Into efana nebhaluni elincane emzimbeni wakho? Ake sixoxe ngale aneurysm!

Wake wezwa ngegama elithi 'aneurysm'? Mhlawumbe wake wezwa ngomngane noma ilungu lomndeni elinalo. Noma mhlawumbe wake wezwa udokotela ekhuluma ngalo. Nakuba igama lingase lizwakale lesabisa kancane, uma sazi kahle ukuthi liyini, singagwema ukwesaba okungadingekile. Ngakho-ke, ingabe kufanele sikhulume ngalo namuhla?

Kuyini ngempela i-aneurysm?

Kalula nje, i-aneurysm yindawo ebuthakathaka odongeni lomthambo wegazi emzimbeni wethu evuvukala njengebhaluni. Uyazi, imithambo yethu iyimibhobho emikhulu ethwala igazi elinomoya-mpilo lisuka enhliziyweni liye kuwo wonke umzimba. Ngakho-ke, uma indawo odongeni lwalo mthambo iba buthakathaka, ingcindezi edalwa yigazi eligeleza ngokushesha ibangela leyo ndawo ebuthakathaka ukuba ivuvuke. Lokho kuqhuma yilokho esikubiza ngokuthi i-aneurysm.

Esikhathini esiningi, asizizwa sengathi sine-aneurysm, futhi asizizwa ubuhlungu. Kodwa-ke, uma iqhuma ngokuzumayo, ingaba yingozi kakhulu, futhi ngezinye izikhathi isongela nokuphila. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Ingabe kunezinhlobo ezahlukene ze-aneurysms? Zakheka kuphi?

Yebo, ama-aneurysm angakheka kunoma yimuphi umthambo emzimbeni wethu. Lokho kusho ukuthi angakheka ezindaweni ezahlukene njengenhliziyo, isisu, ubuchopho kanye nemilenze. Uhlobo lwe-aneurysm luncike ekutheni lwakheka kuphi.

Uhlobo oluvame kakhulu lwe -aneurysm olubonakala kakhulu yi-aortic aneurysm . Ubuwazi ukuthi i-aorta iwumthambo omkhulu kunayo yonke emzimbeni wethu? Ngumthambo othwala igazi lisuka enhliziyweni liye emzimbeni wonke. Ama-Aneurysm ayenzeka emithanjeni engaphandle kwe-aorta abizwa ngokuthi ama-peripheral aneurysms.

Ake sibheke izinhlobo ezimbalwa eziyinhloko:

• I-Abdominal Aortic Aneurysm (AAA): Lolu uhlobo oluvame kakhulu. Luvela engxenyeni ye-aorta egeleza phansi esiswini.
• I-Cerebral Aneurysm/Brain Aneurysm: Njengoba igama lisho, lokhu kwenzeka emthanjeni osebuchosheni. Uhlobo oluvame kakhulu lwalokhu yi -saccular aneurysm, eyaziwa nangokuthi i-berry aneurysm . Ibukeka njengesikhwama esincane esigcwele igazi elinamathele emthanjeni, njenge-berry.
• I-Thoracic Aortic Aneurysm: Lokhu kuncane kancane kune-Aortic Aneurysm yesisu. Kwenzeka engxenyeni engenhla ye-aorta, endaweni yesifuba.
• I-Carotid Aneurysm: Lokhu kuvela emithanjeni ye-carotid, ehlinzeka ngegazi ebuchosheni bethu, entanyeni nasebusweni. Lokhu akuvamile kakhulu.
• I-Popliteal Aneurysm: Lokhu kwenzeka emthanjeni ogijima ngemuva kwedolo.
• I-Mesenteric Artery Aneurysm: Lolu hlobo lwe-aneurysm lukhula emthanjeni ohlinzeka ngegazi emathunjini ethu.
• I-Aneurysm ye-Splenic Artery: Lokhu kwenzeka emthanjeni oholela ebheleni.

Kuvamile kangakanani lokhu kuqubuka kwe-aneurysm?

