Ngaba ukhe weva ngomthambo wegazi omkhulu nobaluleke kakhulu emzimbeni wethu? Siwubiza ngokuba yi-aorta. Njengombhobho wamanzi ophambili ozisa amanzi endlwini yethu, le aorta ithwala igazi elicocekileyo lisuka entliziyweni liye emzimbeni wonke. Kodwa ngamanye amaxesha, kuvela indawo ebuthathaka eludongeni lwale aorta, kwaye loo ndawo iqala ukudumba njengebhaluni. Yiloo nto siyibiza ngokuba yi-'aneurysm'. Ukuba oku kudumba kwenzeka kwi-aorta esifubeni, kubizwa ngokuba yi-'Thoracic Aortic Aneurysm'. Oku kunokuvakala kuyoyikisa kancinci, kodwa ungakhathazeki. Masithethe ngayo yonke into ngokucacileyo nangokulula.
Yintoni i-Thoracic Aortic Aneurysm?
Ngamafutshane, le yingqumba eyenzeka kwinxalenye ye-aorta yesifuba esingaphakathi esifubeni sethu. Khawucinge ngombhobho wamanzi omdala, enye inxalenye yawo ibuthathaka kwaye iqhuma kancinci. Yiloo nto eyenzekayo nalapha. Esi sisifo esingaqhelekanga, ngumntu omnye kuphela kwishumi lamawaka abantu onesifo esi.
Ixesha elininzi, akukho mntu waziyo ukuba unale ngxaki. Ifunyanwa ngengozi ngexesha lovavanyo, olufana ne-CT scan, olwenziwe ngesinye isizathu.
Ngaba wonke umntu kufuneka enze olu tyando?
Hayi. Asinguye wonke umntu onesifo sokudumba oza kufuna utyando. Kukho izinto ezininzi eziza kugqiba ukuba uyaludinga na utyando okanye akunjalo.
- Ubungakanani beqhubu: Ubungakanani balo bukhulu bubaluleke kakhulu. Ngokubanzi, ukuba likhulu kune-5.5 centimeters, kufuneka kuqwalaselwe utyando.
- Izinga lokukhula: Ukuba oku kudumba kukhula ngokukhawuleza ngaphezu kwe-0.5 centimeters kwiinyanga ezintandathu, eso sisizathu sokufuna utyando.
- Iimpawu zakho: Abanye abantu banokuba neempawu ezifana neentlungu zesifuba kunye nobunzima bokuphefumla.
- Impilo yakho iyonke: Ubudala bakho kunye nokuba unezinye iimeko zempilo nazo ziyayichaphazela isigqibo malunga notyando.
Emva kokuqwalasela konke oku, ugqirha wakho uya kugqiba ukuba yeyiphi ekulungeleyo.
Kukho iintlobo ezimbini zotyando: masibone ukuba ziyintoni na
Kukho iindlela ezimbini eziphambili zotyando zokunyanga le meko. Jonga itheyibhile engezantsi ukuze uqonde umahluko phakathi kwezi zimbini.
| Uphawu | 1. Ukulungiswa kwe-Open Thoracic Aneurysm | 2. Indlela ye-TEVAR (Ukulungiswa kwe-Thracic Endovascular Aortic) |
|---|---|---|
| Indlela yokwenza oko | Kwenziwa umsikelo omde ecaleni kwesifuba, inxalenye eyonakeleyo yomthambo womthambo iyasuswa, kwaye kufakwa umbhobho wokwenziwa (i-graft) endaweni yawo. | Kwenziwa umngxuma omncinci emqolo, kudlule umbhobho omncinci (i-catheter) kuwo ngomthambo wegazi, kwaye kufakwa isixhobo esifana ne-mesh (i-stent) kwindawo evuvukileyo ukuze siqine ngaphakathi. |
| Sika | Kufuneka ukusika okukhulu, okude. | Kufuneka inxeba elincinci kakhulu. |
| Ixesha esibhedlele | Kungathatha ukuya kuthi ga kwiintsuku ezili-10. | Ngokwesiqhelo malunga neentsuku ezi-3. |
| Lixesha lokuphiliswa | Kuthatha malunga neenyanga ezi-2-3 ukubuyela kubomi obuqhelekileyo. | Ungenza umsebenzi oqhelekileyo kwiiveki ezimbalwa. Kuya kufuneka ulinde malunga nenyanga ukuze usebenze nzima. |
Kutheni olu tyando lubaluleke kangaka?
Eyona sizathu sokwenza olu tyando kukunciphisa umngcipheko wokuqhekeka kwe-aneurysm . Ayizizo zonke ii-aneurysms eziqhekekayo. Nangona kunjalo, ukuba ziyaqhekeka, yimeko engxamisekileyo esongela ubomi.
