Ukuqhuma Komthambo Omkhulu Wesisu? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqhuma komthambo omkhulu wesisu (AAA) kuwukukhula noma ukukhula komthambo omkhulu, umthambo omkhulu womzimba wakho, endaweni yesisu sakho. Cabanga ngakho njengendawo ebuthakathaka ohosini lokulinywa okucala ukwanda ngaphandle ngaphansi kokucindezela. Ngokuvamile umthambo omkhulu uqapha cishe isentimitha ububanzi, kodwa uma uqhakaza kube ukukhulu okukodwa nengxenye ubukhulu bawo obuvamile noma okukhulu, odokotela bakubiza ngokuthi ukuqhuma.

Abantu abaningi abane-AAA encane bazizwa bephilile ngokuphelele futhi abazi ukuthi bayina. Lezi zivame ukukhula kancane eminyakeni eminingi futhi zingase zingalokothi zibangele izinkinga. Noma kunjalo, ukuqhuma okukhulu kungaba yingozi ngoba kungase kuqhekeke, kungakho ukuqonda lesi simo kubalulekile empilweni yakho.

Ziyini izimpawu zokuqhuma komthambo omkhulu wesisu?

Ukukhula komthambo omkhulu wesisu okuningi akubangeli zimpawu nhlobo, ikakhulukazi uma kuncane. Kungakho odokotela ngezinye izikhathi bebiza ngokuthi “izimo ezingabonakali.” Ungaphila ne-aneurysm encane iminyaka eminingi ngaphandle kokuzwa lutho olungavamile.

Uma izimpawu zivele, zivame ukukhula kancane njengoba ukuqhuma kukhula. Nanka amabhande umzimba wakho ongawakunikeza:

• Ubuhlungu obukhulu, obuhlala njalo esiswini sakho noma eceleni kwesisu sakho
• Ubuhlungu obukhulu emhlane obungabonakali ukuthi bunimbangela
• Ukuzwa okuphuma eduze nombhobho wakho wesisu, njengokungathi ungazwa ukushaya kwenhliziyo yakho lapho
• Ukuzwa ukugcwaliswa ngemva kokudla izinto ezincane kuphela

Abanye abantu baphawula ukuthi lezi zimpawu ziyaza futhi zibuya, kanti abanye bazibona njalo. Ubuhlungu buchazwa njengokuhlungu okujulile kunokuba yisimo esibuhlungu, esiqinile.

Uma ukuqhuma kuqhekeka noma kusondele ekuqhekekeni, izimpawu ziyaqina kakhulu futhi zidinga ukunakekelwa okusheshayo kwezimo eziphuthumayo. Lezi zimpawu eziphuthumayo zihlanganisa:

• Ubuhlungu obukhulu, obuzuma obushaya esiswini noma emhlane, obuzwakala sengathi buqhekeka
• Ubuhlungu obuya emadolweni, emathangeni, noma emilenzeni
• Ukukhungatheka noma ukulahlekelwa yikwazi
• Ukushushumbisa kwenhliziyo
• Ukubila nokuphefumula
• Isikumba esinamathelayo noma esimhlophe

Lezi zimpawu eziphuthumayo zisho ukuthi i-aneurysm ingase ibe yokuqhekeka noma ukuqhekeka, okuyingozi ebomini. Uma uhlangabezana nalezi zimpawu, shayela u-911 ngokushesha.

Imiphi imikhakha ye-aneurysm ye-abdominal aortic?

Odokotela bahlukanisa i-aneurysms ye-abdominal aortic ngokusekelwe ebunzimeni nasekhundleni yayo. Ukuqonda le mikhakha kusiza iqembu lakho lezokwelapha ukunquma indlela engcono kakhulu yokulandelela nokuphatha isimo sakho esithile.

