Ingabe ngezinye izikhathi uzizwa ubuhlungu besisu noma ubuhlungu bomhlane? Sivame ukukucabanga njengento elula njenge-gastritis. Kodwa ngezinye izikhathi, ngemuva kwesibonakaliso esincane kangaka, kungase kube nenkinga enkulu yezempilo esingayicabangi. Namuhla sizokhuluma ngesifo esibuhlungu kangaka, esisongela ukuphila, kodwa esingakhulunywa ngaso kakhulu. Leso yi-Visceral Artery Aneurysm.
Kalula nje, iyini le-Visceral Artery Aneurysm?
Kulungile, ake sikuqonde lokhu kalula. Ake sithi kunemithambo yegazi emikhulu (imithambo yegazi) emzimbeni wethu ehlinzeka ngegazi ezithweni ezibaluleke kakhulu njengesibindi, izinso, amathumbu, i-pancreas, i-spleen, kanye nesisu. Lokhu yilokho esikubiza ngokuthi i-Visceral Arteries.
I-aneurysm yilapho udonga lomthambo wegazi luba buthakathaka ngesizathu esithile futhi luqhuma njengebhaluni.
Ake ucabange nje, lo mthambo, ovuvukile futhi ovuvukile kanje, ungaqhuma ngokuzumayo (uqhekeke). Uma lokho kwenzeka, ukuphuma kwegazi ngokweqile kuzoqala ngaphakathi emzimbeni. Lesi simo sisibiza ngokuthi `(Ukuphuma kwegazi)`. Lesi yisimo esiphuthumayo esiyingozi kakhulu, esisongela ukuphila.
Ngokuvamile, la ma-aneurysm akheka emithanjeni ehlinzeka ngegazi e-spleen, ezinso, nasesibindini.
Ingabe zikhona izinhlobo zalezi aneurysms?
Yebo, kunezinhlobo ezimbili eziyinhloko. Kubalulekile ukuqonda umehluko phakathi kwalezi ezimbili.
| Uhlobo lwe-aneurysm | Incazelo elula |
|---|---|
| I-Aneurysm Yeqiniso | Okwenzekayo kulokhu ukuthi udonga lomthambo wegazi ngokwalo luyabuthaka futhi luqhume njengebhaluni. Zonke izingqimba zodonga ziyaqhekeka. |
| I-Pseudoaneurysm | Lokhu kuhlukile kancane. Lapha, kwakheka imbobo odongeni lomthambo wegazi, bese kuthi igazi elithile liphume liqoqeke ezicutshini ezizungezile. Bese igazi ligoba bese lenza udonga olubuthakathaka oluzungezile. Ngenxa yokuthi lokhu kufana nodonga 'olungamanga', ingozi yokuqhuma kwalokhu iphakeme kakhulu. |
Singasibona yini lesi simo njengesivamile emphakathini?
I-Visceral Artery Aneurysms empeleni iyisimo esingavamile kakhulu. Kodwa ngenxa yokuthi abantu abaningi ababonisi zimpawu, kunzima ukusho ukuthi bangaki abantu abanazo ngempela.
Kodwa ngokumangalisayo, ezinye izinhlobo ziyahlukahluka ngokobulili. Isibonelo, ama-aneurysms emthanjeni ohlinzeka ngegazi ebhodweni avame kakhulu kwabesifazane.
Ziyini izimpawu zalokhu?
Yilapho into eyingozi kakhulu ikhona. Ngokuvamile azikho izimpawu. Esikhathini esiningi, lezi zitholakala ngengozi. Okusho ukuthi, odokotela bakubona lokhu kuphela uma benza okuthile okufana ne-CT scan noma i-MRI scan yesisu ngenxa yesinye isifo.
Kodwa-ke, uma i-aneurysm iqhuma, kungase kube nezimpawu. Izimpawu eziyinhloko yilezi:
- I-anemia: Lokhu kusho ukwehla komthamo wegazi emzimbeni. Lokhu kungenzeka ngenxa yokopha ngokweqile emzimbeni.