Ubuwazi ukuthi ama-aneurysm obuchopho angaphazamiseki ayenzeka kubantu abaphilile abangu-2% kuya ku-5%? Futhi, kulabo, cishe abangu-25% bane-aneurysm engaphezu kweyodwa. Ngokuvamile, akhula lapho esekhulile, kodwa angavela nasezinganeni. Ngokuvamile atholakala eneminyaka engaba ngu-50. Kodwa ingxenye engcono kakhulu ukuthi, iningi lama-aneurysm obuchopho aliqhekeki.

Ama-aneurysms e-Aortic (AAA) avame kakhulu ngokweminyaka. Ikakhulukazi, ama-aneurysms e-aortic yesisu (AAA) avame kakhulu ngokuphindwe kane kuya kweziyisithupha kwabesilisa kunakwabesifazane. Yi-1% kuphela yamadoda aneminyaka engu-55-64 anawo. Kodwa-ke, leli phesenti likhuphuka ngo-2% kuya ku-4% njalo eminyakeni eyishumi.

Ubani osengozini enkulu yokuba ne-aneurysm?

Izinhlobo ezahlukene ze-aneurysms zithinta amaqembu ahlukene abantu. Isibonelo, i-brain aneurysms ivame kakhulu kwabesifazane kunakwabesilisa. Ngokufanayo, i-aortic aneurysms ivame kakhulu kwabesilisa kunakwabesifazane.

Ama-aneurysms e-aorta yesisu (AAA) avame kakhulu ku:

• Kwabesilisa.
• Kulabo abaneminyaka engaphezu kwengu-60 ubudala.
• Kulabo ababhemayo. (Lokhu kuyisici esikhulu kakhulu esiyingozi!)
• Kwabamhlophe (kodwa kungakhula kunoma ubani wanoma yiluphi uhlanga).

Ziyini izimpawu ze-aneurysm?

Esikhathini esiningi, umuntu akazi ukuthi une-aneurysm. Ingakhula buthule ngaphakathi emzimbeni. Kodwa-ke, uma i-aneurysm iqhuma, kuyisimo esiphuthumayo sezokwelapha! Udinga ukuthola ukwelashwa ngokushesha. Uma wena noma othile onayo ekhombisa izimpawu ze-aneurysm eqhumile, shayela ku-911 (1990 Suwaseriya eSri Lanka) ngokushesha.

Izimpawu ze-aneurysm eqhumile zenzeka ngokuzumayo:

• Ukucasuka /isiyezi.
• Ukushaya kwenhliziyo okusheshayo.
• Ikhanda elibuhlungu kakhulu ngokuzumayo, ubuhlungu esifubeni, esiswini, noma emhlane.
• Ukulahlekelwa Yingqondo Okungazelelwe Ngemva Kokuphathwa Yikhanda Elibuhlungu Kakhulu.

Okubalulekile: Ukuqhuma kwe-aneurysm kuyisimo esithinta impilo noma ukufa, ngakho-ke uma uhlangabezana nalezi zimpawu, ungalibali umzuzwana.

Ngisho noma i-aneurysm ingaqhumi, ngezinye izikhathi ingabangela izimpawu kuye ngokuthi ikuphi. Ungase ube nezimpawu zokushaqeka, njengomfutho wegazi ophansi, ukujuluka okubandayo, umuzwa wokuphelelwa amandla, kanye nokushaya kwenhliziyo okusheshayo.

Ezinye izimpawu zingase zihlanganise:

• Ukuzizwa udidekile noma udidekile.
• Ubunzima bokugwinya.
• Ukukhathala.
• Ikhanda elibuhlungu (ikakhulukazi ezimweni ze-aneurysm yobuchopho).
• Ukucanuzela noma ukuhlanza.
• Ubuhlungu esiswini sakho, esifubeni noma emhlane.
• Ukuvuvukala kwesisu noma ukuvuvukala entanyeni yakho.
• Isilinganiso Senhliziyo Esisheshayo.
• Izinguquko Zombono.

