Anortic aneurysm inobhururuka yeaorta , iyo arteri huru inofamba kubva pamwoyo kunopa muviri wose. Nzvimbo yakakurumbira ye aneorysm aortic ndiyo mimba. Aortic aneurysms inogona kuparara, inotungamirira kukanganisa kweropa nekufa. Kana ukawana kurapwa nokukurumidzira, chirongwa chekugadzirisa chirwere chinogona kuponesa hupenyu hwako. Anortic aneurysm iyo inoonekwa kuti isati yasvika inogona kugadzirwa chirongedzere, nekutaura kwakanaka.
Zviratidzo
Anortic aneurysm inogona kubudisa zviratidzo kuti wax uye inopisa isati yabhururuka. Kakawanda, apo aneorysm aortic inokura, zviratidzo zvinotanga kutanga kwekutanga kana kuti kuipa. Zviratidzo zvinogona kuva chiratidzo chokuti kuparara kunowanzoitika. Zviratidzo zvekuputika aortic aneurysm zvinoshamisa, uye inofambira nokukurumidza, pamusoro pemakore mashoma. Kazhinji yenguva, aneurysm aortic ichaparara pasina chero zviratidzo zvisati zvaitika.
Iyo aorta ihombe huru yeropa inobva pamwoyo kutakura ropa reokisijeni kumuviri. Mishonga yakawanda yakawanda inobva paaorta. Iyo nzvimbo mbiri apo aortic aneurysm inonyanya kuitika iri muchikamu chemuviri cheaorta, iyo iri shure kwechizvaro, uye chikamu chetachiona che aorta, chiri kumashure kwembambo.
Zviratidzo zveMadzimai Aortic Aneurysm
Chikamu chepamuviri che aorta ndiyo nzvimbo inowanikwa yakawanda pane aortic aneurysm, uye rudzi urwu rwe aneurysm, mudumbu reaortic aneurysm, rinowanzotumidzwa seAAA.
Zviratidzo zvingave zvisinganzwisisiki, kana pangave pasina zviratidzo zvachose zvisati zvaitika.
- Kushungurudza kumashure pakati pekumucheto chikamu chemashure
- Kusuruvara kwepamuviri uye kusagadzikana
- Kukurira pfungwa mukati mamuviri
Zviratidzo zveTraracic Aortic Aneurysm
A thotic aortic aneurysm ndiyo chikamu cheaorta chachangobva kubva pamwoyo, uye chiri mubhokisi.
Sezvo neAAA, zviratidzo zvinogona kuva zvisinganzwisisiki kana kuti zvingave zvisina zviratidzo zvisati zvapera.
- Chipfuva chepfu
- Kutambudzika shure
- Kupfupika kwemhepo
Zviratidzo zveRuptured Aortic Aneurysm
Apo anortic aneurysm inopera, zviratidzo zvinogona kufambira mberi nokukurumidza. Zviratidzo zvinowanzoonekwa zve aortic aneurysm rupture hazvirevi zvakangofanana neaya asina kuputsika aneorysm aortic, kunyange zvazvo kurwadziwa munharaunda ye aneurysm kunogona kuitika.
- Kuyeuka, chizivi uye chiratidzo chisina kunaka
- Utera hwakasimba
- Bhokisi rakakura, mimba kana kurwadziwa shure
- Kurasikirwa kwekuziva
Zviratidzo zveAortic Aneurysm Inobatsira Zvimwe Zvisikwa
Ropa rinogona kuumba mukati me aneorysm aortic. Kana izvi zvipfeko zveropa zvichipfuurira uye zvichienda kune dzimwe nzvimbo dzomuviri, zvinogona kukonzera kukanganisa kwemuviri, zvakadai sitiroko , kupererwa kwepvo kana kuora mwoyo. Zviratidzo zvakasiyana uye zvinogona kusanganisira kurwadziwa kwechifuva, kurasikirwa kweropa uye ropa mumuguta.
Zvinokonzera
Anortic aneurysm inogona kukura apo masvingo e-aorta anova asina simba. Izvi zvinogona kuitika munguva yakawanda sechikonzero chezvirwere nemamiriro ezvinhu anowanzokonzera mishonga yese yeropa yemuviri, kwete chete aorta. Kushaya simba kweaorta kunokonzera kuputika, izvo zvinoguma nekugadziriswa kuputika kana ropa. Kuoma kwemuviri kweanirysm kune nhengo dziri pedo kunogona kubudisa zviratidzo zvinowanikwa, apo kurasikirwa kweropa kwekuneta kweanaurysm kunokonzera kuwedzera kukuvadza uye kutyisa mungozi.
