Uma umuntu ene- aneurysm ye-aortic , kubalulekile ukuba ahlolwe ngokushesha ngangokunokwenzeka, ukuze avimbele ukuhlukana noma ezinye izinkinga. Odokotela baxilonga ama-aneurysms e-aortic ngezifundo ze-imaging ezingabonisa ukutholakala noma ukungabikho kwe-aneurysm, ubukhulu bayo, indawo yayo, nomphumela wayo ezakhiweni ezungezile. Ucwaningo lokucwaninga lungaphinde lunikeze izinkomba ezibalulekile mayelana nokuthi kungenzeka kanjani ukukhuphuka kokuqala.
Kwamanye abantu, amathuba okuphuka aphakeme ngesikhathi sokuxilongwa, futhi ukuhlinzwa okusheshayo kuyadingeka. Kwabanye, ukuphuka akubonakali kuseduze. Kulaba bantu ukuxilongwa kwakha ithuba lokuqapha ngokujwayelekile ukucacisa ukuthi i-aneurysm ikhula kanjani ngokushesha. Lokhu kuvumela udokotela ukuba anqume ukuthi uma ukulungiswa kokuhlinzwa okukhethile kungadingeka yini futhi nini.
Lokhu kuqapha okusebenzayo kungenziwa kuphela uma wazi ukuthi i-aortic aneurysm ikhona. Ngokuvamile, ngeshwa, abantu abatholakali kuze kube yilapho kuqhuma ukulimala okukhulu-futhi kaningi kakhulu sekuphuzile kakhulu. Abantu abasengozini enkulu yokuthuthukisa i-aortic aneurysm kufanele bahlolwe ngalesi simo, ngakho-ke ukuxilongwa kungenziwa ngokushesha ngokwanele ukwenza okuthile ngakho.
I-Aortic Aneurysms ye-Abdominal
I-Ultrasounds
Kubantu abangenayo izimpawu kodwa bahlolwe i-aneurysm yesisu esiswini, isifo sokuhlonza esisetshenziswa kakhulu kuvame ukuhlolwa kwe-ultrasound .
Ukuhlolwa kwe-ultrasound isebenzisa amagagasi omsindo ukwakha isithombe sezingxenye ezihlukahlukene zomzimba.
Ucwaningo lwe-ultrasound lusebenza ngokuphumelelayo kakhulu ekuxilongweni kwe-aneurysms ye-aortic esiswini, uma nje okungenani ibe ngu-3 cm ububanzi. Ngenxa yokuthi ukuhlolwa okusheshayo futhi okungahambi kahle, i-ultrasound nayo isetshenziselwa ukwenza izifundo zokuhlola ukuqapha abantu abane-aneurysms ezincane noma eziphakathi kwe-aortic esiswini.
Lezi zivivinyo ze-ultrasound ezivame ukuvumela udokotela ukuba ahlulele ukuthi i-aneurysm iyanda yini.
Abantu abacatshangelwa ukuthi baphelelwa ukuhlukunyezwa kwe-aortic esiswini kwesisu bavame ukugula kakhulu ngenxa yokungazinzi kwenhliziyo, futhi ukuhlinzwa okusheshayo kubalulekile. Kulezi ziguli, ukuhlolwa kwe-bedside ngokushesha kwe-ultrasound kuvame ukwenza ukuqinisekisa ngokushesha ukuxilongwa, ngokuvamile lapho bekulungele ukuhlinzwa okuphuthumayo.
CT Scans
Izikrini ze-CT zisetshenzisiwe esikhundleni noma ngaphezu kokuhlolwa kwe-ultrasound kubantu abacatshangwa ukuthi kungenzeka badinga ukukhanda. Lokhu kuzobandakanya abantu abanezibonakaliso ezisolakala ukuthi zibangelwa i-aneurysm yesisu esiswini, noma noma ubani one-aneurysm eyaziwayo ebonakala ekhula ngesayizi engaba yingozi.
I-CT scan ayibonisi kuphela ubukhulu kanye nendawo ye-aneurysm, kodwa futhi ibonisa imininingwane ebalulekile mayelana nezakhiwo ezizungezile futhi ingabonisa ukuthi kukhona noma yikuphi isibonakaliso sokuphuka noma ukuqubuka okuzayo.
