Anortic aneurysm ndi kupopera kwa aorta , mitsempha yaikulu imene imayenda kuchokera pamtima kuti ipereke thupi lonse. Malo ambiri omwe ali ndi aortic aneurysm ndi mimba. Mankhwala a Aortic akhoza kutha, omwe amatsogolera kuwonongeka kwa magazi ndi imfa. Mukapeza mankhwala mwamsangamsanga, kukonza opaleshoni yachangu kungapulumutse moyo wanu. Anortic aneurysm yomwe imapezeka kuti isanayambe kugwedezeka ingakonzedwe opaleshoni, ndi kulongosola bwino.
Zizindikiro
Anortic aneurysm ikhoza kutulutsa zizindikiro kuti sera ndi kutsuka isanafike. Kawirikawiri, pamene aortic aneurysm imakula, zizindikiro zimayamba nthawi yoyamba kapena kuwonjezeka. Zizindikiro zingakhale zisonyezero kuti kupweteka kumakhala kovuta kuchitika. Zizindikiro za kupweteka kwa aortic aneurysm ndizovuta kwambiri, ndipo zimapita mofulumira, pakapita mphindi zochepa. Nthawi zambiri, aneurysm ya aortic idzaphulika popanda zizindikiro zilizonse zoyambirira.
Aorta ndilo chotengera chachikulu cha magazi chomwe chimachokera mumtima kuti chimanyamula magazi okosijeni ku thupi. Mitsempha yaying'ono yambiri yomwe imachokera ku aorta. Malo awiri omwe aortic aneurysm amatha kukhalapo m'mimba m'mimba mwa aorta, yomwe ili pambali pa mimba, ndi chigawo cha thoracic cha aorta, chomwe chili pambali pa nthiti.
Zizindikiro za M'mimba Aortic Aneurysm
Mimba m'mimba mwa aorta ndimadera ambiri a aortic aneurysm, ndipo mtundu uwu wa aneurysm, m'mimba m'mimba aortic aneurysm, nthawi zambiri amatchedwa AAA.
Zizindikiro zikhoza kukhala zonyenga, kapena sipangakhale zizindikiro zonse zisanachitike.
- Kumva ululu pakatikati mpaka kumunsi kumbuyo
- Kupweteka m'mimba ndi kuvutika
- Kupweteka maganizo m'mimba
Zizindikiro za Thoracic Aortic Aneurysm
A thotic aortic aneurysm ndi gawo la aorta lomwe latuluka pamtima, ndipo liri mu chifuwa.
Monga ndi AAA, zizindikiro zikhoza kukhala zonyenga kapena sipangakhale zizindikiro zisanachitike.
- Kupweteka pachifuwa
- Ululu wammbuyo
- Kupuma pang'ono
Zizindikiro za Ruptured Aortic Aneurysm
Pamene aortic aneurysm ikuphulika, zizindikiro zikhoza kukula mofulumira. Zizindikiro zambiri za aortic aneurysm rupture sizili zofanana ndi za aortic anurysm yosasokonezeka, ngakhale kuti ululu pamtundu wa aneurysm ukhoza kuchitika.
- Kupepesa, chizungulire ndi masomphenya olakwika
- Kufooka kwakukulu
- Chifuwa chachikulu, m'mimba kapena ululu wammbuyo
- Kutaya chidziwitso
Zizindikiro za Aortic Aneurysm Kukhudza Zanyama Zina
Magazi a magazi angapangidwe mu aortic aneurysm. Ngati magaziwa amatha kuchoka ndikupita kumadera ena a thupi, akhoza kuwononga kuwonongeka kwa thupi, monga matenda a stroke , kusokonezeka kwa impso kapena matenda a mtima. Zizindikiro zimasiyanasiyana ndipo zimaphatikizapo kupweteka pamtima, masomphenya komanso kutaya magazi m'kodzo.
Zimayambitsa
Anortic aneurysm ikhoza kukula pamene makoma a aorta akufooka. Izi zikhoza kuchitika pakapita nthawi chifukwa cha matenda ndi zikhalidwe zomwe zimakhudza mitsempha yonse ya thupi, osati aorta basi. Kufooka kwa aorta kumayambitsa kuphulika, komwe kumapangitsa kuti thupi liwonongeke kapena magazi. Kupweteka kwa thupi kwa aneurysm pa ziwalo zowonjezera kungabereke zizindikilo zina, pamene kutaya kwa magazi kwa kupweteka kwa thupi kumayambitsa zotsatira zowopsya komanso zoopsa pamoyo.
