I-Aneurysm

Ukwelashwa Kwe-Aneurysm e-Hyderabad, India

I-aneurysm iqhuma emithanjeni yegazi ebangelwa ukucindezela okukhulu. I-aneurysm eqhumayo ingaba yingozi. 

Ngaphezu kokulungiswa kwe-endovascular aneurysm, Izibhedlela ze-CARE zenze ukwelashwa okuningi kwe-aneurysm e-Hyderabad ngendlela engcono kakhulu. Ukwelashwa kwe-aneurysm engenele kancane kunikezwa lapha ngochwepheshe abanamakhono futhi abanolwazi oluningi. Ezibhedlela ze-CARE, ungathola; 

• Izindlela zokwelapha ezintsha: Sisebenze iminyaka eyishumi ukuze siqonde izimbangela ze-aneurysms futhi sizame ukuthuthukisa izindlela zokwelapha ezintsha. 

• Imiphumela yokunakekelwa kwethu mihle kakhulu: Njalo ngonyaka, selapha iziguli ezingaphezu kuka-150 ezine-aortic aneurysm disease. Abaningi babo badinga ukwelashwa okuyinkimbinkimbi kakhulu. 

• Iziguli ezibhedlela ze-CARE zithola ukunakekelwa komuntu siqu odokotela abahlinza imithambo yegazi. Ubungozi kanye nezinzuzo zokwelashwa uchazelwa wena ngokuningiliziwe futhi silalela ngokucophelela okushoyo.

• Umbono wesibili usengatholakala emsebenzini wethu wokuhlinzwa kwemithambo ngisho noma uye wahlolwa kwenye indawo. Umgomo wethu uwukusiza wenze isinqumo esinolwazi mayelana nokwelashwa kwakho kwe-aneurysm. 

Izinhlobo ze-Aneurysms

I-Aneurysms ingahlukaniswa ngezinhlobo ezintathu:

• I-Brain aneurysms - kwenzeka ngenxa yemithambo ebuchosheni iba buthaka futhi iqhume ngaphezu kwe-aorta.

• I-Thoracic aortic aneurysms - Lezi zenzeka engxenyeni ye-aorta edlula esifubeni.

• I-Triple-A aneurysms ye-aorta yesisu yizona ezivame kakhulu. I-aorta iyaphuka lapho umfutho wegazi ukhuphuka odongeni lwayo.

Ezimweni eziningi, ama-aneurysms ayenzeka ku-aorta, kodwa angenzeka kunoma yimuphi umthambo wegazi. Izinhlobo zama-aneurysms esiwaphathayo zihlanganisa:

• I-aortic aneurysm yesisu (AAA): Iqhubu ku-aorta eligijima esiswini.

• I-Thoracic aortic aneurysm (TAA): Yenzeka ku-aorta ekhuphukayo yesifuba ngezinye izikhathi ehambisana nokuphazamiseka kofuzo.

• I-thoracoabdominal aneurysm yenzeka esigabeni se-aorta esisuka esifubeni siye esiswini, sithinta zombili izindawo.

• I-Mesenteric kanye ne-renal aneurysms: Izifo zemithambo yegazi ezithinta amathumbu nezinso futhi zibangele izindawo ezibuthakathaka noma amaqhubu emithanjeni ehambisa igazi kulezo zitho.

• I-Aneurysms ye-femoral and popliteal arteries zenzeka ngaphakathi kwethanga (umthambo wesifazane), idolo noma ithole (umthambo we-popliteal).

• Ama-aneurysm obuchopho amaqhuqhuva noma amabhaluni emithanjeni yobuchopho. 

