Ukulungiswa kwe-aneurysm yobuchopho-ukukhutshwa

Ubune-aneurysm yengqondo. I-aneurysm yindawo ebuthathaka eludongeni lomthambo wegazi ophuma ngaphandle okanye kwiibhaluni. Nje ukuba ifikelele kubungakanani obuthile, inamathuba aphezulu okugqabhuka. Inokuvuza igazi kumphezulu wengqondo. Oku kubizwa ngokuba yi-subarachnoid hemorrhage. Ngamanye amaxesha ukuphuma kwegazi kunokwenzeka ngaphakathi kwengqondo.

Wenziwa utyando ukunqanda i-aneurysm ekuphumeni kwegazi okanye ukunyanga i-aneurysm emva kokuba yophe. Emva kokuba uye ekhaya, landela imiyalelo yomboneleli wakho wezempilo ngendlela yokuzikhathalela. Sebenzisa olu lwazi lungezantsi njengesikhumbuzo.

Ngokuqinisekileyo ubunenye yeendlela ezimbini zotyando:

• Vula i-craniotomy, apho ugqirha evula ukakayi lwakho ukubeka iklip entanyeni ye-aneurysm.
• Ukulungiswa kwe-Endovascular, ngexesha apho ugqirha enza utyando kwiindawo zomzimba wakho ngomthambo wegazi.

Ukuba ukhe wopha ngaphambili, ngexesha, okanye emva kotyando usenokuba neengxaki zexeshana okanye zexesha elide. Ezi zinokuba zincinci okanye zinzima. Kubantu abaninzi, ezi ngxaki ziba ngcono ngokuhamba kwexesha.

Ukuba ubunalo naluphi na uhlobo lotyando unokuthi:

• Ziva lusizi, unomsindo, okanye usoyika kakhulu. Oku kuqhelekile.
• Ukhe waxhuzula kwaye uzothatha amayeza ukuthintela enye.
• Yiba neentloko ezinokuthi ziqhubeke okwexeshana. Oku kuqhelekile.

Yintoni onokuyilindela emva kwekraniotomy kunye nokubekwa kwesiqeshana:

• Kuya kuthatha iiveki ezi-3 ukuya kwezi-6 ukubuyela kwimeko yesiqhelo. Ukuba wopha kwi-aneurysm yakho kunokuthatha ixesha elide. Unokuziva udiniwe ukuya kuthi ga kwiiveki ezili-12 okanye nangaphezulu.
• Ukuba unesifo sokubethwa okanye ukulimala kwengqondo ekuphumeni kwegazi, unokuba neengxaki ezingapheliyo ezinjengeengxaki ngokuthetha okanye ukucinga, ubuthathaka bemisipha, okanye ukuphazamiseka.
• Iingxaki kwimemori yakho ziqhelekile, kodwa ezi zinokuphucula.
• Unokuziva unesiyezi okanye udidekile, okanye intetho yakho isenokungabi yinto eqhelekileyo emva kotyando. Ukuba ubungenalo naliphi na igazi, ezi ngxaki kufuneka zibengcono.

Yintoni onokuyilindela emva kokulungiswa kwe-endovascular:

• Unokuba nentlungu kwindawo yakho.
• Unokuba nokugruzuka ujikeleze nangaphantsi kwesithambisi.

Unokwazi ukuqala imisebenzi yemihla ngemihla, njengokuqhuba imoto, kwiveki e-1 okanye ezi-2 ukuba awunagazi. Buza umboneleli wakho ukuba yeyiphi imisebenzi yemihla ngemihla ekhuselekileyo ukuba ungayenza.

Yenza izicwangciso zokuba ufumane uncedo ekhaya ngelixa uchacha.

Landela indlela yokuphila esempilweni, enje:

• Ukuba unoxinzelelo lwegazi oluphezulu, yigcine iphantsi kolawulo. Qiniseka ukuba uthatha amayeza obonelelwe ngumboneleli wakho.
• Musa ukutshaya.
• Buza umboneleli wakho ukuba kulungile ukuba usele utywala.
• Buza umboneleli wakho xa kulungile ukuqala isenzo sesondo.

Thatha amayeza okuhlutha ukuba ikho ibimiselwe wena. Unokuthunyelwa kwintetho, ngokwasemzimbeni, okanye kubuchwephesha bokusebenza ukuze uncede ufumane kwakhona nakuphi na ukonakala kwengqondo.

Ukuba ugqirha ubeke i-catheter ngaphakathi kwe-groin yakho (utyando lwe-endovascular), kulungile ukuhamba imigama emifutshane kwindawo ethe tyaba. Nciphisa unyuka usihla ngezinyuko ukuya kumaxesha ama-2 ngosuku kangangeentsuku ezi-2 ukuya kwezi-3. Sukwenza umsebenzi weyadi, uqhube okanye udlale imidlalo de ugqirha wakho athi kulungile ukwenza njalo.

Umboneleli wakho uya kukuxelela ukuba unxibe nini xa unxiba. Musa ukuhlamba okanye ukuqubha iveki enye.

