Aneurysm muuropi

Anneurysm inzvimbo isina kusimba mumadziro emutsinga weropa unoita kuti tsinga yeropa ibude kana kuti chibharumu chibude. Kana aneurysm ikaitika muropa reropa reuropi, inonzi cerebral, kana intracranial, aneurysm.

MaAneurysms muuropi anoitika kana paine nzvimbo isina kusimba mumadziro emutsinga weropa. Anneurysm inogona kunge iripo kubva pakuberekwa (kuberekwa). Kana, inogona kukura gare gare muhupenyu.

Kune akawanda marudzi europi aneurysms. Rudzi rwakanyanya kunzi inonzi ane bherri aneurysm. Rudzi urwu runogona kusiyana muhukuru kubva pamamirimita mashoma kusvika pamusoro pecentimita. Giant berry aneurysms inogona kukura kupfuura 2.5 masentimita. Izvi zvinowanzoitika kune vanhu vakuru. Berry aneurysms, kunyanya kana paine inopfuura imwe, dzimwe nguva inopfuudzwa kuburikidza nemhuri.

Dzimwe mhando dzeacryural aneurysms dzinosanganisira kuwedzera kweropa rose reropa. Kana, ivo vanogona kuoneka sebharuni kubva muchikamu cheropa. Mauneurysms akadaro anogona kuitika mune chero ropa reropa rinopa huropi. Kuomarara kwetsinga (atherosclerosis), kushungurudzika, uye hutachiona zvinogona kukuvadza muropa remidzi uye zvinokonzeresa aneurysms.

Aneurysms yehuropi yakajairika. Mumwe muvanhu makumi mashanu ane aneurysm yeuropi, asi chete chiverengero chidiki cheaya aneurysms chinokonzeresa zviratidzo kana kuputika.

Njodzi zvinhu zvinosanganisira:

• Nhoroondo yemhuri yehuropi aneurysms
• Zvinetso zvekurapa senge polycystic chirwere cheitsvo, kuumbana kweaorta, uye endocarditis
• Kuwedzera kweropa, kusvuta, doro, uye kushandisa zvinodhaka zvisiri pamutemo

Munhu anogona kunge ane aneurysm asina kana zviratidzo. Rudzi urwu aneurysm runogona kuwanikwa kana MRI kana CT scan yehuropi yaitwa kune chimwe chikonzero.

Auropi aneurysm inogona kutanga kubuda ropa shoma. Izvi zvinogona kukonzera kutemwa nemusoro kwakakomba uko munhu angatsanangure se "iro rakaipisisa musoro wehupenyu hwangu." Inogona kunzi kutinhira kana sentinel musoro. Izvi zvinoreva kuti kutemwa nemusoro kunogona kuve chiratidzo cheyambiro yekumuka kwenguva yemberi kunogona kuitika mazuva kusvika kumavhiki mushure mekutanga kwemusoro.

Zviratidzo zvinogona zvakare kuitika kana aneurysm ikasundira pane zvivakwa zviri padhuze muuropi kana kupaza yakavhurika (kutsemuka) uye ichikonzera kubuda ropa muuropi.

Zviratidzo zvinoenderana nenzvimbo yeaneurysm, ingave yakavhurika, uye chikamu chipi chehuropi icho chiri kusundidzira mberi. Zviratidzo zvinogona kusanganisira:

• Kuona kaviri
• Kurasikirwa kwemaonero
• Kutemwa nemusoro
• Kurwadziwa kweziso
• Neck kurwadziwa
• Mutsipa wakaoma
• Kurira munzeve

Kamwe kamwe, kwakanyanya kutemwa nemusoro chiratidzo chimwe cheineurysm yakatsemuka. Zvimwe zviratidzo zvekuparara aneurysm zvinogona kusanganisira:

• Kuvhiringidzika, kushaya simba, kurara, kurara, kana kukoma
• Eyelid ichinyura
• Kutemwa nemusoro nekusvotwa kana kurutsa
• Tsvina kushaya simba kana kunetseka kufambisa chero chikamu chemuviri
• Unhu kana kudzikira kwekunzwa mune chero chikamu chemuviri
• Zvinetso kutaura
• Kufenda
• Mutsipa wakaoma (dzimwe nguva)
• Chiono chinoshanduka (kuona kaviri, kurasikirwa kwemaonero)
• Kurasikirwa kwekuziva

ONA: Yakaputika aneurysm ndeyekurapwa kwekukurumidzira. Fonera 911 kana yako yemuno emergency emergency.

Kuongorora kweziso kunogona kuratidza zviratidzo zvekuwedzera kwekumanikidza muuropi, kusanganisira kuzvimba kweiyo optic nerve kana kubuda ropa muziso reziso. Kuongororwa kwekiriniki kunogona kuratidza kusanzwisisika kufamba kweziso, kutaura, simba, kana kunzwa.

Iyi miedzo inotevera inogona kushandiswa kuongorora aneurysm yeuropi uye kuona chinokonzera kubuda ropa muuropi:

• Cerebral angiography kana inonaya CT scan angiography (CTA) yemusoro kuratidza nzvimbo uye saizi yeaneurysm
• Musana pombi
• CT scan yemusoro
• Electrocardiogram (ECG)
• MRI yemusoro kana MRI angiogram (MRA)

Maitiro maviri akajairika anoshandiswa kugadzirisa aneurysm.

