M'mimba minyewa Aneurysm

Zamkati

• Kodi mimba ya aortic aneurysm (AAA) ndi chiyani?
• Kodi mitundu yamtundu wam'mimba wamaortic aneurysms ndi iti?
• Nchiyani chimayambitsa aortic aneurysm?
• Kusuta
• Kuthamanga kwa magazi (matenda oopsa)
• Kutupa kwamitsempha (vasculitis)
• Ndani ali pachiwopsezo cha aneurysm m'mimba mwa aortic?
• Kodi ndizizindikiro ziti za aortic aneurysm?
• Kuzindikira matenda am'mimba aortic aneurysm
• Kuchiza m'mimba mwa aortic aneurysm
• Kodi chiyembekezo chanthawi yayitali ndichotani?
• Kodi kupewera kwa aortic aneurysm kungapewe bwanji?

Kodi mimba ya aortic aneurysm (AAA) ndi chiyani?

Aorta ndiye chotengera chamagazi chachikulu kwambiri mthupi la munthu. Amanyamula magazi kuchokera pamtima panu mpaka kumutu ndi mikono mpaka kumimba, miyendo, ndi m'chiuno. Makoma a aorta amatha kutupa kapena kuphulika ngati buluni yaying'ono ngati atafooka. Izi zimatchedwa aortic aneurysm (AAA) zam'mimba zikachitika mu gawo la aorta lomwe lili m'mimba mwanu.

Ma AAAs samabweretsa mavuto nthawi zonse, koma kuphulika kwa aneurysm kumatha kukhala koopsa. Chifukwa chake, ngati mutapezeka kuti muli ndi aneurysm, dokotala wanu angafune kukuyang'anirani mosamala, ngakhale atapanda kuchitapo kanthu nthawi yomweyo.

Kodi mitundu yamtundu wam'mimba wamaortic aneurysms ndi iti?

Ma AAA nthawi zambiri amagawidwa ndi kukula kwake komanso kuthamanga komwe amakula. Zinthu ziwirizi zitha kuneneratu za zovuta za aneurysm.

Zing'onozing'ono (zosakwana masentimita 5.5) kapena kukula kwa AAAsgenerally ali ndi chiopsezo chotsika kwambiri chothothoka kuposa ma aneurysms akulu kapena omwe amakula mwachangu. Madokotala nthawi zambiri amawona kuti ndi otetezeka kuwayang'anira ndi ma ultrasound am'mimba pafupipafupi kuposa kuwachiritsa.

Zazikulu (zazikulu kuposa masentimita 5.5) kapena AAA zomwe zikukula mwachangu zimatha kuphulika kuposa zovuta zazing'ono kapena zokula pang'onopang'ono. Kuphulika kumatha kubweretsa kutuluka magazi mkati ndi zovuta zina zazikulu. Kukula kwa aneurysm ndikokulirapo, kuyenera kuchitidwa opaleshoni. Mitundu yamatendawa imafunikiranso kuthandizidwa ngati akuyambitsa zizindikiro kapena kutuluka magazi.

Nchiyani chimayambitsa aortic aneurysm?

Zomwe zimayambitsa AAAs sizikudziwika pakadali pano. Komabe, zinthu zina zawonetsedwa kuti zikuwonjezera chiopsezo chanu. Zikuphatikizapo:

Kusuta

Kusuta kumatha kuwononga makoma amitsempha yanu, kuwapangitsa kuti aziphulika. Ikhozanso kuwonjezera chiopsezo cha kuthamanga kwa magazi.

Kuthamanga kwa magazi (matenda oopsa)

Kuthamanga kwa magazi kumatanthauza kuchuluka kwa kuthamanga pamakoma amitsempha yanu. Kuthamanga kwa magazi kumatha kufooketsa makoma anu aorta. Izi zimapangitsa kuti aneurysm ipangidwe bwino.

Kutupa kwamitsempha (vasculitis)

Kutupa kwakukulu mkati mwa aorta ndi mitsempha ina kumatha kuyambitsa ma AAAs. Izi zimachitika kawirikawiri.

Ziphuphu zimatha kupanga chotengera chilichonse chamagazi mthupi lanu. Komabe, ma AAA amawerengedwa kuti ndiwofunika kwambiri chifukwa cha kukula kwa aorta.

Ndani ali pachiwopsezo cha aneurysm m'mimba mwa aortic?

