Izinto Ezithonya Izindleko Zokuhlinzwa Kwe-Aortic Aneurysm

Izinto ezimbalwa ezibalulekile zinquma izindleko zokugcina zokuhlinzwa kwe-aorta aneurysm, kanye nobunkimbinkimbi benqubo obudlala isici esikhulu kuzo zonke izindleko.

• Uhlobo Lokuhlinza Oludingekayo: Isikhathi nesimo sokuhlinzwa sithinta kakhulu izindleko eziphelele. Ucwaningo lubonisa ukuthi izinqubo eziphuthumayo ze-aneurysms ephukile zibiza kakhulu kunokuhlinzwa okuhleliwe. 
• Ubunzima Nezinkinga: Ukuba khona kwezinkinga kungakhuphula kakhulu izindleko zokwelashwa. Uma iziguli zidinga ukwesekwa kwesistimu, izindleko zingaphindaphindeka kakhulu.
• Isikhathi Sokuhlala Esibhedlela: Ubude bokuhlala esibhedlela buthonya kakhulu izindleko zokugcina. Iziguli ezidinga ukuhlala egunjini labagula kakhulu (ICU) kanye nokwesekwa kwesistimu okwengeziwe zibhekana nezindleko eziphezulu. 
• Ukucatshangelwa Kwengozi Yokufa: Izinga lokufa elihlotshaniswa nohlobo lwenqubo nalo lithinta isakhiwo sezindleko sisonke. Ucwaningo lubonisa ukuthi nakuba ukulungiswa kwe-AAA okuphukile kunezinga lokufa elingu-18%, ukulungiswa okukhethiwe kunezinga eliphansi kakhulu lika-1.6%. Lo mehluko emazingeni engozi unomthelela ezinsizeni ezidingekayo futhi, ngenxa yalokho, izindleko zokunakekelwa.

Kungani Kudingeka Ukuhlinzwa Kwe-Aortic Aneurysm?

Ukungenelela ngokuhlinzwa kuba semqoka lapho i-aorta aneurysm ibeka engcupheni enkulu empilweni yesiguli. Odokotela bahlola ngokucophelela isimo ngasinye ukuze banqume ukuthi kudingekile nini ukuhlinzwa, njengoba isikhathi senqubo singenza umehluko obalulekile emiphumeleni yesiguli.

Ubukhulu be-aneurysm busebenza njengenkomba eyinhloko yokungenelela kokuhlinzwa. Amaqembu eziguli ahlukene anemikhawulo ethile yobukhulu obudala isidingo sokuhlinzwa:

• Iziguli ezijwayelekile zidinga ukuhlinzwa lapho i-aorta aneurysm ekhuphukayo ifinyelela kumasentimitha angu-5.5
• Iziguli ezine-bicuspid aortic valve zidinga ukungenelela ku-4.5 amasentimitha
• Labo abanezimo zofuzo njenge-Marfan syndrome kufanele bahlinzwe ngamasentimitha angu-5

Ukuphuthuma kokuhlinzwa kuncike ekutheni i-aneurysm isivele iqhumile noma isengcupheni yokuqhuma. Izinga lokusinda liphezulu ngokumangalisayo ku-95% kuya ku-98% ezigulini ezihlinzwa okuhleliwe ngaphambi kokuba kuvele ukuphuka. Kodwa-ke, lapho ukuhlinzwa kwenziwa ngemva kokuphuka, izinga lokusinda lehla kakhulu lisuka ku-50% liye ku-70%.

Izimo Zokuhlinzwa Eziphuthumayo: Iziguli ezibhekene ne-aortic aneurysm ephukile noma ehlakaziwe zidinga ukuhlinzwa okuphuthumayo ngokushesha. Izimpawu ezilandelayo zibonisa ukuthi isiguli sidinga usizo lwezempilo oluphuthumayo:

• Kungazelelwe, ubuhlungu obukhulu esiswini, emhlane, noma esifubeni
• I-clammy, isikhumba esijulukayo
• isiyezi noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo
• Ukuphelelwa umoya
• I-nausea futhi oluhlanzayo

Yiziphi Izingozi Ezivame Kakhulu Ezihlotshaniswa Nenqubo Ye-Aortic Aneurysm?

Nakuba izindlela zokuhlinza sezithuthuke kakhulu, izinkinga zisengenzeka phakathi noma ngemva kokuhlinzwa.

