Uke wezwa ngesimo esiyingozi esibizwa ngokuthi i-Aortic Dissection? Ake sixoxe ngaso ngokuningiliziwe!

Wake wazibuza ukuthi hlobo luni lomonakalo ongenzeka emthanjeni wegazi oyinhloko emzimbeni wethu, ipayipi elikhulu kunawo wonke elithwala igazi lisuka enhliziyweni liye emzimbeni wonke? Ukusikwa kwe-aorta kuyisimo esiyingozi esingasongela impilo ngokuzumayo. Nakuba lokhu kuyesabeka kancane, kubaluleke kakhulu ukuqaphela lokhu. Ngoba uma kuqashelwa kusenesikhathi, kungelashwa.

Kuyini ukuhlukaniswa kwe-Aortic? Ake sikuqonde kalula.

Kalula nje, ukuqhekeka komthambo wegazi kuyikudabuka (ukudabuka) odongeni lwe -aorta yakho, umthambo wegazi oyinhloko othwala igazi elinomoya-mpilo lisuka enhliziyweni yakho liye emzimbeni wakho wonke. Cabanga nge-aorta njengombhobho wamanzi oyinhloko ekhaya lakho. Ugeleza esifubeni sakho, esiswini sakho, uye emilenzeni yakho.

Lesi yisimo esingavamile kakhulu. Kwenzeka kanje: Udonga lwe-aorta lwakhiwe ngezingqimba ezintathu. Ngesizathu esithile, ungqimba olungaphakathi lwalolu donga luba buthakathaka, okubangela ukudabuka okuncane kulo. Bese kuthi, igazi elinomfutho ophezulu lidlule phakathi kokudabuka, lihlukanise ungqimba olungaphakathi nolwesiphakathi. Kufana nodonga oluqhekeka phakathi. Lokhu kubizwa ngokuthi ukuqhekeka .

Uma igazi liqala ukugeleza ngendlela engafanele kanje, ukugeleza kwegazi okuvamile kwezinye izingxenye zomzimba kungavinjelwa noma kuncishiswe. Kwezinye izimo, yonke i-aorta ingaqhuma.

Lesi yisimo esibi kakhulu, esisongela ukuphila. Uma singatholakali futhi selashwe ngokushesha, ukufa kungavela. Ngakho-ke, uma uhlangabezana nalezi zimpawu, ungesabi futhi uye ekamelweni eliphuthumayo ngokushesha.

Kubikwa ukuthi lesi simo senzeka kubantu abaphakathi kuka-5 no-30 ezigidini ngonyaka.

Yiziphi izinhlobo eziyinhloko zokuhlukaniswa kwe-aorta?

Kunezinhlobo ezimbili eziyinhloko zokuhlukaniswa kwe-aorta:

1. Ukusikwa kwe-Aortic ye-Stanford Type A: Lokhu kuqala ekuqaleni kwe-aorta yakho, ingxenye eseduze nenhliziyo yakho. Kungaba yingozi empilweni . Ngokuvamile kudinga ukuhlinzwa okuphuthumayo kwesifuba. Lokhu kuhilela ukulungisa ukuqala kwe-aorta edabukile noma ukuyisusa bese kufakwa ingxenye yokufakelwa esikhundleni sayo. Esikhathini esiningi, ukusikwa kuyaqhubeka kuze kube se-aorta. Uhlobo A luvame kakhulu kunohlobo B.

2. Ukusikwa kwe-Aortic ye-Stanford Type B:Iqala engxenyeni engezansi ye-aorta, kude kancane nenhliziyo, ngemuva nje kwe-aorta arch, ku-aorta ehlayo. Njengohlobo A, ivame ukusabalala kusukela ku-aorta ehlayo iye ku-aorta yesisu. Kodwa-ke, ayihileli ingxenye yokuqala ye-aorta. Ingase idinge ukuhlinzwa ngokushesha noma ingadingi ukuhlinzwa. Lokhu kuncike ekutheni ukuhlukaniswa kukuphi nokuthi kunqamula yini ukugeleza kwegazi kwezinye izitho zakho zomzimba.