Ngokubukhulu, i-aneurysms iqoshwa ezigabeni eziqondisa izinqumo zokwelapha:

• I-aneurysms encane: 3.0 kuya ku-4.4 cm (cishe i-1.2 kuya ku-1.7 inches) ububanzi
• I-aneurysms emaphakathi: 4.5 kuya ku-5.4 cm (cishe i-1.8 kuya ku-2.1 inches) ububanzi
• I-aneurysms enkulu: 5.5 cm (cishe i-2.2 inches) noma ngaphezulu

I-aneurysm elikhulu, izingozi eziphakeme zokuqhekeka. Udokotela wakho uzokulinganisa i-aneurysm yakho njalo ukuze alandelele noma yikuphi ukuguquka ebunzimeni.

I-aneurysms ihlukaniswa futhi ngesimo sayo nokuthi ithinta kanjani udonga lwe-artery:

• I-aneurysms ye-fusiform: Uhlobo oluvamile kakhulu, lapho yonke i-circumference ye-artery iphuma ngaphandle ngokulinganayo
• I-aneurysms ye-saccular: Ayivamile, lapho ohlangothini olulodwa lodonga lwe-artery kuphela oluphuma ngaphandle, lukhamba ukubukeka okufana nesikhwama

Udokotela wakho uzoqaphela futhi ukuthi i-aneurysm yakho ingaphezulu noma ngaphansi kokuthi ama-renal arteries (ama-arteries kuya ezimpungwini zakho) ahlukaniswe e-aorta. Le ndawo ithonya izinketho zokuthuthukiswa uma ukwelashwa kuya kudingeka.

Yini ebangela i-aneurysm ye-abdominal aortic?

Imbangela eqondile ye-aneurysm ye-abdominal aortic ayicaci ngaso sonke isikhathi, kodwa ithuthukela lapho udonga lwe-aorta luqala ukuwohloka ngokuhamba kwesikhathi. Izici eziningi zingase zifake isandla kwenqubo yokuwohloka, futhi ngokuvamile kuyindlela yokuxuba izinto kunokuba kube yimbangela eyodwa kuphela.

Izici ezivame kakhulu ezingenza udonga lwakho lwe-aorta luwohloke zihlanganisa:

• Atherosclerosis: Ukubunjwa kwamafutha kanye ne-cholesterol emithanjeni yakho, okuyimbangela evamile kakhulu
• Ukuphindaphindeka kwegazi eliphakeme: Amandla ahlala njalo ngokumelene namadonga emithambo ingabenza basondele futhi bawohloke
• Ukubhema: Kuncipha amadonga emithambo yegazi futhi kusheshisa inqubo yokuwohloka
• Izici ze-genetic: Abanye abantu bafa babelethwe ukunamathela ekwakheni i-aneurysm
• Ukuguquka okuhlobene nobudala: Ukugqwala kwemvelo nokukhahlela kwemithambo yegazi ngokuhamba kwesikhathi

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa ukutheleleka okuthinta udonga lwe-aorta, izimo zokuvuvukala njenge-vasculitis, kanye nezinye izifo ze-connective tissue. Abanye abantu bathuthukisa i-aneurysms ngemuva kokulimaza noma ukulimala esiswini, nakuba lokhu kungavamile.

Kwezinye izimo, i-aneurysms ingahlotshaniswa nezinye izimo ze-genetic njenge-Marfan syndrome noma i-Ehlers-Danlos syndrome, ezihlasela izicubu ezihlanganisa umzimba. Lezi zimo azivamile kodwa kubalulekile ukuzithola ngoba zingase zithinte ezinye izingxenye zomzimba wakho.

Nini kufanele ubheke udokotela nge-abdominal aortic aneurysm?

Kufanele ubheke udokotela uma uhlushwa ubuhlungu obuhlala njalo esiswini noma emuva, ikakhulu uma unezingozi ze-aneurysms. Nakuba i-aneurysms eminingi ingabangeli izimpawu, ukuhlolwa kungakunika ukuthula kwengqondo futhi kubambe noma yiziphi izinkinga ekuqaleni.

