Ngezinye izikhathi, ungaba nezinkinga ezinkulu emzimbeni wakho ngaphandle kokuqaphela. Enye yezinkinga ezinjalo i-femoral artery aneurysm. Kalula nje, umthambo wegazi omkhulu (umthambo) ethangeni lakho, eduze kwe-hip joint, uvuvukala njengebhaluni, okubizwa ngokuthi "i-Femoral Artery Aneurysm". Lokhu kuyinto okufanele ukhathazeke ngayo, ngoba ngezinye izikhathi ungaba nalesi simo
ngaphandle kwezimpawu .
Iyini ngempela i-femoral artery aneurysm?
Cabanga ngepayipi lamanzi. Udonga lwalepayipi luba buthaka ngesinye isikhathi futhi luqhume kancane kancane. Yilokho okwenzekayo. Umthambo wegazi oyinhloko ethangeni lakho (obizwa ngokuthi 'umthambo we-femoral')
uqhuma ube cishe kabili ngobukhulu obujwayelekile. Lokhu kwenzeka ngoba zonke izingqimba zodonga lwemithambo yegazi ziyanwebeka. Lapho udonga lwemithambo yegazi luba buthaka ngale ndlela,
kungenzeka kakhulu ukuthi luqhume . Uma luqhuma, lokhu kungumthambo wegazi omkhulu, ngakho-ke inani elikhulu legazi lingalahleka emzimbeni ngesikhathi esisodwa. Leso yisimo esiyingozi ngempela. Futhi, kunethuba lokuthi ihlule legazi lingakheka kuleli qhubu bese libhajwa emthanjeni, noma lingaqhuma livale umthambo kwenye indawo.
Ingabe zikhona izinhlobo zalokhu kuvuvukala ngokusekelwe lapho kwenzeka khona?
Yebo, odokotela bahlukanisa le "Femoral Artery Aneurysm"
ngokwendawo eqondile . Umthambo wegazi oyinhloko ethangeni lakho, ake siwubize ngokuthi "umthambo we-femoral ovamile", uhlukana ube amagatsha amancane ezindaweni eziningana.
- Kungase kube nokuvuvukala okuthile ngaphambi kokuba la magatsha amakhulu emithambo yegazi aqale.
- Ezinye zingase zenzeke lapho amagatsha ehlukana khona , noma emagatsheni ahlukanayo, "umthambo we-femoral ophakeme" noma "umthambo we-femoral ongaphezulu".
Lokhu kuhlukaniswa kwenziwa ngendawo ngoba ngezinye izikhathi ukwelashwa kungahluka kancane kuye ngokuthi ukuvuvukala kukuphi.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Nakuba noma ubani engaba nalesi simo, esibizwa ngokuthi "i-Femoral Artery Aneurysm," abanye abantu basengozini enkulu kancane.
- Amadoda anamathuba amaningi okuba nayo kunabesifazane.
- Le ngozi iphezulu kakhulu kubantu abaneminyaka engaphezu kuka-70 .
Ngaphezu kwalokho, ungase ube sengozini uma unalezi zinto:
- Umfutho wegazi ophezulu : Uma umfutho wegazi wakho uphakeme njalo.
- I-cholesterol ephezulu : I-cholesterol ephezulu iyinto enamafutha egazini.Uma une -cholesterol ephezulu.
- Izifo zezicubu ezixhumeneyo : Kunezifo ezingavamile ezithinta izicubu zomzimba, isibonelo, i-Ehlers-Danlos syndrome noma i-Marfan syndrome. Abantu abanalezi zifo nabo basengozini.
- Ukusetshenziswa komkhiqizo kagwayi : Le ngozi iphezulu kulabo ababhema ugwayi, ama-beedis, ama-betel nut, noma ezinye izinhlobo zikagwayi.
- I-atherosclerosis : Lokhu kuvame ukuba imbangela eyinhloko. I-atherosclerosis iwukuqongelela kwamafutha ezindongeni zemithambo yegazi , okwenza kancane kancane iwanciphise. Uma uke waba nesifo senhliziyo ngaphambili, noma uma unezinkinga ngemithambo yegazi emilenzeni yakho, njengesifo semithambo yegazi engaphandle, ungase ube sengozini yokuthola i-atherosclerosis.
