Kuyini i-pseudoaneurysm? Ingabe kuyinto okufanele uyesabe? Ake sixoxe!

Ngezinye izikhathi ungase uzizwe sengathi uyisigaxa esincane endaweni ethile emzimbeni wakho, mhlawumbe sibuhlungu kancane, noma sibuhlungu uma usithinta. Noma ngemva kokuhlolwa kwezokwelapha, kungase kube nesigaxa esincane noma ukuvuvukala endaweni lapho kwenziwe khona. Ngemuva kwalezi zinto, kungase kube nesimo esibizwa ngokuthi i-Pseudoaneurysm, esikhuluma ngaso namuhla. Nakuba igama lingase lizwakale liyinkimbinkimbi kancane, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda. Ungakhathazeki, lokhu kuyinto engaphathwa ezimweni eziningi.

Iyini ngempela i-pseudoaneurysm?

Kalula nje, i-pseudoaneurysm iyiqhubu elisemithanjeni yakho yegazi, ngokuvamile umthambo wegazi, elivela lapho inani elincane legazi liqoqana endaweni yokulimala. Ibizwa nangokuthi "i-aneurysm yamanga" ngoba akuyona i-aneurysm yangempela.

Lesi simo sivame ukwenzeka njengenkinga yenqubo yezokwelapha, njenge-angiogram. Lokhu kwenzeka lapho igazi liqoqana kuphela endaweni ethile yomonakalo emthanjeni. Lokhu kusho ukuthi inkinga isendaweni eyodwa.

Amanye ama-pseudoaneurysm awayona ingozi kakhulu futhi azophola ngokwawo. Kodwa amanye ayingozi kakhulu. Uma eqhuma, angabangela izinkinga ezinkulu zempilo, ngisho nokufa. Ngakho-ke, kubaluleke kakhulu ukwazi ukuthi yini ebangela wona nokuthi yiziphi izimpawu. Ngemuva kwalokho ungafuna iseluleko sezokwelapha ngokushesha futhi ugweme izinkinga ezinkulu.

Uyini umehluko phakathi kwe-pseudoaneurysm kanye ne-aneurysm yangempela?

Lezi yizinto ezimbili ezihluke ngokuphelele. Uhlobo kanye nesimo "sezindonga" zazo kuhlukile. Ake sibone ukuthi lokho kusebenza kanjani.

Umehluko ezindongeni

Umehluko omkhulu uhlobo "lodonga" oluzungezile lezi zinto.

Cabanga ngakho, i-aneurysm yangempela iyiqhubu elakheka ngaphakathi kwemithambo yakho yegazi. Lelo qhubu lihlanganisa zonke izingqimba ezintathu zodonga lwemithambo yegazi, i-intima, i-media, kanye ne-adventitia, okwakha udonga lwayo. Lokho kusho ukuthi imithambo yegazi ngokwayo iyaqhuma.

Kodwa ku-pseudoaneurysm , kuhileleke eyodwa noma ezimbili kuphela kwezingqimba ezintathu zodonga lwemithambo yegazi. Okunye kwakhiwe ngezicubu ezixhumeneyo ezakha lapho umthambo ulimele. Lolu donga lubuthakathaka kakhulu kunodonga lwe-aneurysm yangempela. Lufana neplasta entsha ebekwe eduze kwepayipi elidala elidabukile. Ayinamandla kakhulu, akunjalo?

I-pseudoaneurysm ivame ukuxhunyaniswa nomthambo ngengxenye encane efana "nentamo".

Umehluko womumo

Ama-Aneurysms angafika ngezimo nobukhulu obuhlukahlukene. Kodwa kungenzeka kakhulu ukuthi abe yi-fusiform kune-pseudoaneurysms. Okusho ukuthi, abanzi phakathi nendawo futhi bancane kakhulu emaphethelweni. Kufana nokufaka ibhola ngaphakathi kwesokisi elide. Liyavuvukala kuzo zonke izinhlangothi zomthambo.

Kodwa-ke, i-pseudoaneurysm ivame ukuba nesimo esifana nesikhwama. Okusho ukuthi, iyindilinga futhi iphuma ohlangothini olulodwa lomthambo, ngembobo encane ebizwa ngokuthi intamo. Ifana nebhaluni eliphuma odongeni lomthambo. Ayiphumi isuka kuzo zonke izinhlangothi zodonga lomthambo.

Yini ebangela i-pseudoaneurysm?

