Ingabe uke waba nobuhlungu obukhulu esifubeni sakho ngokuzumayo? Ingabe kungaba yi-Acute Aortic Syndrome? Ake sixoxe ngakho!

Wake wazibuza ukuthi wenzeni uma uzwa ubuhlungu obukhulu esifubeni ngokuzumayo? Ngezinye izikhathi kungaba yigesi, noma kungaba ukuhlaselwa yinhliziyo. Kodwa-ke, namuhla sizokhuluma ngohlobo oluphuthumayo oluyingozi ngokulinganayo, kodwa oluhlukile kancane. Lokhu kubizwa ngokuthi i-Acute Aortic Syndrome. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, masiliqonde kalula.

Iyini ngempela i-Acute Aortic Syndrome?

Kalula nje, leli igama elivamile lezinkinga eziningana eziphuthumayo ezenzeka emthanjeni wegazi omkhulu emzimbeni wethu, i-aorta . Cabanga ngakho njengephampu yamanzi. Le phampu isabalalisa igazi emzimbeni wonke ngephayiphi eyinhloko. Leyo phayiphi eyinhloko yilokho esikubiza ngokuthi i-aorta. Idlula esifubeni nasesiswini. Ngakho-ke, i-"Acute Aortic Syndrome" iyinkinga enkulu eyenzeka engxenyeni yesifuba yale aorta, i-"Thoracic Aorta" noma i-"Abdominal Aorta".

Into ebaluleke kakhulu ukuthi lezi zimo ziphuthumayo kakhulu futhi zingaba yingozi empilweni . Ezimweni eziningi, kudingeka ukuhlinzwa. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izinhlobo eziyinhloko zalesi sifo?

Kunezinhlobo ezintathu eziyinhloko ze-`(Acute Aortic Syndrome)`. Ake sibone ukuthi ziyini.

1. Ukuhlukaniswa Kwe-Acute Aortic: Lokhu kuyinto embi kakhulu futhi evamile kakhulu . Okwenzekayo lapha ukuthi kwakheka ukudabuka okuncane ngaphakathi kodonga lwe-aorta, okuvumela igazi ukuthi livuze phakathi kwezingqimba zodonga. Cabanga ngakho njengepayipi lamanzi elinezingqimba ezimbili, futhi uma ungqimba olulodwa luphuka, amanzi angavuza kwezinye izingqimba ezimbili. Lokhu kungenza i-aorta ibe buthaka futhi kubangele nokuthi iqhume.

2. I-Intramural Hematoma: Lokhu kwenzeka lapho umthambo omncane wegazi ngaphakathi kodonga lwe-aorta uqhuma futhi igazi elithile liqoqana ngaphakathi kodonga lwemithambo. Njengoba nje lapho sithola ihlule legazi emzimbeni wethu, liyabhajwa. Lokhu ngezinye izikhathi kungakhula kube ukuhlukaniswa kwe-Aortic.

3. Isilonda Esingena Nge-Atherosclerotic: Lesi isilonda esikhula odongeni lwe-aorta. Lesi simo sivame kakhulu kubantu abanamafutha amaningi emithanjeni yegazi (i-atherosclerosis). Lesi silonda singajula futhi senze buthaka udonga lwemithambo yegazi.

Zontathu zihlobene futhi zingashintsha kusuka kwesinye ziye kwesinye. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha nganoma yisiphi salezi zimo.

Ingabe unalezi zimpawu? Zihlole...

Uphawu oluyinhloko noluvame kakhulu lwe-`(Acute Aortic Syndrome)` ubuhlungu besifuba obungazelelwe, obungabekezeleleki, nobunzima . Abantu abaningi babuchaza njengobuhlungu obuhlabayo nobudabukisayo. Lobuhlungu bungase budlulele emhlane, esiswini, noma ngisho nasentanyeni nasendaweni yomhlathi.

Ngaphandle kwalokho, kungase kube nezinye izimpawu eziningana:

• Ubuhlungu besisu: Ikakhulukazi uma ingxenye yesisu ye-aorta ithintekile.
• Ubuhlungu bomhlane: Bungahambisana nobuhlungu besifuba.
• Ukuquleka noma ukulahlekelwa ukwazi: Ngenxa yokuncipha kokugeleza kwegazi ebuchosheni.
• Ukulahlekelwa noma ukushaya kwenhliziyo okubuthakathaka kakhulu emilenzeni noma ezinyaweni: Lokhu kungenxa yokuvaleka kokugeleza kwegazi emilenzeni.
• Ubunzima bokuphefumula
• Ubuthakathaka
• Ukujuluka

Khumbula, uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu ngesikhathi esisodwa, kufanele uye esibhedlela ngokushesha, ngaphandle kokulibala . Lesi yisimo esiphuthumayo!

