Ingabe une-vein evuvukele ngemuva kwedolo lakho? (I-Popliteal Aneurysm) Ake sixoxe ngayo!

Wake waphawula ukuthi kukhona ukuvuvukala okufana nebhaluni ngemuva kwedolo lakho, lapho idolo ligoba khona? Kungenzeka ukuthi uke wezwa ubuhlungu obuncane, ubunzima, noma nje iqhubu esandleni sakho. Esikhathini esiningi, ungase ucabange ukuthi lokhu akuyona into embi kangako, kodwa kwezinye izimo, lokhu kungaba yisimo esibizwa ngokuthi i-Popliteal Aneurysm . Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangokulula kakhulu namuhla.

Kuyini i-popliteal aneurysm?

Kalula nje, i-popliteal aneurysm iyiqhubu emthanjeni wegazi oyinhloko ngemuva kwedolo lakho, umthambo we-popliteal . Kufana nepayipi lamanzi eliqhuma ngesikhathi esisodwa. Kungavela emilenzeni yomibili kwabanye abantu.

Uma umthambo uvuvuka kanje, kungavela izinkinga. Wazi kanjani?

• Leyo ndawo evuvukele ingaqhuma .
• Ihlule legazi lingakheka (i-thrombose) lapho, futhi ingxenye yalo ingaphuka futhi ihlanganise umthambo emlenzeni ongezansi.
• Noma wonke umthambo ungavaleka.

Uma kwenzeka into efana nale, ngezinye izikhathi kungaba nomonakalo omkhulu emlenzeni, abanye abantu bangase balahlekelwe umlenze wabo, noma ngisho nokuphila kwabo kungathinteka. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Sivame kangakanani lesi simo?

Ama-aneurysms e-popliteal empeleni awavamile kangako. Ngokwezibalo, ayenzeka cishe koyedwa kwabesifazane abayi-100,000. Phakathi kwabesilisa, izinga liphakeme kancane, cishe liyi-7 kwayi-100,000.

Kodwa-ke, nakuba kungavamile kakhulu, uma kuqhathaniswa nezinye i-aneurysm emzimbeni, kuyi-aneurysm yesibili evame kakhulu ngemva kwe-aneurysm ye-aortic yesisu . Ngokumangalisayo, kukhona ukuxhumana phakathi kwalokhu okubili. Cishe ingxenye yabantu abane-aneurysm ye-popliteal bangase babe ne-aneurysm emthanjeni wesisu. Ngakho-ke, uma udokotela ebona enye yalezi ezimbili, kubaluleke kakhulu ukuhlola enye.

Ziyini izimpawu zalokhu?

Esikhathini esiningi, abantu abane-popliteal aneurysm ababonisi zimpawu . Yilokho okwenza kube yinto eyesabekayo kancane. Kodwa-ke, uma kuvela izimpawu, kungaba yingozi empilweni.

Cabanga nje, bekuzokwenzekani uma lowo mthambo ovuvukele uqhuma ngokuzumayo (uqhekeke)?

• Kungase kube nobuhlungu obukhulu ngemuva kwedolo.
• Leyo ndawo ingase ikhukhumale .
• Kungase kuvele amabala afana nokuphuka.

Noma, yiziphi izimpawu ezingavela uma ihlule legazi lakhiwa ngaphakathi kwalowo mthambo, ingxenye yalo iphuke, bese ukugeleza kwegazi emlenzeni kuyeke (kufakwe i-emboli noma kuqhekeka)?

• Ubuhlungu bomlenze.
• Ukuzizwa sengathi umlenze wakho uyaphela amandla .
• Izinyawo zami ziyabanda .
• Imisipha yemilenze iyabuthaka .
• Isikhumba somlenzeIphenduka ibe mhlophe.

Uma unezinye zalezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha , ngoba lokhu kungaholela esimweni esibi esingaphazamisa ukugeleza kwegazi emilenzeni.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Abacwaningi abakakazi kahle ukuthi yini ebangela i-popliteal aneurysm, kodwa bacabanga ukuthi kunezinto ezimbalwa ezingaba nomthelela kuyo:

