Iqhubu elifana nebhaluni kumthambo we-splenic? Masifunde ngqo nge-Splenic Artery Aneurysm!

Ngaba wakha weva nge-splenic artery aneurysm? Igama lisenokuvakala lisoyikisa kancinci, kodwa ungakhathazeki. Makhe sithethe ngalo ngendlela elula onokuyiqonda. Uninzi lwexesha, le meko inokubakho ngaphandle kweempawu, kodwa ngamanye amaxesha inokubakho ngezinto ezifana nentlungu kwicala eliphezulu lasekhohlo lesisu.

Yintoni le aneurysm yemithambo ye-splenic?

Ngamafutshane, i-spleen yakho inomthambo wegazi oyintloko, umthambo wegazi , onika igazi, kwaye xa inxalenye yodonga lwaloo mthambo ibuthathaka kwaye iqhuma njengebhaluni, siyibiza ngokuba yi-aneurysm . Cinga ngayo njengombhobho wamanzi oqhuma kwindawo enye xa udala. Ngokuhamba kwexesha, le qhuma inokukhula. Okukhona iqhuma likhulu, kokukhona umonakalo omkhulu unokubangela. Ukuchaneka, ukuba umthambo we-splenic uqhuma nge-1.0 cm nangaphezulu, siyibiza ngokuba yi-splenic artery aneurysm. Ngamanye amaxesha inokuba neempawu ezingabonakaliyo ixesha elide. Kodwa ngamanye amaxesha inokubonisa iimpawu ezifuna unyango olungxamisekileyo. Ke ngoko, kubaluleke kakhulu ukuqaphela oku, oko kukuthi, iimpawu kunye nezinto ezinobungozi.

Ixhaphake kangakanani le meko? Ngubani onokuba nayo ngakumbi?

Le meko, ebizwa ngokuba yi-splenic artery aneurysm, ichaphazela umntu omnye kwi-1,000 kunye nomntu omnye kwi-2,500. Oko kuthetha ukuba, nangona isenokungabonakali ngathi yinto enkulu, lolona hlobo luqhelekileyo lwe-aneurysm olukhula kwimithambo esesiswini sethu (i-visceral artery aneurysm).

Oku kunokuchaphazela abantu abadala bayo yonke iminyaka. Kodwa ukuba ungumfazi , ingakumbi oneminyaka engaphezu kwama-60 ubudala , usemngciphekweni omkhulu kancinci. Enyanisweni, kuyaphawuleka ukuba malunga nama-80% ezi aneurysms zenzeka kubafazi .

I-aneurysm iwuchaphazela njani umzimba? Ingaba iyingozi?

Ngokwesiqhelo, imithambo yethu iguquguquka kakhulu. Iyafinyela kwaye ikhule njengoko igazi lihamba kuyo, kodwa ayilahli imo yayo eqhelekileyo. Kodwa xa kuvela i-aneurysm, indawo ebuthathaka kwimithambo ibangela ukuba idumbe ngaphandle. Kufana nebhendi yerabha etsalwa kwindawo enye. Udonga lwemithambo lubuthathaka kakhulu ngelo xesha. Ekuhambeni kwexesha, ukuba alunyangwa, oku kunokukhokelela kwiingxaki ezinkulu .

I-Splenic Artery Aneurysm yimeko yezempilo enzulu . Ngamanye amaxesha inokuba yingozi ebomini, ingakumbi ukuba ukhulelwe . Njengezinye ii-aneurysms, le iyingozi kuba inokuqhekeka okanye iqhekeke . Oku kuqhekeka kunye nokuqhekeka ziimeko ezingxamisekileyo ezisongela ubomi ezifuna unyango olukhawulezileyo.

Kukho enye into, ibizwa ngokuba yi -pseudoaneurysms., ebizwa ngokuba yi-'false aneurysm'. Oku kunokuchaphazela nomthambo we-splenic. Kwi-aneurysm yokwenyani, zonke iileya zodonga lomthambo ziyachaphazeleka. Kwi-pseudoaneurysm, kuphela ileya enye okanye ezimbini ezichaphazelekayo. Nangona kunjalo, le pseudoaneurysm yomthambo we-splenic nayo imbi kakhulu kwaye inomngcipheko omkhulu wokuqhekeka kune-aneurysm yokwenyani.

