Ukuvuvukala okufana nebhaluni emthanjeni we-splenic? Ake sifunde ngqo nge-Splenic Artery Aneurysm!

Wake wezwa nge-splenic artery aneurysm? Igama lingase lizwakale liyesabeka kancane, kodwa ungakhathazeki. Ake sixoxe ngalo ngendlela elula ongayiqonda. Esikhathini esiningi, lesi simo singaba khona ngaphandle kwezimpawu, kodwa ngezinye izikhathi singaba nezinto ezifana nobuhlungu ohlangothini olungaphezulu kwesobunxele lwesisu.

Iyini le aneurysm yemithambo ye-splenic?

Kalula nje, i-spleen yakho inomthambo wegazi oyinhloko, umthambo wegazi , ohlinzeka ngegazi, futhi lapho ingxenye yodonga lwalowo mthambo ibuthakathaka futhi iqhuma njengebhaluni, siyibiza ngokuthi i-aneurysm . Cabanga ngayo njengepayipi lamanzi eliqhuma endaweni eyodwa lapho liguga. Ngokuhamba kwesikhathi, lokhu kuqhuma kungaba kukhulu. Lapho ukuqhuma kukhulu, kulapho kungadala khona umonakalo omkhulu. Ukuze kube sobala, uma umthambo we-splenic uqhuma ngo-1.0 cm noma ngaphezulu, siyibiza ngokuthi i-splenic artery aneurysm. Ngezinye izikhathi ingaba nezimpawu isikhathi eside. Kodwa ngezinye izikhathi ingabonisa nezimpawu ezidinga ukwelashwa okuphuthumayo. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu, okungukuthi, izimpawu kanye nezici eziyingozi.

Sivame kangakanani lesi simo? Ngubani onamathuba amaningi okusithola?

Lesi simo, esibizwa ngokuthi i-splenic artery aneurysm, sithinta umuntu oyedwa kwabayi-1,000 kanye noyedwa kwabayi-2,500. Lokho kusho ukuthi, nakuba kungase kungabonakali njengento enkulu, uhlobo oluvame kakhulu lwe-aneurysm oluvela emithanjeni esesiswini sethu (i-visceral artery aneurysm).

Lokhu kungathinta abantu abadala babo bonke ubudala. Kodwa uma ungowesifazane , ikakhulukazi oneminyaka engaphezu kwengu-60 , usengozini enkulu kancane. Eqinisweni, kuyaphawuleka nokuthi cishe u-80% walezi aneurysms zenzeka kwabesifazane .

I-aneurysm iwuthinta kanjani umzimba? Ingabe iyingozi?

Ngokuvamile, imithambo yethu iguquguquka kakhulu. Iyafinyela futhi ikhule njengoba igazi ligeleza kuyo, kodwa ayilahlekelwa yisimo sayo esijwayelekile. Kodwa lapho kwakheka i-aneurysm, indawo ebuthakathaka emthambo ibangela ukuthi iqhume ngaphandle. Kufana nebhande lerabha elidonswa endaweni eyodwa. Udonga lomthambo lubuthakathaka kakhulu ngaleso sikhathi. Ngokuhamba kwesikhathi, uma lungelashwa, lokhu kungaholela ezinkingeni ezinkulu .

I-Splenic Artery Aneurysm yisimo esibucayi sezokwelapha . Ngezinye izikhathi singasongela impilo, ikakhulukazi uma ukhulelwe . Njengezinye izinhlobo ze-aneurysm, lesi siyingozi ngoba singaqhekeka noma sihlukanise . Lokhu kuqhekeka nokuhlukanisa kuyizimo eziphuthumayo ezisongela impilo ezidinga ukunakekelwa kwezokwelapha ngokushesha.

Kukhona okunye, okubizwa ngokuthi ama-pseudoaneurysms., okubizwa ngokuthi 'i-aneurysm yamanga'. Lokhu kungathinta nomthambo we-splenic. Ku-aneurysm yangempela, zonke izendlalelo zodonga lomthambo ziyathinteka. Ku-pseudoaneurysm, kuthinteka izendlalelo eyodwa noma ezimbili kuphela. Kodwa-ke, le pseudoaneurysm yomthambo we-splenic nayo iyingozi kakhulu futhi inengozi enkulu yokuqhekeka kune-aneurysm yangempela.

