Mankhwala a Aortic amayamba pamene malo ofooka amapezeka pakhoma la mitsuko ya magazi. Ngakhale kuti maselo ena amatha kuchitika m'thupi lina lililonse, aorta amaoneka kuti ali ndi zinyama zambiri kuposa ziwiya zina.
Izi zikhoza kukhala chifukwa mtima umapopera magazi mwachindunji, choncho mitsempha iyi imakhala ndi mavuto aakulu komanso opanikizika kuposa mitsempha ina.
Choncho, ngati khoma la aorta lifooka pa chifukwa china chilichonse, amadzimadziwa amadziwika kwambiri.
Zomwe Zimayambitsa
Matenda ambiri angapangitse mbali ya aortic khoma kuti ikhale yofooka, zomwe zimapangitsa kuti apangidwe ndi aneurysm.
Atherosclerosis
Matenda a atherosclerosis amagwirizana kwambiri ndi kukula kwa maimba aortic m'mimba, ngakhale pali kutsutsana kwina kuti ndi chifukwa chenichenicho.
Mulimonsemo, zifukwa zowopsya kwa aortic aneurysms ziri zofanana ndi za matenda a atherosclerosis, ndi kutenga njira zothandizira kuti wina athandize kupewa china.
Kusinthika Kwambiri
Mankhwala a Aortic, makamaka a thoracic aortic aneurysms, amachokera ku kusintha kosasintha kwa khoma la aorta. Kusintha kumeneku kumayambitsidwa chifukwa cha zinthu zosaoneka bwino m'bwalo la nsanja ndipo nthawi zambiri zimadziwika ndi zilonda zam'mimba mkati mwake (kapena kuti pakati).
Kuwonongeka kwachilendoku kumachepetsa khoma la aortic ndipo kumalimbikitsa kupanga mapangidwe a aneurysm. Kutentha kwapakati pafupipafupi kumagwirizanitsidwa ndi ukalamba, koma amatha kuwonanso kwa achinyamata ena, mwachidziwikire chifukwa cha chibadwa cha chibadwa.
Kwa munthu yemwe ali ndi matenda osokoneza bongo, matenda oopsa kwambiri amachititsa kuti vutoli lifulumire kwambiri ndipo zimapangitsa kuti anthu azikhala ndi vuto lofulumira kwambiri.
Thoracic aortic aneurysms kawirikawiri imayambitsidwa ndi kusintha kumeneku kosakhala kwa atherosclerotic. Mosiyana ndi zimenezi, ziwalo za m'mimba za aortic zimagwirizanitsidwa ndi matenda a atherosclerosis.
Genetics
Mavuto ena obadwa nawo, makamaka Ehlers-Danlos syndrome , Marfan syndrome , ndi Turner matenda, amachititsa kufoola khoma la aorta ndi mapangidwe a aneurysm, makamaka a thoracic aorta. Kuonjezera apo, zina zambiri, zosawerengeka bwino zamoyo zinazindikiritsidwa zomwe zimabweretsa chiopsezo chachikulu cha aortic aneurysms.
Zambiri zamtunduwu zimapezeka nthawi zonse. Chifukwa chake, aortic aneurysms-makamaka thoracic aortic aneurysms-kawirikawiri amawoneka kuti amayenderera m'mabanja, ngakhale ngati palibe chidziwitso chodziwika bwino cha chibadwa chosadziwika.
Matenda Opweteka
Matenda ena opweteka amachititsa kutupa kwa mitsempha ya magazi ndipo amachititsa kudwala kwa aorta ndi mitsempha ina. Zodziwika kwambiri mwa izi ndi Takayasu's arteritis ndi giant cell arteritis.
Mankhwala a Aortic amakhalanso ofala kwambiri kwa anthu omwe ali ndi zizindikiro zina zotupa, monga nyamakazi ya nyamakazi ndi ankylosing spondylitis .
Matenda
Matenda ena omwe amalowa m'magazi amatha kufooketsa khoma la aorta, kulimbikitsa mapangidwe a aneurysm.
Pamene matenda a aneurysm amayamba chifukwa cha matenda, mapangidwe ake akhoza kufulumira kwambiri, mosiyana ndi kukula kwapakati pake, kwa zaka zambiri kukula kwa aortic aneurysms kuchokera ku zifukwa zina.
Matenda omwe angabweretse mawere aortic ndi odwala syphilis , salmonella , kapena infectious endocarditis .
Malingaliro Opusa
Chifuwa choopsa kwambiri kapena kupweteka kwa m'mimba, monga momwe zingachitikire ndi ngozi ya galimoto, ikhoza kuwononga khoma la aorta ndi kutsogolera kwa aortic aneurysm.
