Ukuqhuma Kwe-aneurysm Yengqondo: Izimpawu, Izimbangela, Nokwelashwa

I-aneurysm yengqondo iwumkhawulo obuthakathaka odongeni lwezinsimbi zegazi ngaphakathi engqondweni yakho oluqhuma ngaphandle njengobhola olukhulu. I-aneurysm eningi yengqondo incintisana futhi ayibangeli zimpawu, ihlale ingabonakali phakathi nokuphila komuntu. Noma kunjalo, uma zikhula noma ziqhuma, zingaba yingozi enkulu yezokwelapha edinga ukunakekelwa okusheshayo.

Cabanga ngayo njengendawo ebuthakathaka ohosheni lokulinywa eliqamba ibhabhu uma ukucindezela kwamanzi kukhula. Ingqondo yakho inezinkulungwane zezinsimbi zegazi, futhi ngezinye izikhathi enye ithuthukisa lobu buthakathaka. Izindaba ezinhle ukuthi abantu abaningi baphila impilo evamile, enempilo nge-aneurysm encane, eqinile engabangeli zinkinga.

Ziyini izimpawu ze-aneurysm yengqondo?

I-aneurysm eningi encane, engaphukile yengqondo ayibangeli zimpawu nhlobo. Ungaba nayo njengamanje futhi ungayazi, okuvamile kakhulu. Odokotela bavame ukuthola lezi ngesikhathi sokuhlola ingqondo okuvamile okwenziwe ngezizathu ezingezona lezo.

Noma kunjalo, i-aneurysm enkulu engaphukile ngezinye izikhathi ingacindezela izingqimba zengqondo noma izinzwa eziseduze. Uma lokhu kwenzeka, ungase uhlangabezane nezimpawu zezesixwayiso okungafanele ziganjwa:

• Ubuhlungu obukhulu, obukhulu obuzwa ngokuhlukile kunanoma yiluphi ubuhlungu obuke waba nabo ngaphambili
• Izinkinga zobumona, njengokubona okubili noma ukulahleka kobumona
• Ubuhlungu ngaphezulu noma ngemuva kweso lakho
• Ukuqina noma ubuthakathaka ohlangothini olulodwa lobuso bakho
• Ubunzima bokukhuluma noma ukuqonda inkulumo
• Ukuqina kwentamo
• Ukukhanya okukhulu

Uma i-aneurysm iqhuma, idala isimo esiphuthumayo sezokwelapha esibizwa ngokuthi yi-hemorrhage ye-subarachnoid. Isimpawu esivelele kunazo zonke yilokho odokotela abakubiza ngokuthi “ubuhlungu obukhulu benqindi” - ubuhlungu obukhulu kakhulu obuza ngokuzumayo futhi buzwakala njengobubi kakhulu empilweni yakho. Lokhu kuvame ukuhambisana nokuhlanza, ukugabha, intamo eqinile, futhi ngezinye izikhathi ukulahlekelwa yikwazi.

Abanye abantu baye bahlangabezane nalokho okubizwa ngokuthi “ukukhathazeka kwekhanda okubonisa isigubhu” izinsuku noma amasonto ngaphambi kokuba kube khona ukuqhekeka. Lokhu kuyinkathazo yekhanda ebuhlungu kakhulu, engase ibe yiphuphu elincane elivela ku-aneurysm, likhonjise uphawu loxwayiso olungafanele luphoswe.

Imikhakha ye-aneurysms yengqondo yini?

I-aneurysms yengqondo iza ngezindlela nezinqubo ezahlukene, nokuqonda le miqondo kusiza odokotela ukuthi banqume indlela yokwelapha engcono kakhulu. Uhlobo oluvamile kakhulu lubizwa ngokuthi i-aneurysm yesaccular noma “i-berry”, ebukeka njengobheji olukhulu oluqandwe esiqwini.

I-aneurysms yesaccular yenza cishe u-90% yawo wonke ama-aneurysms engqondo. Ngokuvamile ithuthukiswa endaweni lapho imithambo yegazi ihlukaniswa khona, ngokuvamile ezindaweni lapho ukugeleza kwegazi kudala khona ukucindezela okukhulu odongeni lomthambo. Lezi yizo ezinamathuba amaningi okuqhekeka uma zikhula kakhulu.

