Ukulungiswa kwe-aneurysm yobuchopho - ukukhipha

Ubune-aneurysm yobuchopho. I-aneurysm yindawo ebuthakathaka odongeni lomthambo wegazi ophuma noma uphume ngamabhaluni. Lapho nje ifinyelela usayizi othile, inethuba eliphezulu lokuqhuma. Ingavuza igazi ebusweni bengqondo. Lokhu kubizwa nangokuthi i-subarachnoid hemorrhage. Kwesinye isikhathi ukopha kungenzeka ngaphakathi kobuchopho.

Uhlinzwe ukuvimbela i-aneurysm ekuphumeni kwegazi noma ukwelapha i-aneurysm ngemuva kokuthi yophe. Ngemuva kokuya ekhaya, landela imiyalo yomhlinzeki wakho wezokunakekelwa kwempilo yokuthi ungazinakekela kanjani. Sebenzisa imininingwane engezansi njengesikhumbuzo.

Kungenzeka ukuthi unolunye lwezinhlobo ezimbili zokuhlinzwa:

• Vula i-craniotomy, lapho udokotela evula khona ugebhezi lwakho ukubeka isiqeshana entanyeni ye-aneurysm.
• Ukulungiswa kwe-endovascular, lapho udokotela ehlinzela ezindaweni zomzimba wakho ngomthambo wegazi.

Uma ngabe wopha ngaphambi, ngesikhathi, noma ngemuva kokuhlinzwa ungaba nezinkinga zesikhashana noma zesikhathi eside. Lokhu kungaba mnene noma kube nzima. Kubantu abaningi, lezi zinkinga ziba ngcono ngokuhamba kwesikhathi.

Ukube ubunohlobo lokuhlinzwa unga:

• Zizwe udabukile, uthukuthele, noma wethuke kakhulu. Lokhu kujwayelekile.
• Ngike ngaquleka futhi ngizothatha umuthi ukuvikela omunye.
• Yiba nekhanda elingaqhubeka isikhashana. Lokhu kuvamile.

Yini ongayilindela ngemuva kwe-craniotomy nokubekwa kwesiqeshana:

• Kuzothatha amasonto amathathu kuya kwayisithupha ukuthola kabusha ngokugcwele. Uma ngabe wopha kwi-aneurysm yakho lokhu kungathatha isikhathi eside. Ungazizwa ukhathele kuze kube amasonto ayi-12 noma ngaphezulu.
• Uma ngabe unesifo sohlangothi noma ukulimala ebuchosheni ngenxa yokopha, ungaba nezinkinga ezihlala njalo ezinjengenkinga yokukhuluma noma ukucabanga, ubuthakathaka bemisipha, noma ukuba ndikindiki.
• Izinkinga ngememori yakho zivamile, kepha lezi zingathuthuka.
• Ungazizwa unesiyezi noma udidekile, noma ukukhuluma kwakho kungahle kungabi okujwayelekile ngemuva kokuhlinzwa. Uma ungenalo ukopha, lezi zinkinga kufanele zibe ngcono.

Ongakulindela ngemuva kokulungiswa kwe-endovascular:

• Ungaba nobuhlungu endaweni yakho yokububula.
• Ungahle ube nokulimala okuzungezile nangaphansi kwesimbobo.

Ungakwazi ukuqala imisebenzi yansuku zonke, njengokushayela imoto, kungakapheli isonto elilodwa noma amabili uma ungenalo ukopha. Buza umhlinzeki wakho ukuthi yimiphi imisebenzi yansuku zonke ephephile ukuthi ungayenza.

Yenza izinhlelo zokuba nosizo ekhaya ngenkathi ululama.

Landela indlela yokuphila enempilo, efana nale:

• Uma unomfutho wegazi ophezulu, wugcine ulawulwa. Qiniseka ukuthi uthatha imithi umhlinzeki wakho akubekele yona.
• Ungabhemi.
• Buza umhlinzeki wakho ukuthi kulungile yini ukuphuza utshwala.
• Buza umhlinzeki wakho uma KULUNGILE ukuthi uqale ukwenza ucansi.

Thatha umuthi wakho wokuquleka uma kukhona obunikezwe wona. Ungathunyelwa kuchwepheshe wenkulumo, owomzimba, noma owasemsebenzini ukukusiza ululame kunoma yikuphi ukulimala kobuchopho.

Uma udokotela efaka ipayipi lokufaka ipayipi ngokusebenzisa umgogodla wakho (ukuhlinzekwa kwemithambo yegazi), kulungile ukuhamba amabanga amafushane endaweni eyisicaba. Nciphisa izitebhisi ezinyukayo nezikhuphukayo ukuya cishe izikhathi ezimbili ngosuku izinsuku ezimbili kuya kwezingu-3. Musa ukwenza umsebenzi wegceke, ukushayela, noma ukudlala imidlalo kuze kube yilapho udokotela wakho ethi kulungile ukwenza kanjalo.

Umhlinzeki wakho uzokutshela ukuthi ukugqoka kwakho kufanele kushintshwe nini. Ungagezi noma ubhukude isonto elilodwa.

