Aneurysm muubongo

Aneurysm ndi malo ofooka pakhoma lamitsempha yamagazi yomwe imapangitsa kuti magazi azituluka kapena buluni. Aneurysm ikapezeka mumtsuko wamagazi wamaubongo, amatchedwa ubongo, kapena intracranial, aneurysm.

Ziphuphu muubongo zimachitika pakakhala malo ofooka pakhoma la chotengera magazi. Anurysm imatha kupezeka kuyambira pakubadwa (kobadwa nako). Kapena, itha kukula pambuyo pake m'moyo.

Pali mitundu yambiri yamitsempha yamaubongo. Mtundu wofala kwambiri umatchedwa aneurysm ya mabulosi. Mtundu uwu umatha kusiyanasiyana kukula kwake kuchokera pamamilimita angapo mpaka kupitilira sentimita imodzi. Ma aneurysms a mabulosi akuluakulu akhoza kukhala akulu kuposa masentimita 2.5. Izi ndizofala kwambiri kwa akuluakulu. Ma aneurysms a Berry, makamaka ngati alipo opitilira umodzi, nthawi zina amaperekedwa kudzera m'mabanja.

Mitundu ina ya mitsempha yotulutsa ubongo imakulitsa kufalikira kwa mitsempha yathunthu yamagazi. Kapenanso, atha kuwoneka ngati kubaluni kuchokera mu chotengera chamagazi. Ma aneurysms otere amatha kuchitika mumtsuko uliwonse wamagazi womwe umapereka ubongo. Kuuma kwa mitsempha (atherosclerosis), kupwetekedwa mtima, ndi matenda kumatha kuvulaza khoma la zotengera zamagazi ndikupangitsa matenda am'mimba.

Zovuta za ubongo ndizofala. M'modzi mwa anthu makumi asanu ali ndi aneurysm yaubongo, koma owerengeka ochepa okha amadzimadzi amayambitsa zizindikilo kapena kuphulika.

Zowopsa ndi izi:

• Mbiri ya banja yamatenda am'magazi
• Mavuto azachipatala monga matenda a impso a polycystic, coarctation ya aorta, ndi endocarditis
• Kuthamanga kwa magazi, kusuta, mowa, komanso kugwiritsa ntchito mankhwala osokoneza bongo

Munthu atha kukhala ndi vuto la khunyu popanda chizindikiro chilichonse. Mtundu wamtundu wa aneurysm ukhoza kupezeka pamene MRI kapena CT scan yaubongo yachitika pa chifukwa china.

Aneurysm yaubongo imatha kuyamba kutuluka magazi pang'ono. Izi zitha kupangitsa mutu kukhala wopweteka kwambiri womwe munthu angafotokoze kuti ndi "mutu wopweteka kwambiri m'moyo wanga." Itha kutchedwa thunderclap kapena sentinel mutu. Izi zikutanthauza kuti mutu ungakhale chenjezo la kuphulika kwamtsogolo komwe kumatha kuchitika masiku mpaka milungu mutu utayamba.

Zizindikiro zimathanso kupezeka ngati aneurysm imakankhira pamalo oyandikira muubongo kapena itayamba kutseguka (ndikuphulika) ndikupangitsa magazi kulowa muubongo.

Zizindikiro zimadalira komwe kuli aneurysm, kaya imatseguka, ndipo ndi gawo liti laubongo lomwe likukankhirabe. Zizindikiro zimaphatikizapo:

• Masomphenya awiri
• Kutaya masomphenya
• Kupweteka mutu
• Kupweteka kwa diso
• Kupweteka kwa khosi
• Khosi lolimba
• Kulira m'makutu

Kudwala mutu modzidzimutsa ndi chizindikiro chimodzi cha matenda am'mimba omwe aphulika. Zizindikiro zina za kuphulika kwa aneurysm zitha kuphatikizira izi:

• Kusokonezeka, kulibe mphamvu, kugona, kugona, kapena kukomoka
• Eyelid akugwera
• Mutu ndi nseru kapena kusanza
• Kufooka kwa minofu kapena kuvuta kusuntha gawo lirilonse la thupi
• Dzanzi kapena kuchepa kwachisoni m'mbali iliyonse ya thupi
• Mavuto kulankhula
• Kugwidwa
• Khosi lolimba (nthawi zina)
• Masomphenya amasintha (masomphenya awiri, kutayika kwa masomphenya)
• Kutaya chidziwitso

Dziwani: Aneurysm yophulika ndizadzidzidzi zamankhwala. Imbani 911 kapena nambala yanu yadzidzidzi yakomweko.

Kuyesedwa kwa diso kumatha kuwonetsa zipsinjo zakuchulukirachulukira muubongo, kuphatikiza kutupa kwa mitsempha yamawonedwe kapena kutuluka magazi mu diso la diso. Kuyezetsa kuchipatala kumatha kuwonetsa kuyenda kwa diso, kulankhula, mphamvu, kapena kumva.

Mayeso otsatirawa atha kugwiritsidwa ntchito kuzindikira matenda am'magazi am'magazi ndikuzindikira zomwe zimayambitsa kutuluka kwa magazi muubongo:

• Cerebral angiography kapena mwauzimu CT scan angiography (CTA) yamutu kuwonetsa malo ndi kukula kwa aneurysm
• Mphepete wamtsempha
• Kujambula kwa CT pamutu
• Electrocardiogram (ECG)
• MRI ya mutu kapena MRI angiogram (MRA)

Njira ziwiri zomwe zimagwiritsidwa ntchito pokonzanso matenda a aneurysm.

