Izimbangela Nezicingo Ze-Aortic Aneurysm

Ama-aneurysms aortic athuthuka lapho indawo ebuthakathaka kwenzeka odongeni lwesitsha segazi. Ngenkathi i-aneurysms ingenzeka kunoma yisiphi isitha emzimbeni, i-aorta ibonakala ingase ibe ne-aneurysms kunezinye izitsha.

Lokhu kungenzeka ngoba inhliziyo iqhuma igazi ngqo kwi-aorta, ngakho-ke lo mshini ubhekene nezingcindezi eziphakeme nokucindezeleka okukhulu kunamanye amabhethri.

Ngakho-ke, uma udonga lwe-aorta lubuthakathaka nganoma yisiphi isizathu, i-aneurysm ingenzeka kakhulu.

Izimbangela ezivamile

Izifo eziningana zingenza ingxenye yodonga lwe-aortic ibe buthakathaka, eholele ekusungulweni kwe-aneurysm.

I-aestrosclerosis

I-aestrosclerosis ihlotshaniswa kakhulu nokuthuthukiswa kwezifo ezincane zesisu esisodwa, nakuba kusekhona ukungqubuzana ngokuthi ngabe empeleni kuyimbangela eqondile.

Kunoma yikuphi, izici eziyingozi ezinganeni ze-aortic zifana nezokwe-atherosclerosis, futhi zithatha izinyathelo zokuvimbela ukusizwa okulodwa ukuvimbela omunye.

Izinguquko eziguquguqukayo

Ama-aneurysms e-Aortic, ikakhulukazi ama-aurtic ane-thoracic aneortic, angase avele ekushintsheni okuguquguqukayo odongeni lwe-aorta. Lezi zinguquko ezishintshayo zibangelwa ukungavamile kwezinto eziphilayo zodonga lwesitsha futhi zivame ukubonakala ngezilonda ezinjenge-cyst emgqeni ongaphakathi (okungukuthi, ungqimba ophakathi) odongeni.

Lokhu kuhlaselwa kwe-cystic medial kwehlisa amandla odongeni lwe-aortic futhi kukhuthaza ukwakheka kwe-aneurysm. Ukuguqulwa kwamanzi okuyisidumbu ngokuvamile kuhlotshaniswa nokuguga, kodwa futhi kubonakala kwabanye abantu abasha, kungenzeka ukuthi ngenxa yezinto ezakhiwe ngokofuzo.

Kumuntu one-cystic ukuhlaselwa komzimba, i- hypertension ishesha kakhulu isimo futhi yenza amathuba amaningi okukhula ngokushesha.

Ama-aneurysms ama-aractic anama-thora ngokuvamile abangelwa yizinguquko ezingezona-atherosclerotic eziguqukayo. Ngokuphambene nalokho, izifo ezinomzimba we-aortic esiswini zivame ukuhlotshaniswa ne-atherosclerosis.

I-Genetics

Ezinye izimo ezizuzwe njengefa, ikakhulukazi i- Ehlers-Danlos syndrome , i- Marfan syndrome , ne-Turner syndrome, iholela ekutheni amandla ebusweni be-aorta nokubunjwa kwe-aneurysm, ikakhulukazi ehilela i-aorta ye-thoracic. Ngaphezu kwalokho, kunezimo eziningana ezingezansi ezenzelwe izakhi zofuzo eziye zaqaphela ukuthi nazo ziveza ingozi enkulu ye-aortic aneurysms.

Okuningi kulazi zimo zofuzo zibonakala njalo. Ngenxa yalokho, ama-aurtic aneurysms-ikakhulukazi ama-aneurysms e-thoracic-aortic-ngokuvamile abonakala egijima emindenini, ngisho noma kungabonakali okwehlukile kofuzo.

Izifo Ezivuthayo

Ezinye izifo zokuvuvukala zibangelwa ukuvuvukala kwemithambo yegazi futhi ziholele ezinhlobonhlobo ze-aorta nezinye izifo. Okuyaziwa kakhulu kulawa yi-arthaitis ye-Takayasu ne-giant cell arteritis.

Ama-aneurysms e-Aortic nawo avame kakhulu kubantu abanezinye izimo zokuvuvukala ezingapheli, njenge- arthritis ye-rheumatoid ne- ankylosing spondylitis .

Izifo

Izifo ezithile ezangena egazini zingenza buthaka udonga lwe-aorta, kukhuthazwe ukwakheka kwe-aneurysm.