Ziyini izimpawu ze-splenic artery aneurysm?

Kunezimpawu eziningana ongase uzibone uma unalesi sifo se-aneurysm.

• Ubuhlungu ohlangothini olungaphezulu kwesobunxele lwesisu sakho . Lobuhlungu bungasakazeka nasehlombe lakho lesobunxele.
• Umuzwa wokushaya kwenhliziyo engxenyeni engenhla kwesobunxele yesisu.

Cabanga ukuthi kuzokwenzekani uma lokhu kuqhuma kwe-aneurysm. Khona-ke ungase uzizwe ngokuzumayo izimpawu ezifana nalezi:

• Isicanucanu nokuhlanza .
• Ubuhlungu obukhulu esiswini esingaphezulu , ngaphansi nje kwezimbambo zakho.
• Ubuhlungu ehlombe lesobunxele .
• Izimpawu zokushaqeka kwe-hypovolemic (isimo esibangelwa ukwehla kwenani legazi emzimbeni).

Lokhu kuqubuka kungavela ngokuzumayo, noma kungavela ngezigaba ezimbili. Cishe umuntu oyedwa kwabane uhlangabezana nenhlanganisela yalezi zigaba ezimbili. Okusho ukuthi, izimpawu zivela ngokuzumayo, bese ziphela okwesikhashana. Kodwa lokho kukhululeka kungokwesikhashana, futhi umzimba usheshe ushaqeke.

Into ebaluleke kakhulu ukuthi uma unezimpawu ze-splenic artery aneurysm noma ukuqhekeka, kufanele ushayele ngokushesha ku-1990 noma inombolo yakho yezimo eziphuthumayo yendawo.

Abantu abaningi abanazo izimpawu kuze kube yilapho i-aneurysm isizoqhuma noma isiqhumile. Yingakho kubaluleke kakhulu ukwazi izici zakho eziyingozi futhi ukhulume nodokotela wakho ngezinga lakho lengozi.

Kungani kwakheka le aneurysm yemithambo ye-splenic?

Ubuthakathaka odongeni lomthambo we-splenic yimbangela eyinhloko yalokhu kuqubuka kwe-aneurysm. Akucaci ngaso sonke isikhathi ukuthi yini ebangela lobu buthakathaka. Kodwa-ke, abacwaningi bathole ukuthi kunezici eziningi eziyingozi ezingaba nomthelela kulesi simo.

Kulezi , ukukhulelwa kuyisici esibaluleke kakhulu sengozi. Futhi, le ngozi iphakeme nakakhulu kwabesifazane abake bakhulelwa ngaphambili. Ngesikhathi sokukhulelwa, izinguquko zamahomoni zithinta ukugeleza kwegazi lakho, zandise ingcindezi ngaphakathi kwe-splenic artery. Lokhu kungenza buthaka izindonga ze-artery futhi kubangele ukwakheka kwe-aneurysm.

Ezinye izimo zezokwelapha ezahlukahlukene nazo zingandisa ingozi yokuba ne-splenic artery aneurysm. Nazi izibonelo ezimbalwa:

• Umfutho wegazi ophezulu (i-arterial hypertension)
• I-atherosclerosis
• I-aneurysm yobuchopho
• I-cirrhosis yesibindi
• Izifo zezicubu ezixhumeneyo, isiboneloI-Marfan syndrome
• Isifo Sikashukela (i-Diabetes Mellitus)
• Ukutheleleka kolwelwesi lwangaphakathi lwenhliziyo (i-Endocarditis)
• I-Fibromuscular dysplasia (i-FMD)
• I-granulomatosis ene-polyangiitis (GPA) (eyayaziwa ngokuthi i-Wegener's)
• Ukufakelwa kwesibindi
• I-Polyarteritis nodosa (PAN)
• Umfutho wegazi ophezulu we-portal (umfutho wegazi ophezulu emithanjeni eholela esibindini)
• I-Vasculitis

Kukhona futhi nezici eziyingozi ezifaka isandla ekuthuthukisweni kwama -pseudoaneurysms okukhulunywe ngawo ngaphambili:

• I-pancreatitis engapheli
• Izinkinga ngemva kokuhlinzwa.
• Izingozi, ukulimala okufana nengozi yemoto noma ukugwazwa ngommese.

