Berry Aneurysms: Ziva Zviratidzo

Zvemukati

• Ini ndine aneurysm yebheri here?
• Chii chinokonzeresa ane bheriya aneurysms?
• Kuberekwa nenjodzi zvinhu
• Zvirwere zvine njodzi
• Maitiro ehupenyu njodzi
• Ndinoziva sei kana ndine berry aneurysm?
• Anorwara sei mabheriri anorapwa?
• Kuvhiya kutema
• Endovascular coiling
• Kuyerera diverters
• Chiratidzo manejimendi
• Nzira yekudzivirira mabheriri aneurysms
• Ko mabheri aneurysms anogara achiuraya here?

Chii chinonzi aneurysm

Anneurysm ndiko kuwedzera kwetsinga kunokonzerwa noutera mumadziro etsinga. Aneurysm yebheri, inoita kunge bheri padanda rakamanikana, ndiyo mhando yakajairika yeuropi aneurysm. Ivo vanogadzira makumi mapfumbamwe muzana ezvese aneurysms ehuropi, sekureva kweStanford Health Care. Berry aneurysms inowanzo kuoneka pazasi pehuropi panosangana mitsipa mikuru yeropa, inozivikanwawo seCircle yeWillis.

Nekufamba kwenguva, kumanikidzwa kubva kune aneurysm pane yakatodzika tsinga yetsinga kunogona kukonzera aneurysm kutsemuka. Kana berry aneurysm yatsemuka, ropa rinobva mutsinga rinopinda muuropi. Aneurysm yakaputika chiitiko chakakomba chinoda kurapwa nekukurumidza.

Ramba uchifunga kuti, sekureva kweAmerican Stroke Association, chete 1.5 kusvika 5 muzana yevanhu vanozoita aneurysm yeuropi. Pakati pevanhu vane aneurysm yeuropi, chete 0,5 kusvika 3 muzana vanozoona kuputika.

Ini ndine aneurysm yebheri here?

Berry aneurysms anowanzo kuve madiki uye chiratidzo chisina, asi makuru dzimwe nguva anoisa kumanikidza kuuropi kana tsinga dzayo. Izvi zvinogona kukonzera zviratidzo zvetsinga, kusanganisira:

• kurwadziwa nemusoro mune imwe nzvimbo
• vadzidzi vakuru
• kusaona kana kuona zvakapetwa
• kurwadziwa kumusoro kana kuseri kweziso
• kushaya simba uye chiveve
• kunetseka kutaura

Bata chiremba wako kana iwe uchinge waona chero cheizvi zviratidzo.

Rumtured aneurysms kazhinji inokonzeresa ropa kubva kune yakakanganiswa tsinga kuti ifambe muuropi. Izvi zvinonzi subarachnoid hemorrhage. Zviratidzo zve subarachnoid hemorrhage zvinosanganisira izvo zvakanyorwa pamusoro pamwe ne:

• musoro wakaipa kwazvo unouya nekukurumidza
• kusaziva chinhu
• kusvotwa uye kurutsa
• mutsipa wakaoma
• kuchinja kamwe kamwe mumamiriro epfungwa
• kunzwisisika kuchiedza, kunonziwo photophobia
• pfari
• eyelid inodonha

Chii chinokonzeresa ane bheriya aneurysms?

Kune zvimwe zvinhu zvinoita kuti vamwe vanhu vawedzere kuwana ane bherry aneurysm. Vamwe vanozvarwa, zvichireva kuti vanhu vanozvarwa navo. Zvimwewo mamiriro ekurapa uye maitiro ehupenyu. Pakati pese, ane bheriya aneurysms anowanzoitika kune vakuru pamusoro makumi mana uye vakadzi.

