Ingabe une-blood vessel esiswini sakho evuvukala njengebhaluni? Ake sifunde ngalokhu (i-Visceral Artery Aneurysm)!

Wake wacabanga ukuthi umthambo wegazi ngaphakathi emzimbeni wethu, njengombhobho wamanzi, ungaba buthakathaka ngesinye isikhathi futhi uqhume njengebhaluni? Lokhu kubizwa nje ngokuthi `(Aneurysm)`. Ngezinye izikhathi lokhu kungafihlwa ngaphandle kokubonisa izimpawu, kodwa kungaba yinkinga enkulu empilweni ngokuzumayo. Namuhla sizokhuluma ngesimo esingaba yingozi, kodwa abantu abaningi abasazi, okungukuthi `(Visceral Artery Aneurysm)`.

Kuyini `(i-Visceral Artery Aneurysm)`? Ake sikuqonde kalula!

Cabanga nje, sinomthambo wegazi emzimbeni wethu, futhi udonga lwawo lubuthakathaka kancane. Bese kuthi, ngenxa yokucindezela kwegazi eligeleza kuwo, lelo phuzu elibuthakathaka liqhume njengebhaluni. Yilokho okubizwa ngokuthi "i-Aneurysm". Manje, uma le "Aneurysm" iba nkulu kakhulu, lokho kusho ukuthi iqhubu elifana nebhaluni lingaqhuma. Uma lokho kwenzeka, igazi liqala ukugeleza ngaphakathi emzimbeni. Lokhu sikubiza ngokuthi "i-Hemorrhage", futhi lesi yisimo esisongela ngempela impilo.

Manje, ziyini lezi `(Imithambo Yegazi Engaphakathi Kwesisu)`? Lezi yimithambo yegazi eyinhloko emzimbeni wethu, i-`(i-Aorta)`, ehlukana futhi inikeze igazi ezithweni ezibaluleke kakhulu esiswini sethu.

Lezi zitho yilezi:

• Amathumbu ethu
• Izinso
• Isibindi
• I-Pancreas
• Ubende
• Isisu

Ngokuvamile, lawa "ma-Aneurysms e-Visceral Artery" ayenzeka emithanjeni ethwala igazi iye e-spleen, ezinso, nasesibindini.

Ingabe kukhona izinhlobo ze-`(Visceral Artery Aneurysms)`?

Yebo, kunezinhlobo ezimbili ikakhulukazi.

1. Ama-Pseudoaneurysms: Lokhu kwenzeka lapho kwakheka imbobo encane odongeni lomthambo wegazi, bese kuthi igazi elithile liphume emgodini, liqoqeke ezicutshini ngaphandle komthambo. Ngemuva kwalokho, ngenxa yenqubo yokujiya kwegazi emzimbeni wethu, kwakheka udonga olubuthakathaka oluzungeze igazi eliqoqiwe. Kodwa-ke, ngenxa yokuthi lolu donga aluqinile kakhulu, la ma-pseudoaneurysms angase aqhume.

2. Ama-Aneurysms Angempela: Lokhu kwenzeka lapho ingxenye ebuthaka yodonga lwemithambo yegazi ivuvukala njengebhaluni. Njengoba kushiwo ngaphambili.

Zivame kangakanani lezi zinto? Ubani ozithola kaningi?

I-Visceral Artery Aneurysms empeleni iyisimo esingavamile. Kodwa njengoba abantu abaningi bengakhombisi zimpawu, kunzima ukusho ukuthi bangaki abantu abanazo ngempela.

Ukusabalala kwezinye izinhlobo ze-aneurysms yemithambo ye-visceral kuyahlukahluka ngobulili. Isibonelo, abesifazane banamathuba amaningi okuthola i-aneurysm emthanjeni othwala igazi liye e-spleen.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Nansi into ebaluleke kakhulu. Esikhathini esiningi, azikho izimpawu! Odokotela bavame ukuzithola ngengozi ngesikhathi sokuhlolwa kwezokwelapha, njenge-``(CT scan)`` noma ``(MRI scan)``, yesinye isimo.

Kodwa-ke, uma umthambo wegazi ovuvukele, noma "i-aneurysm", uqhuma, kuzovela izimpawu. Izimpawu eziyinhloko yilezi:

• I-anemia (okusho ukwehla komthamo wegazi emzimbeni)
• Ubuhlungu esiswini noma emhlane . Lobuhlungu ngezinye izikhathi bungaba bucashile kakhulu, ngezinye izikhathi bungaba bukhulu kakhulu. Ngakho-ke, ngezinye izikhathi kunzima ukubona lesi sifo ngokunembile.

