Uke wezwa ngomthambo wegazi omkhulu nobaluleke kakhulu emzimbeni wethu? Siwubiza ngokuthi i-aorta. Njengepayipi lamanzi eliyinhloko eliletha amanzi endlini yethu, le-aorta ithwala igazi elihlanzekile lisuka enhliziyweni liye emzimbeni wonke. Kodwa ngezinye izikhathi, kuvela indawo ebuthakathaka odongeni lwale-aorta, bese leyo ndawo iqala ukukhukhumala njengebhaluni. Yilokho esikubiza ngokuthi 'i-aneurysm'. Uma lokhu kukhukhumala kwenzeka ku-aorta esifubeni, kubizwa ngokuthi 'i-Thoracic Aortic Aneurysm'. Lokhu kungase kuzwakale kuyesabisa kancane, kodwa ungakhathazeki. Ake sixoxe ngakho konke ngokucacile nangokulula.
Kuyini i-Thoracic Aortic Aneurysm?
Kalula nje, lokhu ukuvuvukala okwenzeka engxenyeni ye-thoracic aorta esifubeni sethu. Cabanga ngepayipi lamanzi elidala, ingxenye yalo eyodwa ibuthakathaka futhi ivuvukala kancane. Yilokho okwenzekayo nalapha. Empeleni lesi yisimo esingavamile, umuntu oyedwa kuphela kwabayizinkulungwane eziyishumi unalesi simo.
Esikhathini esiningi, akekho owaziyo ukuthi unalokhu kuvuvukala. Kutholakala ngengozi ngesikhathi sokuhlolwa, njenge-CT scan, okwenziwe ngesinye isizathu.
Ingabe wonke umuntu kufanele ahlinzwe lokhu?
Cha. Akuwona wonke umuntu onalolu hlobo lokuvuvukala ozodinga ukuhlinzwa. Kunezici eziningana ezizonquma ukuthi udinga ukuhlinzwa noma cha.
- Usayizi weqhubu: Ukuthi lokhu kukhulu kangakanani kubaluleke kakhulu. Ngokuvamile, uma kungaphezu kwamasentimitha angu-5.5, kufanele kucatshangelwe ukuhlinzwa.
- Izinga lokukhula: Uma lokhu kuvuvukala kukhula ngokushesha kuno-0.5 centimeters zingakapheli izinyanga eziyisithupha, leso futhi yisizathu sokufuna ukuhlinzwa.
- Izimpawu zakho: Abanye abantu bangase babe nezimpawu ezifana nobuhlungu besifuba kanye nobunzima bokuphefumula.
- Impilo yakho iyonke: Ubudala bakho nokuthi unezinye izimo zezokwelapha yini nakho kuthinta isinqumo mayelana nokuhlinzwa.
Ngemva kokucabangela konke lokhu, udokotela wakho uzonquma ukuthi yikuphi okungcono kakhulu kuwe.
Kunezinhlobo ezimbili zokuhlinzwa: ake sibone ukuthi ziyini
Kunezinqubo ezimbili eziyinhloko zokuhlinzwa zokwelapha lesi simo. Bheka ithebula elingezansi ukuze uqonde umehluko phakathi kwalokhu okubili.
| Isici | 1. Ukulungiswa Kwe-Aneurysm Yesifuba Esivulekile | 2. Indlela ye-TEVAR (Ukulungiswa Kwe-Thracic Endovascular Aortic) |
|---|---|---|
| Indlela yokukwenza | Kwenziwa ukusika okude ohlangothini lwesifuba, ingxenye eyonakele yomthambo wegazi iyasuswa, bese kufakwa ipayipi lokwenziwa (i-graft) endaweni yalo. | Kwenziwa ukusikwa okuncane embotsheni, kudluliswe ipayipi elincane (i-catheter) kuyo ngomthambo wegazi, bese kufakwa idivayisi efana ne-mesh (i-stent) endaweni evuvukele ukuze iqiniswe ngaphakathi. |
| Sika | Kudingeka ukusikwa okukhulu, okude. | Kudingeka ukusikwa okuncane kakhulu kuphela. |
| Isikhathi esibhedlela | Kungathatha izinsuku ezifika kweziyi-10. | Ngokuvamile kuthatha cishe izinsuku ezintathu. |
| Isikhathi sokuphulukiswa | Kuthatha cishe izinyanga ezimbili kuya kwezintathu ukubuyela empilweni evamile. | Ungenza umsebenzi ojwayelekile emavikini ambalwa. Udinga ukulinda cishe inyanga yonke ukuze usebenze kanzima. |
Kungani lokhu kuhlinzwa kubaluleke kangaka?
Isizathu esiyinhloko sokwenza lokhu kuhlinzwa ukunciphisa ingozi yokuqhuma kwe-aneurysm . Akuzona zonke iziqhumane ze-aneurysm. Kodwa-ke, uma ziqhuma, kuyisimo esiphuthumayo esisongela ukuphila.
