Kukonzekera kwa m'mimba kwa aortic aneurysm - kotseguka

Tsegulani kukonza m'mimba mwa aortic aneurysm (AAA) ndikuchita opaleshoni kuti mukonze gawo lokulitsidwa mu aorta yanu. Izi zimatchedwa aneurysm. Aorta ndi mitsempha yayikulu yomwe imanyamula magazi kupita nawo kumimba (pamimba), m'chiuno, ndi miyendo.

Aortic aneurysm ndipamene gawo la mtsempha wamagazi limakhala lokulirapo kapena mabaluni akunja.

Kuchita opareshoni kudzachitika mchipinda chochitiramo opaleshoni. Mudzapatsidwa mankhwala oletsa ululu (mudzakhala mukugona komanso opanda ululu).

Dokotala wanu amatsegula mimba yanu ndikusinthira aortic aneurysm ndi chopangidwa ndi anthu, chovala ngati nsalu.

Umu ndi momwe zingachitikire:

• Mwanjira imodzi, mudzagona chagada. Dokotalayo amadula pakati pamimba, kuyambira pansi pa fupa la bere mpaka pansi pamimba. Nthawi zambiri, kudula kumadutsa pamimba.
• Mwanjira ina, mudzagona mopendekeka kumanja kwanu. Dokotalayo adzadula masentimita 5 mpaka 15 (13 mpaka 15 masentimita) kuchokera mbali yakumanzere ya mimba yanu, kumathera pang'ono pansi pamimba yanu.
• Dokotala wanu azilowetsa aneurysm ndi chubu lalitali lopangidwa ndi nsalu zopangidwa ndi anthu. Amasokedwa ndi zoluka.
• Nthawi zina, malekezero a chubu ichi (kapena kumezanitsa) adzasunthidwa kudzera mumitsempha yamagazi pamalo aliwonse obisika ndikuphatikizidwa ndi omwe ali mwendo.
• Opaleshoniyo ikachitika, miyendo yanu imayesedwa kuti muwonetsetse kuti pali vuto. Nthawi zambiri kuyesa kwa utoto pogwiritsa ntchito ma x-ray kumachitika kuti zitsimikizire kuti pamakhala miyendo yabwino yamagazi.
• Odulidwa amatsekedwa ndi sutures kapena chakudya.

Kuchita opaleshoni m'malo mwa aortic aneurysm kumatha kutenga maola awiri kapena anayi. Anthu ambiri amachira kuchipatala (ICU) pambuyo pa opareshoni.

Opaleshoni yotseguka kuti mukonze AAA nthawi zina imachitidwa ngati njira yodzidzimutsa mukakhala magazi mkati mwathupi lanu kuchokera ku aneurysm.

Mutha kukhala ndi AAA yomwe siyimayambitsa zizindikiro kapena mavuto. Wothandizira zaumoyo wanu mwina atha kupeza vutoli mutalandira ultrasound kapena CT scan pa chifukwa china. Pali chiopsezo kuti matendawa amatha kutuluka mwadzidzidzi ngati simupanga opaleshoni kuti mukonze. Komabe, opaleshoni yokonzanso matenda a aneurysm amathanso kukhala owopsa, kutengera thanzi lanu lonse.

Inu ndi wothandizira wanu muyenera kusankha ngati chiopsezo chochitidwa opaleshoni iyi ndi chochepa kuposa chiopsezo chotuluka. Opaleshoni imatha kufotokozedwera ngati aneurysm ndi:

• Chachikulu (pafupifupi mainchesi awiri kapena masentimita asanu)
• Kukula mofulumira kwambiri (osakwana 1/4 inchi pa miyezi 6 mpaka 12 yapitayi)

Zowopsa za opaleshoniyi ndizopambana ngati muli:

• Matenda a mtima
• Impso kulephera
• Matenda am'mapapo
• Chilonda cham'mbuyomu
• Mavuto ena azachipatala

Zovuta zimakhalanso zazikulu kwa okalamba.

