Uke wezwa ngomthambo wegazi omkhulu kunayo yonke emzimbeni wakho, i-aorta? Cabanga ngawo njengohlelo oluyinhloko lwamapayipi amanzi emzimbeni wethu. Yiwona othatha igazi elihlanzekile, elinomoya-mpilo enhliziyweni bese ulisabalalisa kuzo zonke ezinye izitho zomzimba. Ume njengepayipi elikhulu, eligobile. Lesi simo esingaba yingozi esibizwa ngokuthi i-Aortic Aneurysm senzeka kule aorta. Ngakho ake sixoxe ngakho namuhla.
Kalula nje, iyini i-aortic aneurysm?
Cabanga ngepayipi lamanzi engadini yakho. Ngokuhamba kwesikhathi, indawo ephezu kwalo iba buthakathaka futhi iqhume njengebhaluni ngaphansi kwengcindezi yamanzi. Kwenzeka into efanayo kwi-aorta yethu. Lapho indawo odongeni lwe-aorta iba buthakathaka ngesizathu esithile, ingcindezi yegazi elivela enhliziyweni ibangela leyo ndawo ebuthakathaka ukuba iqhume njengebhaluni. Lokhu kuqhuma yilokho esikubiza ngokuthi i-Aortic Aneurysm.
Uyazi ukuthi kungani lokhu kuyingozi? Lokhu kuvuvukala okufana nebhaluni kuya ngokuya kukhula futhi kungaqhuma ngokuzumayo (ukuqhekeka). Uma lokho kwenzeka, umzimba uqala ukopha kakhulu. Kuyisimo esiphuthumayo esisongela impilo kakhulu.
Kunezinhlobo ezimbili eziyinhloko ze-aortic aneurysm:
Kuye ngokuthi lokhu kuqubuka kwenzeka kuphi ku-aorta, sikuhlukanisa ngezinhlobo ezimbili eziyinhloko. Kulula kakhulu ukukuqonda lokhu.
| Uhlobo lwe-aneurysm | Kukuphi lokhu? |
|---|---|
| I-Aneurysm ye-Aortic yesisu (AAA) | Lolu uhlobo oluvame kakhulu. Luvela engxenyeni engezansi ye-aorta, okuyingxenye edlula esiswini (esiswini). |
| I-Thracic Aortic Aneurysm (TAA) | Lolu hlobo lwenzeka engxenyeni ye-aorta edlula esifubeni. Ikakhulukazi, engxenyeni egoba ibe ngesimo sohlamvu 'U' kusukela enhliziyweni. Abantu abanezifo ezithile ezizuzwe njengefa, njenge -Marfan syndrome, bangahlakulela lolu hlobo lwe-aneurysm. |
Kulezi zinhlobo ezimbili, i-AAA esiswini iyona evame kakhulu. Lokhu kungenzeka ukuthi udonga lomthambo esiswini luncane kancane kunodonga lomthambo osesifubeni.
Ingabe lesi simo sivamile? Ubani osengozini enkulu?
Ama-aneurysms e-aorta ngokuvamile ayisimo esithule . Amadoda anamathuba aphindwe ka-4-6 okuthola i-AAA kunabesifazane, ikakhulukazi esiswini. Ingozi iyanda njengoba iminyaka ikhula.
Usengozini enkulu yokuthuthukisa i-aortic aneurysm uma unezici ezilandelayo:
- Ukubhema: Lesi yisici esiyinhloko nesilawuleka kakhulu sengozi.
- Abantu abangaphezu kweminyaka engama-65 ubudala: Njengoba ukhula, amandla ezindonga zemithambo yakho yegazi angancipha.
- Uma uyindoda: Lesi simo sivame kakhulu phakathi kwabesilisa.
- Umlando womndeni: Uma ilungu lomndeni eliseduze (umama, ubaba, umfowabo noma udadewabo) libe nalesi simo, nawe usengozini enkulu.
- Umfutho wegazi ophezulu (Umfutho wegazi ophezulu): Umfutho wegazi ophezulu ungalimaza izindonga zemithambo yegazi futhi uzibuthakathaka.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Ngokuvamile kunzima ukuthola imbangela ethile yalokhu, kodwa kutholakale ukuthi izimo ezithile zingaba nomthelela kukho.