Uma i-aneurysm ibangelwa ukutheleleka, ukwakheka kwayo kungase kube ngokushesha kakhulu, ngokuphambene nentuthuko evamile yokuhamba kancane, yeminyaka eminingi ye-aortic aneurysms ezivela kwezinye izimbangela.

Izifo ezingase zikhiqize ama-aneurysms aortic zihlanganisa i- syphilis engelapheki , i- salmonella , noma i- endocarditis esithathelwanayo .

I-Traumatic Blunt

Isifuba esibi kakhulu noma ukuhlukunyezwa kwesisu, okungahle kwenzeke ngengozi yezimoto, kungalimaza udonga lwe-aorta futhi kuholele ku-aneurysm ye-aortic.

Izingozi Zezingozi

Ezinye izinto ezibeka ingozi kanye nezinqumo zokuphila zandisa kakhulu ingozi yokuthuthukisa i-aortic aneurysm. Eziningi zalezi zingozi zengozi zifana nezici zokufaka ingozi ngenxa ye-atherosclerosis.

Lezi zici zengozi zihlanganisa:

Ngaphezu kwalokho, ezinye izici eziningana zibalulekile ekunqumeni ingozi ye-aortic aneurysms, kuhlanganise:

Izingozi Zengozi Yokukhuphuka

Kubantu abaye bathola ukuthi bane-aneurysm ye-aortic, kubalulekile ukuba banakekele ukuthi kungenzeka ukuthi i-aneurysm ingaqhekeka. Uma ingozi yokuphuka iphezulu, ukuhlinzekwa kwangaphambili kufanele kucatshangwe ngokujulile. Le nengozi inqunywa yizici eziningana.

Usayizi noHlelo Lokukhula

Noma iyiphi i-aneurysm ye-aor inekghono lokwenza i-rupturing, kodwa ingozi iphansi kuma-aneurysms amancane futhi akhula kancane.

Ukuze uthole izifo eziningana ezinkulu, noma ngezifo ezinesifo esithile ezincane kodwa zikhula ngokushesha, ingozi yokuphuka iba ngaphezulu kakhulu. Ngaphezu kwalokho, i-aneurysm ekhudlwana, ikhula ngokushesha-futhi yandisa ingozi yokuphuka.

Indlela ewusizo yokucabanga ngalokhu ukucabangela ukushaya ibhaluni. Uma uqala ukushaya ibhaluni, kunzima ukuyiqala. Kodwa uma ukwandisa ibhaluni, kube lula ukukwenza kube nzima nakakhulu. Okokugcina, uma uphonsela kancane kancane, i-pops.

I-aneurysm ibonisa ukuziphatha okufanayo. Ezinganeni ezincane ezincane, izakhiwo zodonga lwesitsha zivame ukumelana nokunciphisa. Kodwa njengoba i-aneurysm ikhula kancane kancane, ukunciphisa odongeni kuncishisiwe, futhi i-aneurysm iyanda ngokulula kalula-kuze kube sekugcineni.

Ngenxa yalesi sizathu, noma ubani otholwe ukuthi une-aneurysm ye-aortic, noma ngabe i-aneurysm encane, kufanele ilandelwe ngokucophelela. Uma i-aneurysm iba enkulu noma ibonisa izimpawu zokukhula okusheshayo, sekuyisikhathi sokucabangela ngokuqinile ukulungiswa kokuhlinzwa.

Izimpawu

Amancane ane-aortic ane-slower aneurysms akhula kancane akhiqizi izimpawu. Ngakho-ke, uma izimpawu zenzeka ukuthi zibangelwa i-aortic aneurysm, lokho kuyisibonakaliso esinamandla sokuthi ukuphuka kuyaba khona amathuba.

Okunye

Ezinye izici ezingozini ezenza ukuphuka kunamathuba amaningi afaka phakathi nezinkinga ezifanayo zokuphefumula kwamathambo ezibekwe ekuqaleni. Ngakho-ke, noma ubani otholwe ukuthi une-aneurysm ye-aortic, kubaluleke kakhulu ukwenza izinguquko zokuphila zidingeke ukunciphisa leyo ngozi.

Ngezici zokuphila ezandisa ingozi yokuqhekeka kwe-aortic, ukubhema kuyingozi kakhulu-abantu abane-aneurysm e-aortic ababhemayo banengozini enkulu yokuphuka nokufa. Kubalulekile ukuthi noma ubani one-aortic aneurysm ayeke ukubhema .

> Imithombo:

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> Yiu Rs, u-Cheng Sw. Umlando Wezemvelo Nezici Zengozi Ukuphakama Kwe-Thoracic Aortic Arch Aneurysms. J Vasc Surg 2016; 63: 1189.