- Kusuta, kutali kwambiri, ndiko kuika chiopsezo chachikulu kwa odwala aortic. Omwe amasuta fodya ali ndi kuchulukitsa kawiri pafupipafupi za aortic aneurysms poyerekeza ndi osakhala osuta.
- Kukalamba: Aromatic aneurysms ndi osowa mwa anthu osakwana zaka 60.
- Mwamuna wamwamuna: Aortic aneurysms amapezeka kwambiri mwa amuna kuposa akazi.
- Kuthamanga kwa magazi : Kuthamanga kwa magazi kwa nthawi yayitali, makamaka ngati simunatengedwe, kungapangitse chiopsezo chokhala ndi vuto la kuchepa kwa magazi.
- Matenda a Etherosclerosis: Kuwopsa kwa mitsempha, yomwe imachitika chifukwa cha mkulu wa cholesterol ndi kuthamanga kwa magazi, imapangitsa kuti aortic aneurysm imapangitse makoma a artery kukhala osalephereka.
- Mbiri ya banja ya aortic aneurysm ndi chinthu chofunika kwambiri
- Matenda a mitsempha: Matenda ambiri a majini angapangitse chiopsezo cha aortic aneurysm, chifukwa cha kufooka kwa mitsempha ya mitsempha yomwe imayambitsa izi. Matenda a Marfan syndrome, Ehlers-Danlos, Takayashu's arteritis, bicuspid aortic valve, matenda a Loeys-Dietz, matupi a a thotic aortic, ndi matenda a impso ambiri amachititsa kuti aortic aneurysms awonongeke.
- Zoopsa: Trauma mpaka pamimba kapena pachifuwa zingayambitse aortic aneurysm kukula kapena kupasuka.
Zinthu Zowopsa Chifukwa Chokwera
Sizomveka kufotokoza ngati aurtic aneurysm idzaphulika. Zizindikiro zowononga, kukula kwakukulu kapena kukula kwakukulu kwa aneurysm, komanso umboni wa kutaya magazi pang'onopang'ono kuchithunzi, zonse zimasonyeza kuti pangakhale kuphulika kochepa. Kusintha kwakukulu kwa kuthamanga kwa magazi, kapena matenda aakulu, kungawonjezere mwayi wa aortic aneurysm kupasuka.
Kudziwa
Zizindikiro zoyambirira za aortic aneurysm nthawi zambiri zimatha kutha, ndipo kuphulika kungathe kupha. Ngati muli ndi aortic aneurysm aneurysm, zotsatira zanu zidzakhala bwino ngati aneurysm ikupezeka musanapange zizindikiro zirizonse.
- Kuwonetsetsa: Ambiri omwe amayamba kusokonezeka ndi aortic amapezeka ngati anthu omwe amaweruzidwa kuti ali ndi chiopsezo chowonjezereka amawunikira makamaka, ngakhale palibe zizindikilo kapena zizindikilo pa kufufuza thupi. Bungwe la US Preventative Services Task Force linakhazikitsa malingaliro a kuwonetsa kwa aortic kuyang'ana pogwiritsa ntchito mbiri, zaka, chikhalidwe ndi kusuta.
- Kuyezetsa thupi: Mulu wovuta kwambiri, womwe ndi malo akuluakulu oyendayenda m'mimba, ukhoza kuwoneka mwa kuunika kwa thupi pa 33% mwa anthu omwe ali ndi AAA. Chifukwa chombo cha magazi chimakhala chovuta kwambiri kuti muzimverera ngati muli ndi matenda a thoracic, kudziwitsidwa panthawi yoyezetsa thupi ndi kochepa kwambiri kwa ziwalo za thoracic.
- Chifuwa cha X-ray: Chifuwa cha X-ray sichiyeso chomwe dokotala wanu angakulamulireni ngati muli pachiopsezo cha aortic aneurysm. Komabe, matenda ambiri a aneurysms amapezeka koyamba ndi chifuwa cha X-ray chimene chidalamulidwa chifukwa cha chifukwa china kupatula kuyesa kwa aortic aneurysm.
- Kuphunzira kwa ultrasound: An ultrasound ndi mtundu wophunzira womwe ukhoza kuona kuti zinthu zomwe zimakhala zozizwitsa zimakhala zowonongeka ndi thupi. Maphunziro a ultrasound amaonedwa kuti ndi ofunika kwambiri pa matenda a aortic aneurysms. Ndiyeso yabwino komanso yofulumira yoyezetsa matenda, zomwe zimapangitsa kuti zikhale zothandiza pa nthawi yovuta.