- I-Atherosclerosis: I-cholesterol namafutha anqwabelana ngaphakathi kwezindonga zemithambo yegazi, okwenza imithambo yegazi inciphe futhi iqine. Lokhu kwenza izindonga zemithambo yegazi zibe buthaka.
- Ukuvuvukala emithanjeni: Ezinye izifo zingabangela ukuthi izindonga zemithambo zivuvuke futhi zibe buthaka.
- Izifo Ezizuzwa Ngofuzo: Izifo zofuzo ezithinta izicubu ezixhumeneyo, njenge-Marfan syndrome kanye ne-Ehlers-Danlos syndrome, zingabangela ubuthakathaka bokuzalwa kwezindonga zemithambo yegazi.
- Ukulimala kwe-aorta: Ukulimala kwe-aorta, njengokulimala kwengozi enkulu.
- Ezinye izifo: Ezinye izifo ezibangelwa amagciwane, njenge-syphilis, nazo azivamile ukubangela lokhu.
Ziyini izimpawu zalokhu? Sazi kanjani?
Lena yingxenye eyingozi kakhulu yalesi sifo. Abantu abaningi abanazo izimpawu. Abazi nokuthi banaso kuze kube yilapho i-aneurysm iqhuma. Yingakho ibizwa ngokuthi "umbulali othule."
Kodwa-ke, abanye abantu bangase babe nezimpawu njengoba i-aneurysm ikhula kancane kancane. Futhi, uma iqhuma, izimpawu zivele zivele futhi zibe zimbi kakhulu. Ake sibheke lezi ezimbili ngokwehlukana.
| Izimpawu ze-Aortic Aneurysm | |
|---|---|
| Izimpawu ezingase zenzeke njengoba i-aneurysm ikhula kancane kancane | |
| |
| Izimpawu zokuqhuma kwe-aneurysm ngokuzumayo - Lesi yisimo esiphuthumayo! | |
|
Kubaluleke kakhulu: Uma wena noma othile omaziyo ehlangabezana nanoma yiziphi izimpawu ze-aneurysm ephukile, kuyisimo esiphuthumayo sezokwelapha. Ungalibali bese uya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha .
Yiziphi izinkinga ezingabangelwa yilokhu?
Inkinga enkulu neyingozi kakhulu ukuqhekeka kwe-aneurysm, okungaholela ekuphumeni kwegazi emzimbeni futhi okungase kuholele ekufeni.
Ngaphezu kwalokho, kungase kube nesinye isimo esiyingozi. Kubizwa ngokuthi ukuhlukaniswa kwe-aorta . Okwenzekayo lapha ukuthi ukudabuka okuncane kwenzeka engxenyeni engaphakathi yodonga lwemithambo yegazi, bese igazi eliphuma kulo ngaphansi komfutho ophezulu livuza phakathi kwezingxenye zodonga. Lokhu kungavimba ukugeleza kwegazi ngaphakathi kodonga, futhi ekugcineni umthambo wegazi ungaqhuma ngokuphelele. Lesi futhi yisimo esidinga ukwelashwa okuphuthumayo.
Udokotela ukuthola kanjani lokhu?
Ngokuvamile, lesi simo sitholakala ngengozi ngesikhathi sokuhlolwa kwesinye isimo. Isibonelo, i-aneurysm yesisu ingatholakala ngengozi ngesikhathi sokuhlolwa kwe-ultrasound kobuhlungu besisu.
Uma unezici eziyingozi noma izimpawu ezishiwo ngenhla, udokotela wakho uzoyala ukuhlolwa okukhethekile ukuze ahlole lesi simo.
- Ukuskena kwe-CT
- I-CT noma i-MRI angiography - Lokhu kungabona ngokucacile ukuthi igazi ligeleza kanjani ngaphakathi kwemithambo yegazi.
- I-Ultrasound (ukuskena kwe-ultrasound)
Uma kutholakala ngaphambi kokuba kuqhume... kuyini ukwelashwa?
