Brain aneurysm kugadzirisa

Brain aneurysm kugadzirisa ndiko kuvhiya kugadzirisa aneurysm. Iyi inzvimbo isina kusimba muropa remidziyo yeropa iyo inoita kuti mudziyo ubude kana kuti chibharumu ubude uye dzimwe nguva kuputika (kutsemuka). Zvinogona kukonzera:

• Kubuda ropa mucerebrospinal fluid (CSF) kutenderedza uropi (inonziwo subarachnoid hemorrhage)
• Kubuda ropa muuropi izvo zvinoumba muunganidzwa weropa (hematoma)

Pane nzira mbiri dzinoshandiswa kugadzirisa aneurysm:

• Kutsemura kunoitwa panguva yekuvhurika craniotomy.
• Kugadziriswa kwemagetsi (kuvhiyiwa), kazhinji kacho uchishandisa coil kana coiling uye stenting (mesh machubhu), inzira isinganetsi uye yakajairika yekurapa aneurysms.

Munguva yekutema aneurysm:

• Iwe unopihwa general anesthesia uye pombi yekufema.
• Ganda rako, dehenya, uye kufukidzwa kwehuropi zvinovhurwa.
• Chidimbu chesimbi chinoiswa pazasi (mutsipa) weaneurysm kudzivirira kuti isavhurike (kuputika).

Munguva yekugadziriswa kwemagetsi (kuvhiyiwa) kweaneurysm:

• Iwe unogona kunge uine general anesthesia uye pombi yekufema. Kana, iwe unogona kupihwa mushonga wekukuzorodza iwe, asi hauna kukwana kuti ukuradze iwe.
• Iyo catheter inotungamirwa kuburikidza nekucheka kudiki muguyo rako kuenda kune tsinga uyezve kune iro reropa tsinga muuropi hwako uko kune aneurysm iko.
• Misiyano yezvinhu inojowa kuburikidza necatheter. Izvi zvinobvumira chiremba anovhiya kuti aone tsinga uye aneurysm pane yekutarisa mukamuri yekuvhiya.
• Waya dzakatetepa dzesimbi dzinoiswa mune aneurysm. Ivo vanobva vango pinda mune mesh bhora. Neichi chikonzero, maitiro acho anonzi zvakare coiling. Kuvhara kweropa uko kunotenderedza ichi coil kunodzivirira aneurysm kubva pakubuda pachena uye kubuda ropa. Dzimwe nguva stents (mesh machubhu) anoiswawo mukati kuti abate makoiri munzvimbo uye ave nechokwadi chekuti ropa reropa rinogara rakavhurika.
• Munguva uye chaipo mushure mekuita, unogona kupihwa ropa rakaonda, senge heparin, clopidogrel, kana aspirin. Iyi mishonga inodzivirira kuwanda kweropa kune ngozi mukuumbwa.

Kana aneurysm iri muuropi yakavhurika (kuputika), iri emergency inoda kurapwa kurapwa muchipatara. Kazhinji kuputika kunorapwa nekuvhiya, kunyanya kuvhiya kwemaziso.

Munhu anogona kunge aine aneurysm isina kukanganisika pasina chero zviratidzo. Rudzi urwu aneurysm runogona kuwanikwa kana MRI kana CT scan yehuropi yaitwa kune chimwe chikonzero.

• Haasi ese aneurysms anoda kurapwa ipapo ipapo. MaAneurysms asina kumbobuda ropa, kunyanya kana ari madiki kwazvo (asingasviki 3 mm panzvimbo yavo), haadi kurapwa ipapo ipapo. Aya aneurysms madiki haatomboputi.
• Chiremba wako anozokubatsira kusarudza kana zvakachengeteka kuvhiyiwa kuvhara aneurysm isati yatanga kuvhurika kana kuongorora aneurysm nekufungidzira kwakadzokororwa kusvikira kuvhiya kwave kudikanwa. Mamwe maineurysms madiki haazombodi kuvhiyiwa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana kutapukirwa

Ngozi dzekuvhiyiwa huropi ndeidzi:

• Ropa rakavhara kana kubuda ropa mukati kana kutenderedza uropi
• Kuzvimba kwehuropi
• Utachiona muhuropi kana zvikamu zvakakomberedza uropi, senge dehenya kana ganda romusoro
• Kufenda
• Kurohwa

Kuvhiya pane chero nzvimbo imwechete yeuropi kunogona kukonzera matambudziko angave akapfava kana akaomarara. Vanogona kugara kwenguva pfupi kana kuti vangasaenda.