- CT: Njira ina yophunzirira, kanthini ya CT, imatha kuona kusintha kwa kapangidwe ka aorta, ndipo ingakhale yopindulitsa pakulongosola opaleshoni.
- Kujambula kwa MRI: MRI, ngati CT, ndi phunziro la kujambula limene lingathe kuzindikira zovuta za thupi. Malingana ndi momwe muliri ndi aneurysm, MRI kapena CT ingasankhidwe kuti muyang'ane aorta yanu.
Chithandizo
Ngati mwauzidwa kuti muli ndi aneirysm, inu ndi dokotala wanu muyenera kusankha njira yabwino kwambiri ya chithandizo . Njira ziwiri zoyenera kuthandizira odwala opaleshoni zimaphatikizapo kukonzanso opaleshoni pofuna kupewa kuthamanga, kapena kuyang'anitsitsa mosamala nthawi. Pachifukwa chachikulu, chisankho ichi chidzadalira kuti mwina mwina matenda anu akutheka, komanso pa chiopsezo chanu chochokera ku opaleshoni.
Mwinamwake kuti aortic aneurysm idzaphulika kumadalira makamaka pa zifukwa ziwiri: kukula kwa aneurysm, ndi kuchuluka kwake kwa kukula. Kukula kwake kwa aortic aneurysm kumatengedwa ngati chisonyezero chabwino choopsa cha kuwonongeka ndipo chikhoza kuyesedwa ndi kuyesa kwa ultrasound, CT scan, kapena MRI. Manirysms oposa 5,5 cm mu mamuna, kapena oposa 5.0 masentimita mwa akazi, amatha kupasuka kusiyana ndi kuchepa kwazing'ono. Ngati izi zakhala zikuyendera, chiopsezo chachikulu chiposa 40% kuposa zaka zisanu, ndipo opaleshoni nthawi zambiri amalimbikitsa. Pansi pa miyezo imeneyi, chiopsezo chotheka chikhoza kukhala pafupi ndi chiopsezo cha zovuta kuchokera ku opaleshoni, kotero opaleshoni sangathe kuyendetsedwa.
- Kukonzekera opaleshoni: Kukonzekera kwa matenda osowa thupi kumafuna opaleshoni. Pali njira zingapo zopangira opaleshoni, kuphatikizapo zomwe zimatchedwa kukonza koyera, ndi njira ina, yomwe ndi yokonzanso mapeto. Dokotala wanu akukonzekera njira yanu kuti akupatseni mwayi wabwino wokonzanso bwino ndi kuyeretsa bwino ndi zovuta zingapo ngati n'kotheka.
- Chiopsezo cha opaleshoni: Anthu ambiri okhala ndi aortic aneurysms ali ndi matenda ena a mtima chifukwa cha zaka komanso zoopsa, choncho chiopsezo chokonza opaleshoni nthawi zambiri sichinthu chochepa. Kawirikawiri, chiopsezo chofa chifukwa chochita opaleshoni kawirikawiri ndi pafupifupi 5% kapena kuposerapo, koma chiopsezo cha opaleshoni chiyenera kufufuzidwa mosamala kwa munthu aliyense.
- Tsatirani: Ngati opaleshoni sichivomerezeka, ndiye kuti nthawi zonse muziwerenganso kukula kwa aneurysm. Ngati aneurysm ikukula mu kukula kwake kuposa 0,5 masentimita pachaka, chiopsezo chotaya chimakhala chapamwamba kwambiri - ndipo opaleshoni nthawi zambiri amalimbikitsidwa ngakhale kukula kwake kwa aneurysm akadali pansi pa 5.0 kapena 5.5 cm.
Kuchiza kwa Aortic Aneurysm Kupuma
Kupweteka kwa aortic kumapangitsa kuti munthu azichita opaleshoni. Ngati izi zikuchitika kwa inu kapena wokondedwa wanu, kukhazikika mwamsanga kuchipatala ndi kukonza opaleshoni n'kofunikira. Kuwonjezera pa kukonzanso kwa aneurysm, kuwonongeka kwambiri kwa magazi ndi zotsatira pa ziwalo zina ziyeneranso kuyang'aniridwa.
