Ukuqhuma Komthambo Omkhulu Wehlombe Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqhuma komthambo omkhulu wehlombe yisigaba esiqhumayo noma esikhulu emthambeni wakho omkhulu, umthambo oyinhloko othatha igazi enhliziyweni yakho uwedlula ehlombe lakho. Cabanga ngakho njengendawo ebuthakathaka ohosini lokutshala izitshalo eliye lithambekele ngokuhamba kwesikhathi.

Lesi simo sikhula lapho udonga lomthambo wakho omkhulu luye lwabuthakathaka futhi lungakwazi ukugcina ukuma kwalo okuvamile ngaphansi kokucindezeleka kokugeleza kwegazi. Nakuba kuzwakala kukhathaza, abantu abaningi bahlala beba ne-aneurysms encane ngaphandle kokwazi ukuthi bayinazo, futhi ngokubeka iliso okufanele nokunakekelwa, iningi lingaphathwa kahle.

Ukuqhuma Komthambo Omkhulu Wehlombe Yini?

Umthambo wakho omkhulu yiwona umthambo omkhulu emzimbeni wakho, cishe ububanzi bohoso lokutshala izitshalo kubantu abadala abaphilile. Ukuqhuma komthambo omkhulu wehlombe kwenzeka lapho isigaba saleli sithombo esibalulekile esifundeni lesifuba sakho sibuthakathaka futhi sisanda ngaphezu kobubanzi baso obuvamile.

Umthambo omkhulu wehlombe unezingxenye ezintathu eziyinhloko lapho i-aneurysms ingakhula khona. Umthambo omkhulu oqhamuka uhlala ngaphezulu kwenhliziyo yakho, umthambo omkhulu oqondile uqondile phezulu, futhi umthambo omkhulu ohlala phansi uqhubeka phansi ehlombe lakho. Indawo ngayinye ibonisa izinto zayo zokuqwalaselwa ekwelapheni nasekubuyekezweni.

Iningi le-aneurysms emithambekeni emikhulu yehlombe likhula kancane eminyakeni noma ngisho namakhulu eminyaka. Ingxenye ekhathazayo akuyona nje usayizi, kodwa ingozi yokuthi udonga olubuthakathaka lungase luphazamiseke noma luqhekeke uma lube lukhulu kakhulu noma lukhula ngokushesha kakhulu.

Ziyini Izimpawu Zokuqhuma Komthambo Omkhulu Wehlombe?

Iningi le-aneurysms emithambekeni emikhulu yehlombe alibi izimpawu nhlobo, ikakhulukazi lapho zincane. Kungakho ngezinye izikhathi zibizwa ngokuthi “izimo ezithule” futhi zitholakala ngezikhathi zokuhlola izithombe ezivamile zezinye izinkinga zempilo.

Lapho izimpawu ziveleka, zivame ukuvela kancane njengoba i-aneurysm ikhula futhi iqala ukucindezela izakhiwo eziseduze ehlombe lakho:

• Ubuhlungu obukhulu, obuhlungu esifubeni obungase bufinyelele emhlane wakho
• Ukuthukuthela komoya noma ukuhlupheka ekuphefumuleni okujulile
• Ukuhlanza okungapheli okungaphenduli ekuwelapheni okuvamile
• Ikhwama noma ukushintsha kwezwi ngenxa yokucindezela emithanjeni
• Ubunzima ekugeleni, ikakhulukazi ukudla okuqinile
• Ubuhlungu phakathi kwamaphethululo akho

Ezimweni ezingavamile, ama-aneurysm amakhulu angabangela izimpawu ezithile. Ungase uqaphele ukukhula ebusweni, entanyeni, noma ezandleni uma i-aneurysm icinezela imithambo-lukhuni emikhulu. Abanye abantu baye baba nokuzwa kokushaya esifubeni noma entanyeni.

Kubalulekile ukuqonda ukuthi ubuhlungu obukhulu, obukhulu esifubeni noma emhlane bungase bukhombise isimo esiphuthumayo sezokwelapha. Uma uhlangabezana nobuhlungu obukhulu, obuqhekeka obuza ngokushesha, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha njengoba kungase kubonise ukuqhekeka noma ukuhlukaniswa.