Isizathu salokhu siyahlukahluka kuye ngokuthi sakheka kuphi emzimbeni wakho. Ama-pseudoaneurysms angahlukaniswa ngezinhlobo eziningana kuye ngokuthi akheka kuphi. Isibonelo, ama-pseudoaneurysms ayenzeka emithanjeni ye-femoral, emithanjeni ye-visceral, kanye nase-aorta.

Ama-Pseudoaneurysms e-Femoral

Lolu uhlobo oluvame kakhulu. Lukhula emthanjeni eduze kwembobo yakho. Lungabangelwa yilokhu:

• Izinkinga zokwelashwa: Ikakhulukazi ukuhlolwa noma ukwelashwa okuhilela ukufaka i-catheter emthanjeni wegazi (lena imbangela eyinhloko). Cabanga ukuthi uhlolwe i-angiogram esinqeni sakho. Ngezinye izikhathi inxeba elincane lingakheka lapho, okubangela lesi simo.
• Ukulimala: Kungabangelwa ingozi noma ukushaywa kanzima.
• Ukutheleleka.

Ama-Pseudoaneurysms e-Visceral

Lolu hlobo lungavamile kakhulu. Lwakheka emithanjeni enikeza igazi emathunjini akho, ubende, noma esibindini. Izimbangela:

• Izinkinga zokwelashwa noma ukuhlinzwa.
• Ukuvuvukala kwe-pancreas (i-pancreatitis).

Ama-Pseudoaneurysms e-Aortic

Lokhu kwenzeka ku-aorta, umthambo omkhulu kunayo yonke emzimbeni wakho. Izimbangela:

• Ukulimala okungabonakali endaweni yesifuba.
• Izifo.
• Izinkinga zokuhlinzwa kwenhliziyo.

Abantu abanezimo ezifana ne-Marfan syndrome noma i-Loeys-Dietz syndrome basengozini enkulu ngoba lezi zimo zenza buthaka izindonga zemithambo yegazi.

Ziyini izimpawu ze-pseudoaneurysm?

Bheka ukuthi unanoma yiziphi zalezi zimpawu:

• Ukuzwa iqhubu elibuhlungu nelishayayo ngaphansi kwesikhumba sakho.
• Ukuzwa ubuhlungu lapho uthinta leyo ndawo.
• Ukuphuka kwesikhumba noma ukushintsha kombala .
• Uma iqhubu licindezela imithambo, ungase uzwe umuzwa wokucasuka noma wokuhlaba .

Uma ubona into efana nale, ikakhulukazi uma usanda kufakwa i-catheter futhi kwenziwa noma yiziphi izivivinyo, qiniseka ukuthi ubona udokotela.

Ungayibona kanjani i-pseudoaneurysm?

Uma uya kudokotela, uzokhuluma ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Phakathi nalokhu kuhlolwa, uzobheka izinto ezilandelayo:

• Ingabe kukhona ukuvuvukala endaweni yesisu?
• Ingabe kukhona iqhubu ngaphansi kwesikhumba?
• Ingabe kuyabuhlungu uma uthinta leyo ndawo?
• Ingabe kukhona ushintsho embaleni noma ekubunjweni kwesikhumba (i-skin necrosis) olubonisa inkinga yokujikeleza kwegazi?
• Uyawuzwa yini umoya wegazi ongajwayelekile (umsindo ofana nothi "broo-ee")?

Ngaphezu kwalokho, udokotela wakho angase enze ne-duplex ultrasound. Lena inqubo evamile esetshenziselwa ukuhlola ukugeleza kwegazi emithanjeni yakho nasemithanjeni. Lokhu ukuhlolwa okungenabuhlungu. Kungasiza ekutholeni usayizi oqondile nendawo ye-pseudoaneurysm.

Yiziphi izindlela zokwelapha i-pseudoaneurysm?

Ukwelashwa kuncike endaweni kanye nosayizi wesimila. Izinketho zokwelapha zifaka phakathi ukubhekwa, imijovo, ukucindezelwa, kanye nezinqubo ezingangenisi kakhulu. Uma lezi zindlela zingaphumeleli, ukuhlinzwa kungadingeka ezimweni ezingavamile. Udokotela wakho uzoxoxa nawe ngokwelashwa okungcono kakhulu.

Ukuqaphela

Uma une-pseudoaneurysm encane embotsheni yakho, engaphansi kwamasentimitha amabili ububanzi, ungase ukwazi ukuyilinda nje. Le nkinga ingase iphele yodwa emavikini ambalwa. Ngakho udokotela wakho uzoyibheka. Kuzodingeka wenze i-duplex ultrasound njalo ngesonto kuze kube yilapho i-pseudoaneurysm inyamalala. Phakathi nalesi sikhathi, kufanele ugweme noma yini ebeka ukucindezeleka endaweni, njengokuphakamisa noma ukugoba.