Zithini iimpawu ze-splenic artery aneurysm?

Kukho iimpawu ezininzi onokuzifumana ukuba une-aneurysm.

• Intlungu kwicala eliphezulu lasekhohlo lesisu sakho . Le ntlungu ingasasazeka nakwigxalaba lakho lasekhohlo.
• Ukuziva ubetha ngamandla kwinxalenye ephezulu yasekhohlo yesisu.

Khawucinge ukuba kuya kwenzeka ntoni ukuba le aneurysm ingagqabhuka . Emva koko ungazibona ngequbuliso iimpawu ezifana nezi:

• Isicaphucaphu nokuhlanza .
• Intlungu ebukhali esiswini esingaphezulu , ngaphantsi nje kweembambo zakho.
• Intlungu egxalabeni lasekhohlo .
• Iimpawu zokothuka ngenxa ye-hypovolemic (imeko ebangelwa kukwehla komthamo wegazi emzimbeni).

Olu qhambuko lunokwenzeka ngequbuliso, okanye lunokwenzeka ngamanqanaba amabini. Malunga nomntu omnye kwabane ufumana indibaniselwano yala manqanaba mabini. Oko kukuthi, iimpawu zibonakala ngequbuliso, zize ziphele okwethutyana. Kodwa loo mpumlo ithatha ixesha elifutshane, kwaye umzimba ukhawuleza uqalise ukothuka.

Eyona nto ibalulekileyo kukuba ukuba uneempawu ze-splenic artery aneurysm okanye ukuqhekeka, kufuneka utsalele umnxeba ku-1990 ngoko nangoko okanye inombolo yakho yongxamiseko yasekuhlaleni.

Abantu abaninzi abanazo iimpawu de kube kukho i-aneurysm eza kugqabhuka okanye igqabhukile. Yiyo loo nto kubaluleke kakhulu ukwazi izinto ezikubangela umngcipheko kwaye uthethe nogqirha wakho malunga nenqanaba lomngcipheko wakho.

Kutheni le nto le aneurysm yemithambo ye-splenic isenzeka?

Ubuthathaka eludongeni lomthambo we-splenic yeyona nto iphambili ebangela le aneurysm. Akusoloko kucaca ukuba yintoni ebangela obu buthathaka. Nangona kunjalo, abaphandi bafumanise ukuba kukho izinto ezininzi ezinokubangela umngcipheko kule meko.

Kwezi zinto , ukukhulelwa yinto ebaluleke kakhulu. Kwakhona, le ngozi iphezulu nangakumbi kubafazi abakhulelweyo ngaphambili. Ngexesha lokukhulelwa, utshintsho lweehomoni luchaphazela ukuhamba kwegazi lakho, lunyusa uxinzelelo ngaphakathi kwemithambo ye-splenic. Oku kunokwenza buthathaka iindonga zemithambo kwaye kubangele ukuba kubekho i-aneurysm.

Ezinye iimeko zonyango ezahlukeneyo zinokunyusa umngcipheko wokuba ne-splenic artery aneurysm. Nazi imizekelo embalwa:

• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• I-atherosclerosis
• I-aneurysm yobuchopho
• Isifo sesibindi
• Izifo zezicubu ezidityanisiweyo, umzekeloIsifo sikaMarfan
• Isifo Seswekile (iDiabetes Mellitus)
• Usulelo lwengaphakathi lentliziyo (i-Endocarditis)
• I-Fibromuscular dysplasia (FMD)
• I-Granulomatosis ene-polyangiitis (GPA) (eyayisaziwa ngokuba yi-Wegener's)
• Ukufakelwa kwesibindi
• I-Polyarteritis nodosa (PAN)
• Uxinzelelo lwegazi oluphezulu kwimithambo yegazi ekhokelela esibindini ( portal hypertension )
• I-Vasculitis

Kukwakho nezinto ezibangela umngcipheko ezinegalelo ekuphuhlisweni kwe- pseudoaneurysms ekhankanyiweyo ngaphambili:

• I-pancreatitis engapheliyo
• Iingxaki emva kotyando.
• Iingozi, ukwenzakala okufana nengozi yemoto okanye ukuhlatywa ngemela.