- Umlando womndeni : Uma othile emndenini wakho, njengomama wakho, ubaba, noma izingane zakini, eke waba ne-aneurysm efana nale ngaphambili, nawe ungase ube sengozini encane.
Sivame kangakanani lesi simo?
Empeleni, lesi `(Femoral Artery Aneurysm)`
siyisimo esingavamile kakhulu . Okusho ukuthi, akusona isifo esivamile. Kodwa-ke, nakuba singavamile, abanye abantu bangaba nalokhu kuvuvukala emilenzeni yomibili. Abanye bangaba nalokhu kuvuvukala (ama-aneurysms) hhayi kuphela kulo mthambo we-femoral, kodwa nakweminye imithambo yegazi emzimbeni (isibonelo, ku-aorta esiswini) ngesikhathi esifanayo. Ngokwezibalo, lesi simo sithinta kuphela u-0.007% wamadoda. Phakathi kwabesifazane, leli phesenti liphansi nakakhulu. Ngakho-ke, ungesabi ukucabanga ukuthi lokhu kuyinto engavamile kakhulu, kodwa kubaluleke kakhulu ukuqaphela lokhu.
Kwenzekani emzimbeni uma le mithambo yegazi ivuleka?
Uma une-`(Femoral Artery Aneurysm)`, kunezingozi ezimbili ezinkulu. 1.
I-blood clot : I-blood clot ingakheka endaweni ye-aneurysm bese inamathela kulowo mthambo. Noma, i-clot ingaphuma futhi ihambe egazini ukuze ivimbe umthambo omncane wegazi kwenye indawo (isibonelo, emlenzeni ongezansi noma onyaweni). Lokhu kunganqamula ukugeleza kwegazi kuleyo ndawo futhi kubangele izinkinga. 2.
Ukuqhekeka : Lokhu kuyingozi kakhulu. Udonga olubuthakathaka lomthambo lungavuvukala futhi luqhume ngokuzumayo. Uma lokho kwenzeka, njengoba kushiwo ngaphambili, kungabangela ukopha okukhulu ngisho nokufa.
Ziyini izimpawu zalokhu?
Isikhathi esiningi,
Cishe abantu abangu-40% abanalesi simo abanazo izimpawu! Leyo yingxenye eyesabekayo. Kodwa-ke, uma kuvela izimpawu, zingabandakanya:- Iqhubu embotsheni yakho : Ungase uzwe iqhubu endaweni yakho yembotsheni. Ngezinye izikhathi, leli qhubu lingase lizwakale sengathi liyashaya (liyashaya).
- Ukuvuvukala komlenze ongezansi : Umlenze ongezansi ungase uvuvuke.
- Ubuhlungu noma ingcindezi embotsheni noma emlenzeni : Ungase uzwe ubuhlungu embotsheni, endaweni yethanga, noma emlenzeni, noma umuzwa wokucindezeleka.
- Amahlule egazi : Njengoba kushiwo ngaphambili, kungase kube nezimpawu zamahlule egazi (isib. ukubanda okungazelelwe, ukuphaphatheka, ubuhlungu obukhulu).
- Ukuqunjelwa : Lokhu kwenzeka kaningi, kodwa uma kwenzeka, kungabangela inkinga enkulu ngobuhlungu obungazelelwe, obukhulu.
Khumbula, kungaba khona ngaphandle kwezimpawu, ngakho-ke kuwumqondo omuhle ukukhuluma nodokotela uma unezici eziyingozi.
Yini ebangela lokhu?
Kunezizathu eziningana zokuthi kungani udonga lomthambo we-femoral lungaba buthaka futhi lubangele lolu hlobo lokukhukhumala (i-aneurysm).- I-atherosclerosis : Lena imbangela eyinhloko nevame kakhulu . Lapho amafutha eqoqana ngaphakathi kwemithambo yegazi, izindonga zemithambo ziyaqina kancane kancane futhi zilahlekelwe ukuqina kwazo, azisakwazi ukumelana nokucindezela kwegazi futhi zingaba buthakathaka futhi zivuvukale kwezinye izindawo.
- Umfutho wegazi ophezulu : Uma umfutho wegazi uphezulu isikhathi eside, imithambo yegazi ihlala ingaphansi kokucindezeleka okukhulu. Lokhu kungenza buthaka izindonga zemithambo yegazi.
