Cabanga ngomthambo wegazi oyinhloko oqala phakathi kwesifuba sakho, enhliziyweni, bese uthwala igazi emzimbeni wakho wonke. Lokhu sikubiza ngokuthi i-aorta. Uma sikhuluma iqiniso, ingxenye yokuqala ephuma enhliziyweni ibizwa ngokuthi i-ascending aorta. Lokhu kufana nombhobho wamanzi oyinhloko womzimba wethu. Ngezinye izikhathi, olunye lwezindonga zalo mthambo wegazi luba buthakathaka bese luqala ukukhukhumala njengebhaluni. Kwezokwelapha, lesi simo sibiza ngokuthi i-aneurysm. Lokhu kungaba kubi kakhulu, ngoba uma lokhu kukhukhumala kuba kukhulu kakhulu, kungaqhuma. Ngakho-ke namuhla sizokhuluma ngendlela yokulungisa ukukhukhumala kwe-ascending aortic aneurysm ngokuhlinzwa.
Ubani odinga lokhu kuhlinzwa?
Kalula nje, lokhu kuhlinzwa kuyadingeka ezimweni ezimbili eziyinhloko.
1. Njengesimo esiphuthumayo: Uma lesi sifo sokuvuvukala kwemithambo yegazi e-aorta yakho siqhuma ngokuzumayo (siqhekeka) noma sidabula izindonga zayo (ukuqhekeka), kuyisimo esiphuthumayo, esisindisa impilo. Lesi yisimo esiyingozi kakhulu.
2. Njengokuhlinzwa okuhleliwe: Ngemva kokuba udokotela wakho ethole ukuthi une-aneurysm, uzohlola ingozi yokuthi iqhume, futhi uma ingozi inkulu, uzoncoma ukuhlinzwa ngaphambi kokuba iqhume. Udokotela ngokuvamile uzoqapha ubukhulu be-aneurysm nokuthi ikhula ngokushesha kangakanani ngama-scan (`CT` noma `Heart MRI`) avame ukwenziwa kanye noma kabili ngonyaka.
Ezimweni eziningi, i-aneurysm ekhula kancane kancane noma encane kakhulu ngeke idinge ukwelashwa isikhathi esithile. Kodwa-ke, uma ikhula ngokushesha noma isifinyelele usayizi oyingozi, kuphephile ukuyisusa ngokuhlinzwa ngaphambi kokuba iqhume.
Yisiphi isikhathi esingcono kakhulu sokuhlinzwa?
Isinqumo sokuthi uzohlinzwa nini sincike ezintweni eziningana, okuhlanganisa ukuthi unezimpawu, ubukhulu be-aneurysm, nokuthi ikhula ngokushesha kangakanani.
Izimpawu ezidinga ukuhlinzwa okuphuthumayo
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kungasho ukuthi i-aneurysm yakho isizoqhuma. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
| Qaphela! Lezi yizimpawu zengozi eziphuthumayo! | |
|---|---|
| Ubuhlungu besifuba noma obuphezulu emhlane | Umuzwa wobuhlungu obukhulu njengokungathi kukhona okudabukile ngaphakathi emzimbeni. |
| Ubunzima bokuphefumula | Ukukhwehlela, ukushaqeka, ukuphelelwa umoya. |
| Ezinye izici | Ukujuluka , ukuquleka, ukujuluka ngokweqile, isicanucanu nokuhlanza, ukushaya kwenhliziyo okusheshayo. |
Amacala okuhlinzwa okuzikhethela
Ngisho noma ungenazo izimpawu, udokotela wakho angase akuncome ukuhlinzwa ezimweni ezilandelayo:
| Isici esithonya isinqumo | Incazelo |
|---|---|
| Usayizi we-aneurysm |
|
| Isivinini sokukhula |
|
| Ezinye izinto | Izinto ezifana nosayizi womzimba wakho (umuntu onomzimba omncane angadinga ukuhlinzwa noma ngabe mncane) nokuthi ngabe uke wahlinzwa inhliziyo ngenye indlela. |
Kunjani ukulungiselela ngaphambi kokuhlinzwa?
Uzobe ulungele ukuhlinzwa amasonto ambalwa ngaphambi kokuba kuqale.
- Ukuhlolwa kwezokwelapha: Ukuhlolwa kwegazi ukuhlola ukusebenza kwezinso, ukuhlolwa kwe-CT noma kwe-MRI ukuhlola yonke i-aorta, kanye ne-coronary angiography ukuhlola eminye imithambo yegazi enhliziyweni.
- Ukukhuluma nodokotela wakho: Kufanele utshele udokotela wakho ngayo yonke imithi oyiphuzayo (kufaka phakathi amavithamini nemithi yendabuko), kanye nanoma yiziphi ezinye izimo zezokwelapha onazo, njengomfutho wegazi ophakeme nesifo sikashukela.
- Ukubhema: Kubaluleke kakhulu ukuyeka ukubhema ngokuphelele okungenani inyanga eyodwa ngaphambi kokuhlinzwa.
Udokotela uzokunikeza imiyalelo, njengokungaphuzi amanzi ngemva kwamabili ngosuku lokuhlinzwa kanye nokuthatha imithi oyinikezwe udokotela kuphela ekuseni.
Kwenziwa kanjani ukuhlinzwa?
Lokhu ukuhlinzwa kwenhliziyo okuvulekile. Kwenziwa ngenkathi ulaliswe ngokuphelele.
