Ngamanye amaxesha ungaziva ngathi liqhuma elincinci emzimbeni wakho, mhlawumbi libuhlungu kancinci, okanye libuhlungu xa ulichukumisa. Okanye emva kovavanyo lwezonyango, kunokubakho iqhuma elincinci okanye ukudumba kwindawo apho lenziwe khona. Emva kwezi zinto, kunokubakho imeko ebizwa ngokuba yiPseudoaneurysm, esithetha ngayo namhlanje. Nangona igama lisenokuvakala liyinkimbinkimbi kancinci, masithethe ngale nto ngokulula, ngendlela onokuyiqonda. Ungakhathazeki, le yinto enokulawulwa kwiimeko ezininzi.

Yintoni kanye kanye i-pseudoaneurysm?

Ngamafutshane, i-pseudoaneurysm kukudumba okukwimithambo yegazi yakho, ngokuqhelekileyo umthambo wegazi, okwenzeka xa igazi elincinci liqokelelana kwindawo yokwenzakala. Ikwabizwa ngokuba yi-"false aneurysm" kuba ayisiyo i-aneurysm yokwenyani.

Le meko idla ngokuba yingxaki yenkqubo yezonyango, efana ne-angiogram. Oku kwenzeka xa igazi liqokelelana kuphela kwindawo ethile eyonakeleyo kumthambo. Oku kuthetha ukuba ingxaki ikwindawo enye.

Ezinye ii-pseudoaneurysms azinabungozi kangako kwaye ziya kuphiliswa zodwa. Kodwa ezinye zimbi kakhulu. Ukuba ziyaqhuma, zinokubangela iingxaki ezinkulu zempilo, kwanokufa. Ngoko ke, kubaluleke kakhulu ukwazi ukuba zibangelwa yintoni kwaye zeziphi iimpawu. Emva koko ungafuna ingcebiso yezonyango ngokukhawuleza kwaye uphephe iingxaki ezinkulu.

Yintoni umahluko phakathi kwe-pseudoaneurysm kunye ne-aneurysm yokwenyani?

Ezi zizinto ezimbini ezahluke ngokupheleleyo. Uhlobo kunye nokuma "kweendonga" zazo zahlukile. Makhe sibone ukuba oko kusebenza njani.

Umahluko kwiindonga

Umahluko ophambili yindlela olubonakala ngayo "udonga" olujikeleze ezi zinto.

Cinga ngayo, i-aneurysm yokwenyani yi-bulge eyakha ngaphakathi kwe-artery yakho. Elo bulge libandakanya zonke iileya ezintathu zodonga lwe-artery, i-intima, i-media, kunye ne-adventitia, ezenza udonga lwayo. Oko kuthetha ukuba i-artery ngokwayo iyaphuma.

Kodwa kwi-pseudoaneurysm , kukho ilaphu enye okanye ezimbini kuphela kwezithathu zodonga lwemithambo yegazi ezibandakanyekayo. Okunye kwenziwe zizicubu ezidityanisiweyo ezenzeka xa umthambo wenzakele. Olu donga lubuthathaka kakhulu kunodonga lwe-aneurysm yokwenyani. Lufana neqhekeza elitsha leplasta elibekwe lijikeleze umbhobho omdala okrazukileyo. Alinamandla kakhulu, akunjalo?

I-pseudoaneurysm idla ngokudityaniswa nomthambo ngenxalenye encinci efana "nentamo".

Umahluko kwimilo

Ii-Aneurysms zinokuza ngeemilo nobukhulu obahlukeneyo. Kodwa kusenokwenzeka ukuba zibe yi-fusiform kune-pseudoaneurysms. Oko kukuthi, zibanzi embindini kwaye zincinci ukuya emaphethelweni. Kufana nokufaka ibhola ekhatywayo ngaphakathi kwesokisi ende. Ivuvukala kumacala onke omthambo.

Nangona kunjalo, i-pseudoaneurysm idla ngokuba yi-sac-like. Oko kukuthi, ingqukuva kwaye iphuma kwicala elinye lomthambo, idlula kwindawo encinci ebizwa ngokuba yintamo. Ifana nebhaluni ephuma eludongeni lomthambo. Ayityhaleli ngaphandle kuzo zonke iicala zodonga lomthambo.

Yintoni ebangela i-pseudoaneurysm?

Isizathu soku siyahluka ngokuxhomekeke ekubeni zenzeka phi emzimbeni wakho. Ii-Pseudoaneurysms zinokwahlulwa zibe ziintlobo ezahlukeneyo ngokuxhomekeke ekubeni zenzeka phi. Umzekelo, ii-pseudoaneurysms zenzeka kwimithambo ye-femoral, kwimithambo ye-visceral, nakwi-aorta.

