Ukuhlukana kwe-aortic nge-aurtic yinkathazo yonyango. Phantse iipesenti ezingama-80 zalabo abafumana i-aortic aneurysm ephukile abahlali. Ukuthintela i-aortic aneurysms kusekelwe ekuguquleni indlela yokuphila. Ukuthintela i-aortic aneurysm ukuphuka kudinga ukuhlolwa kunye, mhlawumbi, ukungenelela kwongxamiseko ukulungisa i-aneurysm.
Indlela yokuphila
Imiba engozini, njengembali yentsapho kunye nesini, ayikwazi ukulawulwa.
Eminye yemingcipheko ye-aortic aneurysm kunye ne-aortic aneurysm ukuhlukana ingaguquleka ngeendlela zokunciphisa umngcipheko wakho wokuphuhlisa i-aortic aneurysm okanye ukufumana ukuphuka kwe-aneurysm ukuba sele unayo.
I-aortic aneurysm, i-bulge kwi-aorta, ingaqulunqa ngenxa yesifo esasisigxina se-vascular (isifo sesitya segazi). Isifo se-Vascular sibonakaliswa bubuthathaka, ukuvutha kunye ne-atherosclerosis (ukuqina nokuqina) kwemithambo yegazi, kuquka i-aorta. Ukuguqula indlela yokuphila kunokunciphisa amathuba akho okuphuhlisa ezi ngxaki.
Ukukhusela i-Aortic Aneurysm ekuphuhliseni
Ngokubanzi, ukutshaya yindlela yokuphila ehambelana kakhulu nokuphuhliswa kwama-aortic aneurysms. Ezinye izinto zinokunyusa umngcipheko kwakhona , kodwa unxibelelwano alunzima.
- Yeka ukubhema: Ukubhema kuyinkalo ebangela ingozi yokuphuhlisa i-aortic aneurysm. Ukuba utshaya, usemngciphekweni omkhulu wokuphucula izifo zesifo se-vascular. Ngokude uqhubeka utshaya, izifo zakho zesifo se-vascular ziya kuba zibi. Amayeza enjongo yokunciphisa ubunzima besifo se-vascular asinamandla ngokwaneleyo ukulwa nemiphumo yokutshaya xa uqhubeka utshaya.
- Gcina ukutya okunempilo: Ukutya kwakho kunempembelelo kwingcipheko ye-atherosclerosis, okwenza ube neengxaki zokuphuhlisa i-aortic aneurysm. Ukutya okuphezulu kumafutha atshintshe, amafutha afunyanwa ngokuqhelekileyo ekudleni okuthosiweyo, anokubeka kwisengozini esiphezulu sokuphuhlisa izifo ze-vascular.
- Ukuzivocavoca rhoqo: Ukuzivocavoca kuboniswe ukunciphisa amafutha anobungozi emzimbeni wakho, nokuphakamisa izinga lempilo enempilo. Oku kunciphisa umngcipheko wakho wokuphuhlisa isifo se-vascular esichasene ne-aortic aneurysms.
- Uxinzelelo lolawulo: Ukuxinezeleka yinto ebangela ukuba uxinzelelo lwegazi lwegazi, oluye lukhokelela kwisifo se-vascular. Ngoxa uxinzelelo aluyilo lugxininiso kwiintlobo zesifo se-vascular, kubantu abathile, luyasondeza eso sifo, kubangele impembelelo embi kwimpilo. Izicwangciso zokulawula uxinzelelo zihluka ngokubanzi, kodwa zinokusebenza kakuhle, kwaye zibandakanya ukufunda, ukucinga, ukucamngca, ukwenza izinto zokomoya, ukuhlalisana nokuhlaziywa kwengqondo.
Ukukhusela i-Aortic Aneurysm Ukukhutshwa
Ukuba usunayo i-aneurysm ye-aorti, ukuyikhusela ukukhupha kubaluleke kakhulu. Ukuguqulwa kwendlela yokuphila yasekhaya akukwazi ukukhusela i-aneurysm ekukhupheleni. Into ebaluleke kakhulu ongayenza ukukhusela i-aortic aneurysm ukusuka kwi-rupturing kukufumana unonophelo lwengonyango. Uninzi lwe-aortic aneurysms alubangele iimpawu, ngoko ukuhlolisisa kunye nokuhlolwa rhoqo kwezonyango kukunika ithuba lokuxilongwa kwangoko.
Imigaqo
Ukuba uneemeko zonyango, ezifana noxinzelelo lwegazi oluphezulu kunye ne-atherosclerosis, ehamba phambili kwi-aortic aneurysms, unyango lwemiqathango lunokunciphisa amathuba okuphuhlisa i-aortic aneurysm.
- Kukho iintlobo ezahlukeneyo zemishanguzo enesifo esiphezulu esetyenziswa ukunciphisa uxinzelelo lwegazi. Kukho iinkalo ezininzi, ngaphezu kweengcinezelo zegazi lakho, ukuba ugqirha wakho ubona xa ukhetha imishanguzo efanelekileyo yokuxhatshazwa kwegazi, kuquka intliziyo yakho kunye nomsebenzi wento.