I-aneurysms ye-fusiform ayivamile kodwa ingaba nzima ukwelapha. Esikhundleni sokuqhuma njengobhaluni, lezi zenza wonke umjikelezo womthambo wegazi ukwanda, okwenza umthambo ubukeke njengasoseji. Ngokuvamile zihlangene neemeko ezihlasela izindonga zemithambo yegazi emzimbeni wonke.

Odokotela futhi bahlukanisa ama-aneurysms ngobukhulu bawo. Ama-aneurysms amancane angaphansi kwama-7 millimeters, aphakathi angama-7-12 millimeters, amakhulu angama-13-24 millimeters, kanti ama-aneurysms amakhulu angaphezu kwama-25 millimeters. Ngokuvamile, ama-aneurysms amakhulu anezinkinga eziningi zokuqhekeka, nakuba amancane angaba yinkinga ngezinye izikhathi.

Yini ebangela i-aneurysm yengqondo?

I-aneurysms yengqondo ithuthukiswa lapho udonga lomthambo wegazi luqala ukuqina ngokuhamba kwesikhathi. Lobu buthakathaka bungase bube khona ngezizathu eziningi, futhi ngokuvamile kuyindlela yokuxuba izinto kunokuba kube yimbangela eyodwa kuphela.

Imbangela evamile kunazo zonke iwukuguga kwemvelo okuhlangene neminyaka yokucindezela kwegazi odongeni lwemithambo yegazi. Njalo lapho inhliziyo yakho ibetha, ithumela izazela lokucindezela emithambekeni yakho yegazi. Phakathi namakhulu eminyaka, lokhu kucindezela okuqhubekayo kungabuqeda kancane kancane ubukhulu bezindawo ezithile, ikakhulu lapho imithambo yegazi ihlukaniswa khona noma igobe.

Izinto eziningi zingase zihlanganyele kule nqubo yokubuqeda:

• Kucindezela kwegazi okuphezulu, okubekela uxinzelelo olukhulu odongeni lwemithambo yegazi
• Ukubhema, okonakalisa imithambo yegazi emzimbeni wakho wonke
• Ukusebenzisa utshwala kakhulu, okungaphakamisa ukucindezela kwegazi futhi kuthonye impilo yemithambo yegazi
• Ukusebenzisa izidakamizwa, ikakhulukazi i-cocaine ne-amphetamines, ezingabangela ukuphakama okungazelelwe kokucindezela kwegazi
• Ukulimala kwekhanda okuvela ezingozi noma ekulimaleni
• Ukutheleleka okuthile okungavuvukisa imithambo yegazi

Abanye abantu bazalwa benezimo ezenza kube lula ukuba bathuthukise ama-aneurysms. Lezi zinto zofuzo zihlanganisa izifo ze-connective tissue njenge-Ehlers-Danlos syndrome, isifo se-polycystic kidney, ne-arteriovenous malformations. Uma unomlando womndeni wama-aneurysms ebuhlungwini, ingozi yakho ingaba phezulu kancane kunokulinganiselwe.

Kwezinye izikhathi ezingavamile, ama-aneurysms angathuthukiswa yizimbangela ezingavamile njengezinye izinhlobo zezifo ze-brain tumors, ukutheleleka okukhulu, noma njengengxaki evela kwamanye ama-medical procedures. Noma kunjalo, lezi zimo azivamile uma kuqhathaniswa nezimbangela ezivamile ezihlobene nokuqina kanye nezinto zokuphila.

Nini kufanele ubheke udokotela nge-aneurysm yengqondo?

Kufanele ufuna ukunakekelwa kwengqondo okuphuthumayo uma uhlangabezana nobuhlungu obukhulu, obukhulu obungafani nanobuhlungu obuke waba nabo. Lokhu kubaluleke kakhulu uma ubuhlungu buza nokuhlanza, ukugabha, intamo eqinile, noma ukushintsha embonini yakho noma ekuqapheleni kwakho.

