Wake wezwa igama elithi ' brain aneurysm'? Mhlawumbe wake wezwa nangomngane wakho onalo. Kuvamile ukuzizwa wesaba kancane futhi ushaqekile lapho sizwa leli gama. Ubani ongeke esabe uma ethi umthambo wegazi ngaphakathi ebuchosheni uyaqhuma, akunjalo? Kodwa kunokuba wesabe ngokungadingekile ngalokhu, kubaluleke kakhulu ukukuqaphela. Ngakho-ke namuhla, sizokhuluma ngakho kalula, ngendlela ongayiqonda.
Kalula nje, kuyini i-aneurysm?
Cabanga ngebhaluni. Uma siqhubeka silivuthela, ezinye izingxenye ziba buthakathaka bese liphuma njengebhamuza elincane, akunjalo? Kwenzeka into efanayo emithanjeni yegazi ebuchosheni bethu.
Uma umthambo wegazi ohambisa igazi ebuchosheni uba buthakathaka ngesikhathi esithile, futhi igazi liqhubeka nokugeleza kuwo ngesivinini esikhulu, indawo ebuthakathaka iyavuvukala njengebhaluni. Lokho kuqubuka kubizwa ngokuthi i-aneurysm . Lokhu kungakhula kube usayizi wejikijolo elincane.
Nakuba leli gama lizwakala liyesabeka, ama-aneurysm amaningi awabangeli zimpawu noma izinkinga zempilo. Umuntu angaphila impilo yakhe yonke engazi ukuthi une-aneurysm, ngaphandle kwezinkinga.
Kodwa-ke, akuvamile kakhulu, le aneurysm ingakhula ibe nkulu, ivuza igazi kancane kancane, noma iqhume ngokuzumayo. Uma iqhuma futhi iphuma igazi ebuchosheni, ibizwa ngokuthi isifo sohlangothi esophayo. Lesi yisimo esiphuthumayo sezokwelapha esingathi sína kakhulu, esisongela ukuphila. Ezimweni ezinjalo, kudingeka ukwelashwa esibhedlela ngokushesha.
Yiziphi izinhlobo nobukhulu be-aneurysms?
Ama-Aneurysm angahlukaniswa ngezinhlobo eziningana eziyinhloko. Ake sibone ukuthi ayini.
| Uhlobo lwe-Aneurysm | Incazelo |
|---|---|
| I-Saccular Aneurysm | Lolu uhlobo oluvame kakhulu. Lwakha igwebu ngaphandle komthambo wegazi, lifana nejikijolo elilenga emvinini. Yingakho libizwa nangokuthi "i-aneurysm yejikijolo." |
| I-Fusiform Aneurysm | Lokhu akwakhi njengebhamuza. Kunalokho, izindonga zomthambo wegazi ziyavuvukala nxazonke, zivule leyo ndawo. Lokhu akuvamile kakhulu. |
| I-Mycotic Aneurysm | Uhlobo lwe-aneurysm oluvela lapho udonga lomthambo wegazi luba buthaka ngenxa yokutheleleka okufana namagciwane noma isikhunta. Lokhu nakho akuvamile kakhulu. |
Lezi aneurysms zingaba ngobukhulu obuhlukahlukene.
- Encane ( SMA ll): Ngaphansi kwamamilimitha ayi-11 (cishe usayizi werabha yepensela).
- Okukhulu: Phakathi kwamamilimitha angu-11-25 (cishe usayizi wemali yama-rupee angu-5 eSri Lanka).
- Inkulu: Inkulu kune-25 millimeters.
Ziyini izimpawu zalokhu? Yilokhu okudingeka ukwazi nakanjani!
Izimpawu ze-aneurysm zincike ekutheni iqhumile noma cha. Le ngxenye ibaluleke kakhulu , ngakho-ke nakisisa.
| Izimpawu eziphuthumayo zokuqhuma kwe-aneurysm (uma unayo noma iyiphi yalezi, iya ku-ETU ngokushesha!) | |
|---|---|
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| Izimpawu ze-aneurysm ekhula kodwa engaqhumi (bona udokotela ngokushesha) | |
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Kungani kwakheka la ma-aneurysm? Ubani osengozini enkulu?
Ayikho imbangela eyodwa yokwakheka kwe-aneurysm, kodwa ezinye izici eziyingozi ziye zatholakala.
Izimbangela ezizuzwe njengefa
Ezinye izimo zofuzo zingase zandise ingozi yokuba ne-aneurysms.
- Isifo sezinso esibizwa ngokuthi i-Autosomal dominant polycystic kidney disease yisifo lapho kwakheka khona ama-cyst ezinso.
- Uhlobo 1 lwe-Neurofibromatosis luyisifo esibangela ukwakheka kwamathumba esikhumbeni nasezinzwa.
- Izifo ezithinta izicubu ezixhumeneyo (i-Marfan syndrome, i-Ehlers-Danlos syndrome)
Izici eziyingozi ezihlobene nendlela yokuphila
Lezi yizinto esingazilawula.
