Ma Berry Aneurysms: Dziwani Zizindikiro

Zamkati

• Kodi ndili ndi chotupa cha mabulosi?
• Nchiyani chimayambitsa matenda a mabulosi?
• Zomwe zimayambitsa chiopsezo
• Zoopsa zachipatala
• Zomwe zimayambitsa chiopsezo
• Kodi ndingadziwe bwanji ngati ndili ndi aneurysm ya mabulosi?
• Kodi matenda a mabulosi amathandizidwa bwanji?
• Kudula opareshoni
• Kuphimba kwamkati
• Oyenda mosiyanasiyana
• Kusamalira zizindikiro
• Momwe mungapewere ma aneurysms a mabulosi
• Kodi ma aneurysms amabulosi amapha nthawi zonse?

Kodi aneurysm ya mabulosi ndi chiyani?

Anurysm ndikulitsa kwa mtsempha wam'mimba womwe umayambitsidwa ndi kufooka kwa khoma la mtsempha. Aneurysm ya mabulosi, yomwe imawoneka ngati mabulosi patsinde yopapatiza, ndiyo mtundu wofala kwambiri wa ubongo wa aneurysm. Amakhala ndi 90% yamatenda onse am'magazi, malinga ndi Stanford Health Care. Ma aneurysms a Berry amakonda kuwonekera m'munsi mwaubongo pomwe mitsempha yayikulu imakumana, yomwe imadziwikanso kuti Circle of Willis.

Popita nthawi, kuthamanga kuchokera ku aneurysm pamakoma ofooka omwe atha kale kumatha kupangitsa kuti aneurysm iphulike. Matenda a mabulosi akamaphulika, magazi ochokera mumitsempha amatengera ubongo. Aneurysm yotupa ndi vuto lalikulu lomwe limafunikira chithandizo chamankhwala mwachangu.

Kumbukirani kuti, malinga ndi American Stroke Association, ndi 1.5 mpaka 5 peresenti yokha ya anthu omwe amakhala ndi vuto la ubongo. Pakati pa anthu omwe ali ndi vuto la ubongo, 0,5 mpaka 3 peresenti yokha ndi yomwe imatha kuphulika.

Kodi ndili ndi chotupa cha mabulosi?

Ma aneurysms a Berry nthawi zambiri amakhala ochepa ndipo samakhala ndi zizindikiro, koma zazikulu nthawi zina zimapanikiza ubongo kapena mitsempha. Izi zitha kuyambitsa matenda amitsempha, kuphatikizapo:

• mutu kudera linalake
• ophunzira akulu
• kusawona bwino kapena masomphenya awiri
• kupweteka pamwamba kapena kumbuyo kwa diso
• kufooka ndi dzanzi
• kuyankhula molakwika

Lumikizanani ndi dokotala ngati mukukumana ndi izi.

Matenda ophulika nthawi zambiri amachititsa kuti magazi ochokera mumitsempha yokhudzidwayo apite muubongo. Izi zimatchedwa kukha magazi kwa subarachnoid. Zizindikiro za kukha magazi kwa subarachnoid ndi izi zomwe zatchulidwa pamwambapa komanso:

• mutu woipa kwambiri womwe umabwera msanga
• kukomoka
• nseru ndi kusanza
• khosi lolimba
• kusintha kwadzidzidzi kwamalingaliro
• kutengeka ndi kuwala, komwe kumatchedwanso photophobia
• kugwidwa
• chikope chotsamira

Nchiyani chimayambitsa matenda a mabulosi?

Pali zinthu zina zomwe zimapangitsa kuti anthu ena azikhala ndi vuto la mabulosi. Zina ndizobadwa, kutanthauza kuti anthu amabadwa nawo. Zina ndizo matenda ndi zizolowezi za moyo. Mwambiri, ma aneurysms a mabulosi amapezeka kwambiri mwa achikulire oposa 40 ndi akazi.

