Kuthamangitsidwa kwa Aortic ndi matenda owopsa omwe amafunika nthawi yomweyo kuchipatala. Ziwerengero zimasonyeza kuti munthu akafa pakakhala palibe mankhwala oyenera ndi 65-70%, ngakhale ngakhale atapatsidwa thandizo lachipatala, chiwerengero cha imfa ndichokwera.
Zomwe zimayambitsa kusokonezeka kwa aortic
Aneurysm ndi chivundikiro cha khoma la chotengera cha magazi chifukwa cha kupatulira kwake, kapena masango a kolesterolini. Zikakhala kuti aneurysm imaphwanya kukhulupirika kwa mkati mwa khoma la aortic, mutima, magazi amayamba pang'onopang'ono kulowa mkatikatikatikati mwa khoma, pang'onopang'ono amachikulitsa. Pakadali pano, wodwala akusowa kuchipatala kuti athetse kuwonongeka kwa aorta. Mwamwayi, n'zotheka kuzindikira kuti stratification pa sitejiyi mwadzidzidzi, pakufufuza kachitidwe ka thanzi la zamoyo.
Pambuyo pake, magazi pakati pa zigawo za khoma la ziwiya amakula kwambiri, ndipo amalowa pakati pa pakati ndi kunja kwa aorta. Ngati pali kuwonongeka kwathunthu, munthu akhoza kufa chifukwa cha kuthamanga kwa mkati kapena kupweteka kwamkati. Choncho, ndikofunika kuti tipeze matendawa pakapita nthawi, komanso kuti tidziwe zomwe zingatheke.
Kawirikawiri, aortic aneurysm dissection ali ndi chibadwa choyambirira, kotero ngati pakhala pali zovuta m'banja lanu, muyenera kukhala tcheru. Zinthu zowonongeka ndizo zizindikiro zogonana ndi maonekedwe osiyanasiyana. Nazi mndandanda wa magulu a anthu omwe ali pangozi:
- anthu oposa 60;
- amuna akuda;
- Odwala ndi mtima ndi matenda;
- anthu owopsa;
- zidakwa, mankhwala osokoneza bongo;
- odwala okhala ndi syphilis ndi matenda ena omwe amadziwika ndi minofu ya necrosis;
- odwala opatsirana;
- othamanga.
Oimira a gulu lotsiriza ayenera kulankhula mosiyana. Anthu omwe amagwira nawo masewera olimbitsa thupi nthawi zambiri amakhala ndi katundu wambiri pamaganizo a mtima, choncho imathamanga mofulumira kwambiri. Matenda okhudza anthu a zaka 60 mpaka 70, amapezeka ali ndi zaka 40 omwe akuthamanga ndi okwera. Choyambitsa kusokonezeka kwa aortic kungakhale chipsinjo choopsa kwambiri m'dera la thoracic.
Zizindikiro zikuluzikulu za aortic dissection ndi kupweteka kosalekeza, pamtima ndi m'dera la zilonda, kuchepa kwa chikoka ndi kuwonjezereka. Palibenso zizindikiro zina za matendawa.
Kuchiza kwa aortic dissection
Chithandizo cha thumbachi chimatanthauza kupititsa patsogolo chipatala ndi kupaleshoni. Kuchita opaleshoni kumathandiza kuti asiye kusokonezeka kwa aortic komanso kutaya kwathunthu, ngakhale theka la ola limodzi likhoza kuwononga moyo wodwala. Ngati chikhalidwecho sichiri chofunikira ndipo magazi pakati pa makoma a aorta akhoza kuponyedwa mwa njira yosiyana, padzakhala kofunikira kuti azitsatira njira yowonjezera yomwe imaphatikizapo kulimbitsa makoma a mitsempha ndi kuchepetsa kuthamanga kwa magazi. Izi zidzawonjezera moyo wa wodwala kwa zaka 10-15, koma ngati stratification wayamba kale,
Malingana ndi malo a malo okhudzidwa, mungathe kufotokozeranso kuti:
- Ndi kupatulidwa kwa thoracic aorta, kupulumuka kwake kumakhala kochepa kwambiri, chifukwa kumasokoneza kayendedwe kabang'ono ka kayendetsedwe ka mankhwala ndipo kungachititse kumangidwa kwathunthu kwa mtima. Pachifukwa ichi, ululuwo udzafanana ndi chikhalidwe ndi mphamvu ya matenda a myocardial infarction ndipo dokotala wodziwa bwino adzaika mwamsanga matenda oyenera, kutumiza wodwalayo ku opaleshoniyo.
- Nthawi zambiri matenda a ululu amatuluka mosavuta, ndipo nthawi zambiri amamva kupweteka kwambiri. Matenda oterewa ndi oopsa, koma ndizofunika kuyembekezera kuti nthawi ina chinachake cholakwika ndikupanga MRI kapena tomography.