Ii-Pseudoaneurysms zeFemoral

Olu lolona hlobo luxhaphakileyo. Lukhula kumthambo okufutshane ne-groin yakho. Lunokubangelwa zezi zinto zilandelayo:

• Iingxaki zonyango lwezonyango: Ingakumbi iimvavanyo okanye unyango olubandakanya ukufakwa kwe-catheter kwi-artery (le yeyona nto iphambili). Khawuthelekelele ukuba wenze i-angiogram kwi-groin yakho. Ngamanye amaxesha inxeba elincinci linokwenzeka apho, nto leyo ebangela le meko.
• Ukonzakala: Kunokwenzeka ngenxa yengozi okanye ukubethwa kakhulu.
• Usulelo.

Ii-Pseudoaneurysms zeVisceral

Olu hlobo aluqhelekanga kangako. Luvela kwimithambo yegazi ehambisa igazi emathunjini akho, kwipleyini, okanye esibindini. Izizathu:

• Iingxaki zonyango okanye utyando.
• Ukudumba kwepancreas (iPancreatitis).

Ii-Pseudoaneurysms ze-Aortic

Oku kwenzeka kwi-aorta, umthambo omkhulu emzimbeni wakho.

• Ukulimala okungabonakaliyo kwindawo yesifuba.
• Iintsholongwane.
• Iingxaki zotyando lwentliziyo.

Abantu abaneengxaki ezifana neMarfan syndrome okanye iLoeys-Dietz syndrome basengozini enkulu kuba ezi meko zenza buthathaka udonga lwemithambo yegazi.

Zithini iimpawu ze-pseudoaneurysm?

Jonga ukuba unayo na enye yezi mpawu:

• Ukuziva iqhuma elibuhlungu nelihlabayo phantsi kolusu lwakho.
• Ukuziva intlungu xa uchukumisa loo ndawo.
• Ukudumba kwesikhumba okanye ukutshintsha umbala .
• Ukuba iqhuma licinezela umthambo, ungaziva urhawuzelelwa okanye uzive urhawuzelelwa .

Ukuba ubona into efana nale, ingakumbi ukuba usandul’ ukufakwa i-catheter waza wenza naluphi na uvavanyo, ngokuqinisekileyo bonana nogqirha.

Ungayiqaphela njani i-pseudoaneurysm?

Xa usiya kugqirha, uza kuthetha ngeempawu zakho aze emva koko enze uvavanyo lomzimba. Ngexesha lovavanyo, uza kujonga ezi zinto zilandelayo:

• Ingaba kukho ukudumba kwindawo yempundu?
• Ingaba kukho iqhuma phantsi kolusu?
• Ingaba kubuhlungu xa uchukumisa loo ndawo?
• Ingaba kukho utshintsho kumbala okanye kwimo yolusu (i-skin necrosis) olubonisa ingxaki yokujikeleza kwegazi?
• Ngaba uyayiva indlela igazi elihamba ngayo ngokungalungelelananga (isandi esifana nesithi "broo-ee")?

Ukongeza, ugqirha wakho unokwenza i-duplex ultrasound. Le yinkqubo eqhelekileyo esetyenziselwa ukujonga ukuhamba kwegazi kwimithambo yakho yemithambo kunye nemithambo. Olu luvavanyo olungenabuhlungu. Lunokunceda ekufumaneni ubungakanani obuchanekileyo kunye nendawo ekuyo i-pseudoaneurysm.

Ziziphi iindlela zonyango ze-pseudoaneurysm?

Unyango luxhomekeke kwindawo kunye nobukhulu bethumba. Iindlela zonyango ziquka ukujongwa, ukutofwa, ukucinezelwa, kunye neenkqubo ezingangenisi gazi kakhulu. Ukuba ezi ndlela aziphumeleli, utyando lunokufuneka kwiimeko ezingaqhelekanga. Ugqirha wakho uza kuxoxa nawe ngonyango olungcono kuwe.

Ukuqwalaselwa

Ukuba une-pseudoaneurysm encinci emqolo wakho, engaphantsi kweesentimitha ezi-2 ububanzi, unokukwazi ukulinda nje ukuba iphele. Le ngxaki isenokuphela yodwa kwiiveki ezimbalwa. Ngoko ke ugqirha wakho uza kuyijonga. Kuya kufuneka wenze i-duplex ultrasound qho ngeveki de i-pseudoaneurysm iphele. Ngeli xesha, kufuneka uphephe nantoni na ebeka uxinzelelo kuloo ndawo, njengokuphakamisa okanye ukugoba.