Imiphi Imikhakha Ye-Thoracic Aortic Aneurysm?

Ama-aneurysm e-thoracic aortic ahlukaniswe ngokusekelwe lapho evela khona esifubeni sakho nesisindo sawo. Ukuqonda le mihlukano kusiza iqembu lakho lezokwelapha ukunquma indlela engcono kakhulu yokubeka iliso nokwelapha.

Ngokwendawo, kunezinhlobo ezintathu eziyinhloko. Ama-aneurysm e-ascending aortic athuthukiswa engxenyeni eseduze nenhliziyo yakho futhi yilona uhlobo oluvamile. Ama-aneurysm e-aortic arch avela engxenyeni egubekile phezulu, kuyilapho ama-aneurysm e-descending thoracic ehlala engxenyeni ehamba phansi esifubeni sakho.

Ngokwesimbo, ama-aneurysm angaba yi-fusiform noma i-saccular. Ama-aneurysm e-fusiform ahilela yonke ingxenye ye-artery, edala ukukhula okunjengobhola lebhola. Ama-aneurysm e-saccular akhula ngakwesinye uhlangothi lodonga lwe-artery, efana nebhaluni elincane elibambelele esitsheni.

Abanye abantu bathuthukisa okuthiwa yi-aneurysm ye-thoracoabdominal, esuka esifubeni iye esiswini. Lezi zidinga ukunakekelwa okukhethekile ngenxa yosayizi wazo nenani le-arteries ezibalulekile ezingase zihileleke.

Yini Ebangela i-Thoracic Aortic Aneurysm?

Izimbangela eziningi zingenza udonga lwakho lwe-aorta lubuthakathaka ngokuhamba kwesikhathi, okuholela ekwakhekeni kwe-aneurysm. Imbangela evamile kakhulu ukugqwala nokuqothuka kancane kancane odongeni lwe-artery, okuvamise ukuhlobana nobudala kanye nokucindezela kwegazi eliphezulu isikhathi eside.

Nazi izimbangela eziyinhloko nezici ezifaka isandla:

• Ukucindezeleka kwegazi okuphezulu okubekela uxinzelelo olukhulu odongeni lwe-artery eminyakeni eminingi
• I-Atherosclerosis, lapho amafutha aqongelela futhi abuthakathaka izindonga ze-vessel
• Izifo ze-genetic connective tissue ezifana ne-Marfan syndrome noma i-Ehlers-Danlos syndrome
• I-Bicuspid aortic valve, ukungapheleli kwe-valve yentliziyo ekhona kusukela ekuzalweni
• Umlando womndeni we-aortic aneurysms noma i-dissections
• Ukulimala kwangaphambili noma ukulimala endaweni yesifuba
• Ukutheleleka okuthile okungenza udonga lwe-aorta lubuthakathaka

Ngokungavamile, izimo ezivuvukalayo ezifana ne-giant cell arteritis noma i-Takayasu arteritis zingalimaza udonga lwe-aorta. Abanye abantu bathuthukisa i-aneurysms ngemuva kokuhlinzwa kwenhliziyo, nakuba lokhu kuyindlala ngezindlela zokwelapha zanamuhla.

Ubudala buwumsebenzi obalulekile, ngokuningi i-thoracic aortic aneurysms ithuthukiswa kubantu abangaphezu kweminyaka engama-60. Noma kunjalo, labo abanezimpawu ze-genetic noma i-bicuspid aortic valves bangathuthukisa i-aneurysms eminyakeni ebancane, ngezinye izikhathi ngisho naseminyakeni yabo engama-20 noma engama-30.

Nini Ukubona Udokotela Ngokuphathelene ne-Thoracic Aortic Aneurysm?

Kufanele uxhumane nodokotela wakho uma uhlushwa ubuhlungu obungapheli esifubeni, ikakhulu uma bujulile futhi buhlungu noma buya emuva. Nakuba izimo eziningi zingabangela ukungakhululeki esifubeni, kuhlale kuqondakala ukuba kuhlolwe ngumuntu ochwepheshe.

