Ngaba i-aneurysm isigwebo sokufa?

U-Aneurysm ukwanda kwenqanawa, ngaphezu kokuphindwe kabini ububanzi bayo obuqhelekileyo. Ngaphezu kwe-60% yazo zonke ii-aneurysms zifumaneka kwi-aorta yesisu. Olu lukhuhlane luvela ngokuphindaphindiweyo kubantu abaphethwe yi-rheumatism, aortoarteritis, syphilis, atherosclerosis, isifo sofuba. Isizathu esiqhelekileyo sesine-aneurysm sisifo esibuhlungu esiswini, ukusebenza kwi-aorta.

Indlela yokwenzeka

Ukuqala kokunyuselwa kuhambelana nezinguqu ezinonophelo kwi-framework ye-aortic. Ngokumelana nokunyuka kwiindawo ezikude zeemitha, ixinzelelo kwi-aorta yesisu isanda. Xa kungabikho kwinqanaba lomkhumbi lokumelana nokunyuswa kwengcinezelo, ukwanda kwawo kwenzeka kwindawo ethile. Aneurysm - indawo ye-aorta ene-blood flow flow, apho i-thrombi idlalwa khona.

I klinikhi

Ngomlinganiselo omncinci we-aneurysm (ngaphantsi kwe-20% yamatyala), ukuhamba kwe-asymptomatic kungenzeka. Kwamanye amaxesha, zonke iimpawu zeklinikhi ze-aneurysm zahlula ngokuqhelekileyo kwaye zingabonanga. Into eqhelekileyo: ukukhupha isisu esiswini, intlungu, isandi ngexesha lokuqhaqha komzimba kwi-aneurysm. Ubuhlungu bunokufana ne-hepatic okanye coal renal, ekwahlukileyo ngakwesobunxele kwintonga, inokungena kwi-back or waist.

Imiqondiso engacacanga

• Isisu sesisu: isicathulo, ukuhlanza, ukungabikho kokutya, ukulahleka kwesisindo.
• I-urologic syndrome: i-hematuria, iingxaki ze-dysuric.
• Ishioradicular syndrome: intlungu emva, imoto kunye neengxaki ezibuhlungu kwimilenze.
• Umlenze wesifo esingapheliyo ischemia syndrome: ukutyunjwa okukhawulezileyo, utshintsho lwe-trophic.

I-Aneurysm isifo esiqhubekayo. Ingaphezu kwesiqingatha sezigulane zifa emva kweminyaka emi-2 emva kokuxilongwa kweengxaki eziye zavela.

Diagnostics

Ukuhlolwa kwe-ultrasonic kuvumela ukuseka indawo kunye nobukhulu bemfundo. Kwi-monitor ye-aneurysm kukunyuselwa kwinqanawa kunye nemigca ecacileyo, ecaleni kwindonga kunye nokunciphisa ukuhamba kwegazi. Nge-angiography, i-aorta ikwandisiwe. Ngomfanekiso wembonakaliso wendawo yomzimba wesitho somzimba, iziqulatho eziphakanyisiweyo ze-aorta kunye ne-calcification deposits ziyabonakala, zihlala zihamba kunye nemifanekiso kwi-vertebrae - ngu-usuras. Nge-CT, isakhiwo esisijikelezayo esinemizila ecacileyo, iindonga ezinqabileyo, i-parietal thrombi kunye nokubalwa kwamanani.

Unyango

I-Aneurysm isifo apho, ininzi lamatyala, ukungenelela kwongxamiseko kwenziwa, ehambelana nokuphakama okukhulu kweengxaki. Ukusebenza kuyaphikisana nezigulane eziye zahlushwa i-myocardial infarction, zineembali zokungapheli komjikelezo, isifo.

Ukungenelela kokusebenza

Kukho iindlela ezahlukeneyo zokonyango:

• Ukususwa kwe-aneurysm kunye ne-sac ye-aneurysmal, i-aortic prosthetics okanye utyando lwe-overpery;
• Ukususwa kwe-aneurysm ngaphandle kwengxowa ngeproramuscular prosthetics.

Iprosthetics idla ngokuhambisana ne-aortic prosthesis. Ukufa emva kokungenelela akudluli kwi-10%. Ukuba umngcipheko wokuhlinzwa uphakamileyo, u-aortic ophazamisayo uqhutyelwayo: uphethe i-prosthesis eyandisa ngokwenza umthambo wesifazane .

Eneenkcukacha ezinzima

Imiphumo ye-aneurysm ixhomekeke ngokukodwa ngobukhulu bayo: enkulu inkulu, inkulu enkulu yokutshatyalaliswa kwayo okanye ukuhlukana kwayo.