Abdominal aortic aneurysm kugadzirisa - kuvhura

Vhura mudumbu aortic aneurysm (AAA) kugadzirisa ndiko kuvhiya kugadzirisa chikamu chakawedzera muaorta yako. Izvi zvinonzi aneurysm. Iyo aorta ndiyo tsinga hombe inotakura ropa kuenda padumbu rako (dumbu), chiuno, uye makumbo.

Aortic aneurysm iri apo chikamu cheiyi arteri chinoita chakanyanya kukura kana mabharuni kunze.

Kuvhiya kwacho kuchaitika mukamuri yekuvhiya. Iwe unozopihwa general anesthesia (iwe unenge wakarara uye usina kurwadziwa).

Chiremba wako anovhura dumbu rako uye anotsiva aortic aneurysm neyakagadzirwa nevanhu, jira-senge zvinhu.

Heano maitiro aingaitwe.

• Mune imwe nzira, iwe unorara nemusana. Chiremba anovhiya anozocheka pakati peguvhu rako, kubva pazasi pebhokisi repazamu kusvika pazasi pebumbu. Kazhinji, iyo yakatemwa inoenda nepadumbu.
• Mune imwe nzira, iwe uchavata wakarerekera zvishoma kudivi rako rerudyi. Chiremba anovhiya anoita 5- kusvika 6-inch (13 kusvika 15 masendimita) akachekwa kubva kuruboshwe kuruboshwe kwedumbu rako, achipedzisa zvishoma pazasi peguvhu rako bhatani.
• Chiremba wako anozotsiva aneurysm nechubhu refu yakagadzirwa nemachira akagadzirwa nevanhu (synthetic). Yakasonerwa mukati nemastitches.
• Mune zvimwe zviitiko, magumo eiyi chubhu (kana kubatanidzwa) anozofambiswa kuburikidza nemidziyo yeropa mune yega gura uye yakasungirirwa kune avo vari mugumbo.
• Kamwe kuvhiya kwapera, makumbo ako anozoongororwa kuti uve nechokwadi chekuti pane kurova kwemoyo. Kazhinji kacho dhayi bvunzo uchishandisa x-rays inoitwa kuratidza kuti pane yakanaka kuyerera kweropa kumakumbo.
• Iyo yekucheka yakavharwa ne sutures kana staples.

Kuvhiya kweaortic aneurysm kutsiva kunogona kutora maawa maviri kusvika mana. Vanhu vazhinji vanopora mune yevanonyanya kutarisirwa (ICU) mushure mekuvhiyiwa.

Vhura kuvhiya kugadzirisa AAA dzimwe nguva kunoitwa senzira yekukurumidzira kana paine kubuda ropa mukati memuviri wako kubva kune aneysysm.

Iwe unogona kuve neAAA iyo isiri kukonzera chero zviratidzo kana matambudziko. Mubatsiri wako wehutano anogona kunge akawana dambudziko mushure mekunge iwe uine ultrasound kana CT scan yakaitwa kune chimwe chikonzero. Iko kune njodzi yekuti iyi aneurysm inogona kungoerekana yazaruka (kuputika) kana iwe usina kuvhiyiwa kuti uigadzirise. Nekudaro, kuvhiyiwa kugadzirisa aneurysm kunogona zvakare kuve kune njodzi, zvichienderana nehutano hwako hwese.

Iwe nemupi wako munofanira kusarudza kuti njodzi yekuvhiyiwa iyi idiki pane njodzi yekuparara. Kuvhiya kunonyanya kutaurwa kana aneurysm iri:

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

Njodzi dzekuvhiya uku dzakakwirira kana iwe uine:

• Chirwere chemoyo
• Itsvo kutadza
• Chirwere chemapapu
• Kurohwa kwapfuura
• Mamwe matambudziko akakomba ekurapa

Zvinetso zvakare zvakakwirira kune vanhu vakuru.

