Ukuba umntu une- aneurysm ye-aortic , kubalulekile ukwenza ukuxilongwa kwangangoko kunokwenzeka, ukwenzela ukukhusela ukuphazamiseka okanye ezinye iingxaki. Oogqirha baxilonga i-aortic aneurysms kunye nezifundo zengcamango ezingabonisa ubukho okanye ukungabikho kwe-aneurysm, ubukhulu bayo, indawo yayo kunye nomphumo wayo kwizakhiwo ezungeleleyo. Ukuphonononga iziphumo kunokunika iingqinisiso ezibalulekileyo malunga nokukhulelwa kwangaphambili.
Kwamanye abantu, amathuba okuba nokuphuka aphakamileyo ngexesha loxilongo lwenziwa, kwaye ukuhlinzwa kwasekuqaleni kuyadingeka. Kwabanye, ukuphuka akubonakali kusondele. Kula bantu abantu ukuxilongwa kukudala ithuba lokubeka iliso rhoqo ukuqinisekisa ukuba i-aneurysm ikhula ngokukhawuleza kangakanani. Oku kuvumela ugqirha ukuba athethe isigqibo sokuba ngaba ukulungiswa kokucoca okunokhetho kunokufuneka.
Ukubekwa esweni kwenzelwe kuphela ukuba uyazi ukuba i-aortic aneurysm ikhona. Ngokuqhelekileyo, ngelishwa, abantu abafumanekiyo phambi kokuba kuvele ukuphazamiseka kwintlekele-kwaye kaninzi kuphelile. Abantu abasengozini enkulu yokuphuhlisa i-aortic aneurysm kufuneka bahlolwe ngolu hlobo, ngoko ukuxilongwa kungenziwa kwangoko kwanele ukwenza into malunga nayo.
Aortic Aneurysms
I-Ultrasounds
Kubantu abangenazo iimpawu kodwa bahlolwa kwi-aneurysm yesisu esiswini, uvavanyo lokuxilonga olusetyenziswa ngokuqhelekileyo luvavanyo lwe- ultrasound .
Uvavanyo lwe-ultrasound lusebenzisa amaza omsindo ukwakha umfanekiso weendawo ezahlukahlukeneyo zomzimba.
Izifundo ze-Ultrasound ziphumelela kakhulu ekufumaneni i-aneurysms yesisu esiswini, nje ngokuba ubuncinane ubuncinane obu-3 cm ububanzi. Ngenxa yokuba uvavanyo luhamba ngokukhawuleza kwaye aluyi-invasive, i-ultrasound isetyenziselwa ukwenza iimvavanyo zengqungquthela ukubeka iliso abantu abanesineurysms ezincinci okanye eziphakathi kwamathambo.
Ezi vavanyo ze-ultrasound ze-serial zivumela ugqirha ukuba agwebe ukuba i-aneurysm iyanda.
Abantu abacingelwa ukuba baphelelwa yintsholongwane ye-aortic aneurysm bavame ukugula kakhulu ngenxa yokungazinzi kwenhliziyo, kwaye ukuhlinzwa ngokukhawuleza kubaluleke kakhulu. Ezi zi gulane, uvavanyo oluvakalayo lwe-beds ultrasound luvame ukwenza ukwenjenjalo ukuqinisekisa ukuxilongwa, ngokuqhelekileyo ngelixa bekulungele ukuhlinzwa ngokukhawuleza.
Scans CT
Iimvavanyo ze-CT zisetyenziselwa endaweni yokufunda okanye ukufaka iimvavanyo ze-ultrasound kubantu abacingelwa ukuba banokufuna ukulungiswa kokucoca. Ezi ziza kubandakanya abantu abaneempawu ezikhankanywe ukuba zibangelwa yi-aneurysm yesisu esiswini, okanye nawuphi na onesi-aneurysm eyaziwayo ebonakala isakhula kwisayizi esinobungozi.
I-CT scan ayibonisi kuphela ubungakanani kunye nendawo ye-aneurysm, kodwa ibonisa iinkcukacha ezibalulekileyo malunga nezakhiwo ezijikelezayo kwaye ingabonisa ukuba kukho nawuphi na uphawu lokuphuka okanye ukusabalalisa okuzayo.