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu
• Mavuto opumira
• Matenda a mtima kapena sitiroko
• Kutenga, kuphatikiza m'mapapu (chibayo), kwamikodzo, ndi m'mimba
• Zomwe zimachitika ndi mankhwala

Zowopsa za opaleshoniyi ndi izi:

• Kuthira magazi musanachite opaleshoni kapena pambuyo pake
• Kuwonongeka kwa mitsempha, kuyambitsa kupweteka kapena kufooka mwendo
• Kuwonongeka kwa matumbo anu kapena ziwalo zina zapafupi
• Kutaya magazi pagawo lina la m'matumbo akulu ndikupangitsa kuti magazi achedwetse kuchepa
• Kutenga kachilombo
• Kuvulaza ureter, chubu chomwe chimanyamula mkodzo kuchokera ku impso zanu kupita ku chikhodzodzo
• Kulephera kwa impso komwe kumatha
• Kugonana kotsika kapena kulephera kukonzekera
• Magazi osakwanira m'miyendo yanu, impso zanu, kapena ziwalo zina
• Msana wovulala
• Mabala amatseguka
• Matenda opweteka

Mudzapimidwa ndikuyesedwa musanachite opareshoni.

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Ngati mumasuta, muyenera kusiya kusuta osachepera milungu 4 musanachite opareshoni. Wopereka wanu atha kuthandiza.

Pakati pa masabata awiri musanachite opareshoni:

Mudzachezeredwa ndi omwe amakupatsani kuti muwonetsetse kuti zovuta zamankhwala monga matenda ashuga, kuthamanga kwa magazi, komanso mavuto amtima kapena am'mapapo amathandizidwa.

• Mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), ndi mankhwala ena onga awa.
• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Nthawi zonse muuzeni omwe amakupatsani ngati muli ndi chimfine, malungo, malungo, kapena matenda ena musanachite opareshoni.

Musamwe chilichonse pakati pausiku kutatsala tsiku la opaleshoni yanu, kuphatikizapo madzi.

Patsiku la opareshoni yanu:

• Tengani mankhwala omwe munauzidwa kuti mumwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Anthu ambiri amakhala mchipatala masiku 5 mpaka 10. Mukakhala kuchipatala, mudza:

• Khalani m'chipinda cha anthu odwala mwakayakaya (ICU), komwe mudzayang'aniridwa kwambiri atangopitidwa kumene. Mungafunike makina opumira tsiku loyamba.
• Khalani ndi patheter yamikodzo.
• Khalani ndi chubu cholowa m'mphuno mwanu kuti muthandize kukhetsa madzi kwa tsiku limodzi kapena awiri. Kenako pang'onopang'ono mumayamba kumwa, kenako ndikudya.
• Landirani mankhwala kuti magazi anu aziwonda.
• Limbikitsidwa kukhala pambali pa kama ndikuyenda.
• Valani masitonkeni apadera oteteza magazi kuundana m'miyendo mwanu.
• Afunseni kuti mugwiritse ntchito makina opumira kuti akuthandizeni kuchotsa mapapu anu.
• Landirani mankhwala opweteka m'mitsempha mwanu kapena m'malo ozungulira msana wanu (epidural).

Kuchira kwathunthu kuchitidwa opaleshoni yotsegulira aortic aneurysm kumatha kutenga miyezi iwiri kapena itatu. Anthu ambiri amachira kwathunthu ku opaleshoniyi.

Anthu ambiri omwe ali ndi aneurysm yokonzedwa isanatseguke amakhala ndi malingaliro abwino.

AAA - yotseguka; Kukonza - aortic aneurysm - yotseguka

• Kukonzekera kwa m'mimba kwa aortic aneurysm - kutseguka - kutulutsa
• Kudzuka pabedi pambuyo pa opaleshoni

Lancaster RT, Cambria RP. Kutsegula kotsika kwamitsempha yama m'mimba ya aortic. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 899-907.

Tracci MC, Cherry KJ. Mortal. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 61.

Woo EY, 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.