Yiziphi izinkinga ezingaba khona ngenxa ye-aneurysm?

Uma i-aneurysm iqhuma, ibangela ukopha kwangaphakathi. Kuye ngokuthi kwenzeka kuphi, ukuqhuma kungaba yingozi kakhulu futhi kube yingozi ngisho nokuphila.

Cabanga nje, kwenzekani uma kwenzeka ihlule legazi elivela ku-aneurysm entanyeni yakho bese liya ebuchosheni bakho? Uma lelo hlule legazi livimba ukugeleza kwegazi ebuchosheni bakho, kuvela isifo sohlangothi.

Uma i-aneurysm yobuchopho iqhuma, ibizwa ngokuthi i-subarachnoid hemorrhage. Abanye abantu babiza lolu hlobo lwe-stroke ngokuthi ukopha kobuchopho. Abantu bavame ukubhekana "nekhanda elibuhlungu kakhulu empilweni yabo." Lokhu kungalandelwa yi-ndindness, ubunzima bokukhuluma, nezinye izimpawu.

Kungani kwakheka lokhu kwakheka kwe-aneurysm? Ziyini izimbangela?

Ngezinye izikhathi, abantu bazalwa bene-aneurysm. Lokhu kusho ukuthi bakhona lapho bezalwa. Kodwa-ke, bangakhula nganoma yisiphi isikhathi empilweni. Ezimweni eziningi, kunzima ukuthola imbangela ethile ye-aneurysm. Kodwa-ke, kunezimbangela eziningana ezingaba khona:

• I-atherosclerosis: Lokhu kwenzeka lapho ama-fat deposits eqoqana ezindongeni zemithambo yegazi, ewanciphisa. Lokhu kungenza buthaka izindonga zemithambo yegazi.
• Umlando womndeni we-aneurysms: Uma umama wakho, ubaba, noma izingane zakini bake baba nalesi simo, nawe usengozini yokuba naso.
• Umfutho Wegazi Ophakeme: Uma umfutho wegazi uphakeme njalo, izindonga zemithambo yegazi zingalimala futhi zibe buthaka.
• Ingozi noma ukulimala kwe-aorta .

Odokotela bayixilonga kanjani i-aneurysm? (Ukuxilongwa)

Ama-aneurysm amaningi akhula ngaphandle kwezimpawu. Udokotela wakho angase awathole ngengozi ngesikhathi sokuhlolwa okuvamile noma okunye ukuskena.

Uma unezimpawu ezibonisa ukuthi ungaba ne-aneurysm, udokotela uzokwenza izivivinyo eziningana zesithombe. Izivivinyo ezingasiza ekutholeni nasekuxilongeni i-aneurysm zifaka:

• I-CT Scan
• I-CT noma i-MRI Angiography: Lokhu kusetshenziselwa ukuthatha isithombe esikhethekile semithambo yegazi.
• Ukuskena kwe-Ultrasound (Ultrasound)

Udokotela uyihlukanisa kanjani i-aneurysm?

Udokotela wakho uzohlukanisa i-aneurysm ngokusekelwe kubukhulu bayo nokuthi yakheke kanjani. Kunezinhlobo ezahlukene zokuhlukaniswa:

• I-Fusiform aneurysm: Kulokhu, umthambo uvuvukala kuzo zonke izinhlangothi.
• I-Saccular Aneurysm: Lokhu kwenzeka lapho uhlangothi olulodwa kuphela lomthambo luvuvukala (okufana ne-Berry Aneurysm okukhulunywe ngayo ngaphambili).
• I-Mycotic Aneurysm: Lokhu kwenzeka lapho udonga lwemithambo yegazi luba buthaka ngemva kokutheleleka (ngokuvamile kuma-valve enhliziyo).
• I-Pseudoaneurysm noma i-Aneurysm Yamanga: Kulokhu, kuphela ungqimba lwangaphandle lodonga lwemithambo oluvuvukalayo. Lokhu kungenzeka ngemva kokulimala kongqimba lwangaphakathi lwemithambo (ukuhlukaniswa).

