Kuzindikira

Aneurysm ndikukula modabwitsa kapena kubaluni kwa gawo lamtsempha chifukwa chofooka pakhoma la mtsempha wamagazi.

Sizikudziwika bwinobwino zomwe zimayambitsa ma aneurysms. Ma aneurysms ena amapezeka pakubadwa (kobadwa nako). Zolakwika m'malo ena a khoma la mtsempha wamagazi zitha kukhala zoyambitsa.

Malo omwe amapezeka ma aneurysms ndi awa:

• Mitsempha yayikulu yochokera mumtima monga thoracic kapena aorta a m'mimba
• Ubongo (ubongo aneurysm)
• Kuseri kwa bondo mu mwendo (popliteal artery aneurysm)
• Matumbo (mesenteric artery aneurysm)
• Mitsempha mu ndulu (splenic artery aneurysm)

Kuthamanga kwa magazi, cholesterol, ndi kusuta ndudu kumatha kubweretsa chiopsezo chanu pamitundu ina yamatenda. Kuthamanga kwa magazi kumaganiziridwa kuti kumathandizira m'mitsempha yama m'mimba ya aortic. Matenda a atherosclerotic (cholesterol m'mitsempha) amathanso kupangitsa kuti pakhale zovuta zina. Mitundu ina kapena zinthu zina monga fibromuscular dysplasia zimatha kubweretsa ma aneurysms.

Mimba nthawi zambiri imalumikizidwa ndikupanga ndi kutuluka kwa ma spuric artery aneurysms.

Zizindikirozo zimadalira komwe kumapezeka matenda a aneurysm. Ngati matenda a aneurysm amapezeka pafupi ndi thupi, kupweteka ndi kutupa ndi chotupa nthawi zambiri zimawoneka.

Ma anneurysms mthupi kapena muubongo nthawi zambiri samayambitsa zisonyezo. Mafinya muubongo amatha kukulira osatseguka (kuphulika). Aneurysm yowonjezera imatha kukanikiza m'mitsempha ndikupangitsa kuwona kawiri, chizungulire, kapena kupweteka mutu. Zovuta zina zimatha kulira m'makutu.

Ngati matenda a aneurysm ataphulika, kupweteka, kuthamanga kwa magazi, kugunda kwamtima mwachangu, komanso kupepuka kumatha kuchitika. Pamene ubongo uneurysm uphulika, pamakhala mutu wopweteka mwadzidzidzi womwe anthu ena amati ndi "mutu wopweteka kwambiri m'moyo wanga." Chiwopsezo chokhala chikomokere kapena kufa ataphulika ndichambiri.

Wothandizira zaumoyo adzayesa.

Mayeso omwe amagwiritsidwa ntchito pozindikira kuti aliurysm ndi awa:

• Kujambula kwa CT
• CT angiogram
• MRI
• MRA
• Ultrasound
• Angiogram

Chithandizo chimadalira kukula ndi malo omwe ali ndi aneurysm. Wothandizira anu amangolimbikitsa kukayezetsa pafupipafupi kuti muwone ngati aneurysm ikukula.

Opaleshoni itha kuchitidwa. Mtundu wa opareshoni womwe wachitika ndipo mukawafuna umadalira zizindikiro zanu komanso kukula ndi mtundu wa aneurysm.

Kuchita opaleshoni kungaphatikizepo kudula kwakukulu (kotseguka). Nthawi zina, njira yotchedwa endovascular embolization imachitika. Ma coils kapena ma stents achitsulo amalowetsedwa mu ubongo wa aneurysm kuti apange chotupa cha aneurysm. Izi zimachepetsa chiopsezo chophwanya kwinaku mukusunga mtsempha. Ma aneurysms ena aubongo angafunike kuyika chidutswa kuti awatseke komanso kuti asaphulike.

Ma Aneurysms a aorta amatha kulimbikitsidwa ndikuchita opareshoni yolimbitsa khoma lamitsempha yamagazi.

Itanani omwe akukuthandizani ngati mungakhale ndi chotupa m'thupi lanu, kaya ndi chopweteka kapena chopweteka.

Ndi aneurysm ya aortic, pitani kuchipinda chodzidzimutsa kapena itanani 911 kapena nambala yadzidzidzi yakomweko ngati muli ndi ululu m'mimba kapena kumbuyo kwanu koipa kwambiri kapena sikutha.

Ndi aneurysm yaubongo, pitani kuchipinda chodzidzimutsa kapena itanani 911 kapena nambala yadzidzidzi yakomweko ngati mukudwala mwadzidzidzi kapena modetsa nkhawa, makamaka ngati muli ndi nseru, kusanza, khunyu, kapena chizindikiro china chilichonse chamanjenje.

Mukapezeka kuti muli ndi aneurysm yomwe sinatulukire magazi, muyenera kuyesedwa pafupipafupi kuti muwone ngati ikukula.

Kulamulira kuthamanga kwa magazi kumathandiza kupewa zovuta zina. Tsatirani chakudya chopatsa thanzi, muzichita masewera olimbitsa thupi nthawi zonse, komanso kuti mafuta anu azisungika bwino kuti muthandizenso kupewa zovuta zamavuto.

Osasuta. Mukasuta, kusiya kumachepetsa chiopsezo chanu chokhala ndi khunyu.

Aneurysm - splenic mtsempha wamagazi; Aneurysm - mitsempha yotchuka; Aneurysm - mesenteric mtsempha wamagazi

• Matenda a ubongo
• Aortic aneurysm
• Kutaya magazi kwa Intracerebellar - CT scan

Britz GW, Zhang YJ, Desai VR, Scranton RA, Pai NS, West GA. Njira zopangira opaleshoni zamatenda osokoneza bongo. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 383.

Cheng CC, Cheema F, Fankhauser G, Silva MB. Matenda a m'mitsempha Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 62.

Lawrence PF, Rigberg DA. Zovuta zam'mimba: etiology, miliri, komanso mbiri yachilengedwe. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 69.