Hlela i-aphoyintimenti uma uthuthukisa ukuphefumula okungapheli okungenangqondo ebonakalayo, ukukhokha okungapheli okuthuthuki, noma ukushintsha kwezwi okuhlala isikhathi esingaphezu kwamasonto ambalwa. Lezi zikhalazo zingase zibonise ukuthi i-aneurysm ikhula futhi ithonya izakhiwo eziseduze.

Funani usizo oluphuthumayo ngokushesha uma uhlushwa ubuhlungu obukhulu, obukhulu besifuba noma emhlane obuzwakala sengathi buqhekeka noma buqhekeka. Lolu hlobo lobuhlungu, ikakhulukazi uma lufika nokuhlanza, ukuphefumula okunzima, noma ukuphefumula okunzima, lungabonisa ukuqhekeka noma ukuhlukana okusongela impilo.

Uma unomlando womndeni we-aneurysms ye-aortic noma izimo ze-genetic ezaziwayo njenge-Marfan syndrome, xoxa ngezinketho zokuhlola nodokotela wakho ngisho noma uzizwa uphilile ngokuphelele. Ukutholakala kwangaphambi kwesikhathi ngokusebenzisa izithombe eziqondile kungasindisa impilo.

Iyini Izingozi Ze-Thoracic Aortic Aneurysm?

Ukuqonda izingozi zakho kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukwenza izinqumo ezinolwazi mayelana nokucinga nokuvimbela. Ezinye izingozi awukwazi ukuzishintsha, kanti ezinye zilawulwa ukuze ziguqulwe.

Izingozi ezingashintshiwe zihlanganisa ubudala bakho, ngengozi eyenyuka kakhulu ngemuva kweminyaka engama-60, nobulili bakho, njengoba amadoda ehluleka kakhulu i-thoracic aortic aneurysms kunabesifazane. Ukuba nomlando womndeni we-aneurysms noma izimo ze-genetic njenge-Marfan syndrome kuphinde kwandisa ingozi yakho kakhulu.

Nawa amaphuzu ayinhloko okuqaphela:

• Ukuphindaphindeka kwegazi, ikakhulukazi uma kungalawulwa kahle iminyaka eminingi
• Ukubhema, okonakalisa izindonga zezithelo zegazi futhi kusheshisa ukukhula kwe-aneurysm
• Umlando womndeni we-aortic aneurysms noma ukufa ngokuzumayo kwenhliziyo
• Izifo ze-genetic connective tissue
• I-bicuspid aortic valve noma ezinye izimo zenhliziyo ezingokwemvelo
• Ukulimala kwangaphambili kwesifuba noma ukulimala
• Ezinye izimo ze-autoimmune noma ezivuvukalayo

Ezinye izinto ezingase zikukhumbuze zihlanganisa ukusetshenziswa kwe-cocaine, okungabangela ukuphakama okungazelelwe kwegazi, kanye nezinye izifo ezifana ne-syphilis noma i-tuberculosis ezingonakalisa udonga lwe-aortic ngokuhamba kwesikhathi.

Izindaba ezinhle ukuthi ukuphathwa kwezinto ezingalawuleki ezifana nokucindezeleka kwegazi nokwehlisa ukubhema kunganciphisa kakhulu ukukhula kwe-aneurysm futhi kunciphisa ingozi yakho yonke ye-cardiovascular.

Ziyini izinhlanganisela ezingaba khona ze-Thoracic Aortic Aneurysm?

Inkinga ebucayi kunazo zonke ukuphazamiseka, lapho udonga lwe-artery olubuthakathaka luphazamiseka ngokuphelele. Lokhu kuyisimo esiyingozi esidinga ukuhlinzwa ngokushesha, kodwa ngenhlanhla, kuyinto engavamile ngokubeka iliso okufanele futhi ukwelashwa ngesikhathi.

Ukuhlukaniswa kwe-aorta kuyinye inkinga ebucayi lapho ilayi langaphakathi lodonga lwe-artery liphazamiseka, lidala indlela eyiphutha yokugeleza kwegazi. Lokhu kungenzeka ngokuzumayo futhi kubangele ubuhlungu obukhulu, kodwa ngokusebenta ngokushesha kwezokwelapha, abantu abaningi bayaphila kahle.

