Isisu esine-aortic aneurysm

I-aorta lelona gazi liphambili linikezela ngegazi esiswini, kwi-pelvis, nakwimilenze. Isisu se-aortic aneurysm senzeka xa indawo ye-aorta iba nkulu kakhulu okanye iibhaluni ngaphandle.

Oyena nobangela we-aneurysm awaziwa. Kwenzeka ngenxa yobuthathaka eludongeni lomthambo.Izinto ezinokunyusa umngcipheko wokuba nale ngxaki zibandakanya:

• Ukutshaya
• Igazi elonyukayo
• Isini sendoda
• Izinto zofuzo

Isifo se-aortic aneurysm sihlala sibonwa emadodeni angaphezu kweminyaka engama-60 anengozi enye okanye nangaphezulu. Eyona mkhulu i-aneurysm, kokukhona kunokwenzeka ukuba ivuleke okanye ikrazule. Oku kunokuba sisongelo lobomi.

I-Aneurysms inokukhula kancinci kwiminyaka emininzi, ihlala ingenazimpawu. Iimpawu zinokuza ngokukhawuleza ukuba i-aneurysm iyanda ngokukhawuleza, iinyembezi zivula okanye zivuza igazi ngaphakathi kodonga lwenqanawa (i-aortic dissection).

Iimpawu zokuqhekeka zibandakanya:

• Intlungu esiswini okanye ngasemva. Intlungu ingaba nzima, ngokukhawuleza, eqhubekayo, okanye eqhubekayo. Ingasasazeka kwi-groin, ezinqeni, okanye emilenzeni.
• Ukuphuma.
• Ulusu lweClammy.
• Ukuba nesiyezi.
• Isicaphucaphu nokugabha.
• Inqanaba lentliziyo elikhawulezayo.
• Umothuko.

Umboneleli wakho wezempilo uya kuvavanya isisu sakho kwaye uve imithambo emilenzeni yakho. Umboneleli unokufumana:

• Isigaqa (ubunzima) esiswini
• Ukunyanzeliswa kwesisu
• Isisu esiqinileyo okanye esiqinileyo

Umboneleli wakho unokufumana le ngxaki ngokwenza ezi mvavanyo zilandelayo:

• I-Ultrasound yesisu xa isisu se-aneurysm siqala ukukrokrelwa
• Ukuvavanywa kwe-CT kwesisu ukuqinisekisa ubungakanani be-aneurysm
• I-CTA (i-computed tomographic angiogram) ukunceda ngocwangciso lotyando

Naluphi na olu vavanyo lunokwenziwa xa unempawu.

Unokuba ne-aortic aneurysm esiswini engabangeli naziphi na iimpawu. Umboneleli wakho unoku-odola i-ultrasound yesisu kwiscreen se-aneurysm.

• Uninzi lwamadoda aphakathi kweminyaka engama-65 ukuya kwengama-75, abatshayayo ngexesha lobomi babo kufuneka benze olu vavanyo kwakanye.
• Amanye amadoda aphakathi kweminyaka engama-65 ukuya kuma-75, angazange atshaye ngexesha lobomi bawo anokulufuna olu vavanyo kwakanye.

Ukuba wopha ngaphakathi emzimbeni wakho kwi-aortic aneurysm, uyakufuna utyando kwangoko.

Ukuba i-aneurysm incinci kwaye akukho zimpawu:

• Uqhaqho alufane lwenziwe.
• Wena kunye nomboneleli wakho kufuneka uthathe isigqibo sokuba ngaba umngcipheko wokuhlinzwa ungaphantsi komngcipheko wokopha xa ungatyandi.
• Umboneleli wakho unokufuna ukujonga ubungakanani be-aneurysm ngovavanyo lwe-ultrasound rhoqo kwiinyanga ezi-6.

Uninzi lwexesha, utyando lwenziwa ukuba i-aneurysm inkulu kunee-intshi ezi-2 (iisentimitha ezi-5) ukunqumla okanye ukukhula ngokukhawuleza. Injongo kukwenza utyando ngaphambi kokuba kuvele iingxaki.

Zimbini iintlobo zotyando:

• Ukulungiswa okuvulekileyo-Ukusikwa okukhulu kwenziwa esiswini sakho. Isikhephe esingaqhelekanga sithatyathelw 'indawo sisixhobo esenziwe ngumntu.
• Ukudityaniswa kwe-Endovascular stent - Le nkqubo inokwenziwa ngaphandle kokwenza ukusika okukhulu esiswini sakho, ukuze ubuyele ngokukhawuleza. Le isenokuba yindlela ekhuselekileyo xa unezinye iingxaki zonyango okanye umdala. Ukulungiswa kwe-Endovascular ngamanye amaxesha kunokwenziwa nge-aneurysm evuzayo okanye ekophayo.

Isiphumo sihlala silungile ukuba uyenziwa utyando ukulungisa i-aneurysm ngaphambi kokuba iphule.

Xa isisu se-aortic aneurysm siqala ukukrazula okanye ukugqabhuka, yinto engxamisekileyo kwezonyango. Bamalunga ne-1 kwaba-5 kuphela abantu abasinda kwisifo se-aneurysm esiswini.

Yiya kwigumbi likaxakeka okanye utsalele umnxeba ku-911 ukuba unentlungu esiswini okanye ngasemva embi kakhulu okanye ayihambi.

Ukunciphisa umngcipheko we-aneurysms:

• Yitya ukutya okusempilweni ngentliziyo, umthambo, yeka ukutshaya (ukuba uyatshaya), kwaye unciphise uxinzelelo.
• Ukuba unoxinzelelo lwegazi oluphezulu okanye isifo seswekile, thatha amayeza akho njengoko ekuxelele umboneleli wakho.

Abantu abangaphezu kweminyaka engama-65 abaye batshaya kufuneka babe ne-ultrasound yokuhlola eyenziwa kanye.

I-Aneurysm - i-aortic; I-AAA

• Ukulungiswa kwesisu se-aortic aneurysm - ukukhutshwa okuvulekileyo
• Ukulungiswa kwe-aortic aneurysm-endovascular-discharge

• Ukuqhekeka kwe-aortic - i-x-ray yesifuba
• Aortic aneurysm

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