Isisu seAortic Aneurysm

Umxholo

• Yintoni i-aortic aneurysm (AAA) yesisu?
• Zeziphi iintlobo ze-aneurysms zesisu esiswini?
• Yintoni ebangela isifo se-aortic aneurysm?
• Ukutshaya
• Uxinzelelo lwegazi (uxinzelelo lwegazi)
• Ukudumba kwemithambo (vasculitis)
• Ngubani osemngciphekweni we-aortic aneurysm?
• Zithini iimpawu zesisu se-aortic aneurysm?
• Ukuchonga isifo se-aortic aneurysm
• Ukunyanga i-aortic aneurysm
• Ithini imbono yexesha elide?
• Inokuthintelwa njani i-aneurysm yesisu esiswini?

Yintoni i-aortic aneurysm (AAA) yesisu?

I-aorta lelona gazi likhulu emzimbeni womntu. Lithwala igazi lisuka entliziyweni yakho liye entlokweni nasezingalweni liye ezantsi esiswini sakho, imilenze kunye nesinqe. Iindonga ze-aorta zingadumba okanye ziphume njengebhaluni encinci xa zinokuba buthathaka. Oku kubizwa ngokuba yi-aortic aneurysm (AAA) esiswini xa isenzeka kwinxalenye ye-aorta esesiswini sakho.

Ii-AAAs azihlali zibangela iingxaki, kodwa i-aneurysm eqhekekileyo inokubusongela ubomi. Ke ngoko, ukuba ufunyaniswe une-aneurysm, ugqirha wakho uya kufuna ukukujonga ngokusondeleyo, nokuba akangeneleli kwangoko.

Zeziphi iintlobo ze-aneurysms zesisu esiswini?

Ii-AAAs zihlala zihlelwa ngokobungakanani bazo kunye nesantya abakhula ngaso. Ezi zinto zimbini zinokukunceda ukuqikelela iziphumo zempilo ye-aneurysm.

Incinci (engaphantsi kweesentimitha ezi-5.5) okanye ukukhula okucothayo kweAAA Ngokuqhelekileyo banomngcipheko omncinci wokuqhekeka kunama-aneurysms amakhulu okanye lawo akhula ngokukhawuleza. Oogqirha bahlala bekujonga njengokukhuselekileyo ukubeka esweni ezi ndawo zinesisu esisisu rhoqo kunokubanyanga.

Mkhulu (mkhulu kuneesentimitha ezi-5.5) okanye ii-AAA ezikhula ngokukhawuleza kunamathuba okuphuka kunama-aneurysms amancinci okanye akhula kancinci. Ukuqhekeka kunokukhokelela ekuphumeni kwangaphakathi kunye nezinye iingxaki ezinzulu. Eyona nto inkulu i-aneurysm, kunokwenzeka ukuba iya kunyangwa ngotyando. Ezi ntlobo ze-aneurysms nazo kufuneka ziphathwe ukuba zibangela iimpawu okanye ukuvuza kwegazi.

Yintoni ebangela isifo se-aortic aneurysm?

Unobangela weAAAs akaziwa okwangoku. Nangona kunjalo, izinto ezithile zibonisiwe ukwandisa umngcipheko kuzo. Ziquka:

Ukutshaya

Ukutshaya kunokuzonakalisa ngokuthe ngqo iindonga zemithambo yakho, kubenze ukuba babenakho ukwanda. Inokunyusa umngcipheko wexinzelelo lwegazi oluphezulu.

Uxinzelelo lwegazi (uxinzelelo lwegazi)

Uxinzelelo lwegazi lubhekisa kwinqanaba loxinzelelo kwiindonga zemithambo yegazi lakho. Uxinzelelo lwegazi oluphezulu lunokuzenza buthathaka iindonga ze-aorta yakho. Oku kwenza ukuba i-aneurysm ibe nakho ukubakho.

Ukudumba kwemithambo (vasculitis)

Ukuvuvukala okunzulu ngaphakathi kwe-aorta kunye neminye imithambo kunokubangela ii-AAAs ngamanye amaxesha. Oku kwenzeka kakhulu kunqabile.

Ii-Aneurysms zingenzeka nakweyiphi na into yegazi emzimbeni wakho. Nangona kunjalo, ii-AAAs zithathwa njengezinzulu ikakhulu ngenxa yobungakanani be-aorta.

Ngubani osemngciphekweni we-aortic aneurysm?

