Ukulungiswa kwe-aneurysm yobuchopho

Ukulungiswa kwe-aneurysm yobuchopho lutyando ukulungisa i-aneurysm. Le yindawo ebuthathaka eludongeni lwemithambo yegazi ebangela ukuba inqanawa iphume okanye ibhaluni kwaye ngamanye amaxesha iqhume (ukuqhekeka). Ingabangela:

• Ukopha kwi-cerebrospinal fluid (CSF) ejikeleze ingqondo (ekwabizwa ngokuba yi-subarachnoid hemorrhage)
• Ukopha kwingqondo eyenza ingqokelela yegazi (hematoma)

Zimbini iindlela eziqhelekileyo ezisetyenziselwa ukulungisa i-aneurysm:

• Ukuqhawula kwenziwa ngexesha le-craniotomy evulekile.
• Ukulungiswa kwe-endovascular (utyando), okuhlala kusetyenziswa i-coil okanye i-coil kunye ne-stenting (iityhubhu ezinemigca), yindlela engathandekiyo nexhaphakileyo yokunyanga ii-aneurysms.

Ngexesha lokunqunyulwa kwe-aneurysm:

• Unikwa i-anesthesia ngokubanzi kunye netyhubhu yokuphefumla.
• Isikhumba sakho, ukhakhayi, kunye nokugqunywa kwengqondo kuvuliwe.
• Iklip yesinyithi ibekwe kwisiseko (entanyeni) se-aneurysm ukuyikhusela ekuvulekeni (kuqhume).

Ngexesha lokulungiswa kwe-endovascular (utyando) lwe-aneurysm:

• Unokuba ne-anesthesia ngokubanzi kunye nombhobho wokuphefumla. Okanye, unokunikwa iyeza lokuphumla, kodwa alonelanga ukukulala.
• I-catheter ikhokelwa kukusikwa okuncinci kwindawo yakho yokuthanjiswa ukuya emthanjeni wegazi kwingqondo yakho apho ikhoyo i-aneurysm.
• Izinto zokwahlulahlula zitofwe nge-catheter. Oku kuvumela ugqirha ukuba abone imithambo kunye ne-aneurysm kwisibekeli kwigumbi lokusebenza.
• Iingcingo zentsimbi ezingcakacileyo zifakwa kwi-aneurysm. Emva koko baya coil kwibhola enemingxunya. Ngesi sizathu, le nkqubo ikwabizwa ngokuba yi-coiling. Amahlwili egazi ajikeleze le coil athintela i-aneurysm ukuba ingavuleki ize yophe. Ngamanye amaxesha iityents (iityhubhu ezinemingxunya) ziyafakwa ukubamba iikhoyili endaweni yazo kwaye uqiniseke ukuba isitya segazi sihlala sivulekile.
• Ngexesha kwaye kanye emva kwenkqubo, unokunikwa igazi elincinci, njenge-heparin, i-clopidogrel, okanye i-aspirin. La mayeza athintela amahlwili egazi ayingozi ekubeni enze i-stent.

Ukuba i-aneurysm kwingqondo iyaqhekeka (iyaqhekeka), kungxamiseko olufuna unyango esibhedlele. Rhoqo ukuphazamiseka kuyaphathwa ngotyando, ngakumbi utyando lwe-endovascular.

Umntu unokuba ne-aneurysm engaphazanyiswanga ngaphandle kweempawu. Olu hlobo lwe-aneurysm lunokufunyanwa xa iMRI okanye i-CT yokuskena kwengqondo kwenziwa esinye isizathu.

• Ayizizo zonke ii-aneurysms ekufuneka ziphathwe kwangoko. Ii-Aneurysms ezingophanga, ngakumbi ukuba zincinci kakhulu (ngaphantsi kwe-3 mm kwindawo yazo enkulu), akufuneki ziphathwe kwangoko. Ezi aneurysms zincinci kakhulu kunqabile ukuba ziphume.
• Ugqirha wakho uya kukunceda uthathe isigqibo sokuba ngaba kukhuselekile na ukwenza uqhaqho ukuvimba i-aneurysm ngaphambi kokuba ivuleke okanye ukujonga i-aneurysm ngemifanekiso ephindaphindiweyo de kube yimfuneko ukuba kwenziwe utyando. Ezinye ii-aneurysms ezincinci azinakuze zifune utyando.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zotyando lobuchopho zezi:

• Igazi elijiyileyo okanye ukopha ngaphakathi okanye ngeenxa zonke kwingqondo
• Ukudumba kobuchopho
• Usulelo kwingqondo okanye kwiindawo ezijikeleze ingqondo, ezifana nekrele okanye isikhumba
• Ukuxhuzula
• Ukubetha

Utyando kuyo nayiphi na indawo yengqondo kunokubangela iingxaki ezinokuba buthathaka okanye zibenzima. Banokuhlala okwexeshana okanye bangangabikho.