Uma unegazi elincane elisikiwe, lala phansi ubeke ingcindezi lapho kuphuma khona igazi imizuzu engama-30.

Qiniseka ukuthi uyayiqonda noma imiphi imiyalo mayelana nokuthatha imishanguzo efana nezinciphisi zegazi (ama-anticoagulants), ama-aspirin, noma ama-NSAID, njenge-ibuprofen ne-naproxen.

Qiniseka ukuthi uyalandela nehhovisi likadokotela wakho ohlinzayo kungakapheli amasonto ama-2 ukhishiwe esibhedlela.

Buza udokotela wakho ohlinzayo uma udinga ukulandelwa kwesikhathi eside nokuhlolwa, kufaka phakathi ama-CT scan, ama-MRIs, noma ama-angiograms ekhanda lakho.

Uma ngabe ubekwe i-cerebral spinal fluid (CSF) shunt, uzodinga ukulandelwa okujwayelekile ukuze uqiniseke ukuthi kusebenza kahle.

Shayela udokotela wakho ohlinzayo uma une:

• Ikhanda elibuhlungu noma ikhanda elibi kakhulu futhi uzizwa unesiyezi
• Intamo eqinile
• Isicanucanu nokuhlanza
• Ubuhlungu bamehlo
• Izinkinga ngokubona kwakho (kusuka ebumpumputhe kuya ezinkingeni zombono wokubuka kuya kumbono ophindwe kabili)
• Izinkinga zokukhuluma
• Izinkinga zokucabanga noma ukuqonda
• Izinkinga ukuqaphela izinto eziseduze kwakho
• Izinguquko ekuziphatheni kwakho
• Zizwe ubuthakathaka noma ulahlekelwe ukwazi
• Ukulahlekelwa ibhalansi noma ukuxhumanisa noma ukulahlekelwa ukusetshenziswa kwemisipha
• Ubuthakathaka noma ukuba ndikindiki kwengalo, umlenze, noma ubuso bakho

Futhi, shayela udokotela wakho ohlinzayo uma une:

• Ukopha endaweni yokuqhekeza engapheli ngemuva kokufaka ingcindezi
• Ingalo noma umlenze oguqula umbala, uphole lapho uthinta, noma uba ndikindiki
• Ukubomvu, ubuhlungu, noma ukuphuma okuphuzi noma okuluhlaza ngaphakathi noma eduze nendawo yokuqhekeza
• Umkhuhlane ophakeme kuno-101 ° F (38.3 ° C) noma amakhaza

Ukulungiswa kwe-aneurysm - i-cerebral - ukuphuma; Ukulungiswa kwe-cerebral aneurysm - ukukhipha; Ukugoqa - ukukhipha; Ukulungiswa kwe-sac aneurysm - ukukhipha; Ukulungiswa kwe-Berry aneurysm - ukukhipha; Ukulungiswa kwe-Fusiform aneurysm - ukukhishwa; Ukukhipha ukukhishwa kwe-aneurysm - ukukhipha; Ukulungiswa kwe-endovascular aneurysm - ukukhipha; Ukuqhafaza i-aneurysm - ukukhipha

I-Bowles E. Cerebral aneurysm kanye ne-aneurysmal subarachnoid haemorrhage. Isitendi Sabahlengikazi. 2014; 28 (34): 52-59. I-PMID: 24749614 pubmed.ncbi.nlm.nih.gov/24749614/.

UConnolly ES Jr, uRabinstein AA, uCarhuapoma JR, et al. Imihlahlandlela yokuphathwa kwe-aneurysmal subarachnoid hemorrhage: umhlahlandlela wabasebenzi bezempilo abavela e-American Heart Association / American Stroke Association. Unhlangothi. 2012; 43 (6): 1711-1737. I-PMID: 22556195 pubmed.ncbi.nlm.nih.gov/22556195/.

Endovascular Today iwebhusayithi. Reade uDe Leacy, MD, FRANZCR; IGal Yaniv, MD, PhD; noKambiz Nael, MD. Ukulandelwa KweCerebral Aneurysm: Amazinga Ashintshe Kanjani futhi Kungani. Umbono ngobuningi bokulandelwa okulungile kanye nohlobo lwe-imaging modality lwama-aneurysms aphethwe we-cerebral. Februwari 2019. evtoday.com/articles/2019-feb/cerebral-aneurysm-follow-up-how-standards-have-changed-and-why. Kufinyelelwe ngo-Okthoba 6, 2020.

USzeder V, uTateshima S, uDuckwiler GR. Ama-aneurysms we-Intracranial kanye ne-subarachnoid hemorrhage. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 67.

• I-Aneurysm ebuchosheni
• Ukulungiswa kwe-aneurysm yobuchopho
• Ukuhlinzwa kobuchopho
• Ukululama ngemuva kokushaywa unhlangothi
• Ukuquleka
• Unhlangothi
• Amathiphu wokuthi ungakuyeka kanjani ukubhema

• Ukuhlinzwa kobuchopho - ukukhishwa
• Ukuxhumana nomuntu one-aphasia

• Ubuchopho be-Aneurysm