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eyinhloko yalesi simo esiyingozi umfutho wegazi ophezulu ongalawuleki (umfutho wegazi ophakeme) . Uma umfutho wegazi uphezulu iminyaka eminingi, izindonga zemithambo yethu ziyalimala futhi zibe buthaka. Lokhu kwandisa ingozi yalezi zinhlobo zokuqhekeka nokuqhekeka.

Ezinye izizathu zingaba:

• I-Aortic aneurysm: Lokhu kuqubuka okufana nebhaluni ku-aorta. Lokhu kuqubuka kubuthakathaka futhi kungaqhekeka noma kuqhume kalula.
• Amaphutha e-Aortic Valve: Amaphutha athile okuzalwa nawo e-aortic valve enhliziyweni nawo angandisa le ngozi.
• Ukugcwala kwamafutha emithanjeni yegazi (i-Atherosclerosis): Lokhu kubangela ukuthi imithambo yegazi inciphe, iqine futhi ibe buthaka.

Ubani okungenzeka kakhulu ukuthi athole lokhu? (Izici eziyingozi)

Abanye abantu banamathuba amaningi okuthola lesi sifo (i-Acute Aortic Syndrome) kunabanye. Ake sibone ukuthi bangobani:

• Abantu asebevele benesifo "se-Aortic Aneurysm".
• Abantu abanesimo esibizwa ngokuthi i-aortic coarctation (ukuncishiswa kwe-aorta enkulu).
• Abantu abanesifo se-Bicuspid Aortic Valve (isici esise-valve yenhliziyo).
• Abantu abanezimo ezithile zofuzo: Isibonelo, izimo ezifana `(Marfan syndrome)`, `(Turner syndrome)` noma `(Ehlers-Danlos syndrome).` Lezi zibangela ukuba izicubu zomzimba ezixhumeneyo zibe buthaka. Njengoba i-aorta yakhiwe ngalolu hlobo lwezicubu, nayo ingaba buthaka.
• Abantu abanomfutho wegazi ophakeme: Lesi yisona sici esiyinhloko esiyingozi.

Ngaphezu kwalokhu, kunezinye izici eziningana eziyingozi:

• Ubudala: Le ngozi iphezulu kubantu abangaphezu kweminyaka engama-60 ubudala.
• Ukusetshenziswa kwezidakamizwa: Lokhu kungenzeka ikakhulukazi kubantu abasebenzisa izidakamizwa ezifana ne-cocaine.
• Ukuphakamisa izisindo ngamandla aphezulu: Abantu abaphakamisa izisindo eziningi futhi abenza izivivinyo zokumelana ngezinye izikhathi bangaba nengozi eyengeziwe.
• Ukukhulelwa: Akuvamile kakhulu, lesi simo siye senzeka nakomama abakhulelwe abangenazo ezinye izinto eziyingozi.
• Ubulili:Amadoda anamathuba amaningi okuthola lesi sifo.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Uma uya esibhedlela unezimpawu okukhulunywe ngazo ekuqaleni, odokotela bazokwenza izivivinyo ezimbalwa ngokushesha ukuze babone ukuthi lokhu kuyi-"Acute Aortic Syndrome".

Izinhlobo zokuhlolwa

• I-CT scan: Lena yindlela engcono kakhulu nenembile kakhulu yokuthola lesi sifo (izinga elifanele) . Kufana nokuthatha isithombe se-3D sengaphakathi lomzimba wethu. Lokhu kungabona ngokucacile ukuma kwe-aorta, umsebenzi wayo, indlela igazi eligeleza ngayo, ukuthi kukhona yini imifantu, noma ukuthi kukhona amahlule egazi.
• I-X-ray yesifuba: Lokhu kunganikeza umbono oqondile ngesimo senhliziyo nezitho ezizungezile. Ngezinye izikhathi, uma i-aorta ikhulisiwe, ingabonakala futhi.
• I-Coronary Angiogram: Lokhu kuhlola isimo semithambo yenhliziyo ehambisa igazi enhliziyweni.
• I-E.C.G. (I-Electrocardiogram - EKG): Lokhu kuhlola ukusebenza kukagesi kwenhliziyo. Lokhu kusiza ukuhlukanisa phakathi kokuhlaselwa yinhliziyo nokuhlaselwa yinhliziyo.
• I-Transthoracic Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka isimo samakamelo enhliziyo, ama-valve, kanye nemithambo yegazi.

Ngalezi zivivinyo, odokotela bangaqinisekisa ngokushesha lesi sifo.

Yiziphi izindlela zokwelapha lokhu? Singasindiswa yini?

Indlela yokwelapha incike endaweni lapho umonakalo we-aorta ukhona khona.

• Inkinga nge-aorta ekhuphukayo, ingxenye ye-aorta ekhuphukela enhliziyweni, idinga ukuhlinzwa okuphuthumayo . Odokotela abahlinzayo basusa ingxenye eyonakele ye-aorta bese beyishintsha nge -graft yokwenziwa . Kwezinye izimo ezinzima, i-aortic valve nayo ingadinga ukushintshwa.