Izinhlanganisela ezivame kakhulu zithuthuka kancane njengoba i-aneurysm ikhula:

• Ukucindezela kwemizimba eseduze okubangela ubunzima bokuqeda umoya
• Ukucindezela esofagus okuholela ezinkingeni zokugwinya
• Ukushintsha kwezwi ngokucindezela inzwa ye-recurrent laryngeal
• I-blood clots eyenziwa ngaphakathi kwe-aneurysm engaya kwenye indawo
• Izinkinga ze-valve yentliziyo uma i-aneurysm ithonya indawo ye-valve

Ezimweni ezingavamile, ama-aneurysms amakhulu kakhulu angacindezela ama-veins amakhulu, abangele ukukhula ebusweni, entanyeni, noma ezingalweni. Abanye abantu bathuthukisa i-superior vena cava syndrome, edinga ukwelashwa ngokushesha ukuze kuphinde kuqiniswe ukugeleza kwegazi okujwayelekile.

Ngokuqapha njalo nokuphathwa okufanele, izinhlanganisela eziningi zingaqalekelwa noma ziphathwe kahle. Iqembu lakho lezempilo lizobheka izimpawu zokukhula noma ukushintsha okungase kubonise ingozi eyanda.

I-Thoracic Aortic Aneurysm ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke i-thoracic aortic aneurysms, ikakhulukazi lezo ezihlobene nezinto zofuzo, ungathatha izinyathelo ezibalulekile zokunciphisa ingozi yakho nokuthambisa ukukhula kwe-aneurysms ekhona.

Ukuphatha igazi lakho eliphezulu kubaluleke kakhulu njengendlela yokuvikela. Igazi eliphezulu libeke ingcindezi eqhubekayo odongeni lwe-artery yakho, ngakho ukuligcina lilawulwa kahle kunganciphisa kakhulu amathuba okuthola i-aneurysm noma ukuthambisa ukukhula kwayo uma usuvele unayo.

Nawa amasu abalulekile okuvimbela:

• Gcina igazi lakho liphelele ngokudla, ukuzivocavoca, kanye nezinambuzane uma kudingeka
• Yeka ukubhema ngokuphelele, njengoba ukusetshenziswa kwe-tabha kuqalisa ukukhula kwe-aneurysm
• Zivocavoca njalo, kodwa gwema ukuthwala izinto ezisindayo uma una-aneurysm eyaziwayo
• Dla ukudla okunempilo yentliziyo okucebile ngezithelo, imifino, nama-grain aphelele
• Phatha ukucindezeleka ngezindlela zokupumula noma ngokwelulekwa
• Thatha imithi e-prescription njalo, ikakhulukazi imithi yegazi eliphezulu

Uma unomlando womndeni we-aneurysms noma izimo ze-genetic, ukwelulekwa kwe-genetic kungakusiza ukuqonda ingozi yakho nokwenza izinqumo ezinolwazi mayelana nokuhlolwa kanye nokuguqulwa kwendlela yokuphila.

Ukuhlolwa njalo ngudokotela wakho kuvumela ukutholwa kwangaphambi kwesikhathi nokuqapha. Uma unezici zengozi, xoxa ukuthi ukuhlolwa kwe-imaging kungafaneleka yini esimweni sakho.

I-Thoracic Aortic Aneurysm Ihlonishwa Kanjani?

Eziningi ze-thoracic aortic aneurysms zitholakala ngengozi ngesikhathi sokuhlolwa kwe-imaging oku-oderedwe ngezizathu ezingezona.

Uma udokotela wakho ecindezela ukuthi ungase ube ne-aneurysm ngokuya ngezimpawu zakho noma izici zengozi, cishe uzokukhipha ukuhlolwa okuqondile kwe-imaging. I-CT scan ene-contrast inikeza izithombe ezinemininingwane ye-aorta yakho futhi ingalinganisa ngokuqondile usayizi nendawo yanoma iyiphi i-aneurysm.

Inkqubo yokuxilonga ivame ukubandakanya izinyathelo eziningi. Udokotela wakho kuqala uzothatha umlando wakho wezokwelapha ngokuningiliziwe, ebuza ngezimpawu zakho, umlando womndeni, nezici ezingozi. Bazokwenza ukuhlolwa komzimba, belalele inhliziyo yakho futhi bahlole noma iyiphi imisindo engavamile noma ama-pulses.