Zithini izizathu zokuqhuma kwe-aneurysm?

Kukho izinto ezininzi eziphambili ezibangela ukuba i-splenic artery aneurysm iphuke:

• Uxinzelelo lwegazi oluphezulu lwePortal: Ukwanda kokuhamba kwegazi kwindawo ene-aneurysm kwandisa umngcipheko wokuqhekeka.
• Ukukhulelwa: Malunga ne-50% yee-aneurysms kubafazi abakhulelweyo ziyaqhekeka ngexesha lokukhulelwa. Ngokuqhelekileyo, oku kuqhekeka kwenzeka kwi-trimester yokugqibela yokukhulelwa.
• Ukubakho kweempawu: Abantu abaneempawu basengozini engama-80% yokuhlaselwa sisifo. Oku kuphezulu kakhulu kunabo bangenazo iimpawu (abanomngcipheko we-10%).

Oogqirha bayixilonga njani le meko?

Enyanisweni, i-splenic artery aneurysms inokuba nzima ukuyifumanisa. Oku kungenxa yokuba iimpawu azicacanga kakuhle, kwaye zinokulinganisa ezinye iimeko ezininzi. Ngamanye amaxesha, oogqirha bafumanisa le meko ngelixa besenza uvavanyo ngesinye isizathu.

Uvavanyo olukhethekileyo lwemifanekiso yeyona ndlela ilungileyo yokufumanisa ezi aneurysms, ingakumbi ukuba awunazo iimpawu.

Nazi ezinye iimvavanyo ezisetyenzisiweyo koku:

• I-CT Angiography (i-computed tomography angiography - CTA)
• I-angiography yeDijithali yokuThabatha (i-DSA)
• Uvavanyo lwe-ultrasound (i-Ultrasonography) , kuquka novavanyo lwe-ultrasound ye-endoscopic .
• I-M.R. Angiography (i-Magnetic resonance angiography - MRA)

Uvavanyo ngalunye luneengenelo ezithile zokufumanisa i-aneurysms kunye nokucwangcisa unyango. Ugqirha wakho uza kukuchazela ukuba loluphi uvavanyo olufunekayo kunye nesizathu.

Ndingazi njani ukuba ndifuna unyango?

Ii-aneurysms ze-splenic artery, ezisengozini yokuqhuma okanye ukuqhekeka, kufuneka zinyangwe ngokukhawuleza. Ukuba unenye yezi meko zilandelayo, ugqirha wakho unokucebisa unyango:

• Ukuba i-aneurysm inkulu kuneesentimitha ezi-3 (iimilimitha ezingama-30) ububanzi.
• Ukuba i-aneurysm iba nkulu ngokuhamba kwexesha .
• Ukuba uneempawu .
• Ukuba udinga ukufakelwa isibindi .
• Ukuba ukhulelwe , okanye ukuba kukho ithuba lokukhulelwa .

Ukuba i-aneurysm yakho ayisengozini yokuqhekeka, ugqirha wakho uya kucebisa ukuba uhlolwe , oko kuthetha ukuba kufuneka ulandele uvavanyo lomfanekiso rhoqo. Ukuba umngcipheko wakho wokuqhekeka uyanda nangaliphi na ixesha, ugqirha wakho uya kucebisa unyango.

Ziziphi iindlela zonyango lwe-splenic artery aneurysm?

Kukho iindlela ezahlukeneyo zonyango zoku.