Zviratidzo zvehuropi uye nervous system (neurological) matambudziko anosanganisira:

• Maitiro anochinja
• Kuvhiringidzika, matambudziko ekurangarira
• Kurasikirwa kwekuyera kana kubatana
• Unhu
• Matambudziko ekucherechedza zvinhu zvakakukomberedza
• Zvinetso zvekutaura
• Zviratidzo zvekuona (kubva kuhupofu kuenda kumatambudziko ane divi rekuona)
• Tsvina kushaya simba

Maitiro aya anowanzoitwa se emergency. Kana isiri emergency:

• Udza mupi wako wezvehutano kuti ndeapi mishonga kana mishonga yauri kutora uye kana wanga uchinwa doro rakawanda.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanira kutora mangwanani ekuvhiya.
• Edza kurega kusvuta.
• Tevedzera rairo pakusadya kana kunwa usati wavhiyiwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kapfu kemvura.
• Svika kuchipatara nenguva.

Kugara muchipatara kwekugadziriswa endovascular kweaneurysm kunogona kunge kuri kupfupi sezuva rimwe chete kana maviri kana painge pasina kubuda ropa usati wavhiyiwa.

Chipatara chinogara mushure meganiotomy uye aneurysm kutema kazhinji mazuva mana kusvika matanhatu. Kana paine kubuda ropa kana mamwe matambudziko, akadai sekutetepa tsinga dzeropa muuropi kana kuwanda kwemvura muuropi, kugara kwechipatara kunogona kuita 1 kusvika kumavhiki maviri, kana kupfuura.

Iwe uchave uine fungidziro yekuyedza yemidziyo yeropa (angiogram) muuropi usati waendeswa kumba, uye pamwe kamwe chete pagore kwemakore mashoma.

Tevedzera rairo dzekuzvichengeta pamba.

Kumbira chiremba wako kana zvichange zvakachengeteka kuti iwe uve nemiedzo yekufungidzira senge angiogram, CT angiogram, kana MRI scans yemusoro mune ramangwana.

Mushure mekuvhiya kwakabudirira kune aneurysm yekubuda ropa, zvakajairika kuti ibude zvakare ropa.

Maonero acho zvinoenderana nekuti kukuvara kwehuropi kwakaitika kubva pakubuda ropa kare, panguva, kana mushure mekuvhiyiwa.

Kazhinji yenguva, kuvhiyiwa kunogona kudzivirira aneurysm yeuropi iyo isina kukonzera zviratidzo kubva pakuva zvakakura uye kuvhurika.

Iwe unogona kuve neanopfuura aneurysm kana iyo aneurysm iyo yakabikwa inogona kukura zvakare. Mushure mekugadzira coiling, iwe unozofanirwa kuonekwa nemupi wako gore rega.

Kugadziriswa kweAneurysm - cerebral; Cerebral aneurysm kugadzirisa; Coiling; Kugadziriswa ane Sacys aneurysm; Kugadzira aneryysm; Fusiform aneurysm kugadzirisa; Kuparadzanisa aneurysm kugadzirisa; Endovascular aneurysm kugadzirisa - huropi; Subarachnoid hemorrhage - aneurysm

• Brain aneurysm kugadzirisa - kubuda
• Kuvhiya kwehuropi - kubuda
• Kuchengetedza mhasuru kusimba kana kupaza
• Kutaurirana nemumwe munhu ane aphasia
• Kutaurirana nemumwe munhu ane dysarthria
• Dementia uye kutyaira
• Dementia - maitiro uye matambudziko ekurara
• Dementia - kuchengetwa kwemazuva ese
• Dementia - kuchengetedza zvakachengeteka mumba
• Pfari muvana - kubuda
• Stroke - kubuda
• Kumedza matambudziko

Altschul D, Vats T, Unda S. Endovascular kurapwa kweuropi aneurysms. Muna: Ambrosi PB, rakanyorwa. Nyowani Insight Kupinda muCerebrovascular Zvirwere - Iyo Yakagadziridzwa Yakakwana Ongororo. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. IntechOpen; 2020: chap: 11. Yakadzokororwa Nyamavhuvhu 1, 2019. Yakasvika May 18, 2020.

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#. Yakagadziridzwa Zvita 5, 2018. Yakasvika muna Chikunguru 10, 2020.

Le Roux PD, Winn HR. Kuvhiya kusarudza kuita kwekurapa kweasingaite aneurysms. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 379.

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 muna Chikunguru 10, 2020.

Spears J, Macdonald RL. Perioperative manejimendi yesarachnoid hemorrhage. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 380.