Aortic aneurysm kugadzirisa - endovascular

Endovascular mudumbu aortic aneurysm (AAA) kugadzirisa ndiko kuvhiya kugadzirisa nzvimbo yakawedzera mune yako aorta. Izvi zvinonzi aneurysm. Iyo aorta ndiyo tsinga hombe inotakura ropa kuenda padumbu rako, chiuno, uye makumbo.

Aortic aneurysm ndipo apo chikamu cheiyi arteri chinoita chakanyanya kukura kana mabharuni kunze. Izvo zvinoitika nekuda kwekushaya simba mumadziro eteri.

Maitiro aya anoitwa mune yekuvhiyira mukamuri, mune iro radiology department rechipatara, kana mune catheterization lab. Iwe ucharara pamusoro petafura ine padhedhi. Iwe unogona kugamuchira anesthesia yakajairika (iwe wakarara uye usina kurwadziwa) kana epidural kana musana anesthesia. Munguva yekuita, chiremba wako anovhiya acha:

• Gadzira chidimbu chekuvhiya padhuze nekugomera, kuti uwane artery yechikadzi.
• Isa stent (simbi coil) uye yakagadzirwa nevanhu (synthetic) kubatanidza kuburikidza nekucheka kupinda mutsinga.
• Wobva washandisa dhayi kutsanangura kukura kweineurysm.
• Shandisa x-ray kutungamira iyo stent kubatanidza kumusoro kune yako aorta, kune iyo aneurysm iri.
• Tevere vhura iyo stent uchishandisa yechirimo-senge mashandiro uye woisungirira pamadziro eorta. Aneurysm yako inozopedzisira yadzikira pairi.
• Chekupedzisira shandisa x-ray uye dhayi zvakare kuti uve nechokwadi chekuti stent iri munzvimbo chaiyo uye aneurysm yako haisi kubuda ropa mukati memuviri wako.

EVAR inoitwa nekuti aneurysm yako yakakura kwazvo, inokura nekukurumidza, kana iri kubuda kana kubuda ropa.

Iwe unogona kuve neAAA iyo isiri kukonzera chero zviratidzo kana matambudziko. Mubatsiri wako wehutano anogona kunge akawana dambudziko iri kana iwe uine ultrasound kana CT scan kune chimwe chikonzero. Pane njodzi yekuti iyi aneurysm inogona kuvhurika (kuputika) kana iwe usina kuvhiyiwa kuti uigadzirise. Nekudaro, kuvhiyiwa kugadzirisa aneurysm kunogona zvakare kuve kune njodzi. Mumamiriro ezvinhu akadaro, EVAR ndiyo sarudzo.

Iwe nemupi wako munofanirwa kusarudza kuti njodzi yekuvhiyiwa iyi idiki pane njodzi yekuparara kana musina kuvhiyiwa kugadzirisa dambudziko. Iye mupi angangodaro achikurudzira kuti iwe uvhiyiwe kana aneurysm iri:

• Yakakura (inenge 2 inches kana 5 masentimita)
• Kukura nekukurumidza zvakanyanya (zvishoma pasi pe 1/4 inch pamusoro pemwedzi 6 kusvika 12 yekupedzisira)

EVAR ine njodzi yakaderera yekuvandudza matambudziko kana ichienzaniswa nekuvhiya kwakavhurika. Wako mupi anonyanya kuratidza rudzi urwu rwekugadzirisa kana iwe uine mamwe matambudziko akakomba ekurapa kana vanhu vakuru.

