I-aortic aneurysm: kuyini, izimpawu, ukwelashwa nokuhlinzwa

-Delile

• Izimpawu eziyinhloko
• 1. I-aneurysm ye-aoric ye-Thoracic
• 2. I-aortic aneurysm yesisu
• Ngubani osengozini enkulu ye-aortic aneurysm?
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Lulama kanjani ekuhlinzweni
• Ungaphila kanjani ne-aneurysm

I-aortic aneurysm iqukethe ukunwebeka kwezindonga ze-aorta, okuwumthambo omkhulu kunayo yonke emzimbeni womuntu futhi ophethe igazi lomthambo elisuka enhliziyweni liye kuzo zonke ezinye izingxenye. Ngokuya ngendawo ye-aorta ethintekile, i-aortic aneurism ingahlukaniswa ngezinhlobo ezimbili:

• I-aneurysm ye-Thoracic aortic: ivela engxenyeni ye-thoracic ye-aorta, okungukuthi, esifundeni sesifuba;
• I-aneurysm yesisu esiswini: uhlobo oluvame kakhulu lwe-aortic aneurysm futhi lwenzeka ngaphansi kwesifunda sesifuba.

Yize kungabangeli zimpawu noma izinkinga zempilo, ingozi enkulu kakhulu ye-aortic aneurysm ngukuqhekeka kwayo, okungadala ukopha okukhulu ngaphakathi, okubeka impilo engcupheni kungakapheli nemizuzu.

Noma nini lapho kukhona ukusola kwe-aneurysm noma ukuqhuma kwe-aneurysm, kubaluleke kakhulu ukuya esibhedlela ngokushesha, ukwenza izivivinyo ezidingekayo bese uqala ukwelashwa okufanele.

Izimpawu eziyinhloko

Ezimweni eziningi, i-aortic aneurysm ayikhiqizi noma yiluphi uhlobo lwesifo esithile, esaziwa kuphela ngesikhathi sokuhlolwa okujwayelekile kwezokwelapha, njenge-tomography, noma lapho kugcina kuphuka.

Kodwa-ke, uma i-aneurysm ikhula kakhulu noma ithinta izifunda ezibucayi, kungavela izimpawu ezithile:

1. I-aneurysm ye-aoric ye-Thoracic

Kulolu hlobo lwe-aneurysm, abanye abantu bangakhomba izimpawu ezinjengalezi:

• Ubuhlungu obukhulu nobunzima esifubeni noma emuva phezulu;
• Ukuzwa ukuphefumula okuncane;
• Kunzima ukuphefumula noma ukugwinya.

Lolu hlobo lwe-aneurysm luvame kakhulu kubantu abane-high blood pressure engalawuleki noma abaye bahlushwa uhlobo oluthile lokuhlukumezeka.

2. I-aortic aneurysm yesisu

Izimpawu zesifo se-aortic aneurysm zivame kakhulu kunalezo ze-thoracic aorta, kepha zisengenzeka:

• Ukuzwa kwe-pulsation esiswini;
• Ubuhlungu obukhulu emuva noma esifundeni se-lateral;
• Ubuhlungu ezinqeni, ekubambeni nasemilenzeni.

Lolu hlobo lwe-aneurysm luvame kakhulu kubantu asebekhulile, imvamisa bangaphezu kweminyaka engama-65, abahlushwa yi-atherosclerosis. Kodwa-ke, ukuhlukumezeka nokutheleleka nakho kungaba izimbangela.

Ngubani osengozini enkulu ye-aortic aneurysm?

Ingozi yokuthola i-aortic aneurysm ivame ukwanda ngeminyaka, ijwayeleke kakhulu emadodeni angaphezu kweminyaka engama-65.

Ngaphezu kwalokho, kunezinye izinto ezibonakala zandisa ubungozi, ikakhulukazi ukuba nohlobo oluthile lwezifo ezingalashwa, njengesifo sikashukela, i-atherosclerosis, i-cholesterol ephezulu, umfutho wegazi ophakeme noma isifo senhliziyo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuthola i-aortic aneurysm, udokotela anga-oda ezinye izivivinyo, ikakhulukazi i-computed tomography, i-x-ray ne-echocardiogram, isibonelo. Funda kabanzi mayelana nezivivinyo ezihlola impilo yenhliziyo.

Uma kutholakala i-aneurysm ezithombeni zezivivinyo, udokotela uvame ukuhlola ezinye izinto, njengobudala bomuntu, umlando wakhe wezempilo kanye nezinga lokukhula kwe-aneurysm, ukuthola ukuthi iyiphi indlela yokwelashwa engcono kakhulu.

Yelashwa kanjani

Ukwelashwa kwama-aneurysms ku-aorta kuyahluka ngokuya ngobukhulu be-aneurysm, isifunda lapho itholakala khona nezinye izifo umuntu angaba nazo.

Ngokuvamile izinhlobo zokwelashwa ezisetshenziswa kakhulu yilezi:

• I-Aneurysm incane kuno-5.4 cm futhi ngaphandle kwezimpawu: ukulandelwa kwezokwelapha kuphela okwenziwa ngokuhlolwa okujwayelekile ukuhlola ukuvela kwe-aneurysm;
• I-Aneurysm enkulu kune-5.5 cm, enezimpawu noma ngokwanda okuqhubekayo: ukuhlinzwa.

Ukuhlinzwa kwenziwa ngenhloso yokususa ingxenye ye-aorta eveza i-aneurysm, kudingekile kwezinye izimo ukubekwa kwephayiphu okuzothatha indawo yomthambo wegazi.

Lulama kanjani ekuhlinzweni

Ukuhlinzwa kwe-aneurysm esiswini kubhekwa njengokuhlinzwa kwenhliziyo ngakho-ke, isikhathi sokululama singahluka phakathi kwezinyanga ezi-2 kuye kwezi-3, futhi ngalesi sikhathi, kubalulekile ukuqala kabusha imisebenzi yansuku zonke kuphela ngemuva kwamaviki ayisithupha, ngemvume kadokotela futhi kancane kancane .

Ngaphezu kwalokho, ngesikhathi sokululama kubalulekile futhi ukuphumula nokugwema izimo ezicindezelayo, ngoba zingakhuphula umfutho wegazi futhi zidale uhlobo oluthile lwenkinga.

Ungaphila kanjani ne-aneurysm

Ezimweni lapho i-aneurysm incane futhi kugcinwa ukuqapha okujwayelekile kuphela, udokotela angaphinde anikeze ukusetshenziswa kokuxhumana okuthile ukwehlisa umfutho wegazi noma i-cholesterol, ngokwesibonelo, ukunciphisa amathuba okuthi i-aneurysm inyuke ngosayizi.

Kepha ngaphezu kwalokho, kubalulekile futhi ukunakekelwa nsuku zonke okufana nalokhu:

• Gwema ukubhema nokuphuza iziphuzo ezidakayo;
• Thatha imithi enikezwe udokotela;
• Yenza umsebenzi ojwayelekile womzimba;
• Nciphisa ukusetshenziswa kosawoti nemikhiqizo esezimbonini;
• Yidla ukudla okunomsoco ocebile ngezithelo nemifino.

Lokhu kunakekelwa kusiza ukuqinisekisa impilo engcono yenhliziyo, kunciphisa ukuqhubeka kwe-aneurysm futhi kunciphise namathuba okuqhekeka. Bheka ukudla okuyishumi okulungele impilo yenhliziyo, futhi lokho kufanele kufakwe ekudleni.