Izivivinyo ezivamile zokuxilonga zihlanganisa ukuskena kwe-CT yesifuba, okunikeza izithombe ezinemininingwane kakhulu, kanye ne-echocardiograms, ezingahlola ama-aneurysms eduze kwenhliziyo yakho. Ukukopisha kwe-MRI kunikeza imininingwane emihle ngaphandle kokubekwa kwemisebe, kuyilapho i-X-ray yesifuba ingabonisa ama-aneurysms amakhulu kodwa ingaphuthelwa amancane.

Kwezinye izimo, udokotela wakho angase akukhuthaze ukuhlolwa kwe-genetic uma bethukuthele isimo esidluliselwa ngezizukulwane. Lolu lwazi lungaba lubalulekile kokubili ukunakekelwa kwakho nokwaziswa kwempilo yamalungu omndeni wakho.

Iyini Ukwelashwa kwe-Thoracic Aortic Aneurysm?

Ukuphathwa kuncike ezintweni eziningi ezihlanganisa usayizi we-aneurysm yakho, ukuthi ikhula kangakanani, impilo yakho yonke, nendawo ngaphakathi kwe-aorta yakho. Ama-aneurysms amancane, aqinile avame nje ukudinga ukulandelelwa njalo, kuyilapho amakhulu angase adinge ukungenelela kokwelapha.

Ngama-aneurysms amancane, ukulinda ngokuqapha ngezithombe njalo kuvame ukuba yindlela engcono kakhulu. Udokotela wakho ngokuvamile uzokuncoma ukuskena kwe-CT noma i-MRI njalo ngenyanga eziyi-6 kuya kweziyi-12 ukuqapha ukukhula, kanye nemithi yokulawula ukucindezeleka kwegazi nokunciphisa ukucindezela odongeni lwe-artery.

Izinketho zokwelapha ziyadingakala uma ama-aneurysms efika emazingeni athile osayizi noma ebonisa ukukhula okusheshayo:

• Ukulungiswa kokwelapha okuvulekile, lapho isigaba esibuthakathaka sibekwa indawo nge-graft ye-synthetic
• Ukufakwa kwe-stent ye-Endovascular, inqubo engathinti kakhulu esebenzisa i-stent ehlanganisiwe
• Izindlela ezihlanganisiwe ezihlanganisa kokubili ubuchwepheshe obuvulekile ne-endovascular
• Ukuhlinzwa okuphaphandle ngokuqhuma noma ukuhlukaniswa

Isinqumo sokwenza ubuhlengikazi livamise ukuthathwa lapho ama-aneurysm akhuphukayo efika ku-5.5 cm noma ama-aneurysm ehla phansi efika ku-6.5 cm ububanzi. Noma kunjalo, abantu abanezimpawu zofuzo bangadinga ubuhlengikazi obukhulu kunalokho ngenxa yokuthi ingozi yokubhebhetheka iphakeme.

Iqembu lakho lobuhlengikazi lizocabangela ubudala bakho, impilo yakho yonke, nokuphila kwakho lapho likhuthaza ukwelashwa. Izindlela zanamuhla zokwelapha zinezinga eliphezulu lokubuyela esimweni esijwayelekile, ngabantu abaningi bebuyela emisebenzini evamile ngaphakathi kwezinyanga ezimbalwa.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Thoracic Aortic Aneurysm?

Ukuphatha i-thoracic aortic aneurysm ekhaya kugxile ekuvikeleni i-artery yakho ekucindezelweni okwengeziwe nokulondoloza impilo yakho yonke yemisipha yomzimba. Umgomo ukudala izimo ezithambisa noma zivimbele ukukhula okwengeziwe.

Ukuphathwa kwezinga lokucindezela kwegazi yilona msebenzi wakho obaluleke kakhulu wansuku zonke. Thatha imithi ebekiwe ngokuqondile njengoba kuyalwe, hlola ingcindezi yakho legazi njalo uma kunconywa, futhi ugcine irekhodi lokuxhumana neqembu lakho lezeMpilo. Ngisho nokwenyuka kancane kokulawulwa kwengcindezi legazi kungenza umehluko omkhulu.

