Cholinga cha mankhwala a aortic aneurysm ndikuteteza kuphulika (kutuluka) kwa magazi. Njira yokhayo yothetsera kupwetekedwa ndi kusankha (kukonzedweratu pasadakhale) njira yopangira opaleshoni. Sikuti aliyense amene ali ndi aneorysm amafunika opaleshoni, ndipo nthawi zina, kuyang'anitsitsa mosamala ndi njira yabwino kwambiri.
Chithandizo cha kupweteka kwa aortic aneurysm ndizidzidzidzi zomwe sitingakonzekere pasadakhale.
Kupweteka kwa aortic aneurysm ndi chinthu chopha ngati sichikuchiritsidwa mwamsanga. Ngakhalenso ndi chithandizo chabwino kwambiri, chiwerengero cha anthu akufa chimakhala chapamwamba kwambiri.
Zothetsera Pakhomo ndi Moyo Wamoyo
Pali njira imodzi yokha ya moyo yomwe yatsimikiziridwa kuti imakhudza kudwala kwa aortic, ndipo ndiko kusuta. Izi zikutanthauza kuti ngati muli ndi aneorysm ndipo mumasuta, kusiya ndi njira yokhayo yomwe mungagwiritsire ntchito.
- Kusiya kusuta: Kusuta ndilo vuto lalikulu kwambiri la aortic aneurysm, ndipo anthu omwe ali kale ndi aneurysm amakhala ndi chiopsezo chokwanira kwambiri ngati akupitiriza kusuta.
Malemba
Kuletsa kuthamanga kwa magazi ndiyo njira yokhayo yomwe ingachepetsere ngozi yoti iwonongeke ngati muli ndi aneurysm, ndipo ngakhale izi sizikutsimikiziridwa ngati njira yothandizira.
- Mankhwala osokoneza bongo: Ngati muli ndi aneurysm, kuthamanga kwa magazi kungapangitse kuipa. Pali mankhwala angapo othandiza omwe amachiza matenda oopsa kwambiri .
Opaleshoni
Anthu ambiri okhala ndi aneurysms amafunika kukonza opaleshoni yokonzekera kupewera. Chisankho chokhudza ngati mukufunikira kukonzanso ndi chisankho chovuta komanso chosasunthika. Ngati aortic yako aneurysm ndi yayikulu, ngati ikukula mofulumira, kapena ngati ikuyambitsa kupweteka m'mimba kapena kupweteka, kukonza opaleshoni kumalimbikitsidwa kwambiri.
Opaleshoni Yachiwiri
Kukonzekera kwapadera, kutsegulidwa kwa aortic kwa anorysm kukonza ndi njira yaikulu yopaleshoni, yomwe imachitidwa pansi pa anesthesia. Kuchita opaleshoni kumafuna kutengeka kwautali, kuchokera pansi pa chifuwa mpaka ku pubic. Pambuyo poona malo a aneurysm, dokotalayo amathyola aorta kuti atseke magazi, ndi kukonzanso aneurysm. Aorta imakonzedwanso mwa kuyika zowonjezeredwa kuti zilowetse gawo la mitsempha yomwe yachotsedwa.
Nthawi yothandizira nthawi zambiri imakhala yovuta, ndipo kawirikawiri imafuna kukhala m'chipatala kwa sabata. Kutenga kwathunthu kumatenga miyezi itatu kapena sikisi. Malinga ndi matenda anu ena, ndi malo enieni a aneurysm anu, mavuto aakulu omwe amakhudza impso, matumbo, miyendo, mtima, ndi mapapo ndi zotheka.
Kutha kwa Endograft
Kukonzekera kumapeto kwa njira ndi njira ina ya aortic yokonzedwanso.
Chombo chotchedwa endograft ndi nsonga yophimba nsalu yomwe imayikidwa ndi catheter yapadera (chubu). Nthawi zambiri imayikidwa kudzera mu mitsempha ya chikazi, chotengera chachikulu cha magazi m'dera lamapiri. Mapulogalamu oterewa apita kumalo a aneurysm ndipo amagwiritsidwa ntchito kuti apereke njira yatsopano yopita magazi. Ndi njirayi, aortic aneurysm si opaleshoni yotulutsidwa.
