I-Aortic Aneurysm Yesisu

Ukwelashwa kwe-Aortic Aneurysm Yesisu e-Hyderabad

Lapho ingxenye engezansi yomkhumbi omkhulu, i-aorta ikhula, yaziwa ngokuthi i-aortic aneurysm yesisu. I-Aorta iwumkhumbi oyinhloko onikeza umoya-mpilo igazi emzimbeni futhi igijima enhliziyweni iye esifubeni nasendaweni yesisu.

I-aorta ibamba umsebenzi omkhulu ngaphakathi emzimbeni futhi yingakho isimo esifana ne-aorta aneurysm yesisu singabangela izimo ezisongela ukuphila. I-aneurysm ingase iqhume futhi ibangele ukopha ngokweqile kwangaphakathi, okungaba yingozi empilweni. 

Ukwelashwa kwe-aneurysm yesisu kungahluka kuye ngezinga lomonakalo owenziwe. Ngezinye izikhathi, i-aneurysms ingase idinge eziphuthumayo ukuhlinzwa. 

Izimpawu 

Izimpawu nezimpawu zingase zingagqami futhi kube nzima ukuzibona. I-aneurysm ingase ingadabuki futhi ingabangeli izimpawu ngaphandle uma iba nkulu. Ngokuvamile ikhula kancane ngokuhamba kwesikhathi. Ingabangela izimpawu ngenkathi ikhula nalapho iba nkulu.  

I-aortic aneurysm yesisu ekhulisiwe ingase ibonise izimpawu ezilandelayo:

• Ubuhlungu obujulile nobungapheli endaweni yesisu (ngokuvamile eduze kwenkinobho yesisu)

• Ukuhlungu obusemhlane

• Ukushaywa kwesisu

Izingozi Zezingozi

Kunezici eziningi zobungozi ezihlobene ne-aortic aneurysms yesisu:

• Ukusebenzisa ugwayi- Ukubhema kuyimbangela ehamba phambili yezimo ezifana ne-aortic aneurysms yesisu njengoba lezi zingenza buthaka izindonga ze-aorta futhi ziziqheke. Abantu abahlafunayo nababhemayo ugwayi basengozini enkulu yokuba ne-aortic aneurysm yesisu. Ababhemayo okunzima futhi okungapheli kufanele bathole i-ultrasound yesisu njalo, ikakhulukazi eminyakeni engu-65-75.

• Ubudala- Abantu abangaphezu kweminyaka engama-65 bathambekele kakhulu ezimeni ezifana ne-aortic aneurysms yesisu njengoba izindonga zabo ze-aorta zingase zibe buthaka ngenxa yobudala.

• Ukuba yindoda- Abesilisa bathambekele kakhulu kwi-aortic aneurysms yesisu kunabesifazane.

• Umlando womndeni- Uma omunye wamalungu omndeni wakho (okuhlobene negazi) ene-aortic aneurysm yesisu, maningi amathuba okuthi uyithole.

• Amanye ama-aneurysms - Uma unomlando wezokwelapha we-aneurysms kwezinye izitsha ezinkulu kune-aorta efana ne-thoracic aortic aneurysm; uzoba sengozini enkulu yokuba ne-aorta aneurysm yesisu.

Sifo 

Udokotela wenza ukuhlola ngokomzimba ukuze ahlole izimpawu zakho futhi ahlole umlando wezokwelapha nomndeni ukuze abone imbangela ye-aneurysm. Ukuhlolwa kwezithombe ezifana ne-ultrasound, i-CT, ne-MRI kungenziwa ukuze kuqinisekiswe ukuxilongwa.  

• I-Abdominal ultrasound - amaza omsindo asetshenziselwa ukuxilonga nokuhlola igazi eligeleza endaweni yesisu kanye ne-aorta. Ukuhlola okungenabuhlungu futhi i-transducer ibekwa esiswini kancane ukuze kwakhiwe isithombe kukhompyutha. Ihamba iye emuva naphambili futhi idivayisi ithumela amasignali esikrinini. 