• Inkqubo ye-Endovascular: Olu lukhetho oluqhelekileyo lokulawula i-aneurysm ngaphambi kokuba iqhume (unyango olukhethiweyo). Apha, ugqirha uvala ukuhamba kwegazi kwi-aneurysm. Kukho iindlela ezahlukeneyo zokwenza oku. Umzekelo, kwindlela ebizwa ngokuba yi -'coiling', kusetyenziswa ii-metal coils ukuzalisa i-aneurysm. Kwenye indlela, kufakwa ulwelo olukhethekileyo, oluthi lujiye kwaye luyekise ukuhamba kwegazi kwi-aneurysm. Ugqirha ukhetha eyona ndlela ifanelekileyo ngokuxhomekeke kwimo kunye nendawo ye-aneurysm.
• Utyando oluvulekileyo: Olu tyando lucetyiswa kubantu abangakwaziyo ukufumana unyango lwe-endovascular okanye abangakhange baphumelele kulo. Apha, ugqirha ususa inxalenye eyonakeleyo yomthambo. Kusenokufuneka ususwe i-spleen yakho (i-spleenectomy) .
• Inkqubo yeLaparoscopic: Le yinkqubo engenazo izihlunu kangako kuneyotyando oluvulekileyo, kwaye ixesha lokuchacha lifutshane. Le yeyona ndlela ilungileyo yonyango ngexesha lokukhulelwa.

Thetha nogqirha wakho malunga nesicwangciso sonyango esifanelekileyo kuwe.

Iingxaki zonyango

Ugqirha wakho uza kukuchazela iingozi kunye neengxaki zonyango. Eyona ixhaphakileyo kwezi yimeko ebizwa ngokuba yi -post-embolization syndrome (PES) . Iimpawu ze-PES ziquka:

• Ifiva.
• Isicaphucaphu nokuhlanza.
• Intlungu yesisu.

Ukuba ufumanisa ezi mpawu emva konyango, thetha nogqirha wakho. Ugqirha wakho unokucebisa amayeza okudambisa iintlungu okanye i-saline (IV fluids) ukunceda ekunciphiseni iimpawu zakho ude uphile.

Ndingenza ntoni ukunciphisa lo mngcipheko?

Kubalulekile ukulawula ngokufanelekileyo naziphi na ezinye iimeko zempilo onazo, ingakumbi ezo zinyusa umngcipheko wakho wokuba ne-splenic artery aneurysm. Thetha nogqirha wakho malunga nento ekufuneka uyenze ngokukodwa kwimeko yakho.

Nazi ezinye zezinto eziqhelekileyo onokuzenza:

• Thatha onke amayeza owanikiweyo ngexesha .
• Ukuba ufumanisa naziphi na iimpawu ezintsha okanye ukuba iimpawu zakho ziyatshintsha, xelela ugqirha wakho ngoko nangoko .
• Yiya kuhlolo lwezonyango lonyaka , kwaye uye kuyo yonke idinga elicwangcisiweyo nogqirha.

Kwakhona, ukwenza utshintsho oluthile kwindlela ophila ngayo kunokunceda ukugcina impilo yemithambo yegazi yakho yonke , kuquka nomthambo wakho we-splenic.

• Yeka ukutshaya nokusebenzisa icuba ngokupheleleyo .
• Yitya ukutya okunempilo okunentliziyo .
• Zilolonge rhoqo njengoko ugqirha wakho ekucebisa.
• Nciphisa ukusetyenziswa kotywala .

Ukuba ndinayo le meko, ndimele ndilindele ntoni? Injani imbono yam?

Ukuba une-aneurysm yemithambo ye-splenic, landela imiyalelo kagqirha wakho ngononophelo. Usenokungadingi unyango ngoko nangoko. Endaweni yoko, ugqirha wakho unokucebisa oko bakubiza ngokuba "kukulinda ngononophelo." Oku kuthetha ukuba uya kuba novavanyo lwemifanekiso rhoqo (ngesiqhelo minyaka le) ukuze ubone ukuba i-aneurysm iyakhula na. Unyango olukhawulezileyo lubalulekile ukuthintela i-aneurysm ekuqhumeni okanye ekuqhekekeni.