Zowopsa
Zina mwazidziwitso komanso njira zomwe mumasankha kuchita zimapangitsa kuti pakhale vuto lokhala ndi aortic aneurysm. Zambiri mwaziopsezozi ndizofanana ndi zomwe zimachititsa kuti matenda a atherosclerosis asokonezeke.
Zinthu izi zimaphatikizapo:
- Kuthamanga kwa magazi
- Zaka
- Amuna
- Kusuta
- Cholesterol yambiri ndi triglycerides
- Kukhala moyo wosadzikonda
- Kunenepa kwambiri
Kuonjezerapo, zifukwa zina zingapo ndizofunikira pozindikira kuopsa kwa ziwalo za aortic, kuphatikizapo:
- Mbiri yakale yokhudzana ndi kuchepa kwa magazi m'mitsuko ina yamagazi.
- Mbiri ya banja ya kuchepa kwachisokonezo-makamaka m'mabanja omwe asonyezedwa kuti ali ndi chibadwa chakuthupi chokhala ndi ziwalo za thupi.
- Mphutsi yotchedwa aortic valve .
- Mbiri ya matenda opweteka aakulu.
Zinthu Zowopsa Chifukwa Chokwera
Kwa anthu amene apezeka ndi aneurysm, ndikofunika kumvetsera kuti angurysm akhoza kutha. Ngati chiopsezo chotayika ndi chachikulu, opaleshoni yoyambirira iyenera kuganiziridwa mozama. Zowopsazi zimatsimikiziridwa ndi zifukwa zingapo.
Kukula ndi Kukula Kwambiri
Anortic aneurysm iliyonse imatha kuthetsa chiwopsezo, koma chiopsezo n'chochepa chifukwa cha matenda omwe ali ochepa komanso ochepa.
Kwa zowonjezera zazikulu, kapena kwa aneurysms zomwe akadakali zochepa koma kukula mofulumira, chiopsezo chotuluka chimakula kwambiri. Kuwonjezera apo, kukula kwa aneurysm, mofulumira kumakula-ndipo kumatchulidwa koopsa kwambiri.
Njira yothandiza kuganizira izi ndi kuganizira kuponya buluni. Pamene muyamba kuyamba kuwombera buluni, ndi kovuta kuti muyambe. Koma pamene mukuwonjezera buluni, zimakhala zosavuta kuti zikhale zazikulu. Potsirizira pake, ngati mukuliwombera pang'ono pokha, iyo imapsa.
Aneurysm imasonyeza khalidwe lomwelo. Mu ziwalo zochepa zazing'ono, katundu wa khoma amatha kukana kuchepetsa. Koma pamene aneurysm imakula pang'onopang'ono, kukwera khoma kumachepetsedwa, ndipo aneurysm imapita mosavuta mosavuta-mpaka kufika pang'onopang'ono.
Pa chifukwa chimenechi, aliyense yemwe watulukira kuti ali ndi aneorysm, ngakhale aneurysm yaying'ono, ayenera kutsatira motsatira. Ngati aneurysm imakhala yayikulu kapena ikusonyeza zizindikiro za kukula msanga, ndi nthawi yoganizira kwambiri kukonza opaleshoni.
Zizindikiro
Mitambo yaing'ono yowonjezera, yomwe imakhala yochepa pang'onopang'ono nthawi zambiri imayambitsa matenda. Choncho, ngati zizindikiro zimachitika chifukwa cha aortic aneurysm, ichi ndi chitsimikizo chokwanira kuti kuphulika kukukhala kotheka.
Zina
Zina mwazidzidzidzi zomwe zimapangitsa kuti chiwopsezo chikhale chophatikizapo zizindikiro zofanana za matenda a atherosclerosis omwe adatchulidwa kale. Kotero, kwa aliyense yemwe watulukira kuti ali ndi aneurysm, ndizofunika kwambiri kuti moyo ukhale wosinthika kuti upewe ngozi.
Pazifukwa zomwe zimakhala ndi moyo zomwe zimawonjezera chiopsezo cha aortic kupasuka, kusuta ndi owopsa kwambiri-anthu aortic aneurysm amene amasuta ali makamaka ngozi yaikulu ya kutha ndi imfa. Ndikofunika kuti aliyense amene ali ndi aneurysm asiye kusuta .
> Zotsatira:
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> Kukoma Mj, Thompson Sg, Brown Lc, Et Al. Meta-Kufufuza Zomwe Munthu Wodwala Akudziwira Kuti Afufuze Zinthu Zokhudzana ndi Kukula ndi Kuphulika Kwazing'ono Zachiberekero Aortic Aneurysms. Thandizo; 99: 655.
> Yiu Rs, Cheng Sw. Mbiri Yachilengedwe Ndi Zowopsa Kwa Kupitirira kwa Thoracic Aortic Arch Aneurysms. J Vasc Surg 2016; 63: 1189.