Kupewa
Aortic aneurysm ndizovuta ngati muli ndi zifukwa zina zoopsa. Zina mwazifukwa zoopsa, monga msinkhu ndi maonekedwe a chibadwa, sizitha kulamulidwa. Zina mwazidziwitso, zingasinthidwe kapena kulamulidwa, zomwe zimachepetsa kwambiri mwayi wanu wopanga aortic aneurysm .
Zina mwa zomwe mungachite kuti muchepetse chiopsezo ndizo:
- Musasute fodya: Kusuta ndilo vuto lalikulu la matenda onse, kuphatikizapo aortic aneurysms. Njira yokhayo yothandiza kuchepetsa kuwonongeka komwe kumabwera chifukwa cha kusuta ndiko kusiya kusuta.
- Kuletsa kuthamanga kwa magazi: Kuthamanga kwa magazi kumathandiza kwambiri kudwala matenda opatsirana, komanso kukhala ndi mphamvu yambiri ya magazi pogwiritsa ntchito zakudya, kupanikizika, kapena mankhwala kumachepetsa mpata wokhala ndi aortic aneurysm.
- Sungani mlingo wanu wa mafuta m'thupi: Cholesterol yapamwamba imayambitsa matenda a atherosclerosis, omwe ndi ovuta a mitsempha. Matenda a atherosclerosis ndi ena mwa zifukwa zomwe zimayambitsa aortic aneurysm. Pali njira zingapo zochepetsera mpweya waukulu wa cholesterol. Mankhwala angapo amatha kuchepetsa mafuta m'thupi, komanso kudya zakudya zopatsa mphamvu zomwe zimakhala ndi mchere wambiri komanso mafuta ochepa kwambiri amathandizanso kuchepetsa mafuta m'thupi kwa anthu ena.
- Pezani chithandizo chamankhwala nthawi zonse: Kusamalira maulendo anu ochiritsira nthawi zonse n'kofunika. Dokotala wanu angadziwe kuti mukhoza kukhala pachiopsezo chokhala ndi aneorysm, ndipo mungafunike kuyesedwa. Kuonjezera apo, mukakhala ndi maulendo anu ochiritsira, nkhani zomwe zingapangitse chiopsezo chanu cha aortic aneurysm, monga kuthamanga kwa magazi komanso cholesterol, ikhoza kuwonedwa ndi kuchiritsidwa msanga.
Mawu Ochokera
Aortic aneurysm kupasuka ndi chinthu chachikulu chomwe chikhoza kupha imfa. Mankhwala a Aortic nthawi zambiri samayambitsa zizindikiro, zomwe zimapangitsa kuwonetsetsa mbali yofunikira yowononga thanzi, makamaka ngati muli ndi zifukwa zoopsa monga kusuta, ukalamba, kuthamanga kwa magazi ndi matenda a atherosclerosis.
Ngati muli ndi aneurysm, chisankho chokhudza ngati mukufunikira kukonzanso, ndi ndondomeko ya ndondomeko yokhayo imafuna kuyankhulana kwapamwamba ndi opaleshoni yaikulu. Kuchita opaleshoni kumaonedwa kuti ndi njira yaikulu, ndipo atatha kukonza, anthu ambiri amakhala ndi zotsatira zabwino ndipo sawonongeka aortic aneurysm.
Ngati inu kapena wokondedwa wanu mukuchira chifukwa cha kupweteka kwa aortic aneurysm, kupumula uku kudzatenga nthawi, ndipo pakhoza kukhala ndi zotsatira zanthawi yaitali za aortic yanu yotsitsimuka.
> Zotsatira:
> Curt ndi W, Yano M. Wopanda matenda osokoneza bongo. Abdom Radiol (NY). 2018 May; 43 (5): 1067-1083. onetsani: 10.1007 / s00261-018-1525-0.
> Cury M, Zeidan F, Lobato AC. Matenda a Aortic achinyamata: Matenda a aneurysm syndromes, matenda osokoneza bongo, ndi machitidwe osiyana siyana a aortic ndi mavalo. Int J Vasc Med. 2013; 2013: 267215. lembani: 10.1155 / 2013/267215. Epub 2013 Jan 14.
> Kuthandizira BW, Hallett RL Fleischmann D. Epidemiology ndi kasamalidwe ka nthawi za m'mimba za aortic. Abdom Radiol (NY). 2018 May; 43 (5): 1032-1043. lembani: 10.1007 / s00261-017-1450-7.