Zomwe zimayambitsa chiopsezo

• Matenda othandizira (mwachitsanzo, Ehlers-Danlos syndrome, Marfan syndrome, ndi fibromuscular dysplasia)
• matenda a impso a polycystic
• khoma lamitsempha losazolowereka
• Matenda osokoneza bongo
• Mbiri ya banja yamatenda a mabulosi
• matenda a magazi
• zotupa
• zoopsa mutu kuvulala
• kuthamanga kwa magazi
• mitsempha yolimba, yotchedwanso atherosclerosis
• magulu otsika a estrogen
• kusuta
• kugwiritsa ntchito mankhwala osokoneza bongo, makamaka cocaine
• kumwa kwambiri

Zoopsa zachipatala

Zomwe zimayambitsa chiopsezo

Kodi ndingadziwe bwanji ngati ndili ndi aneurysm ya mabulosi?

Dokotala wanu amatha kudziwa matenda a mabulosi pochita mayeso angapo. Izi zikuphatikiza makompyuta a tomography (CT) ndi ma magnetic resonance imaging (MRI). Mukamachita izi, dokotala wanu amathanso kukupatsani utoto kuti muwone bwino momwe magazi amayendera muubongo wanu.

Ngati njirazi sizikuwonetsa kalikonse, koma dokotala akuganiza kuti mukadali ndi vuto la mabulosi, palinso mayeso ena azomwe angayesedwe.

Njira imodzi yotereyi ndi angiogram yaubongo. Izi zimachitidwa mwa kuyika chubu chochepa kwambiri chokhala ndi utoto mumtsempha waukulu, nthawi zambiri kubuula, ndikuwukankhira mpaka pamitsempha muubongo wanu. Izi zimathandiza kuti mitsempha yanu iwoneke mosavuta mu X-ray. Komabe, njira yojambulirayi sigwiritsidwa ntchito masiku ano chifukwa cha kuwononga kwake.

Kodi matenda a mabulosi amathandizidwa bwanji?

Pali njira zitatu zamankhwala zothandizira mabulosi omwe asokonekera komanso ataphulika. Njira iliyonse imabwera ndi zoopsa zake zomwe zingachitike. Dokotala wanu adzawona kukula ndi malo omwe ali ndi aneurysm komanso zaka zanu, matenda ena, komanso mbiri yakubanja lanu kuti asankhe njira yotetezeka kwambiri yomwe mungasankhe.

Kudula opareshoni

Imodzi mwamankhwala odziwika bwino kwambiri a mabulosi otchedwa aneurysm ndikudula opaleshoni. Dokotala wa minyewa amachotsa kachigawo kakang'ono ka chigaza kuti akafike ku aneurysm. Amaika kachitsulo pachitsulo kuti magazi asatulukemo.

Kudula opareshoni ndi opaleshoni yovuta yomwe nthawi zambiri imafuna mausiku angapo kuchipatala. Pambuyo pake, mutha kuyembekezera kuchira kwa milungu inayi kapena isanu ndi umodzi. Pa nthawi imeneyo, muyenera kudzisamalira. Onetsetsani kuti muchepetse zolimbitsa thupi zanu kuti thupi lanu lipezenso nthawi. Mutha kuyamba pang'onopang'ono kuwonjezera zolimbitsa thupi, monga kuyenda ndi ntchito zapakhomo. Pambuyo pa milungu inayi kapena isanu ndi umodzi, muyenera kubwerera kuntchito zanu zisanachitike opaleshoni.

Kuphimba kwamkati

Njira yachiwiri yothandizira ndikumangirira kwam'mitsempha, komwe kumakhala kovuta kwambiri kuposa kudula kwa opaleshoni. Kachubu kakang'ono kamalowetsedwa mumtsempha waukulu ndikukankhira kumtunda. Izi zikufanana ndi zomwe ubongo wanu ungagwiritse ntchito kuti mupeze matenda. Chingwe chofewa cha platinamu chimadutsa mu chubu ndikulowa mu aneurysm. Ikakhala mu aneurysm, waya umaphimba ndikupangitsa magazi kuundana, omwe amasindikiza aneurysm.

Njirayi imangofunika kugona usiku umodzi kuchipatala, ndipo mutha kubwerera kumalo omwe mumachita masiku angapo. Ngakhale kuti njirayi ndi yochepa kwambiri, imabwera ndi chiopsezo chotaya magazi m'tsogolo, zomwe zingafunike opaleshoni yowonjezera.

Oyenda mosiyanasiyana

Kuyenda mosiyanasiyana ndi njira yatsopano yothandizira ma aneurysms a mabulosi. Amakhudzanso chubu chaching'ono, chotchedwa stent, chomwe chimayikidwa pamitsempha yamagazi ya kholo. Imabwezeretsanso magazi kutali ndi aneurysm. Izi nthawi yomweyo zimachepetsa magazi kupita ku aneurysm, yomwe imayenera kutseka kwathunthu m'milungu isanu ndi umodzi mpaka miyezi isanu ndi umodzi. Odwala omwe siopanga opareshoni, otaya mosiyanasiyana amatha kukhala njira yothetsera chitetezo, popeza sikutanthauza kulowa mu aneurysm, yomwe imawonjezera chiopsezo chotuluka.

Kusamalira zizindikiro

Ngati matenda a aneurysm sanaphulike, dokotala angaganize kuti ndibwino kwambiri kungoyang'anira aneurysm ndikuwunika pafupipafupi ndikuwongolera zomwe muli nazo. Zosankha pakuwongolera zizindikilo ndi izi:

• kupweteka kumachepetsa mutu
• zotseka za calcium kuti mitsempha yamagazi isachepetse
• Mankhwala oletsa kulanda khunyu omwe amayamba chifukwa cha kuphulika kwa magazi
• angioplasty kapena jakisoni wa mankhwala omwe amachulukitsa kuthamanga kwa magazi kuti magazi aziyenda komanso kupewa sitiroko
• kutulutsa madzi amadzimadzi ochulukirapo kuchokera ku chotupa cha aneurysm pogwiritsa ntchito catheter kapena shunt system
• chithandizo chakuthupi, pantchito, ndi kulankhula kuti muchepetse kuwonongeka kwa ubongo kuchokera ku aneurysm ya mabulosi ataphulika

Momwe mungapewere ma aneurysms a mabulosi

Palibe njira yodziwikiratu yopewerera ma aneurysms a mabulosi, koma pali zosintha m'moyo zomwe zingachepetse chiopsezo chanu. Izi zikuphatikiza:

• kusiya kusuta komanso kupewa kusuta
• kupewa kugwiritsa ntchito mankhwala osokoneza bongo
• kutsatira chakudya chopatsa thanzi chomwe chimakhala ndi mafuta ochepa, mafuta opatsirana, cholesterol, mchere, komanso shuga wowonjezera
• kuchita zolimbitsa thupi zambiri momwe mungathere
• kugwira ntchito ndi dokotala wanu kuti mumuthandize kuthamanga kwa magazi kapena cholesterol ngati muli nawo
• kuyankhulana ndi dokotala wanu za kuopsa kokhudzana ndi njira zakulera zam'kamwa

Ngati muli ndi aneurysm ya mabulosi, kupanga kusintha kumeneku kungakuthandizeninso kupewa kupindika kwa aneurysm. Kuphatikiza pa kusintha kumeneku, muyeneranso kupewa zovuta zosafunikira, monga kunyamula zolemetsa, ngati muli ndi aneurysm yosasokonekera.

Kodi ma aneurysms amabulosi amapha nthawi zonse?

Anthu ambiri omwe ali ndi vuto la mabulosi amakhala moyo wawo wonse osadziwa kuti ali nawo. Aneurysm ya mabulosi ikakhala yayikulu kwambiri kapena ikuswa, komabe, imatha kukhala ndi zotsatira zoyipa, za moyo wonse. Zotsatira zosatha izi zimadalira msinkhu wanu ndi momwe muliri, komanso kukula ndi malo am'madzi a mabulosi.

Kuchuluka kwa nthawi pakati pa kudziwika ndi chithandizo ndikofunikira kwambiri. Mverani thupi lanu ndipo pitani kuchipatala nthawi yomweyo ngati mukuganiza kuti mutha kukhala ndi chotupa cha mabulosi.