Hlela i-aphoyintimenti yokuqala nodokotela wakho uma uqaphela:

• Ubuhlungu obuqhubekayo esiswini obungenasizathu esicacile
• Ubuhlungu ehlombe oluqhubekayo naphezu kokupumula nezinye izindlela zokwelapha ubuhlungu oluvamile
• Ukuzwa okunjengokuthi kukhona okubetha esiswini sakho ongakwazi ukuzizwa ngesandla sakho
• Ukuzwa ugcwele ngokushesha uma udle, ikakhulu uma lokhu kuyinto entsha kuwe

Lezi zimpawu azisho ukuthi une-aneurysm, kodwa kufanele uzixoxe nodokotela wakho. Ukutholakala kwangaphambi kwesikhathi kuvumela ukulandelela kangcono nezinketho zokwelapha.

Kodwa-ke, ezinye izimpawu zidinga ukunakekelwa okusheshayo kwezimo eziphuthumayo. Shaya u-911 ngokushesha uma ubona:

• Ubuhlungu obukhulu, obukhulu esiswini noma ehlombe oluzwakala njengokubhebhetheka
• Ukuphelelwa amandla noma ukukhungatheka okukhulu
• Ukushona kwenhliziyo ngokushesha ngokubila nokuphazamiseka komzimba
• Isikhumba esiba mhlophe noma esimanzi ngokushesha

Lezi zimpawu zingabonisa i-aneurysm ephukile, okuyisimo esiphuthumayo sezempilo esidinga ukwelashwa ngokushesha ukuze usindiswe.

Iyini imizamo yokusabela kwe-aneurysm ye-abdominal aortic?

Izici ezithile zingandisa amathuba akho okukhula kwe-aneurysm ye-abdominal aortic. Ukuqonda lezi zici zingozi kungakusiza wena nodokotela wakho unqume ukuthi ukukhethwa kwesikrini noma izinyathelo zokuvimbela zifanele yini isimo sakho.

Izici ezibaluleke kakhulu zingozi zihlanganisa:

• Ukuba owesilisa: Amadoda amaningi ngokuphindwe ka-4 kuya ku-6 anethuba lokukhula kwe-AAA kunabesifazane
• Iminyaka engaphezu kuka-65: Ingozi iyakhula kakhulu ngemuva kweminyaka engama-65, ikakhulukazi kumadoda
• Ukubhema: Ababhemi bamanje noma bangaphambili banengozi enkulu kakhulu, kanti ingozi ikhula ngeminyaka yokupakisha
• Umlando womndeni: Ukuba nomzali, umfowethu, noma ingane enaneurysm kukwandisa ingozi yakho
• I-Atherosclerosis: Ukuqina nokuncipha kwe-arteries kulo lonke umzimba wakho
• Uxinzelelo lwegazi oluphezulu: Kubeka ukucindezela okwengeziwe odongeni lwe-artery ngokuhamba kwesikhathi

Ezinye izinto ezingakwandisa ingozi yakho zihlanganisa ukuba nokolesterol eliphezulu, isifo sokuphefumula esiqinile (COPD), kanye nomlando wokubhema. Ngisho noma uye wayeka ukubhema, ingozi yakho ihlala iphakeme uma iqhathaniswa nabantu abangazange babeme, nakuba iyancipha ngokuhamba kwesikhathi.

Ezinye izinto ezingavamile ezingaba yingozi zihlanganisa izimo ezithile zezofu ezinjengesi-Marfan syndrome, ukuba nezifo ezithinta imithambo yegazi, nezinye izimo zokuvuvukala. Uhlanga nobuzwe nalo ludlala indima, ngamadoda amhlophe enenkinga enkulu.

Izindaba ezinhle ukuthi ezinye izinto ezingaba yingozi, njengokubhema, ukucindezeleka kwegazi eliphezulu, nokolesterol eliphezulu, zingashintshwa ngokushintsha indlela yokuphila nokwelashwa kwezokwelapha. Lokhu kukunika ukulawula okuthile ngezinga lengozi yakho.

Ziyini izinhlanganisela ezingase zenzeke ze-abdominal aortic aneurysm?

Inkinga ebucayi kunazo zonke ye-abdominal aortic aneurysm ukuphazamiseka, lapho i-aneurysm iqhuma khona futhi ibangele ukuphuza igazi elukhulu. Lena yiphuthuma lokuphila okudinga ukuhlinzwa ngokushesha, futhi ngeshwa, abantu abaningi abaphili uma i-aneurysm iqhuma.