• Ukuvuvukala: Lokhu kubhekisela kunoma yikuphi ukuvuvukala noma ukutheleleka okwenzeka ezindongeni zemithambo yegazi.
• I-atherosclerosis: Lokhu kwenzeka lapho izinto ezifana ne-cholesterol ziqoqana ngaphakathi kwemithambo yegazi, okubangela ukuthi izindonga zemithambo yegazi ziqine. Lokhu kungabangela ukuthi imithambo yegazi ingaguquguquki futhi ibe buthakathaka.
• Ukubhajwa kwemithambo yegazi ye-popliteal: Kwabanye abantu, lo mthambo wegazi omkhulu ungacindezelwa yimisipha noma ezinye izicubu ngemuva kwedolo. Ngokuhamba kwesikhathi, lokhu kucindezelwa kungalimaza umthambo futhi kubangele i-aneurysm.
• Ukulimala Okubuhlungu: Lesi simo singase senzeke ngenxa yokulimala okukhulu edolweni noma endaweni ezungezile.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici eziyingozi)

Manje ake sibone ukuthi ubani osengozini enkulu yokuthola lokhu (i-Popliteal Aneurysm).

• Uma othile emndenini wakho eke waba ne-aneurysms efana nale: Uma umama wakho, ubaba, noma izingane zakini beke baba ne-aneurysms efana nale, nawe usengozini encane.
• Kwabamhlophe: Ucwaningo lukhombisile ukuthi lesi simo sivame kakhulu kubantu abamhlophe.
• Kubantu abangaphezu kweminyaka engama-50 ubudala: Le ngozi iyanda njengoba imithambo yegazi iba buthaka ngokuguga.
• Kwabesilisa: Njengoba sishilo ngaphambili, lokhu kuvame kakhulu phakathi kwabesilisa.
• Abantu abanezinkinga zezicubu ezixhumene: Abantu abanezifo ezibangela ubuthakathaka ezingxenyeni zomzimba ezixhumanisa izicubu nabo basengozini enkulu.
• Kulabo abasebenzisa imikhiqizo kagwayi: Ukubhema kubangela umonakalo omkhulu emithanjeni yegazi. Nalokho kuyimbangela enkulu yalokhu.
• Kulabo abane-atherosclerosis: Lokhu futhi kuyisici esiyinhloko esenza buthaka imithambo yegazi.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma une-popliteal aneurysm, kunezinkinga eziningana ezingase zivele. Njengoba sesikhulume ngakho kancane ngaphambili:

• Ukuvaleka kokugeleza kwegazi emlenzeni: Uma kwakheka ihlule legazi ngaphakathi emthanjeni bese ingxenye iphuka futhi ivimbe umthambo emlenzeni ongezansi, kunganqamula ngokuphelele ukugeleza kwegazi emlenzeni. Lokhu kuyingozi kakhulu.
• Ukuqhuma kwe-Aneurysm: Lokhu nakho kuyisimo esiphuthumayo.
• Ukucindezelwa kwemithambo ye-popliteal: Umthambo ovuvukile ungacindezela umthambo ogijima eduze futhi uthwale igazi elingcolile liye emlenzeni.
• Ukucindezelwa kwemizwa:Futhi, ukucindezelwa kwemizwa edlula kuleyo ndawo kungabangela ukungazweli kanye nobuhlungu emilenzeni.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)

Ukuxilonga i-popliteal aneurysm ngezinye izikhathi kungaba nzima kancane, njengoba izimo ezifana ne -deep vein thrombosis (DVT) kanye ne-Baker's cyst , isikhwama esigcwele uketshezi ngemuva kwedolo, nazo zingabangela izimpawu ezifanayo. Ngakho-ke, udokotela uzoqala akhiphe lezo zimo.

Ukuze ahlole lesi simo, udokotela wakho uzohlola ngokucophelela indawo engemuva kwedolo lakho. Ungase ukwazi ukuzwa noma ukubona umthambo ovuvukile. Ungase futhi uwuzwe ushaya ngokushaya kwenhliziyo yakho.

Udokotela wakho angase achaze i-aneurysm yakho ngokuthi 'i-fusiform' (okusho ukuthi ivuvukala nxazonke zomthambo wonke njengebhaluni) noma 'i-saccular' (okusho ukuthi ivuvukala ohlangothini olulodwa lomkhumbi).

Hlobo luni lokuhlolwa okwenziwayo?

Udokotela angase acele ukuhlolwa okuhlukahlukene ukuze athole isifo ngokunembile futhi athathe izinyathelo ezidingekayo ukuze ahlele ukwelashwa.

