Cabanga ngenhliziyo yakho njengephampu yamanzi. Ipayipi eliyinhloko, elikhulu kunawo wonke, nelinamandla kakhulu eliphampa amanzi emzimbeni wakho wonke yi -aorta . Leli yilona elithwala igazi elihlanzekile nelicebile nge-oxygen lisuka ekhanda lakho liye emilenzeni yakho. Ngakho-ke uma kunenkinga ngaleli payipi elibalulekile elibalulekile, sizokhuluma ngokuhlinzwa ukuze lilungiswe. Kuvamile ukuzizwa wesaba kancane uma uzwa ngalokhu, kodwa uma usunolwazi olufanele, ungakunqoba lokho kwesaba.
Yiziphi izinkinga eziyinhloko eziphakama kule aorta?
Kalula nje, kunezinkinga ezimbili eziyinhloko ezithinta i-aorta.
1. I-Aneurysm: Cabanga ngepayipi lamanzi elidala eliphuma njengebhaluni. Ngendlela efanayo, izindonga ze-aorta ziba buthakathaka futhi zivuvukale njengebhaluni ngenxa yokucindezela kwegazi elidlula kulo. Yilokhu esikubiza ngokuthi "i-Aneurysm".
2. Ukuqhekeka: Lokhu kuhlukile kancane. Udonga lwe-aorta lunezendlalelo eziningana. Okwenzekayo kulokhu ukuthi kwakheka ukudabuka okuncane engxenyeni engaphakathi, bese kuvuza igazi phakathi kwalezo zendlalelo ezimbili. Lesi futhi yisimo esiyingozi kakhulu.
Uma lokhu kuqhekeka kwemithambo yegazi noma ukuqhekeka kwegazi kuqhuma ngokuzumayo, kungabangela ukopha okuningi emzimbeni futhi kube yingozi empilweni. Yingakho odokotela bezama ukukulungisa ngokuhlinzwa ngaphambi kokuba kufike kulelo qophelo.
Kungani kwenzeka izimo ezinjengalezi?
Kunezizathu eziningana zalokhu, ezinye zazo esingazilawula, kanti ezinye asikwazi ukuzilawula.
| Izizathu eziyinhloko | Incazelo elula |
|---|---|
| I-atherosclerosis | Imbangela eyinhloko ukunqwabelana kwezinto ezifana ne-cholesterol ezindongeni zemithambo yegazi, okuqinisa futhi kunciphise imithambo yegazi. |
| Umfutho wegazi ophakeme | Umfutho wegazi ophezulu isikhathi eside ungalimaza izindonga zemithambo yegazi. |
| Ukuphazamiseka Kwezicubu Ezixhumeneyo | Lezi yizifo zofuzo. Isibonelo, abantu abanezifo ezifana ne-Marfan Syndrome banezicubu zomzimba ezibuthakathaka, okungabangela ukuba i-aorta ibe buthaka. |
| Ukulimala okubangelwe yingozi | Lolu hlobo lomonakalo lungenzeka futhi ngenxa yokulimala okukhulu esifubeni, njengengozi enkulu yemoto. |
Ukuhlinzwa kwenziwa kanjani? Yiziphi izindlela eziyinhloko?
Udokotela uzonquma inqubo yokuhlinzwa efaneleke kakhulu kuwe ngokusekelwe ezicini eziningi, njengobunzima besimo sakho kanye nendawo ye-aneurysm. Kunezindlela ezimbili eziyinhloko.
1. Ukuhlinzwa Okuvulekile
Lena yindlela yendabuko. Lapha, kwenziwa i-sternotomy phakathi kwesifuba, noma isisu sivulwe, ukuze kufinyelelwe ngqo engxenyeni eyonakele ye-aorta. Ingxenye eyonakele iyasuswa bese kufakwa i-graft eyenziwe ngezinto zokwenziwa njenge- Dacron endaweni yayo. Lokhu kuwukuhlinzwa okukhulu, futhi kuthatha isikhathi eside ukuphola.
2. Ukuhlinzwa Kwemithambo Yegazi/Okungenamagciwane Kakhulu
Lobu ubuchwepheshe besimanje. Akukho ukusikwa okukhulu lapha. Ukusikwa okuncane kwenziwa emthanjeni wegazi odlula embotsheni, bese kuthunyelwa i -stent graft ngayo ngosizo lwe-catheter (ithubhu elincane) engxenyeni eyonakele ye-aorta.