Odokotela basebenzisa olunye uhlelo lokuhlukanisa, olubizwa ngokuthi uhlelo lokuhlukanisa i-DeBakey . Lunezinhlobo ezintathu. Uhlobo lokuqala (Uhlobo 1) luqala ku-ascending aorta luqhubeke kuze kufike ku-descending aorta. Uhlobo lwesibili (Uhlobo 2) luqala ku-ascending aorta futhi lukhawulelwe ku-ascending aorta (zombili zifana nohlobo lwe-Stanford A). Uhlobo lwesithathu (Uhlobo 3) luqala ku-descending aorta luqhubekele phansi (lokhu kufana nohlobo B).

Ziyini izimpawu zokusikwa kwe-aorta? Uzibona kanjani?

Isici esiyinhloko sokuqhekeka komthambo i-aorta ukuthi kwenzeka ngokuzumayo . Kungenzeka nganoma yisiphi isikhathi. Kuvame ukwenzeka ngesikhathi sokuzikhandla, kanye nokwenyuka kwengcindezi yegazi ngokuzumayo. Kodwa-ke, kungenzeka futhi ngenkathi ulele noma umile nje. Azikho izimpawu eziyisixwayiso ezifika ngaphambi kwayo.

Lezi yizimpawu ezivamile ongase uzizwe:

• Ubuhlungu obungazelelwe, obukhulu, obubukhali esifubeni noma emhlane ongaphezulu. Kungase kuzwakale sengathi kuyadatshulwa ngaphakathi, kuhlatshwe ngommese, noma sengathi isikhumba siyadatshulwa.
• Ubuhlungu obukhulu esiswini.
• Ubunzima bokuphefumula (ukuphelelwa umoya).
• Ukuquleka noma isiyezi.
• Umfutho wegazi ophansi.
• Imisindo yenhliziyo engavamile (ukububula kwenhliziyo okuphansi noma imisindo yenhliziyo engathintiwe).
• Ukushaya kwenhliziyo okusheshayo nokubuthakathaka.
• Ukujuluka ngokweqile.
• Ukudideka (ukungakwazi ukugxila).
• Ukulahlekelwa umbono.
• Izimpawu zesifo sohlangothi zifaka phakathi izinto ezinjengobuthakathaka ohlangothini olulodwa lomzimba kanye nobunzima bokukhuluma.

Uma unezimpawu zokuqhekeka komthambo wegazi ofana nalona, ​​ikakhulukazi ubuhlungu obukhulu besifuba noma izimpawu zesifo sohlangothi, shayela u-911 ngokushesha noma uye egumbini lezimo eziphuthumayo eliseduze. Ungakuthathi lokhu kalula, umzuzwana ngamunye uyabalulekile.

Yiziphi izimbangela zokuqhekeka kwe-aorta?

Ukuqhekeka komthambo wegazi kwenzeka lapho amaseli odongeni lwe-aorta eba buthaka kancane kancane. Lokhu kuba buthaka kungenzeka ukuthi sekuqhubeke iminyaka eminingi, kwaze kwaba yilapho iphuzu elibuthakathaka kakhulu odongeni lwe-aorta lingasakwazi ukumelana nakho. Yilapho-ke ukudabuka kwenzeka khona, okubangela ukuqhekeka komthambo wegazi wegazi.

Odokotela bakholelwa ukuthi amacala amaningi okuqhekeka kwe-aorta abangelwa ubuthakathaka obuyisisekelo odongeni lwe-aorta (mhlawumbe oluzuzwe njengefa). Kwezinye izimo, ukucindezeleka okuvela ekucindezelekeni kwegazi okuqhubekayo kungenza udonga lwe-aorta lube buthaka, okuholela ekudabukeni nasekuqhekekeni.

Ukuqhekeka kwe-aorta kuvame ukwenzeka ezindaweni lapho udonga lwe-aorta lungaphansi kwengcindezi enkulu. Isibonelo, i-aorta yakho ekhuphukayo. Ukuqhekeka kwe-aorta ephezulu kuvame cishe kabili kunaleyo ese-aorta engezansi.

