Abdominal Aortic Aneurysm

Zvemukati

• Chii chinonzi mudumbu aortic aneurysm (AAA)?
• Ndedzipi mhando dzemudumbu aortic aneurysms?
• Chii chinokonzera mudumbu aortic aneurysm?
• Kusvuta
• Kuwedzera kweropa (hypertension)
• Vascular kuzvimba (vasculitis)
• Ndiani ari panjodzi yemudumbu aortic aneurysm?
• Ndezvipi zviratidzo zvemudumbu aortic aneurysm?
• Kuona mudumbu aortic aneurysm
• Kurapa mudumbu aortic aneurysm
• Ndeupi mutarisiro wenguva refu?
• Ko mudumbu aortic aneurysm ingadzivirirwa sei?

Chii chinonzi mudumbu aortic aneurysm (AAA)?

Iyo aorta ndiro rakakura reropa mumuviri wemunhu. Inotakura ropa kubva pamoyo wako kusvika kumusoro wako nemaoko uye zasi kudumbu rako, makumbo, uye chiuno. Rusvingo rweaorta runogona kuzvimba kana kuputika sebhaluni diki kana rikapera simba. Izvi zvinonzi mudumbu aortic aneurysm (AAA) pazvinoitika muchikamu cheaorta chiri mudumbu mako.

AAAs haigare ichikonzera matambudziko, asi aneurysm yakaputika inogona kutyisidzira hupenyu. Naizvozvo, kana iwe ukaonekwa uine aneurysm, chiremba wako angangoda kukucherechedza zvakanyanya, kunyangwe kana vakasapindira ipapo ipapo.

Ndedzipi mhando dzemudumbu aortic aneurysms?

AAAs inowanzo kuverengerwa nehukuru hwayo uye nekumhanya kwavari kukura. Izvi zvinhu zviviri zvinogona kubatsira kufanotaura nezve hutano mhedzisiro yeaneurysm.

Mudiki (asingasviki 5.5 masentimita) kana anononoka kukura AAAsgenerally vane njodzi yakadzika kwazvo yekuparara pane aneurysms hombe kana iya inokura nekukurumidza. Vanachiremba vanowanzo funga sekuchengetedzeka kutarisa izvi neakajairika mudumbu maasulasound pane kuvabata.

Yakakura (yakakura kupfuura 5.5 masentimita) kana inokurumidza kukurumidza AAAsare inogona kuputika kupfuura madiki kana anononoka kukura aneurysms. Kuputika kunogona kutungamira mukubuda ropa mukati uye zvimwe zvinetso zvakakomba. Iyo yakakura iyo aneurysm iri, iri nyore mukana wekuti inoda kurapwa nekuvhiya. Aya marudzi eaneurysms anodawo kurapwa kana ari kukonzera zviratidzo kana kubuda ropa.

Chii chinokonzera mudumbu aortic aneurysm?

Chikonzero cheAAAs hachizivikanwe parizvino. Zvisinei, zvimwe zvinhu zvakaratidzwa kuwedzera njodzi yako kwavari. Zvinosanganisira:

Kusvuta

Kusvuta kunogona kukuvadza zvakananga madziro etsinga dzako, zvichivaita kuti vawedzere kuwedzera. Inogona zvakare kuwedzera njodzi yako yekukwira kweropa.

Kuwedzera kweropa (hypertension)

Kuwedzera kweropa kunoreva padanho rekumanikidza pamadziro emidziyo yako yeropa. Kuwedzera kweropa kunogona kutapudza madziro eortorta yako. Izvi zvinoita kuti aneurysm inyanye kuumbwa.

Vascular kuzvimba (vasculitis)

Kuzvimba kwakakomba mukati meaorta uye mamwe maarteri anogona dzimwe nguva kukonzera AAAs. Izvi zvinoitika zvakanyanya kushoma.

MaAneurysms anogona kuumba mune chero muropa reropa mumuviri wako. Nekudaro, maAAA anoonekwa seakakomba zvakanyanya nekuda kwehukuru hweaorta.

Ndiani ari panjodzi yemudumbu aortic aneurysm?

AAAs inowanzoitika kana iwe:

• varume
• vakafutisa kana kufutisa
• vanopfuura makore makumi matanhatu
• vane nhoroondo yemhuri yemamiriro emoyo nezvirwere
• uve neBP, kunyanya kana uri pakati pemakore makumi matatu nemashanu nemakumi matanhatu ekuberekwa
• Iva necholesterol yakakwira kana kuwanda kwemafuta mumidziyo yeropa (atherosclerosis)
• rarama hupenyu hwekugara
• wakave nekushungurudzika padumbu rako kana kumwe kukuvara kune yako yepakati nepakati
• kusvuta fodya zvigadzirwa

Ndezvipi zviratidzo zvemudumbu aortic aneurysm?