• Uma kunenkinga ngengxenye ye-aorta eyehlayo bese ixhuma kweminye imithambo yegazi, i-aorta ehlayo, lokhu ngezinye izikhathi kungelashwa ngemithi. Kunikezwa imithi elawula umfutho wegazi, njenge- beta-blockers noma i-vasodilators . Le mithi isebenza ngokunciphisa izinga lokushaya kwenhliziyo, ukwandisa imithambo yegazi, kanye nokunciphisa umfutho wegazi kwi-aorta. Kodwa-ke, ngezinye izikhathi izinkinga ngale ngxenye zingadinga ukuhlinzwa noma ukufakwa kwe-stent.

Into ebaluleke kakhulu ukuthi uma ulinda isikhathi eside ukuqala ukwelashwa, isimo singaba yingozi kakhulu. Ngakho-ke, ukufika esibhedlela nokuqala ukwelashwa ngokushesha kubalulekile ekusindiseni izimpilo.

Yini esingayenza ukuze sigweme lesi simo esiyingozi? ( Singayinciphisa kanjani ingozi?)

Ukuze sisinde kulesi simo esinzima kangaka, sidinga ukunakekela indlela yethu yokuphila.

• Ukugcina isisindo esinempilo:Gcina isisindo esinempilo ngobude bakho, iminyaka, kanye nobulili.
• Ukulawula umfutho wegazi: Lena yinto ebaluleke kakhulu . Uma unengcindezi yegazi, thatha imithi udokotela wakho ayinikeza ngesikhathi. Hlola umfutho wegazi lakho njalo.
• Ukuphatha ezinye izimo zezokwelapha eziyisisekelo: Uma unezinkinga ezifana nesifo sikashukela noma i-cholesterol, ziphathe kahle ngokwemiyalelo kadokotela wakho.
• Yeka ukubhema ngokuphelele: Ukubhema kuyingozi kakhulu emithanjeni yegazi.

Ngokulandela lezi zinyathelo ezilula, unganciphisa kakhulu ingozi yokuba nezimo eziyingozi njenge-"Acute Aortic Syndrome".

Kwenzekani uma lokhu kwenzeka? Kuzothatha isikhathi esingakanani ukululama? (Umbono wesifo)

I-Acute Aortic Syndrome iyisimo esiphuthumayo esisongela ukuphila. Ngokuvamile sidinga ukuhlinzwa okuphuthumayo. Ukululama kwakho kuncike ekutheni uthola ukwelashwa ngokushesha kangakanani.

Ezimweni ezimbili `(Intramural Hematoma)` kanye `(Penetrating Atherosclerotic Ulcer)`, amathuba okusinda aphezulu kune `(Acute Aortic Dissection)`.

Ngemva kokwelashwa, kuzodingeka uqhubeke uqashwe udokotela. Kuzodingeka ukuthi uhlolwe njalo ukuze uhlole noma yikuphi ukopha emthanjeni wegazi noma ukwakheka kwe-aneurysms entsha. Kubaluleke kakhulu futhi ukugcina umfutho wegazi wakho ulawulwa kahle impilo yakho yonke.

Ungakhohlwa ukubuza udokotela wakho ngalezi zinto.

Uma kutholakala ukuthi une-Acute Aortic Syndrome, noma usola ukuthi unayo, ungabuza udokotela wakho le mibuzo:

• Yini okungenzeka kakhulu ukuthi iyimbangela yezimpawu zami?
• Nginesifo senhliziyo esingaphansi. Iyini ingozi yami yokuthola i-`(Acute Aortic Syndrome)`?
• Yiziphi ngempela izimpawu ze-`(Acute Aortic Syndrome)` okufanele ngizazi?
• Yiziphi izindlela zokwelapha lokhu? Yikuphi okungcono kimi?
• Yikuphi ukwelashwa okufanele ngikwenze ngemva kokwelashwa?

Ngamafuphi (Umyalezo Wokuya Ekhaya)

Kulungile, ukuze ukhumbule ezinye zezinto ezibaluleke kakhulu kulokho esikhulume ngakho.

I-Acute Aortic Syndrome yisimo esisongela impilo esivelela ku-aorta.

Uphawu oluyinhloko ubuhlungu besifuba obungazelelwe, obukhulu . Lobuhlungu bungasakazeka nasemhlane nasesiswini.

Umfutho wegazi ophezulu yimbangela eyinhloko yalokhu.

Uma uhlangabezana nalezi zimpawu , hamba esibhedlela ngokushesha. Ukwelashwa okusheshayo kungasindisa impilo yakho.

Le ngozi ingancishiswa ngokuphila impilo enempilo nokulawula umfutho wegazi.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela womndeni wakho. Hlala uphilile!

'I-Acute Aortic Syndrome, i-Aorta, Ubuhlungu Besifuba, Umfutho Wegazi Ophakeme, Isifo Senhliziyo, Ukuhlinzwa Okuphuthumayo