Ma AAA amatha kuchitika ngati:

• ndi amuna
• onenepa kapena onenepa kwambiri
• ali ndi zaka zopitilira 60
• khalani ndi mbiri yabanja yamatenda amtima ndi matenda
• khalani ndi kuthamanga kwa magazi, makamaka ngati muli ndi zaka zapakati pa 35 ndi 60
• kukhala ndi cholesterol yambiri kapena kuchuluka kwamafuta m'mitsempha yamagazi (atherosclerosis)
• khalani moyo wongokhala
• adakumana ndi zoopsa pamimba kapena kuwonongeka kwina pakati panu
• kusuta fodya

Kodi ndizizindikiro ziti za aortic aneurysm?

Ma aneurysms ambiri samakhala ndi zizindikilo pokhapokha ataphulika. Ngati AAA ikuphulika, mutha kukhala ndi chimodzi kapena zingapo mwa izi:

• kupweteka mwadzidzidzi m'mimba mwako kapena kumbuyo
• kupweteka kufalikira kuchokera pamimba panu kapena kubwerera m'chiuno, miyendo, kapena matako
• khungu lolira kapena thukuta
• kuchuluka kwa kugunda kwa mtima
• kugwedezeka kapena kutaya chidziwitso

Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi izi. Aneurysm yophulika imatha kupha moyo.

Kuzindikira matenda am'mimba aortic aneurysm

Ma AAAs omwe sanaphulike amapezeka nthawi zambiri dokotala akamasanthula kapena kuyesa pamimba pazifukwa zina.

Ngati dokotala akukayikira kuti mutha kukhala nawo, adzamva m'mimba mwanu kuti awone ngati ndi yolimba kapena ili ndi minyewa. Angayang'anenso kuthamanga kwa magazi m'miyendo yanu kapena kugwiritsa ntchito mayeso awa:

• CT scan pamimba
• m'mimba ultrasound
• X-ray pachifuwa
• m'mimba MRI

Kuchiza m'mimba mwa aortic aneurysm

Kutengera kukula ndi malo enieni a aneurysm, dokotala wanu amatha kuchita opareshoni kuti akonze kapena kuchotsa minofu yowonongeka. Izi zitha kuchitika mwina ndi opaleshoni yotseguka m'mimba kapena opaleshoni yamitsempha. Kuchita opareshoni kumadalira thanzi lanu lonse komanso mtundu wa aneurysm.

Opaleshoni ya m'mimba imagwiritsidwa ntchito kuchotsa malo owonongeka a aorta anu. Ndi njira yovulaza kwambiri ndipo imakhala ndi nthawi yayitali yochira. Kutsegula maopa m'mimba kungakhale kofunikira ngati matenda anu am'thupi ndi akulu kwambiri kapena ataphulika kale.

Kuchita opaleshoni yam'mitsempha yamtundu wamtundu wamankhwala ndi njira yochepetsera yocheperako poyerekeza ndi yotseguka m'mimba. Zimaphatikizaponso kugwiritsa ntchito chomezera kukhazikika pamakoma ofooka a aorta anu.

Kwa AAA yaying'ono yochepera masentimita 5.5, dokotala wanu atha kusankha kuyiyang'anira pafupipafupi m'malo mochita opareshoni. Opaleshoni imakhala ndi zoopsa, ndipo ma aneurysms ang'onoang'ono nthawi zambiri samaphulika.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Ngati dokotala akulangizani kuti mutsegule m'mimba, zingatenge mpaka milungu isanu ndi umodzi kuti muchiritse. Kuchira kuchokera ku opaleshoni yam'mimba kumangotenga milungu iwiri.

Kuchita bwino kwa opareshoni ndikuchira kumadalira kwambiri kuti AAA imapezeka isanaphulike kapena ayi. Matendawa nthawi zambiri amakhala abwino ngati AAA imapezeka isanaphulike.

Kodi kupewera kwa aortic aneurysm kungapewe bwanji?

Kuganizira za thanzi la mtima kumatha kuletsa AAA. Izi zikutanthauza kuti muziyang'ana zomwe mumadya, kuchita masewera olimbitsa thupi, komanso kupewa zina zomwe zingayambitse kusuta. Dokotala wanu amathanso kukupatsirani mankhwala ochizira kuthamanga kwa magazi kapena cholesterol kapena kukuthandizani kuti muchepetse matenda anu ashuga.

Dokotala wanu angafune kukuwonetsani AAA mukadzakwanitsa zaka 65 ngati muli pachiwopsezo chachikulu chifukwa cha kusuta ndi zina. Kuyeserera koyesa kumagwiritsa ntchito ultrasound ya m'mimba kuti isanthule aorta yanu ngati mabala. Ndizopweteka ndipo zimangofunika kuchitidwa kamodzi.