Ngaba ngamanye amaxesha uziva iintlungu zesisu okanye umqolo? Sihlala sicinga ngayo njengento elula njenge-gastritis. Kodwa ngamanye amaxesha, emva kwempawu encinci kangaka, kunokubakho ingxaki enkulu yempilo esingacingi ngayo. Namhlanje siza kuthetha ngesifo esingathi shu, esisongela ubomi, kodwa esingathethwa kakhulu ngaso. Yiyo loo nto i-Visceral Artery Aneurysm.
Ngamafutshane, yintoni le Visceral Artery Aneurysm?
Kulungile, masiqonde oku ngokulula. Khawucinge ukuba kukho imithambo yegazi emikhulu (imithambo yegazi) emzimbeni wethu enika igazi kwizitho ezibalulekileyo ezifana nesibindi, izintso, amathumbu, ipancreas, ipleen, kunye nesisu. Ezi zizinto esizibiza ngokuba yiVisceral Arteries.
I-aneurysm iyenzeka xa udonga lomthambo wegazi luba buthathaka ngenxa yesizathu esithile luze luvuvuke njengebhaluni.
Khawucinge nje, lo mthambo, uvuvukile kwaye uvuvukile ngolu hlobo, ungadubula ngequbuliso (uqhekeke). Ukuba oko kuyenzeka, ukopha kakhulu kuya kuqala emzimbeni. Le meko siyibiza ngokuba yi-`(Ukopha)`. Le yimeko engxamisekileyo eyingozi kakhulu, esongela ubomi.
Amaxesha amaninzi, ezi aneurysms zenzeka kwimithambo yegazi ehambisa igazi kwipleyini, kwizintso nakwisibindi.
Ngaba kukho iintlobo zezi aneurysms?
Ewe, zimbini iintlobo eziphambili. Kubalulekile ukuqonda umahluko phakathi kwezi zimbini.
| Uhlobo lwe-aneurysm | Ingcaciso elula |
|---|---|
| I-Aneurysm yokwenyani | Okwenzekayo koku kukuba udonga lomthambo wegazi ngokwalo luyabuthathaka kwaye luvuthuluka njengebhaluni. Zonke iileya zodonga ziyaqhekeka. |
| I-Pseudoaneurysm | Oku kwahlukile kancinci. Apha, kwakheka umngxuma eludongeni lomthambo wegazi, kwaye igazi elithile liyavuza lize liqokelele kwizicubu ezijikelezileyo. Emva koko igazi liyaqhekeka kwaye lenze udonga olubuthathaka olujikeleze lona. Ngenxa yokuba oku kufana nodonga 'olungamanga', umngcipheko wokuqhekeka kwale mingxunya uphezulu kakhulu. |
Ngaba le meko singayibona njengexhaphakileyo kuluntu?
I-Visceral Artery Aneurysms yimeko engaqhelekanga kakhulu. Kodwa ngenxa yokuba uninzi lwabantu alubonisi zimpawu, kunzima ukutsho ukuba bangaphi abantu abanazo ngokwenene.
Kodwa ngokumangalisayo, ezinye iintlobo zahlukile ngokwesini. Umzekelo, ii-aneurysms kwimithambo yegazi ehambisa igazi kwi-spleen zixhaphake kakhulu kwabasetyhini.
Zithini iimpawu zoku?
Kulapho ke eyona nto iyingozi kakhulu. Amaxesha amaninzi akukho zimpawu. Uninzi lwexesha, ezi zifunyanwa ngengozi. Oko kukuthi, oogqirha bakubona oku kuphela xa besenza into efana ne-CT scan okanye i-MRI scan yesisu ngenxa yesinye isifo.
Nangona kunjalo, ukuba i-aneurysm iyaqhambuka, iimpawu zinokubakho. Iimpawu eziphambili zezi:
- I-anemia: Oku kuthetha ukwehla komthamo wegazi emzimbeni. Oku kunokwenzeka ngenxa yokopha kakhulu emzimbeni.