Ingozi yokuphazamiseka ixhomeke kakhulu ekukhuleni kwe-aneurysm yakho. I-aneurysms encane (ngaphansi kwe-5.5 cm) ayiqhumi kaningi, ngaphansi kwe-1% eqhuma ngonyaka. Noma kunjalo, i-aneurysms emikhulu inenkinga enkulu kakhulu, kungakho odokotela bavame ukuncoma ukuhlinzwa uma i-aneurysms ifinyelela ku-5.5 cm noma ngaphezulu.

Ezinye izinhlanganisela ezingase zenzeke zihlanganisa:

• Ukuqina kwegazi: Kungakha ngaphakathi kwe-aneurysm futhi kungenzeka ukuthi kuye kwenye ingxenye yomzimba wakho
• I-Embolism: Izingcezu ezincane ze-clot noma udoti zingaphula futhi zivale imithambo emincane
• Ukucindezela: I-aneurysms emikhulu kakhulu ingacindezela izitho noma izakhiwo eziseduze
• Ukutheleleka: Nakuba kunqabile, i-aneurysms ngezinye izikhathi ingatheleleka

Ama-clots egazi akha e-aneurysm avame ukuhlala emathekeni futhi awabangeli izinkinga. Noma kunjalo, ngezinye izikhathi izingcezu zingaphula ziye ezinyaweni zakho, emphefumulweni, noma kwamanye amalungu, okungenzeka kubangele ubuhlungu noma ukonakala.

Ezimweni ezingavamile, ama-aneurysm amakhulu angacindezela umgogodla wakho, obangela ubuhlungu emhlane, noma ezibindini zakho, obangela izimpawu zokugaya. Abanye abantu bathuthukisa okuthiwa yi-aneurysm yokuvuvukala, lapho indawo ezungezile i-aneurysm ivuvukala futhi ingabangela ezinye izimpawu.

Into ebalulekile okumele uyikhumbule ukuthi ama-aneurysm amaningi amancane awabangeli izinkinga. Ukulandelela njalo kuvumela udokotela wakho ukuba alandelele noma yikuphi ukushintsha futhi ahlinzeke ngokwelashwa ngaphambi kokuthi kube khona izinkinga ezinkulu.

Kungenzeka kanjani ukuvimbela i-aneurysm ye-aortic yomgudu?

Nakuba ungakwazi ukuvimbela zonke i-aneurysms ye-aortic yomgudu, ungathatha izinyathelo zokunciphisa ingozi yakho nokunciphisa ukukhula kwama-aneurysms akhona. Izindlela zokuvimbela ezisebenza kakhulu zigxile ekugcineni imithambo yegazi enempilo nokuphatha izici zengozi ongaziqondisa.

Izinyathelo ezibaluleke kakhulu ongazithatha zihlanganisa:

• Ungabhemi, noma yeka uma ubhema njengamanje: Lena yinto ebaluleke kakhulu ongayenza
• Lawula uxinzelelo lwakho lwegazi: Uligcine liphansi kuka-130/80 mmHg ngokudla, ukuzivocavoca, kanye neyeza uma kudingeka
• Phatha i-cholesterol yakho: Landela ukudla okunempilo yentliziyo futhi uthathe imithi njengoba kuqokiwe
• Zivocavoca njalo: Hlose okungenani imizuzu engama-30 yomsebenzi ophakathi nsuku eziningi
• Dla ukudla okunempilo: Gxila ezithelo, imifino, ukudla okugcwele, namaprotheni ahlanzekile
• Gcina isisindo esinempilo: Isisindo esengeziwe sibeka ukucindezela okwengeziwe ohlelweni lwakho lokuphefumula

Uma unezici zengozi ezifana nomlando womndeni wama-aneurysms noma ungumuntu wesilisa oneminyaka engaphezu kuka-65 okade ebhema, xoxa nodokotela wakho ngokuhlola. Ukutholakala kwangaphambi kwesikhathi ngokuhlola kwe-ultrasound kungabamba ama-aneurysms uma encane futhi kulula ukuwalandelela.