Iimpawu zobuchopho kunye nenkqubo ye-nervous (neurological) iingxaki zibandakanya:

• Utshintsho kwindlela yokuziphatha
• Ukudideka, iingxaki zememori
• Ukuphulukana nokulingana okanye ukulungelelanisa
• Ubumdaka
• Iingxaki zokuqaphela izinto ezikungqongileyo
• Iingxaki zentetho
• Iingxaki zombono (ukusuka emfama ukuya kwiingxaki ngombono osecaleni)
• Ubuthathaka bemisipha

Le nkqubo ihlala yenziwe njengongxamiseko. Ukuba akuyongxamiseko:

• Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza okanye amayeza owasebenzisayo kwaye ukuba ubusele utywala kakhulu.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngentsasa yoqhaqho.
• Zama ukuyeka ukutshaya.
• Landela imiyalelo yokungatyi nokungaseli ngaphambi kotyando.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Ukuhlala esibhedlele ukulungiswa kwe-endovascular ye-aneurysm kunokuba mfutshane njengeentsuku ezi-1 ukuya kwezi-2 ukuba bekungabikho gazi ngaphambi kotyando.

Ukuhlala kwesibhedlele emva kwe-craniotomy kunye nokunqunyulwa kwe-aneurysm zihlala ziintsuku ezi-4 ukuya kwezi-6. Ukuba kukho ukopha okanye ezinye iingxaki, ezinje ngemithambo yegazi enciphileyo kwingqondo okanye ulwelo oluninzi kwingqondo, ukuhlala esibhedlele kunokuba ziiveki ezi-1 ukuya kwezi-2, okanye ngaphezulu.

Uya kuba novavanyo lokucinga ngemithambo yegazi (i-angiogram) kwingqondo ngaphambi kokuba uthunyelwe ekhaya, kwaye kube kanye ngonyaka iminyaka embalwa.

Landela imiyalelo ekuzinyamekeleni ekhaya.

Buza ugqirha wakho ukuba kuyakhuseleka na kuwe ukuba ube neemvavanyo zokucinga ezifana ne-angiogram, i-CT angiogram, okanye i-MRI scans yentloko kwixa elizayo.

Emva kotyando oluphumeleleyo lwe-aneurysm eyophayo, akuqhelekanga ukuba iphinde yophe kwakhona.

Umbono uxhomekeke ekubeni umonakalo wengqondo wenzekile ekopheni ngaphambi, ngexesha, okanye emva kotyando.

Uninzi lwexesha, utyando lunokuthintela i-aneurysm yengqondo engakhange ibangele ukuba iimpawu zikhule kwaye zivuleke.

Unokuba ne-aneurysm engaphezu kweyodwa okanye i-aneurysm ehlanganisiweyo inokukhula kwakhona. Emva kokulungiswa kokubumba, kuya kufuneka ukuba ubonwe ngumboneleli wakho minyaka le.

Ukulungiswa kwe-Aneurysm - ubuchopho; Ukulungiswa kweCerebral aneurysm; Ukubumba; Ukulungiswa kwe-aneurysm; Ukulungiswa kwe-Berry aneurysm; Ukulungiswa kweFusiform aneurysm; Ukuqhekeza ukulungiswa kwe-aneurysm; Ukulungiswa kwe-endovascular aneurysm - ingqondo; Ukopha okungaphantsi kwesarachnoid-aneurysm

• Ukulungiswa kwe-aneurysm yobuchopho-ukukhutshwa
• Utyando lobuchopho-ukukhutshwa
• Ukunyamekela ukuxhamla kwemisipha okanye i-spasms
• Ukunxibelelana nomntu one-aphasia
• Ukunxibelelana nomntu one-dysarthria
• Isifo sengqondo esixhalabisayo kunye nokuqhuba
• Isifo sengqondo esixhalabisayo-indlela yokuziphatha kunye neengxaki zokulala
• Isifo sengqondo esixhalabisayo-ukhathalelo lwemihla ngemihla
• Isifo sengqondo esiyingozi-ukugcina sikhuselekile ekhaya
• Ukuxhuzula ebantwaneni - ukubhobhoza
• Stroke - ukubhobhoza
• Ukuginya iingxaki

I-Altschul D, iVats T, i-Unda S.Unyango lwe-Endovascular yonyango lwe-aneurysms yengqondo. Ku: Ambrosi PB, ed. Ingqondo eNtsha yezifo zeCerebrovascular-Uhlaziyo oluHlaziyiweyo oluCokisekileyo. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. Vula; 2020: isahl: 11. Ihlaziyiwe ngo-Agasti 1, 2019. Ifikeleleke ngoMeyi 18, 2020.

Iwebhusayithi yeAmerican Stroke Association. Into omele uyazi malunga ne-cerebral aneurysms. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-stroke-bleeds/ yintoni-you-should-now-about-cerebral-aneurysms#. Ukuhlaziywa kweDisemba 5, 2018. Ifikeleleke ngoJulayi 10, 2020.

Le Roux PD, Winn HR. Ukwenza izigqibo kotyando kunyango lwe-aneurysms yangaphakathi. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 379.

IZiko leLizwe leengxaki zeNeological kunye newebhusayithi yeStroke. Iphepha lenyaniso le-aneereysms.www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Ukuhlaziywa ngo-Matshi 13, 2020. Ifikeleleke ngoJulayi 10, 2020.

Iintetho J, Macdonald RL. Ukulawulwa kweperioperative kwe-subarachnoid hemorrhage. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 380.