Ukuhlukaniswa kwe-Aorta

-Delile

• Kuyini ukuhlukaniswa kwe-aorta?
• Izimpawu zokuhlukaniswa kwe-aorta
• Izimbangela zokuhlukaniswa kwe-aorta
• Izinhlobo zokuhlukaniswa kwe-aorta
• Thayipha u-A
• Uhlobo B
• Ngubani osengozini yokuhlukaniswa kwe-aorta?
• Kutholakala kanjani ukuhlukaniswa kwe-aorta?
• Ukwelapha ukuhlukaniswa kwe-aorta
• Imithi
• Ukuhlinzwa
• Umbono wesikhathi eside wabantu abane-dissection ye-aorta

Kuyini ukuhlukaniswa kwe-aorta?

I-aorta ingumthambo omkhulu okhipha igazi enhliziyweni yakho. Uma une-dissection ye-aorta, kusho ukuthi igazi liyavuza ngaphandle kwesibani semithambo, noma ingaphakathi lomthambo wegazi. Igazi elivuzayo lidala ukwahlukana phakathi kwezingqimba zangaphakathi neziphakathi zodonga lwe-aorta njengoba luqhubeka. Lokhu kungenzeka uma ungqimba lwangaphakathi lwe-aorta yakho likhala.

Kwesinye isikhathi ukopha kwegazi kusuka ekuqhekekeni kwemithambo emincane enikezela izindonga ezingaphandle neziphakathi ze-aorta yakho. Lokhu kungadala ukuncipha kongqimba lwangaphakathi lwe-aorta lapho kungenzeka khona ukukhala, okuholele ekuhlukanisweni kwe-aortic.

Ingozi ukuthi ukuhlukaniswa kwegazi kuhambisa igazi liphume ku-aorta yakho. Lokhu kungadala izingqinamba ezibulalayo, njengokuqhekeka komthambo ohlinzwa noma ukuvinjelwa okunzima kokugeleza kwegazi lapho kufanele kwenzeke khona nge-lumen ejwayelekile ye-aorta. Izinkinga ezinkulu zingavela uma ukuqhekeka kwesisu kuqhuma futhi kuthumele igazi esikhaleni esizungeze inhliziyo noma amaphaphu akho.

Shayela u-911 ngokushesha uma unezinhlungu ezinzima zesifuba noma ezinye izimpawu zokuhlukaniswa kwe-aortic.

Izimpawu zokuhlukaniswa kwe-aorta

Izimpawu zokuhlukaniswa kwe-aortic kungaba nzima ukuzihlukanisa nakwezinye izimo zenhliziyo, njengokuhlaselwa yinhliziyo.

Ubuhlungu besifuba nobuhlungu emhlane ongaphezulu yizimpawu ezivame kakhulu zalesi simo. Kukhona ubuhlungu obujwayele ukujula, obuhambisana nomuzwa wokuthi okuthile kubukhali noma kudabuka esifubeni sakho. Ngokungafani nesimo sokuhlaselwa yinhliziyo, ubuhlungu buvame ukuqala ngokungazelelwe lapho ukuhlukaniswa kuqala ukuvela futhi kubonakala kuhambahamba.

Abanye abantu banezinhlungu ezingezinhle, kwesinye isikhathi ezenziwa ngephutha ngenxa yemisipha, kepha lokhu akuvamile.

Ezinye izimpawu nezimpawu zifaka:

• ukuphefumula
• ukuquleka
• ukujuluka
• ubuthakathaka noma ukukhubazeka ohlangothini olulodwa lomzimba
• kunzima ukukhuluma
• ukushaya ngamandla ngamandla engalweni eyodwa kunakwenye
• isiyezi noma ukudideka

Izimbangela zokuhlukaniswa kwe-aorta

Yize ingaziwa imbangela ngqo yokuchithwa kwe-aortic, odokotela bakholelwa ukuthi umfutho wegazi ophakeme uyisandla esinomthelela ngoba ubangela ubunzima ezindongeni zemithambo yakho.

Noma yini enciphisa udonga lwakho lwe-aortic ingadala ukuhlukaniswa. Lokhu kubandakanya izimo ezizuzwe njengefa lapho izicubu zomzimba wakho zikhula ngokungajwayelekile, njengeMarfan's syndrome, i-atherosclerosis, kanye nokulimala ngengozi esifubeni.

Izinhlobo zokuhlukaniswa kwe-aorta

I-aorta ikhuphukela phezulu lapho iqala ukushiya inhliziyo yakho. Lokhu kubizwa ngokuthi yi-aorta ekhuphukayo. Ngemuva kwalokho igobeka phansi, isuka esifubeni sakho iye esiswini sakho. Lokhu kwaziwa njenge-aorta eyehlayo. Ukuhlukaniswa kwemisipha kungenzeka engxenyeni enyukayo noma eyehlayo ye-aorta yakho. Ukuhlukaniswa kwe-aortic kubhekwa njengohlobo A noma uhlobo B:

Thayipha u-A

Ukuhlukaniswa okuningi kuqala esigabeni esikhuphukayo, lapho kufakwa khona njengohlobo A.