Ungalindi noma uzama ukuthi "ukubekezelela" uma ubhekene nalokho okubukeka sengathi yikhanda elibuhlungu kakhulu empilweni yakho. Ngisho noma kungabi ukuphazamiseka kwe-aneurysm, izihlungu zekhanda ezibuhlungu ngokungazelele zingabonisa ezinye izimo ezingathi sína ezidinga ukunakekelwa okusheshayo.

Kufanele futhi ubheke udokotela wakho uma unezihlungu zekhanda eziphindaphindayo ezihlukile kunephethini yakho evamile, ikakhulukazi uma zihambisana nezinguquko zobona, ukungabi namandla ebusweni bakho, noma ubunzima bokukhuluma. Nakuba lezi zimpawu zingaba nezizathu eziningi, kungcono ukuthi zihlolwe.

Uma unomlando womndeni we-aneurysms yobuchopho noma izimo ezithile ze-genetic, xoxa nodokotela wakho ukuthi ukuhlolwa kungafaneleki yini kuwe. Abanye abantu abanemlando omkhulu womndeni bangazuza ekwenzeni izithombe njalo ukuhlola i-aneurysms ngaphambi kokuthi izimpawu zivele.

Iyini imikhakha yokusongela i-aneurysms yobuchopho?

Izici eziningi zingandisa amathuba akho okukhula kwe-aneurysm yobuchopho, nakuba ukuba nemikhakha yokusongela akusho ukuthi uzokhula ngokuqinisekile. Ukuqonda lezi zici kungakusiza wenze izinqumo ezilwemi mayelana nempilo yakho nendlela yakho yokuphila.

Ubudala buthatha indima ebalulekile, nge-aneurysms eba yinto evamile njengoba ukhula. Iningi le-aneurysms likhula kubantu abadlula u-40, futhi ingozi iyaqhubeka ikhula ngokukhula kweminyaka. Abafazi banamathuba amancane kunamadoda okukhula kwe-aneurysms, ikakhulukazi ngemuva kokuphela kwesikhathi sokubeletha.

Umlando womndeni wakho ubalulekile futhi. Uma unembele, umfowethu, noma ingane enebhulu le-aneurysm yobuchopho, ingozi yakho iphakeme kunokulinganiselwe. Lokhu kusikisela ukuthi i-genetics idlala indima, nakuba abacwaningi basasebenza ukuqonda ukuthi kwenzeka kanjani.

Izici zendlela yokuphila ongazilawula zihlanganisa:

• Ukubhema, okwandisa kakhulu ingozi yakho futhi kwenza ukuqhekeka kwe-aneurysm kube lula kakhulu
• Ukusebenzisa utshwala ngokweqile, okungaphakamisa igazi futhi konakalise imithambo yegazi
• Ukusebenzisa izidakamizwa, ikakhulukazi i-cocaine ne-amphetamines, ezingabangela ukuphakama okungalindelekile kwegazi
• Ukuqina kwegazi eliphezulu, okubekela uxinzelelo oluqhubekayo odongeni lwemithambo yegazi

Ezinye izimo zezokwelapha zingakwandisa ingozi yakho. Lezi zihlanganisa isifo sezinso se-polycystic, izifo zezicubu ezihlanganisa i-Ehlers-Danlos syndrome, i-arteriovenous malformations, nezinye izimo ezifuywe ezithinta ukuma kwemithambo yegazi.

Kwezinye izikhathi ezingavamile, ukulimala kwekhanda okukhulu, ukutheleleka okuthile, noma ngisho nezinye izinqubo zezokwelapha zingase zifake isandla ekwakhekeni kwe-aneurysm. Kodwa-ke, lezi zimo azivamile njengezinye izimbangela eziyinhloko ezihlobene nobudala, i-genetics, nendlela yokuphila.

Ziyini izinhlanganisela ezingase zenzeke ze-aneurysm yobuchopho?

Inhlanganisela eyingozi kakhulu ye-aneurysm yobuchopho ukuqhekeka, okubangela ukuphuza igazi endaweni eseduze nobuchopho bakho okuthiwa yi-subarachnoid hemorrhage. Lena yiphuthuma lokwelapha elingaba yingozi futhi lidinga ukwelashwa ngokushesha.

