Ukuhlukana kwe-Aortic aneurys kuyinto inkinga yezokwelapha. Cishe amaphesenti angu-80 alabo abathola ukuhlukunyezwa kwe-aortic abahlali. Ukuvimbela ama-aurtic aneurysms kusekelwe endleleni yokuphila yokuguqula. Ukuvimbela ukuvuthwa kwe-aortic aneurysm kudinga ukuhlolwa futhi, mhlawumbe, ukungenelela okuhlinzekwa ukulungisa i-aneurysm.
Indlela yokuphila
Izingozi, ezifana nomlando womndeni nobulili, azikwazi ukulawulwa.
Ezinye zezinto ezibeka ingozi ngenxa ye-aortic aneurysm nokuhlukana kwe-aortic aneurysm kungashintshwa ngezindlela zokunciphisa ingozi yokuthuthukisa i-aortic aneurysm noma yokubhekana nokuphuka kwesifo esinamandla uma usuvele unayo.
I-aortic aneurysm, inqwaba e-aorta, ingaba ngenxa yesifo eside se-vascular (isifo se-vessel vessel). Isifo se-Vascular sibonakala ubuthakathaka, ukuvuvukala nokuqina kwesifo somzimba (ukuqina nokuqina) kwemithambo yegazi, kuhlanganise ne-aorta. Ukuguqula indlela yokuphila kunganciphisa amathuba akho okuthuthukisa lezi zinkinga.
Ukuvimbela i-Aortic Aneurysm Ekuthuthukisweni
Ngokuvamile, ukubhema kuyindlela yokuphila ehambisana kakhulu nokuthuthukiswa kwama-aortic aneurysms. Ezinye izinto zingandisa ingozi futhi , kodwa isixhumanisi asinamandla.
- Yeka ukubhema: Ukubhema kuyingxenye ebungozi yokuthuthukiswa kwe-aortic aneurysm. Uma ubhema, usengozini enkulu yokuthuthukisa izifo ze-vascular. Uma uqhubeka ushunqabe isikhathi eside, kubika ukuthi izifo zakho ze-vascular zizoba zimbi kakhulu. Imithi ehlose ukunciphisa ubukhulu besifo se-vascular ayinamandla okwanele ukulwa nemiphumela yokubhema uma uqhubeka ukubhema.
- Gcina ukudla okunempilo: Ukudla kwakho kunomthelela engozini ye-atherosclerosis, okwenza ube namandla okuthuthukisa i-aortic aneurysm. Ukudla okunamafutha amaningi , amafutha atholakalayo ekudleni okuthosiwe okujulile, akubeka engozini enkulu yokuthuthukisa izifo ze-vascular.
- Ukuzivocavoca njalo: Ukuzivocavoca kuboniswe ukunciphisa amafutha anobungozi emzimbeni wakho, nokuphakamisa izinga lamafutha enempilo. Lokhu kunciphisa ingozi yakho yokuthuthukisa isifo se-vascular esinqunyiwe kuma-aortic aneurysms.
- Ukucindezeleka okulawulayo: Ukucindezeleka yiyona nto eyenza ukuba nomfutho wegazi ophakeme, okuholela ekutheni kube nezifo ezinesisulu. Ngenkathi ukucindezeleka akuyona into ebaluleke kakhulu ezifo zesifo samathambo, kwabanye abantu, kuyandisa lesi sifo, okwenza kube nomthelela omubi kakhulu empilweni. Amasu okulawula ukucindezeleka ahlukahluka kakhulu, kodwa angasebenza kahle, futhi afaka ukufunda, ukucabanga, ukuzindla, ukuziphatha okungokomoya, ukuhlalisana komphakathi kanye nokuhlelwa kabusha kwengqondo.
Ukuvimbela ukuvulwa kwe-Aneorysm ye-Aortic
Uma usuvele une-aneurysm ye-aortic, ukuyivimbela ekukhuliseni kubaluleke kakhulu. Ukuhlelwa kwendlela yokuphila ekhaya akukwazi ukuvimbela i-aneurysm ekudleni. Into ebaluleke kunazo zonke ongayenza ukuvimbela i-aortic aneurysm kusuka ku-rupturing ukuthola ukwelashwa okuvamile. Ama-aneurysms amaningi aortic awabangeli izimpawu, ngakho ukuhlola nokuhlola okujwayelekile kwezokwelapha kukunikeza ithuba lokuxilongwa ekuqaleni.
Imigomo
Uma unezimo zezokwelapha, ezifana nokucindezela kwegazi eliphezulu ne-atherosclerosis, okuyiyona eyandulela ama-aurtic aneurysms, ukwelashwa kwalezi zimo kunganciphisa amathuba akho okuthuthukisa i-aortic aneurysm.
- Kunezinhlobonhlobo zemithi ephikisana ne-hypertensive esetshenziselwa ukunciphisa ukucindezelwa kwegazi eliphezulu. Kunezici eziningana, ngaphezu kokucindezela kwegazi, ukuthi udokotela wakho ubheka lapho ukhetha imithi efanele ye-hypertensive yakho, kuhlanganise nomsebenzi wakho wenhliziyo nezinso.