• I-Duplex ultrasound: Lolu uhlobo lokuhlola oluvame ukusetshenziswa, olulula, nolungenabuhlungu. Lungahlola usayizi wemithambo yegazi nokuthi igazi ligeleza kahle kangakanani.
• I-Computed Tomography Angiography (CTA): Lolu uhlobo lokuhlola olusebenzisa ama-X-ray kanye nodayi okhethekile (udayi ohlukile). Lungaveza izithombe ezinemininingwane zemithambo yegazi.
• I-Magnetic Resonance Angiography (MRA): Lokhu kusebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe zemithambo yegazi. Kunezinzuzo ezithile kune-CTA.
• I-Digital Subtraction Angiography: Lokhu ukuhlolwa okuyinkimbinkimbi kancane. Kufakwa ipayipi elincane emthanjeni, kufakwe idayi, bese kuthathwa izithombe ze-X-ray. Lokhu kuvame ukwenziwa lapho kuhlelwe ukuhlinzwa.

Uma udokotela wakho ekuxilonga ukuthi une-popliteal aneurysm, cishe uzohlola omunye umlenze wakho nesisu ukuze abone ukuthi kukhona yini ama-aneurysms lapho. Ngoba, njengoba sishilo ngaphambili, abantu abaningi abanalesi simo nabo bane-aneurysms komunye umlenze wabo kanye nomthambo oyinhloko esiswini sabo. Uma kukhona amanye ama-aneurysms, kuzodingeka aqashwe nge-ultrasound scans kukho konke ukuphila kwabo.

Kulashwa nini lokhu?

Ukwelashwa kwe-popliteal aneurysm kuyahlukahluka kuye ngesimo sakho. Ngokuvamile, ububanzi be-aneurysm bungamasentimitha amabili (cm).Uma iba nkulu kunalokho (cishe i-intshi), isengozini enkulu yokuqhuma. Lokhu cishe kuphindwe kabili kunobubanzi bomthambo ojwayelekile. Uma une-blood clot ku-aneurysm yakho, udokotela wakho angase anqume ukuyelapha noma ngabe incane kunalokho, ngenxa yengozi yokuthi ingxenye yayo ingaphuka futhi ivimbele ukugeleza kwegazi emlenzeni wakho.

Uma i-popliteal aneurysm yakho ingaphansi kwamasentimitha amabili, futhi ungenazo izimpawu, udokotela wakho cishe uzoyiqapha njalo ukuze abone ukuthi iyakhula yini.

Ingabe ngidinga ukuhlinzwa?

Uma unezimpawu ezibangelwa yi-popliteal aneurysm, kanye/noma uma inkulu kune-2 centimeters (ngisho noma kungekho zimpawu), udokotela wakho cishe uzoncoma ukuhlinzwa (`ukulungiswa kwe-popliteal aneurysm`) njengokwelashwa.

Yiziphi izindlela zokwelapha?

Kunezindlela ezimbili eziyinhloko zokwelapha.

1. Ukuhlinzwa okuvulekile:

Kule nqubo, udokotela ubopha imithambo engaphezulu nangaphansi kwe-aneurysm, eqondisa kabusha ukugeleza kwegazi. Lokhu kuvame ukuhilela ukusebenzisa i-vein graft evela kwenye ingxenye yomzimba wakho. Lokhu kusho ukuthi kudalwa indlela entsha kusukela emthanjeni ongaphezulu kwe-aneurysm kuya emthanjeni ongaphansi kwe-aneurysm. I-aneurysm iyaboshwa futhi ivalwe ('ligated').

2. Indlela ye-Endovascular:

Lena inqubo entsha kakhulu. Isetshenziswa ikakhulukazi kubantu abanezinye izimo ezingamahlalakhona abasengozini enkulu yezinkinga ezivela ekuhlinzweni okuvulekile. Kule nqubo, kwenziwa imbobo encane emlenzeni ongaphezulu, kufakwa ucingo kuyo, bese kufakwa idivayisi yensimbi ene-mesh (i-stent graft) phezu kwe-aneurysm. Njengoba i-stent graft idlula ku-aneurysm, igazi ligeleza ngqo lisuka phezulu liye ngaphansi kwe-aneurysm. Njengoba kungekho ukugeleza kwegazi okuqondile ku-aneurysm, kancane kancane iyancipha, ijije, futhi ingasebenzi.