Ii-AAAs kunokwenzeka ukuba zenzeke ukuba:

• yindoda
• zityebile okanye zityebile
• bangaphezulu kweminyaka engama-60 ubudala
• Unembali yosapho yeemeko zentliziyo kunye nezifo
• ukuba noxinzelelo lwegazi, ingakumbi ukuba uphakathi kweminyaka engama-35 nengama-60 ubudala
• une-cholesterol ephezulu okanye amanqatha amaninzi kwimithambo yegazi (atherosclerosis)
• phila ubomi bokuhlala
• uye waba nexhala kwisisu sakho okanye omnye umonakalo kwibala eliphakathi
• ukutshaya iimveliso zecuba

Zithini iimpawu zesisu se-aortic aneurysm?

Uninzi lwee-aneurysms azinazo iimpawu ngaphandle kokuba ziyaqhekeka. Ukuba i-AAA iyaphuka, unokufumana enye okanye ezingaphezulu kwezi mpawu zilandelayo:

• iintlungu ngequbuliso esiswini sakho okanye emqolo
• iintlungu zisasazeka esiswini sakho okanye ubuyele kwi-pelvis yakho, imilenze, okanye iimpundu
• ulusu okanye ulusu olubilayo
• ukwanda kwentliziyo
• ukothuka okanye ukulahleka kwengqondo

Shayela ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na le mpawu. I-aneurysm eqhekekileyo inokubusongela ubomi.

Ukuchonga isifo se-aortic aneurysm

Ii-AAAs ezingakhange ziphuke zihlala zichongwa xa ugqirha eskena okanye evavanya isisu sakho ngesinye isizathu.

Ukuba ugqirha wakho ukrokrela ukuba unokuba unayo, baya kuziva isisu sakho ukubona ukuba siqinile okanye siqulathe ubunzima bokutsala. Banokujonga ukuhamba kwegazi emilenzeni yakho okanye basebenzise olu vavanyo lulandelayo:

• Ukuvavanywa kwe-CT kwesisu
• isisu se-ultrasound
• X-reyi yesifuba
• isisu seMRI

Ukunyanga i-aortic aneurysm

Kuxhomekeke kubukhulu kunye nendawo echanekileyo ye-aneurysm, ugqirha wakho unokwenza utyando ukulungisa okanye ukususa izicwili ezonakeleyo. Oku kunokwenziwa ngokuhlinzwa kwesisu okuvulekileyo okanye uqhaqho lwe-endovascular. Utyando olwenziwe luya kuxhomekeka kwimpilo yakho kunye nohlobo lwe-aneurysm.

Utyando oluvulekileyo lwesisu lusetyenziselwa ukususa iindawo ezonakalisiweyo ze-aorta yakho. Yeyona ndlela ingenayo yotyando kwaye inexesha elide lokufumana kwakhona. Utyando lwesisu oluvulekileyo lunokuba yimfuneko ukuba i-aneurysm yakho inkulu kakhulu okanye sele ikrunekile.

Utyando lwe-Endovascular luhlobo oluncinci lokungenelela kotyando kunotyando lwesisu oluvulekileyo. Kubandakanya ukusebenzisa ubume bokuzinzisa iindonga ezibuthathaka ze-aorta yakho.

Kwi-AAA encinci engaphantsi kweesentimitha ezi-5.5 ububanzi, ugqirha wakho unokuthatha isigqibo sokubeka iliso rhoqo endaweni yokwenza utyando. Utyando lunobungozi, kwaye ii-aneurysms ezincinci ngokubanzi azidubuli.

Ithini imbono yexesha elide?

Ukuba ugqirha wakho ucebisa ukuba utyando lwesisu luvuleke, kungathatha iiveki ezintandathu ukuba uphinde uchache. Ukubuyela kwimeko yesiqhelo kutyando lwe-endovascular kuthatha iiveki ezimbini kuphela.

Impumelelo yoqhaqho kunye nokubuyela kwimeko yesiqhelo ixhomekeke kakhulu ekubeni i-AAA ifunyenwe ngaphambi kokuba idubule. Ukuqikelela kuhlala kulungile ukuba i-AAA ifunyenwe ngaphambi kokuba iqhume.

Inokuthintelwa njani i-aneurysm yesisu esiswini?

Ukugxila kwimpilo yentliziyo kunokuthintela i-AAA. Oku kuthetha ukubukela oko ukutyayo, ukuzilolonga, kunye nokuthintela ezinye izinto ezinobungozi besifo sentliziyo njengokutshaya. Ugqirha wakho usenokukuyalela amayeza anyange uxinzelelo lwegazi oluphezulu okanye icholesterol okanye akuncede ulawule isifo seswekile.

Ugqirha wakho unokufuna ukukujonga i-AAA xa uneminyaka engama-65 ukuba usemngciphekweni omkhulu ngenxa yokutshaya nezinye izinto. Uvavanyo lokuhlola lusebenzisa isisu se-ultrasound ukuskena i-aorta yakho kwii-bulges. Ayinantlungu kwaye ifuna ukwenziwa kube kanye.