Yiziphi izimbangela zokuqhuma kwe-aneurysm?

Kunezici eziningana eziyinhloko ezibangela ukuthi i-aneurysm ye-splenic artery iqhume:

• Umfutho wegazi ophezulu we-portal: Ukugeleza kwegazi okwandisiwe endaweni ye-aneurysm kwandisa ingozi yokuqhekeka.
• Ukukhulelwa: Cishe ama-50% e-aneurysms kwabesifazane abakhulelwe ayaqhuma ngesikhathi sokukhulelwa. Ngokuvamile, lokhu kuqhuma kwenzeka ku-trimester yokugcina yokukhulelwa.
• Ukuba khona kwezimpawu: Abantu abanezimpawu basengozini engu-80% yokuthola ubhubhane. Lokhu kuphakeme kakhulu kunalabo abangenazo izimpawu (abanengozi engu-10%).

Odokotela bakuthola kanjani lesi simo?

Eqinisweni, ama-aneurysms emithambo yegazi ye-splenic angaba nzima ukuwaxilonga. Lokhu kungenxa yokuthi izimpawu azicacile kahle, futhi zingalingisa ezinye izimo eziningi. Ngezinye izikhathi, odokotela bathola lesi simo ngenkathi benza izivivinyo ngesinye isizathu.

Ukuhlolwa okukhethekile kwezithombe kuyindlela engcono kakhulu yokuthola la ma-aneurysms, ikakhulukazi uma ungenazo izimpawu.

Nazi ezinye izivivinyo ezisetshenziswe kulokhu:

• I-CT Angiography (i-computed tomography angiography - i-CTA)
• I-angiography yokususa ngedijithali (i-DSA)
• Ukuhlolwa kwe-Ultrasound (i-Ultrasonography) , okuhlanganisa nokuhlolwa kwe-ultrasound ye-endoscopic .
• I-M.R. Angiography (i-Magnetic resonance angiography - MRA)

Ukuhlolwa ngakunye kwalokhu kunezinzuzo ezithile zokuthola ama-aneurysm nokuhlela ukwelashwa. Udokotela wakho uzokuchazela ukuthi yiziphi izivivinyo ozidingayo nokuthi kungani.

Ngingazi kanjani ukuthi ngidinga ukwelashwa?

Ama-aneurysm emithambo yegazi ye-splenic, asengozini yokuqhuma noma ukuqhekeka, adinga ukwelashwa ngokushesha. Uma unezinye zezimo ezilandelayo, udokotela wakho angancoma ukwelashwa:

• Uma i-aneurysm inkulu kunobubanzi obungamasentimitha angu-3 (amamilimitha angu-30) .
• Uma i-aneurysm iba nkulu ngokuhamba kwesikhathi .
• Uma unezimpawu .
• Uma udinga ukufakelwa isibindi .
• Uma ukhulelwe , noma uma kungenzeka ukuthi ukhulelwe .

Uma i-aneurysm yakho ingekho engcupheni yokuqhekeka, udokotela wakho cishe uzoncoma ukubhekwa , okusho ukuthi kufanele uhlolwe njalo ngezikhathi ezithile. Uma ingozi yakho yokuqhekeka ikhula nganoma yisiphi isikhathi, udokotela wakho uzoncoma ukwelashwa.

Yiziphi izindlela zokwelapha i-aneurysm ye-splenic artery?

Kunezindlela eziningana zokwelapha lokhu.