Ukuba unesixa esincinci sokopha okusikiweyo, lala phantsi kwaye ubeke uxinzelelo apho wopha khona imizuzu engama-30.

Qiniseka ukuba uyayiqonda nayiphi na imiyalelo malunga nokuthatha amayeza anje ngegazi (i-anticoagulants), i-aspirin, okanye ii-NSAID, ezinje nge-ibuprofen kunye ne-naproxen.

Qiniseka ukuba ulandelela iofisi yakho yotyando ngaphakathi kweeveki ezi-2 zokukhutshwa esibhedlele.

Buza ugqirha wakho wotyando ukuba ufuna ukulandelelana ixesha elide kunye novavanyo, kubandakanya i-CT scans, MRIs, okanye ii-angiograms zentloko yakho.

Ukuba une-cerebral spinal fluid (CSF) shunt ebekwe, uyakufuna ukulandelelwa rhoqo ukuqinisekisa ukuba isebenza kakuhle.

Fowunela ugqirha wakho wotyando ukuba unayo:

• Intloko ebuhlungu okanye intloko ebuhlungu kakhulu kwaye uziva unesiyezi
• Intamo elukhuni
• Isicaphucaphu nokugabha
• Intlungu yamehlo
• Iingxaki ngamehlo akho (ukusuka kubumfama ukuya kwiingxaki zombono wombono ukuya kumbono kabini)
• Iingxaki zentetho
• Iingxaki zokucinga okanye ukuqonda
• Iingxaki zokuqaphela izinto ezikungqongileyo
• Utshintsho kwindlela oziphethe ngayo
• Ndiziva ndibuthathaka okanye ndilahlekile
• Ukuphulukana nokulingana okanye ukulungelelanisa okanye ukulahleka kokusetyenziswa kwemisipha
• Ukuba buthathaka okanye ukuba ndindisholo kwengalo, umlenze okanye ubuso bakho

Fowunela ugqirha wakho ukuba unayo:

• Ukopha kwindawo yokusika engahambi emva kokuba ufake uxinzelelo
• Ingalo okanye umlenze otshintsha umbala, upholile xa uchukumiseka, okanye uba ndindisholo
• Ububomvu, iintlungu, okanye ukuphuma okumthubi okanye okuluhlaza ngaphakathi okanye kwindawo ejikeleze incision
• Umkhuhlane ongaphezulu kwe-101 ° F (38.3 ° C) okanye ubanda

Ukulungiswa kwe-Aneurysm -i-cerebral-discharge; Ukulungiswa kweCerebral aneurysm - ukukhutshwa; Ukujija - ukukhupha; Ukulungiswa kwe-aneurysm ye-Saccular - ukukhutshwa; Ukulungiswa kwe-Berry aneurysm - ukukhutshwa; Ukulungiswa kwe-fusiform aneurysm - ukukhutshwa; Ukuqhekeza ukulungiswa kwe-aneurysm - ukukhutshwa; Ukulungiswa kwe-endovascular aneurysm - ukukhutshwa; Ukucinywa kwe-Aneurysm - ukukhupha

I-Bowles E. Cerebral aneurysm kunye ne-aneurysmal subarachnoid haemorrhage. Ukuma kwabahlengikazi. Ngo-2014; 28 (34): 52-59. IINKCUKACHA: 24749614 pubmed.ncbi.nlm.nih.gov/24749614/.

IConnolly ES Jr, iRabinstein AA, iCarhuapoma JR, okqhubekayo. Izikhokelo kulawulo lwe-aneurysmal subarachnoid hemorrhage: isikhokelo seengcali kwezempilo ezivela kwiAmerican Heart Association / American Stroke Association. Ukubetha. Ngo-2012; 43 (6): 1711-1737. IINKCUKACHA: 22556195 pubmed.ncbi.nlm.nih.gov/22556195/.

Endovascular Namhlanje iwebhusayithi. Yiya emva kweLe Leacy, MD, FRANZCR; IGal Yaniv, MD, PhD; kunye noKambiz Nael, MD. Ukulandelwa kweCerebral Aneurysm: Imigangatho itshintshe njani kwaye kutheni. Umbono kwisantya sokulandelela esifanelekileyo kunye nohlobo lwemo yokujonga imeko yonyango lwe-aneurysms yengqondo. NgoFebruwari 2019. evtoday.com/articles/2019-feb/cerebral-aneurysm-follow-up-how-standards-veve-changed-and- kutheni. Kufumaneka ngo-Oktobha 6, 2020.

I-Szeder V, iTateshima S, iDuckwiler GR. I-intracranial aneurysms kunye ne-subarachnoid hemorrhage. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 67.

• I-Aneurysm kwingqondo
• Ukulungiswa kwe-aneurysm yobuchopho
• Utyando lobuchopho
• Ukuchacha emva kokubethwa
• Ukuxhuzula
• Ukubetha
• Iingcebiso malunga nendlela yokuyeka ukutshaya

• Utyando lobuchopho-ukukhutshwa
• Ukunxibelelana nomntu one-aphasia

• Ubuchopho beAneurysm