Wake wazibuza ukuthi umthambo wegazi omkhulu esiswini sakho, njengombhobho wamanzi, ungaba buthakathaka futhi uvuvuke njengebhaluni? Abantu abaningi bahlakulela lesi simo ngaphandle kwezimpawu. Kodwa uma siqhuma ngokuzumayo, singasongela impilo. Namuhla, sikhuluma ngokuhlolwa okulula, okungenabuhlungu okungakusiza ukuthi ubone lesi sitha esithule kusenesikhathi.
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Kuyini i-Abdominal Aortic Aneurysm (AAA)?
Kalula nje, lokhu kuyiqhubu elise-aorta yesisu, elitholakala ngaphakathi esiswini sethu. Cabanga ngakho njengomthambo omkhulu, omkhulu kunayo yonke othwala igazi emzimbeni wethu wonke (njengepayipi eliyinhloko lomugqa wamanzi). Lapho udonga lwalo mthambo luba buthakathaka endaweni ethile, ingcindezi edalwa yigazi eligeleza kulo ibangela ukuthi leyo ndawo ebuthakathaka iqhubuke njengebhaluni. Yilokho esikubiza ngokuthi i-Abdominal Aortic Aneurysm , noma i-AAA .
Ingozi enkulu yalokhu ukuthi kuvame ukukhula kancane ngokuhamba kweminyaka ngaphandle kwezimpawu noma ubuhlungu. Kodwa uma ngolunye usuku lokhu kuvuvukala kungabekezeleleki futhi kuqhume, kubangele ukopha okukhulu esiswini, kungaba yingozi.
Kungani lokhu kuskena kubaluleke kangaka?
Lokhu kuskena kubaluleke kakhulu ngesizathu esisodwa: ngoba ukutholakala kusenesikhathi kungasindisa izimpilo.
Uma lokhu kuqubuka kwemithambo yegazi kuqhuma, kuba yisimo esiphuthumayo sezokwelapha. Ngaleso sikhathi, amathuba okusindisa isiguli mancane kakhulu. Kodwa ngalesi skeni se-ultrasound esilula, singathola kusengaphambili ukuthi lokhu kuqubuka kukhona yini, futhi uma kunjalo, kungakanani. Khona-ke odokotela bethu banethuba lokunikeza ukwelashwa okudingekayo kanye nokubheka ngaphambi kokuba kuqhume.
Kalula nje, leli yithuba elihle lokuthi sibone usongo olungabonakali kusenesikhathi futhi sithathe isinyathelo ngaphambi kokuba kwenzeke ingozi.
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Check Availability →Ubani ofuna ukwenza lolu vivinyo?
Odokotela batusa ukuthi abantu abanezici ezithile eziyingozi benze lokhu kuskena okungenani kanye empilweni yabo. Abantu abalandelayo ikakhulukazi kufanele baqaphele lokhu.
- Abantu abaneminyaka ephakathi kuka-65 no-75 .
- Noma ubani onomlando wokubhema (abesilisa nabesifazane).
- Uma othile emndenini wakho oseduze (umama, ubaba, umfowethu, udadewethu) eke waba ne-aneurysm (AAA) enje.
Kwezinye izimo ezikhethekile, udokotela wakho angase ancome lokhu kuskena kubantu abangaphandle kwaleli banga leminyaka. Isibonelo:
- Ngisho noma ungaphansi kweminyaka engama-65 ubudala, uyabhema, une -atherosclerosis , imithambo yegazi ephukile kwenye indawo emzimbeni, noma unesifo esizuzwe njengefa sezicubu ezixhumeneyo.Kulabo abanesifo (esizuzwe njengefa sezicubu ezixhumeneyo).
- Kulabo abaneminyaka engaphezu kuka-75 ubudala, abanezici eziyingozi ezingenhla, kodwa abangakaze benze lokhu kuskena ngaphambili.
Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho bese unquma ukuthi uyaludinga yini lolu vivinyo.
Uyenza kanjani le scan? Kulula kakhulu!
Lokhu kwenziwa nge-ultrasound yesisu. Lokhu kuyinto elula kakhulu futhi elula.
- Akukho ubuhlungu nhlobo.
- Akukho lutho oluthunyelwa emzimbeni.
- Akuyona imisebe njenge-X-ray.
- Kuthatha isikhathi esifushane kuphela, cishe imizuzu eyi-10 noma eyi-15 .
Nakhu okwenzekayo uma wenza lokhu:
1. Uzolaliswa etafuleni lokuhlolwa bese ucelwa ukuthi uveze isisu sakho.
2. Uchwepheshe uzofaka ijeli ecacile, ebandayo kancane esiswini sakho. Le jeli isiza amagagasi okuskena angene emzimbeni wakho.