• I-CT scan yesisu - izithombe ze-cross-sectional zidalwe ngosizo lwe-X-ray yesisu lapho odokotela bengabona isithombe esicacile se-aorta. Ukuhlola okungenabuhlungu futhi okungakwazi ukubona usayizi nokuma kwe-aortic aneurysm yesisu. Udayi ungase futhi unikezwe kanye ne-CT ukumaka emithanjeni ngokucacile.

• I-MRI yesisu- amaza omsakazo akhiqizwa ikhompuyutha kanye namandla kazibuthe asetshenziselwa ukwakha izithombe ezinemininingwane yezakhiwo zesisu kanye ne-aorta. Imithambo yegazi nayo ingabonakala ngokucacile ngosizo lukadayi osetshenziswa emithanjeni. 

Ukuhlolwa kwe-aortic aneurysm yesisu

Ababhemayo, ikakhulukazi amadoda basengozini enkulu yokuba ne-aortic aneurysm yesisu. Izincomo zokuhlola yilezi: 

• Ukuhlolwa kwesikhathi esisodwa kwe-ultrasound yesisu kwabesilisa abaneminyaka yobudala ephakathi kuka-65-75 nabake babhema ngaphambilini.

• Uma bengakaze babheme, kuzohlaziywa umlando womndeni mayelana nesimo se-aortic aneurysm yesisu.

Ukwelashwa 

Inhloso eyinhloko kadokotela ukumisa ukugqashuka kwe-aneurysm ye-aortic aneurysm yesisu. Ngakho-ke, ukwelashwa kwe-aorta aneurysm yesisu kungase kuthathe ukuhlinzwa okufanele noma ukuqapha kuye ngosayizi we-aorta aneurysm yesisu.

Ukuqapha kwezokwelapha

• Ukuqapha kwezokwelapha kuhilela ukwelashwa njengokubuka ngokucophelela uma i-aorta aneurysm yesisu ingasheshi noma inkulu. 

• Kwenzelwa ukubona izimpawu ezincane futhi kudinga usizo njalo kanye nokuhlolwa odokotela. 

• Ukuhlolwa kwesithombe kuyadingeka ukuze kutholwe usayizi we-aneurysm nokulawula izimo ezifana nomfutho wegazi. 

• Abantu bazocelwa i-ultrasound yesisu njalo ezinyangeni eziyisithupha futhi kamuva ukuze kulandelelwe nsuku zonke.

Ukuhlinzwa 

Uma i-aortic aneurysm yesisu ilingana no-1.9 kuya ku-2.2 amayintshi (4.8 kuya ku-5.6 amasentimitha) noma ngaphezulu kwalokho, kunconywa ukuhlinzwa njengoba lokhu kungase kuqhume futhi kubangele izinkinga ezisongela ukuphila. Ezinye izimpawu zihlanganisa ubuhlungu besisu, noma une-aneurysm evuzayo, ethambile noma ebuhlungu.

Ukuhlinzwa kuzoncika eminyakeni yobudala, isimo, uhlobo lwe-aneurysm, nosayizi. Kuhlanganisa:

• Ukulungiswa kwe-Endovascular- i-catheter ifakwa emthanjeni womlenze futhi iqondiswe ngase-aorta ukuze kulungiswe i-aorta aneurysm yesisu. I-graft iphinde ifakwe ukunikeza amandla esigabeni esibuthakathaka se-aorta.

• Ukuhlinzwa okuvulekile kwesisu kuzoba ukuhlinzwa kokususa ingxenye eyonakele ye-aorta. I-graft ithatha indawo yengxenye eyonakele, futhi ukululama kungase kuthathe inyanga noma ngaphezulu.

