Ingabe udinga ukuhlinzwa ngenxa ye-aneurysm? (Ukuhlinzwa kwe-Aneurysm) Ake sixoxe ngalokhu kalula.

Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela ekutshela noma othile emndenini wakho ene-"aneurysm" nokuthi udinga ukuhlinzwa ngenxa yalokho. Uma uzwa leli gama, kunezinto eziningi ezifika engqondweni. Ngakho-ke namuhla, ake sifunde kabanzi ngalokhu, okungukuthi, lokhu kuhlinzwa kwe-aneurysm. Ngizokuchazela konke kalula nangokucacile, njengoba nje ubungakhuluma nomngane.

Kuyini ngempela ukuhlinzwa kwe-aneurysm?

Kalula nje, ukuhlinzwa kwe-aneurysm kuyindlela yokwelapha ubuthakathaka be-aorta, umthambo wegazi oyinhloko emzimbeni wethu. Cabanga ngepayipi lamanzi eliba buthaka endaweni ethile futhi liqhume njengebhaluni. Ngendlela efanayo, lapho i-aorta iba buthaka endaweni ethile futhi iqhume, sikubiza ngokuthi i-aortic aneurysm. Lokhu kuyingozi ngoba lokhu kuqhuma kungaqhuma (kuqhekeke) noma kudabuke (kuqhekeke) nganoma yisiphi isikhathi. Uma lokho kwenzeka, kungaba yingozi kakhulu ngisho nasemphilweni yonke.

Ngakho-ke umgomo oyinhloko walolu hlelo ukususa umthambo wegazi ovuvukile nobuthakathaka ngaphambi kokuba uqhume bese ufakwa ishubhu lendwangu eliqinile elenziwe ngokwenziwa. Lokhu sikubiza ngokuthi i-graft . Le graft isebenza njengomthambo wegazi omusha sha. Bese igazi ligeleza kuyo ngaphandle kwengozi.

Lokhu kubhekwa njengokuhlinzwa okukhulu. Ngokuvamile kwenziwa udokotela ohlinzayo wesifuba noma wemithambo yegazi egumbini lokuhlinza esibhedlela. Kuye ngokuthi i-aneurysm ikuphi, udokotela kungadingeka enze ukusika okukhulu esifubeni noma esiswini.

• Sibiza i-aneurysm endaweni yesifuba ngokuthi i-Thoracic Aortic Aneurysm .
• Ingxenye engezansi kancane, okungukuthi, endaweni yesisu, ibizwa ngokuthi i-Abdominal Aortic Aneurysm .

Lokhu kuhlinzwa kubalulekile ukuze kugwenywe izingozi ezinkulu. Njengakuzo zonke izinhlobo zokuhlinzwa ezinkulu, kunezingozi ezincane, kodwa izinzuzo zidlula kakhulu. Udokotela wakho uzohlola isimo sakho ngokucophelela bese enquma ukuthi udinga ukuhlinzwa noma cha.

Ubani ngempela odinga lokhu kuhlinzwa?

Lokhu kungahlukaniswa izingxenye ezimbili. Esinye yisimo esiphuthumayo. Esinye yisimo lapho uhlela khona kusenesikhathi ngaphambi kokuba kwenzeke isimo esiphuthumayo.

1. Abantu abaye baba ne-aneurysm eqhumile noma eqhumile (isimo esiphuthumayo)

Lesi yisimo esiyingozi kakhulu nesiphuthumayo. Uma i-aneurysm iqhuma noma iqhuma, kudingeka ukuhlinzwa okusheshayo. Lena yindlela kuphela yokusindisa impilo. Uma izimpawu ezingezansi zivele ngokuzumayo, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha .

2. Abantu abane-aneurysm abasengozini yokuqhuma

Uma udokotela wakho ethole ukuthi une-aneurysm, noma ngabe ayiqhumanga, kubalulekile ukubona udokotela wakho njalo ukuze ahlole isimo sayo. Udokotela wakho uzobheka ubukhulu bayo nokuthi ikhula ngokushesha kangakanani ukuze anqume isikhathi esingcono kakhulu sokwenza ukuhlinzwa. Ungadinga ukuhlinzwa uma unezinye zezimo ezilandelayo:

• Uma i-aneurysm inkulu kunobubanzi obungaphezu kwamasentimitha angu-5 .
• Uma ikhula ngokushesha (isibonelo, ngaphezu kwesentimitha elilodwa ngonyaka).
• Uma uzwa ubuhlungu obuvamile ezindaweni ezifana nesisu, umhlane, isifuba, noma imbobo.
• Uma uzwa umuzwa wokushaya esiswini sakho.
• Uma ukhwehlela, unesihlungu, noma uphefumula kanzima.

Isibonelo, uma unesifo sofuzo esifana ne -Marfan syndrome , ngisho ne-aneurysm encane ingaba yingozi kuwe. Ngakho-ke, ungase unconywe ukuthi uhlinzwe ngaphambi kwesikhathi kunomunye umuntu.