Inaliti ye-thrombin ekhokelwa yi-ultrasound

I-pseudoaneurysm ye-femoral engaphezulu kweesentimitha ezi-2 okanye ebuhlungu kakhulu ingafuna unyango olukhawulezileyo. Eyona ndlela ixhaphakileyo kukufakwa kwe-thrombin ekhokelwa yi-ultrasound. Kule nkqubo, ugqirha uyayivala loo ndawo ukuze ungabi nantlungu. Emva koko, phantsi kwesikhokelo se-ultrasound, i-enzyme ebizwa ngokuba yi-thrombin ifakwa kwi-pseudoaneurysm. Oku kuyayinyibilikisa i-blood clot kwaye kuyimise ukopha.

Olu nyango lusebenza kakhulu . Kwiimeko ezingaqhelekanga, ukuba oku akuyisombululi ingxaki, kunokufuneka utyando. Kodwa oko kunqabile kakhulu.

Uxinzelelo olukhokelwa yi-ultrasound

Oogqirha babesebenzisa le ndlela kakhulu ngaphambili, kodwa uphando lubonise ukuba ayiphumeleli kangako njengokufaka i-thrombin kwaye inomngcipheko omkhulu weengxaki.

Nangona kunjalo, le ndlela inokuba luncedo kwii-pseudoaneurysms ezincinci kakhulu ze-femoral, ezingaphantsi kwe-1 sentimitha ngobukhulu, njengoko umngcipheko weengxaki ngexesha lokufakwa kwenaliti unokuba phezulu kancinci kwiimeko ezinjalo.

Iinkqubo ezingafunekiyo kakhulu

Ii-visceral pseudoaneurysms zinokunyangwa nge-stents okanye ii-coils ezincinci. Ezi zixhobo ziyayimisa indlela igazi elihamba ngayo kwi-pseudoaneurysm kwaye zithintele iingxaki.

Ukuba une-pseudoaneurysm kwi-aorta yakho, kufuneka inyangwe ngokukhawuleza ngaphambi kokuba igqabhuke. Inkqubo esindisa ubomi ebizwa ngokuba yi-endovascular aneurysm repair (EVAR) ingayilungisa ingxaki ngaphandle kotyando lwentliziyo evulekileyo.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Ixesha lokuchacha lixhomekeke kuhlobo lonyango olufumeneyo kunye nempilo yakho iyonke. Ugqirha wakho uza kukhokela ekuchacheni kwakho. Kusenokufuneka ulale phantsi (ngokuthe tye) iiyure ezimbalwa emva konyango. Ugqirha wakho uza kukujonga ukuqinisekisa ukuba akukho ngxaki. Kusenokufuneka ukuba uphephe ukuqhuba okanye ukuphakamisa izinto ezinzima okwethutyana. Kodwa kufuneka ukwazi ukuqhubeka nemisebenzi yakho yesiqhelo ngaphandle kweengxaki kungekudala.

Ngokuxhomekeke kunyango olufumeneyo kunye nempilo yakho, kunokufuneka uye kutyelelo lokulandelela. Umzekelo, ukuba ufake i-stent, ugqirha wakho uya kufuna ukuqinisekisa ukuba isasebenza kakuhle. Baza kujonga naziphi na iingxaki okanye usulelo. Kubalulekile ukuba impilo yakho iqhubeke nolu vavanyo.

Ungayinciphisa njani ingozi yokuba ne-pseudoaneurysm?

Ezinye izinto esingenakuzilawula, njengobudala. Abantu abangaphezu kweminyaka engama-75 ubudala basengozini enkulu yokuba ne-pseudoaneurysm. Kodwa kukho ezinye iimeko onokuzilawula, njengokutyeba kakhulu kunye noxinzelelo lwegazi oluphezulu, ezinyusa umngcipheko wakho.

Ungenza ezi zinto ukuthintela i-pseudoaneurysm nokugcina impilo yakho iyonke:

• Landela ukutya okunempilo okunentliziyo .
• Zilolonge rhoqo.
• Sela amanzi amaninzi .
• Kuphephe ukutya okunetyuwa eninzi (i-sodium).
• Lala ngokwaneleyo.
• Lawula uxinzelelo .

Kuza kwenzeka ntoni ukuba ndine-pseudoaneurysm?

Ukuba i-pseudoaneurysm iyagqabhuka, inokubangela iingxaki ezinkulu. Ingakhokelela ekopheni kwangaphakathi kwanokufa. Nangona kunjalo, ukuba ifunyenwe kwaye inyangwa ngokukhawuleza, i-pseudoaneurysms inokulawulwa lula.