Uma i-aneurysm iqhekeka, izinhlanganisela eziningi ezingozi zingase zenzeke. Ukuphuza igazi kungaphakamisa uxinzelelo ngaphakathi ekhanda lakho, okungonakalisa i-tissue yobuchopho. Lolu xinzelelo olukhulu lungabangela izimpawu ezifana nesifo sobuchopho, ukubamba, noma ukulahlekelwa ukwazi.

Izinhlanganisela ezivamile ezivela ku-aneurysm eqhekekile zihlanganisa:

• Ukuphinda kwegazi, lapho i-aneurysm iphuka khona futhi ezinsukwini noma emavikeinini
• I-Vasospasm, lapho imithambo yegazi ebuchosheni icindezela futhi inciphise ukugeleza kwegazi
• I-Hydrocephalus, lapho i-fluid iqongelela khona emakhameni ebuchosheni
• Ukuhlushwa yizifo, okungase kwenzeke ngokushesha noma kuthuthukiswe kamuva
• Isifo sobuchopho, uma ukugeleza kwegazi ezingxenyeni zebuchosheni kuncishisiwe kakhulu
• Ukonakala okungapheli komsebenzi wezinzwa, okuthinta inkulumo, ukuhamba, noma umsebenzi wokucinga

Ngisho ne-aneurysms ezingaphukile ngezinye izikhathi zingabangela izinkinga, ikakhulu uma zikhulu. Zingase zicindezele ezinye izicubu zebuchosheni noma imithambo, zibangele izikhathi zokuzwa ubuhlungu ekhanda, izinkinga zobuso, noma ezinye izimpawu zezinzwa. I-aneurysms ezinkulu ngezinye izikhathi zingakha ama-blood clots angahamba ezinye izingxenye zebuchosheni.

Izindaba ezinhle ukuthi ngokwelashwa ngokushesha kwezokwelapha, abantu abaningi ababhekana nezinkinga ze-aneurysm bangaphila kahle. Ikhona ukubona izimpawu ngokushesha nokuthola ukunakekelwa kwezokwelapha ngokushesha uma kudingeka.

I-aneurysm yengqondo ihlonishwa kanjani?

Ukuxilonga i-aneurysm yengqondo ngokuvamile kuhilela ukuhlolwa kwezithombe ezikhethekile ezingabonisa imithambo yegazi ebuchosheni bakho. Iningi le-aneurysms litholakala ngesikhathi sokulingwa kwezimo eziphuthumayo zezimpawu noma ngokungahlosiwe ngesikhathi sokuhlolwa okwenziwe ngezizathu ezingezona lezo.

Uma ufika ekamelweni lephuthumayo nge-headache ebuhlungu kakhulu, odokotela bazoba nombono wokuhlola nge-CT scan yekhanda lakho. Lokhu kungabonisa ngokushesha uma kukhona ukuphuza kwegazi ebuchosheni bakho okuvela ku-aneurysm ephukile. Uma i-CT scan ibonisa ukuphuza kwegazi, ngokuvamile bazolandela ngezithombe ezinemininingwane.

Ukuze ubone ngemininingwane imithambo yegazi yakho, odokotela bangase basebenzise izinhlobo eziningi zokuhlola:

• I-angiography ye-CT (CTA), esebenzisa umbala wokubonisa ukuze iveze imithambo yegazi ku-scan ye-CT
• I-angiography ye-Magnetic resonance (MRA), esebenzisa ama-magnetic fields ukwenza izithombe ezinemininingwane yemithambo yegazi
• I-angiography yengqondo, ehilela ukufaka i-tube encane ngemithambo yegazi yakho bese ugcwalisa umbala ngqo
• Ukugaya i-lumbar (ukugaya i-spinal), okungenzeka kwenziwe uma kukhona ukuphuza igazi okucatshangelwayo kodwa akubonakali ngokucacile ezithombeni

I-angiography yengqondo ithathelwa ingqondo njengendlela engcono kakhulu yokuxilonga ama-aneurysms ngoba inikeza izithombe ezinemininingwane kakhulu. Noma kunjalo, iyathinta kakhulu kunokuhlolwa okunye, ngakho odokotela bavame ukuyisebenzisela ezimweni lapho bedinga ulwazi olunembile kakhulu lokucwangcisa ukwelashwa.

