Aortic Aneurysms

Daaweynta Boogaha Aortic ee Hyderabad, India

Waa maxay Aortic Aneurysm?

Waa marinka dhiigga ugu weyn, kaas oo dhiigga ka qaada wadnaha una qaada qaybo badan oo jirka ah. Aorta-ku waxa ay ballaadhdaa in ka badan 1.5 jeer cabbirkeeda caadiga ah haddii uu jiro aneurysm. Aneurysm-ku wuxuu ka dhici karaa meel kasta oo ka mid ah halbowlaha.

Daawaynta Aortic Aneurysm ee Hyderabad waa mid ka mid ah hababka ugu adag ee lagu sameeyo jidhka bini'aadamka, gaar ahaan daaweynta qalliinka thoracoabdominal aneurysms. Natiijo wanaagsan waxay ka timaadaa arrimo isku dhafan oo ay ku jiraan tiro badan oo xirfadlayaal caafimaad ah oo ka kooban qaybo kala duwan, iyo sidoo kale tas-hiilaad kala duwan. Nidaamku wuxuu u baahan yahay dhakhaatiirta wadnaha, dhakhaatiirta qalliinka wadnaha, dhakhaatiirta wadnaha ee faragelinta, dhakhaatiirta shucaaca, dawooyinka suuxinta, daaweeyeyaal, daaweeyayaal jireed, iyo nafaqo-yaqaannada sida xirfadlayaal caafimaad. Waa lama huraan in la helo qayb si fiican u qalabaysan oo ay ku jiraan dhakhaatiir takhasus leh iyo sidoo kale bangiga dhiigga oo awood u leh inuu bixiyo noocyo badan oo alaabooyin dhiig oo gaar ah inta badan ogeysiis gaaban iyo sidoo kale helitaanka saacadaha oo dhan dhammaan adeegyadan iyo shaqaalaha. Sababtoo ah kaabayaal aan ku filnayn ama la'aanta shaqaale tababaran, xarumo badan ayaa iska ilaaliya inay qabtaan hawlahan adag.

Cisbitaallada CARE, hawlgalladan, oo ah qayb ka mid ah daawaynta xididdada xididdada dhiigga ee Hyderabad, ayaa tiro badan oo ay fuliyaan khubaro khibrad iyo khibrad u leh fulinta nidaamkan oo leh natiijooyin aad u fiican. Habka edbinta badan waxay caawisaa in lagu habeeyo daaweynta ugu waxtarka badan uguna badbaado badan baahiyaha gaarka ah ee bukaan kasta. Isbitaalada CARE waxay leeyihiin qol qalliin oo isku-dhafan oo leh tas-hiilaad kateeterayn wadnaha ah, kaas oo fuliya habraacyo fur-furan iyo kuwo dhexdhexaadin ah oo isku jira.

Noocyada Aortic Aneurysm

• Aneurysm aortic caloosha: Waxaa loo yaqaannaa aneurysm aortic-ga caloosha marka ay ku dhacdo qaybta caloosha ee halbowlaha. Daawaynta aortic aneurysms waxay caadi ahaan ku dhacdaa halbowlaha caloosha.
• Aneurysm aortic thoracic: Aneurysm-ka thoracic aortic aneurysm wuxuu dhacaa marka aneurysm uu ka jiro qaybta thoracic ee halbowlaha.
• thoracoabdominal aortic aneurysm: Waxaa loo yaqaan thoracoabdominal aortic aneurysm marka aneurysmku ku dhaco labada qaybood ee dhuunta iyo caloosha ee halbowlaha.
• Kala-baxa Aortic Aneurysm: Aorta waa sida sandwich oo leh saddex lakab. Lakabka loo yaqaan 'intima' ayaa ku dhex jira warbaahinta, kaas oo ku dhex jira lakabka adventitia.

Xaaladdan ayaa waxa ay keentaa marka lakabka gudaha ee halbowlaha ah ee loo yaqaan ilmada intima iyo dhiiga cadaadisku saaran yahay ay kala soocaan lakabyada gudaha iyo dibadda ee warbaahinta si ay u abuuraan lumen been abuur ah oo keenaya daciifnimo iyo kala furfurid dambe oo loo yaqaanno aortic dissection ama disseting aneurysm of aorta.

Sidee bay u badan yihiin?