Umjovo we-thrombin oqondiswa yi-ultrasound

I-pseudoaneurysm ye-femoral enkulu ngaphezu kwamasentimitha amabili noma ebuhlungu kakhulu ingadinga ukwelashwa okusheshayo. Indlela evame kakhulu ukujova i-thrombin nge-ultrasound. Kule nqubo, udokotela uvala indawo ukuze ungezwa ubuhlungu. Ngemuva kwalokho, ngaphansi kwesiqondiso se-ultrasound, i-enzyme ebizwa ngokuthi i-thrombin ijovwa ku-pseudoaneurysm. Lokhu kuncibilikisa ihlule legazi futhi kumise ukuphuma kwegazi.

Lokhu kwelashwa kusebenza kahle kakhulu . Ezimweni ezingavamile, uma lokhu kungayixazululi inkinga, kungase kudingeke ukuhlinzwa. Kodwa lokho akuvamile kakhulu.

Ukucindezelwa okuqondiswa yi-ultrasound

Odokotela babesebenzisa le ndlela kakhulu esikhathini esidlule, kodwa ucwaningo lukhombisile ukuthi ayiphumeleli kangako njengokufaka i-thrombin futhi inengozi enkulu yezinkinga.

Kodwa-ke, le ndlela ingaba usizo kuma-pseudoaneurysms amancane kakhulu e-femoral, angaphansi kwesentimitha elilodwa ngobukhulu, njengoba ingozi yezinkinga ngesikhathi somjovo ingaba phezulu kancane ezimweni ezinjalo.

Izinqubo ezingangenisi kakhulu

Ama-pseudoaneurysms e-Visceral angelashwa ngama-stents noma ama-coil amancane. Lawa madivayisi avimba ukugeleza kwegazi ku-pseudoaneurysm futhi avimbele izinkinga.

Uma une-pseudoaneurysm ku-aorta yakho, idinga ukwelashwa ngokushesha ngaphambi kokuba iqhume. Inqubo esindisa impilo ebizwa ngokuthi ukulungiswa kwe-endovascular aneurysm (EVAR) ingalungisa inkinga ngaphandle kokuhlinzwa kwenhliziyo evulekile.

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Isikhathi sokululama sincike ohlotsheni lokwelashwa olutholile kanye nempilo yakho iyonke. Udokotela wakho uzokuqondisa ekululameni kwakho. Kungase kudingeke ulale phansi (ngokuvundlile) amahora ambalwa ngemva kokwelashwa. Udokotela wakho uzokuqapha ukuqinisekisa ukuthi azikho izinkinga. Kungase kudingeke futhi ugweme ukushayela noma ukuphakamisa izinto ezisindayo isikhashana. Kodwa kufanele ukwazi ukuqhubeka nemisebenzi yakho evamile ngaphandle kwezinkinga ngokushesha.

Kuye ngokwelashwa okutholile kanye nempilo yakho, kungadingeka ukuthi uye kobonana nodokotela. Isibonelo, uma ufake i-stent, udokotela wakho uzofuna ukuqinisekisa ukuthi isasebenza kahle. Bazohlola nanoma yiziphi izinkinga noma izifo. Kubalulekile empilweni yakho ukuthi ihambisane nalokhu kuhlolwa.

Ungayinciphisa kanjani ingozi yokuba ne-pseudoaneurysm?

Ezinye izinto esingenakuzilawula, njengobudala. Abantu abangaphezu kweminyaka engu-75 basengozini enkulu yokuthola i-pseudoaneurysm. Kodwa kunezimo ezithile ongazilawula, njengokukhuluphala ngokweqile kanye nomfutho wegazi ophakeme, ezandisa ingozi yakho.

Ungenza lezi zinto ukuze uvimbele i-pseudoaneurysm futhi ulondoloze impilo yakho iyonke:

• Landela ukudla okunempilo kwenhliziyo .
• Vivinya umzimba njalo.
• Phuza amanzi amaningi .
• Gwema ukudla okunosawoti omningi (i-sodium).
• Lala ngokwanele.
• Lawula ukucindezeleka .

Kwenzekani uma ngine-pseudoaneurysm?

Uma i-pseudoaneurysm iqhuma, ingabangela izinkinga ezinkulu. Ingaholela ekuphumeni kwegazi ngaphakathi ngisho nasekufeni. Kodwa-ke, uma itholakala futhi yelashwa ngokushesha, i-pseudoaneurysms ingalawulwa kalula.