- Intlungu yesisu okanye yomqolo: Le ntlungu inokuba qatha kancinci ukuya kweqatha, ngoko ke ngamanye amaxesha kunokuba nzima ukuqaphela ukuba yintoni kanye kanye ebangela loo nto.
- Ukuhlanza igazi.
- Igazi esitulweni.
Ukuba unentlungu yesisu okanye umqolo engalindelekanga, enzima, engachazekiyo, ungaze uyityeshele. Funa uncedo lwezonyango ngokukhawuleza.
Kutheni ezi ntlobo ze-aneurysms zenzeka? Zithini izizathu?
Izizathu ziyahluka ngokuxhomekeke kwiintlobo ezimbini ze-aneurysms esixoxe ngazo ngaphambili.
| Uhlobo lwe-aneurysm | Izinto eziphambili ezinefuthe |
|---|---|
| I-Aneurysm yokwenyani |
|
| I-Pseudoaneurysm |
|
Ugqirha uyifumana njani le nto?
Emva kokumamela iimpawu zakho nokukuxilonga, ukuba ugqirha wakho urhanela ukuba le meko, unokukuthumela kwiimvavanyo ezilandelayo.
- I-CT scan kunye ne-MRI scan: Ezi zezona ndlela ziphambili zokuxilonga. Le mifanekiso ingabonisa indawo echanekileyo kunye nobukhulu be-aneurysm. Oku kubaluleke kakhulu ekukhetheni unyango.
- I-Angiography: Olu luvavanyo olukhethekileyo. Ugqirha ufaka ityhubhu encinci (i-catheter) kwenye yemithambo yakho (ngesiqhelo kwi-groin yakho). Emva koko ityhubhu idluliselwa kwimithambo yegazi echaphazelekayo kwaye kufakwa ulwelo olukhethekileyo (idayi yokungafani). Olu lwelo lusetyenziswa ukuthatha imifanekiso ye-X-ray okanye ye-CT ukuze kubonwe ukuba kukho na ukungaqheleki kwimithambo yegazi, njenge-aneurysm. Ngamanye amaxesha, unyango lunokunikwa ngexesha elinye novavanyo.
Iphathwa njani?
Indlela yonyango ixhomekeke kwizinto ezifana nohlobo, ubungakanani, indawo ekuyo i-aneurysm, kunye nempilo yakho iyonke.
1. Ukulinda Ngokulinda
Ngamanye amaxesha, ingakumbi ukuba yi-aneurysm yokwenyani encinci kuneesentimitha ezi-2 , ugqirha wakho akayi kunyanga, kodwa uya kukuskena rhoqo ukuze abone ukuba iyakhula na. Banokukunika amayeza okulawula uxinzelelo lwakho lwegazi.
2. Amatyala apho unyango luyimfuneko
Kwezinye iimeko, kungcono ukunyanga amaqhuqhuva, nokuba angakanani na, kuba anobungozi obukhulu bokugqabhuka.
- I-pseudoaneurysm yalo naluphi na ubungakanani ifuna unyango.
- Kwi -aneurysms yokwenyani engaphezulu kweesentimitha ezi-2 .
- Ukuba ukhulelwe okanye uceba ukuba nabantwana.
- Ukuba iimpawu ezifana ne-anemia kunye nentlungu yesisu ziyaqhubeka.
- Ukuba uza kwenziwa utyando olufana nokufakelwa isibindi.
- Ukuba kuvela ii-aneurysms kwimithambo ethile enobungozi obukhulu (umz., imithambo ehambisa igazi esiswini okanye kwi-pancreas), iyanyangwa nokuba ingakanani na.
3. Iindlela eziphambili zonyango
Kukho iindlela ezimbini eziphambili zonyango.
- Utyando Oluvulekileyo: Kule nkqubo, ugqirha wenza umngxuma omkhulu kancinci esiswini aze aye ngqo kwimithambo yegazi eyonakeleyo. Emva koko inxalenye eyonakeleyo iyasuswa ize ilungiswe okanye itshintshwe ngento efana nombhobho wokwenziwa.