Uma unezingozi zama-aneurysms kodwa awunayo izimpawu, udokotela wakho angakuncoma ukuhlola nge-MRA noma i-CTA. Lokhu kuvame ukwenziwa kuphela uma unemlando omkhulu womndeni noma izimo ezithile ze-genetic ezandisa kakhulu ingozi yakho.

Iyini ukwelashwa kwe-aneurysm yengqondo?

Ukwelashwa kwe-aneurysm yengqondo kuncike ekutheni iphukile yini, usayizi nokuma kwayo, nempilo yakho yonke. Akuwona wonke ama-aneurysms adinga ukwelashwa ngokushesha, futhi iqembu lakho lezokwelapha lizocubungula ngokucophelela izingozi nezinzuzo zezindlela ezahlukene.

Ngokuqondene nama-aneurysms amancane, angaphuka angabangeli izimpawu, odokotela bavame ukuncoma ukulandelela ngokucophelela kunokwelashwa ngokushesha. Lokhu kuhilela ukuhlola okujwayelekile kwezithombe ukuhlola ukuthi i-aneurysm ikhula yini noma ishintsha isimo. Abantu abaningi baphila impilo evamile ngama-aneurysms amancane, aqinile angadingi ukwelashwa.

Uma ukwelashwa kuyadingeka, kunezindlela ezimbili eziyinhloko zokwelapha:

• Ukufakwa kwezicucu ngaphakathi kwemithambo yegazi, lapho odokotela befake khona ipayipi elincane ngaphakathi kwemithambo yegazi yakho bese befake izicucu ezincane ngaphakathi kwesifo se-aneurysm ukuvimba ukugeleza kwegazi
• Ukuhlinzwa kokucisha, lapho ochwepheshe bokuhlinzwa befake khona ikliphi encane yensimbi ebusweni besifo se-aneurysm ukuyivala
• Izinto eziqondisa ukugeleza kwegazi, ezingamadivayisi amasha aqondisa ukugeleza kwegazi kude nesifo se-aneurysm
• Ukufakwa kwe-pipeline, uhlobo oluthile lokwelapha oluqondene nezinhlobo ezithile zesifo se-aneurysm

Uma i-aneurysm iphukile, ukwelashwa kuvame ukuba yinto ephuthumayo ukuvimbela ukopha kabusha. Indlela ethile yokwelapha ixhomeke ezimpawu zesifo se-aneurysm nasesimweni sakho. Odokotela bazophatha nezinkinga ezinjengokwanda kokucindezeleka kwengqondo noma i-vasospasm.

Uchwepheshe wakho we-neurosurgeon uzoxoxa ngokuthi iyiphi indlela engase ilungele isimo sakho. Izinto azicabangela zihlanganisa usayizi, isisindo, nendawo yesifo se-aneurysm, kanye neminyaka yakho, impilo yakho jikelele, nezifiso zakho.

Ungayiphatha kanjani i-aneurysm yengqondo ekhaya?

Uma une-aneurysm engaphukile ebonwa, kunezinto eziningi ongazenza ekhaya ukusiza ukunciphisa ingozi yezinkinga. Isinyathelo esibaluleke kakhulu ukuphatha ukucindezeleka kwegazi, ngoba ukucindezeleka okuphezulu kuyafakela ukucindezeleka okwengeziwe esifweni se-aneurysm.

Thatha imithi yakho yokucindezeleka kwegazi njengoba ilotshiwe, ngisho noma uzizwa kahle. Hlola ukucindezeleka kwegazi njalo ekhaya uma udokotela wakho ekuncoma, bese ugcina irekhodi ukuze uhlanganyele ngalo emihlanganweni yakho. Ukudla ukudla okunempilo yentliziyo okunetyuwa elincane kungasiza futhi ekuqinisiseni ukucindezeleka kwegazi.