Izinkinga Ezinkulu: Izingozi ezibaluleke kakhulu ezihlobene nokuhlinzwa kwe-aortic aneurysm zihlanganisa:

• Ukopha nokulahlekelwa igazi phakathi noma ngemva kokuhlinzwa
• Amahlule egazi angathinta izitho ezifana namathumbu, izinso, nemilenze
• Izinkinga zenhliziyo, kuhlanganise isifo senhliziyos kanye nezigqi ezingajwayelekile
• Ukulimala kwezinso noma ukwehluleka
• Ukulimala komgogodla okungase kubangele ukukhubazeka
• Ukutheleleka kwesizinda sokuhlinza noma ukuxhunyelelwa
• Stroke
• Ukuncipha kokugeleza kwegazi ezithweni ezibalulekile

Isiphetho

Ukuhlinzwa kwe-aortic aneurysm kumi njengenqubo yezokwelapha ebalulekile esindisa izimpilo ezingenakubalwa unyaka ngamunye. Intuthuko yezokwelapha yenze ukuhlinzwa kuphephe futhi kwasebenza kangcono, nakuba izindleko zihlala zicatshangelwa kakhulu ezigulini eziningi.

Iziguli kufanele zikhumbule amaphuzu ambalwa abalulekile lapho zihlela le nqubo. Okokuqala, ukutholwa kusenesikhathi nokuhlinzwa okuhleliwe kunikeza amanani angcono kakhulu okusinda, afinyelela ku-98% uma kuqhathaniswa nezinqubo eziphuthumayo. Okwesibili, ukukhetha kwesibhedlela kuthinta kakhulu kokubili izindleko kanye nekhwalithi yokunakekelwa, okwenza ucwaningo olunzulu lubaluleke. 

Ukuphumelela kokuhlinzwa kwe-aortic aneurysm kuncike kakhulu esikhathini nokuhlolwa okufanele kwezokwelapha. Ukuqapha njalo kusiza odokotela ukuthi babone isikhathi esifanele sokungenelela ngokuhlinzwa kuyilapho beqonda ubungozi obuhlobene nezindleko, okuvumela iziguli ukuba zenze izinqumo ezinolwazi mayelana nokwelashwa kwazo.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

Imibuzo Evame Ukubuzwa

1. Ingabe i-aortic aneurysm iwukuhlinzwa okuyingozi enkulu?

Ukuhlinzwa kwe-aortic aneurysm kunezingozi ezinkulu, kodwa izinqubo ezihleliwe zibonisa imiphumela emihle kakhulu ngamazinga okusinda angama-95% kuya ku-98%. Kodwa-ke, ukuhlinzwa okuphuthumayo kwe-aneurysms ephukile kunamazinga aphansi okusinda angama-50% kuya ku-70%. Izingozi eziyinhloko zihlanganisa:

• Ama-clots egazi ezithinta izitho ezibalulekile
• Ukulimala kwezinso noma ukwehluleka
• Ukutheleleka endaweni yokuhlinzwa
• Ukulimala okungenzeka komgogodla

2. Kuthatha isikhathi esingakanani ukululama ku-aortic aneurysm?

Isikhathi sokululama singahluka ngokusekelwe endleleni yokuhlinzwa. Iziguli eziningi zichitha izinsuku ezingu-5-10 esibhedlela. Ukululama ngokugcwele ngokuvamile kuthatha amaviki angu-4-6, nakuba ezinye iziguli zingase zidinge izinyanga ezingu-2-3 ukuze zibuyele emisebenzini evamile. 

3. Ingabe i-aortic aneurysm iwukuhlinzwa okukhulu?

Yebo, ukulungiswa kwe-aorta aneurysm kuthathwa njengokuhlinza okukhulu okudinga i-anesthesia ejwayelekile. Inqubo ihilela ukubuyisela ingxenye ye-aorta engozini ngokuxhunyelelwa kokwenziwa. Iziguli eziningi zidinga ukuqashwa kweyunithi yokunakekelwa okujulile ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa.

4. Kubuhlungu kangakanani ukuhlinzwa kwe-aortic aneurysm?

Amazinga obuhlungu ayahluka phakathi kweziguli. Ucwaningo lubonisa ukuthi iziguli zingase zizwe izinhlungu nokungakhululeki eduze kwenxeba lokusikwa. Ngokuvamile ubuhlungu buyancipha kakhulu ngosuku lwesibili. Iziguli zithola ukuphathwa kobuhlungu okufanele, okuhlanganisa i-epidural analgesia lapho kudingeka. Izinketho ezihlasela kancane njengokulungiswa kwe-endovascular ngokuvamile kubangela ubuhlungu obuncane ngemva kokuhlinzwa kanye nokululama ngokushesha kunokuhlinzwa okuvulekile.

5. Kuthatha isikhathi esingakanani ukuhlinzwa kwe-aortic aneurysm yesisu?

Ukuhlinzwa ngokuvamile kuthatha amahora angu-2-4, nakuba izimo eziyinkimbinkimbi zingadinga isikhathi esengeziwe. Izinqubo zokuhlinza ezivulekile ngokuvamile zithatha isikhathi eside kunokulungiswa kwe-endovascular. Ubude besikhathi buncike ezintweni ezifana nalezi:

• Uhlobo lwendlela yokuhlinzwa
• Ubunzima be-aneurysm
• Izinqubo ezengeziwe ezidingekayo
• Isimo sempilo yesiguli sisonke