- Iinkqubo ze-Endovascular eziNciphisa Kancinci: Oku akubandakanyi ukwenza umsikelo omkhulu. Njengoko bekutshiwo ngaphambili, umbhobho omncinci (i-catheter) ufakwa ngomthambo osesinqeni uze ukhokelwe kwindawo ene-aneurysm. Emva koko umbhobho udlula kuwo uze 'uvalwe' kusetyenziswa iindlela ezahlukeneyo.
- Ukufakwa kweCoil: Iikhoyili ezincinci zesinyithi okanye into efana neplagi zifakwa kwi-aneurysm ukuze ziyizalise kwaye ziyeke ukopha.
- Ukufakwa kolwelo: Iglu ekhethekileyo, njengejeli, ifakwa kwi-aneurysm ize 'iyivale'.
- Ukubopha nge-stenting: Ityhubhu efana ne-mesh yesinyithi egqunywe ngelaphu ifakwa ngaphakathi kwemithambo yegazi ukuze kuqiniswe udonga olubuthathaka.
Unyango lwe-Endovascular lunokukunceda uphile ngokukhawuleza kwaye lunciphise ukuhlala kwakho esibhedlele kunotyando oluvulekileyo. Nangona kunjalo, ngamanye amaxesha unyango lwesibini lunokufuneka. Ugqirha wakho uya kukhetha indlela efanelekileyo kuwe.
Zithini iziphumo zokugqibela zale meko?
Kufuneka siqonde ukuba le yimeko enzima kakhulu. Ukuba ayinyangwa, i-aneurysm inokuqhuma ize ibangele nokufa. Ngokwedatha, malunga nama-25% abantu abangeniswa esibhedlele ngequbuliso baphuke i-aneurysm. Malunga ne-10% yabo bayafa. Umngcipheko wokufa uphezulu ngakumbi ukuba i-aneurysm iyaphuka kubafazi abakhulelweyo.
Kodwa iindaba ezimnandi zezokuba ukuba ifunyenwe ngengozi ize inyangwe ngokukhawuleza, kwanangaphambi kokuba kuvele naziphi na iimpawu, iziphumo zilungile kakhulu.
Ngaba oku akunakuthintelwa ukuba kwenzeke?
Kunzima ukuthintela ii-aneurysms ezibangelwa zizinto ezithile zemfuza okanye izifo zezicubu ezidityanisiweyo. Nangona kunjalo, singanciphisa umngcipheko wee-aneurysms ezibangelwa yi-atherosclerosis (ukugcinwa kwamafutha kwimithambo yegazi). Kukho izinto ezininzi onokuzenza ukuze wenze oku:
- Gcina i-cholesterol yakho kunye noxinzelelo lwegazi zilawulwa kakuhle.
- Zilolonge rhoqo.
- Yamkela ukutya okunempilo kwentliziyo (nciphisa ioyile, ityuwa, kunye neswekile).
- Lala ngokwaneleyo.
- Nciphisa ukusetyenziswa kotywala .
- Lawula uxinzelelo .
- Yeka ukutshaya nokusebenzisa icuba ngokupheleleyo.
Ukuba ufuna ingcebiso engaphezulu ngale nto, thetha nogqirha wakho wosapho.
Umyalezo Wokuya Ekhaya
- I-Visceral Artery Aneurysm kubuthathaka nokudumba komthambo omkhulu wegazi esiswini sethu. Le yimeko engathethiyo, kodwa iyingozi.
- Ixesha elininzi, akukho zimpawu. Idla ngokufunyanwa xa kuskenwa ngesinye isizathu.
- Intlungu yesisu okanye yomqolo ngequbuliso, eqatha , luphawu olukhulu lwesilumkiso. Ukuba oku kuyenzeka, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Ukufunyanwa kwangethuba kwesi sifo kunye nonyango olufanelekileyo kunokusindisa ubomi.
- Ngokulandela indlela yokuphila enempilo, unokunciphisa umngcipheko we-atherosclerosis, esona sizathu siphambili sesi sifo. Thetha nogqirha wakho rhoqo malunga nempilo yakho.
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