Chinangwa che aortic aneurysm kurapwa ndekudzivirira kuputika (kuputika) kweropa rega. Nzira chete yekudzivirira kuparara ndeyekusarudza (yakarongwa kare) nzira yekuvhiya. Haasi munhu wose ane aneorysm inoda kuvhiyiwa, uye dzimwe nguva, kunyatsochenjerera ndiyo nzira yakanakisisa uye yakachengeteka.
Kurapa kwekuputsika aortic aneurysm inomhanyira isingagoni kurongwa mberi.
A ruptured aortic aneurysm chiitiko chinouraya kana chisina kurapwa pakarepo. Kunyangwe nehutano hwakanaka, hutachiwana hwekufa huwandu hwepamusoro.
Mishonga yeMusha uye Upenyu
Pane imwe nzira yehupenyu iyo yakaratidza kuti ine simba kune vane aortic aneurysms, uye iyo inosvuta. Izvi zvinoreva kuti kana iwe une aneorysm uye iwe utsi, kurega ndiyo chete mishonga yemusha yaunogona kugamuchira.
- Rega kusvuta: Kusvuta ndicho chakanyanya kukuvadza chinokonzera aortic aneurysm, uye vanhu vane kare vane aneorysm vane ngozi yakakura yokuputsika kana vachiramba vachiputa.
Zvinyorwa
Kudzora kwepamusoro-soro yeropa ndiyo nzira chete inogona kukwanisa kuderedza ngozi yekuparara kana une aortic aneurysm, uye kunyange izvi hazvirevi zvakasimba sesarudzo yekudzivirira.
- Anti-hypertensive medication: Kana une aortic aneurysm, kuwedzera kwepfungwa kunogona kuita kuti zviwedzere. Kune mishonga yakawanda yemishonga inobata chirwere cheupupuriro .
Surgery
Vanhu vakawanda vane aneurysms vane aortic vanoda kuva nekugadzira kusarudzwa kwekugadzirira kudzivirira kuparara. Chisarudzo chekuti iwe unoda kugadziriswa chakaoma uye chisarudzo chaunoda iwe pachako. Kana yako aortic aneurysm yakakura, kana iri kukura zvakakurumidza, kana kuti ichikonzera kurwadziwa kwepamuviri kana kumashure, kugadzira chiroro kunonyatsorudzirwa.
Standard Surgery
Nhamba, yakasununguka-incision aortic aneurysm kugadzirisa inzira inoshandiswa yekuvhiya, inoitwa pasi peanesthesia yakawanda. Kuvhiyiwa kunoda nguva yakareba, kubva pasi pezamu kusvika ku pubic. Mushure mekutora aneirysm, chiremba anovhiya anorta kuti avhare ropa, uye agadzirisa aneurysm. Iyo aorta inogadziriswa nekuisa chigadziro chekugadzirisa kuti chikatsire chikamu chetari yakabviswa.
Iko-post-operative nguva inowanzova yakaoma, uye kazhinji, inoda kugara muchipatara kwevanenge vhiki. Kuzadza zvakakwana kunowanzotora mwedzi mitatu kusvika kumitanhatu. Zvichienderana nemamwe mararamiro ako, uye nzvimbo chaiyo ye aneurysm yako, zvinetso zvakakomba zvinosanganisira itsvo, matumbo, makumbo, mwoyo, nemapapu zvinogoneka.
Endograft Repair
Kugadziriswa kwekugadzira magumo kune imwe nzira ye aortic aneurysm kugadzirisa.
An endograft is stent-covered covered stent that is inserted by a special catheter (tube). Iyo inowanzoiswa kuburikidza nevakadzikadzi yerari, ropa guru mumudziyo munzvimbo inomera. Iko kugogodza kunoenderera mberi kunzvimbo ye aneurysm uye inoshandiswa kuti ipe nzira itsva yekuyerera kweropa. Nenzira iyi, the aortic aneurysm haisi chirwere chinogadzirwa.
Inenge iri kure neropa rinoyerera mukati meaorasi. Nemhaka yokuti aneirysm haisati yambosvibiswa neropa, kuputika ndeyekuti haisi mungozi.
Muzhinji, kugadzira endograft kunorudzirwa kuvanhu vakawanda vane aneurysms. Zvisinei, zvichienderana nehutano hwehutano hwako, kugadziriswa kwekugadzira magumo kunogona kunge kana kusakwanisa kusarudza zvakanaka kwauri.
Izvo zvinetso zvekuvhiya kwakakwana zvinowanzoitika nguva pfupi mushure mekuvhiya, asi kunetseka nekugadzirisa endograft kunowanzoitika gare gare.
Zvinetso zvekugadzirisa endograft zvinogona kusanganisira:
- Endoleak: Kuyerera kweropa kupinda mune aortic aneurysm pachako hakugoni kuparadzwa zvachose ne endograft, saka anortic aneurysm inogona kuramba ichiwedzera, uye inogona kuparara.
- Kushandiswa kwedhidhiyo: Ichi ndicho chikonzero umo endograft inoshandura nzvimbo yayo mukati meaoras pane imwe nguva munguva mushure mekuvhiya. Kushambadzira kwedhidhiyo, iyo yakaratidzwa mune vanopfuura 10% yevarwere mushure mekugadzirisa endograft mune zvimwe zvidzidzo, zvinogona kukonzera zvinetso zvakakomba, kusanganisira kuparara kweaortic aneurysm, kunze kwokunge ichibata.
Emergency Treatment yaRuptured Aortic Aneurysm
Kana iwe wakaputsika aortic aneurysm, iwe uchada kudana 911 mukuchengetedzwa kwekukurumidza. Iwe haugoni kutora chero nguva yekumirira kunze kana kuongorora kana kukumbira rubatsiro, nokuti yese yechipiri yekukurumidza kunowedzera mikana yekufa.
Nenguva mushure mekuputika aortic aneurysm, kurapwa uye kurapwa kunotarisa kuronga matambudziko ehupenyu hwekutyisidzira, pamwe nekugadzirisa kweaortic aneurysm.
Kana iwe kana munhu waunoda akawana aortic aneurysm kupera, iwe unogona kunge uchida:
- Emergency aortic aneurysm kugadzirisa
- Kutsigira kwemoyo kunoshanda
- Kutungamira kwekurasikirwa kweropa
- Kutungamirirwa kwehutachiona kurasikirwa / kupera mvura
- Kutungamira kweeiyo basa
- Kukurumidzira kurapwa kwekuguma kwechimiro chemugumo, izvo zvinokuvadza kune imwe yenhengo dzako dzingaguma kuburikidza nekurasikirwa kweropa uye kushamiswa kwe aortic aneurysm rupture
> Sources:
> Fukui T. Management of acute aortic dissection uye thoracic aortic rupture. J Kunyatsotarisirwa. 2018 Mar 1; 6: 15. doi: 10.1186 / s40560-018-0287-7. eCollection 2018.
> Stiru O, Geana RC, Pavel P, et al. Kunyorera Thoracic Aortic Aneurysm Rupture Yakarongedzwa neTraracic Endovascular AorticRepair mu Murwere nePeriipheral Artery Disease. Heart S urg Forum. 2018 Mar 20; 21 (2): E112-E116. doi: 10.1532 / hsf.1895.
> Zabrocki L, Marquardt F, Albrecht K, Herget-Rosenthal S. Kuora kwepfungwa zvakanyanya mushure mekuberekwa kwemuviri aortic aneurysm kugadzira: ikozvino epidemiology uye zvinogona kudzivirira. Int Urol Nephrol. 2018 Feb; 50 (2): 331-337. doi: 10.1007 / s11255-017-1767-8. Epub 2017 Dec 11.