I-Aractic Aneurysms
Xa kuthelekiswa ne-aortic eneurysms zesisu, i-aortic aneurysms ye-thorac ihlala ene-complex anatomy kwaye ithambekele ngokuphindaphindiweyo ukubandakanya izakhiwo ezibalulekileyo ezijikelezayo ezifana ne- aortic valve , imithwalo yegazi enkulu enika ingqondo, iintlobo ezahlukeneyo kunye ne-airways.
Isigqibo sokuba kwenziwe utyando lwe-aneurysm ye-thoracic incike kwii-size kuphela kunye nezinga lokukhula kwe-aneurysm; Kwakhona kuxhomekeke kwiziphi ezinye izakhiwo ezichaphazelekayo esifubeni.
Ngenxa yoko, xa i-aortic eneerysysm ene-thoracic i-aneurysm ikhunjulwa, mhlawumbi i-CT scan okanye imfundo ye- MRI ivame ukuqhutyelwa ngenxa yokuba ezi zifundo zibonisa iinkcukacha ezininzi ze-anatomic kunokufunda i-ultrasound. Ukuba kukho iimfuno eziliqela ezifunekayo ngexesha lokunceda ukugweba ixesha elifanelekileyo lokuhlinzwa, i-MRI isetyenziselwa endaweni yokujonga i-CT, ekubeni i-MRI ayifuni i-radiation.
Ukuhlola
Kwi-Aortic Aneurysms
Ngokuqhelekileyo ingxaki ebangela ukuba ingxaki yokuqala umntu ayenayo nge-aortic aneurysm esiswini isifo sempawu zokuphazamiseka. Ngenxa yoko, ukuphonononga ngokusebenzisa i-ultrasound ngamanye amaxesha kunconywa kubantu abangenazo iimpawu, kodwa ngubani na ogwetywa ukuba ngumngcipheko ophezulu we-aortic aneurysm.
Uvavanyo lokuhlola i-ultrasound ye-aneurysm esiswini lomzimba lucetyiswa ngokubanzi kubantu abalandelayo:
- Abantu abanesisindo se-pulsatile esiswini kwiimviwo zomzimba.
- Amadoda angaphezu kweminyaka engama-65 ubudala abanomlando wokutshaya.
- Amadoda okanye amabhinqa angaphezu kweminyaka engama-65 ubudala abanesondlo esondeleyo abafuna ukuhlinzwa, okanye bafa ngenxa yokuphulukana, ne-aortic aneurysm esiswini.
Ngama-Aneurysms e-Thoracic Aortic
I-aurtic aneurysms ezinamaTrarac zivame ukufunyanwa ngokuqhelekileyo, nokuba zikho ngexesha le-X-ray esifubeni okanye ngexesha lokufunda i- cardiac ultrasound . Ukuba i-aractic aneurism i-thoracic aneurism ifunyenwe ngale ndlela, kufuneka kwenziwe isifundo se-CT okanye i-MRI esifubeni ukuqinisekisa ukuxilongwa nokucacisa ubungakanani be-aneurysm.
Kweminye imingcipheko ephezulu, ukuhlolwa kweemviwo kufuneka kuthathelwe ingqalelo ngokukodwa ukukhangela i-aortic aneurysm ye-thoracic, ngokuqhelekileyo nge-CT scan okanye i-MRI. Izibonakaliso zezifundo zokuhlola ezibandakanya abantu:
- Marfan syndrome
- I-arteritis yaseTataasu
- I-Turner syndrome
- I-valorpid aortic valve
- Izihlobo zokuqala zabantu abaye bafumana i-aortic eneurysm ene-thoracic ecinga ukuba ivela kwimvelo
Ukuba i-aneurysm esiswini esiswini okanye i-aortic aneurysm ifunyaniswa nesifundo sokuhlola, kwaye kuqinisekiswe ukuba ukuhlinzwa kwangaphambili akudingekile, ukuhlolwa okufutshane kunye nokuhlolwa kwakhona ngezihlandlo ngezifundo zengcinga kufuneka kwenziwe ukwenzela ukukhusela ukuphuka okanye ezinye iingxaki.
> Imithombo:
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