Ukulungiswa kwesisu se-aortic aneurysm-kuvulekile

Ukulungiswa kwesisu se-aortic aneurysm (AAA) lutyando ukulungisa indawo ebanzi kwi-aorta yakho. Oku kubizwa ngokuba yi-aneurysm. I-aorta ngumthambo omkhulu ohambisa igazi ulise esiswini sakho (isisu), isinqe, kunye nemilenze.

I-aortic aneurysm kuxa inxenye yalo mthambo iba nkulu kakhulu okanye iibhaluni ngaphandle.

Olu tyando luya kwenzeka kwigumbi lokusebenza. Uya kunikwa i-anesthesia ngokubanzi (uya kulala kwaye ungenazintlungu).

Ugqirha wakho uvula isisu sakho kwaye ubeke endaweni ye-aortic aneurysm ngento eyenziwe ngumntu, efana nelaphu.

Nantsi indlela enokwenziwa ngayo:

• Ngenye indlela, uya kulala ngomqolo. Ugqirha uya kusika embindini wesisu sakho, ukusuka ezantsi nje kwethambo lesifuba ukuya ngaphantsi kwesisu. Ngokuqhelekileyo, ukusika kuhamba ngaphaya kwesisu.
• Kwenye indlela, uya kulala ungqiyame kancinci kwicala lasekunene. Ugqirha uya kwenza i-intshi ezi-5 ukuya kwezi-6 (i-13 ukuya kwi-15 yeesentimitha) ezinqunyiwe ukusuka kwicala lasekhohlo lesisu sakho, ziphele kancinci ezantsi kwesisu sakho.
• Ugqirha wakho uza kuthatha indawo ye-aneurysm ngombhobho omde owenziwe ngelaphu elenziwe ngabantu (elenziweyo). Ithungiwe ngemithungo.
• Ngamanye amaxesha, iziphelo zale tyhubhu (okanye ufakelo) ziya kushenxiswa kwimithambo yegazi kwindawo nganye yokuncwina kwaye incanyathiselwe kwezo zisemlenzeni.
• Nje ukuba utyando lwenziwe, kuya kuvavanywa imilenze yakho ukuqinisekisa ukuba kukho ukubetha kwentliziyo. Rhoqo kuvavanyo lwedayi kusetyenziswa i-x-reyi ukuze kuqinisekiswe ukuba kukho ukuhamba kwegazi okuhle emilenzeni.
• Ukunqunyulwa kuvaliwe nge-sutures okanye nge-staples.

Ugqirha lotyando lwe-aortic aneurysm lungathatha iiyure ezi-2 ukuya kwezi-4. Uninzi lwabantu luyachacha kwigumbi labagula kakhulu (ICU) emva kotyando.

Utyando oluvulekileyo ukulungisa i-AAA ngamanye amaxesha lwenziwa njengenkqubo engxamisekileyo xa kukho ukopha ngaphakathi emzimbeni wakho kwi-aneurysm.

Unokuba ne-AAA engabangeli naziphi na iimpawu okanye iingxaki. Umboneleli wakho wezempilo unokufumana ingxaki emva kokuba wenze i-ultrasound okanye i-CT scan esenziwe ngesinye isizathu. Kukho umngcipheko wokuba le aneurysm inokuqhekeka ngequbuliso (uqhekeko) ukuba awunayo utyando ukuyilungisa. Nangona kunjalo, utyando lokulungisa i-aneurysm lusenokuba yingozi, kuxhomekeke kwimpilo yakho iyonke.

Wena kunye nomboneleli wakho kufuneka uthathe isigqibo sokuba ngaba umngcipheko wokuba kwenziwe olu tyando mncinci kunomngcipheko wokuqhekeka. Utyando kunokwenzeka ukuba kucetyiswe ukuba i-aneurysm yile:

• Enkulu (malunga nee-intshi ezi-2 okanye i-5 cm)
• Ukukhula ngokukhawuleza (ngaphantsi kwe-1/4 intshi ngaphezu kweenyanga ezi-6 ukuya kwezi-12 zokugqibela)

Imingcipheko yolu tyando iphezulu ukuba unayo:

• Isifo sentliziyo
• Ukungaphumeleli kwezintso
• Isifo semiphunga
• Ukubetha kwangaphambili
• Ezinye iingxaki zonyango ezinzulu

Iingxaki zikwangaphezulu kubantu abadala.