Kuyini i-stent graft?
Lokhu kufana nethubhu elincane elenziwe ngensimbi futhi limbozwe ngendwangu. Uma lokhu kufakwa ngaphakathi kwendawo lapho kukhona khona "(Aneurysm)``, igazi ligeleza ngaleli thubhu elisha. Bese igazi ligeleza ngaphandle kokushaya udonga lwe-aorta ebuthakathaka. Ngakho-ke, liyayeka ukuqhuma.
Izinzuzo zendlela ye-endovascular:
- Inani lezinsuku esibhedlela liyancipha.
- Lena inketho enhle kulabo abangakwazi ukuthwala ingozi yokuhlinzwa okuvulekile.
- Njengoba kungekho ukusikwa okukhulu, isikhathi sokuphulukiswa sifushane kakhulu.
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Kubaluleke kakhulu ukulungiselela kahle ngaphambi kokuhlinzwa.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho namavithamini kanye nemithi yamakhambi). Eminye imithi ingadinga ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Thola zonke izivivinyo udokotela wakho aziyalayo, njengokuhlolwa kwegazi, ama-EKG, kanye nokuskena kwe-CT, kwenziwe ngesikhathi.
- Ngesikhathi sokuhlala esibhedlela kanye nezinsuku ezimbalwa zokuqala ngemva kokubuyela ekhayaThola umuntu okulungele ukusiza.
- Thola ukuthi kufanele uyeke nini ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa.
Kwenzekani ngemva kokuhlinzwa? Kuzothatha isikhathi esingakanani ukululama?
Ngemva kokuhlinzwa, uzoqala ukungeniswa egunjini lokunakekela abagula kakhulu (ICU). Uma usuphinde waqonda, ungase ufake ipayipi lokuphefumula ukuze likusize uphefumule. Lizokhishwa uma usukwazi ukuphefumula wedwa. Uma usukwazi ukuhamba kancane, uzodluliselwa egunjini elivamile.
Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuhlinzwa:
- Uma kwenziwa ukuhlinzwa okuvulekile , kungathatha cishe izinyanga ezingu-2-3 ukululama ngokuphelele.
- Ukuhlinzwa kwe-endovascular kudinga ukuhlala esibhedlela izinsuku ezimbili kuya kwezintathu kanye nesikhathi sokululama esigcwele esingamaviki amabili kuya kwamane .
Izingozi zokuhlinzwa kanye nesikhathi sokubonana nodokotela ngokushesha
Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile, kodwa lokhu akwenzeki kuwo wonke umuntu.
- Ukopha ngokweqile
- Isifo sohlangothi
- Isifo senhliziyo
- Ukwehluleka kwezinso
- Izifo
- Ukulahlekelwa ukusebenza kahle kwemilenze (ikakhulukazi ekuhlinzweni kwesifuba nesisu)
Uma unezinye zalezi zimpawu ngemuva kokubuyela ekhaya, kufanele ushayele udokotela wakho ucingo ngokushesha:
- Ukubomvu, ukuvuvukala, noma ubomvu obuphuma enxebeni lokuhlinzwa
- Umkhuhlane ngaphandle kwesizathu
- Ubuhlungu obukhulu besifuba
- Ubunzima bokuphefumula
Into ebaluleke kakhulu ukuthi impumelelo nokuphepha kokuhlinzwa okuhleliwe kusengaphambili kuphakeme kakhulu kunokuhlinzwa okuphuthumayo okwenziwa e-Emergency Treatment Unit (ETU) ngemva kokuqhuma kwe-aneurysm. Ngakho-ke, uma udokotela encoma ukuhlinzwa, ungesabi futhi uthathe izinyathelo ezidingekayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-aorta kuyindlela ebaluleke kakhulu yokusindisa impilo, ngakho-ke ungakwesabi ngokungadingekile.
- Impumelelo nokuphepha kokuhlinzwa okuhleliwe, kunokulinda kuze kube yilapho kuvela isimo esiphuthumayo, kuphakeme kakhulu.
- Indlela yesimanje ye-"Endovascular" iyasebenza kakhulu. Kodwa-ke, ayifanele wonke umuntu ogulayo. Udokotela wakho uzokhetha indlela efanele kakhulu kuwe.
- Ukulandela imiyalelo yezokwelapha ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
- Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho ngempilo yakho, ukuhlinzwa, noma isikhathi sokululama.
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