- Ukulimala : Uma umthambo wegazi endaweni yethanga wonakele ngenxa yengozi noma ukulimala okungazelelwe, indawo ingase ivuvuke kamuva. Isibonelo, ukulimala okuncane okuvela ezinqubweni ezithile zezokwelapha (njengokufaka i-catheter) kungaba yimbangela ngezinye izikhathi.
- Izifo zezicubu ezixhumeneyo : Njengoba kushiwo ngaphambili, abantu abanezifo ezingavamile ezithinta izicubu ezixhumeneyo zomzimba, njenge-Ehlers-Danlos syndrome, i-Marfan syndrome, noma isifo se-adventitial cystic, bangase babe nobuthakathaka bokuzalwa kwezindonga zemithambo yegazi.
- Isifo sikaBehçet : Isifo sikaBehçet singadala nokuvuvukala kwemithambo yegazi futhi siholele ekuvuvukeni okunje.
Yingakho udonga lomthambo wakho we-femoral luba buthaka futhi lunwebeka kancane kancane ngaphansi kwengcindezi yegazi, lwakha i-aneurysm efana nale. Odokotela bakuthola kanjani lokhu?
Uma uya kudokotela, bangase bezwe iqhubu embotsheni yakho ngesikhathi sokuhlolwa ngokomzimba. Kodwa akuzona zonke iqhubu embotsheni yakho eziyi-aneurysm. Ngezinye izikhathi kungaba yi-hernia. Ngakho-ke, ukuze uthole ukuthi iyini ngempela, nokuthi iqhubu likhulu kangakanani, likuphi, nokuthi liyini, udokotela wakho uzokucela ukuthi wenze ezinye izivivinyo ezifana nalezi:- Ukuskena nge-ultrasound : Lokhu ukuhlolwa okulula, okungenabuhlungu okungabheka ngaphakathi komthambo wegazi, lapho ukuvuvukala kukuphi, nokuthi kukhulu kangakanani.
- I-CT angiogram : Lolu uhlobo olukhethekile lwe-CT scan. Kulolu vivinyo, kufakwa idayi ekhethekile (idayi yokungafani) emithanjeni yakho yegazi, bese i-CT scanner ithatha izithombe ezinemininingwane ezintathu (3D) zemithambo yegazi. Lokhu kunganikeza ulwazi oluningi mayelana nokuvaleka.
- I-M.R. Angiogram (i-Magnetic Resonance Angiogram - MRA) : Lesi yi-MRI scan ekhethekile ebheka imithambo yegazi, efana ne-CT angiogram.
Udokotela uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe ngokusekelwe olwazini olutholwe kulezi zivivinyo. Uphatha kanjani le mithambo yegazi evuvukele emilenzeni yakho?
Ingozi yokuqhuma kwe-"Femoral Artery Aneurysm" iphansi kakhulu (cishe u-1% kuya ku-14%). Ngakho-ke, akuwona wonke umuntu ozodinga ukuhlinzwa ngokushesha . Kodwa-ke, udokotela wakho angancoma ukuhlinzwa ukuze kulungiswe i-aneurysm ezimweni ezilandelayo:- Uma unezimpawu (isib. ubuhlungu, ukuvuvukala, ukuqhekeka kwegazi).
- Uma ukuvuvukala kuqhuma (lokhu kuyisimo esiphuthumayo futhi kudinga ukuhlinzwa okusheshayo).
- Uma ukuvuvukala kuyanda (udokotela uzokuhlola njalo).
- Uma ububanzi beqhubu bukhulu kunamasentimitha angu-2.5 (cishe i-intshi) .
Ukuze balungise lokhu kuqubuka, odokotela bavame ukwenza 'ukuhlinzwa okuvulekile '. Okusho ukuthi, basika isikhumba babheke ngqo emthanjeni wegazi. Lokhu akusikho ukuhlinzwa kwe-'laparoscopic' okuvame ukwenziwa ngokusika okuncane ngekhamera. Udokotela ohlinzayo ususa ingxenye evuvukele, ebuthakathaka yomthambo wegazi bese eyifaka esikhundleni sayo ngepayipi lokwenziwa, elibizwa ngokuthi 'i-fabric graft' (ipayipi elenziwe ngohlobo olukhethekile lwendwangu). Lokhu kufana nokusika indawo ebuthakathaka epayipini lomlilo bese uyifaka esikhundleni sayo ngengxenye entsha neqinile. Khona-ke ukugeleza kwegazi kungaqhubeka kahle futhi ngaphandle kokuphazamiseka.