Ukushintsha kwendlela yokuphila okungasiza kuhlanganisa:

• Ukuyeka ukubhema ngokuphelele, njengoba lokhu kuyinto ebaluleke kakhulu ongayenza
• Ukulinganisela ukusetshenziswa kotshwala noma ukukuyeka ngokuphelele
• Ukuzivocavoca njalo, ngokulinganisela njengoba kunqunywe ngudokotela wakho
• Ukuphatha ingcindezi ngezindlela zokuphumula noma ngokwelulekwa
• Ukulala ngokwanele, lokhu kusiza ekuqinisiseni ukucindezeleka kwegazi
• Ukugwema imisebenzi ebangela ukwanda okusheshayo kokucindezeleka kwegazi

Qaphela imisebenzi engase ikhulise ukucindezeleka kwegazi isikhashana kakhulu, njengokuphakamisa izinto ezisindayo, ukucindezela, noma ukuzivocavoca okukhulu. Udokotela wakho angakunika isiqondiso esicacile mayelana nemisebenzi ephephile kuwe.

Gcina zonke izikhathi zakho zokuhlola okulandelayo, ngisho noma uzizwa uphilile ngokuphelele. Lezi zivivinyo eziqondile zibalulekile ekutholeni noma yiziphi izinguquko e-aneurysm yakho ngokushesha. Unganqikazi ukuxhumana nodokotela wakho uma uthola izikhathi zokukhathazeka, ukuguquka kokubona, noma ezinye izimpawu ezikhathazayo.

Kufanele ulungiselele kanjani isikhathi sakho sokuya kudokotela?

Ukulungiselela isikhathi sakho sokuya kudokotela kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi ungakhohlwa ulwazi olubalulekile. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi.

Letha uhlu oluphelele lazo zonke izidakamizwa ozithathayo, kufaka phakathi izidakamizwa ezinqunywe ngudokotela, izidakamizwa ezingaphezu kokukhawulelwa, kanye nezinye izinto ezengeziwe. Faka imingcele kanye nokuthi uzithatha kangaki ngayinye. Ulwazi olufana nalolu lusiza udokotela wakho ukuthi aqonde isithombe sakho sempilo.

Butha ulwazi mayelana nomlando wakho womndeni wezokwelapha, ikakhulukazi noma yimiphi izihlobo eziye zaba ne-aneurysms yengqondo, isifo sokuqhaqhazela, noma ezinye izinkinga zezinzwa zegazi. Uma kungenzeka, thola iminyaka lapho lezi zimo zenzeka khona nanoma yikuphi ukwelashwa okusetshenziswe.

Bhala imibuzo ofuna ukuyibuza udokotela wakho. Eminye imibuzo ewusizo ingafaka phakathi:

• Nginguhlobo luni nobukhulu be-aneurysm enginawo?
• Ziyini izinketho zami zokwelashwa?
• Kuzodinga kangakanani ukuhlolwa okuqaphayo?
• Yiziphi izinto engingafanele ngizigweme?
• Yiziphi izimpawu ezifanele zingenze ngifune ukunakekelwa okusheshayo?
• Ingabe kunokuphamba kokudla okufanele ngikulandele?

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo. Ukuba nomuntu omunye lapho kungaba usizo kakhulu uma uzizwa ukhathazekile ngokuxilongwa kwakho.

Ungesabi ukubuza udokotela wakho ukuthi achaze izinto ngezindlela ezilula uma ungaqondi okuthile. Kubalulekile ukuthi uqonde ngokuphelele isimo sakho nezindlela zokwelashwa ukuze ukwazi ukuthatha izinqumo ezinolwazi mayelana nokunakekelwa kwakho.

Iyini into ebalulekile mayelana ne-aneurysms yobuchopho?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-aneurysms yobuchopho iwukuthi ngenkathi zingaba nzima, abantu abaningi baphila impilo evamile, enempilo nge-aneurysms encane, ezinzile ezingalokothi zibangele izinkinga. Iningi le-aneurysms aliqhekeki, futhi ngokuqapha okulungile nokuphathwa, unganciphisa kakhulu ingozi yakho.

Uma une-aneurysm engqhekekile, gxila ezintweni ongaziqondisa. Gcina igazi lakho liqiniswe kahle, yeka ukubhema uma ubhema, nciphise utshwala, futhi ulandele izeluleko zikadokotela wakho zokuqapha. Lezi zinyathelo zingenza umehluko wangempela empilweni yakho yesikhathi eside.