Njodzi Zvikonzero Uye Zvinokonzera
- Kusvuta, nechokure, ndiyo inotungamirira ngozi kune aortic aneurysms. Vakasvuta vane kuwedzera kwemazana mashanu mumatambudziko aortic aneurysms kana vachienzaniswa nevasati vasvuta.
- Kukwegura: Aneorysms yeAortic haigoneki kune vanhu vasati vava nemakore makumi matanhatu.
- Murume wepabonde: Aortic aneurysms inowanzoitika zvikuru kune varume kupfuura vakadzi.
- Hypertension : Yenguva refu izwi rekushandiswa kweropa, kunyanya kana risina kutorwa, rinogona kuwedzera njodzi yekuwana aneurysm maitiro.
- Atherosclerosis : Kushungurudzika kwemariti, iyo inowanzokonzerwa neholesterol yakakwirira nehutachiona, inoita kuti aortic aneurysm inogadziriswa nekuita masvingo emharia asingagadzirwe uye anotowedzera kuderera.
- Nhoroondo yemhuri ye aortic aneurysm inokosha inowanzo ngozi
- Mamiriro ehutachiona: Zvipembenene zvinokonzerwa nehutachiona zvinogona kuwedzera mungozi ye aneorysm, nemhaka yekushaya simba kwemidziyo yeropa inokonzerwa nemamiriro aya. Marfan syndrome, Ehlers-Danlos syndrome, Takayashu's arteritis, bicuspid aortic valve, Loeys-Dietz chirwere, mhuri dzinonzi thoric aortic aneurysms, uye zvirwere zvepurocystic zvinetso zvese zvinowedzera ngozi yeaortic aneurysms.
- Kutambudza: Trauma kumimba kana chifuyo kunogona kuita kuti aortic aneurysm ikure kana kuparara.
Njodzi Zviitiko zveRupture
Hazvisi nyore kufanotaura kana ane aneirysm aortic ichaparara. Zviratidzo zvinowedzera, hukuru hukuru kana kukura kwehukuru hwe aneurysm, uyewo uchapupu hwekufamba kwenguva pfupi pakuongorora kwekufungidzira, zvose zvinoratidza kuwedzera kwekuparara. Kuchinja kukuru kweropa, kana zvirwere zvakakomba, zvinogona kuwedzera mikana yeaortic aneurysm rupture.
Kuziva
Mavambo ekutanga aortic aneurysm inowanzokonzerwa nekuparara, uye kuparara kunogona kuuraya. Kana uine aortic aneurysm aneurysm, mhinduro yako ichava yakanaka kana aneurysm inowanikwa musati yatanga zviratidzo.
- Kuongorora: Zvizhinji zvinotanga kupera aortic aneurysms zvinoratidzwa apo vanhu vanotongwa kuti vari pangozi yakawanda vanonyatsoongororwa, kunyange kana pasina zviratidzo kana zviratidzo pakuongorora mumuviri. Iyo US Preventative Services Task Force yakagadzira mazano ekuratidza aneortic aneurysm kuongorora makore, zvepabonde, uye fodya nhoroondo.
- Kuongorora kwepanyama: Kuwanda kwepamuviri, iyo nzvimbo yakakura yekufema mukati mudumbu, inogona kuonekwa nekuongorora mumuviri munenge 33% yevanhu vane AAA. Nemhaka yekuti mudziyo weropa unotova wakaoma kunzwa kana iwe une aneurysm yehutachi, chiziviso panguva yekuongorora kwemuviri kunonyanya kuderera kune ane simba re thoracic.
- Chifukidzo che-X-ray: Chifukidzo X-ray haisi kazhinji kuongororwa kunoitwa nachiremba wako kana uri pangozi ye aneorysm. Zvisinei, aneurysm dzakawanda dzinotanga kuonekwa neine chiito chechifukidzo che X-ray icho chingangodaro chakanga charairwa kwechimwe chikonzero kunze kwekuongororwa kwe aneorysm aortic.