Yingakho kubalulekile ukuqaphela izimpawu. Khona-ke ungayibona inkinga kusenesikhathi bese ucela usizo. Ama-pseudoaneurysms angaphinde avele esikhathini esizayo. Ngakho-ke uma uke waba nayo, qaphela izimpawu zesikhathi esizayo. Ungaphuthelwa ukubonana nodokotela wakho, futhi utshele udokotela wakho nganoma yiziphi izimpawu noma izinguquko oziqaphelayo.

Kufanele ngifune nini iseluleko sezokwelapha?

Uma unezimpawu ze-pseudoaneurysm, noma uma uzizwa sengathi kukhona okungahambi kahle, shayela udokotela wakho ngokushesha . Qaphela kakhulu uma usanda kuthola ukwelashwa kwe-endovascular (ukwelashwa kusetshenziswa i-catheter). Izinkinga azivamile. Kodwa uma zenzeka, kubalulekile ukuzibamba kusenesikhathi.

I-pseudoaneurysm eqhumile iyisimo esiphuthumayo sezokwelapha! Uma uzwa izimpawu ze-pseudoaneurysm eqhumile, shayela ku-911 noma uye esibhedlela esiseduze ngokushesha. Lezi zimpawu zingase zihlanganise:

* Ubuhlungu obukhulu endaweni lapho iqhubu likhona.

* Ubuhlungu besifuba .

* Ubunzima bokuphefumula .

* Ukudideka .

* Umfutho wegazi ophansi .

* Isilinganiso senhliziyo esingajwayelekile .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma kutholakale ukuthi une-pseudoaneurysm, ungase ube nemibuzo eminingi. Qala ukuzibuza izinto ezifana nalezi:

• Kungani ngithole le nkinga yokungapheleli?
• Ngingazilawula kanjani izimpawu zami?
• Yiziphi izindlela zokwelapha ezingcono kakhulu kimi?
• Sizoba njani isikhathi sami sokululama ngemva kokwelashwa?
• Yimiphi imisebenzi okufanele ngiyigweme ngenkathi ngelashwa?
• Yimiphi imisebenzi okufanele ngiyigweme ngesikhathi sokululama?

Udokotela wakho uzokusiza uzizwe ukhululekile futhi akunike ulwazi oludingayo.

Uma uke waba ne-pseudoaneurysm ngaphambili, khuluma nodokotela wakho ngezingozi zakho zesikhathi esizayo. Buza ngalezi zinto:

• Ingabe ngisengozini yokuthola i-pseudoaneurysm futhi?
• Ingabe nginezinye izimo zezokwelapha ezithinta ingozi yami?
• Yini engingayenza ukuze nginciphise ingozi yami?

Ngisho noma ungakaze ube nale nkinga, ungakhuluma nodokotela wakho ukuze ufunde kabanzi ngayo. Buza nganoma yiziphi izinto eziyingozi ongase ube nazo futhi ufunde ukuthi unganciphisa kanjani ingozi yezinkinga zakho zesikhathi esizayo.

Uma uzokwenza inqubo ehilela i-catheter, khuluma nodokotela wakho ngezingozi. Ama-pseudoaneurysms ayinkinga evamile yalezi zinqubo. Kodwa lokho akusho ukuthi avamile. Eqinisweni, cishe umuntu oyedwa kwabangamakhulu amabili uba nale nkinga ngemva kokuhlolwa kwe-angiogram. Izinzuzo zalezi zinqubo zidlula izingozi. Kodwa kubalulekile ukukhuluma nodokotela wakho ukuze uthole impendulo yayo yonke imibuzo yakho.

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Ukuthola ukuthi une-pseudoaneurysm kungaba yinto eyesabekayo nengalindelekile. Kodwa ngenxa yokwelashwa okusha kanye nobuchwepheshe, ungalulama futhi uphile impilo evamile. Isihluthulelo ukuthola ukuthi unesifo ngokushesha nje lapho izimpawu ziqala. Kubalulekile futhi ukwazi izici zakho eziyingozi zokuthuthukisa i-pseudoaneurysm. Izinkinga ezivela ezinqubweni zezokwelapha ezifana ne-angiogram ziyimbangela evame kakhulu. Kodwa izici eziyingozi zomuntu siqu njengokukhuluphala ngokweqile kanye nomfutho wegazi ophezulu nazo zingadlala indima. Khuluma nodokotela wakho ukuze ufunde kabanzi ngezingozi zakho nokuthi ungazilawula kanjani. Ungakhathazeki, kunezixazululo zakho konke!

I- Pseudoaneurysm, imithambo yegazi, imithambo yegazi, ukopha kwegazi, i-angiogram, impilo yenhliziyo, izimpawu