- I-Angiotensin receptor blockers (ARBs) kunye ne-angiotensin-yokuguqula i-enzyme (ACE) inhibitors, imithi yeengqondo ezithintela amandla emithambo yegazi ukuba ihlaziye (ivule), iboniswe ukuphuculwa kwengozi ye-aorta, eyinokuthi ikhuphe ukukhuphuka kwe-aortic aneurysm.
- Izitatimende, iklasi leyeza elisebenzisayo ukunciphisa i-cholesterol, ibonakala ukunciphisa ukukhula kwama-aortic aneurysms kancane.
- Uphando lubonisa ukuba ezinye i-antibiotics, ezifana ne-doxycycline, inokuvimbela ukukhula kwe-aneurysm. Iintsholongwane zineenzuzo ezininzi, kodwa ukuzisebenzisa ixesha elide liyakwenza ube mngcipheko wokuchasana ne-antibiotic, okwenza kube nzima ukuba uphathwe ngokufanelekileyo ngentsholongwane yebhaktheriya ukuba uphuhliso lwakho. Inani elincinci, izifundo zangaphambili zivelise iziphumo ezikhuthazayo ngokwemiphumo yendlela yokusebenzisa i-antibiotics kwi-aortic aneurysms, kodwa iinjongo ezininzi zisadingeka.
UkuHlola nokuPhepha
Kulinganiselwa ukuba ama-300,000 aseMelika ayifumananga ne-aortic aneurysms, ezisoloko zincinane kwaye zingabangeli naziphi na iimpawu. Iimvavanyo zovavanyo zinganconywa ngokusekelwe kumngcipheko. Ukulungiswa kwe-aneurysm ye-aortic engazange iphule i-aneurysms idla ngokuyimfuneko ukunciphisa umngcipheko wokuphuka.
Ukuhlola
Ngokuqhelekileyo, ii- aneurysms ezincinci zifunyanwe ngexesha loviwo lomzimba okanye ngexesha lokuvavanya kwesinye isimo. I-US Preventative Services Task Force ikhuthaza ukunconywa kwe-ultrasound kubantu abaphakathi kweminyaka engama-65 ukuya ku-75 abaye babhema. Ukuhlolwa kwenkcazelo, ejoliswe kwimbali yonyango kunye nolunye uphando lwezemvelo, Kunconywa ukuba amadoda angakaze atshe kunye nabo bonke abafazi.
UkuPhepha okanye ukuPhelelwa kweNdalo
Kunconywa ukuba i-aortic aneurysms ezikhulu kunama-5 ukuya ku-5.5 cm ububanzi okanye obonisa ubungqina bokukhula, kufuneka zilungiswe. Isizathu salokhu kukuba kukho umngcipheko omkhulu wokuphuka xa i-aneurysm inkulu ngobukhulu.
UkuGadwa kweMil
Ukuba unesi-aneurysm encinci, okanye ukuba une-aneurysm enkulu kodwa imeko yakho yezobugqirha yenza utyando olungumngcipheko omkhulu, iqela lakho lezonyango linokugqiba isigqibo sokuba kukulungele ukugcina kakuhle i-aortic aneurysm. Oogqirha bakho banokukucwangcisa iimviwo eziqhelekileyo, ukujonga iimpawu zakho kunye nokubeka esweni ukuba i-aortic aneurysm yakho ingafunyanwa ngokuhlolwa kwangokwenyama. Kusenokwenzeka ukuba ufumane ama-ultrasound aphindaphindiweyo ukulandela naluphi na ukukhula okanye utshintsho kwindawo okanye ukubonakala kwe-aneurysm yakho, kwaye ukhangele ukuphahla.
Ukuba uhlakulela nayiphina impawu ngexesha le-aneurysm yakho ihlolwe ngonyango, kufuneka uqhagamshelane nodokotela wakho ngokukhawuleza.
> Imithombo:
> Jacomelli J, Summers L, Stevenson A, Lees T, Earnshaw JJ. Ukuhlaziywa kokuthintela ukufa kwi-aneurysm esiswini esiswini. J Med Screen. 2017 Sep; 24 (3): 166-168. i-doi: 10.1177 / 0969141316667409. Epub 2016 Oktobha 10.
> Tsuyuki Y, Matsushita S, Dohi S, et al. Izinto ezinokuguqulwa kwesayizi kwesikhwama se-aortic aneurysm esiswini emva kokulungiswa kwe-endovascular. U-Ann Thorac Cardiovasc Surg. 2014; 20 (6): 1016-20. i-doi: 10.5761 / atcs.oa.13-00185. Epub 2014 Feb 4.
> Weiss N, Rodionov RN, Mahlmann A. Ulawulo lwezonyango ze-aortic ezineurysms. Vasa. 2014 Nov; 43 (6): 415-21. i-doi: 10.1024 / 0301-1526 / a000388.