I-Thoracic Aortic Aneurysms
Uma kuqhathaniswa ne-aortic isurms aneurysms, aneurysms thoracic aneurtic zivame ukuba ne-anatomy eyinkimbinkimbi futhi zivame kakhulu ukubandakanya izakhi ezizungezile ezifana ne- aortic valve , imithwalo yegazi emikhulu ehlinzeka ubuchopho, izinzwa ezihlukahlukene kanye nemimoya yomoya.
Isinqumo sokuthi ukuhlinzeka ngokuhlinzwa kwe-thoracic aneurysm sincike ngaphezu kokulingana nobukhulu kanye nesilinganiso sokukhula kwe-aneurysm; futhi kuxhomeke kwezinye izakhiwo ezifubeni.
Ngenxa yalesi sizathu, lapho kucatshangwa ukuthi i-aractic aneurysm i-thoracic, i-CT scan noma i- MRI study ngokuvamile iyenziwa ngoba lezi zifundo zibonisa imininingwane engaphezu kwe-anatomic kunesifundo se-ultrasound. Uma kudingekile izifundo eziningana ngezikhathi zokusiza ukwahlulela isikhathi sokuhlinzwa, i-MRI isetshenzisiwe esikhundleni se-CT, ngoba i-MRI ayidingi imisebe.
Ukuhlola
I-Abdominal Aortic Aneurysms
Kuyinto evamile ukucindezela inkinga yokuqala umuntu ahlangabezana nayo nge-aortic aneurysm esiswini ukuze kube yizimpawu ezimbi zokuhlukana. Ngenxa yalesi sizathu, ukuhlolwa kokuhlola usebenzisa i-ultrasound ngezinye izikhathi kunconywa kubantu abangenazo izimpawu, kodwa banikwa ukuthi bangengozini ephakeme ye-aortic aneurysm yesisu.
Ukuhlolwa kokuhlolwa kwe-ultrasound ye-aneurysm esiswini esiswini kuvunyelwe abantu abalandelayo:
- Abantu abanesisindo se-pulsatile esiswini ekuhlolweni ngokomzimba.
- Abantu abaneminyaka engaphezu kwengu-65 abanomlando wokubhema.
- Amadoda noma abesifazane abangaphezu kweminyaka engama-65 ubudala abanesihlobo esiseduze abadinga ukuhlinzekwa, noma bafa ngenxa yokuhlukana, ne-aortic aneurysm yesisu.
I-Thoracic Aortic Aneurysms
Ama-aneurysms ama-aractic ama-thoracic ngokuvamile atholakala ngezikhathi ezithile, noma ngesikhathi se-X-ray esifubeni noma ngesikhathi sokutadisha kwe- cardiac ultrasound . Uma i-aortic aneurism etholakala ngale ndlela, ithola isifundo se-CT noma se-MRI esilandelayo okufanele senziwe ukuze siqinisekiswe ukuthi siyatholakala yini futhi sinquma izinga le-aneurysm.
Kwamanye abantu abengozi kakhulu, ukuhlolwa kokuhlolwa kumele kubhekwe ngokukhethekile ukufuna i-aromatic thoracic aneurysm, ngokuvamile nge-CT scan noma i-MRI. Izinkomba zalolu cwaningo lokuhlola lubandakanya abantu abane:
- I-Marfan syndrome
- I-arteritis ka-Takayasu
- I-Turner syndrome
- I-valve ye-aortic ye-bicuspid
- Izihlobo zokuqala zabantu abaye baba ne-thoracic aneorysm bacatshangwa ukuthi bangokwemvelo
Uma i-aneurysm ye-aortic esiswini noma i-aneurysm ye-thoracic isifo sokuhlola, futhi kunqunywa ukuthi ukuhlinzwa okusheshayo akudingeki, ukuhlolwa okusheshayo kanye nokuhlolwa kabusha ngezikhathi ngezifundo ze-imaging kufanele kwenziwe ukuvimbela ukuphuka noma ezinye izinkinga.
> Imithombo:
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