Ezinye izimpawu zingase zihluke kuye ngokuthi i-aneurysm ikuphi. Isibonelo:

• Ukuhlanza igazi
• Igazi esitulweni

Uma uzwa ubuhlungu obukhulu esiswini noma emhlane ngokuzumayo, ungabunaki. Kubalulekile ukufuna iseluleko sezokwelapha ngokushesha.

Kungani lezi `(i-Visceral Artery Aneurysms)` zenzeka? Ziyini izimbangela?

Kunezizathu eziningana eziyinhloko zokuthi kungani kuvela ama-aneurysm eqiniso:

• I-atherosclerosis: Lena yimbangela evame kakhulu. Amanoni anqwabelana ngaphakathi kwemithambo yegazi yethu, okwenza kancane kancane izindonga zemithambo yegazi zibe buthaka.
• Izifo zezicubu ezixhumeneyo: Isibonelo, izimo ezifana ne-Fibromuscular dysplasia, i-Marfan syndrome, kanye ne-Ehlers-Danlos syndrome. Lokhu kungabangela ukuthi izindonga zemithambo yegazi zibe buthakathaka kusukela ekuzalweni.
• Ukuhlukumezeka: Cabanga ngengozi enkulu, ukushaywa okukhulu esiswini. Ngisho noma kunjalo, lolu hlobo lwesimo lungenzeka.

Izimbangela ze-pseudoaneurysms yilezi:

• Ukulimala ngemva kokuhlinzwa kwesibindi noma i-pancreas.
• Ukuvuvukala kwe-pancreas (i-pancreatitis).
• Ukulimala (okubangelwa ingozi noma olunye ubhaxabulo).
• I-Vasculitis.

Odokotela bakuthola kanjani lokhu?

Odokotela basebenzisa kakhulu izivivinyo ezikhethekile zezithombe zezokwelapha ezifana ne-CT scans (Computed Tomography scans) kanye ne-MRI scans (Magnetic Resonance Imaging) ukuze baxilonge ama-Visceral Artery Aneurysms. Lezi zivivinyo zingalinganisa ngokunembile usayizi we-aneurysm. Ukwazi lobukhulu kubalulekile ekunqumeni izinketho zokwelapha.

Kukhona olunye uhlolo olukhethekile, olubizwa ngokuthi `(Angiography)` . Kulokhu, kufakwa ipayipi elincane kakhulu (`Catheter`) komunye wemithambo yakho bese lithunyelwa ku-`(Visceral Artery)` lapho kutholakala khona `(Aneurysm)`. Bese kuthi, kufakwe uketshezi olukhethekile (`udayi ohlukile`) ngaleyo payipi. Bese kuthi, uma kubhekwa nge-`(X-ray)` noma `(CT scan)`, uketshezi lwenza izindawo ezingavamile emithanjeni yegazi zibonakale ngokucacile. Ngezinye izikhathi, ukwelashwa kungenziwa ngesikhathi esifanayo nale `(Angiography)`.

Kwezinye izimo, ikakhulukazi labo abanezifo zezicubu ezixhumene okukhulunywe ngazo ngaphambili, kungase kube nokuphazamiseka kwemithambo yegazi emithanjeni engaphezu kweyodwa ye-visceral. Ezimweni ezinjalo, udokotela wakho angase ahlole yonke imithambo yegazi esesiswini sakho.

Wenzani ngemva kokuthola ukuthi une-`(Aneurysm)`? Uyalinda nje? `(Ukuqapha)`

Ukuthi kufanele welashwe noma cha kuncike kusayizi kanye nohlobo lwe-aneurysm. Ngokuvamile, uma i-aneurysm yangempela ingaphansi kwamasentimitha amabili , odokotela bavame ukuncoma "ukulinda ngokuqaphela."

Lokhu kusho ukuthi udokotela uzokuhlola ngezikhathi ezithile ukuze abone ukuthi i-aneurysm iyakhula yini. Angase futhi akunike imithi yokwehlisa umfutho wegazi lakho, njengoba umfutho wegazi ophezulu ungandisa ingozi yokuthi i-aneurysm ibe nkulu.

Kunini lapho lokhu kufanele kuphathwe khona ngempela?