Izinkinga ze-Aneurysm 

I-Aneurysms ingavela ngokuzalwa noma ithuthuke kamuva ekuphileni. Nakuba imbangela yangempela ingacaci kahle, izici ezingenzeka zihlanganisa:

• I-Atherossteosis (ukuncipha kwemithambo yegazi)
• I-predisposition yomndeni
• umfutho ophakeme wegazi
• Ukuhlukumezeka kwe-aortic

Izimpawu ze-Aneurysm 

Izimpawu ze-aneurysm zingahluka kuye ngendawo yayo nosayizi. Nokho, ezinye izimpawu ezivamile zingase zihlanganisa:

• Ngokungazelelwe, ikhanda elibuhlungu
• Ubuhlungu endaweni ethintekile, njengesisu, isifuba, noma umhlane
• I-nausea nokuhlanza
• Isiyezi noma ikhanda elikhanyayo
• Ukuzwela ukukhanya
• Ukubona okufiphele noma okukabili
• Ubunzima bokukhuluma noma ukuqonda inkulumo
• Ubuthakathaka noma ukukhubazeka ohlangothini olulodwa lomzimba
• Pulsating mass esiswini

Ukwelashwa nokuhlinzwa kwe-Aneurysm

I-Aneurysms ayidingi ukulungiswa ngaso sonke isikhathi ngokuhlinzwa. Ungase udinge ukuskena okuvamile ukuze ugade ukukhula kwe-aneurysm.

Ukwelashwa kwe-endovascular cishe kuzosetshenziswa uma udinga ukwelashwa kwe-aneurysm. Kulabo abangafaneleki ukuhlinzwa okuncane okungavamile, senza ukuhlinzwa okuvulekile. Indlela yethimba lezinhlaka eziningi isetshenziswa lapho i-aneurysm ihilela ubude obude be-aorta.

I-EVAR (Endovascular Aneurysm Repair)

Ngezithombe ze-X-ray njengeziqondiso, odokotela bethu abahlinzayo bangakwazi ukulungisa i-aneurysm ngaphakathi kwemithambo yegazi.
(Iziguli ngokuvamile zihlala esibhedlela ubusuku obubodwa kuphela obulandela i-EVAR. Ngemva kwe-EVAR, uphuma esibhedlela unomphela phakathi nezinsuku ezimbalwa. Ungakwazi ukuqalisa kabusha imisebenzi yakho evamile phakathi namaviki amabili noma amathathu.)

I-FEVAR (I-Fensavascular Aneurysm Repair)

I-Aneurysms ye-aorta yesisu eseduze nemithambo yezinso ingelashwa kusetshenziswa le nqubo. 

(Ngenxa yalokho, i-stent evamile ingavimba ukugeleza kwegazi ezinsweni. Kunalokho, sisebenzisa ama-stents enziwe ngokwezifiso. I-stented graft inezimbobo ezincane ezibizwa ngokuthi ama-fenestrations. Lezi zimbobo zibekwe ngendlela efanele ukuvimbela i-aneurysm ukuthi ingaqhume noma ikhule kuyilapho ivumela igazi ukuthi ligeleze ezinso zakho.)

I-TEVAR (Ukulungisa I-Thoracic Endovascular Aneurysm)

Ama-aneurysms e-aorta akhuphukayo kanye nokuhlakazeka kuphathwa nge-TEVAR. 

I-TEVAR stent isetshenziselwa ukwelapha ama-aneurysms noma izinyembezi ku-aorta. Ukulungisa kuvala noma kuvimbela ukugqabuka kwe-aorta ngokuphambukisa ukugeleza kwegazi futhi kuvumela i-aorta ukuthi ilulame. 

(Esikhundleni sokufaka i-catheter ku-groin yakho, udokotela wethu ohlinzayo angase akhethe ukuyifaka emithanjeni yegazi esihlakaleni ukuze afinyelele ingxenye ebuthaka ye-aorta ekhuphukayo.) 

Ukulungiswa Kwe-Aneurysm Ngokuhlinzwa Okuvulekile

I-Aneurysms ayikwazi ukulungiswa kusetshenziswa amasu e-endovascular kwezinye iziguli ngenxa ye-anatomy yazo ngayinye noma izifo ezithinta i-collagen (izicubu ezixhunyiwe). Ezimweni ezinjalo, senza ukulungisa i-aneurysm evulekile. 

Esikhathini esidlule, ukulungiswa kwe-aneurysm evulekile kuye kwenziwa odokotela abahlinzayo. Njengoba sebelaphe iziguli eziningi kangaka, sinodokotela abahlinza imithambo abanolwazi olunzulu kanye nochwepheshe ekulungiseni okuvulekile. Ngokuvamile, uhlala esibhedlela izinsuku ezinhlanu kuya kweziyisikhombisa ngemva kokuhlinzwa okuvulekile kwe-aortic aneurysm. Ube usululama ekhaya futhi isikhathi sokululama singamaviki amane kuya kwayisithupha.

Ukuxilongwa kwe-Aneurysm

I-Aneurysms ihlala ingabonwa ezimweni eziningi. Ukuxilongwa kwe-aneurysm ngokuvamile kusekelwe emlandweni, ukuhlolwa, nophenyo lwezokwelapha. I-Aneurysms ngezinye izikhathi ingatholwa ngengozi phakathi nophenyo ngezinye izizathu.

Ngokuvamile akunconywa ukuthi uhlole wonke umuntu. Nokho, kunconywa ukuhlolwa kwabesilisa abaneminyaka ephakathi kuka-65 kuya ku-75, abahlale bebhema. 

I-aneurysm ayikwazi ukutholwa ngokuhlolwa okujwayelekile. Ukuze uhlole i-aneurysm ngokuphelele, udokotela wethu angayala: 

• I-Ultrasound iyindlela engahlanyisi esebenzisa amaza omsindo ukukhiqiza izithombe ze-aorta yakho.

• I-X-ray yesifuba isetshenziselwa ukuhlola inhliziyo nesifuba futhi iveze ama-aneurysms.

• I-Transthoracic echocardiography (TTE) iyinqubo yokuthwebula yezokwelapha esebenzisa amaza omsindo ukudala izithombe zenhliziyo yakho ne-aorta.

• I-transoesophageal echo (TEE) inikeza izithombe zenhliziyo yakho ne-aorta ngokusebenzisa induku efakwe kummizo wakho (ishubhu elixhuma umphimbo wakho nesisu sakho).

• I-MRI ne-CT scan zenza izithombe ze-2D neze-3D ze-aorta yakho nemithambo yegazi.

I-Aneurysm Risk factor

Imikhuba ethile yokuphila kanye nezici zomzimba zingaphakamisa amathuba okuthuthukisa i-aneurysm:

• Ukubhema ugwayi: Phakathi kwezici ezihlukahlukene eziyingozi, ukubhema kugqama njengokuvame kakhulu, ikakhulukazi mayelana ne-aortic aneurysms yesisu (AAA). Akugcini nje ngokukhuphula amathuba okuba nezinkinga zenhliziyo nemithambo yegazi kanye nokuthuthukiswa kwe-aneurysm kodwa futhi kwandisa ingozi yokuqhekeka kokwakheka kwe-post-aneurysm.
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme): Umfutho wegazi ophakeme ungenye ingozi ebalulekile ehlobene nokwakheka kwe-aneurysm.
• Ukudla okungenampilo: Ukukhetha okungalungile kokudla kunomthelela engcupheni yokuthuthukisa ama-aneurysms.
• Indlela yokuphila yokunganyakazi: Ukuntuleka kokuzivocavoca umzimba kungandisa nokuba sengozini yokukhula kwe-aneurysm.
• Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile noma ukukhuluphala kuhlotshaniswa nengozi ephezulu yokuvela kwe-aneurysm.

Ukwesekwa kwezibhedlela ze-CARE:

The CARE Izibhedlela unikeze ukunakekelwa okukhethekile, okukodwa kokwelashwa kanye nezimo eziphuthumayo ezigulini ezinezimpawu ze-aneurysms. Kunikezelwe ekuhlinzekeni ukuxilongwa okungcono kakhulu, ukwelashwa, ukunakekelwa, kanye nemiphumela. Iziguli ngokuvamile zizobona uchwepheshe ofanele ngesikhathi esisodwa sokwelashwa kwe-aneurysm e-Hyderabad ngesikhathi esingcono kakhulu, kunokuba zibuyele izikhathi eziningi ezihlukene nochwepheshe abahlukene.