Indlela yokwelapha esimweni esiphuthumayo:

Uma une-blood clot emlenzeni wakho, evimba ukugeleza kwegazi emlenzeni wakho, ukwelashwa kuhlukile kancane. Ezimweni ezinjalo, udokotela wakho angase akunike kuqala i-blood thinner, njenge -heparin, nge-IV. Ngemuva kwalokho, i- angiogram ingenziwa ukuze kubuyiselwe ukugeleza kwegazi emlenzeni nasenyaweni okuthintekile. Kwezinye izimo, bangakunikeza ama-blood thinner (thrombolytics) ukuze kuncibilikiswe i-clot, noma bangazama ukususa ingxenye ye-clot besebenzisa amadivayisi akhethekile (amadivayisi okumunca).

Ingabe ukwelashwa kungabangela izinkinga?

Njenganoma yikuphi ukuhlinzwa, ezinye izinkinga zingavela ngesikhathi sokwelashwa nge-Popliteal Aneurysm.

• Ukugoba kwegazi emlenzeni (i-embolism).
• Ukunqunywa kwemilenze:Lokhu akuvamile kakhulu, kuphela uma kungekho okunye ongakwenza.
• Ama-stents ayaphuka, ayasuka endaweni yawo, noma angahlali evulekile.
• Ukuvaleka kwe-graft ye-bypass.
• Ukulimala kwemizwa.
• I-thrombosis yemithambo ejulile.

Udokotela uzokuchazela kahle lokhu ngaphambi kokuhlinzwa.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngemva kokuhlinzwa okuvulekile, kuzodingeka uhlale esibhedlela cishe izinsuku ezimbili kuya kwezintathu. Ngemva kokuhlinzwa kwe-endovascular, isikhathi sokululama sivame ukuba sifushane. Kodwa-ke, kuzothatha isikhathi esithile ukululama ngokuphelele. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho phakathi naleso sikhathi.

Yini okufanele uyilindele uma uphila nalesi simo?

Ngisho noma ungenazo izimpawu ze-popliteal aneurysm manje, ungase ube nezimpawu esikhathini esizayo. Futhi kungase kube nezinkinga.

I-popliteal aneurysm ayivamile kakhulu. Okuvame kakhulu ukuthi ihlule legazi liqhume futhi livale umthambo emlenzeni wakho. Uma uhlinzwa nge-endovascular, ungase ube nezinkinga ezimbalwa ezihlobene nenxeba kunokuhlinzwa okuvulekile. Kodwa-ke, inqubo yokuphulukiswa ingase ingathathi isikhathi eside njengokuhlinzwa okuvulekile.

Uyini umbono? (Umbono/Isibikezelo)

Uma ulungiswa i-popliteal aneurysm ngaphambi kokuba kuvele izimpawu, ukubikezela kwakho kungcono kakhulu . Ucwaningo luthole ukuthi abantu abangu-80% abane-bypass graft basasebenza kahle ngemva kweminyaka emihlanu.

Kodwa-ke, uma unezimpawu ezibangelwa yi-aneurysm, umbono wakho ungase ube mncane kancane.

Ucwaningo olulodwa luthole ukuthi abantu abangaphezu kwengxenye kuphela abahlinzwa ngenxa yokuqhuma kwe-popliteal aneurysm abasinda ngonyaka olandelayo. Futhi, cishe abantu abayi-15% ababene-blood clot ku-popliteal aneurysm kwadingeka banqunywe umlenze.

Ungakhathazeki ngalezi zibalo. Lezi ziwulwazi olujwayelekile nje. Lezi zinto zingashintsha kuye ngesimo sakho, ukwelashwa okutholayo, kanye nendlela ozinakekela ngayo. Ngakho-ke, khuluma nodokotela wakho bese uthola ulwazi oluhambisana nesimo sakho.

Ingancishiswa kanjani le ngozi?

Odokotela bakholelwa ukuthi imbangela eyinhloko ye-popliteal aneurysm i- atherosclerosis . Ngakho-ke, uma ungakwazi ukulawula leso simo, unganciphisa le ngozi.

• Yeka ukusebenzisa imikhiqizo kagwayi ngokuphelele. Lena yinto ebaluleke kakhulu.
• Gcina inani lakho le-cholesterol lijwayelekile.
• Uma unomfutho wegazi ophakeme , lawula kahle.
• Yidla ukudla okunempilo kwenhliziyo okunamafutha agcwele aphansi.
• Zivocavoce okungenani imizuzu eyi-150 ngesonto.

Ngizinakekela kanjani?