Ngozi dzekuvhiyiwa chero ndeidzi:

• Ropa rinovhara mumakumbo ayo anogona kuenda kumapapu
• Matambudziko ekufema
• Utachiona, kusanganisira mumapapu, weti turakiti, uye dumbu
• Chirwere chemwoyo kana sitiroko
• Zviitiko kumishonga

Ngozi dzekuvhiya uku ndedzekuti:

• Ropa rakatenderedza kubatanidzwa kunoda kumwe kuvhiyiwa
• Kubuda ropa pamberi kana mushure mekuita
• Kuvharirwa kweiyo stent
• Kukuvadza kune tsinga, zvichikonzera kushaya simba, kurwadziwa, kana kugwinha gumbo
• Itsvo kutadza
• Ropa risina kunaka kumakumbo ako, itsvo, kana zvimwe nhengo
• Zvinetso kuwana kana kuchengeta erection
• Kuvhiya hakuna kubudirira uye iwe unoda kuvhiyiwa pachena
• Iyo stent inotsvedza
• Iyo stent inodonha uye inoda kuvhurwa kwakashama

Wako mupi achakuongorora nekuraira bvunzo usati wavhiyiwa.

Nguva dzose udza mupi wako kuti ndeapi madhiragi auri kutora, kunyangwe madhiragi, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Kana iwe uri fodya, iwe unofanirwa kurega. Mupi wako anogona kubatsira. Hezvino zvimwe zvinhu zvaunofanira kuita usati wavhiyiwa:

• Anenge mavhiki maviri usati wavhiyiwa, iwe unoshanyira mupi wako kuti ave nechokwadi chekuti chero matambudziko ekurapa, akadai seshuga, BP, uye matambudziko emoyo kana mapapu, akarapwa zvakanaka.
• Iwe zvakare unogona kukumbirwa kumira kutora zvinodhaka izvo zvinoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), warfarin (Coumadin), uye naprosyn (Aleve, Naproxen).
• Bvunza kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Nguva dzose udza mupi wako kana iwe ukawana kutonhora, dzihwa, kupisa, herpes breakout, kana chimwe chirwere usati wavhiyiwa.

Manheru pamberi pekuvhiyiwa kwako:

• Usamwe chero chinhu pakati pehusiku, kusanganisira mvura.

Pazuva rekuvhiyiwa kwako:

• Tora chero mishonga yawakaudzwa nachiremba kuti utore nekamwe kapfu kemvura.
• Unozoudzwa nguva yekuuya kuchipatara.

Vanhu vazhinji vanogara muchipatara kwemazuva mashoma mushure mekuvhiyiwa uku, zvinoenderana nerudzi rwemaitiro avaive nawo. Kazhinji kazhinji, kupora kubva munzira iyi kunokurumidza uye nekurwadziwa kushoma pane kuvhiya kwakavhurika. Zvakare, iwe unenge ungangodaro unokwanisa kuenda kumba nekukurumidza.

Panguva yekugara muchipatara, unogona:

• Ive mune yevanonyanya kutarisirwa (ICU), kwaunotariswa zvakanyanya pakutanga
• Iva nekateti yekuvhenekera
• Kupihwa mishonga yekunatsa ropa rako
• Iva nekukurudzirwa kugara padivi pemubhedha wako wobva wafamba
• Pfeka masokisi akakosha ekudzivirira kuwanda kweropa mumakumbo ako
• Gamuchira mushonga wekurwadziwa mutsinga dzako kana munzvimbo inokomberedza musana wako (epidural)

Kudzoreredza mushure mekugadziriswa kwemagetsi kukurumidza mune dzakawanda zviitiko.

Iwe unozoda kutariswa uye kuongororwa nguva nenguva kuti uone kuti yako yakagadziriswa aortic aneurysm haisi kubuda ropa.

EVAR; Kugadziridza aneurysm endovascular - aorta; AAA kugadzirisa - endovascular; Kugadzirisa - aortic aneurysm - endovascular

• Aortic aneurysm kugadzirisa - endovascular - kubuda

Braverman AC, Schemerhorn 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.

Brinster CJ, Sternbergh WC. Endovascular aneurysm ekugadzirisa matekinoroji. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Tracci MC, Cherry KJ. Iyo aorta. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 61.