Ukubhekwana njalo nodokotela wakho kubalulekile, ikakhulu uma unezimo ezinjengomfutho wegazi ophezulu, isifo sikashukela, noma isifo senhliziyo. Ukuphatha kahle lezi zimo kungasiza ekuvikeleni imithambo yakho yegazi ekwenzakaleni.

Nakuba izici zezofuzo nobudala zingashintshi, ukugxila ezicini ezingashintshwa zezingozi kunganciphisa kakhulu amathuba akho okukhula kwesifo se-aneurysm noma ukuthambisa ukukhula kwaso uma usuvele unaso.

I-aneurysm ye-abdominal aortic ihlonishwa kanjani?

Ukuxilongwa kwe-aneurysm ye-abdominal aortic kuvamise kwenzeka ngesikhathi sokuhlola okujwayelekile noma lapho kuhlolwa ezinye izinkinga zempilo. Ama-aneurysms amaningi atholakala ngengozi ngesikhathi sezivivinyo ze-imaging zezinkinga ezingahambi kahle, okuyinto enhle ngoba ukutholakala kwasekuqaleni kuyisihluthulelo.

Ivivinyo elikhulu lokuhlola yi-ultrasound ye-abdominal, engapheli lusizi futhi isebenzisa amaza omsindo ukwenza izithombe ze-aorta yakho. Lo mvivinyo ungalinganisa ngokuqondile usayizi we-aorta yakho futhi uthole noma yikuphi ukukhula. Ngumkhiqizo ofanayo we-ultrasound osetshenziswa ngesikhathi sokukhulelwa, ngakho-ke uphephile futhi ukhululekile ngokuphelele.

Uma kutholakala i-aneurysm noma kucatshangelwa, udokotela wakho angase anikeze ezinye izivivinyo:

• I-CT scan: Inikeza izithombe ezinemininingwane kanye nokulinganisa okuqondile kwe-aneurysm
• I-MRI: Inikeza izithombe ezinemininingwane ngaphandle kokubekwa kwemisebe
• I-X-ray ye-abdominal: Ingabonisa ama-calcium deposits odongeni lwe-aneurysm
• Ukuhlolwa komzimba: Udokotela wakho angase azwe i-pulsing mass esiswini sakho

Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzofaka izandla zakhe esiswini sakho ukuze azwe noma yikuphi ukupulsa okungajwayelekile noma ama-masses. Kodwa-ke, le ndlela ayikho njalo ethembekile, ikakhulu kubantu abanesisindo esiningi noma abane-aneurysms encane.

I-CT scans iyasebenza ngokukhethekile ngoba inikeza ulwazi oluqondile ngosayizi we-aneurysm, isisindo, nobuhlobo bayo nezinye izitho eziseduze. Lolu lwazi lusiza udokotela wakho ukuhlela ukwelashwa uma ukucutshungulwa kubalulekile.

Uma ungozini enkulu yokuthola i-aneurysm, udokotela wakho angase akukhuthaze ukuhlolwa njalo ngisho noma ungenawo ubuhlungu. I-U.S. Preventive Services Task Force isikisela ukuhlolwa kanye kwabantu abadala abangamadoda abaneminyaka engama-65 kuya kwangu-75 abake bakhwehlela.

Iyini impilo ye-aneurysm ye-abdominal aortic?

Ukuphathwa kwe-aneurysms ye-abdominal aortic kuncike ebukhoneni bayo, ezimpahleni zakho, nasesimweni sakho sezempilo. I-aneurysms ezincane ezingabangeli izinkinga ngokuvamile ziqapha ngokuhlolwa okuvamile kwemifanekiso, kuyilapho i-aneurysms ezinkulu zingadinga ukulungiswa ngokusebenza.

