Abdominal aortic aneurysm

Iyo aorta ndiyo huru yeropa mudziyo inopa ropa kune dumbu, chiuno, uye makumbo. Dumbu aortic aneurysm inoitika kana nzvimbo yeortort ikave yakakura kwazvo kana mabharuni kunze.

Chikonzero chaicho cheineurysm hachizivikanwe. Izvo zvinoitika nekuda kwekushaya simba mumadziro eteri.Zvinhu zvinogona kuwedzera njodzi yako yekuve nedambudziko iri zvinosanganisira:

• Kusvuta
• Kuwedzera kweropa
• Varume bonde
• Majini

Dumbu aortic aneurysm inowanzoonekwa muvanhurume vanopfuura makore makumi matanhatu vane imwe kana zvimwe zvinenjodzi. Iyo yakakura iyo aneurysm, iyo inowanzoita mukana wekutyora kuvhura kana kubvarura. Izvi zvinogona kutyisidzira hupenyu.

Aneurysms inogona kukura zvishoma nezvishoma pamusoro pemakore mazhinji, kazhinji isina zviratidzo. Zviratidzo zvinogona kuuya nekukurumidza kana aneurysm ichiwedzera nekukurumidza, misodzi yakavhurika kana kudonhedza ropa mukati merusvingo rwechikepe (aortic dissection)

Zviratidzo zvekuputika zvinosanganisira:

• Marwadzo mudumbu kana musana. Iyo kurwadziwa kunogona kuve kwakanyanya, kamwe-kamwe, kuenderera, kana kugara. Inogona kupararira kumagaro, magaro, kana makumbo.
• Kupfuura.
• Clammy ganda.
• Dzungu.
• Kusvotwa uye kurutsa.
• Kukurumidza kurova kwemoyo.
• Shock.

Anokuchengetedza hutano anozotarisa dumbu rako uye anzwe mabhureki ari mumakumbo ako. Iye mupi anogona kuwana:

• Bundu (uremu) mudumbu
• Kufungidzira kunzwa mudumbu
• Dumbu rakaomarara kana rakaomarara

Wako mupi anogona kuwana dambudziko iri nekuita bvunzo dzinotevera:

• Ultrasound yemudumbu apo aneurysm yemudumbu inotanga kufungidzirwa
• CT scan yemudumbu kusimbisa saizi yeaneurysm
• CTA (computed tomographic angiogram) kubatsira nehurongwa hwekuvhiya

Chero imwe yeiyi bvunzo inogona kuitwa kana iwe uine zviratidzo.

Iwe unogona kunge uine mudumbu aortic aneurysm iyo isiri kukonzera chero zviratidzo. Wako mupi anogona kuraira iyo ultrasound yemudumbu kuti itarise kune aneurysm.

• Varume vazhinji vari pakati pemakore makumi matanhatu nemashanu kusvika makumi manomwe nemashanu, vakasvuta mukati mehupenyu hwavo vanofanirwa kuita bvunzo iyi kamwe chete.
• Vamwe varume vari pakati pemakore makumi matanhatu nemashanu kusvika makumi manomwe nemashanu, vasina kumbobvira vaputa panguva yehupenyu hwavo vangangoda bvunzo iyi imwe nguva.

Kana iwe uine kubuda ropa mukati memuviri wako kubva kune aortic aneurysm, iwe unozoda kuvhiyiwa ipapo ipapo.

Kana aneurysm iri diki uye pasina zviratidzo:

• Kuvhiya hakuwanzo kuitwa.
• Iwe nemupi wako munofanira kusarudza kana njodzi yekuvhiyiwa iri diki pane njodzi yekubuda ropa kana musina kuvhiyiwa.
• Wako mupi angangoda kutarisa saizi yeaneurysm ine ultrasound bvunzo kwese mwedzi mitanhatu.

Kazhinji yenguva, kuvhiya kunoitwa kana aneurysm yakakura kudarika 2 inches (5 masentimita) kuyambuka kana kukura nekukurumidza. Chinangwa ndechekuvhiya zvisati zvaitika.

Kune mhando mbiri dzekuvhiya:

• Vhura kugadzirisa - Kucheka kukuru kunoitwa mudumbu rako. Ngarava isina kujairika inotsiviwa neyakaomeswa yakagadzirwa nezvinhu zvakagadzirwa nevanhu.
• Endovascular stent kubatanidza - Maitiro aya anogona kuitwa pasina kuita akacheka akakura mudumbu rako, kuti iwe ugone kupora nekukurumidza. Iyi inogona kunge iri nzira yakachengeteka kana uine mamwe matambudziko ekurapa kana uri mukuru akura. Kugadziriswa kwemascular dzimwe nguva kunogona kuitirwa aneurysm inodonha kana kubuda ropa.

Mhedzisiro yacho inowanzo kuve yakanaka kana iwe ukavhiyiwa kugadzirisa aneurysm isati yatsemuka.

Kana mudumbu aortic aneurysm yatanga kubvarura kana kutsemuka, iri emergency emergency. Chete munhu muvashanu vanhu vanopona rakaputika mudumbu aneurysm.

Enda kuimba yekukurumidzira kana kufonera 911 kana uchirwadziwa mudumbu kana musana izvo zvakashata kana kuti zvisingaendi.

Kuderedza njodzi yeaneurysms:

• Idya kudya kunovaka moyo, kurovedza muviri, rega kuputa (kana uchisvuta), uye kudzikisira kunetseka.
• Kana uine BP yakakwira kana chirwere cheshuga, tora mishonga yako sekuudzwa kwawakaitwa nemupi wako.

Vanhu vanopfuura makore makumi matanhatu nemashanu vakamboputa vanofanirwa kuve neiyo yekuongorora ultrasound yakaitwa kamwe chete.

Aneurysm - aortic; AAA

• Abdominal aortic aneurysm kugadzirisa - kuvhura - kubuda
• Aortic aneurysm kugadzirisa - endovascular - kubuda

• Aortic rupture - chifuva x-ray
• Aortic aneurysm

Braverman AC, Schermerhorn M. Zvirwere zveaorta. Mune: Zipes DP, Libby P, Bonow RO, Mann, DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 63.

Colwell CB, Fox CJ. Abdominal aortic aneurysm. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 76.

LeFevre ML; US Inodzivirira Services Task Force. Kuongorora kwepamuviri aortic aneurysm: U.S. Preventive Services Task Force kukurudzira chirevo. Ann Mukati Med. 2014; 161 (4): 281-290. PMID: 24957320 www.ncbi.nlm.nih.gov/pubmed/24957320.

Woo EW, Damrauer SM. Abdominal aortic aneurysms: kuvhura kwekuvhiya kurapwa. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 71.