Ngezinye izikhathi, ngenxa yezinye izinkinga zempilo, kungaba yingozi ukwenza ukuhlinzwa okukhulu okuvulekile okufana nalokhu. Ezimweni ezinjalo, udokotela wakho angase ancome inqubo elula ebizwa ngokuthi i-EVAR (Endovascular Aneurysm Repair) , lapho kufakwa khona ipayipi ngomsikelo omncane kakhulu emthanjeni wegazi.

Ulungiselela kanjani ngaphambi kokuhlinzwa?

Ukulungiselela ukuhlinzwa okukhulu okufana nalokhu kuqala emasontweni ambalwa kusengaphambili. Udokotela wakho uzokuxilonga kahle futhi enze izivivinyo eziningana ukuqinisekisa ukuthi umzimba wakho usesimweni esifanele sokuhlinzwa. Phakathi nalesi sikhathi, kufanele nakanjani ukhulume nodokotela wakho ngalokhu okulandelayo:

• Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo: imithi kadokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yamakhambi, nakho konke okunye okuthathayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ngaphambi kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho njengoba nje inikezwe.
• Mayelana nezinye izimo zezokwelapha onazo: Uma unezinkinga zezokwelapha ezifana nomfutho wegazi ophakeme noma isifo sikashukela, kufanele zilawulwe kahle ngaphambi kokuhlinzwa.
• Mayelana nempilo yakho yomzimba: Tshela udokotela wakho uma unomkhuhlane, umkhuhlane, i-herpes, noma olunye uhlobo lokugula. Akuyona into enhle ukwenza ukuhlinzwa uma ugula.
• Uma ubhema: Kufanele uyeke ukubhema ngokuphelele okungenani inyanga eyodwa ngaphambi kokuhlinzwa. Uma udinga usizo ngalokhu, buza udokotela wakho, uzokwazi ukukusiza.

Uzonikezwa nochungechunge lwemiyalelo ekhethekile yokulungiselela usuku lokuhlinzwa. Eminye yayo ihlanganisa:

• Ngobusuku bangaphambi kokuhlinzwa, utshelwa ukuthi ungaphuzi amanzi ngemva kwamabili.
• Yimuphi umuthi okufanele ngiwuthathe ekuseni ngosuku lokuhlinzwa?
• Ukucela ukuhlela ukuthi othile akulande uma ufika ekhaya uvela esibhedlela.

Landela yonke le miyalelo ngokucophelela. Uma kukhona ongaqiniseki ngakho, buza udokotela wakho noma umhlengikazi.

Kwenzekani ngempela ngaphakathi kokuhlinzwa?

Ungase ube nelukuluku kakhulu futhi wesabe ngalokhu. Kodwa ungakhathazeki. Ithimba lakho lezokwelapha lizokunakekela kahle. Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile . Ngemuva kwalokho uzobe ulele ngokuphelele futhi ungezwa lutho. Ngemuva kwalokho ukuhlinzwa kuzokwenzeka ngokwalezi zinyathelo:

1. Ukusikwa: Udokotela ohlinzayo wenza isilonda eside esikhumbeni sesifuba sakho noma esiswini ukuze afinyelele endaweni lapho kukhona khona i-aneurysm.

2. Ukubopha: Okulandelayo, umthambo omkhulu ongaphezulu nangaphansi kwe-aneurysm uvalwa okwesikhashana kusetshenziswa amadivayisi akhethekile (ama-clamp). Ngalesi sikhathi, ukugeleza kwegazi emzimbeni wonke kuvunyelwe ukuqhubeka, futhi ungase uxhunywe emshinini wenhliziyo namaphaphu . Lokhu kuthatha okwesikhashana umsebenzi wenhliziyo namaphaphu akho ngesikhathi sokuhlinzwa.

3. Ukufakwa Kwe-Graft: Lena yingxenye ebaluleke kakhulu yokuhlinzwa. Udokotela ohlinzayo usika umthambo wegazi ovuvukile nobuthakathaka bese ewufaka esikhundleni sawo ipayipi lokwenziwa okukhulunywe ngalo ngaphambili, i-graft. Le graft yenziwe ngezinto zokwenziwa eziqinile njenge-polyester.

4. Ukuvalwa kwesibazi:Ngemva kokuba umthambo wegazi omusha unamathele, udokotela ohlinzayo uzovala indawo esifubeni sakho noma esiswini sakho ngezithungo noma izinti.

Ngokuvamile, lokhu kuhlinzwa konke kuthatha cishe amahora amathathu kuya kwamane.

Kwenzekani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, uzoyiswa egunjini lokunakekelwa okujulile (ICU) . Lapho, isimo sakho sizoqashwa ngokucophelela izinsuku ezimbalwa. Ngemuva kwalokho uzodluliselwa egunjini elijwayelekile. Sekukonke, kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu kuya kweziyishumi.

Ngesikhathi usesibhedlela, uzobhekana nezinto ezifana nalezi:

• I-catheter yomchamo.
• Ipayipi elifakwa ngekhala ukuze kukhishwe uketshezi esiswini.
• Imithi yokuvimbela ukujiya kwegazi (ama-anti-coagulants).
• Amasokisi okucindezela awuhlobo olukhethekile lwamasokisi agqokwa ukuvimbela ukuqhekeka kwegazi emilenzeni.
• Umshini okusiza ukuphefumula.
• Ama-painkiller obuhlungu ngesikhathi sokululama.