Mazhinji aneurysms haana zviratidzo kunze kwekunge aputika. Kana iyo AAA ikaputika, unogona kusangana nechimwe kana zvimwe zvezvinotevera zviratidzo.

• kurwadziwa kamwe kamwe mudumbu rako kana musana
• kurwadziwa kunopararira kubva padumbu rako kana kumashure kune ako chiuno, makumbo, kana magaro
• clammy kana ganda rinodikitira
• yakawedzera kurova kwemoyo
• kuvhunduka kana kurasikirwa kwekuziva

Shevedza chiremba wako nekukasira kana iwe uchinge waona chero cheizvi zviratidzo. Aneurysm yakaputika inogona kutyisidzira hupenyu.

Kuona mudumbu aortic aneurysm

MaAAA asina kuputika anowanzoonekwa apo chiremba ari kuongorora kana kuongorora dumbu rako nechimwe chikonzero.

Kana chiremba wako achifungidzira kuti iwe unogona kunge uine imwe, ivo vanonzwa dumbu rako kuti vaone kana rakaomarara kana riine kurovera. Vanogona zvakare kutarisa kuyerera kweropa mumakumbo ako kana kushandisa imwe yeiyi bvunzo.

• CT scan yemudumbu
• dumbu ultrasound
• X-ray yechipfuva
• dumbu MRI

Kurapa mudumbu aortic aneurysm

Zvichienderana nesaizi uye nzvimbo chaiyo yeaneurysm, chiremba wako anogona kuvhiya kuti agadzirise kana kubvisa zvisikwa zvakakuvara. Izvi zvinogona kuitwa pamwe nekuvhiya mudumbu kuvhura kana endovascular kuvhiyiwa. Kuvhiya kunoitwa kunoenderana nehutano hwako hwese uye mhando yeaneurysm.

Vhura kuvhiya mudumbu kunoshandiswa kubvisa nzvimbo dzakakanganiswa dzeaorta yako. Iyo ndiyo inonyanya kuvhiringidza fomu yekuvhiya uye ine yakareba kupora nguva. Vhura kuvhiyiwa kwemimba kunogona kudikanwa kana yako aneurysm yakakura kwazvo kana yakatoputika.

Kuvhiya kweEndovascular inzira isinganetsi yekuvhiya pane kuvhura mudumbu kuvhura. Izvo zvinosanganisira kushandisa kubatanidza kudzikamisa isina kusimba madziro eortorta yako.

Kune diki AAA iyo isingasviki 5.5 masentimita yakafara, chiremba wako anogona kusarudza kuitarisa nguva nenguva pachinzvimbo chekuvhiya. Kuvhiya kune njodzi, uye madiki aneurysms kazhinji haatsemuke.

Ndeupi mutarisiro wenguva refu?

Kana chiremba wako achikurudzira kuvhiya mudumbu kwakavhurika, zvinogona kutora kusvika kumavhiki matanhatu kuti upore. Kudzoreredza kubva mukuvhiya endovascular kunongotora mavhiki maviri.

Kubudirira kwekuvhiyiwa uye kupora kunoenderana nekuti IAAA inowanikwa here kana kuti isati yatsemuka. Kufungidzira kunowanzo kuve kwakanaka kana iyo AAA ikawanikwa isati yatsemuka.

Ko mudumbu aortic aneurysm ingadzivirirwa sei?

Kutarisa pahutano hwemwoyo kunogona kudzivirira AAA. Izvi zvinoreva kutarisa zvaunodya, kurovedza muviri, uye kudzivirira zvimwe zvinokanganisa moyo nemoyo sekusvuta. Chiremba wako anogona zvakare kukunyorera mishonga yekurapa yakakwira BP kana cholesterol kana kuti ikubatsire kudzora chirwere cheshuga.

Chiremba wako angangoda kukuvhenekera iyo AAA paunosvitsa makore makumi matanhatu nemashanu kana uri pangozi yakanyanya nekuda kwekusvuta uye zvimwe zvinhu. Iko kuongorora kwekuyera kunoshandisa dumbu ultrasound kuti utarise yako aorta yemabhuru. Hazvina kurwadziwa uye zvinongoda kuitwa kamwe chete.