Kuberekwa nenjodzi zvinhu

• zvinobatika matishu (semuenzaniso, Ehlers-Danlos syndrome, Marfan syndrome, uye fibromuscular dysplasia)
• chirwere chetsvo che polycystic
• tsinga isina kujairika
• cerebral arteriovenous kusagadzikana
• nhoroondo yemhuri yemaberry aneurysms
• hutachiona hweropa
• mamota
• zvinoshungurudza musoro kukuvara
• BP
• mitsipa yakaoma, inonziwo atherosclerosis
• yakaderera mazinga eestrogen
• kusvuta
• kushandisa zvinodhaka, kunyanya cocaine
• kunwa doro zvakanyanya

Zvirwere zvine njodzi

Maitiro ehupenyu njodzi

Ndinoziva sei kana ndine berry aneurysm?

Chiremba wako anogona kuongorora aneerysm yebheri nekuita bvunzo dzinoverengeka. Izvi zvinosanganisira macomputer tomography (CT) uye magnetic resonance imaging (MRI) inoongorora. Paunenge uchiita imwe yeiyi scans, chiremba wako anogona zvakare kukujova iwe nedhayi kuti uone zvirinani kuyerera kweropa muuropi hwako.

Kana nzira idzodzo dzisingaratidze chero chinhu, asi chiremba wako achifunga kuti iwe uchine berry aneurysm, pane zvimwe zvekuongorora zvekuongorora zvavanogona kuita.

Imwe sarudzo yakadaro ndeye angiogram yeuropi. Izvi zvinoitwa nekupinza chubhu nhete ine dhayi mutsinga hombe, kazhinji kacho kugomera, nekuisundira kumusoro kune tsinga dziri muuropi hwako. Izvi zvinobvumira kuti tsinga dzako dziratidzike nyore muiyo X-ray. Nekudaro, iyi nzira yekufungidzira haiwanzoshandiswa nhasi kupihwa hunhu hwayo.

Anorwara sei mabheriri anorapwa?

Kune matatu matatu ekurapa ekurapa kune ese asina kuvhurika uye akaputika bheri aneurisms. Sarudzo imwe neimwe inouya nenjodzi dzayo dzega dzezvinogona kuitika. Chiremba wako anozofunga kukura uye nzvimbo yeaneurysm pamwe nezera rako, mamwe marapirwo, uye nhoroondo yemhuri kuti usarudze yakachengeteka sarudzo kwauri.

Kuvhiya kutema

Imwe yeanozivikanwa mabheriri aneurysm ekurapa ndeyekuvhiya kucheka. Neurosurgeon inobvisa chidimbu chedehenya kuti uwane mukana kune aneurysm. Vanoisa chidimbu chesimbi pane aneurysm yekumisa ropa kuti risayerere richienda mukati maro.

Kuvhiya kucheka kuvhiya kusingaite kunowanzoda husiku hushoma muchipatara. Mushure meizvozvo, unogona kutarisira mavhiki mana kusvika matanhatu ekudzoka. Munguva iyoyo, iwe unofanirwa kukwanisa kuzvitarisira. Ingo ita chokwadi chekudzora rako rekuita muviri kubvumira muviri wako nguva yekudzoka. Iwe unogona zvishoma nezvishoma kutanga kuwedzera mune zvinyoro nyoro zviitiko, sekufamba uye mabasa epamba. Mushure memavhiki mana kusvika matanhatu, iwe unokwanisa kuzokwanisa kudzokera kune ako pre-oparesheni nhanho dzechiitiko.

Endovascular coiling

Yechipiri yekurapa sarudzo ndeye endovascular coiling, iyo isinganyanye kukuvadza pane yekuvhiya kutema. Chubhu diki inoiswa mutsinga hombe ndokusundidzirwa kumusoro kune aneurysm. Maitiro aya akafanana neaya europi angiogram iyo chiremba angashandisa kuwana chirwere. Tambo yakapfava yeplatinum inopinda nepombi uye ichipinda mune aneurysm. Kana yangova mune aneurysm, waya inotenderera uye inokonzeresa ropa kugwamba, rinoisa mucherechedzo aneurysm.