Nge-aneurysms ezincane (ngaphansi kwama-5.5 cm), odokotela ngokuvamile bayakhuthaza indlela yokulinda. Lokhu kuhilela:

• I-ultrasounds noma i-CT scans njalo ngenyanga eziyi-6 kuya kweziyi-12
• Ukuphathwa kwezinga lokucindezela kwegazi ukuze kunciphisa ukucindezela kwi-aneurysm
• Ukulawulwa kwe-cholesterol ukuze kunciphise ukwanda kwe-atherosclerosis
• Ukusekela ukushiya ukubhema uma ubhema
• Ukushintsha indlela yokuphila ukuze usekele impilo yezinzwa

Udokotela wakho uzolandelela ngokucophelela noma yikuphi ukushintsha ngobukhulu ngesikhathi salezi zivivinyo eziqondile. Iningi le-aneurysms ezincane likhula kancane, uma likhula, futhi alidingi ukusebenza.

Uma i-aneurysms ifinyelela kuma-5.5 cm noma ngaphezulu, noma uma ikhula ngokushesha, ukusebenza ngokuvamile kunconywa. Kunezindlela ezimbili eziyinhloko zokusebenza:

• Ukulungiswa kokusebenza okuvulekile: Ukuhlinzwa okuvamile lapho udokotela eshintsha ingxenye ebuthakathaka nge-graft yesynthetic
• Ukulungiswa kwe-Endovascular (EVAR): Inkambiso engathinti kakhulu lapho i-stent-graft ibekwa ngaphakathi kwe-aneurysm ngezinsiza ezincane

Ukuhlinzwa okuvulekile kuhilela ukwenza isiqeshana esiswini lakho bese ushintsha i-aneurysm ngompompi owenziwe ngezinto ezithambile. Nakuba lokhu kuyinkambiso enkulu yokusebenza, kuphumelela kakhulu futhi ukulungiswa ngokuvamile kuhlala impilo yonke.

Ukulungiswa kwe-Endovascular kuhilela ukufaka i-stent-graft ecinezelekile ngemithambo yegazi ezinyaweni zakho kuya ku-aneurysm. Uma isikhona, iyakhula ukuze iphinde iqhubekise igazi nge-graft esikhundleni se-aneurysm. Le ndlela inesikhathi esifushane sokuphulukiswa kodwa ingadinga izinqubo zokulandelela ngokuhamba kwesikhathi.

Udokotela wakho uzokusiza ukukhetha indlela engcono kakhulu ngokuya ngezici ze-aneurysm yakho, ubudala bakho, nesimo sakho sezinhlungu.

Ungayiphatha kanjani i-aneurysm ye-abdominal aortic ekhaya?

Ukuphatha i-aneurysm ye-abdominal aortic ekhaya kugxile ekunciphiseni ukukhula kwayo nokunciphisa ingozi yezinkinga. Izindaba ezinhle ukuthi izinyathelo eziningi ongaziqhubela zona zizikhetho ezifanayo zokuphila okunempilo ezisiza impilo yakho yonke ye-cardiovascular.

Izinto ezibaluleke kakhulu ongazenza ekhaya zihlanganisa:

• Thatha imithi yakho njengoba kulotshiwe, ikakhulukazi imithi yegazi nokukhuphuka kwe-cholesterol
• Qapha igazi lakho njalo uma une-hypertension
• Gwema ukuphakamisa okukhulu noma ukucindezela okungase kukhulise ngokuzumayo ukucindezeleka esiswini sakho
• Landela ukudla okunempilo yentliziyo okune-fat encane kanye ne-sodium
• Hlala usebenza ngokomzimba ngezilaleli ezinomthelela omncane njengokuhamba
• Phatha ukucindezeleka ngezindlela zokuphumula noma ngokwelulekwa

Kubalulekile ukugwema imisebenzi engase ibe yimbangela yokukhuphuka okungazelelwe kwegazi, njengokuphakamisa okukhulu, ukucindezela okukhulu, noma imisebenzi yomzimba eguquguqukayo. Kodwa-ke, ukuzivocavoca okuthambile, okuvamile kusiza impilo yakho ye-cardiovascular.

Gcina ulandelela noma yiziphi izimpawu ezintsha bese uzazisa udokotela wakho ngokushesha. Lokhu kuhlanganisa noma iyiphi inhlungu yesisu entsha noma ebiyelayo, inhlungu yemva, noma imizwa yokushaya esiswini sakho eba yabonakala kakhulu.