Yiziphi izinkinga ezingaba khona ngemva kwalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunethuba elincane lezinkinga ezithile ngemva kwalokhu kuhlinzwa kokufakelwa kwemithambo ye-femoral artery bypass. Kodwa odokotela bayaqaphela kakhulu ngalokhu.- Ukutheleleka : Inxeba lokuhlinzwa lingavuvukala futhi litheleleke.
- Ukopha : Ukopha kungenzeka ngemva kokuhlinzwa.
- Amahlule egazi: Amahlule egazi angakheka emilenzeni.
Lezi ngokuvamile yizinto ezingalawulwa. Uma uzizwa noma yini engavamile, kufanele utshele udokotela wakho ngokushesha. Kuthatha isikhathi esingakanani ukululama ngemva kwalokhu kwelashwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu kuya kweziyishumi. Kungathatha inyanga noma ngaphezulu ukululama ngokuphelele nokubuyela emisebenzini evamile. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo nokuba nesineke phakathi nalesi sikhathi. Yini engingayenza ukuze nginciphise le ngozi?
Njengoba sixoxile ngaphambili, imbangela eyinhloko yalokhu `(i-Femoral Artery Aneurysm)` yi-`(i-Atherosclerosis)`, ukunqwabelana kwamafutha emithanjeni yegazi. Ngakho-ke, ukulawula lokhu kunganciphisa ingozi yalezi zifo ze-aneurysm.- Lawula amazinga akho e-cholesterol kanye nomfutho wegazi . Thatha imithi oyinikezwe udokotela wakho.
- Vivinya umzimba njalo . Ngisho nento elula njengokuhamba imizuzu engama-30 ngosuku ilungile.
- Yidla ukudla okunempilo, okunamafutha amancane . Yidla izithelo, imifino kanye nokudla okucebile nge-fiber.
- Uma ubhema, yeka ngokuphelele . Yeka nokusebenzisa imikhiqizo kagwayi. Lokhu kubaluleke kakhulu.
- Kwabanye abantu, ngaphezu kwalezi zinguquko zendlela yokuphila, udokotela angase futhi ancome ukuqhubeka nokusebenzisa imithi yokwehlisa i-cholesterol.
Uma nginokuqunjelwa okunje, yini okufanele ngiyilindele?
Lokhu `(Femoral Artery Aneurysm)` ngeke kuphele kodwa ngaphandle kokwelashwa. Uma udokotela wakho ekutshela ukuthi unayo, uzoyihlola njalo (akutshele ukuthi uze ukuze 'ulandelelwe'). Okusho ukuthi, uzokwenza izivivinyo ezifana nokuthi `(Ultrasound scan)` ngezikhathi ezithile ukuze abone ukuthi ukuvuvukala kuyakhula noma ngabe kunezinye izinkinga. Ngokusekelwe kulokho, uzonquma ukuthi ukuhlinzwa kuyadingeka yini noma ukuthi alinde isikhathi eside. Imiphumela yalokhu kuhlinzwa ivame ukuba mihle kakhulu. Ingozi yokufa ngesikhathi sokuhlinzwa iphansi kakhulu, phakathi kuka-1% no-5%. Ngisho neminyaka emihlanu ngemva kokuhlinzwa, cishe u-85% wemithambo yegazi elungisiwe isasebenza kahle, ngaphandle kwezinkinga zokugeleza kwegazi. Lezi yizindaba ezinhle ngempela. Ngingazinakekela kanjani?
Uma une-`(Femoral Artery Aneurysm)` futhi uke wahlinzwa, noma uqashwe udokotela ngaphandle kokuhlinzwa, kuzodingeka ukuthi imithambo yakho ihlolwe njalo ngudokotela impilo yakho yonke. Lokhu kuhlolwa okuvamile kungasiza ekutholeni noma yiziphi i-aneurysms ezintsha ngaphambi kokuba zikhule futhi ziqhume. Uma ubhema, kungenza lezi zinhlobo ze-aneurysms zibe zinkulu. Ngakho-ke, udokotela wakho uzokweluleka ngokuqinisekile ukuthi uyeke ukubhema. Futhi, landela imiyalelo enikeziwe yokulawula i-cholesterol yakho kanye nomfutho wegazi ngqo. Kufanele ngiye nini esinakekelweni esiphuthumayo?
