Kukonza aneurysm ya ubongo - kutulutsa

Munali ndi vuto la ubongo. Anurysm ndi malo ofooka pakhoma lamitsempha yamagazi yomwe imatuluka kapena mabuluni amatuluka. Akafika pamlingo winawake, amakhala ndi mwayi wophulika. Ikhoza kutulutsa magazi pamtunda waubongo. Izi zimatchedwanso kuti subarachnoid hemorrhage. Nthawi zina kutuluka magazi kumatha kuchitika mkati mwa ubongo.

Munachitidwa opaleshoni kuti muchepetse magazi kutuluka magazi kapena kuti muchiritse aneurysm itatuluka magazi. Mukapita kunyumba, tsatirani malangizo a omwe amakuthandizani pa zaumoyo wanu momwe mungadzisamalire nokha. Gwiritsani ntchito zomwe zili pansipa ngati chikumbutso.

Mwinamwake munali ndi imodzi mwa mitundu iwiri ya opaleshoni:

• Tsegulani craniotomy, pomwe dokotala amatsegula chigaza chanu kuti muike pakhosi pakhosi la aneurysm.
• Kukonzekera kwamitsempha, pomwe dokotala amachita opareshoni m'malo amthupi mwanu kudzera mumtsuko wamagazi.

Ngati mudatuluka magazi musanachite opaleshoni, mkati, kapena mutatha kuchita opaleshoni mutha kukhala ndi zovuta zazifupi kapena zazitali. Izi zitha kukhala zofatsa kapena zovuta. Kwa anthu ambiri, mavutowa amakhala bwino pakapita nthawi.

Ngati mutakhala ndi mtundu uliwonse wa opaleshoni mungachite izi:

• Khalani achisoni, okwiya, kapena amanjenje kwambiri. Izi si zachilendo.
• Ndakhala ndikugwidwa ndikumwa mankhwala kuti mutetezenso wina.
• Khalani ndi mutu womwe ungapitirire kwakanthawi. Izi ndizofala.

Zomwe mungayembekezere pambuyo pa craniotomy ndikuyika kopanira:

• Zimatenga milungu 3 mpaka 6 kuti ziyambenso. Mukadakhala kuti mukutuluka magazi kuchokera ku aneurysm yanu izi zimatha kutenga nthawi yayitali. Mutha kumva kutopa kwa milungu 12 kapena kupitilira apo.
• Ngati munadwala sitiroko kapena kuvulala muubongo chifukwa chotuluka magazi, mutha kukhala ndi mavuto osatha monga vuto la kulankhula kapena kuganiza, kufooka kwa minofu, kapena kufooka.
• Mavuto ndi chikumbukiro chanu ndiofala, koma izi zimatha kusintha.
• Mutha kukhala ndi chizungulire kapena kusokonezeka, kapena zolankhula zanu sizikhala zachilendo pambuyo pa opareshoni. Ngati simunataye magazi, mavutowa akuyenera kukhala bwino.

Zomwe mungayembekezere pambuyo pakukonzanso kwamitsempha yam'mimba:

• Mutha kukhala ndi ululu m'dera lanu lobiriwira.
• Mutha kukhala ndi zipsinjo mozungulira pamunsi ndi pamunsi pake.

Mutha kuyambitsa zochitika za tsiku ndi tsiku, monga kuyendetsa galimoto, mkati mwa sabata limodzi kapena awiri ngati simunatuluke magazi. Funsani omwe akukuthandizani kuti muzichita nawo tsiku lililonse.

Pangani mapulani oti muthandizidwe kunyumba mukamachira.

Tsatirani moyo wathanzi, monga:

• Ngati muli ndi kuthamanga kwa magazi, pitirizani kuyang'anira. Onetsetsani kuti mukumwa mankhwala omwe woperekayo wakupatsani.
• Osasuta.
• Funsani omwe akukuthandizani ngati zili bwino kuti mumwe mowa.
• Funsani omwe akukuthandizani ngati zili bwino kuyamba zachiwerewere.

Tengani mankhwala anu olanda ngati mwapatsidwa mankhwala oti mulandire. Mutha kutumizidwa kukalankhula, kuthupi, kapena pantchito kuti ikuthandizireni kuwonongeka kulikonse kwaubongo.

Ngati dokotalayo waika catheter kudzera mu kubuula kwanu (opaleshoni yamitsempha yam'mimba), ndibwino kuyenda mtunda wawufupi pamalo athyathyathya. Chepetsani masitepe oyenda kukwera ndi kutsika mpaka kawiri patsiku kwa masiku awiri kapena atatu. Osamagwira ntchito pabwalo, kuyendetsa galimoto, kapena kuchita masewera mpaka dokotala atanena kuti ndibwino kutero.