Uma ucabanga ukuthi i-aneurysm ingaqhuma, kungcono ukuyilapha. Ikakhulukazi ezimweni ezinjengalezi:

• Ama-pseudoaneurysms anoma yiluphi usayizi: ngoba anengozi enkulu yokuqhuma.
• Ama-aneurysm eqiniso amakhulu kunamasentimitha amabili: (Kodwa-ke, uma kwenzeka i-aneurysm yemithambo ye-splenic, ukulungiswa kuvame ukunconywa uma inkulu kunamasentimitha amathathu).

Futhi, kungakhathaliseki ukuthi i-aneurysm yakho ingakanani, ungase udinge ukwelashwa uma usengozini enkulu yokuqhekeka. Ingozi yakho inganda uma:

• Uma ukhulelwe noma useminyakeni yokuzala.
• Uma unezimpawu eziqhubekayo ezifana nokuntuleka kwegazi noma ubuhlungu besisu/umhlane.
• Uma udinga ukufakelwa isibindi noma olunye ukuhlinzwa ukuze welaphe i-cirrhosis.

Futhi, ezinye `(i-Visceral Artery Aneurysms)`, kungakhathaliseki ukuthi zingakanani, zidinga ukwelashwa okusheshayo, kuye ngokuthi zikuphi, ngoba zisengozini enkulu yokuqhuma. Isibonelo:

• I-aneurysm emthanjeni we-gastroduodenal, ohlinzeka ngegazi esiswini, engxenyeni engenhla yamathumbu amancane, kanye nasengxenyeni engenhla yamanyikwe.
• I-aneurysm emthanjeni we-pancreaticoduodenal, ohlinzeka ngegazi ku-pancreas kanye nengxenye engenhla yamathumbu amancane.
• I-aneurysm emthanjeni we-mesenteric ophakeme, ohlinzeka ngegazi emathunjini amancane.

Yiziphi izindlela zokwelapha?

Kunezindlela ezimbili eziyinhloko zokwelapha:

1. Ukuhlinzwa okuvulekile

2. Izinqubo ze-endovascular ezingangenisi kakhulu

Odokotela banquma ukuthi iyiphi kulezi zindlela ezimbili ekufanele ngokucabangela izici ezifana nalezi:

• Uhlobo lwemithambo yegazi yakho (njengokuma kwayo nosayizi wayo).
• Ikuphi i-`(Aneurysm)`?
• Izingozi zokuhlinzwa okuvulekile (kuye ngokuthi uneminyaka yakho kanye nempilo yakho iyonke).

Ekuhlinzeni okuvulekile `(Ukuhlinzwa okuvulekile)`Okwenziwayo ukuthi, ngemva kokwenza ukusika okukhulu, udokotela ohlinzayo uya ngqo endaweni lapho kukhona khona i-aneurysm, asuse ingxenye eyonakele yomthambo, bese efaka ucezu olusha lomthambo noma alungise okhona.

Ukwelashwa okungangenisi kakhulu kuhilela ukufaka ipayipi elincane (i-catheter) emthanjeni wegazi, ngokuvamile osuka embotsheni yakho, bese uliqondisa endaweni lapho kukhona khona i-aneurysm. Ngemuva kwalokho, kudluliswa amathuluzi amancane ngepayipi ukuze kusekelwe i-aneurysm futhi kuvimbe ukuqhuma kwayo, kusetshenziswa enye noma ngaphezulu yalezi zindlela ezilandelayo:

• Ukufakwa kwe-coil embolization noma i-plug embolization: Lokhu kuhilela ukufaka i-coil encane noma i-mechanical plug ku-aneurysm bese uyigcwalisa.
• Ukufakwa koketshezi: Kulokhu, kufakwa iglue ekhethekile, ijeli, noma olunye uketshezi ku-aneurysm bese kuvalwa.
• Ukufaka i-stenting: Kulokhu, ithubhu (i-stent) eyenziwe nge-mesh yensimbi embozwe ngendwangu ifakwa emthanjeni lapho kukhona khona i-aneurysm.

Uma wenza i-angiography ukuthola i-aneurysm yemithambo ye-visceral, ngezinye izikhathi lokhu kwelashwa okungangenisi kakhulu kungenziwa ngesikhathi esifanayo, kusetshenziswa i-catheter efanayo esetshenziselwa lokho kuhlolwa.

Uyini umehluko phakathi kokuhlinzwa okuvulekile kanye nokwelashwa kwe-endovascular?

Zombili lezi zindlela zokwelapha sezihloliwe. Ngokuvamile, zombili ziphephile futhi zisebenza kahle ngokulinganayo. Kodwa-ke, amasu angangenisi kakhulu angabangela ukululama okusheshayo nokuhlala esibhedlela isikhathi esifushane. Kodwa-ke, kwezinye izimo, kungadingeka ukwelashwa kwesibili.