Ndilopatalikirana ndi magazi omwe akuyenda mkati mwa aorta. Chifukwa chakuti aneurysm sichidziwika ndi kutuluka kwa magazi, kupweteka ndikosayansi sikungakhalenso pangozi.
Kawirikawiri, kukonza kwa endograft kulimbikitsidwa kwa anthu ambiri okhala ndi aneurysms. Komabe, malingana ndi matenda anu, kukonzanso kwa mapeto kungakhale kosayenera kwa inu.
Zovuta za opaleshoni yapamwamba zimakhala zikuchitika patangotha kumene opaleshoniyo, pomwe zovuta ndi kukonzanso endograft zimakhala zikuchitika mtsogolo.
Zovuta za kukonzanso mapulogalamu angaphatikizepo:
- Endoleak: Kuthamanga kwa magazi mu aortic aneurysm palokha sikunathetsedwe kwathunthu ndi endograft, kotero aortic aneurysm ikhoza kupitilira kukula, ndipo ikhoza ngakhale kupasuka.
- Kusamuka kwa chipangizo: Ichi ndi vuto limene digograft imasintha malo ake mu aorta pakapita nthawi pambuyo pa opaleshoni. Kusamuka kwa chipangizo, chomwe chawoneka mwa oposa 10% a odwala atatha kukonzanso mapulogalamu ena, angayambitse mavuto aakulu, kuphatikizapo kupweteka kwa aortic aneurysm, kupatula ngati kuchipatala.
Kuchiza Mwadzidzidzi kwa Ruptured Aortic Aneurysm
Ngati mwataya aortic aneurysm, mufunika kuitanitsa 911 kuti muwathandize mwamsanga. Simungathe kutenga nthawi iliyonse kuti mudikire kapena muyese ngati mukufuna kupempha thandizo, chifukwa nthawi iliyonse ya kuchedwa imapangitsa kuti munthu aphedwe.
Pambuyo pa kupweteka kwa aortic aneurysm, chithandizo cha zamankhwala ndi opaleshoni chimayang'ana pa kuthetsa mavuto oopsya moyo, komanso kukonzanso aortic aneurysm.
Ngati inu kapena wokondedwa wanu muli ndi vuto la aortic, mutha kusowa:
- Kukonzekera kosavuta kwa aortic kukonza
- Kulimbitsa mtima ntchito
- Kusamalira magazi
- Kusamalidwa kwa madzi otayika / kutaya madzi m'thupi
- Kusamalira ntchito ya impso
- Kuchedwa kofulumira kwa kuwonongeka kwa thupi kumapeto, komwe kuli kuwonongeka kwa ziwalo zanu zonse zomwe zimatha chifukwa cha kutayika kwa magazi ndi mantha a aortic aneurysm kupasuka
> Zotsatira:
> Fukui T. Utsogoleri wa aortic dissection ndi thoracic aortic. J Kusamalira Kwambiri. 2018 Mar 1; 6:15. lembani: 10.1186 / s40560-018-0287-7. eCollection 2018.
> Stiru O, Geana RC, Pavel P, ndi al. Kuchokera ku Thoracic Aortic Aneurysm Rupture Yotengedwa ndi Thoracic Endovascular AorticRepair kwa Odwala ndi Peripheral Artery Disease. Mtima S urg Forum. 2018 Mar 20; 21 (2): E112-E116. lembani: 10.1532 / hsf.1895.
> Zabrocki L, Marquardt F, Albrecht K, Herget-Rosenthal S. Kuvutika kwa impso pambuyo pa mimba ya m'mimba aortic aneurysm kukonza: matenda omwe akuchitika tsopano ndi omwe angatetezedwe. Int Urol Nephrol. 2018 Feb; 50 (2): 331-337. lembani: 10.1007 / s11255-017-1767-8. Epub 2017 Dec 11.