Aortic aneurysm: ndi chiyani, zizindikiro, chithandizo ndi opaleshoni

Zamkati

• Zizindikiro zazikulu
• 1. Thiracic aortic aneurysm
• 2. Mimba ya aortic aneurysm
• Ndani ali pachiwopsezo chachikulu cha aortic aneurysm?
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Kodi kuchira bwanji kuchitidwa opaleshoni
• Momwe mungakhalire ndi aneurysm

Aortic aneurysm imakhala ndi kukhathamira kwa makoma a aorta, omwe ndi mitsempha yayikulu kwambiri mthupi la munthu komanso yomwe imanyamula magazi ochepa kuchokera pamtima kupita kumadera ena onse. Kutengera ndi komwe aorta imakhudzidwa, aortic aneurism itha kugawidwa m'magulu awiri:

• Matenda aortic aneurysm: amapezeka m'chigawo cha thoracic cha aorta, ndiko kuti, m'chifuwa;
• M'mimba mwake aortic aneurysm: ndi mtundu wofala kwambiri wa aortic aneurysm ndipo umachitika pansi pa chifuwa.

Ngakhale sizimayambitsa matenda aliwonse kapena mavuto azaumoyo, chiopsezo chachikulu cha aortic aneurysm ndikutuluka kwake, komwe kumatha kuyambitsa kutuluka kwamkati kwamkati, ndikuyika moyo pachiwopsezo m'mphindi zochepa.

Nthawi zonse pakawoneka kukayikira kwa nthenda kapena kuphulika, ndikofunikira kwambiri kupita kuchipatala mwachangu, kukachita mayeso oyenera ndikuyamba chithandizo choyenera.

Zizindikiro zazikulu

Nthawi zambiri, aortic aneurysm siyimapanga mtundu uliwonse wazizindikiro, kudziwika kokha panthawi yoyezetsa magazi, monga tomography, kapena ikatha.

Komabe, ngati aneurysm imakula kwambiri kapena imakhudza madera ovuta kwambiri, zizindikilo zowoneka bwino zitha kuwoneka:

1. Thiracic aortic aneurysm

Mu mtundu wa aneurysm, anthu ena amatha kuzindikira zizindikiro monga:

• Kupweteka kwambiri pachifuwa kapena kumtunda;
• Kumva kupuma movutikira;
• Kuvuta kupuma kapena kumeza.

Mtundu wa aneurysm umafala kwambiri kwa anthu omwe ali ndi kuthamanga kwa magazi kosalamulirika kapena omwe adachitapo vuto linalake.

2. Mimba ya aortic aneurysm

Zizindikiro za m'mimba mwa aortic aneurysm ndizosowa kwambiri kuposa za thoracic aorta, koma zimatha kuchitika:

• Kutengeka kwa kutentha m'mimba;
• Kupweteka kwambiri kumbuyo kapena m'dera lotsatira;
• Kupweteka kwa matako, kubuula ndi miyendo.

Mtundu wa aneurysm umafala kwambiri kwa anthu achikulire, nthawi zambiri azaka zopitilira 65, omwe amadwala matenda a atherosclerosis. Komabe, kupwetekedwa mtima ndi matenda angathenso kukhala zifukwa.

Ndani ali pachiwopsezo chachikulu cha aortic aneurysm?

Chiwopsezo chokhala ndi aortic aneurysm nthawi zambiri chimakula ndi ukalamba, chofala kwambiri mwa amuna azaka zopitilira 65.

Kuphatikiza apo, palinso zinthu zina zomwe zikuwoneka kuti zikuwonjezera chiopsezo, makamaka kukhala ndi matenda osachiritsidwa, monga matenda ashuga, atherosclerosis, cholesterol, kuthamanga kwa magazi kapena matenda amtima.

Momwe mungatsimikizire matendawa

Kuti adziwe matenda aortic aneurysm, adokotala amatha kuyitanitsa mayeso, makamaka a tomography, x-ray ndi echocardiogram, mwachitsanzo. Dziwani zambiri za mayeso omwe amayesa thanzi lamtima.

Ngati aneurysm imadziwika pazithunzi za mayeso, adotolo nthawi zambiri amawunika zina, monga zaka za munthu, mbiri yaumoyo wake komanso kukula kwa aneurysm, kuti adziwe njira yabwino kwambiri yothandizira.

Momwe mankhwalawa amachitikira

Chithandizo cha ma aneurysms mu aorta chimasiyana malinga ndi kuuma kwa aneurysm, dera lomwe limapezeka ndi matenda ena omwe munthu angakhale nawo.

Nthawi zambiri njira zamankhwala zomwe amagwiritsidwa ntchito kwambiri ndi izi:

• Aneurysm yaying'ono kuposa 5.4 cm ndipo alibe zizindikilo: kutsata kwachipatala kokha kumachitika ndi mayeso owunika nthawi zonse kuti awone kusinthika kwa aneurysm;
• Aneurysm yayikulu kuposa 5.5 cm, yokhala ndi zizindikilo kapena kuwonjezeka kwapang'onopang'ono: opaleshoni.

Kuchita opareshoni kumachitika ndi cholinga chotsitsa gawo la aorta lomwe limapatsa aneurysm, kukhala kofunikira nthawi zina kuyika chubu kuti isinthe malo amitsempha yamagazi.

Kodi kuchira bwanji kuchitidwa opaleshoni

Kuchita opaleshoni yam'mimba kumatengedwa ngati kuchitidwa opaleshoni ya mtima, chifukwa chake, nthawi yochira imatha kusiyanasiyana pakati pa miyezi iwiri mpaka 3, ndipo panthawiyi, ndikofunikira kuyambiranso ntchito za tsiku ndi tsiku pakangotha ​​milungu 6, ndikuvomerezedwa ndi dokotala ndipo pang'onopang'ono komanso pang'onopang'ono .

Kuphatikiza apo, pakuchira ndikofunikanso kupumula ndikupewa zovuta, chifukwa zimatha kuwonjezera kuthamanga kwa magazi ndikupangitsa mavuto ena.

Momwe mungakhalire ndi aneurysm

Nthawi yomwe matenda a aneurysm amakhala ochepa ndipo amangowunikiridwa pafupipafupi, adotolo amathanso kugwiritsa ntchito njira zina pochepetsa kuthamanga kwa magazi kapena cholesterol, mwachitsanzo, kuchepetsa mwayi woti aneurysm iwonjezeke kukula.

Koma kuwonjezera apo, nkofunikanso kukhala ndi chisamaliro cha tsiku ndi tsiku monga:

• Pewani kusuta ndi kumwa zakumwa zoledzeretsa;
• Tengani mankhwala omwe adalangizidwa ndi dokotala;
• Chitani zolimbitsa thupi nthawi zonse;
• Kuchepetsa kumwa mchere ndi zopangira zinthu;
• Idyani chakudya choyenera chokhala ndi zipatso ndi ndiwo zamasamba.

Chisamaliro chimenechi chimathandiza kuti thupi likhale ndi thanzi labwino la mtima, kuchepetsa kukula kwa aneurysm ndikuchepetsa mwayi wophulika. Onani zakudya 10 zomwe zili ndi thanzi lamtima, zomwe ziyenera kuphatikizidwa pazakudya.