- Ultrasound yekudzidza : An ultrasound rudzi rwekudzidza runogona kuona kusakanganiswa kwekushanduka kwemhepo uye chimiro chechimiro chemuviri. Dzidzo dze Ultrasound dzinofungidzirwa zvikuru kunyanya pakuonekwa kweaortic aneurysms. Iyo yakachengeteka uye inokurumidza kuongororwa kuongororwa, zvichiita kuti ibatsire mumamiriro ezvinhu anokurumidza zvakare.
- CT scan: Chimwe chidzidzo chekufungidzira, CT scan, chinogona kuona kuchinja kwechimiro cheaorta, uye chinogona kubatsira mukugadzira chirongwa.
- MRI scan: An MRI, yakafanana neC CT, inofanirwa kuongorora kufungidzira kunogona kuona kusagadzikana kwemaatomu. Zvichienderana nezvakataurwa nezvine aneurysm, MRI kana CT ingasarudzwa kuti uongorore aorta yako.
Kurapa
Kana wakamboudzwa kuti une aneorysm, iwe uye chiremba wako uchafanira kusarudza nzira yakanakisisa yekurapa . Nzira mbiri dzekutarisira aneurysm dzinosanganisira kugadzira chirongwa chokudzivirira kuparara, kana kunyatsoongorora nguva. Kumwero mukuru, chisarudzo ichi chichatsigira pane inofungidzirwa kuti nguva yako ine aneurysm ichaputsika, uye pamwero wako unofungidzirwa kubva pakuvhiyiwa.
Mukana wekuti aortic aneurysm ichaparara inowanzoenderana nezvinhu zviviri: ukuru hweineurysm, uye chiyero chekukura. Urefu hweanorysm aortic inofungidzirwa kuti ndiyo inonyanya kuratidza dambudziko rekuparara uye inogona kuyerwa nekuedzwa kwe ultrasound, CT scan, kana MRI. Aneurysms yakareba kupfuura masentimita mashanu muhupamhi mune varume, kana kuti kupfuura ma2 cm mumadzimai, inowanzoparara kupfuura madiki aneurysms. Kana zviyero izvi zviyero zvakakosha zvasvika, pangozi yekuparara inopfuura 40% pamakore mashanu, uye chirwere chinowanzokurudzirwa. Pasi pemiganhu iyi, pangozi yekuparara inogona kuva pedo nehuwandu hwehutambudziro kubva pakuvhiyiwa, saka kuvhiya hakugoni kukurudzirwa.
- Kugadziriswa kwekugadzira: Kugadziriswa kweanerysm kunoda nzira yekuvhiya. Kune nzira dzakawanda dzekugadzira kushandiswa, kusanganisira izvo zvinotumidzwa kugadziriswa kwakasununguka, uye imwe nzira, iyo yekugadzirisa endovascular. Chiremba wako achagadzirira nzira yako kuti akupe mukana wepamusoro wekugadzirisa kugadzirisa uye kuchengeteka kupora pamwe nematambudziko mashomanana sezvinobvira.
- Dambudziko rekuvhiya: Vanhu vazhinji vane aortic aneurysms vane zvimwe zvinetso zvepfungwa zvinokonzerwa nemakore uye zvipingamupinyi, saka njodzi yekugadzira yakagadzirwa kazhinji haisi duku. Nenzira yakawanda, njodzi yokufa kubva pakuvhiya inowanzoita ne5% kana kudarika, asi njodzi yekuvhiyiwa inofanira kunyatsoongororwa kune mumwe nomumwe.
- Kutevera: Kana kuvhiyiwa kusingakurudzirwi, saka kuongororazve nguva dzose kwehukuru hwe aneurysm inofanira kuitwa. Kana aneurysm inokura muhupamhi nehuwandu hunopfuura 0.5 cm mugore, njodzi yekuparara yakakwirira kwazvo-uye chirwere chinowanzokurudzirwa kunyange kana huwandu hweine aneurysm huchiri pasi pe 5.0 kana 5.5 cm.
Mushonga weAortic Aneurysm Rupture
Anortic aneurysm rupture ndeyekukurumidzira kushanda. Kana izvi zvikaitika kwamuri kana mudiwa, kunyatsogadziriswa kwehutano nekugadzirwa kwekugadzira kunodiwa. Mukuwedzera pakugadzirisa kweanairysm, kurasikirwa kweropa kudarika uye kushanda kune dzimwe nhengo kunofanira kutarisirwawo zvakare.
Kudzivirira
Anortic aneurysm inowanikwa kana iwe une zvimwe zvipingamupinyi. Zvimwe zvezvipingamupinyi zvinokonzera, zvakadai sezera uye maitiro ezvakaberekwa, hazvisi kudzora. Zvimwe zvinokonzera ngozi, kune rumwe rutivi, zvinogona kugadziriswa kana kudzorwa, izvo zvinoderedza zvikuru mikana yako yekuvandudza aneorysm aortic .
Zvimwe zvematanho aungatora kuti uderedze njodzi yako dzinosanganisira:
- Usasvuta: Kusvuta ndiro chinhu chikuru chinokonzera zvirwere zvose zvevascular, kusanganisira aneorysms aortic. Nzira chete inobatsira yekuderedza kukanganisa kunokonzerwa nokusvuta ndiko kurega kusvuta.
- Kudzora ropa yeropa: Kuwedzera kweropa yepamusoro inobatsira zvikuru kune zvirwere zvevascular, nekuchengetedza kuratidzira kwemazuva ose nekushandisa kwekudya, kushandiswa kwepfungwa, kana mishonga kunoderedza mikana yako yekuvandudza aortic aneurysm.
- Chengetedza cholesterol yako: High cholesterol inotungamirira kune atherosclerosis, iyo iri kuoma kweyeriyo. Atherosclerosis ndechimwe chezvikonzero zvinokonzera aortic aneurysm. Kune nzira dzakasiyana dzekuderedza high cholesterol mazinga. Mishonga inoverengeka inogona kuderedza cholesterol, uye kudya kweheathy iyo yakakwirira mufiber uye yakaderera mumafuta asina kunaka uye inogona kuderedza cholesterol kune vamwe vanhu.
- Tsvaga rubatsiro rwechiremba nguva dzose: Kuchengetedza kushanya kwako kwechiremba nguva dzose kunokosha. Chiremba wako angaona kuti unogona kunge uri pangozi yekuve ne aneorysm, uye iwe unogona kuongorora kuongorora. Uyezve, kana iwe uchiramba uchishanyira kurapa, nyaya dzinogona kuwedzera njodzi yako yeaortic aneurysm, yakadai sehupemheta uye high cholesterol, inogona kuonekwa nekurapwa kare.
Shoko Rinobva
Aortic aneurysm rupture ndiyo chiitiko chikuru cheupenyu chinogona kukonzera rufu. Aortic aneurysms kazhinji haisi kukonzera zviratidzo, izvo zvinoita kuti kuongororwa chinhu chinokosha chekuchengetedza hutano, kunyanya kana uine mungozi dzakadai sekusvuta, kukwegura, hypertension uye atherosclerosis.
Kana iwe une aneorysm aortic, chisarudzo chekuti iwe unoda kugadziriswa, uye tsanangudzo yehutano wacho pachayo inoda hukuru hwekukurukurirana nechiremba chechirwere chechirwere. Kuvhiyiwa kunofungidzirwa kuti ndiyo nzira huru, uye mushure mekugadzirisa, vanhu vakawanda vane chigumisiro chakanaka uye havaoni kuputsika aortic aneurysm.
Kana iwe kana mudiwa wako ari kupora kubva pakaputsika aortic aneurysm, iko kugadzirisa kunotora nguva, uye kunogona kunge kune nguva yakareba inogadzirisa yako aortic aneurysm kuparara.
> Sources:
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> Cury M, Zeidan F, Lobato AC. Aortic chirwere mudiki: genetic aneurysm syndromes, zvinokonzera mishonga yehutachiona, uye zvirwere zvemhuri zvakasiyana-siyana uye kupesana. Int J Vasc Med. 2013; 2013: 267215. doi: 10.1155 / 2013/267215. Epub 2013 Jan 14.
> Ullery BW, Hallett RL Fleischmann D. Epidemiology uye mazuva ano masimba emimba aneurusms aneurysms. Abdomin Radiol (NY). 2018 May; 43 (5): 1032-1043. doi: 10.1007 / s00261-017-1450-7.