Isibhedlela esihamba phambili se-Vascular e-Hyderabad

Ukwakheka kwe-aneurysm kunqunyelwe ngokofuzo. An i-aortic aneurysm ingatholwa yinoma yiliphi ilungu lezinga lokuqala lomndeni (umama, ubaba, udadewabo, umfowabo, indodana, noma indodakazi) yesiguli esine-aneurysm. Kunezinhlobo ezine ze-aorta aneurysms, okuyi-aorta ekhuphukayo, i-aorta arch, i-thoracic aorta eyehlayo, ne-aorta yesisu. Ngokwencazelo, odokotela abahlinza imithambo baphatha i-aneurysms ye-aorta eyehlayo, i-peri-visceral aorta, kanye ne-aorta yesisu ngaphansi kwemithambo yezinso.
 

Ukunwebeka kwezindonga zomthambo wegazi - noma ukuphuma kwebhaluni - kubizwa ngokuthi i-aneurysm. I-aorta aneurysm iqhuma iphuma ezindongeni ze-aorta, umthambo omkhulu kunawo wonke emzimbeni oletha igazi eligcwele umoya-mpilo kuwo wonke umzimba. I-aorta aneurysm ehilela ingxenye ye-aorta esifubeni (thorax) yaziwa ngokuthi i-thoracic aortic aneurysm, kanti leyo esesiswini noma esiswini yaziwa ngokuthi i-aortic aneurysm yesisu.
 
Izimbangela ze-aortic aneurysms yesisu kanye ne-thoracic aortic aneurysms ziyahlukahluka, futhi zidinga izindlela ezahlukene zokwelapha. Izimo eziningi zempilo zingabangela i-thoracic aortic aneurysms, kuhlanganise nokuguga kwemvelo, umfutho wegazi ophezulu (high blood pressure), isifo sokuqina kwemithambo yegazi (ukwakheka kwe-cholesterol nokuba lukhuni kwemithambo), ukuhlukaniswa kwe-aorta kwangaphambilini, i-giant cell arteritis (ukuvuvukala kwe-arterial), i-Takayasu arteritis, noma ugcunsula. Ukuba khona kwezimo zokuzalwa, njenge-bicuspid aortic valves, i-Marfan's syndrome, i-Ehlers-Danlos syndrome kanye ne-Turner's syndrome, nayo ihlotshaniswa ne-aortic aneurysms.
 
Imindeni enomlando we-thoracic aortic aneurysms (abazali, izingane zakubo, noma izingane) ingase yabelane ngokungavamile kofuzo ngakho-ke maningi amathuba okuba ihlaselwe yileso simo.

Cishe amasonto amane kuya kwayisithupha ngemva kokuhlinzwa kwakho, ubuyela ekuvakasheni kwakho kokuqala kwangemva kokuhlinzwa. Ukuqokwa kokulandelela ngokuvamile kuyadingeka njalo ezinyangeni eziyisi-6 noma ezingu-12, ngemva kwalokho, kuye ngokuthi i-anatomy yezingxenye ezisele ze-aorta.

Lapho ama-aneurysms ekhula abe mkhulu ngokwanele ukuze abangele ukopha okukhulu, kunconywa ukuhlinzwa. Ukuhlinzwa kwenziwa ukuze kunqandwe ukudabuka okusongela ukuphila ngokulungisa noma ukufaka esikhundleni se-aneurysm. Sikhetha usayizi othize okufanele sisebenze ngawo ngokusekelwe endaweni, izinga lokukhula kanye neminyaka ye-aneurysm okukhulunywa ngayo. Ngokuvamile sisebenza ekukhuphukeni kwe-aorta aneurysms lapho ifinyelela ububanzi obungu-5.0 kuya ku-5.5 cm (6.0 cm ezigulini ezisengozini enkulu noma engaphezulu) kanye nama-aneurysm e-aorta ehlayo lapho ifinyelela ububanzi obungu-6.0 cm. I-Aneurysms yalesi sayizi ingasadinga ukuhlinzwa uma idala umonakalo enhliziyweni noma kwezinye izitho, okubangela ubuhlungu noma ukuphelelwa umoya, noma okuthinta isimiso sokujikeleza kwegazi.

I-aortic aneurysms kwenzeka lapho i-aorta yesisu ikhula ngokungalawuleki. Kwezinye izimo, ibhaluni ye-aorta ingase iqhume futhi ibangele ukugula okukhulu. Izimpawu ze-aneurysm ngokuvamile zibonakala kuphela ngemva kokuphuka. Ukuhlolwa ngokomzimba noma izifundo ze-radiographic ngokuvamile zisetshenziselwa ukuzibona.

Ukuhlinzwa ngemithambo yegazi igxile ekuxilongeni nasekwelapheni izifo ezithinta uhlelo lwemithambo yegazi, okuhlanganisa imithambo, imithambo kanye nokujikeleza kwe-lymphatic. Ukuhlinzwa kwe-Endovascular kuyindlela engenelela kancane lapho izinqubo zenziwa khona ngaphakathi kwemithambo yegazi kusetshenziswa ama-catheter kanye nesiqondiso sesithombe.