Nakuba kunezingozi ezithile ezihilelekile ekuhlinzweni, ingozi yokuqhuma kwemithambo yegazi inkulu kakhulu. Yingakho odokotela bencoma ukuhlinzwa ngesikhathi esifanele.
Kwenzekani ngaphambi kokuhlinzwa?
Udokotela wakho uzokunikeza imiyalelo edingekayo ngaphambi kokuhlinzwa.
- Ukuhlolwa: Ubukhulu nesimo sokuvuvukala kubhekwa njalo ngokwenza izinto ezifana ne-'CT scan'.
- Umuthi:Unganikwa imithi yokulawula umfutho wegazi lakho nokukhulula imithambo yegazi yakho ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Ama-Anticoagulant: Uma uthatha ama-anticoagulant, udokotela wakho uzokweluleka ukuthi uyeke ukuwathatha ngaphambi nje kokuhlinzwa. Ungalokothi uyeke ukuwathatha ngaphandle kweseluleko sikadokotela.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa okuvulekile, uzoqashwa egunjini lokunakekelwa okujulile (ICU) usuku olulodwa noma ezimbili. Ngemuva kwalokho uzodluliselwa egunjini elijwayelekile futhi kuzodingeka uhlale esibhedlela cishe izinsuku eziyi-10.
Ngemva kokuhlinzwa kwe-TEVAR, ngokuvamile kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu. Odokotela bazokunikeza imithi yokusiza ngobuhlungu ngemva kokuhlinzwa.
Yiziphi izingozi ezingaba khona zalokhu kuhlinzwa?
Nakuba lokhu kuwukuhlinzwa okusindisa impilo, njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezihilelekile. Kodwa-ke, ithimba lezokwelapha lenza konke okusemandleni alo ukunciphisa lezi zingozi.
- Ukopha
- Ukutheleleka kwamaphaphu (i-pneumonia) noma ezinye izinkinga zokuphefumula
- Isifo senhliziyo
- Isifo sohlangothi
- Ukwehla kokusebenza kwezinso
- Ukutheleleka endaweni yokuhlinzwa
- Ubuthakathaka emilenzeni ngenxa yokuphazamiseka kokunikezwa kwegazi emgogodleni
Ungesabi uma uzwa lezi zinto. Lezi yizinto ezingenzeka nje. Khuluma nodokotela wakho ngokukhululekile ngalokhu bese ubuza noma yimiphi imibuzo onayo.
Nini ukubona udokotela ngemva kokuhlinzwa
Uma uya ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukuqaphela noma yiziphi izimpawu zezinkinga ngokushesha okukhulu. Uma unezinye zezimpawu ezingezansi, shayela udokotela wakho ngokushesha.
| Isibonakaliso | Okufanele ukunake |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-100.4 F (38 C). |
| Izinguquko ezizungeze umgwaqo wokusika | Ukubomvu okukhulu, ukuvuvukala, noma iqhubu elakheka eduze kwesilonda. |
| Ubuhlungu | Ubuhlungu obukhulu obuqhubekayo naphezu kokuthatha imithi. |
| Ukuvuvukala | Ukuvuvukala okungavamile endaweni yokuhlinzwa noma emilenzeni. |
Zombili lezi zindlela zokuhlinzwa ziyindlela yokwelapha ephumelela kakhulu. Enqubweni ye-TEVAR, i-stent ingafakwa ngempumelelo ngo-99%. Ukuhlinzwa okuvulekile nakho kuphumelele kakhulu. Into ebaluleke kakhulu ukuqonda ukuthi lokhu kuyinto eyenziwa ukusindisa impilo.
Umlayezo Wokuya Nawe Ekhaya
- I-aneurysm ye-aorta yesifuba iwukubuthaka nokuvuvuka kwengxenye yesifuba yomthambo wegazi oyinhloko osuka enhliziyweni.
- Isizathu esiyinhloko salesi simo ubuthakathaka bodonga lwemithambo yegazi.
- Ukuthi ukuhlinzwa kuyadingeka noma cha kuncike ngobukhulu beqhubu, ukuthi likhula ngokushesha kangakanani, kanye nesimo sakho sempilo.
- Kunezindlela ezimbili zokwelapha: ukuhlinzwa okuvulekile kanye ne-TEVAR, okuhilela ukufaka ipayipi elincane elidlula embotsheni.
- Isizathu esiyinhloko sokwenza lokhu kuhlinzwa ukuvimbela umthambo ovulekile ukuthi ungaqhumi futhi ubangele umonakalo osongela ukuphila.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngemva kokuhlinzwa nokwazisa udokotela ngokushesha uma ubona noma yiziphi izimpawu ezingavamile.
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