Khumbula ukuthi ubuchwepheshe bezokwelapha bokuwelapha i-aneurysms buthuthukile kakhulu eminyakeni yamuva. Kokubili ukwelashwa okuhlinzwayo nokuphela kwemithambo kuye kwaba kuphephile futhi kuphumelela kakhulu, kunika odokotela izinketho ezinhle zokusiza iziguli lapho ukwelashwa kudingeka.

Ukuyila ukuxhumana okuhle neqembu lakho lezeMpilo nokuba nemininingwane mayelana nesimo sakho kubalulekile. Unganqikazi ukubuza imibuzo, ufuna imibono yesibili uma ungaqiniseki ngezincomo zokwelashwa, futhi khumbula ukuthi ungumlingani oqaphile ekunakekelweni kwakho.

Imibuzo evame ukubuzwa mayelana ne-aneurysm yengqondo

Ingakugwemeka yini i-aneurysm yengqondo?

Nakuba ungakwazi ukugwema zonke i-aneurysms yengqondo, unganciphisa ingozi yakho ngokulawula izinto ezilawuleka. Ukugcina ukucindezeleka kwegazi kulawulwa kahle, ukungabhemi, ukulinganisela ukusetshenziswa kotshwala, nokugwema izidakamizwa ezingelona iyeza konke kungasiza. Uma unemlando womndeni we-aneurysms, xoxa nodokotela wakho ukuthi ukuhlolwa kungafaneleki yini kuwe.

Zivame kangakanani i-aneurysms yengqondo?

I-aneurysms yengqondo ivame kakhulu kunabantu abaningi abakuqaphelayo. Cishe umuntu omunye kwabangu-50 une-aneurysm yengqondo engaphukile, nakuba abaningi bengayazi ngoba i-aneurysms encane ngokuvamile ayibangeli izimpawu. Cishe umuntu omunye kwabangu-10,000 ngonyaka uhlangabezana ne-aneurysm ephukile, okubonisa ukuthi ukuphuka kuncane kakhulu ngisho nakwabantu abanayo i-aneurysms.

Ingabe ukuba ne-aneurysm yengqondo kuzothinta isikhathi sami sokuphila?

Abantu abaningi abanayo i-aneurysms encane, eqinile banesikhathi esijwayelekile sokuphila. Izinto ezibalulekile ukukhulu nokuma kwe-aneurysm yakho, ukuthi ikhula yini, nokuthi uyilawula kangcono kangakanani izinto ezikubeka engozini. Udokotela wakho angakunika ulwazi oluqondile olusekelwe esimweni sakho, kodwa ukuba ne-aneurysm engaphukile akusho ukuthi impilo yakho izoba mfushane.

Ingabe ukucindezeleka kungabangela i-aneurysm yengqondo ukuphuka?

Nakuba ukucindezeleka okukhulu kungaphakamisa ukucindezeleka kwegazi okwesikhashana, asikho ubufakazi obuqinile bokuthi ukucindezeleka kwansuku zonke kubangela ukuphuka kwe-aneurysm. Noma kunjalo, ukuphatha ukucindezeleka kusabalulekile empilweni yakho yonke futhi kungasiza ukugcina ukucindezeleka kwegazi kuqondile. Imisebenzi efana nokuzivocavoca, ukucamngca, noma ukwelulekwa kungasiza ekuphathweni kokucindezeleka.

Kufanele ngitshele yini amalungu omndeni wami nge-aneurysm yami yengqondo?

Ngokuvamile kuyinto enhle ukwazisa amalungu omndeni aseduze, ikakhulukazi abantwana bakho nabazalwane bakho, ngokuxilongwa kwe-aneurysm yakho. Njengoba kungaba khona izingxenye zezofu zomdabu ezingozini ze-aneurysm, lolu lwazi lungase lubaluleke empilweni yabo. Kodwa-ke, isinqumo sokuba ubani ozokutshela nokuthi nini ngokuphelele liyakho, futhi ungase ufune ukuxoxa ngalokhu nodokotela wakho noma umxhumanisi.