Aneurysms-ka caloosha ayaa si aad ah ugu badan ragga iyo kuwa labka ah ee loo qoondeeyey dhalashada, iyada oo saamiga 4 ilaa 6 jeer la barbardhigo dheddigga iyo kuwa loo qoondeeyey dheddigga marka ay dhashaan. Waxay saameeyaan qiyaastii 1% ragga da'doodu u dhaxayso 55 ilaa 64 waxayna noqdaan kuwo sii badanaya marka ay da'da koraan, iyada oo suurtogalnimada ay kor u kacdo qiyaastii 4% tobankii sano ee kasta. 

Aneurysms-ka aortic-ga caloosha ayaa aad uga badan marka loo eego aneurysms aortic aortic aneurysms, oo laga yaabo inay sabab u tahay derbiga dhumuc weyn oo xooggan ee aorta thoracic marka la barbardhigo aorta caloosha.

Sababaha aortic aneurysms

• Habka adkeynta derbiga halbowlaha wuxuu keenaa aneurysm iyo ballaarinta.

• Wax aan caadi ahayn oo ku jira xeerka hiddaha sida Marfan syndrome, Loeys-Dietz syndrome, iyo dhiig karka.

• Caabuqa.

• Xaaladaha ka dhasha bararka, sida Takayasu arthritis.

• Kolestarool sare

• Qaxarka

• Bukaanjiifka aortic aortic aneurysm ee thoracic ayaa boqolkiiba 21 aad ugu dhow inay yeeshaan taariikhda qoyska xaaladdan.

Calaamadaha aneurysm aortic thoracic

• Marka aortic aneurysm uu ku jiro marxaladaha hore, badanaa calaamado ma laha.

• Aneurysms ee aorta thoracic waxay sababi kartaa laabta ama dhabarka xanuun.

• Dhibaatooyinka neefsashada ayaa sidoo kale dhici karta.

• Qufac.

• Marka aneurysms aortic aortic aneurysms uu weynaado, codku wuu xabeebayaa.

• Dhuumaha cuntada waa la cufan yahay, taasoo ka dhigaysa liqidda mid adag.

• Aneurysm-ka kala-baxa aortic wuxuu keenaa xanuun dhabarka ah oo degdeg ah.

Calaamadaha aneurysm aortic caloosha

Calaamadaha lagu garto aortic aneurysm caloosha waa xanuun caloosha ah ama barar caloosha ah oo kacsan.

Cilad-sheegidda aneurysm-ka thoracic aortic aneurysm

• Aneurysms-ka aorta caadi ahaan waa asymptomatic.

• Inta badan waxaa la ogaadaa inta lagu jiro baaritaanka caadiga ah in aad hesho aortic aneurysms.

• Raajada laabta ayaa daaha ka qaadaysa aneurysms waaweyn oo ku jira dhuunta.

• Echocardiogram wuxuu muujinayaa caddaynta aneurysms thoracic aneurysms oo ay weheliyaan qaansada xididada ee kor u kaca iyo soo-dejinta u dhow ee fallaadhaha thoracic.

• Xataa aneurysms-ka yar ee caloosha ayaa lagu arki karaa ultrasound caloosha.

• Aortogramka CT wuxuu bixiyaa tafaasiil daqiiqado ah oo ku saabsan xuubka, thoracoabdominal, iyo aneurysms caloosha ee qorsheynta daaweynta.

• Sawirka Resonance Magnetic (MRI).

• Angiography.

Daaweynta aneurysms aortic thoracic

• Daawooyinka leh xakamaynta cadaadiska dhiigga iyo 6 bil kasta CT ama MRI dabagalka bukaanka qaba aneurysm aortic aneurysms ka yar 5 cm dhexroor marka laga reebo Marfan syndrome, halkaas oo daaweynta aortic aneurysm ayaa lagula talinayaa iyada oo aan loo eegin dhexroor aneurysm.

• TEVAR (dayactirka xididada xididada xididada xididada xididada xididada xididada laf dhabarta) waa nidaam loogu talagalay aneurysms aortic aortic oo dhexdhexaad ah. Bukaannada khatarta sare ugu jira qalliinka furan ayaa sidoo kale ka faa'iideysan kara farsamadan. Faa'iidada ugu weyn ee farsamadani waa sahlanaanta in birta daboolan lagu dhejiyo gudaha aneurysm-ka aortic iyada oo la gooyo gooyn yar oo gumaarka ah iyada oo aan la furin laabta ama caloosha. Suuxinta gudaha ayaa loo isticmaali karaa si loo sameeyo nidaamka.