Ngozi dzekuvhiyiwa chero ndeidzi:

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

Ngozi dzekuvhiya uku ndedzekuti:

• Kubuda ropa usati waitwa kana mushure mekuvhiyiwa
• Kukuvadza kune tsinga, zvichikonzera kurwadziwa kana chiveve mugumbo
• Kukuvadza kumatumbo ako kana dzimwe nhengo dziri pedyo
• Kupererwa neropa kupihwa chikamu chemuhomba wakakura zvichikonzera kunonoka kubuda ropa muchigaro
• Kubatwa kweiyo kubatanidzwa
• Kukuvadza kune iyo ureter, iyo chubhu inotakura weti kubva kuitsvo dzako kuenda kudundira rako
• Itsvo kutadza kunogona kuve kwechigarire
• Yakaderera bonde dhiraivha kana kutadza kuwana erection
• Ropa risina kunaka kumakumbo ako, itsvo, kana zvimwe nhengo
• Spinal cord kukuvara
• Ronda rinovhurika
• Zvironda maronda

Iwe unenge uine bvunzo dzepanyama uye woongororwa usati waitwa oparesheni.

Nguva dzose udza mupi wako kuti ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Kana iwe uchisvuta, iwe unofanirwa kurega kuputa angangoita mavhiki mana usati wavhiyiwa. Mupi wako anogona kubatsira.

Pakati pevhiki mbiri usati wavhiyiwa:

Uchave uchishanyirwa nemupi wako kuti uve nechokwadi chekuti matambudziko ekurapa akadai seshuga, kuwedzerwa kweropa, uye matambudziko emoyo kana emapapu akarapwa zvakanaka.

• Iwe unogona kukumbirwa kumira kutora zvinodhaka izvo zvinoita kuti zviomere iro ropa rako kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), nemimwe mishonga yakaita seiyi.
• Bvunza kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa kwako.
• Nguva dzose udza mupi wako kana iwe uine dzihwa, dzihwa, fivha, herpes breakout, kana chimwe chirwere usati wavhiyiwa.

Usamwe chero chinhu pakati pehusiku zuva risati raitwa oparesheni yako, kusanganisira mvura.

Pazuva rekuvhiyiwa kwako:

• Tora mishonga yawakaudzwa kunwa nekumwa mvura shoma.
• Unozoudzwa nguva yekuuya kuchipatara.

Vanhu vazhinji vanogara muchipatara kwemazuva mashanu kusvika kugumi. Panguva yekugara muchipatara, ucha:

• Ive mune yevanonyanya kutarisirwa unit (ICU), uko kwaunotariswa zvakanyanya chaizvo mushure mekuvhiyiwa. Iwe ungangoda muchina wekufema mukati mezuva rekutanga.
• Iva nekateti yekuvhenekera.
• Iva nechubhu inopinda nemumhino dzako mudumbu rako kubatsira kuburitsa zvinwiwa kwezuva rimwe kana maviri. Iwe unobva watanga zvishoma nezvishoma kunwa, wozodya.
• Gamuchira mishonga yekuchengetedza ropa rako.
• Kurudzirwa kugara padivi pemubhedha wobva wafamba.
• Pfeka masokisi akakosha ekudzivirira kuwanda kweropa mumakumbo ako.
• Kumbira kuti ushandise muchina wekufema kubatsira kubvisa mapapu ako.
• Gamuchira mushonga wekurwadziwa mutsinga dzako kana munzvimbo inokomberedza musana wako (epidural).

Kugona kuzere kwekuvhiya kwakashama kugadzirisa aortic aneurysm kunogona kutora mwedzi miviri kana mitatu. Vanhu vazhinji vanoita kupora kuzere kubva pakuvhiya uku.

Vazhinji vanhu vane aneurysm yakagadziriswa isati yatanga kuvhurika (kupaza) vane maonero akanaka.

AAA - kuvhura; Kugadzirisa - aortic aneurysm - yakavhurika

• Abdominal aortic aneurysm kugadzirisa - kuvhura - kubuda
• Kumuka pamubhedha mushure mekuvhiyiwa

Lancaster RT, Cambria RP. Vhura kugadziriswa kwemudumbu aortic aneurysms. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 899-907.

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.

Woo EY, 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.