• Inqubo ye-Endovascular: Lena ngokuvamile iyindlela engcono kakhulu yokuphatha i-aneurysm ngaphambi kokuba iqhume (ukwelashwa okukhethayo). Lapha, udokotela uvimba ukugeleza kwegazi nge-aneurysm. Kunezindlela ezahlukene zalokhu. Isibonelo, ngendlela ebizwa ngokuthi 'i-coiling', kusetshenziswa ama-coil ensimbi ukugcwalisa i-aneurysm. Kwenye indlela, kufakwa uketshezi olukhethekile, oluqinisa futhi lumise ukugeleza kwegazi nge-aneurysm. Udokotela ukhetha indlela efanele kakhulu kuye ngesimo nendawo ye-aneurysm.
• Ukuhlinzwa okuvulekile: Lokhu kunconywa kubantu abangakwazi ukwelashwa nge-endovascular noma abangaphumelelanga kukho. Lapha, udokotela ususa ingxenye eyonakele yomthambo. Kungase kudingeke futhi ukuthi ususwe ubende lwakho (i-splenectomy) .
• Inqubo ye-Laparoscopic: Lena inqubo engadingi ukungenelela okuningi kunokuhlinzwa okuvulekile, futhi isikhathi sokululama sifushane. Lena ngokuvamile iyindlela engcono kakhulu yokwelashwa ngesikhathi sokukhulelwa.

Khuluma nodokotela wakho mayelana nohlelo lokwelashwa olungcono kakhulu kuwe.

Izinkinga zokwelashwa

Udokotela wakho uzokuchazela izingozi nezinkinga zokwelashwa. Okuvame kakhulu kulezi yisimo esibizwa ngokuthi i-post-embolization syndrome (PES) . Izimpawu ze-PES zifaka:

• Imfiva.
• Isicanucanu nokuhlanza.
• Ubuhlungu besisu.

Uma uba nalezi zimpawu ngemva kokwelashwa, khuluma nodokotela wakho. Udokotela wakho angase akuncomele imithi yobuhlungu noma i-saline (i-IV fluids) ukuze kusize ekunciphiseni izimpawu zakho uze ululame.

Yini engingayenza ukuze nginciphise le ngozi?

Kubalulekile ukuphatha kahle noma yiziphi ezinye izimo zezokwelapha onazo, ikakhulukazi lezo ezandisa ingozi yakho yokuba ne-splenic artery aneurysm. Khuluma nodokotela wakho ngalokho okudingeka ukwenze ngqo ngesimo sakho.

Nazi ezinye izinto ezivamile ongazenza:

• Thatha yonke imithi oyinikezwe ngesikhathi .
• Uma uthola izimpawu ezintsha noma uma izimpawu zakho zishintsha, tshela udokotela wakho ngokushesha .
• Yiba khona ekuhlolweni kwezokwelapha minyaka yonke , bese uya kuzo zonke izikhathi ezihleliwe nodokotela.

Futhi, ukwenza izinguquko ezithile endleleni yokuphila kungasiza ekulondolozeni impilo yemithambo yegazi yakho yonke , okuhlanganisa nomthambo wakho we-splenic.

• Yeka ukubhema nokusebenzisa ugwayi ngokuphelele .
• Yidla ukudla okunempilo okunempilo kwenhliziyo .
• Vivinya umzimba njalo njengoba kunconywe udokotela wakho.
• Nciphisa ukusetshenziswa kotshwala .

Uma nginalesi simo, yini okufanele ngiyilindele? Uyini umbono?

Uma une-aneurysm yemithambo ye-splenic, landela imiyalelo kadokotela wakho ngokucophelela. Ungase ungadingi ukwelashwa ngokushesha. Kunalokho, udokotela wakho angase akuncome lokho abakubiza ngokuthi "ukulinda ngokuqapha." Lokhu kusho ukuthi uzoba nokuhlolwa kwezithombe njalo (ngokuvamile njalo ngonyaka) ukuze ubone ukuthi i-aneurysm iyakhula yini. Ukwelashwa ngesikhathi kubalulekile ukuvimbela i-aneurysm ukuthi ingaqhumi noma iqhume.