1. Ukusikwa: Udokotela ohlinzayo wenza ukusikwa okuqondile phansi phakathi kwesifuba sakho.
2. Ukujikeleza kwegazi: Uzoxhunywa emshinini oxhumanisa inhliziyo namaphaphu. Lokhu kuzohlinzeka umzimba wakho ngegazi nomoya-mpilo owudingayo ngesikhathi sokuhlinzwa.
3. Ukulungiswa: Ingxenye ebuthaka nevuvukele ye-aorta iyasuswa bese ithathelwa indawo yipayipi (i-graft) elenziwe ngezinto zokwenziwa. Lokhu kusebenza njengomthambo wegazi omusha.
4. Ukuvalwa: Ngemva kokuba ithubhu elisha selifakwe futhi lafakwa endaweni yalo, ukusika kwesifuba kuvalwa ngezitishi noma ngezinti.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amathathu kuya kwamane, kodwa isikhathi singahluka kuye ngokuthi yini edinga ukulungiswa.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa egunjini lokunakekelwa okujulile (ICU) izinsuku ezimbalwa futhi uqashwe ngokucophelela. Ngemuva kwalokho uzodluliselwa egunjini elijwayelekile. Ukuhlala esibhedlela konke kungahlala phakathi kwezinsuku ezi-4 neziyi-10.
Ungalindela okulandelayo ngesikhathi sokululama kwakho:
- Ukunikeza imithi yokwelapha izinhlungu.
- Ukufaka i-catheter ukuze kukhishwe umchamo.
- Ukusebenzisa umshini ukusiza ukuphefumula (emahoreni ambalwa okuqala).
- Ukugqoka amasokisi akhethekile (amasokisi okucindezela) ukuvimbela ukuqhekeka kwegazi emilenzeni.
Ziyini izingozi nezinzuzo?
Inzuzo enkulu ukuthi ivimbela ukuqhekeka, okungaba yingozi. Izinga lempumelelo lokuhlinzwa okuhleliwe liphezulu kakhulu (cishe ngo-95%-98%). Lokhu kusho ukuthi leli yithuba elihle kakhulu lokusindisa impilo.
Kodwa khumbula, uma i-aneurysm iqhuma, amathuba okusindisa impilo yakho aphansi kakhulu. Ngakho-ke uma udokotela wakho encoma ukuhlinzwa, kusho ukuthi ingozi yokuhlinzwa iphansi kunokungabi nayo.
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi. Izinkinga ezifana nokopha ngokweqile, ukutheleleka, ukuhlaselwa yinhliziyo, isifo sohlangothi, kanye nokwehluleka kwezinso kungenzeka. Kodwa-ke, ithimba lezokwelapha lenza konke okusemandleni alo ukunciphisa lezi zingozi.
Kuthatha isikhathi esingakanani ukululama?
Ngokuvamile kuthatha amasonto ama-4 kuya kwayi-6 ukululama ngokuphelele. Kwabanye, kungathatha izinyanga eziningana. Phakathi nalesi sikhathi, kuzodingeka unamathele emikhawulweni ethile.
- Gwema ukushayela: Kuze kube yilapho udokotela wakho ekunike imvume (ngokuvamile okungenani isonto elilodwa noma amabili).
- Gwema ukuphakamisa izinsimbi: Ungaphakamisi izinsimbi ezingaphezu kuka-5 kg (amasonto angu-4-6).
- Ukugeza: Ungagezi kuze kube yilapho inxeba selipholile. Ungageza.
- Ukuzivocavoca: Gwema ukuzivocavoca okunzima kakhulu.
Ukuze unciphise ubuhlungu lapho ukhwehlela noma uthimula , beka umcamelo phezu kwesilonda bese usicindezela. Futhi, ukulahlekelwa yisifiso sokudla kanye nokukhathala okukhulu kuyinto evamile emasontweni ambalwa okuqala. Ungakhathazeki ngakho.
Uzobona nini udokotela
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngesikhathi sokululama kwakho, yazisa udokotela wakho ngokushesha.
| Inkinga | Izici okufanele uziqaphele |
|---|---|
| Izinkinga ezihlobene namanxeba | Inxeba liba bomvu, livuvuke, libe buhlungu, lifudumale, liphume ubomvu obuluhlaza/ophuzi, bese imiphetho yenxeba ihlukana. |
| Ezinye izimpawu ezinkulu | Ubuhlungu esifubeni noma ukuphelelwa umoya ngisho nalapho uphumule, ukuvuvukala kwemilenze, ukuquleka, umkhuhlane, ukukhwehlela okunegazi noma i-phlegm eluhlaza/ephuzi, igazi esitulweni. |
Umlayezo Wokuya Nawe Ekhaya
- I-aneurysm ye-ascensing aorta iyisimo esibi kakhulu. Ukuhlinzwa okuhleliwe ngaphambi kokuba kuqhume kungavimbela kakhulu izinkinga ezisongela ukuphila.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba obungazelelwe kanye nobunzima bokuphefumula, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Kuthatha isikhathi ukululama ngokuphelele ngemva kokuhlinzwa. Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Ngemva kokululama, ukugcina ukudla okunempilo kwenhliziyo, ukugwema ukubhema, nokulawula izimo ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme kubalulekile empilweni yesikhathi esizayo.
- Uma unemibuzo ngalokhu, ungesabi ukukhuluma nodokotela wakho.
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