Ubani osengozini enkulu yalokhu? Yiziphi izici eziyingozi?

Kunezici eziningana ezandisa ingozi yakho yokuthola ukuhlukana komthambo wegazi. Bheka ukuthi lokhu kusebenza yini kuwe:

• Umfutho wegazi ophakeme oqhubekayo (umfutho wegazi ophakeme): Lesi yisici esibaluleke kakhulu nesivamile sengozi . Umfutho wegazi ophakeme ulimaza ngqo izingqimba zezicubu ze-aorta. Lokhu kubangela ukuthi imicu enwebekayo ilahleke, isakhiwo sodonga sidilike, futhi udonga lube lukhuni.
• I-atherosclerosis (ukugcwala kwamafutha emithanjeni yegazi) noma i-cholesterol ephezulu.
• Ukusetshenziswa kwemikhiqizo kagwayi (ugwayi, ama-beedis, njll.).
• I-Aortic aneurysm (ukuvuvukala noma ukuvuvukala okungavamile odongeni lwe-aorta yakho).
• Isifo se-valve ye-aorta.
• Izimo zenhliziyo ezizalwa nazo, njenge -valve ye-aortic ye-bicuspid (i-valve enamapheshana amabili esikhundleni sama-three ajwayelekile) noma i-Turner syndrome .
• Izinkinga zezicubu ezixhumeneyo, njenge- Marfan syndrome kanye ne-Ehlers-Danlos syndrome, ziyizinkinga ezingazuzwa njengefa kubazali ezinganeni.
• Ezinye izimo ze-aortic zesifuba ezizuzwe njengefa, ezithinta kakhulu i-aorta yakho.
• Uma othile emndenini wakho eke waba nokusikwa kwe-aorta (umlando womndeni).
• I-Aortitis (ukuvuvukala/ukuvuvukala kwe-aorta).
• Ukulimala okukhulu esifubeni. Isibonelo, ingozi yemoto egijima kakhulu noma ukuwa kusuka ekuphakameni okungaphezu kwamamitha angu-20.
• Ukuba yindoda (amadoda asengozini enkulu kunabesifazane).
• Ukuba phakathi kweminyaka engama-40 nengama-70. Njengoba ukhula, ukuguquguquka kodonga lwe-aorta kuyancipha.
• Ukuba nomfutho wegazi ophezulu ngesikhathi sokukhulelwa, ikakhulukazi ngesikhathi sokubeletha.
• Imisebenzi engabangela umfutho wegazi ophakeme isikhathi eside, njengokusebenzisa izidakamizwa ezifana ne-cocaine noma ama-amphetamine.

Lezi zimo zingakhula ngokushesha kubantu abahlanganyela ekulifting ngamandla futhi abathambekele ekuhlaselweni yi-aneurysms noma ukuqhekeka kwamathambo.

Uma unalezi zici eziyingozi kakhulu (njenge-aneurysm noma i-connective tissue disorder), thola isikhungo se-aortic esisezingeni eliphezulu sokwelashwa kwakho. Lezi zikhungo zinezindlela zokwelapha zakamuva. Ziphinde zinikeze ukunakekelwa okungcono kakhulu ngokuhlanganisa ithimba lodokotela elihlanganisa imikhakha eyahlukene (odokotela benhliziyo, odokotela be-radiology, odokotela bezofuzo). Ucwaningo luye lwabonisa ukuthi izikhungo ezigxile ekwelapheni izifo ze-aortic zinemiphumela emihle kakhulu kulezi zimo eziyinkimbinkimbi.

Yiziphi izinkinga ezingaba khona zokusikwa kwe-aorta?

Ukusikwa kwe-aorta kungabangela izinkinga ezinkulu ezifana nalezi:

• Isifo sohlangothi.
• Ukulimala kwevalvu ye-aorta.
• Isifo senhliziyo.
• Ukwehluleka kwenhliziyo.
• Ukulimala kwezitho zangaphakathi njengezinso.
• I-tamponade yenhliziyo: Ukuqongelela koketshezi phakathi kwemisipha yenhliziyo kanye nesikhwama esizungeze inhliziyo (i-pericardium).
• Ukufa.

Odokotela bakuthola kanjani ukuhlukaniswa kwe-aorta? Yiziphi izindlela zokuxilonga?

Udokotela angase asole ukuhlukana kwe-aorta ngokusekelwe ezimpawini zakho. Kodwa-ke, kuzodingeka anqume ukuthi unesifo sokuhlukana kwe-aorta noma enye inkinga yezempilo enezimpawu ezifanayo, njengokuhlaselwa yinhliziyo noma isifo sohlangothi. Ngokuhlukana kwe-aorta, kungaba nzima ukuzwa ukushaya kwenhliziyo ezingalweni nasemilenzeni yakho. Udokotela angase futhi athole ukuthi umfutho wegazi engalweni eyodwa uphakeme kunenye.

Odokotela badinga ukuxilonga ukuhlukana kwe-aorta ngokushesha ngoba ungadinga ukuhlinzwa okuphuthumayo. Uma ithimba lakho lezokwelapha selikuxilongile ukuhlukana kwe-aorta, ithimba elikhethekile lezokuthutha lingakudlulisela esikhungweni esiphatha lezi zimo eziyinkimbinkimbi.

Yiziphi izivivinyo zokuxilonga?

Udokotela angase acele ukuhlolwa okufana nalokhu:

• I-X-ray yesifuba: Lokhu ukuhlolwa okusheshayo okusebenzisa inani elincane lemisebe ukuthatha izithombe zenhliziyo yakho, amaphaphu, imithambo yegazi (njenge-aorta), kanye namathambo esifubeni sakho.
• I-CT scan: Lokhu kuhlolwa kusiza ekutholeni umbono ongcono kakhulu we-aorta ngokushesha esimweni esiphuthumayo. Kungasiza udokotela ukuthi abone ukuthi kukhona yini i-aneurysm noma ukuqhekeka. Ungase futhi ufake uketshezi olukhethekile (i-IV contrast) emthanjeni wakho njengengxenye yalolu vivinyo.
• I-Transthoracic echocardiogram (TTE): Lokhu kusebenzisa ubuchwepheshe be-ultrasound ukukhiqiza izithombe ezihambayo zama-valve enhliziyo yakho, amakamelo enhliziyo, kanye nokuqala kwe-aorta yakho (impande ye-aorta).
• I-Transesophageal echocardiogram (TEE):Lokhu kungaveza izithombe ezicacile nezinemininingwane eminingi zama-valve enhliziyo namakamelo kune-echocardiogram evamile ye-transthoracic. Kuphinde kunikeze umbono ongcono we-thoracic aorta, umthambo wegazi esifubeni sakho. Kulesi sivivinyo, udokotela ufaka idivayisi ye-ultrasound ngomlomo wakho iye ku-esophagus yakho. I-esophagus itholakala ngqo ngemuva kwenhliziyo yakho naphambi kwe-aorta eyehlayo.
• I-MRI scan: Lokhu kusebenzisa i-magnet enkulu namagagasi omsakazo ukwenza izithombe ezinemininingwane yezitho nezakhiwo ezingaphakathi komzimba wakho, okuhlanganisa ne-aorta yakho. Kungabonisa izithombe ezihambayo zama-valve enhliziyo, amakamelo, nokuthi igazi ligeleza kanjani nge-aorta. Kodwa-ke, lokhu kuhlolwa kuthatha isikhathi eside kune-CT scan evamile, ngakho-ke akusetshenziswa kaningi ezimweni eziphuthumayo.

Iphathwa kanjani i-aorta dissection?

Ukwelashwa kokusikwa kwe-aorta kuncike endaweni lapho kudabuke khona kanye nokusikwa khona.

• Uma uhlinzwa i-aorta yohlobo lwe-A (uma ingxenye yokuqala ye-aorta, eseduze nenhliziyo, ithintekile), uzodinga ukuhlinzwa ngokushesha.
• Kuhlobo lwe-B aortic dissection, uma ukuhlukaniswa kuvimbela ukugeleza kwegazi ezithweni ezibalulekile nasezithweni zomzimba, njengezinso zakho, amathumbu, imilenze, noma umgogodla, uzodinga ukuhlinzwa okuphuthumayo. Uma i-CT scan yakho ibonisa noma yiziphi izici eziyingozi kakhulu, uzodinga ukuhlinzwa maduze.
• Ezimweni ezingembi kangako, ukwelashwa kokusikwa kwe-aorta kungase kuqale ngemithi yokwehlisa izinga lokushaya kwenhliziyo noma ukwehlisa umfutho wegazi. Ukuhlinzwa kungenziwa kamuva uma kuvela izinkinga.

Ukuhlinzwa kanye Nokwelashwa Kwemithambo Yegazi

Izinketho zokuhlinzwa zifaka:

• Ukufakwa kwe-graft: Udokotela ohlinzayo ususa ingxenye eyonakele ye-aorta yakho bese eyishintsha ngethubhu eyenziwe ngezicubu zokwenziwa (i-graft). Kuye ngobukhulu bokuhlukaniswa, kungadingeka futhi balungise i-aortic valve yakho, impande ye-aortic, noma i-aortic arch yakho kanye nemithambo ethwala igazi ekhanda nasezingalweni zakho. Lokhu ukuhlinzwa kwenhliziyo evulekile futhi kuyindlela engcono kakhulu yokwelapha ukuhlukaniswa kwe-aortic yohlobo lwe-A oluphuthumayo.
• Ukulungiswa kwe-stent-graft ye-endovascular:Kule nqubo, udokotela ulungisa i-aorta yakho ngaphakathi. Basebenzisa i-stent graft. Lena yipayipi elenziwe ngezintambo zensimbi elinokusekelwa (njenge-scaffold) elinamathiselwe kuyo. I-stent iqinisa ingxenye ebuthakathaka ye-aorta. Lokhu kulungiswa kwe-endovascular kuyindlela engcono kakhulu yokuhlukanisa uhlobo B oluyinkimbinkimbi (ukugeleza kwegazi ezithweni ezibalulekile kuvinjiwe, noma kunezici eziyingozi kakhulu ku-CT scan). Udokotela wenza lokhu ngokwenza ukusikwa okuncane emthanjeni wakho we-femoral esinqeni sakho nokusebenzisa izintambo nama-catheter.
• Indlela Ehlanganisiwe: Kule nqubo, udokotela usebenzisa kokubili ukuhlinzwa okuvulekile kanye namasu okufakelwa kwe-stent-graft endovascular ukulungisa i-aorta. Le ndlela isetshenziswa lapho ukulungiswa kudinga ukusabalala kuze kufike ku-aortic arch, enikeza igazi ebuchosheni nasezingalweni. Lokhu kungenziwa njengenqubo ephuthumayo yokusikwa kohlobo A. Kungenziwa futhi njengengxenye yokulungiswa kwezigaba ezimbili, kusetshenziswa i-bypass evela emthanjeni wegazi entanyeni yakho ukusiza ukulungiselela ukulungiswa kwe-endovascular kokusikwa kohlobo B.

Imithi

Udokotela angase akunike imithi, njenge- beta-blockers, yokwehlisa izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi. Kwezinye izimo zohlobo lwe-B aortic dissection, imithi yodwa ingasetshenziswa ukwelapha ukuqhekeka ekuqaleni. Kuye ngokuthi ukuqhekeka kungakanani kanye nobukhulu bokuqhekeka, ukuhlinzwa kungenziwa ezinyangeni noma eminyakeni kamuva.

Ingabe ukuqhekeka kwe-aorta kungavinjelwa?

Kunezici eziningi ongeke ukwazi ukuzishintsha ezandisa ingozi yakho yokuthola ukuhlukana komthambo wegazi oyinhloko. Isibonelo, izimo ezithile zenhliziyo ozalwa nazo, izinkinga zezicubu ezixhumeneyo, noma izici zofuzo ezihlobene nomlando womndeni wokuhlukana komthambo wegazi oyinhloko.

Noma kunjalo, unganciphisa ezinye zezingozi zakho:

• Lawula umfutho wegazi lakho.
• Gwema imikhiqizo kagwayi ngokuphelele.
• Gcina isisindo sakho siphilile.
• Gqoka ibhande lesihlalo njalo uma ugibele imoto ukuze uvimbele ukulimala kwesifuba uma kwenzeka ingozi.
• Hamba uyohlolwa njalo, bese ubona udokotela uma ubona noma yiziphi izinguquko empilweni yakho.
• Uma isihlobo sakho sezinga lokuqala (umzali, ingane, noma umfowabo) sike saba nokusikwa kwe-aorta, cela udokotela wakho ukuthi ahlole ubungozi bakho besifo se-aorta. Udokotela wakho angabe esekuqapha futhi akunikeze ukwelashwa okudingekayo ngaphambi kokuba kwenzeke isigameko se-aorta.

Uma kutholakala ukuthi une-aortic aneurysm, bonana nodokotela ochwepheshe bezifo ze-aortic (udokotela wenhliziyo noma udokotela ohlinzayo wenhliziyo). Bangahlola ubungozi bakho futhi, uma kudingeka, bakuqaphe ukuze uhlinzwe ukuze kulungiswe i-aorta yakho.

Yini ongayilindela uma une-aorta dissection?

Ukuqhekeka kwe-aorta kuyisenzakalo esingasongela impilo. Abantu abaqhekeka i-aorta ngokuzumayo (uhlobo A) banesilinganiso esiphezulu sokufa. Cishe abantu abangu-40% abaqhekeka i-aorta yohlobo A bafa ngokushesha, ngenxa yokuthi i-aorta iqhuma ngokuphelele futhi yopha igazi.

Abantu abasinda kulesi simo esiphuthumayo bavame ukushiywa benokukhubazeka okungapheli ezingxenyeni ezingelashwanga ze-aorta yabo. Lokhu kungadinga ukwelashwa kamuva.

Ngokuthuthuka kwezindlela zokwelapha zanamuhla, ukubikezela kwesigaba esingamahlalakhona kuyathuthuka. Kodwa-ke, isikhathi sokuphila ngemva kokusikwa kwe-aorta sifushane uma siqhathaniswa nesomphakathi jikelele. Kodwa-ke, ngokwelashwa okusheshayo nokuphathwa yithimba le-aorta eliqeqeshwe kahle, kungenzeka ukuphila impilo evamile iminyaka eminingi ngemva kokusikwa kwe-aorta.

Ngizinakekela kanjani?

Udokotela uvame ukukunikeza imithi yokucindezeleka kwegazi, njenge-beta-blockers, ukuze alawule ukucindezeleka kwegazi lakho kanye nokushaya kwenhliziyo. Kuzodingeka uyithathe impilo yakho yonke . Ungadinga imithi engaphezu kweyodwa yokucindezeleka kwegazi.

Kubaluleke kakhulu futhi ukugwema imikhiqizo kagwayi ngemva kokusikwa kwe-aorta.

Imisebenzi ye-aerobic efana nokuhamba ngezinyawo, ukugibela ibhayisikili nokubhukuda ilungile. Kodwa-ke, eminye imisebenzi, njengokuphakamisa izinto ezisindayo (ngaphezu kwengxenye yesisindo somzimba wakho), kufanele igwenywe. Ingakhuphula umfutho wegazi lakho futhi ibeke ingcindezi eyengeziwe ku-aorta.

Kufanele ngimbone nini udokotela wami?

Ngemva kokusinda ekuqhekekeni komthambo wegazi oyinhloko – noma ungahlinzwanga – kuzodingeka ubonane nodokotela njalo (ngokuvamile njalo ezinyangeni ezi-3 kuya kweziyi-12) ukuze kwenziwe i-CT noma i-MRI scan. Lokhu kuvumela odokotela ukuthi babone noma yiziphi izinguquko kusenesikhathi futhi benze ngokufanele.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Uhlobo luni lokusikwa kwe-aorta enginalo?
• Ingabe ngizodinga ukuhlinzwa?
• Ungangithumela eqenjini lokusekela abantu abake baba nokuqhekeka komthambo wegazi oyinhloko?

Uyini umehluko phakathi kwe-aneurysm, ukuqhekeka, kanye nokuqhekeka?

Lawa magama angaba yinto edidayo kancane, ngakho ake sicacise:

• I-Aortic aneurysm: Lokhu kuwukuvuvukala okufana nebhaluni, okufana nebhaluni endaweni ebuthakathaka odongeni lwe-aorta yakho. Noma ingxenye yonke ye-aorta iyavuvukala. I-aortic aneurysm ingabangela ukuqhekeka kwe-aorta noma ukuqhekeka kwe-aorta.
• Ukuqhuma kwe-aorta: Lokhu kuwukudabuka okuphelele, noma imbobo, odongeni lwe-aorta, okubangela ukuba igazi livuze ngembobo liye endaweni ezungezile.
• Ukusikwa kwe-aorta:Lokhu kuwukudabuka kwengqimba engaphakathi ye-aorta. Kuvumela igazi ukuthi liphume, kuhlukanise kakhulu izingqimba zangaphakathi neziphakathi zodonga lwe-aorta. Lokhu ngokuvamile kunganwebeka ibanga elide kuzo zombili izinhlangothi nge-aorta yakho, futhi kungasakazeka nasemithanjeni yegazi ehlukana ne-aorta.

Ukuqhekeka komthambo wegazi kuyisenzakalo esesabekayo nesididayo ngempela. Ukusinda kungaba inqwaba yemizwa exubile. Imizwa yakho inengqondo, futhi kukhona abanye abaqondayo ukuthi ubhekene nani. Yiba yizwi lakho, ubuze imibuzo nganoma yini engacacile. Qhubeka uthatha imithi yakho, ulandele yonke imiyalelo kadokotela wakho, futhi ube khona kuzo zonke izikhathi zokubonana nodokotela wakho.

Kubaluleke kakhulu ukuya esikhungweni se-aorta esisezingeni eliphezulu, esinolwazi olukhulu ekwelapheni lezi zinhlobo zezifo futhi esisekelwa ochwepheshe abahlukahlukene. Imiphumela etholakala kulezi zikhungo ingcono kakhulu kunaleyo elapha inani elincane kakhulu leziguli.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Ngakho-ke, cishe usuyaqonda manje ukuthi i-Aortic Dissection iyisimo esiphuthumayo, esiyingozi kakhulu, esisongela ukuphila. Uma uzwa ubuhlungu besifuba obusheshayo, obukhulu, ubuhlungu bomhlane, noma izimpawu zesifo sohlangothi, ungakushayi indiva. Funa usizo lwezokwelapha ngokushesha.

• Isikhathi singukuphila: Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasindisa impilo.
• Qaphela izinto eziyingozi: Qaphela izinto ezifana nomfutho wegazi ophakeme, ukubhema, kanye nomlando womndeni. Zama ukuzilawula.
• Ukwelashwa okufanele kanye nokulandelela: Sebenzisa imithi oyinikezwe udokotela wakho njengoba nje uyalelwe. Hamba uyohlolwa udokotela ngesikhathi.
• Usizo lochwepheshe: Uma kungenzeka, funa ukwelashwa esikhungweni sochwepheshe eselapha lezi zinhlobo zezifo.

Sithemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile!

Ukusikwa kwe - aorta, i-aorta, i-aorta, ubuhlungu besifuba, isifo senhliziyo, umfutho wegazi ophakeme, ukuhlinzwa, ukunakekelwa okuphuthumayo