Iphathwa kanjani i-aneurysm?

Uma udokotela ethola ukuthi une-aneurysm engakaqhekeki, uzokuqapha eduze. Umgomo oyinhloko wokwelashwa ukuvimbela i-aneurysm ukuthi ingaqhekeki.

Kuye ngohlobo, indawo, kanye nosayizi we-aneurysm, ukwelashwa kungafaka phakathi imithi noma ukuhlinzwa. Udokotela angase anikeze imithi yokuthuthukisa ukugeleza kwegazi, ukwehlisa umfutho wegazi, noma ukulawula i-cholesterol. Lokhu kwelashwa kungasiza ekulawuleni i-aneurysm ukuthi ingakhuli futhi kunciphise ukucindezeleka odongeni lwemithambo yegazi.

Ama-aneurysm amakhulu asengozini yokuqhuma angadinga ukuhlinzwa. Futhi, uma i-aneurysm iqhuma, ukuhlinzwa kuyadingeka nakanjani. Kunezinhlobo eziningana zokuhlinzwa:

• Ukulungiswa Kwe-Endovascular Aneurysm (EVAR):Kulokhu kuhlinzwa kwe-endovascular, udokotela ufaka i-catheter (ithubhu elincane) emthanjeni wegazi. Nge-catheter, udokotela ohlinzayo ufaka i-graft (ucezu olukhethekile lwentambo) ukuze aqinise noma alungise umthambo. Nge-thoracic aneurysms, le nqubo ibizwa ngokuthi i-Thoracic Endovascular Aneurysm Repair (TEVAR). Uma kusetshenziswa i-graft enezimbobo ezikhethekile, ibizwa ngokuthi i-Fenestrated Endovascular Aneurysm Repair (FEVAR).
• Ukuhlinzwa Okuvulekile: Kwezinye izimo, udokotela ohlinzayo angenza i-incision (ukuhlinzwa okuvulekile) ukuze afake i-graft noma asuse i-aneurysm.
• Ukugoqana Kwemithambo Yegazi: Le nqubo yelapha ama-aneurysm obuchopho. Udokotela ohlinzayo ufaka ama-coil amaningana (okungukuthi, ama-coil e-platinum wire) ku-aneurysm nge-catheter bese eyigcwalisa. Lokhu kunciphisa inani legazi eligeleza ku-aneurysm futhi kunciphisa ingozi yokuthi iqhume.
• Ukusika Imithambo Yegazi Emincane: Lolu futhi uhlobo lokuhlinzwa kobuchopho okuvulekile kwe-aneurysms yobuchopho. Udokotela ohlinzayo ubeka i-metal clip phansi kwe-aneurysm ukuze anqande ukugeleza kwegazi.
• Ukufakwa kwe-Catheter: Le nqubo isetshenziselwa ukuvimba ukuphuma kwegazi ku-aneurysm. Udokotela ohlinzayo ufaka i-catheter emthanjeni othintekile bese esebenzisa ithubhu ukujova imithi noma ama-embolic agents avimba ukuphuma kwegazi.

Ngingakuvimbela kanjani ukwakheka kwe-aneurysm?

Ama-aneurysm angaphazamiseki avamile. Awanakuvinjelwa ngaso sonke isikhathi. Kodwa-ke, unganciphisa ingozi yakho yokuthola i-aneurysm ngokulondoloza indlela yokuphila enempilo:

• Yidla Ukudla Okunempilo Nenhliziyo: Yidla uwoyela omncane, usawoti, noshukela, bese udla imifino nezithelo eziningi. Izinto ezifana nemifino eluhlaza, amakhambi, nezinhlanzi ezintsha ezitholakala ezweni lakithi zinhle kakhulu.
• Vivinya umzimba njalo: Yenza okuthile okufana nokuhamba, ukugijima, noma ukubhukuda okungenani imizuzu engama-30 ngosuku.
• Gcina Isisindo Esinempilo: Ukugcina isisindo esifanele ubude bakho kubaluleke kakhulu.
• Gwema Noma Uyeke Ukubhema: Lokhu kuyinto okumele uyenze. Ukubhema kungenye yezimbangela ezinkulu ze-aneurysms.