Uma kutholakala i-aneurysm ngaphambi kokuba iqhume, kunezindlela eziningana zokuyiphatha. Ukwelashwa kuncike kubukhulu be-aneurysm, indawo ekuyo, kanye nokuthi ikhula ngokushesha kangakanani.
- Nge-aneurysms encane (ukulinda ngokuqaphela): Uma i-aneurysm incane futhi ingakhuli ngokushesha, udokotela wakho angase anqume ukuyihlola ngaphandle kokuhlinzwa. Uzothola ama-scan ngezikhathi ezithile ukuze ubone ukuthi usayizi uyashintsha yini.
- Imithi: Udokotela wakho angase akunike imithi ethile yokunciphisa ingcindezi odongeni lwemithambo yegazi nokulawula izinga lokukhula kwe-aneurysm.
- Imithi yokulawula umfutho wegazi.
- Imithi ehlisa amazinga e-cholesterol egazini.
Udinga nini ukuhlinzwa?
Uma i-aneurysm inkulu kunosayizi othile, ikhula ngokushesha, noma uma udokotela ecabanga ukuthi izoqhuma, kunganconywa ukuhlinzwa. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa.
| Uhlobo lokuhlinzwa | Lokho okwenzayo kulula. |
|---|---|
| Ukulungiswa Kwe-Aneurysm Evulekile | Lena inqubo yokuhlinzwa yendabuko. Kule nqubo, udokotela ohlinzayo uvula isisu noma isifuba, asuse ingxenye evuvukele yomthambo, bese eyifaka esikhundleni sawo ngepayipi lokufakelwa (i-graft). Lokhu kuhlinzwa kuvame ukwenziwa esimweni esiphuthumayo sokuqhekeka kwe-aneurysm. |
| Ukuhlinzwa Okungenasidingo (Ukulungiswa Kwe-Endovascular Aneurysm - EVAR) | Lena inqubo entsha. Esikhundleni sokwenza ukusika okukhulu, kufakwa i-catheter (ithubhu elincane) ngembobo encane e-groin, bese kudluliswa ithubhu yokwenziwa eguquguqukayo ngayo iye ku-aneurysm, lapho inwebeka khona futhi udonga lwemithambo luqiniswa. Le ndlela ibizwa nangokuthi (TEVAR) noma (FEVAR) . |
Singakuvimbela yini lokhu ukuthi kungenzeki?
Nakuba singenakukwazi ukushintsha ezinye izinto eziyingozi (njengobudala kanye nezakhi zofuzo), singayinciphisa kakhulu ingozi yokuthola lesi simo esiyingozi ngokushintsha indlela yethu yokuphila.
- Yeka ukubhema ngokuphelele: Uma ubhema, ukuyeka namuhla kuyisinqumo esingcono kakhulu ongasenza.
- Yidla ukudla okunempilo kwenhliziyo: yidla amafutha amancane, usawoti, noshukela, kanye nemifino eminingi, izithelo, kanye nemifino eluhlaza.
- Vivinya umzimba njalo: Yenza ukuzivocavoca okulula njengokuhamba okungenani imizuzu engama-30 ngosuku.
- Gcina isisindo esinempilo.
- Uma une-high blood pressure noma i-cholesterol, landela iseluleko sikadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Aortic aneurysm yilapho udonga lomthambo wegazi oyinhloko womzimba wethu luba buthakathaka futhi luvuvukala njengebhaluni.
- Esikhathini esiningi, ayibonisi zimpawu kuze kube yilapho iqhuma. Yingakho iyingozi kangaka.
- Ukubhema, umfutho wegazi ophakeme, ukuba neminyaka engaphezu kwengu-65 ubudala, kanye nomlando womndeni yizona zinto eziyinhloko ezibangela ingozi.
- Uma uzwa ubuhlungu obungazelelwe, obukhulu esifubeni, esiswini noma emhlane, isiyezi, noma ezinye izimpawu, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Indlela yokuphila enempilo inganciphisa ingozi yokuthola lesi sifo.
- Uma useqenjini elisengozini, kubaluleke kakhulu ukukhuluma nodokotela wakho bese uthola izivivinyo ezidingekayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho