Iyini i-Aortic Aneurysm? Izimpawu, Izimbangela, & Ukwelashwa

I-aortic aneurysm iwukukhula okufana nebhaluni okwenzeka ku-aorta yakho, umthambo omkhulu othatha igazi enhliziyweni yakho uye kwamanye amalungu omzimba wakho. Cabanga ngayo njengendawo ebuthakathaka ehoseni lokutshala izitshalo eliqhuma ngaphandle lapho ukucindezela kwamanzi kukhula ngaphakathi.

Lokhu kwenzeka lapho udonga lwe-aorta yakho luqala ukuwohloka futhi luqale ukukhula kunokulingana kwalo okujwayelekile. Nakuba igama elithi "aneurysm" lingase lizwakale liyesabekayo, abantu abaningi baphila ne-aortic aneurysms encane ngaphandle kokwazi ukuthi bayinazo. Okubalulekile ukuqonda ukuthi yini okufanele uyilinde futhi nini kufanele ufune ukunakekelwa.

Ziyini izimpawu ze-aortic aneurysm?

I-aortic aneurysms eminingi ayibangeli zimpawu ezigabeni zayo zokuqala, kungakho ngezinye izikhathi zibizwa ngokuthi "ababulali abathule.” Ungaba nayo iminyaka eminingi ngaphandle kokuzwa lutho olungavamile. Lokhu kuyinto evamile futhi akusho ukuthi usesengozini enkulu.

Uma izimpawu zivela, zivame ukuncika ukuthi i-aneurysm ikude kuphi nokuthi ikhulu kangakanani. Ake sibheke izibonakaliso ezinikezwa umzimba wakho:

Nge-abdominal aortic aneurysms (esifundeni sesisu sakho):

• Ubuhlungu obujulile, obuzinzile esiswini sakho noma emuva ophansi
• Ukuzwa okuphumayo eduze kwesibindi sakho, njengokushaya kwenhliziyo okunamandla
• Ubuhlungu obuya emadolweni, ezinhlangothini, noma emilenzeni
• Ukuzwa ugcwele ngisho nangemva kokudla okuncane
• Ukuphefumula noma ukugabha okubonakala kungachazeki

Nge-thoracic aortic aneurysms (esifundeni sesifuba sakho):

• Ubuhlungu obukhulu, obuzuma obusuka esifubeni noma emuva oluphezulu
• Ubunzima bokuginya noma ukuzwa njengokuthi ukudla kunamathela
• Ukuphefumula okufushane noma ukuphefumula okunzima
• Ilizwi elihlwithwe elivela ngaphandle kokubanda
• Ukuhlanza okuqhubekayo okungapheli

Kwezinye izikhathi ezingavamile, ungase uhlangane nezimpawu ezikhathazayo ezidinga ukunakekelwa okusheshayo. Lezi zihlanganisa ubuhlungu obukhulu obungathi luqhekeka, ukudehlela, ukushaya kwenhliziyo okusheshayo, noma ukubanda kwesikhumba. Khumbula, lezi zimpawu zingaba nezizathu eziningi, ngakho-ke zama ukungathukutheli uma uzibona.

Imikhakha ye-aneurysm ye-aorta yini?

I-aneurysms ye-aorta ihlelwa ngokusekelwe lapho ivela khona ku-aorta yakho. Ukuqonda izinhlobo ezahlukene kungakusiza ukuba uxhumane kangcono nodokotela wakho mayelana nesimo sakho esithile.

I-aneurysm ye-aorta yesisu (AAA) uhlobo oluvamile kunazo zonke, oluvela engxenyeni ye-aorta yakho edlula esiswini sakho. Lezi zivame ukukhula kancane futhi zivame ukutholakala ngesikhathi sokuhlolwa kwempilo okuvamile noma ukuhlolwa kwezithombe okwenziwe ngezizathu ezingezona lezo.

I-aneurysm ye-aorta yesifuba (TAA) ithuthukela engxenyeni ye-aorta yakho edlula esifubeni sakho. Lezi zingaphinda zihlukaniswe zibe yi-ascending, arch, noma i-descending aneurysms kuye ngendawo yazo eqondile. I-aneurysms yesifuba ayivamile kodwa ngezinye izikhathi ingahlotshaniswa nezimo zezofuzo.

I-aneurysms ye-Thoracoabdominal ayivamile futhi ihilela kokubili ingxenye yesifuba nengxenye yesisu ye-aorta. Lezi zidinga ukunakekelwa okukhethekile ngenxa yendawo yazo eyingozi nezitho eziningi ezingathinteka.

Iyini imbangela ye-aneurysm ye-aorta?

I-aneurysms ye-aorta ithuthukela lapho izindonga ze-aorta yakho zibuthakathaka ngokuhamba kwesikhathi. Imbangela eqondile ayicaci ngaso sonke isikhathi, kodwa izinto eziningi zingase zifake isandla kwenqubo yokuqina.

Imbangela eyinhloko enkulu yi-atherosclerosis, lapho amafutha eqoqa ezindongeni ze-artery yakho eminyakeni eminingi. Lokhu kuqoqwa kwenza izindonga ze-artery ziqine futhi zivame ukuba nezindawo ezibuthakathaka. Ukuphindaphindiwe kwegazi eliphakeme futhi kudlala indima ebalulekile ngokubeka ukucindezela okwengeziwe ezindongeni ze-artery yakho usuku nosuku.

Nawa amanye amaphuzu aphambili angabangela i-aneurysms ye-aorta:

• Atherosclerosis (ukukhuluphala kwezitho zegazi)
• Bhega eliphakeme elingalawulwa kahle
• Ukubhema, okonakalisa izindonga zezitho zegazi
• Umlando womndeni we-aneurysms ye-aorta
• Ukugqwala komzimba okuhambisana nobudala ezithweni zakho zegazi
• Ukutheleleka okubangela ukungcola kudonga le-aorta
• Ukulimala noma uvalo esifubeni sakho noma esiswini

Abanye abantu bazalwa benezimo zezofuzo ezenza ukuthi izicubu zabo ezihlanganisayo zibuthakathaka. Lokhu kuhlanganisa i-Marfan syndrome, i-Ehlers-Danlos syndrome, noma isifo se-bicuspid aortic valve. Nakuba lezi zimo zingavamile, zingakhuphula kakhulu ingozi yakho yokuthuthukisa i-aneurysm ebuntwaneni.

Isimo sokuvuvukala njenge-giant cell arteritis noma i-Takayasu arteritis nayo ingenza udonga lwakho lwe-aorta lubuthakathaka, nakuba lezi zizathu zingavamile kakhulu. Izindaba ezinhle ukuthi ukuqonda lezi zinto ezingozi kungakusiza wena nodokotela wakho ukuba nceba uhlelo lokuqapha nokuvikela impilo yakho.

Nini kufanele ubona udokotela nge-aneurysm ye-aorta?

Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu obuqhubekayo esiswini noma emuva, ikakhulukazi uma bujulile futhi abulungi ngokuphumula. Lokhu kubaluleke kakhulu uma unezinto ezingozi njengobhega oluphakeme, umlando wokubhema, noma amalungu omndeni ane-aneurysms.

Funani ukunakekelwa okusheshayo kwesiphuthumayo uma uhlushwa ubuhlungu obukhulu, obukhulu esifubeni, esiswini, noma emuva obuzwakala sengathi buqhekeka noma buqhekeka. Ezinye izimpawu zesimo esiphuthumayo zihlanganisa ukuphelelwa umoya, ukushaya kwenhliziyo okusheshayo, ukubila, noma ukuzizwa sengathi kukhona okungalungile emzimbeni wakho.

Ukuhlola okujwayelekile kuba kubaluleke kakhulu uma uneminyaka engaphezu kuka-65, unemlando womndeni we-aneurysms, noma unezinto ezingozi ze-cardiovascular. Odokotela abaningi bancoma ukuhlolwa kwe-aneurysms ye-abdominal aortic kumadoda aneminyaka engaphezu kuka-65 afake ukubhema, njengoba leli qembu linengozi enkulu kunazo zonke.

Ungabaza ukuxoxa ngezinkinga zakho nodokotela wakho, ngisho noma izimpawu zakho zibonakala zingenamandla. Ukutholakala kwangaphambi kwesikhathi nokubhekwa kungenza umehluko omkhulu emiphumeleni, futhi umhlinzeki wakho wezinsizakalo zezempilo angathanda ukubheka into ebonakala ingonakali kunokuthi angaphoswa into ebalulekile.

Iyini imikhakha yezingozi ye-aneurysm ye-aorta?

Izici eziningi zingandisa amathuba akho okukhula kwe-aneurysm ye-aorta. Ukuqonda le mikhakha yezingozi kungakusiza ukuthi uthathe izinyathelo zokuvikela impilo yakho nokusebenzisana nodokotela wakho ezindleleni zokuvimbela.

Ubudala ingenye yemikhakha yezingozi eqinile kakhulu, ngoba i-aneurysms eningi ivela kubantu abadlula u-60. Njengoba siqhubeka sikhulile, imithambo yethu yemvelo iyancipha futhi ibe lula ukukhula kwamabala abuthakathaka. Amadoda nawo asezingozini eziphezulu kunabesifazane, ikakhulukazi nge-aneurysms ye-aorta yesisu.

Nawa imikhakha yezingozi ebalulekile okufanele uyazi:

• Ukuba owesilisa futhi ungaphezu kweminyaka engama-65
• Ukubhema noma umlando wokusebenzisa utshaba
• Ukuphindaphindeka kwegazi (hypertension)
• Umlando womndeni we-aneurysms ye-aorta
• I-Atherosclerosis (ukuqina kwemithambo)
• Amazinga aphezulu e-cholesterol
• Isifo sokuphefumula esiqinile (COPD)

Isimo se-genetic, nakuba singavamile, singandisa kakhulu ingozi yakho. Lokhu kuhlanganisa i-Marfan syndrome, i-Ehlers-Danlos syndrome, i-Turner syndrome, ne-polycystic kidney disease. Uma unezinye zalezi zimo, udokotela wakho cishe uzokuncoma ukubhekwa okuvamile.

Izici zokuphila njengokubhema kubaluleke kakhulu ngoba zilawulwa. Ukubhema konakalisa izindonga zemithambo yegazi futhi kusheshisa i-atherosclerosis, okwenza kube omunye wemikhakha yezingozi ebaluleke kakhulu eguqukayo yokukhula kwe-aneurysm.

Ziyini izinhlanganisela ezingaba khona ze-aneurysm ye-aorta?

Ukukhathazeka okukhulu nge-aneurysm ye-aorta ukuphazamiseka, okuvela lapho udonga lwe-artery olubuthakathaka luqeda ukukhuthazela ngaphansi kokucindezela. Nakuba lokhu kuzwakala kukhulu, kubalulekile ukwazi ukuthi i-aneurysms eziningi zikhula kancane futhi zingalandelelwa ngokuphepha iminyaka eminingi.

Ukuqhekeka kuba nethuba elikhulu njengoba i-aneurysm ikhula, kungakho udokotela wakho azoqapha usayizi uma uthola ukuthi unayo. I-aneurysms encane (ngaphansi kwama-5.5 cm ye-aneurysms yesisu) inenkinga encane kakhulu yokuphazamiseka futhi ivame ukulandelelwa nje ngezithombe eziqondile.

Nazi izinkinga ezingase zenzeke okumele uzazi:

• Ukuqhekeka, okuholela ekopha okungaphakathi okubulalayo
• Ukuhlukaniswa, lapho izigaba ze-artery zihleka khona
• I-blood clots eyenziwa ngaphakathi kwe-aneurysm
• Ucindezelo ezithombeni noma ezakhiweni eziseduze
• Ukupholisa kwegazi ezithombeni ezingezansi kwe-aneurysm

Ukuhlukaniswa kwe-aorta kuyinkinga enkulu lapho isigaba sangaphakathi sodonga lwe-aorta siqhekeka, kuvumela igazi ukuthi ligeleze phakathi kwezindonga. Lokhu kungenzeka nge-aneurysm noma ngaphandle kwayo futhi ngokuvamile kubangela ubuhlungu obukhulu, obukhulu besifuba noma emuva.

I-blood clots ngezinye izikhathi ingakha ngaphakathi kwe-aneurysm iye kwenye ingxenye yomzimba wakho, okungenzeka ukuthi ivinje ukugeleza kwegazi ezinyaweni zakho, emphefumulweni, noma kwezinye izitho. I-aneurysms enkulu ingacindezela nezinto eziseduze, ibangela izimpawu ezinjengokunzima ukugwinya noma ukuphefumula.

Nakuba lezi zinkinga zizwakala zikhulu, khumbula ukuthi ngokulandelela nokuphatha okulungile, abantu abaningi abane-aneurysms ye-aorta baphila impilo evamile, enempilo. Iqembu lakho lokuphatha impilo lizoqala ukusebenza nawe ukunciphisa lezi zingcindezi ngokubuka okulungile nokuhlangenwe nakho ngesikhathi uma kudingeka.

Kungenzeka kanjani ukuvimbela i-aneurysm ye-aorta?

Nakuba ungakwazi ukuvimba zonke izifo ze-aortic aneurysm, ikakhulukazi ezihlobene nezici zezofu, unganciphisa kakhulu ingozi yakho ngokunakekela impilo yakho yemisipha yomzimba. Imikhuba efanayo evikela inhliziyo yakho ivikela futhi i-aorta yakho.

Ukuyeka ukubhema yisinyathelo esibaluleke kakhulu ongasithatha. Ukubhema konakalisa izindonga zezitsha zegazi futhi kukhuthaza ukuthuthukiswa kwe-atherosclerosis, okwenza kube yimbangela enkulu engaguquki yengozi yokwakheka kwe-aneurysm.

Nawa amasu abalulekile okuvimbela ongawasebenzisa:

• Yekela ukubhema futhi gwema ukubhema olukhulu
• Gcina umfutho wakho wegazi ulawulwa
• Gcina amazinga e-cholesterol aphilile
• Zivocavoca njalo ngemvume yodokotela wakho
• Dla ukudla okunempilo yentliziyo okunothile izithelo nemifino
• Lawula isifo sikashukela uma unaso
• Gcina isisindo esinempilo

Ukuhlolwa njalo kwemithi kubalulekile, ikakhulukazi uma unezici zengozi. Udokotela wakho angalandelela umfutho wakho wegazi, i-cholesterol, kanye nempilo yakho yonke yemisipha yomzimba. Uma unomlando womndeni we-aneurysms, xoxa ngezinketho zokuhlola nodokotela wakho.

Ukulawula ukucindezeleka ngezindlela zokubhekana nezimo ezempilo njengokucamngca, ukuzivocavoca njalo, noma izinto ozithandayo ongazijabulela kungazuza futhi impilo yakho yemisipha yomzimba. Nakuba ukucindezeleka ngokwalo kungabangeli i-aneurysms, ukucindezeleka okuqhubekayo kungase kube nomthelela ekucindezelweni kwegazi okuphezulu nakwezinye izici zengozi.

I-aortic aneurysm ihlonishwa kanjani?

Iningi le-aortic aneurysms litholakala ngengozi ngesikhathi sokuhlolwa kwezithombe okwenziwa ngezizathu ezingezona lezo, njenge-CT scans ngenxa yobuhlungu besisu noma i-X-rays yesifuba ngenxa yezimpawu zokuphefumula. Lokhu kutholakala "okungalindelekile" kuyinto evamile futhi kuvame ukuholela ekubonweni kwangaphambi kwesikhathi.

Udokotela wakho uzoqala ngokuhlolwa komzimba, alalele inhliziyo yakho futhi azwe isisu sakho ukuze abone noma kukhona ukushaya okungavamile. Kodwa-ke, ukuhlolwa komzimba kuphela akunakukwazi ukubona kahle ama-aneurysm amaningi, ikakhulukazi amancane noma kulabo abanamizimba emikhulu.

Amathuluzi akhiqiza ukuxilonga ahlanganisa:

• I-Ultrasound - ayibuhlungu futhi ivame ukusetshenziswa ekuqaleni kokuhlola
• I-CT scan - inikeza izithombe ezinemininingwane yesayizi nekhona le-aneurysm
• I-MRI - inikeza imininingwane emihle ngaphandle kokubekwa kwemisebe
• I-X-ray yesifuba - ingabonisa izimpawu zama-aneurysm esifubeni
• I-Echocardiogram - isebenza ngokukhethekile kuma-aneurysm aseduze nenhliziyo

Uma usesingozi elikhulu, udokotela wakho angakuncoma ukuhlolwa ngisho noma ungenawo ama-symptom. I-U.S. Preventive Services Task Force isikisela ukuhlolwa kwenkathi eyodwa ye-ultrasound ye-abdominal aortic aneurysms kubantu besilisa abaneminyaka engama-65-75 abake balutshaya.