Maitiro acho anongoda kugara kwehusiku-husiku kuchipatara, uye unogona kudzokera kune yako yakajairika nhanho yechiitiko mukati memazuva. Kunyange sarudzo iyi isinga pinde, inouya nenjodzi yekubuda ropa mune ramangwana, izvo zvingangoda kuvhiiwa.

Kuyerera diverters

Kuyerera kusiyanisa ingori nzira nyowani yekurapa mabheriri aneurysms. Zvinosanganisira chubhu diki, inonzi stent, iyo inoiswa pane aneurysm mubereki weropa mudziyo. Inodzoreredza ropa kure neaneurysm. Izvi zvinobva zvaderedza kuyerera kweropa kune aneurysm, iyo inofanirwa kuvhara zvachose mumavhiki matanhatu kusvika kumwedzi mitanhatu. Mune varwere vasiri vekuvhiya, vanoyerera vanochinja vanogona kuve nzira yekurapa yakachengeteka, sezvo isingade kupinda mune aneurysm, iyo inowedzera njodzi yekuparara kweanorysm.

Chiratidzo manejimendi

Kana aneurysm isina kuputika, chiremba wako anogona kusarudza zvakachengeteka kungo tarisa aneurysm nema scans akajairwa uye kugadzirisa chero zviratidzo zvaunazvo. Sarudzo dzekugadzirisa zviratidzo dzinosanganisira:

• marwadzo anodzora ekurwadziwa nemusoro
• calcium chiteshi ichivharira kuchengetedza tsinga dzeropa kubva pakuderera
• anti-pfari mishonga yekugwinha inokonzerwa neakakoromoka aneurysms
• angioplasty kana jekiseni remushonga unowedzera kuwedzera kweropa kuchengetedza ropa kuyerera uye kudzivirira sitiroko
• kudhonza yakawandisa cerebrospinal fluid kubva kune rakaputika aneurysm uchishandisa catheter kana shunt system
• yepanyama, yebasa, uye yekurapa kwekutaura kugadzirisa kukuvara kwehuropi kubva kune rakaputika bheri aneurysm

Nzira yekudzivirira mabheriri aneurysms

Iko hakuna nzira inozivikanwa yekudzivirira maberry aneurysms, asi pane mararamiro maratidziro anogona kudzikisa njodzi yako. Izvi zvinosanganisira:

• kurega kusvuta uye kunzvenga utsi hwefodya
• kudzivisa kushandiswa kwekushandisa zvinodhaka
• kutevera chikafu chine hutano chakaderera mumafuta akazara, mafuta anotapira, cholesterol, munyu, uye shuga yakawedzerwa
• kuita zvakanyanya kuita zvemuviri sezvaunogona
• kushanda nachiremba wako kurapa BP kana cholesterol yakawanda kana uinayo
• kutaura nachiremba wako nezve njodzi dzinosanganisirwa nemumuromo dzekudzivirira kubata pamuviri

Kana iwe uchitova neine bherry aneurysm, kuita shanduko idzi kuchiri kungakubatsira iwe kudzivirira aneurysm kubva pakuputika. Pamusoro peichi chinjo, iwe unofanirwa zvakare kudzivirira kusaomarara zvisina basa, sekusimudza masimbi anorema, kana uine aneurysm isina kukanganisika.

Ko mabheri aneurysms anogara achiuraya here?

Vanhu vazhinji vane berry aneurysms vanoenda hupenyu hwavo hwese vasingazive kuti vane imwe. Kana aneurysm yebheri ikava yakakura kwazvo kana kutsemuka, zvisinei, inogona kuve nemhedzisiro, yakakomba kweupenyu hwese. Iyi mhedzisiro inoguma inoenderana zvakanyanya nezera rako uye mamiriro, pamwe nesaizi nenzvimbo yebheriri aneurysm.

Iyo nguva yenguva pakati pekuonekwa uye kurapwa kwakakosha kwazvo. Teerera kune muviri wako uye tsvaga kurapwa nekukurumidza kana iwe uchifunga kuti ungave uine berry aneurysm.