• Kutsemura kunoitwa panguva yekuvhiya kwehuropi yakavhurika (craniotomy).
• Kugadziriswa kwemagetsi kunowanzoitwa. Inowanzo sanganisira coil kana coiling uye stenting. Iyi inzira isinganetsi uye yakajairika yekurapa aneurysms.

Haasi ese aneurysms anoda kurapwa ipapo ipapo. Izvo izvo zvidiki kwazvo (pasi pe3 mm) kashoma kupaza kuvhurika.

Mutapi wako wezvehutano achakubatsira iwe kusarudza kana zvakachengeteka kuvhiya kuvharidzira aneurysm isati yatanga kuvhurika. Dzimwe nguva vanhu vanorwara zvakanyanya kuti vavhiyiwe, kana zvingave zvine njodzi kurapa aneurysm nekuda kwenzvimbo yayo.

Aneurysm yakaputika ndiyo emergency inoda kurapwa ipapo ipapo. Kurapa kunogona kusanganisira:

• Kubvumidzwa muchipatara chevanonyanya kutarisirwa (ICU)
• Pedzisa kuzorora kwemubhedha uye kurambidzwa kwekuita
• Kudonhedza ropa kubva munzvimbo yehuropi (cerebral ventricular drainage)
• Mishonga yekudzivirira pfari
• Mishonga yekudzivirira kutemwa nemusoro uye BP
• Mishonga kuburikidza netsinga (IV) yekudzivirira hutachiona

Kamwe iyo aneurysm yagadziriswa, kurapwa kunogona kudikanwa kudzivirira sitiroko kubva muropa reropa spasm.

Unoita zvakanaka sei zvinoenderana nezvinhu zvakawanda. Vanhu vari mukoma yakadzika mushure mekuputika aneurysm havaite pamwe nevaya vane zviratidzo zvishoma.

Ruptured cerebral aneurysms anowanzo kuuraya. Pane avo vanopona, vamwe havana kuremara zvachose. Vamwe vane hurema hune mwero kusvika pakukomba.

Zvinetso zveineurysm muuropi zvinogona kusanganisira:

• Kuwedzera kwekumanikidza mukati mehenya
• Hydrocephalus, iyo inokonzerwa nekuunganidzwa kwecebrospinal fluid mune ma ventricles europi
• Kurasikirwa kwekufamba mune imwe kana zvimwe zvikamu zvemuviri
• Kurasikirwa kwekunzwa kwechimwe chikamu chechiso kana chemuviri
• Kufenda
• Kurohwa
• Subarachnoid kubuda ropa

Enda kuimba yekukurumidzira kana kufonera 911 kana yako yemunzvimbo yekukurumidza emergency kana uine kamwe kamwe kana kwakakomba musoro, kunyanya kana iwe zvakare uine svoto, kurutsa, kufenda, kana chero chimwe chiratidzo chehurongwa chiratidzo.

Zvakare fona kana iwe uine musoro usina kujairika kwauri, kunyanya kana wakanyanya kana wako wakaipisisa musoro wakamboitika.

Iko hakuna inozivikanwa nzira yekudzivirira berry aneurysm kubva pakuumba. Kurapa yakakwira BP kungaderedza mukana wekuti aripo aneurysm atsemuke. Kudzora njodzi kune atherosclerosis kunogona kudzora mukana wemamwe marudzi eanourysms.

Vanhu vanozivikanwa kuti vane aneurysm vangangoda kushanya kwachiremba nguva dzose kuti vave nechokwadi chekuti aneurysm haisi kuchinja saizi kana chimiro.

Kana aneurysms isina kukanganisika akawanikwa munguva, anogona kurapwa asati akonzeresa matambudziko kana kuongororwa neyakajairika imaging (kazhinji pagore).

Sarudzo yekugadzirisa isina kuvhurika yeuropi aneurysm inoenderana nesaizi nenzvimbo yeaneurysm, uye zera remunhu uye hutano huzhinji.

Aneurysm - chepfungwa; Cerebral aneurysm; Aneurysm - isingabvumirwe

• Brain aneurysm kugadzirisa - kubuda
• Kutemwa nemusoro - chii chekubvunza chiremba wako

• Cerebral aneurysm
• Cerebral aneurysm

American Stroke Association webhusaiti. Izvo iwe zvaunofanirwa kuziva nezve cerebral aneurysms. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-now-about-cerebral-aneurysms#.Wv1tfUiFO1t. Yakagadziridzwa Zvita 5, 2018. Yakasvika Nyamavhuvhu 21, 2020.

National Institute yeNeurological Dambudziko uye Stroke webhusaiti. Cerebral aneurysms chokwadi pepa. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Yakagadziridzwa Kurume 13, 2020. Yakasvika Nyamavhuvhu 21, 2020.

Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms uye subarachnoid hemorrhage. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 67.

Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Nhungamiro yekutungamira kwevarwere vane kusagadzikana kusagadzikana aneurysms: nhungamiro yevashandi vezvehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa. 2015: 46 (8): 2368-2400. PMID: 26089327 pubmed.ncbi.nlm.nih.gov/26089327/.