Iyini iphrojekthi yomuntu one-aneurysm?

Ama-aneurysm aqhekekile ayizimo eziphuthumayo ezisongela ukuphila. Uma i-aneurysm iqhuma ebuchosheni, ingabangela isifo sohlangothi. Ingabulala uma ingelashwa ngokushesha. Ngokwelashwa okusheshayo, umphumela ungahluka. Iningi labantu liyalulama kahle ngokuvuselelwa kanye nezinye izindlela zokwelapha.

Odokotela bavame ukusiza abantu abane-aneurysms encane, engakaqhekeki. Udokotela wakho uzoqapha isimo sakho eduze. Imithi noma ukuhlinzwa kunganciphisa ingozi yokuqhekeka.

Kufanele ngimbone nini udokotela?

Uma ubona izimpawu ezinjengalezi, kufanele ubonane nodokotela ngokushesha:

• Ukungaqondi kahle.
• Isilinganiso Senhliziyo Esisheshayo.
• Ikhanda elibuhlungu kakhulu ngokuzumayo, ubuhlungu esifubeni, esiswini, noma emhlane.

Lezi zimpawu zingaba uphawu lokuqhuma kwe-aneurysm, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ngaphandle kokuchitha isikhathi.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma usola ukuthi une-aneurysm, noma uma usuvele unaleso simo, ungabuza udokotela wakho imibuzo efana nale:

• Ingabe ngisengozini yokuba ne-aneurysm?
• Ingabe ngidinga ukuhlolwa kwezithombe ukuze ngithole i-aneurysm?
• Ngingakuvimbela kanjani ukuthi i-aneurysm yami ingabi yimbi kakhulu noma iqhume?
• Yiziphi izinguquko zendlela yokuphila engingayenza ukuze nginciphise ingozi yami?

Khumbula, i-aneurysm ingakhula kunoma yimuphi umthambo emzimbeni wethu. Udokotela wakho angaqapha i-aneurysm futhi ayiphathe ukuze anciphise ingozi yokuqhuma kwayo. Kodwa-ke, uma i-aneurysm iqhuma, kuyisimo esiphuthumayo sezokwelapha. Kufanele ufune usizo lwezokwelapha ngokushesha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-aneurysms namuhla, akunjalo? Kalula nje, ziyingxenye ebuthakathaka yomunye wemithambo yethu yegazi evuvukala njengebhaluni. Esikhathini esiningi, awuziboni ngisho nokuziqaphela, kodwa zingaba yingozi kakhulu uma ziqhuma.

Into ebaluleke kakhulu ukuqaphela izici zakho eziyingozi. Uma unezinto ezifana nokubhema, umfutho wegazi ophakeme, noma umlando womndeni, kuwumqondo omuhle ukuthola ukuhlolwa kwezokwelapha njalo.

Uma uzwa izimpawu eziphuthumayo, njengekhanda elibuhlungu elibuhlungu ngokuzumayo, ubuhlungu besifuba, noma ukulahlekelwa ukwazi, hamba esibhedlela ngokushesha.

Indlela yokuphila enempilo, njengokudla kahle, ukuzivocavoca umzimba, nokugwema ukubhema, kunganciphisa le ngozi. Ngakho-ke, nakekela umzimba wakho futhi. Ngoba impilo iyona nto ebaluleke kakhulu!

I- Aneurysm, umthambo wegazi, i-aorta, i-brain aneurysm, i-abdominal aneurysm, i-blood vascular ephukile, ikhanda elibuhlungu ngokuzumayo, ukuhlinzwa