Injongo ye-aortic inerysm unyango kukukhusela ukuphuka (ukugqabhuka) kwesitya segazi. Indlela yodwa yokuthintela ukuphuka kukukhethiweyo (kucetywayo kwangaphambili) inkqubo yokuhlinzwa. Akunjalo wonke umntu onesi-aortic aneurysm udinga ukuhlinzwa, kwaye ngamanye amaxesha, ukubeka iliso ngenyameko kuyindlela efanelekileyo kunye nekhuselekileyo.
Ukunyangwa kwe-aortic aneurysm ephukile yimeko engxamisekileyo engenakucetywa kwangaphambili.
I-aurtic aneurysm ephuliweyo yinto ebulalayo xa ingaphathwa ngokukhawuleza. Ngona unyango olungcono, izinga lokufa liphezulu kakhulu.
IziPhulo zaseKhaya kunye nokuPhila
Kukho uhlobo olulodwa lokuphila oluye lwabonakaliswa ukuba lunempembelelo kwi-aortic aneurysms, kwaye oko kutshaya. Oku kuthetha ukuba ukuba une-aneurysm ye-aortic kwaye uyabhema, ukuyeka ukuphela kwekhambi lekhaya ongayifumana.
- Yeka ukubhema: Ukubhema kuyona nto inomngcipheko onamandla kwi-aortic aneurysm, kwaye abantu abanesifo se-aortic abanesifo esiphezulu kakhulu xa beqhubeka bebhema.
Imigaqo
Ukulawulwa kwengcinezelo ephezulu yegazi yindlela kuphela ekwazi ukunciphisa umngcipheko wokuphuka xa unesi-aneurysm ye-aortic, kwaye le nto ayibonakali kakhulu njengeqhinga lokuthintela.
- Amachiza antsholongwane okhuselekileyo: Ukuba une-aneurysm ye-aortic, uxinzelelo lwengqondo luyakwenza lube nzima. Kukho inani lamachiza asebenzayo aphethe unyango lwegazi .
Ukuhlinzwa
Abantu abaninzi abane-aneurysms kufuneka bafumane ukulungiswa okukhethiweyo ukukhusela ukubola. Isigqibo malunga nokuba ufuna ukulungiswa sisisombululo esiyinkimbinkimbi kwaye senziwe ngabanye. Ukuba i-aortic aneurysm yakho inkulu, xa ikhula ngokukhawuleza, okanye ukuba ibangela ubuhlungu besisu okanye isisu, ukulungiswa kokucoca kunokucetyiswa kakhulu.
U kutyanda
Umgangatho oqhelekileyo, ukulungiswa kwe-aortic eneurysm evulekileyo yindlela yokuhlinzwa ephambili, eyenziwa phantsi kwe-anesthesia jikelele. Utyando ludinga ukudibanisa ixesha elide, ukusuka kwiphepha lesifuba ukuya kwindawo ye-pubic. Emva kokufumana i-aneurysm, ugqirha ugqirha i- aorta ukuvala ukuhamba kwegazi, nokulungisa i-aneurysm. I-aorta ilungiswa ngokufaka i-graft yokwenziwa komsebenzi ukuze ithathe indawo yerhafu ekhutshiwe.
Ixesha lokubambisana lisoloko lilukhuni kwaye, ngokubanzi, lifuna ukuhlala esibhedlele ubuncinane ngeveki. Ukugqiba ngokuqhelekileyo kuthatha iinyanga ezintathu ukuya ezintandathu. Ngokuxhomekeka kwezinye iimeko zonyango, kunye nendawo ethile ye-aneurysm yakho, iingxaki ezinzulu ezibandakanya iintso, amathumbu, imilenze, intliziyo kunye nemiphunga kunokwenzeka.
UkuLungiswa kwe-Endograft
Ukulungiswa kwe-endograft enye indlela yokulungisa i-aortic eneurysm.
I-endograft yintsimbi ehlanganiswe yombumba efakwe yintambo ekhethekileyo (ityhubhu). Ngokuqhelekileyo ifakwe kwisitya somfazi, isitya esikhulu segazi kwindawo yokuhluma. I-endograft iqhubele phambili kwisayithi ye-aneurysm kwaye isetyenziselwa ukubonelela indlela entsha yokuhamba kwegazi. Ngale nkqubo, i-aneorysm ye-aortic ayinakucatshulwa.