• Dayactirka qaliinka aneurysms aortic thoracic.

Ka Hortagga

Haysashada cadaadiska dhiigga oo sarreeya, heerarka kolestaroolka sare, ama isticmaalka alaabta tubaakada waxay kordhisaa suurtagalnimada horumarinta aortic aneurysm. Si kastaba ha ahaatee, waxaad yareyn kartaa khatartan adiga oo qaata qaab nololeed caafimaad leh, kaas oo ku lug leh:

• Cunista cunto caafimaad-wadnaha leh.
• Samaynta jimicsi joogto ah.
• Joogtaynta miisaan caafimaad leh.
• Joojinta sigaarka iyo isticmaalka waxyaabaha tubaakada.

Boogta xididada

Waa maxay Boogta Aortic?

Samaynta huurada ee atherosclerosis waxay sababtaa habacsanaantan darbiga halbowlaha ah, oo mararka qaarkood loo yaqaan boogaha xididada xididada. Marka la xidho xuubka gudaha ee halbowlaha, xididka dhiigga ugu weyn ee jidhka ee ka fog wadnaha, tabeelooyinku waxay dhaawac weyn u geystaan ​​xididdada dhiigga. Aneurysm aortic aortic aneurysm ama kala-baxa aortic wuxuu dhici karaa marka huurada ay baabi'iso darbiga halbowlaha xabadka.

Calaamadaha Boogaha Xididdada

Calaamadaha boogaha xididada waa ay adagtahay in la qeexo sababtoo ah waxay ku badan yihiin xaalado kale oo badan. Calaamadaha soo socda ayaa laga yaabaa inay tilmaamaan boogaha aortic:

• Aneurysm ama kala goynta aorta ee qoyska.

• Xaaladaha hidda-socodka ee saameeya unugyada isku xiran, sida Marfan syndrome iyo Ehlers-Danlos syndrome.

• Cudurka wadnaha aortic ee Bicuspid.

• Cudurka halbowlaha wadnaha (wadna xanuunka), kaas oo keeni kara atherosclerosis.

• Cadaadis dhiig oo sarreeya.

Ogaanshaha Boogaha Xididdada

Dhakhtarku waxa laga yaabaa inuu kuu gudbiyo baadhista sawirka wadnaha iyo xididdada dhiigga haddii aad ka cabato xanuun laabta ama dhabarka ah oo aan caadi ahayn ama ay adag tahay in la qeexo.

• CT scan

• Sawirka MRI

Daaweynta Boogaha Xididdada

Kooxda dhakhaatiirta wadnaha, dhakhaatiirta wadnaha iyo dhakhaatiirta xididada Xarunta Aortic-ka ayaa hogaaminaysa oo horay u sii maareysa maaraynta cudurka xididada. Dhakhtarku waxa uu rabaa in uu ka ilaaliyo aortic aneurysms ama kala-goysyada ka soo baxa boogaha xididada. Tan waxay u badan tahay inay fuliyaan:

Dhaqdhaqaaqa ilaalinta: Inta badan waxaa loo yaqaan "sugitaan feejigan," tani waxay ku lug leedahay la socodka joogtada ah ee boogaha iyadoo la isticmaalayo isla baaritaanno sawireed oo loo isticmaalo ogaanshaha.
Daawooyinka: Daawooyinka waxaa laga yaabaa in loo qoro si loo daaweeyo cudurka halbowlaha wadnaha.

Iyadoo ku xiran dhakhtarkaaga, waxaa laga yaabaa inaad u baahato qalliin si aad uga fogaato in boogaha sii xumaanayo. Ikhtiyaarada qalliinka waxaa ka mid noqon kara:

• Dayactirka xididada xididada xididada xididada xididada xididada xididada (TEVAR) waxa ay ku lug leedahay dunta tuubada birta ah ee xididka lugta ee halbowlaha si loo bedelo meesha dhaawacan.

• Qalliin halbowle ah oo isku dara xididdada dhiigga (catheter-based) iyo farsamooyin furan oo lagu hagaajinayo derbiga.

• Qalliinka xididada xididada oo lagu tallaalo si loo hagaajiyo meesha boogaha.

• Beddelka xididada xididada xididada ee u tudha waalka marka boog ku yimaado halka xididada xididada wadnaha ay ku kulmaan waxaa loo yaqaan beddelka xididada xididada xididada waalka-sparing.