Anortic aneurysm inoshandiswa munzvimbo yeaorta, iyo nhengo huru mumuviri. Chikonzero chikuru chinoonekwa sechinetso ndechekuti dzimwe nguva aneurysms inogona kuparara, zvichiita kuti kuve nekubuda ropa kunopisa. Zvisinei, zvimwe zvinetso zvakakomba zvinogonawo.
Kazhinji kazhinji, aneorysms aneurysms inobudirira zvishoma nezvishoma, pamusoro pemakore emakore, naizvozvo usazombokura kusvika pakuonekwa kuti kuparara kunogona kuitika.
Aneirysms akadaro haawanzoiti zviratidzo.
Zvisinei, pane dzimwe nguva, aneurysm inogona kukura zvakanyanya nokukurumidza uye ikava yakakura chaizvo, zvichiita zviratidzo. Zviratidzo izvi chiratidzo chokuti kuparara kuri kuwedzera. Apo anortic aneurysm inoparadza dambudziko rekufa zvakanyanya-kunyange kana chirwere chinokurumidza chinogona kuitwa. Nokuda kwechikonzero ichi, vanhu vane aneorysm vanoda avharesi yepamusoro kuitira kuti kuvhiwa kunogona kuitwa nenzira dzakanaka kusati kwapera kuitika.
Saka, zvakakosha zvikuru kuziva kana aortic aneurysm iri kukonzera zviratidzo. Vanachiremba vanofanira kuita nekukurumidza kana chero murwere ane njodzi zviitiko zve aortic aneurysm inotsanangurawo zviratidzo zvinogona kukonzerwa neanorysm yakadaro. Vanhu ava vanofanira kuongororwa pakarepo. Uye vanhu vakaonekwa kuti vane aortic aneurysm shoma kana mashizha, uye vari kuongororwa nokuda kwayo, vanoda kuziva zvipi zviratidzo zvekutsvaga uye kuzivisa zviratidzo zvakadaro kune chiremba wavo pakarepo.
Mhando dzezviratidzo
Zviratidzo zvinokonzerwa ne aneorysm aortic inotenderera, pane imwe nzvimbo, kana iri thoracic aortic aneurysm kana mudumbu reesorys aneurysm.
Iyo aorta haisi yega yakawanda yemudziyo wemudziyo mumuviri, ndiyo yakareba kupfuura imwe. Inotanga pa "pamusoro" yemwoyo kuitira kuti apo mwoyo unoramba ropa kubva kuruboshwe kuruboshwe uye kuruboya aortic valve muAorta, ropa rinoyerera kumusoro, rinotarira musoro.
Chikamu ichocho chekutanga che aorta chinonzi kukwira aorta (sezvo inotungamirira ropa kumusoro).
Pamusoro pebhokisi, pasi pehuro, aorta inoita U-kureva-iyo inonzi inonzi arch ye-aorta-uye inobva ichitsika pasi pamwe nomukomana, kuburikidza nebhokisi uye ipapo mudumbu. Izvi zvinonzi kuburuka aorta.
Pamwe chete nehurefu hwayo hwose, aorta inopa mitsipa yakawanda yeropa iyo inopa musoro, maoko, thorax, uye nhengo dzemimba. Pakupedzisira, mudumbu rezasi the aorta inoparadzanisa mumatare maviri ayaac, anoramba achipa mitsika.
An aneirysm inogona kukura chero ipi zvayo pamusana pechikoro che aorta. Kana aneurysm iri pamusoro peiyo diaphragm (kufema kufema mumucheto wesimbi) inonzi thoracic aortic aneurysm. Kana iri pasi pechidimbu, inonzi chirwere chemucheche aneurysm. Inenge 40 muzana yeanorysms ane aortic inonzi thoracic, uye 60 muzana yemimba.
Thoracic Aortic Aneurysm Zviratidzo
An ane shumiro yeimwe yakakwira aorta, the aortic arch, kana kuburuka kweaorta pamusoro peiyo diaphragm inonzi thoracic aortic aneurysm. Sezvakaita chero aortic aneurysm, izvi zvinowanzotanga zvishoma uye zvishoma nezvishoma. Kana ikava yakakura zvakakwana se thoracic aortic aneurysm inogona kukonzera mhando dzakawanda dzezviratidzo, zvichienderana nenzvimbo yayo uye pane dzimwe dzimba dzemuviri dzingatanga kuisa pinge.
Izvi zvinogona zviratidzo zvinosanganisira:
- Chipfuva chepfu. Marwadzo emapfupa anokonzerwa neanorysm aortic inowanzobatanidzwa nekwenyuka kunokwira, kana kuti aneurysm inobata chirevo. Urwu rworufu rwepfuva, mukusiyanisa kunowanzofananidzira angina , kazhinji harukanganisi zvakananga nekushingaira.
- Kutambudzika shure. Kushungurudza kumashure kunokonzerwa ne thoracic aortic aneurysm inowanzoonekwa pakati pemapfudzi, kana zvishoma. Inowanzoitika ne aneurysm yekuburuka kwe thoracic aorta.
- Hoarseness. Kuwedzera kwekwenyuka kweaorta kana kuti aortic arch kunogona kukanganisa kazhinji kemajoka eryry, iyo inopa mazwi ezwi. Izvo zvinokonzera kuti tambo yezwi inokonzera kuora mwoyo inogona kutungamirira kuhupenyu.
- Cough . An aneirysm yeakakwira aorta kana kuti arch inogona kumira pamhepo, kubudisa kukora.
- Dyspnea (kukurumidza kufema). Nezvikonzero zvakafanana, aneirysm yeakakwira aorta kana arch inogona kukonzera dyspnea .
Abdominal Aortic Aneurysm Symptoms
Chibereko chemuviri chinonzi aortic aneurysm hachina kukonzera zviratidzo kupfuura thoracic aortic aneurysm nokuti pane kazhinji "nzvimbo" mumimba yeanerysm kukura zvisati zvaitika kune dzimwe nhengo dzomuviri. Kana zviratidzo zvikaitika, zvinowanzoratidza kuti aneurysm yakakura uye / kana iri kukura nokukurumidza. Zviratidzo izvi zvinosanganisira:
- Kutambudzika shure. Kutambudzika kwemuviri kubva kumimba kweanoramita aneurysm kunonzwika muchikamu chezasi chemashure, pasi pemutsara.
- Kusuruvara kusina pamuviri. Chibereko chemuviri chinonzi aortic aneurysm chinogona kubereka kusuruvara kwakadzika, kusingagumi, kurwadziwa, kana "kuzara" mumimba.
- Ikunzwa kunotyisa. Kana dumbu re aneorysm rineurysm rakava rakakura zvakakwana, rinogona kubvisa kutsvaira kunoshungurudza munharaunda yevheji.
Matambudziko
Kana isingatauri, zvinetso izvi zvinogona kuitika.
Rupture
Iyo huru uye nechokupedzisira kushungurudzika kunotyisa kune imwe aortic aneurysm inoparara. A ruptured aneurysm inowanzova dambudziko, zvichiita kuti kubuda mukati kunobva mukati. Zviratidzo zvekuparara zvinotanga nekurwadziwa kamwe kamwe mubhokisi kana shure, zvakateverwa nokukurumidza nemapapa , kushaya simba kwakanyanya, uye kuchena , kutyisa , nekurasikirwa kwekuziva.
Kuwira kwepfungwa kunowanzokurumidzira zvokuti, kunyange kana kuedza kunogona kuitwa kugadzira chirwere, kuparara kunowedzera zvakanyanya. Kana aortic aneurysm ichizogadziriswa kubudirire, chirwere ichi chinowanzoda kuitwa zvakanakisisa kusati kwaitika.
Aortic Dissection
Aortic dissection inobhururuka mumucheka we aorta, iyo inogona kuitika munzvimbo ipi neipi yeutera muusvingo rwe aortic. Ropa rinoyerera rinogona kupinda mumabvudziro, nokudzivisa kukanganisa zvikamu zveurongwa we aortic. Apo kuputika kwakadaro kunowanzoitika, kazhinji kacho munhu anenge atambura achaona nekukurumidza, kwakanyanya, kupwanya kana kuputika marwadzo mubhokisi kana kumashure.
Izvo mukati mekubuda ropa uye muropa wezvakaipa zvinowanzokonzerwa nekuputika kunogona kukonzera kurasikirwa kwekuziva, kurohwa, kana zvimwe zvinokanganisa tsvina, chimiro chemuviri, kana kufa. Aortic dissection inogona kuitika kunyange kana pasina aortic aneurysm iripo, asi kuvapo kweine aneirysm kunoita kuti kusagadzikana kuwedzere.
Aortic Regurgitation
Rimwe dambudziko rinogona kuitika kubva kune aortic aneurysm inonzi aortic regurgitation (a leaky aortic valve). Izvi zvinogona kuguma kubva kune aneirysm yeakakwira aorta, pakarepo pamusoro pea valtic valve.
Kuwedzera kwakanyanya kweaorta munzvimbo ino kunogona kukanganisa aortic valve zvakakwana kuita kuti valve isabudirire. Vanhu vane zvinetso izvi vanowanzova nezviratidzo zvekare uye zviratidzo zveaortic kudzokerazve, kusanganisira dyspnea, kurwadziwa kwepfupa, palpitations, cardiac arrhythmias , uye mwoyo kusagadzikana .
Kazhinji, ndeye apo vanhu ava vari kuongororwa nokuda kwekuonekwa kwavo kweaortic zvakare kuti chikonzero chaicho chematambudziko-anokwira aortic aneurysm-inozivikanwa.
Ropa rinovhara
Mune zvimwe zviitiko, ropa rinogona kuumba mukati mechikamu chinoputika che aorta, uko kubuda kweropa kunowanzovhiringidzika uye nzvimbo dzekusimudzirana zvingagadzirwa. Ropa rakavhara mu-aorta rinogona kuvhara (kubvisa) uye kufamba kune chero nhengo chero ipi zvayo mumuviri, kazhinji kuunza kukanganisa kwakakomba.
> Sources:
> Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF / AHA / AATS / ACR / ASA / SCA / SCAI / SIR / STS / SVM Zvinyorwa Zvokuziva uye Kurapa Kwevarwere Vane Thoracic Aortic Disease: Bhuku reAmerican College of Cardiology Foundation / American Heart Association Task Force on Practice Mirayiridzo, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, uye Society for Vascular Medicine. Circulation 2010; 121: e266.
> Moll FL, Powell JT, Fraedrich G, et al. Kutungamirirwa Kwemimba Muchidimbu Aneorysms Clinical Practice Guidelines Of The European Society For Vascular Surgery. Eur J Vasc Endovasc Surg 2011; 41 Isa 1: S1.