuqhelekile ukuba uzive uxinezelekile kancinci xa ufumanisa ukuba une-popliteal aneurysm. Thetha nogqirha wakho malunga nokuba lixesha elilungileyo lokunyanga i-aneurysm yakho kunye nokuba yintoni ekulungeleyo.Ungayiphucula impilo yakho ngokuphepha iimveliso zecuba nokulawula uxinzelelo lwegazi kunye namanqanaba e-cholesterol. Ukuba ufuna uncedo ngale nto, buza ugqirha wakho.

Izinto ezimbalwa endicinga ukuba zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyaqonda kakuhle into esithethe ngayo namhlanje (i-Popliteal Aneurysm). Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• I-popliteal aneurysm kukudumba komthambo wegazi oyintloko emva kwedolo.
• Uninzi lwexesha, akukho zimpawu. Nangona kunjalo, ukuba kuvela iimpawu (ezifana nentlungu emva kwedolo, ukudumba, ukungaziva mnandi emlenzeni, nokubanda) , bona ugqirha ngokukhawuleza.
• Izinto ezinje ngokutshaya, i-cholesterol ephezulu, kunye noxinzelelo lwegazi oluphezulu zinokuchaphazela oku.
• Kukho unyango, thetha nogqirha wakho ngalo.
• Le ngozi ingancitshiswa ngokuphila ubomi obusempilweni .

Asinto yokoyika, kodwa yinto yokukhathazeka ngayo. Nika ingqalelo emzimbeni wakho. Ukuba ubona into engaqhelekanga, ungalibazisi ukuya kugqirha. Hlala usempilweni!

i- popliteal aneurysm, imithambo ebuhlungu emva kwedolo, imithambo ebuhlungu, iintlungu zedolo, amahlwili egazi emlenzeni, utyando lwemithambo, i-atherosclerosis