3. Okulandelayo, ithuluzi elincane (induku/iprobe) lihanjiswa kancane phezu kwejeli ukuze kuthathwe izithombe ze-aorta yakho.
4. Uma usuqedile, sula ijeli bese usukulungele ukuhamba. Yilokho kuphela!
Akukho okufanele ukwesabe, noma yini okufanele uyilungiselele ngokukhethekile.
Kwenzekani ngemva kokuskena? Imiphumela ithini?
Ungaya ekhaya ngokushesha ngemva kokuskena. Udokotela wakho uzokunika isikhathi sokuxoxa ngemiphumela. Imiphumela ingaba kabili kakhulu.
| Umphumela | Kusho ukuthini |
|---|---|
| Ayikho i-aneurysm | Lona umphumela ovame kakhulu. Kusho ukuthi akukho ukwanda okungavamile kwe-aorta yakho. Akukho okufanele ukhathazeke ngakho. Cishe ngeke kudingeke ucabange ngalokhu futhi. |
| Kukhona i-aneurysm. | Lokhu kusho ukuthi kukhona ukuvuvukala emthanjeni wakho wegazi. Kungaba yinoma yini kusukela kokuncane kuya kokukhulu. Udokotela wakho uzochaza ukuthi yini okufanele uyenze ngokulandelayo ngokusekelwe kubukhulu bevuvukala. |
Kwenzekani uma uthola ukuthi une-aneurysm?
Okokuqala, ungesabi! Esikhathini esiningi, amaqhubu amancane awaphumi kalula. Udokotela uzokuqapha ngokucophelela.
Isinyathelo esilandelayo sizoncika ngobukhulu (ububanzi) besimila. Ukuhlinzwa kuvame ukucatshangelwa uma isimila sikhulu kunamasentimitha angu-5.5 (cm). Kumathumba amancane, udokotela wakho cishe uzoyala ukuthi kuphinde kuhlolwe njalo ukuze abone ukuthi siyakhula yini.
| Usayizi we-aneurysm | Isikhathi sokuskena futhi |
|---|---|
| 3.0 cm kuya ku-3.9 cm | Njalo eminyakeni emi-3 |
| 4.0 cm kuya ku-4.9 cm (owesilisa) | Njalo ezinyangeni eziyi-12 (kanye ngonyaka) |
| 4.0 cm kuya ku-4.4 cm (owesifazane) | Njalo ezinyangeni eziyi-12 (kanye ngonyaka) |
| Ngaphezu kuka-5.0 cm (owesilisa) | Njalo ezinyangeni ezi-6 |
| Ngaphezu kuka-4.5 cm (owesifazane) | Njalo ezinyangeni ezi-6 |
Enye into ebaluleke kakhulu ukutshela umndeni wakho oseduze (umama, ubaba, izingane zakini) uma unalesi simo. Bangase babe sengozini yokuthola lesi sifo, ngakho-ke kubalulekile ukukhuluma nodokotela wabo bese kwenziwa lolu vivinyo.
Nini ukukhuluma nodokotela
Unganqikazi ukukhuluma nodokotela wakho kunoma yiziphi izimo ezilandelayo.
- Uma ufuna ukwazi okwengeziwe ngalolu vivinyo lwe-AAA scan.
- Khuluma ngengozi yakho yalesi sifo kanye nezindlela ongazinciphisa ngazo.
- Uma unemibuzo mayelana nemiphumela yakho yokuskena noma uhlelo lokwelashwa.
- Uma uthola ukuthi othile emndenini wakho une-AAA.
Kuvamile ukuzizwa ukhathazekile futhi wesaba ikusasa uma uthola ukuthi unesifo esifana nalesi. Kodwa khumbula, amathuba okuba ukuqubuka okuncane kube yisimo esiphuthumayo mancane kakhulu. Udokotela wakho uzokuqapha ngokucophelela futhi akwazise ngesikhathi esifanele uma kudingeka ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Abdominal Aortic Aneurysm (AAA) iwukuvuvuka komthambo wegazi oyinhloko esiswini. Ivame ukuba buthule futhi ingabi nazimpawu, kodwa ingaba yingozi uma iqhuma.
- Lokhu kungatholakala kusenesikhathi nge-ultrasound scan elula, engenabuhlungu.
- Uma uneminyaka engaphezu kwengu-65, ikakhulukazi uma unomlando wokubhema noma umlando womndeni walesi sifo, qiniseka ukuthi ukhuluma nodokotela wakho ngalesi sikeni.
- Ungesabi uma ubona iqhubu. Esikhathini esiningi, lingaqashwa futhi lelashwe ngesikhathi.
- Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokuvimbela izimo ezisongela ukuphila.
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