Aneurysm

Anurysm ke ho pharalla kapa ho putsoa ho sa tloaelehang hoa karolo ea mothapo ka lebaka la bofokoli leboteng la methapo ea mali.

Ha ho hlake hantle hore na ke eng e bakang aneurysms. Li-aneurysms tse ling li teng nakong ea tsoalo (congenital). Liphoso likarolong tse ling tsa lebota la mothapo e ka ba sesosa.

Libaka tse tloaelehileng tsa li-aneurysms li kenyelletsa:

• Mothapo o moholo oa pelo o tsoang pelong joalo ka thoracic kapa aorta ea mpa
• Boko (cerebral aneurysm)
• Ka mora lengole leotong (popliteal artery aneurysm)
• Mala (mesenteric artery aneurysm)
• Mothapo ka spleen (splenic artery aneurysm)

Khatello ea mali e phahameng, k'holeseterole e phahameng le ho tsuba sakerete li ka hlahisa kotsi ea hau bakeng sa mefuta e meng ea li-aneurysms. Ho nahanoa hore khatello e phahameng ea mali e bapala li-aneurysms tsa mpeng. Lefu la atherosclerotic (k'holeseterole e hahang ka har'a methapo) le eona e ka lebisa ho thehoeng ha li-aneurysms tse ling. Liphatsa tsa lefutso kapa maemo a mang a kang fibromuscular dysplasia a ka baka li-aneurysms.

Bokhachane bo atisa ho amahanngoa le ho thehoa le ho phatloha ha methapo ea methapo ea splenic.

Matšoao a ipapisitse le hore na aneurysm e hokae. Haeba aneurysm e hlaha haufi le bokaholimo ba 'mele, bohloko le ho ruruha ka hlama e opang hangata li bonahala.

Li -neurysms 'meleng kapa bokong hangata ha li bake matšoao. Li -neurysms bokong li ka hola ntle le ho buleha. Aneurysm e atolositsoeng e ka hatella methapo mme ea baka pono e habeli, ho tsekela kapa ho opeloa ke hlooho. Li-aneurysms tse ling li ka baka ho lla litsebeng.

Haeba aneurysm e ka phatloha, ho opeloa, khatello e tlase ea mali, ho otla ha pelo ka potlako le bohlooho bo ka ba teng. Ha aneurysm ea boko e phatloha, ka tšohanyetso ho ba le hlooho e bohloko e bohloko eo batho ba bang ba reng ke "hlooho e bohloko ka ho fetisisa bophelong ba ka." Kotsi ea ho akheha kapa lefu kamora ho phatloha e kholo.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele.

Liteko tse sebelisetsoang ho fumana lefu la aneurysm li kenyelletsa:

• CT scan
• CT angiogram
• MRI
• MRA
• Ultrasound
• Angiogram

Kalafo e latela boholo le sebaka sa aneurysm. Mofani oa hau a ka khothaletsa feela ho hlahlojoa khafetsa ho bona hore na aneurysm e ntse e hola.

Ho ka etsoa opereishene. Mofuta oa opereishene o etsoang le ha o o hloka o ipapisitse le matšoao a hau le boholo le mofuta oa aneurysm.

Ho buoa ho ka kenyelletsa khaola e kholo (e bulehileng) ea ho buoa. Ka linako tse ling, ho etsoa mokhoa o bitsoang endovascular embolization. Likhoele kapa lisente tsa tšepe li kenngoa ka har'a aneurysm ea boko ho etsa hore aneurysm e koalehe. Sena se fokotsa menyetla ea ho robeha ha methapo e ntse e butsoe. Matšoao a mang a boko a ka hloka ho beoa sekhechana ho li koala le ho thibela ho phatloha.

Li -neurysms tsa aorta li ka matlafatsoa ka ho buuoa ho matlafatsa lebota la methapo ea mali.

Bitsa mofani oa hau haeba u hlahisa hlama 'meleng oa hau, ebang e bohloko ebile e bohloko.

Ka aneurysm ea aortic, e-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae haeba o na le bohloko mpeng kapa mokokotlong o mobe haholo kapa ha o fele.

Ka aneurysm ea boko, e-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea tšohanyetso ea lehae haeba u tšoeroe ke hlooho ka tšohanyetso kapa e bohloko, haholoholo haeba u na le ho nyekeloa ke pelo, ho hlatsa, ho akheha, kapa matšoao a mang a tsamaiso ea methapo.

Haeba u fumanoa u e-na le aneurysm e sa tsoelang mali, u tla hloka ho etsa liteko khafetsa ho bona hore na e eketseha ka boholo.

Ho laola khatello e phahameng ea mali ho ka thusa ho thibela li-aneurysms tse ling. Latela lijo tse nepahetseng, ikoetlise khafetsa, 'me u boloke k'holeseterole ea hau e le boemong bo botle ho thusa ho thibela li-aneurysms kapa mathata a tsona.

Se ke oa tsuba. Haeba u tsuba, ho tlohela ho tla fokotsa menyetla ea ho ba le aneurysm.

Aneurysm - methapo ea splenic; Aneurysm - methapo ea popliteal; Aneurysm - methapo ea mesenteric

• Pherekano ea boko
• Aortic aneurysm
• Ho tsoa mali ha Intracerebellar - CT scan

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Cheng CC, Cheema F, Fankhauser G, Silva MB. Pheriferale methapo ea mafu. Ka: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Buka ea Sabiston ea Ngaka ea ho Buoa. 20th, ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 62.

Lawrence PF, DA ea Rigberg. Li-aneurysms tsa methapo: etiology, epidemiology, le nalane ea tlhaho. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 69.