Nangona kukho iingozi ezithile ezibandakanyekayo kutyando, umngcipheko wokuqhuma kwemithambo yegazi mkhulu kakhulu. Yiyo loo nto oogqirha becebisa utyando ngexesha elifanelekileyo.
Kwenzeka ntoni ngaphambi kotyando?
Ugqirha wakho uza kukunika imiyalelo efunekayo ngaphambi kotyando.
- Uvavanyo: Ubungakanani kunye nemeko yokudumba kujongwa rhoqo ngokwenza izinto ezifana ne-'CT scan'.
- Iyeza:Usenokunikwa amayeza okulawula uxinzelelo lwakho lwegazi kunye nokuthomalalisa imithambo yegazi yakho kwiintsuku ezimbalwa ngaphambi kotyando.
- Ii-Anticoagulants: Ukuba usebenzisa ii-anticoagulants, ugqirha wakho uya kukucebisa ukuba uyeke ukuzisebenzisa ngaphambi nje kotyando. Ungaze uyeke ukuzisebenzisa ngaphandle kwengcebiso kagqirha.
Kwenzeka ntoni emva kotyando?
Emva kotyando oluvulekileyo, uza kubekwa esweni kwigumbi lokhathalelo olunzulu (ICU) usuku olunye okanye ezimbini. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo kwaye kuya kufuneka uhlale esibhedlele malunga neentsuku ezili-10.
Emva kotyando lwe-TEVAR, kuya kufuneka uhlale esibhedlele kangangeentsuku ezintathu. Oogqirha baya kukunika amayeza okunceda intlungu emva kotyando.
Ziziphi iingozi ezinokubakho ngenxa yolu tyando?
Nangona olu lutyando olusindisa ubomi, njengalo naluphi na utyando olukhulu, kukho iingozi ezibandakanyekileyo. Nangona kunjalo, iqela lezonyango lenza konke okusemandleni alo ukunciphisa ezi ngozi.
- Ukopha
- Usulelo lwemiphunga (i-pneumonia) okanye ezinye iingxaki zokuphefumla
- Ukuhlaselwa yintliziyo
- Istroke
- Ukuncipha komsebenzi wezintso
- Usulelo kwindawo yotyando
- Ubuthathaka emilenzeni ngenxa yokuphazamiseka kokunikezelwa kwegazi kumqolo
Musa ukoyika xa usiva ezi zinto. Ezi zizinto ezinokwenzeka . Thetha ngokukhululekileyo nogqirha wakho ngale nto kwaye ubuze nayiphi na imibuzo onayo.
Ufanele ubone ugqirha nini emva kotyando
Xa ubuyela ekhaya emva kotyando, kubaluleke kakhulu ukuqaphela naziphi na iimpawu zeengxaki ngokukhawuleza. Ukuba unayo nayiphi na kwezi mpawu zingezantsi, fowunela ugqirha wakho ngokukhawuleza.
| Uphawu | Yintoni ekufuneka uyiqwalasele |
|---|---|
| Ifiva | Ukuba ubushushu bomzimba bungaphezulu kwe-100.4 F (38 C). |
| Utshintsho olujikeleze indlela yokusika | Ububomvu obukhulu, ukudumba, okanye iqhuma elenzeka lijikeleze inxeba. |
| Intlungu | Intlungu ebuhlungu ehlala ihleli nangona usela amayeza. |
| Ukudumba | Ukudumba okungaqhelekanga kwindawo yotyando okanye emilenzeni. |
Zombini ezi ndlela zotyando ziphumelela kakhulu. Kwinkqubo ye-TEVAR, i-stent ingafakwa ngempumelelo kwi-99%. Utyando oluvulekileyo nalo luphumelela kakhulu. Eyona nto ibalulekileyo kukuqonda ukuba le yinto eyenziwayo ukusindisa ubomi.
Umyalezo Wokuya Ekhaya
- I-aneurysm ye-aorta yesifuba kukuncipha nokuvuvukala kwenxalenye yesifuba yomthambo wegazi oyintloko ophuma entliziyweni.
- Isizathu esiphambili sale meko kukuncipha kodonga lwemithambo yegazi.
- Ukuba utyando luyadingeka okanye alufuneki, kuxhomekeke kubukhulu beqhubu, ukuba likhula ngokukhawuleza kangakanani, kunye nemeko yakho yempilo.
- Kukho iindlela ezimbini zonyango: utyando oluvulekileyo kunye ne-TEVAR, equka ukufaka umbhobho omncinci ngaphakathi kwesisu.
- Eyona sizathu sokwenza olu tyando kukuthintela ukuba umthambo ovuthulukileyo ungagqabhuki uze ubangele umonakalo osongela ubomi.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha emva kotyando kwaye wazise ugqirha ngoko nangoko ukuba ubona naziphi na iimpawu ezingaqhelekanga.
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