Ukunakekelwa kwangemva kokuhlinzwa kanye nokululama kwe-Abdominal Aortic Aneurysm

Ukululama ekulungisweni kwe-aortic aneurysm (AAA) yesisu, kungakhathaliseki ukuthi ngokuhlinzwa okuvulekile noma ukulungiswa kwe-endovascular (EVAR), kuhilela ukunakekelwa ngokucophelela kwangemva kokuhlinzwa ukuze kuthuthukiswe ukuphulukiswa nokunciphisa izinkinga.

• Ukuhlala Esibhedlela: Ngemva kokuhlinzwa, ngokuvamile uzochitha izinsuku ezimbalwa esibhedlela ukuze uqashwe futhi ululame. Ubude besikhathi sokuhlala buncike ohlotsheni lokuhlinzwa kanye nempilo yakho iyonke.
• Ukuphathwa Kwezinhlungu: Uzothola imishanguzo yezinhlungu ukuze ulawule ukungakhululeki ngesikhathi sokululama. Wathathe njengoba uyalelwe futhi uxhumane nethimba lakho lezempilo uma uzwa ubuhlungu obukhulu noma obuqhubekayo.
• Imikhawulo Yomsebenzi: Ekuqaleni, uzodinga ukunciphisa umsebenzi womzimba ukuze uvumele umzimba wakho ululame. Gwema ukuphakamisa izinto ezinzima, ukuvivinya umzimba okukhandlayo, nokushayela kuze kube yilapho udokotela wakho esula. Khulisa kancane kancane amazinga omsebenzi njengoba kuyaliwe.
• Ukunakekelwa Kwenxeba: Landela imiyalelo kadokotela wakho yokunakekelwa kwenxeba, okuhlanganisa nokugcina inxeba lokuhlinza lihlanzekile futhi lomile. Bika noma yiziphi izimpawu zokutheleleka, njengokubomvu, ukuvuvukala, noma amanzi, kumhlinzeki wakho wokunakekelwa kwezempilo.
• Ukudla: Udokotela wakho angase atuse ukuguqulwa kokudla, njengokudla okuphansi kwe-sodium, ukukhuthaza ukuphulukiswa nokulawula umfutho wegazi. Hlala u-hydrated futhi udle ukudla okulinganiselayo okucebile izithelo, imifino, amaprotheni angenalutho, nokusanhlamvu okuphelele.
• Imithi: Kungase kudingeke ukuthi uphuze imithi ukuze ulawule ukushaya kwegazi, vimbela amahlule egazi, futhi ulawule ezinye izimo zezokwelapha. Thatha imishanguzo njengoba uyaliwe futhi uhambele ama-aphoyintimenti okulandelela ukuze uqashwe.
• Ama-aphoyintimenti Okulandelela: Yiya kuwo wonke ama-aphoyintimenti okulandelela ahleliwe nomhlinzeki wakho wezempilo. Lawa ma-aphoyintimenti avumela udokotela wakho ukuthi abheke ukululama kwakho, ahlole impumelelo yokuhlinzwa, futhi enze noma yiziphi izinguquko ezidingekayo ohlelweni lwakho lokwelapha.
• Izinguquko Zendlela Yokuphila: Ukwamukela indlela yokuphila enempilo kungasiza ekuvimbeleni izinkinga zesikhathi esizayo futhi kukhuthaze inhlalakahle yonke. Yeka ukubhema, gcina isisindo esinempilo, vivinya umzimba njalo, futhi ulawule ukucindezeleka.

Kungani Khetha Izibhedlela Ze-CARE?

Ngokusebenzisa okudidiyelwe komtholampilo nokwelashwa, ukufundisa, kanye nocwaningo, thina at CARE Izibhedlela sizame ukukhuthaza ithemba nokukhuthaza impilo futhi unikeze ukwelashwa okunembile kwe-Abdominal Aortic Aneurysm e-Hyderabad nakwezinye izikhungo zethu. Sihlose ukuletha imiphumela engcono kakhulu kanye nesevisi yekhwalithi ephezulu kakhulu ngomzamo ogxile welungu leqembu ngalinye.