Qiniseka ukuthi uya kuyo yonke imiqhudelwano yakho yokulandelela nezivivinyo ze-imaging. Lezi zihlola zivamile kubalulekile ekuqapheleni ukuthi i-aneurysm yakho ikhula yini nokuqondisa ukuthi izinhlelo zokwelashwa zidinga ukushintsha yini.

Uma uqhuma, ukushiya kukubaluleke kakhulu ongakwenza. Buza udokotela wakho ngezinhlelo zokuyeka ukubhema noma imithi engakusiza ukuthi uyeke ngempumelelo.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela isikhathi sakho sokuya kudokotela kungakusiza ukuthi uthole okuningi ngesikhathi sakho nodokotela wakho futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo. Ukuba nendlela ehlelekile kunciphisa ukukhathazeka futhi kusiza iqembu lakho lokunakekelwa kwezempilo ukuba linikeze ukunakekelwa okuhle kunakho konke.

Ngaphambi kwesikhathi sakho sokuya kudokotela, buza ulwazi olubalulekile:

• Bhala onke amazinga akho, kufaka phakathi ukuthi aqale nini nokuthi yini eyawenza abe ngcono noma abe mubi
• Bala yonke imithi oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle komthetho kanye nezinye izinto ezengeziwe
• Letha noma yimiphi imiphumela yokuqoshwa kwesithombe noma amarekhodi ezempilo ahlobene ne-aneurysm yakho
• Qaphela umlando womndeni wakho we-aneurysms, isifo senhliziyo, noma isifo sobuchopho
• Bhala imibuzo ofuna ukuyibuza udokotela wakho

Eminye imibuzo ewusizo okufanele uyicabangele ukuyibuza ifaka: I-aneurysm yami inkulu kangakanani? Ndingazilandela kangakanani? Yiziphi izimpawu engizibheka? Yiziphi imisebenzi engingayigwema? Ngingase ngidinga nini ukuhlinzwa?

Unganqikazi ukuletha ilungu lomndeni noma umngani ekuhambeni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo. Ukuba nomuntu omunye okhona kungaba usizo kakhulu uma uzizwa ukhathazekile ngokuxilongwa kwakho.

Tshela iqiniso ngezindlela zakho zokuphila, kufaka phakathi ukubhema, ukusetshenziswa kotshwala, kanye nezindlela zokuzivocavoca. Udokotela wakho udinga lolu lwazi ukuze anikeze izincomo ezinhle kakhulu zokunakekelwa kwakho.

Uma ucabangelwa ukuhlinzwa, buza ngengozi nezinzuzo zezinketho ezahlukene zokuhlinzwa, ukuthi yini okulindelekile ngesikhathi sokuphulukisa, nokuthi ungalungiselela kanjani inqubo.

Iyini into ebaluleke kakhulu mayelana ne-abdominal aortic aneurysm?

Okubaluleke kakhulu ukuqonda nge-aneurysm ye-abdominal aortic ukuthi iyizimo ezilawuleka uma itholakala ngokushesha. I-aneurysms eziningi ezincane azibangeli lutho futhi zingalawulwa ngokuphepha ngokuhlola okuvamile kanye nezivivinyo ze-imaging.

Nakuba umqondo wokuba ne-aneurysm ungase ube wesabekayo, khumbula ukuthi imithi yanamuhla inikeza izinketho ezinhle zokulawula nokuphatha. I-aneurysms ezincane azivame ukuqhekeka, futhi uma i-aneurysms ezinkulu zidinga ukwelashwa, izinketho zokusebenza ziyasebenza kakhulu.

Ukuhlala uxhumene neqembu lakho lokunakekelwa kwezempilo nokulandela iziphakamiso zabo zokulawula nokushintsha indlela yokuphila kuyisihluthulelo. Ukuthatha imithi njengoba kulotshiwe, ukugcina imikhuba enempilo, nokuba khona emihlanganweni yokulandelela okuvamile kukuhlinzeka ngethuba elihle kakhulu lokuba nemiphumela emihle.

