Kuyini ukuhlukaniswa kwe-aorta, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini ebangela ukuhlukaniswa kwe-aorta
• Yelashwa kanjani
• Izinkinga ezingenzeka

Ukuqhekeka kwe-aortic, okwaziwa nangokuthi ukuhlukaniswa kwe-aortic, kuyisimo esiphuthumayo sezokwelapha esingajwayelekile, lapho ungqimba lwangaphakathi lwe-aorta, olubizwa ngokuthi i-intima, ludabula izinyembezi, lapho igazi lingangena khona, lifinyelele ezingxenyeni ezikude kakhulu kubangela izimpawu ezinjengobuhlungu obungazelelwe nobunzima esifubeni, ukuzwa ukuphefumula okuncane ngisho nokuquleka.

Yize kungavamile, lesi simo sivame kakhulu emadodeni angaphezu kweminyaka engama-60, ikakhulukazi uma kunomlando wezokwelapha we-high blood pressure ongalawulwa, i-atherosclerosis, ukusetshenziswa kwezidakamizwa noma enye inkinga yenhliziyo.

Lapho kunokusola kokuqhekeka kwe-ortho, kubaluleke kakhulu ukuya esibhedlela ngokushesha, ngoba lapho kutholakala emahoreni angama-24 okuqala, kunamazinga aphezulu empumelelo yokwelashwa, okuvame ukwenziwa ngemithi ngqo emthanjeni ukulawula umfutho wegazi nokuhlinzwa.

Izimpawu eziyinhloko

Izimpawu zokuhlukaniswa kwe-aortic zingahluka kakhulu kuye ngomuntu, kepha zingabandakanya:

• Ubuhlungu obungazelelwe nobunzima esifubeni, emuva noma esiswini;
• Ukuzwa ukuphefumula okuncane;
• Ubuthakathaka emilenzeni nasezingalweni;
• Ukuquleka
• Kunzima ukukhuluma, ukubona noma ukuhamba;
• I-pulse ebuthakathaka, engenzeka kuphela ohlangothini olulodwa lomzimba.

Njengoba lezi zimpawu zifana nezinye izinkinga zenhliziyo eziningana, kungenzeka ukuthi ukuxilongwa kuzothatha isikhathi eside kubantu asebevele benesimo senhliziyo esedlule, esidinga ukuhlolwa okuningi. Bheka izimpawu eziyi-12 zezinkinga zenhliziyo.

Noma nini lapho kuvela izimpawu zezinkinga zenhliziyo, kubaluleke kakhulu ukuya esibhedlela ngokushesha ukuthola imbangela bese uqala ukwelashwa ngokushesha okukhulu.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-orta dissection kuvame ukwenziwa ngudokotela wenhliziyo, ngemuva kokuhlola izimpawu, umlando wezokwelapha womuntu nokuba nokuhlolwa okufana nesifuba i-X-ray, i-electrocardiogram, i-echocardiogram, i-computed tomography ne-resonance kazibuthe.

Yini ebangela ukuhlukaniswa kwe-aorta

Ukuhlukaniswa kwe-aortic kuvame ukwenzeka ku-aorta ebuthakathaka ngakho-ke kuvame kakhulu kubantu abanomlando wokucindezela kwegazi noma i-atherosclerosis. Kodwa-ke, kungenzeka futhi ngenxa yezinye izimo ezithinta udonga lwe-aortic, njenge-Marfan's syndrome noma izinguquko ku-valve ye-bicuspid yenhliziyo.

Ngokuvamile, ukuhlukaniswa kwemisipha kungenzeka futhi ngenxa yokuhlukumezeka, okungukuthi, ngenxa yezingozi noma ukushaywa kanzima esiswini.

Yelashwa kanjani

Ukwelashwa kwe-aortic dissection kufanele kwenziwe ngemuva nje kokuqinisekiswa kokutholakala kwesifo, kuqala ngokusetshenziswa kwezidakamizwa ukwehlisa umfutho wegazi, njengama-beta-blockers. Ngaphezu kwalokho, njengoba ubuhlungu bungaholela ekukhuphukeni kwengcindezi nokuwohloka kwesimo, ama-analgesics aqinile, njenge-morphine, nawo angasetshenziswa.

Kwezinye izimo, kusengadingeka ukuthi kuhlinzwe ukulungisa udonga lwe-aortic. Isidingo sokuhlinzwa sihlolwa ngudokotela ohlinzayo we-cardiothoracic, kepha imvamisa kuncike lapho kwenzeka khona ukuhlukaniswa. Ngakho-ke, uma ukuhlukaniswa kuthinta ingxenye ekhuphukayo ye-aorta, kuvame ukukhonjiswa ukuhlinzwa ngokushesha, kanti uma ukwahlukaniswa kuvela engxenyeni eyehlayo, udokotela ohlinzayo angaqala ahlole ukuqhubeka kwesimo nezimpawu, futhi ukuhlinzwa kungahle kungadingeki .

Uma kunesidingo, imvamisa kuba ukuhlinzwa okuyinkimbinkimbi kakhulu futhi okuthatha isikhathi, ngoba udokotela ohlinzayo udinga ukufaka endaweni ethile indawo ethintekile ye-aorta ngengxenye yezinto zokwenziwa.

Izinkinga ezingenzeka

Kunezinkinga eziningana ezihambisana nokuhlukaniswa kwe-aortic, okubili okuyinhloko okubandakanya ukudabuka kwemithambo, kanye nokwakhiwa kokuhlukaniswa kweminye imithambo ebalulekile, njengaleyo ehambisa igazi liye enhliziyweni. Ngakho-ke, ngaphezu kokuthola ukwelashwa kwe-aortic dissection, odokotela ngokuvamile bahlola ukubonakala kwezinkinga ezidinga ukwelashwa, ukunciphisa ingozi yokufa.

Ngisho nangemva kokwelashwa, kunengozi enkulu yezinkinga ezenzeka phakathi neminyaka yokuqala engu-2 futhi, ngakho-ke, umuntu kufanele axhumane njalo nodokotela wenhliziyo, kanye nezivivinyo, ezifana ne-computed tomography kanye ne-magnetic resonance imaging, ukukhomba izinkinga ezingaba khona kusenesikhathi .

Ukugwema ukuqala kwezinkinga, abantu asebeke bahlukaniswa i-aortic kufanele balandele imiyalo kadokotela, futhi bagweme nemikhuba engakhuphula kakhulu umfutho wegazi. Ngakho-ke, kunconywa ukuthi ugweme ukwenza umsebenzi omningi womzimba nokuba nokudla okulinganiselayo okungenawo usawoti omningi.