Uma kukhonjwe i-aneurysm, udokotela wakho uzomlinganisela usayizi wayo futhi alandelele ukuthi ikhula kangcono kangakanani ngokuhlola okuqhubekayo. Ukuqina kwalezi zihlolo kuyahluka kuye ngosayizi we-aneurysm kanye nezici zakho eziyingozi.

Iyini ukwelashwa kwe-aortic aneurysm?

Ukwelashwa kwama-aneurysm e-aortic kuncike kakhulu esayizini yawo, indawo, nokuthi akhula ngokushesha kangakanani. Ama-aneurysm amancane angabangeli ama-symptom avame ukulandelelwa ngokuhlola okuqhubekayo kunokuba aphathwe ngokushesha.

Ngama-aneurysm amancane (ngokuvamile angaphansi kwama-5.5 cm ngama-aneurysm esiswini), udokotela wakho uzokuncoma "ukulinda ngokuqapha" ngokuhlola njalo ngenyanga eziyi-6-12. Phakathi nalesi sikhathi, uzosebenza futhi ekulawuleni izici eziyingozi njengengcindezi yegazi kanye ne-cholesterol.

Izindlela zokwelapha zihlanganisa:

• Ukulandelela ngezifundo ezijwayelekile zokwenza izithombe
• Imithi yokunciphisa igazi ukuze kuncishiswe ukucindezela emithanjeni yegazi
• Imithi yokunciphisa ikolesterol
• Ukulungiswa okuvulekile okuhlinzekwayo kwizigxobo ezinkulu
• Ukulungiswa okuhlinzekwayo ngaphakathi komzimba usebenzisa ama-stent grafts
• Ukuhlinzwa okuphuthumayo kwezigxobo ezisikhundle

Uma izigxobo zifinyelela usayizi oluthile (ngokuvamile ama-5.5 cm kwezigxobo zesisu noma ama-6 cm kwezigxobo zesifuba), udokotela wakho uzokuncoma ukulungiswa okuvimbelayo. Lo mgomo umelela iphuzu lapho ingozi yokuphazamiseka iba phezulu kunezingozi zokuhlinzwa.

Ukulungiswa kwe-aneurysm okuhlinzekwayo ngaphakathi komzimba (EVAR) kuyindlela engathinti kakhulu lapho i-stent graft ifakwa ngezinsiza ezincane emadolweni akho bese iqondiswa endaweni ye-aneurysm. Ukulungiswa okuvulekile okuhlinzekwayo kuhilela ukufaka ingxenye eyonakele ye-aorta nge-graft ye-synthetic ngesigxobo esikhulu.

Iqembu lakho lokuhlinzwa lizokusiza ukuqonda ukuthi iyiphi indlela efanele isimo sakho esithile ngokuya ngezinto ezinjengokuphila kwakho okuphelele, izici ze-aneurysm, kanye nezifiso zakho siqu. Zombili lezi zinqubo zinezilinganiso ezinhle zokuphumelela uma zenziwa amaqembu anamava.

Ungayiphatha kanjani i-aneurysm ye-aorta ekhaya?

Uma utholakala une-aneurysm ye-aorta, kunezinyathelo ezibalulekile ongazithatha ekhaya ukuze usekele impilo yakho futhi unciphise izingozi. Umgomo ukunciphisa ukucindezela ku-aorta yakho ngenkathi ugcina ikhwalithi enhle yokuphila.

Ukuphathwa kwegazi kubalulekile ngoba ukucindezela okuphezulu kufake ukucindezela okwengeziwe ku-aneurysm yakho. Thatha imithi yakho ngokuqondile njengoba kulotshiwe, landela igazi lakho ekhaya uma kunconywe, futhi gcina irekhodi lokuhlanganyela neqembu lakho lokuphatha impilo.