Nawa amasu abalulekile okuphathwa ekhaya:

• Thatha yonke imithi njengoba kuyalwe, ikakhulu imithi yezinga lokucindezela kwegazi
• Gwema ukuphakamisa izinto ezinzima, ukucindezela, noma imisebenzi ebangela ukubamba umoya
• Hlola ingcindezi yakho legazi njalo bese ubhala imibhalo
• Landela ukudla okunempilo yentliziyo, okune-sodium ephansi
• Hlanganyela ekuzivocavoca okulula, okuvamile njengoba kuvunywe ngudokotela wakho
• Sebenzisa amasu okuphatha ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Gwema izinto ezishukumisayo njengekofu eningi noma iziphuzo zamandla

Qaphela umzimba wakho bese ubika noma yiziphi izimpawu ezintsha noma ezihlala ziguquka ngokushesha. Gcina uhlu lwezimpawu ezinkulu endaweni efinyeleleka kalula ukuze amalungu omndeni azi ukuthi nini kufanele afune ukunakekelwa okuphaphandwe.

Yenza inethiwekhi yokusekela yomndeni nabangane abaqonda isimo sakho. Ukuba nabantu abangakusiza emisebenzini yansuku zonke phakathi kokutamba noma abanikeze ukwesekwa ngokomzwelo kwenza umehluko omkhulu ekuphileni kwakho jikelele.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela kahle izikhathi zakho zokubona udokotela kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphelele ngangokunokwenzeka. Qala ngokubhala phansi wonke ama-symptom akho, ngisho nalawa abonakala engenalo ubudlelwano, kufaka phakathi ukuthi aqale nini nokuthi yini eyawenza abe ngcono noma abe mubi.

Butha amarekhodi akho ezempilo, ikakhulukazi noma yiziphi izifundo zangaphambili zokuhlola umzimba wakho noma inhliziyo. Uma uthole ukuhlolwa ezindaweni ezahlukene, zama ukuthola amakhophi ukuze udokotela wakho akwazi ukuqhathanisa imiphumela ngokuhamba kwesikhathi futhi alandelele noma yikuphi ukushintsha.

Dala uhlu oluphelele ozolithatha nawe:

• Yonke imithi oyithatha njengamanje, kufaka phakathi imithamo nokuthi uyayithatha kangakanani.
• Umbukiso wezokwelapha womndeni wakho, ikakhulukazi izimo zenhliziyo noma ukufa okungazelelwe.
• Noma yimaphi ama-symptom owake wahlangabezana nawo, ngezinsuku nezimo.
• Imibuzo ofuna ukuyibuza ngesimo sakho kanye nezinketho zokwelashwa.
• Ukufunda kwakho kwezinga lokucindezeleka kwegazi uma uqapha ekhaya.

Cabanga ngendlela yakho yokuphila futhi ulungele ukuxoxa ngemikhuba yakho yokuzivocavoca, amazinga okucindezeleka, kanye nanoma yikuphi ukusetshenziswa kwetabha noma utshwala ngokwethembeka. Udokotela wakho udinga ulwazi oluphelele ukuze anikeze izincomo ezinhle kakhulu zesimo sakho.

Cabanga ukuthi ulethe ilungu lomndeni noma umngane emihlanganweni ebalulekile. Bangakusiza ukuba ukhumbule ulwazi oluxoxiwe futhi banikeze ukwesekwa ngokomzwelo, ikakhulukazi lapho uxoxa ngezinketho zokwelashwa noma izincomo zokucutshungulwa.

Iyini Iphuzu Eliyinhloko Ngokuphazamiseka Kwesisu Se-Thoracic Aortic?

Okubaluleke kakhulu ukuqonda ukuthi i-aneurysms ye-thoracic aortic iyizimo ezilawuleka uma itholakala kusenesikhathi futhi ilawulwa kahle. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, abantu abaningi baphila impilo egcwele, esebenzayo ngenxa yokunakekelwa komtholampilo okufanele.

Ukutholakala kusenesikhathi nokunakekelwa okulandelayo okuqhubekayo kuyizimbangi zakho ezinhle kakhulu. I-aneurysms encane ebukelwa ngokucophelela ayibangeli izinkinga, futhi ngisho ne-aneurysms elikhulu lingaphathwa ngempumelelo ngezindlela zokusebenza zanamuhla uma ukungenelela kudingeka.