- I-Angiotensin receptor blockers (ama-ARB) kanye nama-inhibitors e-angiotensin-okuguqula i-enzyme (ACE), imithi yomzimba ephazamisa ikhono lemithambo yegazi ukuze lihlanza (likhulise), liye laboniswa ukuthi i-dilatation eyingozi ye-aorta ihambe kancane, okungenzeka ikwazi ukuvimbela ukuqhuma kwe-aortic aneurysm.
- Izitatimende, isigaba semithi esetshenziselwa ukwehlisa i-cholesterol, ibonakala ukunciphisa ukukhula kwama-aromatic aneurysms kancane.
- Ucwaningo lubonisa ukuthi amanye ama-antibiotics, afana ne-doxycycline, angavimbela ukukhula kwe-aneurysm. Ama-antibiotics anenzuzo eminingi, kodwa ukuwasebenzisa isikhathi eside kungakubeka engozini yokuphikiswa kwemithi elwa namagciwane, okwenze kube nzima kuwe ukuthi uphethwe ngokutheleleka ngokutheleleka kwebhaktheriya uma uthuthuka. Ucwaningo oluthile oluncane luye lwaveza imiphumela ekhuthazayo mayelana nemiphumela yokusetshenziswa kwezidakamizwa kuma-aurtic aneurysms, kodwa izifundo ezinkulu zisadingeka.
Ukuhlolwa nokuhlinzwa
Abantu abangaba ngu-300 000 baseMelika abazange baqaphele ama-aurtic aneurysms, okuvame ukulingana amancane futhi angabangeli noma yiziphi izimpawu. Ukuhlola ukuhlolwa kungase kunconywe ngokusekelwe ezicini eziyingozi. Ukulungiswa kwe-aortic aneurysm engazange iphule ama-aneurysms ngokuvamile kudingekile ukunciphisa ingozi yokuphuka.
Ukuhlola
Ngokuvamile, ama- aneurysms amancane atholakale ngesikhathi sokuhlolwa komzimba noma ngesikhathi sokuhlolwa kwesimo senye isimo. I-US Preventative Services Task Force ikhuthaza ukunconywa kwe-ultrasound kwamadoda aphakathi kweminyaka engama-65 kuya ku-75 abake ababhema. Ukuhlola okukhethiwe, okusekelwe emlandweni wezokwelapha ngamunye kanye nokuhlolwa ngokomzimba, kunconywa amadoda angakaze aphuze futhi kubo bonke abesifazane.
Ukulungiswa Kokuhlinzwa noma Kwemvelo
Kunconywa ukuthi ama-aneurysms aortic amakhulu kunama-5 kuya ku-5,5 cm ububanzi noma abonisa ubufakazi bokukhula, kufanele alungiswe. Isizathu salokhu ukuthi kukhona ingozi enkulu yokuphuka lapho i-aneurysm ingaphezulu ngobukhulu.
Ukuqapha Imithi
Uma une-aneurysm encane ye-aortic, noma uma une-aneurysm enkulu kodwa isimo sakho sezokwelapha senza ukuhlinzeka ingozi enkulu, ithimba lakho lezokwelapha linganquma ukuthi kungcono ukugcina kahle i-aurtic aneurysm yakho. Odokotela bakho bangakuhlela ukuba uhlolwe njalo, ukuhlola izimpawu zakho nokuqapha ukuthi i-aortic yakho aneurysm ingatholakala yini ngokuhlolwa kwangokwenyama. Ungadinga futhi ukuthi ube nama-ultrasounds ngezikhathi ezithile ukuze ulandele noma yikuphi ukukhula noma ushintsho esimweni noma ekubukeni kwe-aneurysm yakho ye-aortic, futhi uhlole ukuvuza.
Uma uhlakulela noma yiziphi izimpawu ngenkathi i-aortic yakho aneurysm ihlolwa, kufanele uxhumane nodokotela wakho ngokushesha.
> Imithombo:
> Jacomelli J, Summers L, Stevenson A, Lees T, Earnshaw JJ. Ukuvuselela ekuvimbeleni ukufa ekuphefumulweni kwe-aortic kwesisu. I-J Med Screen. 2017 Sep; 24 (3): 166-168. i-doi: 10.1177 / 0969141316667409. I-Epub 2016 Oct 10.
> Tsuyuki Y, Matsushita S, Dohi S, et al. Izingosi zokuguqulwa kwesayizi ye-sac ye-aneurysm yesisu esiswini emva kokulungiswa kwe-endovascular. U-Ann Thorac Cardiovasc Surg. 2014; 20 (6): 1016-20. doi: 10.5761 / atcs.oa.13-00185. Epub 2014 Feb 4.
> Weiss N, Rodionov RN, Mahlmann A. Ukuphathwa kwezokwelapha ze-aortic aneurysms. Vasa. 2014 Nov; 43 (6): 415-21. i-doi: 10.1024 / 0301-1526 / a000388.