Uma ungumsebenzisi kagwayi, ukuyeka ugwayi kuzoyizuzisa kakhulu impilo yakho. Futhi, uma unezinye zezimo ezilandelayo, thatha izinyathelo zokuzilawula:

• I-cholesterol ephezulu (i-Hyperlipidemia)
• Umfutho wegazi ophezulu (i-Hypertension)
• Isifo sikashukela

Ngemva kokuhlinzwa, udokotela wakho angakutshela ukuthi uthathe ama-antiplatelet, njenge -aspirin, ukuze unciphise ingozi yokwakheka kwamahlule egazi ku-bypass yakho. Qiniseka ukuthi ugcina ama-aphoyintimenti akho nodokotela. Kuzodingeka ukuthi uhlolwe njalo ukuqinisekisa ukuthi i-bypass yakho isebenza kahle. Lokhu kubalulekile kokubili ngemva kokuhlinzwa kanye nangesikhathi i-aneurysm iqashwe kuze kube yilapho kunqunywa ukuthi kuhlinzwe.

Kufanele ngimbone nini udokotela?

Ngemva kokulungiswa kwe-popliteal aneurysm, kuzodingeka ukuthi uhlolwe njalo nge-ultrasound ukuqinisekisa ukuthi i-bypass yakho isebenza kahle. Kubalulekile ukwenza lokhu kuhlolwa ngenyanga yokuqala, ngenyanga yesithathu, ngenyanga yesithupha, kanye nonyaka owodwa ngemuva kokuhlinzwa, bese kuba njalo ngonyaka iminyaka eminingana ngemva kwalokho.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma ucabanga ukuthi i-Popliteal Aneurysm yakho iqhumile noma ihlule legazi seliphukile , iya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Nazi izimpawu ezingase zivele:

• Ukuvuvukala ngemuva kwedolo noma emlenzeni.
• Kuvela amabala afana nokuphuka .
• Ubuhlungu obukhulu.
• Ukungakhululeki emilenzeni.
• Izinyawo ezibandayo .
• Ubunzima bokuhambisa umlenze othintekile.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uthola ukuthi une-Popliteal Aneurysm, kuvamile ukuba nemibuzo eminingi engqondweni yakho. Ungabuza udokotela wakho imibuzo efana nale:

• "Dokotela, ingakanani i-(Popliteal Aneurysm) yami?"
• "Ingabe ngidinga ngempela ukuhlinzwa?"
• "Yiyiphi inqubo yokuhlinzwa efaneleka kakhulu esimweni sami?"
• "Ingabe ngine-popliteal aneurysm ngemuva kwelinye idolo lami?"
• "Ingabe ngine-aneurysm ye-aorta yesisu?"

Kuvamile ukuzizwa ukhungathekile kancane uma uthola ukuthi une-popliteal aneurysm. Khuluma nodokotela wakho ngokuthi yisiphi isikhathi esingcono kakhulu sokwelapha i-aneurysm yakho nokuthi yini engcono kakhulu kuwe.Ungathuthukisa impilo yakho ngokugwema imikhiqizo kagwayi nokulawula umfutho wegazi lakho kanye namazinga e-cholesterol. Uma udinga usizo ngalokhu, buza udokotela wakho.

Izinto ezimbalwa engicabanga ukuthi zibalulekile kuwe (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuqonda kahle lokho esikhulume ngakho namuhla (i-Popliteal Aneurysm). Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzikhumbule:

• I-popliteal aneurysm ukuvuvuka komthambo wegazi oyinhloko ngemuva kwedolo.
• Esikhathini esiningi, azikho izimpawu. Kodwa-ke, uma kuvela izimpawu (njengobuhlungu ngemuva kwedolo, ukuvuvukala, ukungazweli emlenzeni, ukubanda) , bheka udokotela ngokushesha.
• Izinto ezinjengokubhema, i-cholesterol ephezulu, kanye nomfutho wegazi ophezulu zingathinta lokhu.
• Kukhona ukwelashwa, khuluma nodokotela wakho ngakho.
• Le ngozi ingancishiswa ngokuphila ngendlela enempilo .

Akuyona into okufanele uyesabe, kodwa into okufanele uyikhathalele. Naka umzimba wakho. Uma ubona noma yini engavamile, ungalibali ukuya kudokotela. Hlala uphilile!

i- popliteal aneurysm, imithambo ebuhlungu ngemuva kwedolo, imithambo ebuhlungu, ubuhlungu bedolo, amahlule egazi emlenzeni, ukuhlinzwa kwemithambo, i-atherosclerosis