- Ubuhlungu besisu noma bomhlane: Lobuhlungu bungasukela kobuncane kuya kobukhulu, ngakho ngezinye izikhathi kungaba nzima ukukhomba ukuthi yini ngempela ebangela lokhu.
- Ukuhlanza igazi.
- Igazi esitulweni.
Uma uzwa ubuhlungu besisu noma bomhlane obungazelelwe, obukhulu, obungachazeki, ungalokothi ubushaye indiva. Funa usizo lwezokwelapha ngokushesha.
Kungani lezi zinhlobo ze-aneurysms zakha? Ziyini izimbangela?
Izimbangela ziyahlukahluka kuye ngezinhlobo ezimbili ze-aneurysms esixoxe ngazo ekuqaleni.
| Uhlobo lwe-aneurysm | Izici eziyinhloko ezithonyayo |
|---|---|
| I-Aneurysm Yeqiniso |
|
| I-Pseudoaneurysm |
|
Udokotela ukuthola kanjani lokhu?
Ngemva kokulalela izimpawu zakho nokukuhlola, uma udokotela wakho esola lesi simo, angakuthumela ezivivinyweni ezilandelayo.
- I-CT scan kanye ne-MRI scan: Lezi yizindlela eziyinhloko zokuxilonga. Lezi zithombe zingabonisa indawo eqondile kanye nosayizi we-aneurysm. Lokhu kubaluleke kakhulu ekunqumeni ukwelashwa.
- I-Angiography: Lolu uhlobo lokuhlolwa olukhethekile. Udokotela ufaka ipayipi elincane (i-catheter) komunye wemithambo yakho (ngokuvamile emithanjeni yakho). Ipayipi libe selidluliselwa emthanjeni wegazi othintekile bese kufakwa uketshezi olukhethekile (udayi ohlukile). Lolu ketshezi lusetshenziswa ukuthatha izithombe ze-X-ray noma ze-CT ukuze kubonakale ukuthi kukhona yini ukungahambi kahle emthanjeni wegazi, njenge-aneurysm. Ngezinye izikhathi, ukwelashwa kunganikezwa ngesikhathi esifanayo nokuhlolwa.
Iphathwa kanjani?
Indlela yokwelapha incike ezintweni ezifana nohlobo, usayizi, indawo ye-aneurysm, kanye nempilo yakho iyonke.
1. Ukulinda Ngokuqaphile
Ngezinye izikhathi, ikakhulukazi uma kuyi-aneurysm yangempela encane kune-2 centimeters , udokotela wakho ngeke akwelaphe, kodwa uzokuhlola ngezikhathi ezithile ukuze abone ukuthi iyakhula yini. Bangase bakunike nemithi yokulawula umfutho wegazi lakho.
2. Amacala lapho ukwelashwa kuyadingeka khona
Kwezinye izimo, kungcono ukwelapha amaqhubu, kungakhathaliseki ukuthi angakanani, ngoba asengozini enkulu yokuqhuma.
- I-pseudoaneurysm yanoma yiluphi usayizi idinga ukwelashwa.
- Kuma -aneurysms angempela amakhulu kuno-2 cm .
- Uma ukhulelwe noma uhlela ukuba nezingane.
- Uma izimpawu ezifana nokuntuleka kwegazi kanye nobuhlungu besisu ziqhubeka.
- Uma usuzohlinzwa njengokufakelwa isibindi.
- Uma kuvela ama-aneurysm emithanjeni ethile eyingozi kakhulu (isb., imithambo ehambisa igazi esiswini noma kuma-pancreas), iphathwa kungakhathaliseki ukuthi ingakanani.
3. Izindlela zokwelapha eziyinhloko
Kunezindlela ezimbili eziyinhloko zokwelapha.
- Ukuhlinzwa Okuvulekile: Kule nqubo, udokotela ohlinzayo wenza ukusika okukhulu kancane esiswini bese eya ngqo emthanjeni wegazi owonakele. Ingxenye eyonakele iyasuswa bese ilungiswa noma ithathelwe indawo ngento efana nepayipi lokwenziwa.