Kungoko ke kubalulekile ukuba uqaphele iimpawu. Emva koko unokuyibona ingxaki kwangethuba uze ufune uncedo. Ii-pseudoaneurysms zinokuphinda zivele kwixesha elizayo. Ngoko ke ukuba ukhe waba nayo, qaphela iimpawu zexesha elizayo. Ungaphoswa kukubonana nogqirha wakho, kwaye uxelele ugqirha wakho ngazo naziphi na iimpawu okanye utshintsho oluphawulayo.

Ndingalufuna nini uncedo lwezonyango?

Ukuba uneempawu ze-pseudoaneurysm, okanye ukuba uziva ngathi kukho into engalunganga, fowunela ugqirha wakho ngokukhawuleza . Lumka ngakumbi ukuba usandul' ukufumana unyango lwe-endovascular (unyango olusebenzisa i-catheter). Iingxaki azixhaphakanga. Kodwa ukuba ziyenzeka, kubalulekile ukuzifumanisa kwangethuba.

I-pseudoaneurysm eqhumayo yingxamiseko yezonyango! Ukuba ufumana iimpawu ze-pseudoaneurysm eqhumayo, fowunela ku-911 okanye uye esibhedlele esikufutshane ngoko nangoko. Ezi mpawu zingabandakanya:

* Intlungu ebuhlungu kwindawo yeqhubu.

* Iintlungu zesifuba .

* Ubunzima bokuphefumla .

* Ukudideka .

* Uxinzelelo lwegazi oluphantsi .

* Isantya sentliziyo esingaqhelekanga .

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ufunyaniswe une-pseudoaneurysm, usenokuba nemibuzo emininzi. Qala uzibuze izinto ezinje:

• Kutheni ndiphuhlise le pseudoaneurysm?
• Ndingazilawula njani iimpawu zam?
• Zeziphi iindlela zonyango ezilungele mna?
• Liza kuba njani ixesha lam lokuchacha emva konyango?
• Zeziphi izinto ekufuneka ndiziphephe xa ndisenyangweni?
• Zeziphi izinto ekufuneka ndiziphephe xa ndilulama?

Ugqirha wakho uza kukunceda uzive ukhululekile aze akunike ulwazi oludingayo.

Ukuba ukhe waba ne-pseudoaneurysm ngaphambili, thetha nogqirha wakho malunga neengozi zakho zexesha elizayo. Buza ngezi zinto:

• Ngaba ndisengozini yokuphinda ndibe ne-pseudoaneurysm?
• Ngaba ndinezinye iimeko zempilo ezichaphazela umngcipheko wam?
• Ndingenza ntoni ukunciphisa umngcipheko wam?

Nokuba awukaze ube nale ngxaki, ungathetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya ngayo. Buza ngazo naziphi na izinto ezinokubangela umngcipheko onokuba nazo kwaye ufunde indlela yokunciphisa umngcipheko weengxaki zakho zexesha elizayo.

Ukuba uza kwenziwa inkqubo equka i-catheter, thetha nogqirha wakho malunga neengozi. Ii-pseudoaneurysms ziyingxaki eqhelekileyo yezi nkqubo. Kodwa oko akuthethi ukuba ziqhelekile. Enyanisweni, malunga nomntu omnye kumakhulu amabini uba nale ngxaki emva kovavanyo lwe-angiogram. Iingenelo zezi nkqubo zingaphezulu kweengozi. Kodwa kubalulekile ukuthetha nogqirha wakho ukuze ufumane iimpendulo kuyo yonke imibuzo yakho.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ukufumanisa ukuba une-pseudoaneurysm kunokuba yinto eyoyikisayo nengalindelekanga. Kodwa ngenxa yonyango olutsha kunye netekhnoloji, ungachacha kwaye uphile ubomi obuqhelekileyo. Eyona nto ibalulekileyo kukuxilongwa kwangoko nje ukuba iimpawu ziqale. Kubalulekile nokwazi izinto ezinokubangela umngcipheko wokufumana i-pseudoaneurysm. Iingxaki ezivela kwiinkqubo zonyango ezifana ne-angiogram zezona zinto zixhaphakileyo. Kodwa izinto ezinokubangela umngcipheko njengomntu otyebileyo kunye noxinzelelo lwegazi oluphezulu nazo zinokudlala indima. Thetha nogqirha wakho ukuze ufunde ngakumbi malunga neengozi zakho kunye nendlela yokuzilawula. Ungakhathazeki, kukho izisombululo zayo yonke into!

I- Pseudoaneurysm, imithambo yegazi, imithambo yegazi, ukopha kwegazi, i-angiogram, impilo yentliziyo, iimpawu