I-aneurysm ye-aortic ye-Thoracic

I-aneurysm kukwanda okungaqhelekanga okanye ibhaluni yenxalenye yomthambo ngenxa yobuthathaka eludongeni lomthambo wegazi.

I-aneurysm ye-thoracic aortic ivela kwinxalenye yomthambo omkhulu womzimba (aorta) odlula esifubeni.

Unobangela oqhelekileyo we-thoracic aortic aneurysm kukuqina kwemithambo. Le meko ixhaphake kakhulu kubantu abane-cholesterol ephezulu, uxinzelelo lwegazi lwexesha elide, okanye abatshayayo.

Eminye imingcipheko yomnxeba we-thoracic aneurysm ibandakanya:

• Utshintsho olwenziwe bubudala
• Ukuphazamiseka kwezicubu ezinje ngeMarfan okanye i-Ehlers-Danlos syndrome
• Ukudumba kwe-aorta
• Ukwenzakala ngenxa yokuwa okanye iingozi zeemoto
• Igcushuwa

Ii-Aneurysms zikhula kancinci kwiminyaka emininzi. Uninzi lwabantu alunazimpawu de i-aneurysm iqale ukuvuza okanye ukwandisa.

Iimpawu zihlala ziqala ngequbuliso xa:

• I-aneurysm ikhula ngokukhawuleza.
• Iinyembezi ze-aneurysm zivulekile (ezibizwa ngokuba ngumphunga).
• Ukuvuza kwegazi eludongeni lwe-aorta (aortic dissection).

Ukuba i-aneurysm icinezela kwizakhiwo ezikufuphi, ezi zinto zilandelayo zinokwenzeka:

• Ukurhabaxa
• Ukuginya iingxaki
• Ukuphefumla okuphezulu (stridor)
• Ukudumba entanyeni

Ezinye iimpawu zingabandakanya:

• Isifuba okanye iintlungu ezingaphezulu
• Ulusu lweClammy
• Isicaphucaphu nokugabha
• Inqanaba lentliziyo elikhawulezayo
• Ingqondo yentshabalalo ezayo

Uvavanyo lomzimba luhlala luqhelekile ngaphandle kokuba kuye kwakho ukuvela okanye ukuvuza.

Uninzi lwe-aneurysms ye-thoracic aortic ifunyenwe kuvavanyo lokucinga olwenziwe ngenxa yezinye izizathu. Olu vavanyo lubandakanya i-x-ray yesifuba, i-echocardiogram, okanye isifuba se-CT scan okanye iMRI.Iskena se-CT esifubeni sibonisa ubungakanani be-aorta kunye nendawo eyiyo ye-aneurysm.

I-aortogram (iseti ekhethekileyo yemifanekiso ye-x-reyi eyenziwe xa idayi ifakiwe kwi-aorta) inokuchonga i-aneurysm kunye nawaphi na amasebe e-aorta anokubandakanyeka.

Kukho umngcipheko wokuba i-aneurysm inokuvula (uqhekeko) ukuba awunayo utyando ukuyilungisa.

Unyango luxhomekeke kwindawo ye-aneurysm. I-aorta yenziwe ngamacandelo amathathu:

• Inxalenye yokuqala iya phezulu entloko. Ibizwa ngokuba yi-aorta enyukayo.
• Icandelo eliphakathi ligobile. Ibizwa ngokuba yi-aortic arch.
• Inxalenye yokugqibela ihambela ezantsi, ukuya ezinyaweni. Ibizwa ngokuba yi-aorta eyehlayo.

Kubantu abane-aneurysms yokunyuka kwe-aorta okanye i-aortic arch:

• Utyando lokutshintsha i-aorta luyacetyiswa ukuba i-aneurysm inkulu kuneesentimitha ezi-5 ukuya kwezi-6.
• Kusikiwe kwenziwa phakathi kwesifuba sesifuba.
• I-aorta ithathelwe indawo yiplastiki okanye ilaphu lokumiliselwa.
• Olu lutyando olukhulu olufuna umatshini wentliziyo nemiphunga.

Kubantu abane-aneurysms ye-aorta ye-thoracic ehla:

• Utyando olukhulu lwenziwe endaweni ye-aorta ngokufakelwa kwelaphu ukuba i-aneurysm inkulu kuneesentimitha ezi-6.
• Olu tyando lwenziwa ngokusikwa kwicala lasekhohlo lesifuba, elinokufikelela kwisisu.
• Endovascular stenting lukhetho olungenasidima kangako. I-stent yintsimbi encinci okanye ityhubhu yeplastiki esetyenziselwa ukubamba umthambo uvulekile. Iimpawu zinokubekwa emzimbeni ngaphandle kokusika isifuba. Nangona kunjalo, ayingabo bonke abantu abehla aneurysms thoracic abagqatswa ukuze stenting.

Umbono wexesha elide kubantu abane-thoracic aortic aneurysm ixhomekeke kwezinye iingxaki zonyango, ezinjengesifo sentliziyo, uxinzelelo lwegazi kunye neswekile. Ezi ngxaki zinokubangela okanye zibe negalelo kwimeko.

Iingxaki ezinzima emva kotyando lwe-aortic zingabandakanya:

• Ukopha
• Usulelo lwegrafti
• Ukuhlaselwa yintliziyo
• Ukubetha kwentliziyo ngokungaqhelekanga
• Umonakalo wezintso
• Ukukhubazeka
• Ukubetha

Ukufa kwakamsinya emva kokuba utyando lwenzeka kwi-5% ukuya kwi-10% yabantu.

Iingxaki emva kokuvutha kwe-aneurysm zibandakanya ukonakala kwimithambo yegazi ehambisa umlenze, enokufuna olunye utyando.

Xelela umboneleli wakho wezempilo ukuba unayo:

• Imbali yosapho yokuphazamiseka kwethishu (njengeMarfan okanye i-Ehlers-Danlos syndrome)
• Isifuba okanye ukungaphatheki kakuhle emva

Ukuthintela i-atherosclerosis:

• Lawula uxinzelelo lwegazi kunye namanqanaba egazi lipid.
• Musa ukutshaya.
• Yitya ukutya okusempilweni.
• Zilolonge rhoqo.

Aortic aneurysm - thoracic; I-aneurysm ye-Syphilitic; I-Aneurysm-thoracic aortic

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

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

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