Wopereka wanu angakuuzeni nthawi yomwe mavalidwe anu asinthidwe. Osasamba kapena kusambira sabata limodzi.

Ngati muli ndi magazi ochepa pang'onoting'ono, pendani pansi ndikupanikizika komwe kumatuluka magazi kwa mphindi 30.

Onetsetsani kuti mukumvetsetsa malangizo aliwonse okhudza kumwa mankhwala monga opopera magazi (anticoagulants), aspirin, kapena NSAID, monga ibuprofen ndi naproxen.

Onetsetsani kuti mwatsata ofesi ya dokotala wanu mkati mwa masabata awiri mutatulutsidwa mchipatala.

Funsani dokotala wanu wa opaleshoni ngati mukufuna kutsata kwa nthawi yayitali ndi mayeso, kuphatikiza ma scans a CT, MRIs, kapena ma angiograms am'mutu mwanu.

Mukadakhala kuti mwakhala ndi cerebral spinal fluid (CSF) shunt, mudzafunika kutsatira pafupipafupi kuti muwonetsetse kuti zikuyenda bwino.

Itanani dokotala wanu ngati muli:

• Mutu wopweteka kwambiri kapena mutu womwe umakulirakulira ndipo mumamva chizungulire
• Khosi lolimba
• Nseru ndi kusanza
• Kupweteka kwa diso
• Mavuto ndi kupenya kwanu (kuyambira khungu mpaka mavuto azowona mpaka kuwona kawiri)
• Mavuto olankhula
• Mavuto akuganiza kapena kumvetsetsa
• Mavuto poona zinthu zokuzungulirani
• Kusintha kwamakhalidwe anu
• Khalani ofooka kapena okomoka
• Kutayika bwino kapena kulumikizana kapena kuchepa kwa kugwiritsidwa ntchito kwa minofu
• Kufooka kapena dzanzi la mkono, mwendo, kapena nkhope yako

Komanso, itanani dokotala wanu wa opaleshoni ngati muli ndi:

• Kutuluka magazi pamalo obowolera omwe samachoka mukaponderezedwa
• Dzanja kapena mwendo womwe umasintha mtundu, umakhala wozizira kukhudza, kapena kufota
• Kufiira, kupweteka, kapena kutuluka kwachikasu kapena kobiriwira mkati kapena mozungulira tsamba latsamba
• Malungo apamwamba kuposa 101 ° F (38.3 ° C) kapena kuzizira

Kukonzekera kwa aneurysm - ubongo - kutulutsa; Kukonzekera kwa ubongo wamagazi - kutulutsa; Kuyika - kutulutsa; Kukonzekera kwa mitsempha yotulutsa magazi - kutulutsa; Kukonzekera kwa Berry aneurysm - kutulutsa; Fusiform aneurysm kukonza - kutulutsa; Kutulutsa kukonza kwa aneurysm - kutulutsa; Kukonzekera kwa endovascular aneurysm - kutulutsa; Kudula kwa Aneurysm - kutulutsa

Bowles E. Cerebral aneurysm ndi aneurysmal subarachnoid haemorrhage. Nurs Nurs. 2014; 28 (34): 52-59. PMID: 24749614 pubed.ncbi.nlm.nih.gov/24749614/.

Connolly ES Jr, Rabinstein AA, Carhuapoma JR, ndi al. Maupangiri othandizira kasamalidwe ka magazi m'magazi a aneurysmal subarachnoid: chitsogozo cha akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2012; 43 (6): 1711-1737. PMID: 22556195 pubed.ncbi.nlm.nih.gov/22556195/.

Webusayiti ya Endovascular Today. Wotsogolera De Leacy, MD, FRANZCR; Gal Yaniv, MD, PhD; ndi Kambiz Nael, MD. Kutsata Kwa Cerebral Aneurysm: Momwe Miyezo Isinthira ndi Chifukwa Chake. Maganizo pamtundu wotsatira wotsatira komanso mawonekedwe amachitidwe azovuta zamatenda am'magazi. February 2019. evtoday.com/articles/2019-feb/cerebral-aneurysm-follow-up-how-standards-have-changed-and- chifukwa chiyani. Idapezeka pa Okutobala 6, 2020.

Szeder V, Tateshima S, Duckwiler GR. Matenda a intracranial ndi kukha magazi kwa subarachnoid. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 67.

• Aneurysm muubongo
• Kukonza aneurysm yaubongo
• Kuchita opaleshoni yaubongo
• Kuchira pambuyo pa sitiroko
• Kugwidwa
• Sitiroko
• Malangizo a momwe mungasiyire kusuta

• Opaleshoni ya ubongo - kutulutsa
• Kuyankhulana ndi munthu yemwe ali ndi aphasia

• Ubongo Aneurysm