Umgomo we-aortic aneurysm ukwelashwa ukuvimbela ukuqhuma (ukuqhuma) kwesitsha segazi. Indlela kuphela yokuvimbela ukuqhekeka kunomuntu okhethile (ohleliwe kusengaphambili) inqubo yokuhlinzwa. Akuwona wonke umuntu onesi-aortic aneurysm odinga ukuhlinzwa, futhi ngezinye izikhathi ukuqapha ngokucophelela kuyindlela engcono kakhulu futhi ephephile.
Ukwelashwa kwe-aurtic aurtic aneurysm yisimo esiphuthumayo esingenakuhlelwa kusengaphambili.
I-aurtic aneurysm ephuliziwe yinto ebulalayo uma ingelashwa ngokushesha. Ngisho nangokwelashwa okungcono kakhulu, izinga lokufa liphakeme kakhulu.
Amakhambi asekhaya kanye nendlela yokuphila
Kukhona okuwukuphela kwesimo sokuphila esiye saboniswa ukuthi sinethonya kuma-aromatic aneurysms, futhi lokho kuwukubhema. Lokhu kusho ukuthi uma une-aortic aneurysm futhi ubhema, ukushiya yiyona kuphela ikhambi ekhaya ongayamukela.
- Yeka ukubhema: Ukubhema kuyisici esiqine kakhulu se-aneurysm ye-aortic, futhi abantu asebevele benesifo se-aortic banengozi enkulu yokuphuka uma beqhubeka bebhema.
Imigomo
Ukulawulwa kwengcindezi ephezulu yegazi yindlela kuphela ekwazi ukunciphisa ingozi yokuphuka uma une-aurtic aneurysm, futhi ngisho nalokhu akuqinisekiswanga njengendlela yokuvimbela.
- Imithi ephikisana ne-anti-hypertensive: Uma une-aneurysm ye-aorti, ukucindezeleka komzimba kungenza kube kubi nakakhulu. Kunezinhlobo zemithi ephumelelayo ephethe ukwelashwa komfutho ophezulu .
Ukuhlinzwa
Abantu abaningi abane-aurtic aneurysms kudingeka babe nokukhanda okukhethwayo ukuvimbela ukuphuka. Isinqumo sokuthi udinga ukulungiswa yini isinqumo esiyinkimbinkimbi nesithandwa kakhulu. Uma i-aortic aneurysm yakho inkulu, uma ikhula ngokusheshisa, noma uma ibangela ubuhlungu besisu noma emuva, ukulungiswa kokuhlinzwa kuphakanyiswa kakhulu.
Ukuhlinzwa okujwayelekile
Ukulungiswa okujwayelekile, okuvulekile ukuvuvukala kwe-aortic ukuhlinzwa kuyindlela enkulu yokuhlinzwa, eyenziwa ngaphansi kwe-anesthesia jikelele. Ukuhlinzwa kudinga ukuguqulwa okude, kusukela phansi kwesifuba kuya endaweni yokushicilela. Ngemuva kokuthola i-aneurysm, udokotela ohlinzayo uvala i- aorta ukuvala ukugeleza kwegazi, futhi ulungisa i-aneurysm. I-aorta ilungiswa ngokufakela ukufakelwa kwe-synthetic ukuze kufakwe esikhundleni se-artery esusiwe.
Isikhathi sokubambisana ngokuvamile sinobunzima, futhi ngokuvamile, sidinga ukuhlala esibhedlela okungenani ngesonto. Ukuphumula ngokugcwele kuthatha izinyanga ezintathu ukuya kweziyisithupha. Ngokuya kwezinye izimo zezokwelapha, nendawo ethize ye-aneurysm yakho, izinkinga ezinkulu ezibandakanya izinso, amathumbu, imilenze, inhliziyo, namaphaphu kungenzeka.
Ukulungiswa kwe-Endograft
Ukulungiswa kwe-endograft kungenye indlela yokulungisa i-aortic aneurysm.
I-endograft iyi-stent ehlanganiswe ngendwangu efakwe ngophethri ekhethekile (tube). Ngokuvamile kufakwe emthini wesifazane, isitsha esikhulu segazi endaweni yokugaya. I-endograft isithuthukile kusayithi le-aneurysm futhi lisetshenziselwa ukuhlinzeka ngomzila omusha wokugeleza kwegazi. Ngalendlela, i-aortic aneurysm ayiqediwe ngokuhlinzwa.