Uzoqala kancane kancane ukuhamba futhi uthole amandla. Kodwa khumbula, usuhlinzwe kakhulu. Udinga ukunikeza umzimba wakho isikhathi sokululama. Lalela ngokucophelela lokho okushiwo udokotela, ungasheshi. Phumula ngokwanele.

Njengazo zonke izinhlobo zokuhlinzwa, ingabe zikhona izingozi ngalokhu?

Yebo. Nakuba lokhu kuhlinzwa kusindisa impilo, njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi nezinkinga ezingase zenzeke. Ezinye zazo yilezi:

• Ukopha ngokweqile.
• Amahlule egazi.
• Ubunzima bokuphefumula.
• Ukulimala kwamathumbu noma ezinye izitho zomzimba.
• Ukuhlaselwa yinhliziyo noma isifo sohlangothi.
• Ukutheleleka kwe-graft efakiwe.
• Ukutheleleka emaphashini, emgudwini womchamo, noma esiswini.
• Ukwehluleka kwezinso.
• Ukulimala kwemizwa.

Uma ukuhlinzwa kuhlelwe futhi kwenziwa ngaphambi kokuba i-aneurysm iqhume , amathuba okusinda aphezulu kakhulu, aphakathi kuka -95% no-98% .

Kodwa-ke, uma kwenzeka ukuhlinzwa okuphuthumayo ngemva kokuqhuma kwe-aneurysm , amathuba okusinda angehla abe phakathi kuka-50% no-70%. Kodwa njengoba ukufa kuqinisekile uma kungelashwa, ukuhlinzwa kuyindlela kuphela nengcono kakhulu.

Isikhathi sokululama nezinto okufanele uzinake ekhaya

Lokhu kuyingxenye ebalulekile kubantu abaningi.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngokuvamile kuthatha amasonto amane kuya kwayisithupha ukululama ngokuphelele.Kuthatha cishe izinsuku eziyi-10-20. Kodwa abanye abantu bangahamba izinyanga ezimbili kuya kwezintathu. Kuyahlukahluka kuye ngomuntu nomuntu.

Izinto okungafanele zenziwe ngalesi sikhathi

• Ungashayeli kuze kube yilapho udokotela wakho ekunike imvume (ngokuvamile isonto elilodwa kuya kwamabili).
• Ungangeni ebhavini lamanzi kuze kube yilapho inxeba selipholile. Ungageza, kodwa qaphela inxeba.
• Ungabhukudi kuze kube yilapho inxeba selipholile.
• Ungaphakamisi izinto ezisindayo (ezingaphezu kuka-4-5 kg) okungenani amasonto angu-4-6.
• Ungazivivinyi kakhulu uze uphelelwe umoya.

Ungalinakekela kanjani inxeba lokuhlinzwa?

Kubaluleke kakhulu ukugcina inxeba lakho lihlanzekile. Njengoba udokotela esho, kuzodingeka ushintshe ibhandeji enxebeni nsuku zonke. Kungase kube buhlungu kancane uma uthimula noma ukhwehlela. Ngaleso sikhathi , thatha umcamelo uwubeke phezu kwenxeba bese uwucindezela . Lokho kuzonciphisa ubuhlungu futhi kuvikele inxeba.

Isifiso sokudla namandla

Ngesikhathi sokululama kwakho, ungase ungabi nesifiso sokudla esiningi. Lokho kuvamile. Ungase uzizwe ukhathele kakhulu. Konke lokhu kuyingxenye yenqubo yokululama.

Uma unalezi zimpawu, shayela udokotela wakho ngokushesha!

Qaphela kakhulu umzimba wakho ngemva kokufika ekhaya. Uma unezinye zezimpawu ezingezansi, yazisa udokotela wakho ngokushesha.

Izinguquko zendlela yokuphila okudingeka uzenze ngemva kokuhlinzwa

Lokhu kuhlinzwa kuwukutshala imali okukhulu empilweni yakho. Kukuwe ukuvikela lokho kutshalwa kwemali.

• Ukudla okunempilo kwenhliziyo: Nciphisa usawoti, ushukela, namafutha. Phuza amanzi amaningi.
• Ukuzivocavoca: Buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele wena.
• Uma ubhema, yeka manje: Ukubhema kuyingozi kakhulu emithanjeni yakho yegazi.
• Lawula umfutho wegazi ophakeme, i-cholesterol, nesifo sikashukela: Thatha imithi yakho ngesikhathi.

Ukuhlinzwa kwe-Aneurysm kuyindlela esindisa impilo esiza imithambo yegazi yakho ukuthi iphole. Kwabanye, kuyinqubo ephuthumayo. Kwabanye, kuyinto ehlelwe kusenesikhathi. Kodwa-ke, ayinazo izingozi. Ngakho-ke, khuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kuwe. Ukuhlolwa njalo kuyindlela engcono kakhulu yokuthola i-aneurysm ngaphambi kokuba ikhule futhi ibe yinkinga.