Uhlobo B

Ukuphazamiseka okuqala ku-aorta eyehlayo kubhekwa njengohlobo B. Bavame ukusongela impilo kancane kunohlobo A.

Ngubani osengozini yokuhlukaniswa kwe-aorta?

Ngokusho kweMayo Clinic, ingozi yakho yokuhlukaniswa kwe-aortic iyanda ngeminyaka futhi iphakeme uma ungowesilisa noma uma uneminyaka engama-60 noma engama-80.

Izici ezilandelayo zingakhuphula nobungozi bakho:

• umfutho wegazi ophakeme
• ukubhema ugwayi
• i-atherosclerosis, okuyinqubo yokulimala, ukuqongelela ucezu lwamafutha / lwe-cholesterol, nokuqina kwemithambo yakho
• izimo ezifana ne-Marfan's syndrome, lapho izicubu zomzimba wakho zibuthakathaka kunokujwayelekile
• ukuhlinzwa ngaphambi kwenhliziyo
• izingozi zezimoto ezibandakanya ukulimala esifubeni
• i-aorta ezalwe inciphile
• i-aortic valve engalungile
• ukusetshenziswa kwe-cocaine, okungadala ukungajwayelekile okukhulu ohlelweni lwakho lwe-cardiovascular
• ukukhulelwa

Kutholakala kanjani ukuhlukaniswa kwe-aorta?

Udokotela wakho uzokuhlola bese esebenzisa i-stethoscope ukulalela imisindo engajwayelekile evela ku-aorta yakho. Lapho kuthathwa umfutho wegazi lakho, ukufundwa kungahluka engalweni eyodwa kunokunye.

Isivivinyo esibizwa nge-electrocardiogram (EKG) sibheka umsebenzi kagesi enhliziyweni. Kwesinye isikhathi ukuhlukaniswa kwe-aortic kungaphutha ngokuhlaselwa yinhliziyo kulolu vivinyo, futhi kwesinye isikhathi ungaba nazo zombili lezi zimo ngasikhathi sinye.

Kuzodingeka ukuthi wenze ukuskena kwe-imaging kwenziwe. Lokhu kungafaka:

• iX-ray yesifuba
• isithwebuli se-CT esithuthukiswe ngokungafani
• ukuskena kwe-MRI nge-angiography
• i-echocardiogram ye-transesophageal (TEE)

I-TEE ifaka phakathi ukudlulisa into ekhipha amagagasi omsindo ezansi komphimbo wakho iye emphinjeni wakho ize isondele endaweni esezingeni lenhliziyo yakho. Amagagasi e-ultrasound asetshenziselwa ukwakha isithombe senhliziyo yakho ne-aorta.

Ukwelapha ukuhlukaniswa kwe-aorta

Uhlobo lwe-A dissection ludinga ukuhlinzwa okuphuthumayo.

Ukuhlukaniswa kohlobo B kungaphathwa ngemithi, kunokuhlinzwa, uma kungenjalo kuyinkimbinkimbi.

Imithi

Uzothola izidakamizwa zokuqeda ubuhlungu bakho. I-morphine ivame ukusetshenziswa kuleli cala. Uzothola okungenani umuthi owodwa wokwehlisa umfutho wegazi, njenge-beta-blocker.

Ukuhlinzwa

Isigaba esidabukile se-aorta siyasuswa bese kufakwa i-synthetic graft. Uma eyodwa yama-valve enhliziyo yakho yonakele, lokhu kubuyiselwa nenye.

Uma une-dissection yohlobo B, ungadinga ukuhlinzwa uma isimo siqhubeka siba sibi ngisho noma umfutho wegazi lakho ulawulwa.

Umbono wesikhathi eside wabantu abane-dissection ye-aorta

Uma une-dissection yohlobo A, ukuhlinzwa okuphuthumayo ngaphambi kokuba i-aorta idabuke kukunikeza ithuba elihle lokusinda futhi ululame. Lapho i-aorta yakho isiqhumile, amathuba akho okusinda ancipha.

Ukutholwa kusenesikhathi kubalulekile. Uhlobo oluhlukanisiwe lohlobo lwe-B luhlukaniswa isikhathi eside ngemithi nokuqapha ngokucophelela.

Uma unesimo esandisa ubungozi bakho bokuhlukaniswa kwe-aortic, njenge-atherosclerosis noma umfutho wegazi ophakeme, ukwenza ushintsho ekukhetheni kwakho indlela yokuphila ngokuya ngokudla nokuvivinya umzimba kungasiza ekwehliseni ubungozi bakho bokuhlukaniswa kwe-aortic. Udokotela wakho angakunika umuthi ofanele wokwelashwa komfutho wegazi ophezulu noma we-cholesterol ephezulu, uma kunesidingo. Ngokwengeziwe, ukungabhemi imikhiqizo kagwayi nakho kuzuzisa impilo yakho.