Nawa amasu abalulekile okuzinakekela:

• Thatha wonke amaphilisi njengoba kunqunyiwe, ikakhulukazi amaphilisi egazi elikhuphukileyo
• Qapha uxinzelelo lwakho lwegazi njalo uma kunconywe
• Landisa ukudla okunempilo yentliziyo okune-sodium encane
• Zivocavoca kancane ngemvume yodokotela wakho
• Gwema ukuphakamisa okukhulu noma ukucindezela
• Yeka ukubhema ngokuphelele uma ungakabi
• Lawula ukucindezeleka ngezindlela zokuphumula

Uma kukhulunywa ngomsebenzi womzimba, ukuzivocavoca okuthambile njengokuhamba, ukubhukuda, noma ukujika okukhanyayo kuvame ukuba kuhle, kodwa gwema imisebenzi ehilela ukuphakamisa okukhulu, ukuhamba okungazelelwe, noma ukubamba umoya wakho ngenkathi ucindezela. Hlala ukhulumisana nodokotela wakho ngalokho okuphephile esimweni sakho esithile.

Qaphela umzimba wakho bese ubika noma yiziphi izimpawu ezintsha noma ezibi kakhulu kunikeziwe lokhu ngokushesha. Lokhu kuhlanganisa ukushintsha emaphethini obuhlungu, ukuphefumula okusha okufushane, noma noma yiziphi izimpawu ezikukhathazayo, ngisho noma zibonakala zingahlobene ne-aneurysm yakho.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kungakusiza ukuba wenze kakhulu isikhathi sakho kunikeziwe lokhu nomhlinzeki wakho wezempilo futhi kuqinisekise ukuthi uthola lonke ulwazi oludingayo. Qala ngokubhala phansi noma yiziphi izimpawu ozibonile, ngisho noma zibonakala zincane noma azinhlobene.

Letha uhlu oluphelele lwemithi yakho yamanje, kuhlanganise nemithi yokuthengwa ngaphandle kwesikripthi kanye nezinhlanganisela. Futhi, buthana ulwazi mayelana nomlando wakho wezokwelapha womndeni, ikakhulukazi noma yibaphi abantu abaseduze abake baba ne-aneurysms, isifo senhliziyo, noma isifo sobuchopho.

Cabanga ngokulungiselela lezi zinto:

• Uhlu lwezimpawu zamanje nokuthi zaqala nini
• Uhlu oluphelele lwemithi nge-dosages
• Umbhalo womndeni wesifo senhliziyo
• Imibiko yokuqoshwa kwesikhathi esidlule noma imiphumela yokuhlola
• Ulwazi loku-inshorensi kanye nokudluliselwa uma kudingeka
• Uhlu lwemibuzo ofuna ukuyibuza

Bhala imibuzo kusengaphambili ukuze ungayikhohlwa ngesikhathi sokuqokwa. Ungase ufune ukubuza ngosayizi we-aneurysm yakho, ukuthi uzodinga ukulandelelwa kangakanani, izimpawu okufanele uzilinde, noma imisebenzi ephephile kuwe.

Cabanga ngokuletha ilungu lomndeni omethembayo noma umngani ozokusiza ukuba ukhumbule ulwazi olubalulekile futhi unikeze ukwesekwa ngokomzwelo. Bangakusiza futhi ukuthi ucabange ngemibuzo ongase ungayicabanganga futhi bathathe amanothi ngesikhathi sokuqokwa.

Iyini into ebaluleke kakhulu mayelana ne-aneurysm ye-aortic?

Into ebaluleke kakhulu okufanele uyiqonde mayelana ne-aneurysms ye-aortic ukuthi zizimo ezilawuleka uma zitholakala futhi zilandelwa kahle. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, khumbula ukuthi abantu abaningi baphila impilo egcwele, esebenzayo nge-aneurysms ebukelwa ngokucophelela amaqembu abo ezempilo.

Ukutholakala kwangaphambi kwesikhathi ngokuhlola noma okutholwe ngengozi ngezinye izivivinyo zezokwelapha kukunika wena nodokotela bakho ithuba lokuqapha i-aneurysm nokuthatha isinyathelo ngaphambi kokuba kube khona izinkinga. Iningi le-aneurysms likhula kancane, linikeza isikhathi esiningi sokuthatha izinqumo ngokucophelela mayelana nokwelashwa.

Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko wangempela. Ngokulawula ukucindezeleka kwegazi lakho, uyeka ukubhema, uthatha imithi njengoba kuqokiwe, futhi uqhubeka nokuvakasha kokulandelela, uthatha izinyathelo ezinamandla zokuvikela impilo yakho nokunciphisa ingozi yezinkinga.

