I-cereural aneurysm: kuyini, izimpawu, izimbangela nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingenzeka ze-aneurysm
• Yelashwa kanjani
• 1. I-Aneurysm ayidabuki
• 2. I-aneurysm edabukile
• I-sequelae engenzeka ye-aneurysm

I-aneurysm ye-cerebral ukunwetshwa komunye wemithambo yegazi ehambisa igazi liye ebuchosheni. Uma lokhu kwenzeka, ingxenye ehlanziwe imvamisa iba nodonga oluncane futhi, ngakho-ke, kunengozi enkulu yokuqhekeka. Lapho i-aneurysm yobuchopho iqhuma, idala isifo sohlangothi, esingaba sikhulu noma sincane, kuya ngosayizi wokopha.

Ezimweni eziningi, i-cerebral aneurysm ayibangeli zimpawu futhi, ngakho-ke, ivame ukutholakala kuphela lapho yephuka, ibangela ikhanda elibuhlungu kakhulu elingavela ngokuzumayo noma elanda ngokuhamba kwesikhathi. Umuzwa wokuthi ikhanda liyashisa nokuthi kukhona 'ukuvuza' nokuthi kubonakala sengathi igazi selisabalele liyenzeka nakwabanye abantu.

I-cereural aneurysm ingelapheka ngokuhlinzwa, kepha ngokujwayelekile, udokotela ukhetha ukuncoma ukwelashwa okusiza ukulawula umfutho wegazi, ngokwesibonelo, ukunciphisa amathuba okuphuka. Ukuhlinzwa kusetshenziswa kaningi emacaleni ama-aneurysms asevele aqhekekile, kepha futhi kungakhonjiswa ukwelapha ama-aneurysms athile, kuya ngendawo nosayizi.

Izimpawu eziyinhloko

I-cereural aneurysm imvamisa ayibangeli zimpawu, ukukhonjwa ngephutha ekuhlolweni kokuxilongwa ekhanda noma lapho iqhuma. Kodwa-ke, abanye abantu abane-aneurysms bangathola izimpawu ezifana nobuhlungu obungapheli ngemuva kweso, abafundi abahlanjululwayo, ukubona kabili noma ukugcoba ebusweni.

Okuvame kakhulu ukuthi izimpawu zibonakala kuphela lapho i-aneurysm idabuka noma ivuza. Ezimweni ezinjalo izimpawu zifana nalezo zesifo sohlangothi futhi zifaka:

• Ikhanda elibuhlungu kakhulu nelizumayo, elibuhlungu ngokuhamba kwesikhathi;
• Isicanucanu nokuhlanza;
• Intamo eqinile;
• Umbono ophindwe kabili;
• Ukudlikizela;
• Ukuquleka.

Lapho kuvela lezi zimpawu, futhi noma nini lapho kusolwa khona ukuqhuma kwe-aneurysm, kubaluleke kakhulu ukubiza usizo lwezokwelapha ngokushesha ngokushayela u-192, noma ukuyisa umuntu ngokushesha esibhedlela ukuze aqale ukwelashwa okufanele.

Kukhona nezinye izinkinga ezingadala izimpawu ezifanayo, njenge-migraine, ezingeyona inkinga ye-aneurysm. Ngakho-ke uma ikhanda elibuhlungu futhi lifika kaningi, kufanele ubonane nodokotela ojwayelekile noma udokotela wezinzwa ukukhomba imbangela efanele bese uqala ukwelashwa okufanele kakhulu.

Ungakuqinisekisa kanjani ukuxilongwa

Ngokuvamile, ukuze kuqinisekiswe ukuba khona kwe-aneurysm ye-cerebral, udokotela udinga uku-oda izivivinyo zokuxilonga ukuze ahlole ukwakheka kobuchopho futhi abone ukuthi kukhona yini ukujiya emithanjeni yegazi. Ezinye zezivivinyo ezisetshenziswa kakhulu zifaka i-computed tomography, imaging resonance imaging noma i-cerebral angiography, ngokwesibonelo.

