I-Berry Aneurysms: Yazi imiqondiso

Umxholo

• Ndinayo i-aneurysm yeberry?
• Yintoni ebangela i-aneurysms yamajikijolo?
• Izinto ezinobungozi bokuzalwa
• Izinto ezinobungozi kwezonyango
• Izinto ezinobungozi kwindlela yokuphila
• Ndazi njani ukuba ndine-aneurysm yeberry?
• Uphathwa njani ama-aneurysms amajikijolo?
• Ukucandwa kotyando
• Ukudityaniswa kwe-endovascular
• Ukuhamba kweendlela
• Ulawulo lweempawu
• Ungayikhusela njani i-aneurysms yamajikijolo
• Ngaba ii-aneurysms zeberry zihlala zibulala?

Yintoni i-aneurysm yeberry

I-aneurysm kukwandiswa kwemithambo ebangelwa bubuthathaka eludongeni lwemithambo. I-aneurysm yeberry, ejongeka njengequnube kwisiqu esincinci, lolona hlobo luqhelekileyo lwe-aneurysm yengqondo. Benza iipesenti ezingama-90 zazo zonke ii-aneurysms zobuchopho, ngokwe-Stanford Health Care. Ii-aneurysms zeBerry zihlala zivela emazantsi engqondo apho kudibana khona imithambo yegazi, ekwabizwa ngokuba yiSangqa seWillis.

Ixesha elingaphezulu, uxinzelelo oluvela kwi-aneurysm eludongeni lweartery esele lubuthathaka kunokubangela ukuba i-aneurysm idilike. Xa i-aneurysm yeberry iphuka, igazi elivela kumthambo lingena kwingqondo. I-aneurysm eqhekekileyo yimeko enzima efuna unyango kwangoko.

Gcina ukhumbula ukuba, ngokwe-American Stroke Association, yi-1.5 ukuya kwi-5 yeepesenti kuphela yabantu eya kuphuhlisa i-aneurysm yengqondo. Phakathi kwabantu abane-aneurysm yengqondo, kuphela yi-0.5 ukuya kwiipesenti ezi-3 abaya kuthi bafumane uqhekeko.

Ndinayo i-aneurysm yeberry?

Ii-aneurysms zeberry zihlala zincinci kwaye zinempawu ezingenasifo, kodwa ezinkulu ngamanye amaxesha zibeka uxinzelelo kwingqondo okanye kwimithambo-luvo. Oku kunokubangela iimpawu ze-neurological, kubandakanya:

• intloko kwindawo ethile
• abafundi abakhulu
• ukungaboni kakuhle okanye umbono ophindwe kabini
• iintlungu ngaphezulu okanye ngasemva kweso
• ubuthathaka kunye nokuba ndindisholo
• unengxaki yokuthetha

Nxibelelana nogqirha wakho ukuba unazo naziphi na kwezi mpawu.

Ukuhluthwa kwe-aneurysms kuhlala kubangela ukuba igazi elivela kumthambo ochaphazelekayo lingene kwingqondo. Oku kubizwa ngokuba yi-subarachnoid hemorrhage. Iimpawu ze-subarachnoid hemorrhage zibandakanya ezi zidweliswe apha ngasentla kunye:

• intloko ebuhlungu kakhulu eza ngokukhawuleza
• ukungabikho zingqondweni
• isicaphucaphu nokugabha
• Intamo elukhuni
• utshintsho ngesiquphe kwimeko yengqondo
• uvakalelo ekukhanyeni, ekwabizwa ngokuba yi-photophobia
• ukuxhuzula
• ijwabu leso elijingayo

Yintoni ebangela i-aneurysms yamajikijolo?

Kukho izinto ezithile ezenza abanye abantu babe sethubeni lokufumana i-aneurysm yeberry. Ezinye zizelwe, oko kuthetha ukuba abantu bazalwa nabo. Eminye yimeko yezonyango kunye nendlela yokuphila. Ngokubanzi, ii-aneurysms zeberry zixhaphake kakhulu kubantu abadala abangaphezu kwama-40 nabasetyhini.