• Kudula kumachitika pakuchita opaleshoni yaubongo yotseguka (craniotomy).
• Kukonzekera kwamitsempha kumachitika nthawi zambiri. Nthawi zambiri zimakhudzana ndi koyilo kapena coiling komanso stenting. Iyi ndi njira yocheperako komanso yofala kwambiri yochizira matenda am'mimba.

Si ma aneurysms onse omwe amafunika kuthandizidwa nthawi yomweyo. Zomwe zili zazing'ono kwambiri (zosakwana 3 mm) sizimatseguka.

Wothandizira zaumoyo wanu adzakuthandizani kusankha ngati kuli kotheka kuchitidwa opaleshoni kuti mutseke aneurysm isanatseguke. Nthawi zina anthu amadwala kwambiri kuti achite opareshoni, kapena zitha kukhala zowopsa kuchiza aneurysm chifukwa chakomweko.

Aneurysm yophulika ndizadzidzidzi zomwe zimafunikira kuthandizidwa nthawi yomweyo. Chithandizo chitha kukhala:

• Kulandilidwa kuchipatala cha odwala mwakayakaya (ICU)
• Malizitsani kupumula pabedi komanso zoletsa kuchita
• Kukhetsa magazi kuchokera kumalo amubongo (ma cerebral ventricular drainage)
• Mankhwala oteteza khunyu
• Mankhwala ochepetsa mutu komanso kuthamanga kwa magazi
• Mankhwala kudzera mumtsempha (IV) wopewa kutenga matenda

Matenda a aneurysm akangokonzedwa, angafunike chithandizo kuti ateteze sitiroko kuchokera pamitsempha yamagazi.

Momwe mumakhalira bwino zimatengera zinthu zambiri. Anthu omwe ali chikomokere chakumapeto kwa kuphulika kwa aneurysm samachita monga omwe ali ndi zizindikilo zochepa.

Matenda opatsirana a ubongo nthawi zambiri amakhala owopsa. Mwa iwo omwe apulumuka, ena alibe kulumala konse. Ena ali ndi zilema zochepa mpaka zochepa.

Zovuta za aneurysm muubongo zitha kuphatikizira izi:

• Kuchulukitsa kupanikizika mkati mwa chigaza
• Hydrocephalus, yomwe imayambitsidwa ndi kudzikundikira kwa madzimadzi a cerebrospinal mu ma ventricles aubongo
• Kutayika kwa kuyenda mu gawo limodzi kapena angapo amthupi
• Kutaya kwa gawo lililonse la nkhope kapena thupi
• Kugwidwa
• Sitiroko
• Kutaya magazi kwa Subarachnoid

Pitani kuchipinda chodzidzimutsa kapena itanani 911 kapena nambala yanu yadzidzidzi yakumaloko ngati mukudwala mwadzidzidzi kapena modetsa nkhawa, makamaka ngati muli ndi nseru, kusanza, kugwidwa, kapena chizindikiro china chilichonse chamanjenje.

Komanso itanani ngati muli ndi mutu womwe siwachilendo kwa inu, makamaka ngati uli woopsa kapena mutu wopweteka kwambiri.

Palibe njira yodziwikiratu yoletsera matenda a mabulosi kuti asapangidwe. Kuchiza kuthamanga kwa magazi kumachepetsa mwayi woti chotupa cha magazi chomwe chilipo chitha kuphulika. Kulamulira zoopsa za atherosclerosis kumachepetsa mwayi wamitundu ina yamatenda.

Anthu omwe amadziwika kuti ali ndi aneurysm angafunikire kupita kukaonana nawo pafupipafupi kuti akawonetsetse kuti aneurysm sikusintha kukula kapena mawonekedwe.

Ngati ma aneurysms osasunthika atapezeka munthawi yake, amatha kuthandizidwa asanayambitse mavuto kapena kuyang'aniridwa ndi kujambula kwanthawi zonse (nthawi zambiri pachaka).

Lingaliro lokonza matenda osokoneza bongo omwe asokonekera limayambira kukula ndi malo omwe ali ndi aneurysm, komanso zaka za munthuyo komanso thanzi lake.

Aneurysm - ubongo; Matenda a ubongo; Aneurysm - yopanda mphamvu

• Kukonza aneurysm ya ubongo - kutulutsa
• Mutu - zomwe mufunse dokotala wanu

• Matenda a ubongo
• Matenda a ubongo

Tsamba la American Stroke Association. Zomwe muyenera kudziwa zokhudzana ndi ubongo. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-now-about-cerebral-aneurysms#.Wv1tfUiFO1t. Idasinthidwa pa Disembala 5, 2018. Idapezeka pa Ogasiti 21, 2020.

National Institute of Neurological Disorders ndi tsamba la Stroke. Cerebral aneurysms pepala. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Idasinthidwa pa Marichi 13, 2020. Idapezeka pa Ogasiti 21, 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.

Thompson BG, Brown RD Jr, Amin-Hanjani S, ndi al. Maupangiri othandizira kasamalidwe ka odwala omwe ali ndi ziwalo zosasokoneza mwadzidzidzi: chitsogozo cha akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2015: 46 (8): 2368-2400. PMID: 26089327 pubed.ncbi.nlm.nih.gov/26089327/.