Liye lahlukana negazi eligeleza ngaphakathi kwe-aorta. Ngenxa yokuba i-aneurysm ayisekho kwi-flow flow, i-rhythm ayikho ingozi.
Ngokubanzi, ukulungiswa kwe-endograft kunconywa kubantu abaninzi abane-aneurysms. Nangona kunjalo, ngokuxhomekeke kwimeko yakho yezobuganga, ukulungiswa kokuphela kwendawo kungenza okanye akunakukhetha.
Iingxaki zokuhlinzwa ngokuqhelekileyo zivame ukuvela emva kwexesha emva kokusebenza, ngelixa iingxaki kunye nokulungiswa kwe-endograft kudla ukuba kwenzeke kamva.
Iingxaki zokulungisa i-endograft zingaquka:
- I-Endoleak: Ukuhamba kwegazi kwi-aortic aneurysm ngokwayo ayinqunywanga ngokupheleleyo yi-endograft, ngoko i-aortic aneurysm ingaqhubeka isanda, kwaye iyakwazi ukuphuka.
- Ukufuduka kweedivaysi: Le ngxaki apho i-endograft ishintshela isikhundla sayo ngaphakathi kwe-aorta ngethuba elithile emva kwenkqubo yokuhlinzwa. Ukufuduka kweedivaysi, okuye kwabonwa kwi-10% yezigulane emva kokulungiswa kokugqibela kwimiba ethile, kungabangela iingxaki ezinzulu, kubandakanya ukuphuka kwe-aortic aneurysm, ngaphandle kokuba iphathwa.
Uphulo oluphuthumayo lweRuptured Aortic Aneurysm
Ukuba une-aneurysm ephukile, kuya kufuneka ufonele 911 ngolondolozo lwengxamiseko. Awukwazi ukuthatha naliphi na ixesha ukulilinda okanye uqwalasele ukuba ungabiza uncedo, kuba zonke izihlandlo zokulibaziseka zandisa amathuba okufa.
Kanye emva kokuphefumula kwe-aortic aneurysm, unyango kunye nokunyamekela kugxininiso ekulawuleni iingxaki zokusongela ubomi, kwakunye nokulungiswa kwe-aortic aneurysm.
Ukuba wena okanye umntu obathandayo ufumana i-aortic aneurysm, uya kufuneka:
- Ukulungiswa kwe-aortic eneerysm
- Ukuzinza kwenhliziyo
- Ukulawulwa kwelahleko yegazi
- Ukulawulwa kokulahlekelwa / ukuphelelwa amanzi emzimbeni
- Ukulawulwa kwemisebenzi yengqondo
- Uphulo oluphuthumayo lomonakalo womzimba wokugqibela, owonakalisa kunoma yiphi na izitho zakho ezingabangela ukulahleka kwegazi kunye nokutshitshiswa kwe-aortic aneurysm
> Imithombo:
> UFukui T. Ulawulo lwe-aortic dissection kunye ne-thoracic aortic rupture. J Inkathalo enzulu. Ngo-2018 uMar 1; 6: 15. i-doi: 10.1186 / s40560-018-0287-7. eCollection 2018.
> Stiru O, Geana RC, Pavel P, et al. Ukuhlaselwa kweTraracic Aortic Aneurysm Ukukhupha Ukuphathwa nge-Thoracic Endovascular AorticKuphazamiseka kwiMonde kunye nePheripheral Artery Disease. IQonga leNgcaciso yeNhliziyo. 2018 uMatshi 20; 21 (2): E112-E116. i-doi: 10.1532 / hsf.1895.
> Zabrocki L, uMarquardt F, uAlbrecht K, uHerget-Rosenthal S. Ukulimala kweengqondo emva kwe-aortic eneurysm yokulungisa: i-epidemiology yangoku kunye nokukhusela. Int Urol Nephrol. 2018 Feb; 50 (2): 331-337. i-doi: 10.1007 / s11255-017-1767-8. Epub 2017 Dec 11.