Imbono yomntu onesi sifo ixhomekeke kwizinto ezininzi:

• Ubungakanani kunye nendawo ye-aneurysm.
• Indlela ekhula ngokukhawuleza ngayo i-aneurysm .
• Nokuba i-aneurysm iya kuqhuma okanye ayizukugqabhuka .
• Ezinye iimeko zempilo kunye nezinto ezinobungozi onazo.

Ukuqhekeka kwe-aneurysm yemithambo ye-splenic kudla ngokubangela ukufa . Uphando lubonise ukuba ukuqhekeka kunokuba yingozi kubantu aba:

* Phakathi kwama -25% nama-40% abafazi abangakhulelwanga.

* Phakathi kwama -65% nama-75% abafazi abakhulelweyo (izinga lokufa kwabantwana abangekazalwa liphakathi kwama-90% nama-95%).

* Abantu abangaphezu kwama-50% abane -portal hypertension .

Ukuqhekeka kwe-pseudoaneurysms ye-splenic artery phantse kusoloko kubulala .

Thetha nogqirha wakho malunga nemeko yakho.

Ndingazinyamekela njani? Ndingambona nini ugqirha?

Ukuphila ne-Splenic Artery Aneurysm kuyinto encinci...Inokuba yingxaki . Usenokuzibuza ukuba kwenzeka ntoni emzimbeni wakho, okanye ungoyika ukuba i-aneurysm iza kuqhuma.

Kuqhelekile ukuba nexhala. Yabelana ngeemvakalelo zakho nogqirha wakho. Ugqirha wakho unokucebisa unyango olusebenzayo kwi-aneurysm esengozini yokuqhekeka. Cela ugqirha wakho akubonise iziphumo zakho zomfanekiso aze achaze ukuba zithetha ukuthini. Okukhona ubandakanyeka ngakumbi kukhathalelo lwakho lwempilo, kokukhona uya kuziva ulawula imeko yakho.

Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi ukuze uhlolwe kwaye uvavanywe imifanekiso. Ukuba unemibuzo, iinkxalabo, okanye iimpawu ezintsha okanye ezitshintshayo, fowunela ugqirha wakho ngoko nangoko .

Ndingayibuza yiphi imibuzo ugqirha wam?

Cela ugqirha wakho akuchazele ukuba unesifo esikuphetheyo kunye nesicwangciso sakho sonyango. Nazi ezinye zemibuzo onokuyibuza:

• Ingakanani i-aneurysm yam?
• Iphi kanye kanye ?
• Lithini ithuba lokuba iqhume ?
• Zeziphi iimpawu ekufuneka ndizijonge ?
• Ndingathetha nini no-1990 ?
• Kufuneka ndize kangaphi ukuze ndihlolwe ngugqirha ?
• Zeziphi iimvavanyo ekufuneka ndizenze? Ndingazilungiselela njani ?

Kwakhona, buza ugqirha wakho ngemithombo eyongezelelweyo yolwazi enokukunceda uqonde ukuxilongwa kwakho kunye nesicwangciso sakho sonyango.

Umyalezo Wokugqibela Wokuya Ekhaya

Njengezinye ii-aneurysms, ii-aneurysms ze-splenic artery ziyingozi kakhulu ukuba azinyangwa . Ukuba ugqirha wakho ufumanisa ukuba unale meko, sele uphambili. Ugqirha uza kujonga imeko aze akuxelele xa ufuna unyango.

Ukuba unyangwa ngenxa ye-aneurysm okanye ukuqhekeka, kubalulekile ukuba uqaphele ixesha elide . Ungaphoswa ziintlanganiso zikagqirha wakho, kwaye uthethe nogqirha wakho ngazo naziphi na iimpawu ezintsha okanye ezitshintshayo. Yiba liqabane elikhutheleyo kunyango lwakho kwaye ufunde okuninzi onako malunga nemeko yakho. Ngolwazi nolwazi, ungasebenzisana neqela lakho lezonyango ukunceda ukunciphisa iingxaki zexesha elizayo.

I- Splenic Artery Aneurysm, I-Spleen, I-Artery, Intlungu Yesisu, Ukukhulelwa, Imithambo Yegazi