Ihlukaniswe negazi eligeleza ngaphakathi kwe-aorta. Ngenxa yokuthi i-aneurysm ayisekho evezweni lokugeleza kwegazi, ukubhuka akuyona into engozini.
Ngokuvamile, ukulungiswa kwe-endograft kunconywa kubantu abaningi abane-aurtic aneurysms. Noma kunjalo, ngokuya ngesimo sakho sezokwelapha, ukulungiswa kokuphela kokugcina kungenzeka noma kungabi yinto enhle kuwe.
Izinkinga zokuhlinzekwa okujwayelekile zivame ukuvela ngokushesha kakhulu emva kokuhlinzwa, kuyilapho izinkinga nokulungisa ukuphela kwe-endograft kuvame ukwenzeka kamuva.
Izinkinga zokulungiswa kwe-endograft zingabandakanya:
- Endoleak: Ukugeleza kwegazi ku-aneorysm e-aortic ngokwayo akuqedwe ngokuphelele yi-endograft, ngakho-ke i-aortic aneurysm ingaqhubeka ikhula, futhi ingahle ihlukane.
- Ukuhamba kwedivayisi: Lokhu kuyinkimbinkimbi lapho i-endograft ishintsha isikhundla sayo ngaphakathi kwe-aorta ngesikhathi esithile ngemva kwenqubo yokuhlinzwa. Ukuhamba kwedivayisi, okuye kwabonakala ezingaphezu kuka-10% zeziguli ngemuva kokulungiswa kokuphela kokufunda kwezinye izifundo, kungabangela izinkinga ezinkulu, kuhlanganise nokuhlukana kwe-aortic aneurysm, ngaphandle kokuba iphathwa.
Ukwelashwa Okuphuthumayo kwe-Ruptured Aortic Aneurysm
Uma une-aneurysm ephukile, uzodinga ukushayela u-911 ukunakekelwa okuphuthumayo. Awukwazi ukuthatha isikhathi sokulinda noma ucabange ukuthi ungashayela yini usizo, ngoba njalo umzuzwana wokulibaziseka kwandisa amathuba okufa.
Ngemuva nje kokuphazamiseka kwe-aortic aneurysm, ukunakekelwa kwezokwelapha nokuhlinzekwa kugxile ekulawuleni izinkinga zokusongela impilo, kanye nokulungiswa kwe-aortic aneurysm.
Uma wena noma othandekayo uthola i-aortic aneurysm ukuphuka, cishe uyodinga:
- Ukulungiswa kwezimo eziphuthumayo ze-aortic
- Ukuqiniswa komsebenzi wenhliziyo
- Ukuphathwa kokulahlekelwa kwegazi
- Ukuphathwa kokulahlekelwa / ukuphelelwa amanzi emzimbeni
- Ukuphathwa kwezinso zezinso
- Ukwelashwa okuphuthumayo kokulimala komzimba wokugcina, okulimaza kunoma yiziphi izitho zakho ezingabangela ukulahlekelwa kwegazi nokushaqeka kwe-aortic aneurysm ukuhlukana
> Imithombo:
> Fukui T. Ukuphathwa kwe-asetic acse dissection nokuhlukana kwe-thoracic aortic. J Ukunakekelwa Okujulile. 2018 Mar 1; 6: 15. i-doi: 10.1186 / s40560-018-0287-7. eCollection 2018.
> Stiru O, Geana RC, Pavel P, et al. Ukuhlaselwa kwe-Thoracic Aortic Aneurysm Ukukhuphuka Okuthathwa Nge-Thoracic Endovascular AorticKhumbula Isiguli Ngomzimba We-Artery Disease. Inhlangano ye-Heart S urg. 2018 Mashi 20; 21 (2): E112-E116. i-doi: 10.1532 / hsf.1895.
> I-Zabrocki L, uMarquardt F, u-Albrecht K, u-Herget-Rosenthal S. Ukulimala kwe-kidney ngemuva kokuvuselelwa kwe-aortic esiswini esiswini: ukuhlasela kwamanje kanye nokuvimbela okukhona. I-Int Urol Nephrol. 2018 Feb; 50 (2): 331-337. i-doi: 10.1007 / s11255-017-1767-8. Epub 2017 Dec 11.