- Izinqubo Zemithambo Yegazi Ezingena Kuwo Wonke Umzimba: Lokhu akubandakanyi ukwenza ukusika okukhulu. Njengoba kushiwo ngaphambili, kufakwa ipayipi elincane (i-catheter) ngomthambo osesinqeni bese liqondiswa endaweni lapho kukhona khona i-aneurysm. Ipayipi libe selidluliswa bese 'livalwa' kusetshenziswa izindlela ezahlukahlukene.
- Ukufakwa Kwe-Coil: Ama-coil amancane ensimbi noma into efana ne-plug ifakwa ku-aneurysm ukuze igcwale futhi imise ukuphuma kwegazi.
- Ukufakwa Kwe-Liquid Embolization: Iglue ekhethekile, njengejeli, ifakwa ku-aneurysm bese 'iyivala'.
- Ukubopha: Ipayipi elifana ne-mesh yensimbi elimbozwe ngendwangu lifakwa ngaphakathi komthambo wegazi ukuze kuqiniswe udonga olubuthakathaka.
Ukwelashwa kwe-Endovascular kungakusiza ukuthi ululame ngokushesha futhi kunciphise ukuhlala kwakho esibhedlela kunokuhlinzwa okuvulekile. Kodwa-ke, ngezinye izikhathi kungadingeka ukwelashwa kwesibili. Udokotela wakho uzokhetha indlela engcono kakhulu kuwe.
Iyini imiphumela yokugcina yalesi simo?
Kudingeka siqonde ukuthi lesi yisimo esibucayi. Uma singelashwa, i-aneurysm ingaqhuma futhi ibangele nokufa. Ngokusho kwedatha, cishe abantu abangu-25% abangeniswa esibhedlela ngokuzumayo baba ne-aneurysm eqhumayo. Cishe abangu-10% babo bayafa. Ingozi yokufa iphezulu kakhulu uma i-aneurysm iqhuma kwabesifazane abakhulelwe.
Kodwa izindaba ezinhle ukuthi uma kutholakala ngengozi futhi kwelashwa ngokushesha, ngisho nangaphambi kokuba kuvele noma yiziphi izimpawu, imiphumela iba mihle kakhulu.
Ingabe lokhu akunakuvinjelwa ukuthi kwenzeke?
Kunzima ukuvimbela ama-aneurysm akhula ngenxa yezici ezithile zofuzo noma izifo zezicubu ezixhumeneyo. Kodwa-ke, singanciphisa ingozi yama-aneurysm abangelwa yi-atherosclerosis (ukufakwa kwamafutha emithanjeni yegazi). Kunezinto eziningana ongayenza ukuze wenze lokhu:
- Gcina i-cholesterol yakho kanye nomfutho wegazi kulawulwa kahle.
- Vivinya umzimba njalo.
- Yamukela ukudla okunempilo kwenhliziyo (nciphisa amafutha, usawoti kanye noshukela).
- Lala ngokwanele.
- Nciphisa ukusetshenziswa kotshwala .
- Lawula ukucindezeleka .
- Yeka ukubhema nokusebenzisa ugwayi ngokuphelele.
Uma udinga iseluleko esengeziwe ngalokhu, khuluma nodokotela womndeni wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Visceral Artery Aneurysm iwukubuthaka nokuvuvukala komthambo omkhulu wegazi esiswini sethu. Lesi yisimo esithule, kodwa esiyingozi.
- Esikhathini esiningi, azikho izimpawu. Ngokuvamile kutholakala ngesikhathi sokuhlolwa ngesinye isizathu.
- Ubuhlungu besisu noma bomhlane obungazelelwe, obunamandla buyisibonakaliso esiyisixwayiso esikhulu. Uma lokhu kwenzeka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ukutholwa kwalesi simo kusenesikhathi kanye nokwelashwa okufanele kungasindisa izimpilo.
- Ngokulandela indlela yokuphila enempilo, unganciphisa ingozi ye-atherosclerosis, okuyimbangela enkulu yalesi sifo. Khuluma nodokotela wakho njalo ngempilo yakho.
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