I-Aneurysm

I-aneurysm ukunwetshwa okungajwayelekile noma ukubhaliswa kwengxenye yomthambo ngenxa yobuthakathaka odongeni lomthambo wegazi.

Akucaci kahle ukuthi yini ebangela ama-aneurysms. Amanye ama-aneurysms akhona lapho ezalwa (azalwa naso). Amaphutha kwezinye izingxenye zodonga lomthambo kungaba yimbangela.

Izindawo ezivamile zama-aneurysms zifaka:

• Umthambo omkhulu osuka enhliziyweni njenge-aorta yesifuba noma yesisu
• Ubuchopho (i-aneurysm yobuchopho)
• Ngemuva kwedolo emlenzeni (i-popliteal artery aneurysm)
• Amathumbu (mesenteric artery aneurysm)
• Umthambo ku-spleen (i-splenic artery aneurysm)

Umfutho wegazi ophakeme, i-cholesterol ephezulu nokubhema ugwayi kungaphakamisa ubungozi bakho ezinhlotsheni ezithile zama-aneurysms. Umfutho wegazi ophakeme kucatshangwa ukuthi udlala indima kuma-aortic aneurysms esiswini. Isifo se-atherosclerotic (i-cholesterol buildup emithanjeni) nakho kungaholela ekwakhekeni kwama-aneurysms athile. Izinhlobo ezithile zofuzo noma izimo ezifana ne-fibromuscular dysplasia zingaholela kuma-aneurysms.

Ukukhulelwa kuvame ukuxhunyaniswa nokwakheka nokuqhekeka kwama-aneurysms we-splenic artery.

Izimpawu zincike lapho i-aneurysm itholakala khona. Uma i-aneurysm yenzeka eduze kobuso bomzimba, ubuhlungu nokuvuvukala ngesigaxa esivuzayo kuyabonakala.

Ama -neurysms emzimbeni noma ebuchosheni kaningi abanga zimpawu. Ama -neurysms ebuchosheni angakhula ngaphandle kokuvula (ukuqhekeka). I-aneurysm enwetshiwe ingacindezela emithanjeni futhi ibangele ukubona kabili, isiyezi, noma ikhanda. Amanye ama-aneurysms angadala ukukhala ezindlebeni.

Uma i-aneurysm iqhuma, ubuhlungu, umfutho wegazi ophansi, ukushaya kwenhliziyo okusheshayo, kanye nekhanda elikhanyayo kungenzeka. Lapho i-aneurysm yobuchopho iqhuma, kuba nekhanda elibuhlungu ngokuzumayo abanye abantu abathi "yikhanda elibi kakhulu empilweni yami." Ubungozi bokuquleka noma bokufa ngemuva kokuqhekeka bukhulu.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba.

Ukuhlolwa okusetshenziselwa ukuxilonga i-aneurysm kufaka:

• Iskena se-CT
• I-CT angiogram
• I-MRI
• MRA
• I-Ultrasound
• I-Angiogram

Ukwelashwa kuya ngosayizi nendawo ye-aneurysm. Umhlinzeki wakho angancoma kuphela ukuhlolwa okujwayelekile ukubona ukuthi i-aneurysm iyakhula yini.

Ukuhlinzwa kungenziwa. Uhlobo lokuhlinzwa olwenziwe nalapho uludinga luncike kwizimpawu zakho nosayizi nohlobo lwe-aneurysm.

Ukuhlinzwa kungabandakanya ukusika okukhulu (okuvulekile) kokuhlinzwa. Kwesinye isikhathi, kwenziwa inqubo ebizwa nge-endovascular embolization. Amakhoyili noma ama-stents ensimbi afakwa kwi-aneurysm yobuchopho ukwenza i-aneurysm ihlume. Lokhu kunciphisa ubungozi bokuqhekeka ngenkathi kugcina umthambo uvulekile. Amanye ama-aneurysms obuchopho angadinga ukuthi abekwe isiqeshana kuwo ukuze awavale futhi avimbele ukuqhekeka.

Ama-Aneurysms we-aorta angaqiniswa ngokuhlinzwa ukuze kuqiniswe udonga lomthambo wegazi.

Shayela umhlinzeki wakho uma uhlakulela isigaxa emzimbeni wakho, noma ngabe kubuhlungu futhi kuyaphazamisa noma cha.

Nge-aneurysm ye-aortic, iya egumbini lezimo eziphuthumayo noma ushayele ku-911 noma inombolo ephuthumayo yendawo uma unezinhlungu esiswini noma emhlane esibi kakhulu noma esingapheli.

Nge-aneurysm yobuchopho, iya egumbini lezimo eziphuthumayo noma ushayele ku-911 noma inombolo ephuthumayo yendawo uma unekhanda elingalindelekile noma elibuhlungu, ikakhulukazi uma unesicanucanu, ukuhlanza, ukuquleka, noma esinye isibonakaliso sesistimu yezinzwa.

Uma kutholakala ukuthi une-aneurysm engazange yophe, kuzodingeka uhlolwe njalo ukuthola ukuthi ikhula ngosayizi.

Ukulawula umfutho wegazi ophakeme kungasiza ukuvimbela ama-aneurysms athile. Landela ukudla okunempilo, zivocavoca njalo, futhi ugcine i-cholesterol yakho isezingeni eliphilile futhi ukusiza ukuvimbela ama-aneurysms noma izinkinga zawo.

Ungabhemi. Uma ubhema, ukuyeka kuzonciphisa ingozi yokuba ne-aneurysm.

I-Aneurysm - umthambo we-splenic; I-Aneurysm - umthambo we-popliteal; I-Aneurysm - umthambo we-mesenteric

• I-cerebral aneurysm
• I-aortic aneurysm
• Ukopha kwe-Intracerebellar - i-CT scan

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UCheng CC, Cheema F, Fankhauser G, Silva MB. Isifo semithambo yegazi. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 62.

ULawrence PF, uRigberg DA. Ama-arterial aneurysms: i-etiology, i-epidemiology, nomlando wemvelo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 69.