Kodi kung'ambika kwa aortic ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zimayambitsa kudulidwa kwa aortic
• Momwe mankhwalawa amachitikira
• Zovuta zotheka

Kutsekeka kwa minyewa, komwe kumadziwikanso kuti kung'ambika kwa minyewa, ndi vuto lodziwika bwino lachipatala, pomwe mkatikati mwa aorta, yotchedwa intima, imagwa pang'ono, kudzera momwe magazi amatha kulowa, kufikira mbali zakutali kwambiri. kuchititsa zizindikilo monga kupweteka kwadzidzidzi komanso kwakukulu m'chifuwa, kumva kupuma pang'ono komanso ngakhale kukomoka.

Ngakhale ndizosowa, vutoli limapezeka kwambiri mwa abambo azaka zopitilira 60, makamaka pakakhala mbiri yazachipatala ya kuthamanga kwa magazi, atherosclerosis, kugwiritsa ntchito mankhwala osokoneza bongo kapena vuto lina la mtima.

Pomwe pali kukayikira kwa kutsekeka kwa ortho, ndikofunikira kwambiri kupita kuchipatala mwachangu, popeza ikadziwika m'maola 24 oyamba, pamakhala mwayi wambiri wothandizira, womwe nthawi zambiri umachitika ndi mankhwala mwachindunji mumitsempha kuchepetsa kuthamanga kwa magazi komanso opaleshoni.

Zizindikiro zazikulu

Zizindikiro za kutsekemera kwa aortic kumatha kusiyanasiyana pakati pa munthu ndi munthu, komabe atha kuphatikizanso:

• Mwadzidzidzi komanso kupweteka kwambiri pachifuwa, kumbuyo kapena pamimba;
• Kumva kupuma movutikira;
• Kufooka kwa miyendo kapena mikono;
• Kukomoka
• Kuvuta kuyankhula, kuwona kapena kuyenda;
• Kutaya kofooka, komwe kumatha kuchitika mbali imodzi yokha ya thupi.

Popeza zizindikirozi ndizofanana ndi mavuto ena amtima, ndizotheka kuti matendawa atenga nthawi yayitali mwa anthu omwe ali ndi vuto lamtima wam'mbuyomu, omwe amafunika kuyesedwa kangapo. Onani zizindikiro 12 za mavuto amtima.

Nthawi zonse pamene pali zovuta za mtima, ndikofunikira kupita mwachangu kuchipatala kuti muzindikire chomwe chikuyambitsa ndikuyamba chithandizo mwachangu.

Momwe mungatsimikizire matendawa

Matenda a orta dissection nthawi zambiri amapangidwa ndi a cardiologist, atatha kuwunika zizindikilo, mbiri yazachipatala yamunthu komanso kuyesedwa monga chifuwa cha X-ray, electrocardiogram, echocardiogram, computed tomography ndi magnetic resonance.

Zomwe zimayambitsa kudulidwa kwa aortic

Kutsekeka kwa minyewa nthawi zambiri kumachitika mu aorta yomwe imafooka ndipo chifukwa chake imafala kwambiri mwa anthu omwe ali ndi mbiri yokhuthika kwa magazi kapena Komabe, zitha kuchitika chifukwa cha zinthu zina zomwe zimakhudza khoma la aortic, monga matenda a Marfan kapena kusintha kwa vicuspid valavu yamtima.

Kawirikawiri, kudulidwa kumatha kuchitika chifukwa chovulala, ndiye kuti, chifukwa cha ngozi kapena kumenyedwa kwambiri pamimba.

Momwe mankhwalawa amachitikira

Kuchiza kwa disortic aortic kuyenera kuchitidwa patangotsala pang'ono kutsimikiziridwa, kuyambira ndikugwiritsa ntchito mankhwala ochepetsa kuthamanga kwa magazi, monga beta-blockers. Kuphatikiza apo, chifukwa kupweteka kumatha kubweretsa kukakamizidwa kowonjezereka ndikukula kwa vutoli, ma analgesics amphamvu, monga morphine, amathanso kugwiritsidwa ntchito.

Nthawi zina, zimakhala zofunikira kuchitidwa opaleshoni kukonzanso khoma la aortic. Kufunika kwa opaleshoni kumayesedwa ndi dotolo wa cardiothoracic, koma nthawi zambiri zimadalira komwe kusokonekera kunachitikira. Chifukwa chake, ngati kung'ambika kukukhudza gawo lomwe likukwera la aorta, nthawi zambiri opaleshoni imawonetsedwa, pomwe kuchotsedwa kumawonekera pamagawo atsikayo, dokotalayo amatha kuwunika momwe zinthu ziliri komanso zizindikilo zake, ndipo kuchitidwa opaleshoni sikungakhale kofunikira .

Ngati ndi kotheka, nthawi zambiri amakhala opaleshoni yovuta komanso yotenga nthawi, chifukwa dokotalayo amafunika kuchotsa m'malo okhudzidwa a aorta.

Zovuta zotheka

Pali zovuta zingapo zomwe zimakhudzana ndi kung'ambika kwa aortic, zazikuluzikulu ziwiri zomwe zimaphatikizira kuphulika kwa mitsempha, komanso kupangika kwa minyewa ina yofunikira, monga yomwe imanyamula magazi kumtima. Chifukwa chake, kuwonjezera pakumalandira chithandizo cha kung'ambika kwa minyewa, madokotala nthawi zambiri amawunika momwe mavuto akuyenera kuthandizidwira, kuti achepetse kufa.

Ngakhale atalandira chithandizo, pamakhala chiopsezo chachikulu chazovuta zomwe zimachitika mzaka ziwiri zoyambirira ndipo, chifukwa chake, munthuyo amayenera kukambirana ndi akatswiri a zamatenda, komanso mayeso, monga computed tomography and magnetic resonance imaging, kuti athe kuzindikira zovuta zomwe zingachitike koyambirira .

Pofuna kupewa kuyambika kwa zovuta, anthu omwe adadulidwa matenda aortic ayenera kutsatira malangizo a dokotala, komanso kupewa zizolowezi zomwe zitha kukulitsa kuthamanga kwa magazi. Chifukwa chake, tikulimbikitsidwa kuti tipewe kuchita masewera olimbitsa thupi komanso kudya zakudya zopatsa thanzi zomwe sizikhala ndi mchere wambiri.