Uma unezingozi ze-aneurysms, ikakhulukazi uma ungumuntu wesilisa oneminyaka engaphezu kuka-65 oseke wabhema, xoxa nodokotela wakho ngokuhlolwa. Ukutholakala ngokushesha nge-ultrasound elula kungakunika ukuthula kwengqondo futhi kubambe noma yiziphi izinkinga lapho zilawuleka kakhulu.

Khumbula ukuthi ukuba ne-aneurysm akusho ukuthi awukwazi ukuphila impilo egcwele, esebenzayo. Abantu abaningi abane-aneurysms baqhubeka besebenza, behamba, futhi bajabulela imisebenzi yabo abayithandayo ngenkathi belawula isimo sabo ngokubhekene.

Imibuzo evamile ebuzwa nge-aneurysm ye-abdominal aortic

Ngingaqeqesha yini uma ngine-aneurysm ye-abdominal aortic?

Yebo, ukuqeqeshwa okuthambile kuwusizo ngempela kubantu abane-aneurysms. Ukuhamba, ukubhukuda, nokugibela ibhayisikili okulula kungasiza ekuthuthukiseni impilo yakho yemisipha yomoya. Noma kunjalo, kufanele ugweme ukuphakamisa okukhulu, ukucindezela okukhulu, noma imisebenzi ebangela ukuphakama okungazelelwe kwezinga lokucindezeleka kwegazi. Hlala uxoxa ngezinhlelo zakho zokuqeqesha nodokotela wakho ukuqinisekisa ukuthi zifanelekile isimo sakho esithile.

Ingabe i-aneurysm yami izoqhubeka ikhula ngokuhamba kwesikhathi?

Akumele kube njalo. Ama-aneurysm amaningi amancane ahlala ezinzile iminyaka noma akhula kancane kakhulu. Izinga lokukhula liyahlukahluka kumuntu ngamunye futhi lixhomeke ezintweni ezinjengokulawulwa kokucindezeleka kwegazi, isimo sokubhema, nezakhiwo. Yingakho ukulandelela njalo kubaluleke kangaka - kuvumela udokotela wakho ukuba alandelele noma yiziphi izinguquko futhi alungise uhlelo lwakho lokuphatha ngokufanele.

Ngingaphila isikhathi esingakanani ngihlushwa yi-abdominal aortic aneurysm?

Abantu abaningi abane-aneurysm amancane baphila impilo yabo ejwayelekile ngaphandle kokuthi i-aneurysm ibe yinkinga. Izinto ezibalulekile ukukhulu kwe-aneurysm yakho, indlela ophatha ngayo izinto ezikufaka engozini, nokuthi uya emakonsathi okuhlola njalo. Ngokulandelela okulungile nokunakekelwa, abantu abaningi abane-aneurysm bangalindela ukuphila impilo egcwele, esebenzayo.

Ingabe ukucathulwa kwe-aneurysm kunengozi?

Yonke i-opereysheni inengozi ethile, kodwa ukulungiswa kwe-aneurysm kuvame ukuphepha kakhulu uma kwenziwa ngabasebenzi abanolwazi. Ingozi yokucathulwa ivame ukuba ncane kakhulu kunengozi yokushiya i-aneurysm enkulu ingaphathwa. Udokotela wakho uzoxoxa ngezingozi nezinzuzo ezithile ngokusekelwe esimweni sakho, kuhlanganise nobudala bakho, impilo yakho yonke, kanye nezici ze-aneurysm yakho.

Ingabe ukucindezeleka kungabangela ukuba i-aneurysm yami iqhekeke?

Nakuba ukucindezeleka okukhulu ngokungazelelwe noma ukuphakama kokucindezeleka kwegazi ngokweqhinga kungase kube nomthelela engozini yokuqhekeka, ukucindezeleka kwansuku zonke akunakwenzeka ukuba kubangele ukuqhekeka. Noma kunjalo, ukuphatha ukucindezeleka kusabalulekile empilweni yakho yonke yemisipha. Uma ukhathazekile ngezincomo zokucindezeleka, xoxa nodokotela wakho ngezindlela zokuphatha ukucindezeleka ezempilo ezingazuza impilo yakho yonke.