Ho lokisa aneurysm ea boko

Ho lokisa aneurysm ea boko ke ho buuoa ho lokisa aneurysm. Sena ke sebaka se fokolang leboteng la methapo ea mali se etsang hore sejana se tsoe kapa se thunye ebe ka linako tse ling se phatloha. E ka baka:

• Ho tsoa mali ka har'a mokelikeli oa cerebrospinal (CSF) ho potoloha le boko (hape o bitsoang subarachnoid hemorrhage)
• Ho tsoa mali bokong ho theha pokello ea mali (hematoma)

Ho na le mekhoa e 'meli e tloaelehileng e sebelisoang ho lokisa aneurysm:

• Ho khaola ho etsoa nakong ea craniotomy e bulehileng.
• Ho lokisa li-endovascular (opereishene), eo hangata e sebelisang se-coil kapa coiling le stenting (mesh tubes), ke mokhoa o seng o hlaselang hape o tloaelehileng oa ho phekola li-aneurysms.

Nakong ea ho khaola ha aneurysm:

• U fuoa thethebatso e akaretsang le phaephe ea ho hema.
• Letlalo la hao, lehata, le likoahelo tsa boko lia buloa.
• Sekotoana sa tšepe se beoa botlaaseng (molaleng) oa aneurysm ho se thibela hore se bulehe (se phatlohe).

Nakong ea tokiso ea methapo ea methapo (opereishene) ea aneurysm:

• U kanna oa ba le anesthesia e akaretsang le phaephe ea ho hema. Kapa, ​​o ka fuoa moriana oa ho u phomotsa, empa ha oa lekana ho u robatsa.
• Catheter e tataisoa ka karolo e nyane ea mothapo oa hau ho ea mothapong ebe e isoa methapong ea mali bokong ba hau moo aneurysm e leng teng.
• Lisebelisoa tsa phapang li entsoe ka catheter. Sena se lumella ngaka e buoang ho bona methapo le aneurysm mochining o ka kamoreng ea ts'ebetso.
• