Thoracic aortic aneurysm

Anneurysm kuwedzera zvisina kujairika kana kubhaluni kwechikamu chetsinga nekuda kwekushaya simba mumadziro eropa.

A thoracic aortic aneurysm inoitika muchikamu chetsinga huru yemuviri (aorta) inopfuura nepachipfuva.

Chikonzero chakajairika che thoracic aortic aneurysm kuomarara kwetsinga. Izvi zvinowanzoitika kune vanhu vane cholesterol yakawanda, kwenguva refu-yakakwira BP, kana vanosvuta.

Zvimwe zvinokonzeresa nezve thoracic aneurysm zvinosanganisira:

• Shanduko dzinokonzerwa nezera
• Zvinobatanidza matissue matambudziko akadai saMarfan kana Ehlers-Danlos syndrome
• Kuzvimba kweaorta
• Kukuvara kubva pakuwa kana tsaona dzemotokari
• Njovhera

Aneurysms inokura zvishoma nezvishoma pamusoro pemakore mazhinji. Vazhinji vanhu havana zviratidzo kusvikira aneurysm yatanga kubuda kana kuwedzera.

Zviratidzo zvinowanzotanga kamwe kamwe kana:

• Iyo aneurysm inokura nekukurumidza.
• Iyo aneurysm misodzi yakavhurika (inonzi rupture).
• Ropa rinodonha pamadziro eiyo aorta (aortic dissection).

Kana aneurysm ichimanikidza pazvivakwa zviri padyo, zviratidzo zvinotevera zvinogona kuitika:

• Kuchema
• Kumedza matambudziko
• Kufema-kwakadzika-kufema (stridor)
• Kuzvimba mugotsi

Zvimwe zviratidzo zvinogona kusanganisira:

• Chifuva kana kurwadziwa kwepamusoro
• Clammy ganda
• Kusvotwa uye kurutsa
• Kukurumidza kurova kwemoyo
• Sense yekuuya kwekuparadzwa

Iko kuongorora kwepanyama kunowanzoitika kunze kwekunge kuputika kana kuvuza kwaitika.

Mazhinji thoracic aortic aneurysms anoonekwa pane yekufungidzira bvunzo dzinoitirwa zvimwe zvikonzero. Aya maedzo anosanganisira chest x-ray, echocardiogram, kana chest CT scan kana MRI.Chipfuva CT scan inoratidza kukura kweaorta uye chaiko nzvimbo yeaneurysm.

Iyo aortogram (yakasarudzika seti yeiyo x-ray mifananidzo inogadzirwa kana dhayi yakajowa muaorta) inogona kuziva aneurysm uye chero matavi eiyo aorta anogona kuve akabatanidzwa.

Pane njodzi yekuti aneurysm inogona kuvhurika (kuputika) kana iwe usina kuvhiyiwa kuti uigadzirise.

Iyo kurapwa kunoenderana nenzvimbo yeaneurysm. Iyo aorta inogadzirwa nezvikamu zvitatu:

• Chikamu chekutanga chinokwira kumusoro kumusoro. Inonzi inokwira aorta.
• Chikamu chepakati chakakombama. Inonzi aortic arch.
• Chikamu chekupedzisira chinofamba chakadzika, chakanangana netsoka. Inonzi inodzika aorta.

Kune vanhu vane aneurysms yekukwira aorta kana aortic arch:

• Kuvhiya kutsiva aorta kunokurudzirwa kana aneurysm yakakura kudarika mashanu kusvika matanhatu masendimita.
• Kucheka kunoitwa pakati pechipfuva pfupa.
• Iyo aorta inotsiviwa nepurasitiki kana mucheka kubatanidzwa.
• Uku kuvhiya kukuru kunoda moyo-mapapu muchina.

Kune vanhu vane aneurysms yekuburuka thoracic aorta:

• Kuvhiya kukuru kunoitwa kutsiva aorta nejira rembatya kana aneurysm yakakura kudarika masendimita matanhatu.
• Uku kuvhiya kunoitwa kuburikidza nekucheka kuruboshwe kuruboshwe rwechipfuva, icho chinogona kusvika padumbu.
• Endovascular stenting iri sarudzo isinganetsi. Simba isimbi diki kana chubhu yepurasitiki iyo inoshandiswa kubata tsinga yakavhurika. Stents inogona kuiswa mumuviri isina kucheka chipfuva. Nekudaro, havazi vese vanhu vane anodzika ane thoracic aneurysms ndivo vanokwikwidza kunhuwa.

Maonero kwenguva refu kune vanhu vane thoracic aortic aneurysm anoenderana nemamwe matambudziko ekurapa, senge chirwere chemoyo, kuwedzerwa kweropa, uye chirwere cheshuga. Aya matambudziko anogona kunge akakonzera kana kupa mamiriro acho ezvinhu.

Zvinetso zvakakomba mushure mekuvhiya kweaortic zvinogona kusanganisira:

• Kubuda ropa
• Batanidzwa hutachiona
• Kumira kurova kwemoyo
• Kusarongeka kwemoyo
• Itsvo kukuvara
• Kuoma mitezo
• Kurohwa

Rufu munguva pfupi mushure mekuvhiya kunoitika mu5% kusvika 10% yevanhu.

Matambudziko mushure mekurumwa aneurysm anosanganisira kukanganisa mitsipa yeropa inopa gumbo, izvo zvingangoda kumwe kuvhiya.

Udza mupi wako wezvehutano kana iwe uine:

• Nhoroondo yemhuri yehukama hwematambudziko (seMarfan kana Ehlers-Danlos syndrome)
• Chifuva kana musana kusagadzikana

Kuchengetedza atherosclerosis:

• Chengetedza ropa rako uye ropa lipid mazinga.
• USASVIRA.
• Idya kudya kunovaka muviri.
• Rovedza muviri nguva dzose.

Aortic aneurysm - thoracia; Syphilitic aneurysm; Aneurysm - thoracic aortic

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

• Aortic aneurysm
• Aortic rupture - chifuva x-ray

Acher CW, Wynn M. Thoracic uye thoracoabdominal aneurysms: yakavhurika kurapwa kurapwa. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 77.

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.

Lederle FA. Zvirwere zveaorta. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 69.

Singh MJ, Makaroun MS. Thoracic uye thoracoabdominal aneurysms: endovascular kurapwa. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 78.