Ingabe ikhona indlela yokuvimbela ukwakheka kwe-`(Visceral Artery Aneurysm)`?

Izinhlobo eziningi ze-`(Visceral Artery Aneurysms)` kunzima ukuzivimbela. Kodwa-ke, i-`(Aneurysms)` ebangelwa ukuncipha nokuqina kwemithambo yegazi okukhulunywe ngayo ngaphambilini ingavinjelwa ngendlela yokuphila enempilo. Nazi ezinye izinto ongazenza ukuze unciphise ingozi yakho yokuthola i-`(Atherosclerosis):

• Lawula i-cholesterol yakho kanye nomfutho wegazi.
• Vivinya umzimba njalo.
• Landela ukudla okunempilo kwenhliziyo .
• Lala ngokwanele.
• Nciphisa ukusetshenziswa kotshwala.
• Lawula ukucindezeleka.
• Yeka ukubhema nokusebenzisa ugwayi ngokuphelele.

Iyini inhloso yalesi simo? `(Umbono)`

Uma i-Visceral Artery Aneurysm iqhuma, ngezinye izikhathi ingaba yingozi. Izifundo zibonisa ukuthi cishe abantu abangu-25% abafika ekamelweni lezimo eziphuthumayo abane-Visceral Artery Aneurysm bane-aneurysm eqhumayo. Kulaba, okungenani abangu-10% bayafa.Ingozi yokufa komama abakhulelwe abane-aneurysm eqhumile iphakeme nakakhulu.

Ngokuvamile, abantu abangenazo izimpawu (ubuhlungu noma ukopha kwangaphakathi) ngaphambi kokuba ukwelashwa kuqale banamathuba amaningi okuba nemiphumela emihle. Abantu abane-pseudoaneurysms basengozini enkulu yokuqhekeka nokufa kunalabo abane-aneurysms yangempela.

Kufanele ngimbone nini udokotela?

Uma uzwa ubuhlungu obukhulu esiswini noma emhlane ngokuzumayo, funa iseluleko sezokwelapha ngokushesha. Ungalibali.

Ama-aneurysms emithambo yegazi esiswini sakho ayizindawo ezibuthakathaka ezindongeni zemithambo yegazi esiswini sakho. Uma lezi zindonga ziqhuma, zingabangela ukopha kwangaphakathi. Akuwona wonke umuntu onalesi simo onezimpawu ezinzima, ngakho-ke ukuxilongwa kungalibaziseka. Kodwa-ke, ngokusetshenziswa kabanzi kwezivivinyo zezithombe zezokwelapha zezinye izifo, ama-Aneurysms amaningi emithambo yegazi yegazi atholakala ngaphambi kokuba aqhume. Ngakho-ke, ukwelashwa kusenesikhathi kunganciphisa ingozi yokufa. Nakuba kungezona zonke i-Aneurysms zemithambo yegazi yegazi yegazi ezingavinjelwa, indlela yokuphila enempilo inganciphisa ingozi yama-aneurysms abangelwa yi-atherosclerosis. Khuluma nodokotela wakho ngalokho ongakwenza ukuze unciphise ingozi yakho ye-atherosclerosis.

Umlayezo Wokuya Nawe Ekhaya

• I-"Visceral Artery Aneurysm" iyisiqhubu esifana nebhaluni emthanjeni wegazi ngaphakathi esiswini. Lokhu kungaba yingozi kakhulu uma kuqhuma.
• Esikhathini esiningi, ayibonisi zimpawu. Ingatholakala ngengozi ngesikhathi sokuhlolwa kwesinye isimo.
• Uma uzwa izimpawu ezifana nobuhlungu besisu/umhlane obungazelelwe, ukuhlanza igazi, noma ukuphuma kwegazi esitulweni sakho , xhumana nodokotela ngokushesha.
• Kunezindlela zokwelapha. Ukwelashwa kunqunywa ngokusekelwe kubukhulu kanye nohlobo lwe-aneurysm, kanye nesimo sakho sempilo.
• Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba, nokugwema ukubhema) kubaluleke kakhulu ekuvimbeleni i-aneurysms ebangelwa yi-atherosclerosis.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukubuza udokotela womndeni wakho noma uchwepheshe. Hlala uphilile!

I- Aneurysm, umthambo wegazi, isisu, ukuqhekeka kwemithambo yegazi, ukopha kwangaphakathi, ukuhlinzwa, i-CT scan