Uma umlenze noma unyawo lwakho luvele lubonise uphawu olulodwa noma ngaphezulu kwalezi zimpawu, kufanele uye esibhedlela ngokushesha, ngaphandle kokulibala :- Uma umlenze uba buthakathaka noma uzizwa ungaphili.
- Uma umlenze uvuvukala ngokuzumayo.
- Uma uzwa ubuhlungu obungabekezeleleki.
- Uma umlenze wakho ungasasebenzi kahle .
- Uma umlenze wakho uzizwa ubanda kunomunye umlenze uma uwuthinta.
- Uma umlenze usuphenduke waba mhlophe noma ushintshe umbala.
Lezi zimpawu zibonisa inkinga enkulu ngokugeleza kwegazi emlenzeni, okungasho ukuthi ukuvuvukala kungabanga ukuqhekeka kwegazi noma ukuvuvukala kungaba ukuqhuma. Ngakho-ke, ukuthola ukwelashwa ngokushesha ngaphandle kokuchitha isikhathi kungasindisa impilo. Yimiphi imibuzo okufanele ngiyibuze udokotela?
Uma unemibuzo noma ukukhathazeka ngalesi simo, ungangabazi ukubuza udokotela wakho. Isibonelo, ungabuza imibuzo efana nale:- "Dokotela, yini ngempela ebangela lokhu kuvuvukala emithanjeni yami?"
- "Ingabe ngidinga ngempela ukuhlinzwa ngenxa yalokhu? Azikho yini ezinye izindlela zokwelapha?"
- "Ngingaba nokuvuvukala okunje kwezinye izingxenye zomzimba wami?"
- "Unganginika iseluleko ngokudla okuzosiza ukwehlisa amazinga ami e-cholesterol?"
Kubaluleke kakhulu ukubuza imibuzo efana nalena nokuqonda kangcono isimo sakho. Uyini umehluko phakathi kwe-'Femoral Artery Aneurysm' kanye ne-'Pseudoaneurysm'?
Ngezinye izikhathi uzozwa negama elithi `(Pseudoaneurysm)`. Lokhu kusho "ukuvuvukala okungamanga". Le `(Pseudoaneurysm)` ivame kakhulu kune-`(Femoral Artery Aneurysm)` yangempela esikhuluma ngayo. Ngokuvamile, `(Pseudoaneurysm)` yakheka ngemva kwenqubo yezokwelapha emthanjeni wakho wegazi (isibonelo, lapho kwenziwa i-`(angiogram)` noma `(catheter)`), bese udonga lwalowo mthambo wegazi lonakele kancane, bese igazi elithile liphuma liqoqeke eduze komthambo, lenze iqhubu. Umehluko omkhulu ukuthi ku-`(aneurysm)` yangempela, zonke izendlalelo zodonga lomthambo wegazi ziyanwebeka futhi zivuvuke. Kodwa ku-`(pseudoaneurysm)`, lokho akwenzeki, yiqoqo legazi eliphuma ngembobo odongeni lomthambo wegazi. Yimuphi umyalezo esifuna ukuwuthatha ekhaya kule ndaba?
Ngakho-ke, yize i-femoral artery aneurysm esikhulume ngayo kabanzi ingavamile kakhulu, kubaluleke kakhulu ukuthi wena nomndeni wakho niyiqaphele.- Lokhu kungaba okungenazimpawu .
- Uma unezici eziyingozi (umfutho wegazi ophakeme, i-cholesterol, ukubhema, umlando womndeni), funa iseluleko sezokwelapha .
- Uma udokotela wakho ethola ukuthi unayo, ungesabi. Kunezindlela zokwelapha ezisebenzayo ezingayisusa, ngisho nangokuhlinzwa, ngaphambi kokuba iqhume .
- Ukuhlangana nodokotela onolwazi lokwelapha lezi zinhlobo zezimo kuzoba impumuzo enkulu kuwe.
- Njalo nakekela impilo yakho, phila impilo enempilo, futhi ulandele imiyalelo kadokotela wakho ngqo.Khona-ke ungagwema izinkinga eziningi zempilo ezinjengalezi futhi uhlale uphilile.
Uma uneminye imibuzo, qiniseka ukuthi ukhuluma nodokotela womndeni wakho noma uchwepheshe.
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