Izinqubo ze-Endovascular zihlanganisa ukwelashwa okufana ne-angioplasty, ukubekwa kwe-stent, i-embolization, i-thrombectomy, nokulungiswa kwe-aneurysm. Lezi zinqubo zenziwa ngokusebenzisa ama-incision amancane kusetshenziswa ama-catheter kanye nobuchwepheshe be-imaging ukuqondisa izinsimbi ezingaphakathi kwemikhumbi.

Ukuhlolwa okusetshenziselwa ukuxilonga izimo zemithambo kufaka phakathi izifundo ze-ultrasound (Doppler), i-angiography, ama-CT scan, i-MRI, ukuhlolwa kwegazi, nokuhlolwa komzimba okugxile ohlelweni lwemithambo yegazi.

Izinqubo ze-endovascular ezihlasela kancane ziyakhethwa ngoba ngokuvamile zibandakanya ukusikwa okuncane, ubuhlungu obuncane, ukuhlala esibhedlela okufushane, izikhathi zokululama ngokushesha, kanye nengozi encishisiwe yezinkinga uma kuqhathaniswa nokuhlinzwa okuvulekile.

Ukwelapha isifo se-vascular kubalulekile ukuvimbela izinkinga ezinkulu ezifana nesifo senhliziyo, isifo sohlangothi, ukuphuka kwe-aneurysm, ukulahlekelwa imilenze, nobuhlungu obungapheli. Ukwelashwa kusenesikhathi kusiza ukuthuthukisa impilo yonke kanye nezinga lempilo.

Isikhathi sokululama siyahlukahluka kuye ngohlobo nokuba yinkimbinkimbi kokuhlinzwa. Izinqubo ze-endovascular ezihlasela kancane zivame ukuba nezikhathi zokululama ezimfushane, ngokuvamile ezisukela ezinsukwini ezimbalwa ukuya emavikini ambalwa, kuyilapho ukuhlinzwa okuvamile okuvulekile kungase kudinge amaviki ambalwa kuya ezinyangeni.

Ukuvimbela isifo semithambo kuhlanganisa ukulondoloza indlela yokuphila enempilo, okuhlanganisa ukuvivinya umzimba njalo, ukudla okulinganiselayo, ukugwema ukubhema, ukulawula ukucindezeleka, ukulawula umfutho wegazi kanye namazinga e-cholesterol, nokuhlolwa kwezokwelapha okuvamile.

Ukuhlinzwa kwe-Endovascular ngokuvamile kuyindlela engcono ezigulini ezisengozini enkulu yokuhlinzwa okuvulekile, ezinezilonda ezincane noma okunzima ukufinyelela kuzo, noma lapho indlela yokuhlasela kancane ingenzeka futhi ingafinyelela imiphumela efanayo noma engcono.

CARE Izibhedlela eHyderabad inikeza izinsiza ezithuthukisiwe zokuhlinza imithambo kanye ne-endovascular ngochwepheshe abanolwazi, izikhungo zesimanjemanje, ukunakekelwa okuphelele, izinhlelo zokwelashwa eziqondene nomuntu uqobo, kanye nendlela egxile esigulini.

Ngesikhathi sokululama, gwema ukuphakamisa okunzima, imisebenzi ekhandlayo, ukubhema, nokuhlala isikhathi eside noma ukuma. Landela imiyalelo eqondile kadokotela wakho mayelana nemithi, ukunakekelwa kwesilonda, ukudla, kanye nokusebenza ngokomzimba ukuze uqinisekise ukuphulukiswa okufanele.

Ukuze ubhukhe i-aphoyintimenti ne-CARE Hospitals ukuze uhlinzwe imithambo yegazi, ungashayela ulayini wokuqokwa kwesibhedlela, usebenzise uhlelo lokubhuka nge-inthanethi olutholakala kuwebhusayithi, noma uvakashele ideski lokuqashwa kwesibhedlela mathupha.

Ukulungiselela ukuhlinzwa kwemithambo kungase kuhlanganise ukuyeka imithi ethile, ukuzila ukudla ngaphambi kwenqubo, ukuhlela izinto zokuhamba nokunakekelwa ngemva kokuhlinzwa, nokulandela imiyalelo ethile enikezwa ithimba lakho lezempilo.

Imiphumela emibi engaba khona ngemva kokuhlinzwa kwemithambo ingahlanganisa ubuhlungu noma ukungakhululeki endaweni yokusikwa, ukulimaza, ukuvuvukala, ukutheleleka, amahlule egazi, nokukhathala. Imiphumela emibi eminingi ingeyesikhashana futhi ingalawuleka ngokunakekela okufanele.

Izinkinga ezingaba khona zingabandakanya ukopha, ukutheleleka, ukulimala kwemithambo yegazi noma izitho ezizungezile, ukungezwani nodayi ohlukile, futhi ezimweni ezingavamile, isifo sohlangothi noma isifo senhliziyo. Ukuxoxa ngobungozi bakho udokotela ohlinzayo ngaphambili kungakusiza ukuthi uqonde futhi unciphise lezi zinkinga.

Lapho ukhetha isibhedlela esifanele, cabangela izici ezifana nedumela lesibhedlela, okuhlangenwe nakho nezimfanelo zodokotela abahlinza imithambo yegazi, ukutholakala kobuchwepheshe obuphambili, ukubuyekezwa kwesiguli, kanye nezinga lokunakekelwa kwangemva kokuhlinzwa nezinkonzo zokusekela.