M'mimba mwake aortic aneurysm

Aorta ndiye chotengera chachikulu chamagazi chomwe chimapereka magazi pamimba, m'chiuno, ndi m'miyendo. Mimba ya aortic aneurysm imachitika pomwe gawo la aorta limakhala lalikulu kwambiri kapena mabaluni atuluka.

Zomwe zimayambitsa matenda a aneurysm sizikudziwika. Zimachitika chifukwa cha kufooka kwa khoma la mtsempha wamagazi.Zinthu zomwe zingakulitse chiopsezo chanu chokhala ndi vutoli ndi izi:

• Kusuta
• Kuthamanga kwa magazi
• Kugonana kwamwamuna
• Zinthu zobadwa nazo

Matenda a m'mimba aortic aneurysm amapezeka nthawi zambiri mwa amuna azaka zopitilira 60 omwe ali pachiwopsezo chimodzi kapena zingapo. Kukula kwa aneurysm, kumakhala kotheka kutseguka kapena kung'ambika. Izi zitha kupha moyo.

Ma anneurysms amatha kukula pang'onopang'ono zaka zambiri, nthawi zambiri osakhala ndi zizindikilo. Zizindikiro zimatha kubwera mwachangu ngati matenda a aneurysm amakula mwachangu, misozi ikutseguka kapena ikudontha magazi mkati mwa khoma la chotengera (aortic dissection).

Zizindikiro za kuphulika ndizo:

• Kupweteka m'mimba kapena kumbuyo. Ululu ukhoza kukhala wowopsa, mwadzidzidzi, wolimbikira, kapena wosasintha. Zitha kufalikira kubuola, matako, kapena miyendo.
• Kupita.
• Khungu lachikopa.
• Chizungulire.
• Nseru ndi kusanza.
• Kuthamanga kwa mtima mwachangu.
• Chodabwitsa.

Wothandizira zaumoyo wanu amayang'ana m'mimba mwanu ndikumverera kutuluka kwamiyendo yanu. Wopezayo atha kupeza:

• Pamimba pamakhala chotupa (misa)
• Kutengeka kwam'mimba
• Mimba yolimba kapena yolimba

Wopezayo angapeze vutoli pochita mayesero otsatirawa:

• Ultrasound pamimba pomwe m'mimba aneurysm imayamba kukayikiridwa
• Kujambula kwa CT pamimba kuti mutsimikizire kukula kwa aneurysm
• CTA (computed tomographic angiogram) yothandizira pakukonzekera opaleshoni

Chimodzi mwazoyeserera izi zitha kuchitika mukakhala ndi zizindikiro.

Mutha kukhala ndi aneurysm yam'mimba yomwe siyimayambitsa zizindikiro zilizonse. Wopereka wanu atha kuyitanitsa ultrasound yam'mimba kuti iwonere aneurysm.

• Amuna ambiri azaka zapakati pa 65 mpaka 75, omwe amasuta fodya pamoyo wawo amayenera kuyesedwa kamodzi.
• Amuna ena azaka zapakati pa 65 mpaka 75, omwe sanasutepo m'moyo wawo angafunike kuyesedwaku kamodzi.

Ngati muli ndi magazi mkati mwathupi lanu kuchokera ku aortic aneurysm, mufunika kuchitidwa opaleshoni nthawi yomweyo.

Ngati aneurysm ndi yaying'ono ndipo palibe zisonyezo:

• Opaleshoni sachitika kawirikawiri.
• Inu ndi omwe akukuthandizani muyenera kusankha ngati chiopsezo chochitidwa opaleshoni ndi chochepa kuposa chiopsezo chotaya magazi ngati simukuchitidwa opaleshoni.
• Wothandizira anu angafune kuyang'ana kukula kwa aneurysm ndimayeso a ultrasound miyezi isanu ndi umodzi iliyonse.

Nthawi zambiri, opareshoni imachitika ngati matenda a aneurysm amakhala akulu kuposa mainchesi awiri (5 sentimita) kudutsa kapena kukula mwachangu. Cholinga ndikuti achite opaleshoni mavuto asanachitike.

Pali mitundu iwiri ya opaleshoni:

• Kutsegula kotseguka - Cheka chachikulu chimapangidwa m'mimba mwanu. Chombo chachilendochi chimalowetsedwa ndi cholozetsa chopangidwa ndi zinthu zopangidwa ndi anthu.
• Ankalumikiza ndi endovascular stent - Njirayi imatha kuchitika popanda kudula pamimba panu, kuti mutha kuchira mwachangu. Imeneyi ikhoza kukhala njira yotetezeka ngati muli ndi mavuto ena azachipatala kapena ndinu okalamba. Kukonzekera kwamitsempha nthawi zina kumachitika chifukwa chodontha kapena kutuluka magazi.

Zotsatira zake nthawi zambiri zimakhala zabwino ngati mukuchitidwa opaleshoni kuti mukonze aneurysm isanatuluke.

Pamene minyewa ya m'mimba ya aortic iyamba kung'ambika kapena kuphulika, ndizadzidzidzi zamankhwala. Pafupifupi munthu m'modzi mwa anthu asanu aliwonse amapulumuka m'mimba yotupa m'mimba.

Pitani kuchipinda chodzidzimutsa kapena itanani 911 ngati mukumva kupweteka m'mimba kapena kumbuyo komwe kumakhala koyipa kwambiri kapena sikupita.

Kuchepetsa chiopsezo cha matenda am'mimba:

• Idyani chakudya chopatsa thanzi, kuchita masewera olimbitsa thupi, kusiya kusuta (ngati mumasuta), ndikuchepetsa nkhawa.
• Ngati muli ndi vuto la kuthamanga kwa magazi kapena matenda ashuga, tengani mankhwala anu monga momwe wakuuzani akukuuzani.

Anthu azaka zopitilira 65 omwe adasuta kale amayenera kukhala ndi ma ultrasound owunika kamodzi kamodzi.

Aneurysm - kung'ambika; AAA

• Kukonzekera kwa m'mimba kwa aortic aneurysm - kutseguka - kutulutsa
• Kukonza kwa aortic aneurysm - endovascular - kutulutsa

• Kuphulika kwa aortic - x-ray pachifuwa
• Aortic aneurysm

Braverman AC, Schermerhorn M. Matenda a aorta. Mu: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 63.

Colwell CB, Fox CJ. M'mimba mwake aortic aneurysm. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 76.

LeFevre ML; Gulu Lachitetezo la U.S. Kuunikira m'mimba mwa aortic aneurysm: Ndemanga ya US Preventive Services Task Force. Ann Intern Med. 2014; 161 (4): 281-290. PMID: 24957320 www.ncbi.nlm.nih.gov/pubmed/24957320. (Adasankhidwa)

Woo EW, Damrauer SM. Mitsempha ya m'mimba ya aortic: chithandizo chotsegula cha opaleshoni. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 71.