Gxila kulokho ongakulawula: ukuthatha imithi njengoba kulotshiwe, ukugcina ukucindezeleka kwegazi kuphilile, ukugwema ukubhema, nokuba semisebenzini ngaphakathi kwemiyalelo yodokotela wakho. Lezi zinyathelo azisizi nje ekulawuleni i-aneurysm yakho kodwa zithuthukisa impilo yakho yonke yemisipha.

Khumbula ukuthi lokhu kuyimisebenzi yeqembu phakathi kwakho nabaphakeli bakho bezempilo. Ukuxhumana okuvulekile mayelana nezimpawu, ukukhathazeka, nezici zesitayela sokuphila kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okufanele kakhulu esimweni sakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Thoracic Aortic Aneurysm

Ngingazivocavoca yini uma ngine-thoracic aortic aneurysm?

Yebo, abantu abaningi abane-thoracic aortic aneurysms bangazivocavoca, kodwa uhlobo nobukhulu kuncike ekusayizini nasekhundleni le-aneurysm yakho. Ukuhamba, ukubhukuda, nokuzivocavoca okukhanyayo kwemisipha kuvame ukuphepha futhi kuzuzisa. Noma kunjalo, kufanele ugweme ukuphakamisa izinto ezisindayo, imidlalo yokuxhumana, noma imisebenzi ehilela ukucindezela noma ukubamba umoya wakho, njengoba lokhu kungabangela ukuphakama okubi kwegazi.

Ingabe i-thoracic aortic aneurysm yami izoqiniswa ukusebenza?

Akuqondi ngempela. Ama-aneurysm amaningi amancane ahlala ezinzile iminyaka eminingi futhi adinga ukulandelelwa njalo kuphela ngezivivinyo zokwenza izithombe. Ukuhlinzwa kuya kunconywa uma ama-aneurysm efika emazingeni athile osayizi, ekhula ngokushesha, noma ebangela izimpawu. Udokotela wakho ucabangela izinto eziningi ezihlanganisa iminyaka yakho, impilo yakho yonke, kanye nezici ze-aneurysm lapho enza izincomo zokwelapha.

Ingabe i-aneurysm ye-thoracic aortic iyadluliselwa ezizukulwaneni?

Ezinye i-aneurysm ze-thoracic aortic zinamahloni amangqamuzana, ikakhulukazi lezo ezihlotshaniswa nezimo ezinjenge-Marfan syndrome, i-bicuspid aortic valve, noma umlando womndeni we-aneurysm. Uma unezihlobo zesigaba sokuqala esine-aneurysm ye-aortic, udokotela wakho angase ancome ukwelulekwa ngezakhiwo kanye nokukhangwa. Noma kunjalo, ama-aneurysm amaningi avela ngenxa yezinye izinto ezinjengengcindezi yegazi ephakeme nokuguga.

Kufanele ngizihlole kangakanani izithombe zokulandelela?

Ukuqina kuncike ebukhoneni nasezingeni lokukhula le-aneurysm yakho. Ama-aneurysm amancane, ahlala ezinzile avame ukudinga izithombe njalo ngenyanga eziyi-6 kuya kweziyi-12, kuyilapho amakhulu noma alawo abonisa ukukhula angase adinge ukulandelelwa njalo ngenyanga eziyi-3 kuya kweziyi-6. Udokotela wakho uzoqamba isimiso sokulandelela esilungisiwe ngokusekelwe esimweni sakho esithile nezici eziyingozi.

Ingabe imithi inganciphisa i-aneurysm yami ye-thoracic aortic?

Imithi yamanje ayikwazi ukunciphisa ama-aneurysm akhona, kodwa inganciphisa noma iyeke ukukhula okuqhubekayo. Imithi yegazi ephakeme kubalulekile ikakhulukazi ekuqedeni ukucindezela odongeni lwe-artery. Ucwaningo oluthile lubonisa ukuthi imithi ethile ingasiza ekuzinziseni ama-aneurysm, kodwa imigomo eyinhloko yokwelashwa ngemithi ukulawula ingcindezi yegazi nokunciphisa izici eziyingozi ze-cardiovascular.