Khumbula ukuthi ubuchwepheshe bezokwelapha nezinqubo zokucutshungulwa kwe-aneurysms ziye zaqina kakhulu phakathi neminyaka. Uma udinga ukwelashwa, uzothola izinketho ezicacile, eziphumelelayo ezenziwa amaqembu anekhono ayingcweti kulomsebenzi.

Imibuzo evame ukubuzwa mayelana ne-aneurysm ye-aortic

Ngingasebenzisa umzimba yini uma ngine-aneurysm ye-aortic?

Yebo, ngokuvamile ungazivocavoca une-aneurysm ye-aorta, kodwa uhlobo nobukhulu kufanele kuqondiswe udokotela wakho. Imisebenzi elula kuya kwephakathi njengokuhamba, ukubhukuda, noma ukujika ibhayisikili ngokuvamile iphephile futhi inenzuzo empilweni yakho yemisipha. Kodwa-ke, kufanele ugweme ukuphakamisa okukhulu, ukuqeqeshwa okukhulu, noma imisebenzi ebangela ukuthi ubambe umoya wakho bese ucindezela. Udokotela wakho uzonikeza imiyalelo ethile ngokusekelwe ebukhoneni nendawo ye-aneurysm yakho.

Ingabe i-aneurysm yami ye-aorta izoqhuma ngokuqinisekile?

Cha, izinhlungu eziningi ze-aorta azibhubhi, ikakhulukazi uma zilawulwa futhi ziphathwa kahle. I-aneurysms encane inenkinga encane kakhulu yokubhubha, futhi ngisho nezinkulu zingaphathwa ngempumelelo ngaphambi kokuba kube khona ukubhubha. Ingozi yokubhubha iyakhula ngobuningi, kungakho udokotela wakho azoqapha ukukhula kwe-aneurysm yakho bese ephakamisa ukwelashwa uma kufanele. Ukuqapha njalo kuvumela ukungenelela ngesikhathi ngaphambi kokuba kube khona izinkinga.

Ikhula kangakanani i-aneurysms ye-aorta?

I-aneurysms ye-aorta ngokuvamile ikhula kancane, ngokuvamile ikhula ngamamilimitha angu-2-3 ngonyaka ngokulinganayo. Kodwa-ke, izilinganiso zokukhula zingase zihluke kakhulu phakathi kwabantu futhi ziye zixhomeke ezintweni ezifana nokulawulwa kokucindezeleka kwegazi, ukubhema, i-genetics, nendawo ye-aneurysm. Ezinye i-aneurysms zihlala zinzima iminyaka, kanti ezinye zingase zikhule ngokushesha. Kungakho ukuthwebula okuvamile kubaluleke kakhulu ukuqapha izinguquko ngokuhamba kwesikhathi.

Ingabe imithi inganciphisa i-aneurysm ye-aorta?

Okwamanje, awekho amaphilisi anganciphisa i-aneurysm ye-aorta ekhona. Kodwa-ke, imithi idlala indima ebalulekile ekuthambiseni ukukhula nokuvimbela izinkinga. Imithi yokucindezeleka kwegazi, imithi yokunciphisa ikolesterol, nezinye imithi yemisipha zisiza ekuthambiseni ukucindezeleka kwi-aneurysm futhi zingase zithambise intuthuko yayo. Abacwaningi bahlola imithi engase ibe nomthelela ekukhuleni kwe-aneurysm, kodwa ukulungiswa kokusebenza kusala kuphela ukwelashwa okuqinisekile kwe-aneurysms enkulu.

Ingabe i-aneurysm ye-aorta iyadluliselwa ezizukulwaneni?

I-aneurysm ye-aorta ingaba nezingxenye eziyizukulwane, ikakhulukazi uma ihlotshaniswa nezifo ze-genetic connective tissue ezifana ne-Marfan syndrome noma i-Ehlers-Danlos syndrome. Uma unezihlobo zesigaba sokuqala (umzali, umfowethu noma udade, noma ingane) enen-aneurysm ye-aorta, ingozi yakho iyanda. Noma kunjalo, i-aneurysm eminingi ivela kubantu abangenayo umlando womndeni. Uma unomlando womndeni we-aneurysm, xoxa ngezinketho zokuhlola nodokotela wakho, njengoba ukulandelela okusheshayo nangokukhulu kungase kunconywe.