Izinto ezinobungozi bokuzalwa

• Ukuphazamiseka kwezicubu (umzekelo, i-Ehlers-Danlos syndrome, iMarfan syndrome, kunye ne-fibromuscular dysplasia)
• Isifo sezintso se-polycystic
• udonga lwemithambo engaqhelekanga
• Ingqondo ye-cerebral arteriovenous malformation
• Imbali yosapho yee-aneurysms zeberry
• usulelo lwegazi
• amathumba
• ukwenzakala entloko
• igazi elonyukayo
• imithambo eqinileyo, ekwabizwa ngokuba yi-atherosclerosis
• amanqanaba asezantsi e-estrogen
• ukutshaya
• Ukusetyenziswa kweziyobisi, ngakumbi icocaine
• ukusetyenziswa kotywala kakhulu

Izinto ezinobungozi kwezonyango

Izinto ezinobungozi kwindlela yokuphila

Ndazi njani ukuba ndine-aneurysm yeberry?

Ugqirha wakho unokufumanisa isifo se-aneurysm ngokwenza uvavanyo oluninzi. Oku kubandakanya ikhompyuter ye-tomography (CT) kunye nemagnetic resonance imaging (MRI). Ngelixa usenza esinye sezikena, ugqirha wakho unokukujova ngedayi ukuze ubone ngcono ukuhamba kwegazi kwingqondo yakho.

Ukuba ezo ndlela azibonisi nto, kodwa ugqirha wakho ucinga ukuba usenayo i-aneurysm yeberry, zikhona ezinye iimvavanyo zokuqonda abanokuzenza.

Olunye ukhetho olunje nge-cerebral angiogram. Oku kwenziwa ngokufaka ityhubhu ebhityileyo equkethe idayi kumthambo omkhulu, ngesiqhelo imbeleko, kwaye uyityhale iye phezulu kwimithambo yengqondo yakho. Oku kuvumela imithambo yakho ukuba ibonakale ngokulula kwiX-reyi. Nangona kunjalo, obu buchule bokucinga bunqabile ukuba busetyenziswe namhlanje ngenxa yobume bayo bokuhlasela.

Uphathwa njani ama-aneurysms amajikijolo?

Zintathu iindlela zokhetho zonyango olunokuthi lungaphazanyiswa kwaye luqhekeke aneurism. Ukhetho ngalunye luza noseto lwalo lobungozi obunokubakho. Ugqirha wakho uyakuthathela ingqalelo ubungakanani kunye nendawo ekuyo i-aneurysm kunye nobudala bakho, ezinye iimeko zonyango, kunye nembali yosapho ukukhetha olona khetho lukhuselekileyo kuwe.

Ukucandwa kotyando

Olunye lonyango oluqhelekileyo lwe-aneurysm lunyango lokunqunyulwa. I-neurosurgeon isusa iqhekeza elincinci ukuze ifikelele kwi-aneurysm. Bafaka ikliphu yesinyithi kwi-aneurysm yokumisa igazi lingangeni kulo.

Ukuqhafaza ngotyando kukuhlinzwa okungafunekiyo okuhlala kufuna iintsuku ezimbalwa esibhedlele. Emva koko, unokulindela iiveki ezine ukuya kwezintandathu zokuchacha. Ngelo xesha, kuya kufuneka ukwazi ukuzikhathalela. Qiniseka nje ukuba unciphisa umda womsebenzi wakho ukuvumela ixesha lomzimba wakho ukuba ubuye. Ungaqala kancinci ukongeza kwimisebenzi yomzimba ethambileyo, njengokuhamba kunye nemisebenzi yasekhaya. Emva kweeveki ezine ukuya kwezintandathu, kuya kufuneka ukwazi ukubuyela kwinqanaba lakho langaphambi kokuhlinzwa.

Ukudityaniswa kwe-endovascular

Ukhetho lwesibini lonyango kukubopha i-endovascular, okungafunekiyo kangako kunokusikwa kotyando. Umbhobho omncinci ufakwa kumthambo omkhulu kwaye utyhalelwe phezulu kwi-aneurysm. Le nkqubo iyafana naleyo ye-cerebral angiogram ugqirha wakho anokuyisebenzisa ukufumana isifo. Ucingo lweplatinam oluthambileyo ludlula kwityhubhu nakwi-aneurysm. Nje ukuba ikwi-aneurysm, intambo yocingo kwaye ibangele igazi ukuba lijiye, elitywina i-aneurysm.