Izimbangela ezingenzeka ze-aneurysm

Izimbangela eziqondile eziholela ekwakhiweni kwe-aneurysm ye-cerebralm azikaziwa, noma kunjalo, ezinye izinto ezibonakala zandisa ubungozi zibandakanya:

• Ukuba ngumuntu obhemayo;
• Unengcindezi ephezulu yegazi engalawulwa;
• Ukusebenzisa izidakamizwa, ikakhulukazi i-cocaine;
• Sebenzisa iziphuzo ezidakayo ngokweqile;
• Ukuba nomlando womndeni we-aneurysm.

Ngaphezu kwalokho, ezinye izifo ezikhona lapho kuzalwa nazo zingakhuphula ukuthambekela kokuba ne-aneurysm, njengesifo se-polycystic ovary, ukuncipha kwe-aorta noma ukungasebenzi kahle kobuchopho.

Yelashwa kanjani

Ukwelashwa kwe-aneurysm kuyahlukahluka kakhulu, futhi kungaxhomeke hhayi kumlando wezempilo kuphela, kepha futhi nakusayizi we-aneurysm nokuthi iyavuza noma cha. Ngakho-ke, izindlela zokwelashwa ezisetshenziswa kakhulu zifaka:

1. I-Aneurysm ayidabuki

Isikhathi esiningi, odokotela bakhetha ukungaziphathi iziphazamiso ezinganqamuki, ngoba ingozi yokuqhekeka ngesikhathi sokuhlinzwa iphezulu kakhulu. Ngakho-ke, kuyinto ejwayelekile ukwenza ukuhlolwa okujwayelekile ngosayizi we-dilation ukuqinisekisa ukuthi i-aneurysm ayikhulumi ngosayizi.

Ngaphezu kwalokho, amakhambi nawo angabekwa ukunciphisa ezinye zezimpawu, njengeParacetamol, iDipyrone, i-Ibuprofen, ukunciphisa ikhanda noma iLevetiracetam, ukulawula ukuqala kokuquleka, ngokwesibonelo.

Kodwa-ke, kwezinye izimo udokotela wezinzwa angakhetha ukuthi ahlinzwe ngemithambo yegazi ngokubekwa kwe stent, ukuvimbela ukuqhekeka, noma kunjalo, ngoba kuyinqubo ebucayi kakhulu, ngenxa yengozi yokuqhekeka ngesikhathi senqubo, idinga ukuthi ihlolwe kahle kakhulu futhi nezingozi kufanele zichazwe kahle esigulini nasemndenini.

2. I-aneurysm edabukile

Lapho i-aneurysm iqhuma, kuyisimo esiphuthumayo sezokwelapha, ngakho-ke, umuntu kufanele aye esibhedlela ngokushesha ukuze aqale ukwelashwa okufanele, okuvame ukwenziwa ngokuhlinzwa ukuze kuvalwe umkhumbi opha ngaphakathi ebuchosheni. Ngokushesha ukwelashwa sekwenziwe, kwehlisa amathuba okuthuthukisa i-sequelae yempilo yonke, ngoba indawo encane yobuchopho ethintekile izoba ncane.

Lapho i-aneurysm yehla, idala izimpawu ezifana nesifo sohlangothi esopha kakhulu. Bona ukuthi yiziphi izimpawu okufanele uziqaphele.

I-sequelae engenzeka ye-aneurysm

I-cerebral aneurysm ingadala ukopha phakathi kobuchopho kanye nama-meninges ayigudlisayo, lapho kwenzeka khona ukopha kubizwa ngokuthi yi-subarachnoid, noma kungadala ukopha okubizwa nge-intracerebral, okuwukopha okwenzeka maphakathi nobuchopho.

Ngemuva kwe-aneurysm, umuntu angahle angabi nayo i-sequelae, kepha abanye bangaba nezinguquko zemizwa ezifanayo nezesifo sohlangothi, njengobunzima bokuphakamisa ingalo ngenxa yokuntuleka kwamandla, ubunzima bokukhuluma noma ukunensa ekucabangeni, ngokwesibonelo. Abantu asebevele bene-aneurysm basengozini enkulu yokuhlushwa umcimbi omusha.

Bona okunye okungahle kwenzeke okungavela lapho kunoshintsho ebuchosheni.