Iingozi zalo naluphi na utyando zezi:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Iingxaki zokuphefumla
• Ukuhlaselwa yintliziyo okanye ukubetha
• Usulelo, kubandakanya imiphunga (inyumoniya), indawo yokuchama kunye nesisu
• Impendulo kumayeza

Iingozi zolu tyando zezi:

• Ukopha ngaphambi okanye emva kotyando
• Ukonakaliswa kwimbilini, kubangela iintlungu okanye ukuphazamiseka emlenzeni
• Umonakalo kumathumbu akho okanye kwamanye amalungu akufuphi
• Ukuphulukana nokunikezelwa kwegazi kwinxalenye yamathumbu amakhulu kubangela ukulibaziseka kokopha esitulweni
• Usulelo lwe-graft
• Ukwenzakala kwi-ureter, ityhubhu ehambisa umchamo kwizintso zakho ukuya kwisinyi sakho
• Ukusilela kwezintso okunokuhlala ngokusisigxina
• Ukuqhuba ngesondo okungaphantsi okanye ukungakwazi ukufumana ulwakhiwo
• Ukunikezelwa kwegazi okungalunganga kwimilenze yakho, izintso zakho, okanye amanye amalungu
• Ukulimala kwentambo yomqolo
• Kuvuleka inxeba
• Usulelo lwenxeba

Uya kuba novavanyo lomzimba kwaye ufumane iimvavanyo ngaphambi kokuba utyandwe.

Soloko uxelela umboneleli wakho ukuba ngawaphi amayeza owathathayo, nditsho neziyobisi, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ukuba uyatshaya, kuya kufuneka uyeke ukutshaya ubuncinci iiveki ezi-4 ngaphambi kotyando lwakho. Umboneleli wakho unokunceda.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

Uya kuba notyelelo nomboneleli wakho ukuqinisekisa ukuba iingxaki zonyango ezinjengeswekile, uxinzelelo lwegazi oluphezulu, kunye neengxaki zentliziyo okanye zemiphunga ziphathwa kakuhle.

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), kunye nezinye iziyobisi ezinje ngezi.
• Buza ukuba zeziphi iziyobisi ekufuneka uzithathile ngosuku lotyando lwakho.
• Soloko uxelela umboneleli wakho ukuba unokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye esinye isifo ngaphambi kotyando lwakho.

Ungaseli nantoni na emva kobusuku phakathi kosuku ngaphambi kotyando lwakho, kubandakanya amanzi.

Ngomhla wotyando lwakho:

• Thatha la mayeza waxelelwa ukuba uthathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Uninzi lwabantu luhlala esibhedlele kangangeentsuku ezintlanu ukuya kwezili-10. Ngexesha lokuhlala esibhedlele, uya:

• Yiba kwigumbi labagula kakhulu (ICU), apho uya kubekwa esweni ngokusondeleyo kanye emva kotyando. Unokufuna umatshini wokuphefumla ngosuku lokuqala.
• Yiba necatheter yomchamo.
• Yiba nombhobho ohamba ngeempumlo ungene esiswini ukunceda ukukhupha ulwelo iintsuku ezi-1 okanye ezi-2. Uya kuthi chu ukusela, emva koko utye.
• Fumana amayeza okugcina igazi lakho lincinci.
• Khuthazwa ukuba uhlale ecaleni kwebhedi uze uhambe.
• Nxiba izitokhwe ezikhethekileyo ukunqanda amahlwili egazi emilenzeni yakho.
• Celwa ukuba usebenzise umatshini wokuphefumla ukunceda ukucoca imiphunga yakho.
• Fumana iyeza lentlungu kwimithambo yakho okanye kwindawo ejikeleze intambo yakho yomqolo (epidural).

Ukubuyiswa ngokupheleleyo kotyando oluvulekileyo ukulungisa i-aortic aneurysm kunokuthatha iinyanga ezi-2 okanye ezi-3. Uninzi lwabantu luyachacha ngokupheleleyo kolu tyando.

Uninzi lwabantu abane-aneurysm elungisiweyo ngaphambi kokuba luvuleke (luqhekeke) banembono elungileyo.

I-AAA-ivuliwe; Ukulungisa - i-aortic aneurysm-ivulekile

• Ukulungiswa kwesisu se-aortic aneurysm - ukukhutshwa okuvulekileyo
• Ukuvuka ebhedini emva kotyando

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UTracci MC, uCherry KJ. I-aorta. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 61.

Woo EY, Damrauer SM. Ama-aneurysms esiswini esiswini: unyango oluvulekileyo lotyando. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 71.