Opaleshoni yadzidzidzi pambuyo pa kupasuka kwa aneurysm

Zochitika zonse za aneurysm yosaphulika zimafuna chithandizo chogwira ntchito, koma pamene aneurysm ikuphulika, opaleshoni yadzidzidzi imafunika.

Ponena za aortic aneurysm, kaya m'mimba kapena thoracic, imafuna opaleshoni yadzidzidzi pakakhala kupasuka. Popanda kuchitapo kanthu mwamsanga, kuphulika kwa aneurysm kumakhala koopsa nthawi zonse mu thoracic aorta ndipo pafupifupi nthawi zonse kumapha msempha wa m'mimba.

Chisankho chogwirira ntchito pa aneurysm yosasinthika mu aorta zimadalira zinthu zingapo zokhudzana ndi chikhalidwe cha wodwalayo, zaka zake, ndi zizindikiro za aneurysm yokha (kukula ndi liwiro la chitukuko).

Kuti mugwiritse ntchito pa aortic aneurysm, pali njira ziwiri zogwiritsira ntchito zomwe zidzasankhidwa malinga ndi kuuma ndi malo a aneurysm.

The ochiritsira njira opaleshoni.

Pamafunika kuchotsa aneurysm pambuyo clamping (pogwiritsa forceps) wa mtsempha wamagazi. Kuzungulira kwa msempha kumasokonekera ndipo gawo lowonongeka la mtsempha lidzasinthidwa ndi prosthesis.

Opaleshoni ya Endovascular

Ndi njira yochepetsera pang'ono yomwe imaphatikizapo kulowetsa chubu cha pulasitiki (catheter) mu mtsempha wamagazi, nthawi zambiri mu groin, ndiyeno kukankhira waya wa platinamu kupyolera mu catheter kupita ku malo a aneurysm. Ulusiwo umalowa mkati mwa aneurysm, kusokoneza kutuluka kwa magazi ndikupangitsa kuti magazi atseke. Opaleshoni ya Endovascular nthawi zambiri imakonda kuposa yachikhalidwe, makamaka chifukwa nthawi yopangira opaleshoni komanso kukhala m'chipatala ndizofupikitsa.

Opaleshoni ya Endovascular, komabe, imakhala ndi zoopsa, kuwonjezera pa zomwe zimachitika nthawi zambiri pa opaleshoni.

Aneurysms omwe sangadutse nthawi zambiri samachitidwa opaleshoni chifukwa cha chiopsezo cha kuwonongeka kwa ubongo chifukwa cha zovuta zomwe zingatheke chifukwa cha opaleshoni.

Odwala amalangizidwa momwe angayang'anire ndikusintha, ngati n'kotheka, zinthu zomwe zimawonjezera chiopsezo cha kuphulika kwa ubongo wa aneurysm. Izi zikukhudza makamaka kuwongolera kuthamanga kwa magazi. Zowonadi, ngati munthuyo amathandizidwa ndi kuthamanga kwa magazi, chithandizo chake ndi antihypertensive agent chingachepetse chiopsezo cha kuphulika.

Pamene kusweka kwa aneurysm ya muubongo kumayambitsa kukha mwazi kwa subbarachnoid, wodwalayo amathamangira kuchipatala ndi kuchitidwa opaleshoni yaubongo kuti atseke mtsempha wong’ambikawo, poyesa kuletsa kutuluka kwa magazi kwina.

Chithandizo chosachita opaleshoni cha aneurysms yaubongo ndi kupasuka

Pali chithandizo chamankhwala chomwe chilipo kuti muchepetse zizindikiro ndikuwongolera zovuta.

• Mankhwala ochepetsa ululu, monga acetaminophen angagwiritsidwe ntchito pochiza mutu.
• Ma calcium blockers amalepheretsa calcium kulowa m'makoma a mitsempha yamagazi. Mankhwalawa amatha kuchepetsa kuchepa kwa mitsempha ya magazi (vasospasm) yomwe ingakhale vuto la aneurysm. Mmodzi mwa mankhwalawa, nimodipine, akuwoneka kuti amachepetsa chiopsezo cha kuwonongeka kwa ubongo chifukwa cha kusayenda bwino kwa magazi potsatira kukha mwazi kwa subbarachnoid.
• Mankhwala a anti-seizure angagwiritsidwe ntchito pochiza khunyu komwe kumakhudzana ndi aneurysm. Mankhwalawa akuphatikizapo levetiracetam, phenytoin, ndi valproic acid.
• Rehabilitation therapy. Kuwonongeka kwa ubongo chifukwa cha kutaya magazi kwa subbarachnoid kungayambitse kufunikira kwa kukonzanso luso lakuthupi, kulankhula, ndi ntchito.

Masamba osangalatsa ndi magwero

Malo osangalatsa:

Cerebral aneurysm: tanthauzo, zizindikiro, chithandizo (Sayansi et Avenir)

Cerebral aneurysm (CHUV, Lausanne)

magwero: 

Dr. Helen Webberley. Aneurysm: Zomwe Zimayambitsa, Zizindikiro ndi Chithandizo. Medical News Today, Marichi 2016.

Aneurysm ya ubongo. Chipatala cha Mayo, September 2015.

Kodi aneurysm ndi chiyani? National Heart, Lung, and Bool Insitute, avril 2011.