Chikoro kana Coil?
Izwi aneurysm rinoreva kuwedzera, kana kuwedzera, kweropa rega. Bherry aneurysms, iyo inozivikanwawo seine aneurysms ye saccular, ibhaluni-yakafanana nokuputika kwetari muuropi. Rusvingo rwetari haruna simba mune zvinyorwa izvi, izvo zvinoreva kuti mune mamwe mamiriro ezvinhu, kufanana nehuwandu hwemagetsi (hypertension) , mudziyo wemadziro unogona kuputsa uye kubvumira ropa kuti riyerere mukati meharachnoid space pakati pearchnoid mater uyewo mater.
Ichi kubuda ropa, kunozivikanwa se- subarachnoid hemorrhage , kunogona kutungamirira kurufu kana kuremara kwakakomba.
Izvozvo zvakati, vanhu vazhinji vane mazamu ane berry asina kuputika. Kumbomira kwakaitwa kune vanhu vakafa nezvikonzero zvakasiyana-siyana kwakawanikwa kuti vanenge 5% yevanhu vane aneurysm yakadaro. Zvisinei, mumutambo chaiwo, vane aneurysm dzakawanda dzinowanikwa mushure mekunge chimwe chinhu chichiitika, sechirwere chemaharachnoid, chinotungamirira vanachiremba kutsvaga chikonzero.
Mushure mekudzivirira kwema-subarachnoid, pane dambudziko guru rekugadziriswa kubva panzvimbo inoputsika. Ropa rakadaro rinotakura zvakanyanya kufa. Vanenge 70% yevanhu vanorarama neineurysmal rebleeds. Nokuda kwechikonzero ichi, kutsungirira kwakadaro hakugoni kungosiyiwa yoga. Kugadziriswa kana kupindira kwemasumbu kunokosha.
Ndeapi Aneurysms Anoda Kurapa?
Hapana mubvunzo kuti kuputika berry aneurysm kunoda kurapwa, uye nokukurumidza, zviri nani. Dambudziko rekudzokorora rinokunda nguva pfupi mushure mekutanga kwemaharachnoid homorrhage.
Asi zvakadini kana kuongorora kwekufungidzira seMRI kuchiratidza aneurysm isina kumboputika? Inyanzvi yeuroyogurisi inoramba ichidiwa here? Mhinduro yacho inobva pane zvimwe zviitiko zve aneurysm.
- Kukura: Kukurukurirana kukuru kune mikana yekuparara. Zvisinei, kune dzimwe nharo pamusoro pekuti aneurysm yakakura sei inofanira kuratidzira kupindira sekuvhiya. Chimwe chidzidzo chikuru chinowanzotungamirira kurapwa chakaratidza cutoff yemamita mamita manomwe. Uyezve, kana uwandu hwacho huchikura, kurapa kunofanira kuonekwa.
- Nzvimbo: Aneurysms mune mitsetse iri kumashure kweuropi haisati yave yakajairika zvachose, asi ane ngozi yakakura yekupfuura kupfuura aneurysms pamberi peuropi.
- Pasi subchinochnoid hemorrhage: Dambudziko rakakura rekubuda ropa kune mumwe munhu atova neropa kubva kune rimwe rakasiyana aneurysm rinogona kuratidza mhepo dzisina simba dzeropa zvakakwana.
- Nhoroondo yemhuri: Saizvozvowo, vanhu vane mhuri yemanzwiro ekurwadziwa kunowanzove nokuputsika munguva duku uye pamaduku aneurusiki maduku, pamwe nekuda kwekuzvarwa nhaka yeropa. Vanhu vane vaviri kana kupfuura nhengo dzemhuri vane aneurysms vanofanira kufunga nezvekuongororwa kuti vaone kana vane vaneurysms ivo pachavo.
Zvichida kana kuti kwete kupindira kunonzi kudikanwa kunobva mukubatanidzwa kwezvinhu zvose zviri pamusoro. Pane zvinhu zviviri zvakakosha zvekupindira kwakadaro.
Neurosurgical Aneurysm Repair
Sezvo huwandu hwakawanda hwemakemikari huchitsvaira kubva mumudziyo mukuru sebhokisi, inogona kuve yakasarudzwa kubva kune imwe imwe mudziyo nekuisa simboti yakagadzika pamutsipa weaneirysm.
Mune nzira iyi, dhehenya rinovhurwa kuitira kuti neurosurgeon isvike muuropi uye inowana nzira yavo kuenda kumudziyo weropa. Pasinei nekuoma kwekuita kwakadaro, mune imwe chidzidzo, vanopfuura 94% varwere vaiva nemigumisiro yakanaka yekuvhiya.
Sezvinowanzova zvakadaro, mikana yehupenyu huri nani yakakwirira kana vashandi vezvechiremba uye vashandi vanowedzera vane ruzivo rwakanyanya nehutano.
Zvimwe zvinokonzerwa nehutachiona zvinosanganisira humwe hutano hwehupombwe kana kubuda ropa. Zvisinei, njodzi idzi dzinowanzoremberedzwa nemigumisiro inogona kukuvadza yea suborchnoid hemorrhage.
Endovascular Aneurysm Repair
Mukutanga kwema1990, chigadzirwa chakatangwa chakabvumira catheter shoma kuti idimbuke nemidziyo yeropa yemuviri kusvika panzvimbo yeine aneurysm, apo platinum makumbo akaiswa mugiyo re aneurysm. Zvivharo zvakagadzirwa zvakapoteredza mapepi aya, nokudaro kuisa chisimbiso kune aneurysm kubva kune imwe yose yomuviri.
Iyi nzira yehutachiona inopindira inowanzozivikanwa se "kuvhara," kunyange zvazvo nguva ichipfuura, dzimwe nzira dzokuisa mucherechedzo kubva kune aneurysms, dzakadai semapurymers, zvakare akazoshanda.
Muzhinji, migumisiro ye endovascular aneurysm kugadzirisa inofananidzwa nemamwe maitiro emagariro ekuchera maturo, asi izvi zvinosiyana. Mune rumwe ruzivo, kubika kwakabatanidzwa nemigumisiro iri nani kumashure kweuropi, uye kudonha kwaive nani mberi. Ukuru uye maitiro eineurysm anogonawo kugadzirisa zvisarudzo zvekurapa, sezvo mutsipa wakazara kana aneurysm yakakura haigoni kupindura zvakanaka kubata. Muzhinji, kuora kunoratidzika kuva nemigumisiro yakanaka kwazvo, kunze kwekuti kune mukana wakakwirira we aneurysm unodzoka mukopi pane kudonha.
Zvimwe zvikonzero, zvakadai sekuoma kwemhepo inokonzerwa nehutachiona uye hutano hwakakwana uye nguva yemurwere, inogonawo kuita basa mukugadzirisa nzira yekurapa aneurysm. Zvichida chinhu chinonyanya kukosha pakusarudza kana kutsvaira kana kuvhara aneurysm unyanzvi uye ruzivo rwevanyori vaizoita maitiro.
Sources:
Broderick JP, Brown RD Jr, Sauerbeck L, et al. Kukura kukuru kunowanikwa mumhuri kana zvichienzaniswa nevana vasingagadziriswi vasingatauri vane maitiro. Stroke 2009; 40: 1952.
McLaughlin N, Bojanowski MW. Matambudziko okutanga okuvhiya ane chokuita nekugadzirwa kwepikicha: kuongororwa kwechikonzero nemigumisiro yezvirwere. J Neurosurg 2004; 101: 600.
Wiebers DO, Whisnant JP, Huston J 3rd, et al. Kukanganiswa kusingagadziriswi kwakasimba: nhoroondo yepanyama, kliniki yekuguma, uye njodzi dzekuvhiya uye endovascular treatment. Lancet 2003; 362: 103.