Umbono womuntu onalesi simo uncike ezintweni eziningana:

• Usayizi nendawo ye-aneurysm.
• Indlela i-aneurysm ekhula ngayo ngokushesha .
• Ukuthi i-aneurysm izoqhuma noma cha .
• Ezinye izimo zezokwelapha kanye nezici eziyingozi onazo.

Ukuqhekeka kwe-splenic artery aneurysm kuvame ukubulala . Ucwaningo lukhombisile ukuthi ukuqhekeka kungaba yingozi kubantu aba:

* Phakathi kuka -25% no-40% wabesifazane abangakhulelwe.

* Phakathi kuka -65% no-75% wabesifazane abakhulelwe (izinga lokufa kwengane esanda kuzalwa liphakathi kuka-90% no-95%).

* Abantu abangaphezu kuka-50% abane -portal hypertension .

Ukuqhekeka kwe-pseudoaneurysms yomthambo we-splenic cishe njalo kuyabulala .

Khuluma nodokotela wakho mayelana nesimo sakho.

Ngingazinakekela kanjani? Kufanele ngibone nini udokotela?

Ukuphila ne-Splenic Artery Aneurysm kuyinto encane...Kungaba ukucindezeleka . Ungase uzibuze ukuthi kwenzekani emzimbeni wakho, noma ungase wesabe ukuthi i-aneurysm izoqhuma.

Kuvamile ukuzizwa ukhathazekile. Yabelana ngemizwa yakho nodokotela wakho. Udokotela wakho angase ancome ukwelashwa okusebenzayo kwe-aneurysm esengozini yokuqhekeka. Cela udokotela wakho akubonise imiphumela yakho yesithombe futhi achaze ukuthi isho ukuthini. Uma uhileleke kakhulu ekunakekelweni kwezempilo, kulapho uzozizwa ulawula khona isimo sakho.

Udokotela wakho uzokutshela ukuthi kufanele uze kangaki ukuzohlolwa nokuhlolwa kwezithombe. Uma unemibuzo, ukukhathazeka, noma izimpawu ezintsha noma ezishintshayo, shayela udokotela wakho ngokushesha .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Cela udokotela wakho akuchazele ukuthi unesifo esingakanani kanye nohlelo lwakho lokwelashwa. Nansi eminye imibuzo ongayibuza:

• Ingakanani i-aneurysm yami?
• Kukuphi ngempela ?
• Liyini ithuba lokuthi liqhume ?
• Yiziphi izimpawu okufanele ngiziqaphele ?
• Kufanele ngikhulume nini no-1990 ?
• Kukangaki ngidinga ukuza kokuhlolwa kwezokwelapha ?
• Yiziphi izivivinyo okudingeka ngizenze? Kufanele ngizilungiselele kanjani ?

Futhi, buza udokotela wakho ngemithombo eyengeziwe yolwazi engakusiza uqonde uhlelo lwakho lokuxilonga kanye nokwelashwa.

Umyalezo Wokugcina Wokuya Nasekhaya

Njengezinye izinhlobo ze-aneurysm, i-splenic artery aneurysm iyingozi kakhulu uma ingelashwa . Uma udokotela wakho ethola ukuthi unalesi simo, usuvele uphambili. Udokotela uzoqapha lesi simo futhi akutshele ukuthi udinga ukwelashwa nini.

Uma welashwa ngenxa ye-aneurysm noma ukuqhekeka, kubalulekile ukuba uqaphele isikhathi eside . Ungaphuthelwa yizikhathi zokubonana nodokotela wakho, futhi ukhulume nodokotela wakho nganoma yiziphi izimpawu ezintsha noma ezishintshayo. Yiba ngumlingani osebenzayo ekunakekelweni kwakho kwezokwelapha futhi ufunde okuningi ngangokunokwenzeka ngesimo sakho. Ngolwazi nolwazi, ungasebenzisana nethimba lakho lezokwelapha ukusiza ekunciphiseni izinkinga zesikhathi esizayo.

I- Splenic Artery Aneurysm, I-Spleen, I-Artery, Ubuhlungu Besisu, Ukukhulelwa, Imithambo Yegazi