Inkqubo ihlala ifuna ukuhlala esibhedlele ubusuku bunye, kwaye ungabuyela kwinqanaba lakho lomsebenzi oqhelekileyo ngaphakathi kweentsuku. Ngelixa olu khetho lungelungeni kangako, luza nomngcipheko wokopha kwixesha elizayo, elinokufuna utyando olongezelelekileyo.

Ukuhamba kweendlela

Ukuphambuka kokuhamba lukhetho olutsha kunyango lwee-aneurysms zeberry. Babandakanya ityhubhu encinci, ebizwa ngokuba yistent, ebekwe kwisitya segazi somzali we-aneurysm. Ihambisa igazi kude ne-aneurysm. Oku ngokukhawuleza kunciphisa ukuhamba kwegazi ukuya kwi-aneurysm, ekufuneka ivalwe ngokupheleleyo kwiiveki ezintandathu ukuya kwiinyanga ezintandathu. Kwizigulana ezingengabo abagqatswa, utyando lokuhamba kwamanzi lunokuba lukhetho olukhuselekileyo kunyango, kuba alufuni kungena kwi-aneurysm, eyonyusa umngcipheko wokuqhekeka kwe-aneurysm.

Ulawulo lweempawu

Ukuba i-aneurysm ayikaphuli, ugqirha wakho unokuthatha isigqibo sokuba ikhuselekile ukujonga nje i-aneurysm ngokuskena rhoqo kunye nokulawula naziphi na iimpawu onazo. Izinketho zokulawula iimpawu zibandakanya:

• Ukuphelisa iintlungu kwintloko ebuhlungu
• iicalcium block blockers ukugcina imithambo yegazi ingancipha
• amayeza okulwa nokubanjwa okubangelwa zii-aneurysms ezaphukileyo
• i-angioplasty okanye inaliti yeziyobisi eyonyusa uxinzelelo lwegazi ukugcina igazi lihamba kwaye kuthintela ukubetha
• ukukhupha ulwelo oluninzi lwe-cerebrospinal kwi-aneurysm eqhekekileyo usebenzisa i-catheter okanye inkqubo ye-shunt
• ngokwasemzimbeni, emsebenzini, kunye nonyango lokuthetha ukujongana nomonakalo wobuchopho kwi-aneurysm yeberry ephukileyo

Ungayikhusela njani i-aneurysms yamajikijolo

Ayikho indlela eyaziwayo yokuthintela i-aneurysms yamajikijolo, kodwa kukho iinguqulelo kwindlela yokuphila enokuwunciphisa umngcipheko. Oku kubandakanya:

• ukuyeka ukutshaya nokuphepha ukutshaya
• ukunqanda ukusetyenziswa kweziyobisi ngokuzonwabisa
• ukulandela ukutya okusempilweni okunamafutha amaninzi, i-trans fats, i-cholesterol, ityuwa, kunye neswekile eyongeziweyo
• ukwenza umsebenzi omninzi ngangokunokwenzeka
• usebenza nogqirha wakho ukunyanga uxinzelelo lwegazi oluphezulu okanye i-cholesterol ephezulu ukuba unayo
• ukuthetha nogqirha wakho malunga nemingcipheko enxulumene nokukhulelwa komlomo

Ukuba sele unayo i-aneurysm yeberry, ukwenza olu tshintsho kunokukunceda uthintele i-aneurysm ekuphukeni. Ukongeza kolu tshintsho, kuya kufuneka unqande ubunzima obungeyomfuneko, njengokuphakamisa ubunzima obunzima, ukuba une-aneurysm engaphazanyiswanga.

Ngaba ii-aneurysms zeberry zihlala zibulala?

Abantu abaninzi abane-aneurysms yamaqunube bahamba ubomi babo bonke bengazi ukuba banayo. Xa i-aneurysm yeberry iba nkulu kakhulu okanye idubule, nangona kunjalo, inokuba neziphumo ezibi, zobomi bonke. Ezi ziphumo zihlala zixhomekeke kubudala nakwimeko yakho, kunye nobungakanani kunye nendawo ye-aneurysm yeberry.

Ixesha eliphakathi kokubhaqwa kunye nonyango lubaluleke kakhulu. Mamela umzimba wakho kwaye ufune unyango kwangoko ukuba ucinga ukuba unokuba ne-aneurysm yeberry.