- Umfutho Wegazi Ophakeme: Lesi yisici esiyinhloko nesivame kakhulu sengozi.
- Ukubhema: Abantu ababhemayo basengozini enkulu kakhulu yokuthola i-aneurysms kanye nokuqhuma kwayo.
- Umlando womndeni: Uma omunye wezihlobo zakho eziseduze (umama, ubaba, umfowenu noma udadewabo) eke waba ne-aneurysm, nawe usengozini enkulu kancane.
- Ubudala: Ingozi iyanda ngemva kweminyaka engu-40.
- Ubulili: Abesifazane banamathuba amaningi okuthola i-aneurysm kunabesilisa.
- Ukusetshenziswa kwezidakamizwa: Ukusetshenziswa kwezidakamizwa ezifana ne-cocaine.
- Ukuphuza utshwala ngokweqile.
Odokotela bakuthola kanjani lokhu?
Uma udokotela wakho esola ukuthi kukhona i-aneurysm ngokusekelwe ezimpawu zakho, kunezivivinyo eziningana zokuqinisekisa lokho.
- I-CT Scan: Lokhu kuthatha izithombe ezinemininingwane zobuchopho. Ngezinye izikhathi idayi ekhethekile ifakwa ebuchosheni ukuze imithambo yegazi ibonakale kakhudlwana.
- I-MRI Scan: Insimu yamagnetic isetshenziselwa ukuthatha izithombe ezicacile zobuchopho nemithambo yegazi.
- I-Angiogram:Lena yindlela ethembeke kakhulu yokuthola i-aneurysm. Kule nqubo, ipayipi elincane kakhulu (i-catheter) lidluliselwa emthanjeni wegazi osemlenzeni noma engalweni liye emithanjeni yegazi ebuchosheni, kufakwe uketshezi olukhethekile, bese kuthathwa uchungechunge lwezithombe ze-X-ray. Lokhu kuvumela ukuthi kubonakale indawo eqondile, usayizi, kanye nesimo se-aneurysm.
- Ukubhoboza Umgogodla/Umthambo Wethambo: Uma kukhona okusolakala ukuthi i-aneurysm iqhumile, kuthathwa isampula yoketshezi lomgogodla emgogodleni bese kuhlolwa igazi.
Yiziphi izindlela zokwelapha?
Ukwelashwa kunqunywa yizici eziningi, okuhlanganisa ukuthi ngabe i-aneurysm iqhumile noma cha, ubukhulu bayo, indawo, ubudala bakho, kanye nempilo yakho iyonke.
Kuma-aneurysms amancane, angenazimpawu, angaqhekekanga, kungenzeka ukugwema noma yikuphi ukwelashwa bese ulinda nje uqaphile. Kufanele uxoxe ngalokhu nodokotela wakho ukuze wenze isinqumo esingcono kakhulu.
I-aneurysm eqhumile kumele yelashwe ngokushesha ngoba ingozi yokuthi iphinde iqhume iphezulu kakhulu. Kunezindlela eziningana zokwelapha eziyinhloko.
| Indlela yokwelapha | Okwenzekayo kulula. |
|---|---|
| Ukusika ngokuhlinzwa | Ukuhlinzwa okuhilela ukuvula ugebhezi. Udokotela ohlinzayo uthola i-aneurysm bese ebeka i-clip encane yensimbi entanyeni yayo ukuze amise ukopha. |
| Ukugoqa Kwemithambo Yegazi | Lena inqubo engabandakanyi ukuvula ugebhezi. Njenge-angiogram, kufakwa ithubhu elincane emlenzeni, bese kudluliswa ama-coil e-platinum wire coils amancane kakhulu kuwo bese efakwa ku-aneurysm. Ukugeleza kwegazi kuyo kuyamiswa, bese kwakheka ihlule legazi bese liyivala. |
| Ukuhlinzwa Kokuphambuka Kokugeleza | Inqubo esetshenziselwa ama-aneurysm amakhulu. Kule nqubo, kufakwa i-stent efana ne-mesh ngaphakathi komthambo wegazi lapho kukhona khona i-aneurysm. Lokhu kuvumela igazi ukuthi ligeleze ngqo nge-aneurysm, kunokuyidlula. |
Umlayezo Wokuya Nawe Ekhaya
- Iningi le-aneurysms yobuchopho alilokothi liqhume. Lingaba nezimpawu, ngakho-ke ungakhathazeki ngokungadingekile ngegama.
- Ikhanda elibuhlungu elingakaze livele, elinzima ongakaze ulibone empilweni yakho liyisibonakaliso esiyisixwayiso! Uma lokhu kwenzeka, ungacabangi kabili bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Umfutho wegazi ophakeme nokubhema yizitha ezimbili ezinkulu. Ngokulawula lokhu okubili, unganciphisa kakhulu ingozi yakho.
- Uma ilungu lomndeni eliseduze liye laba ne-aneurysm, khuluma nodokotela wakho ngakho.
- Uma sitholakale kusenesikhathi futhi selashwa kahle, lesi simo singalapheka ngokuphelele. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu.
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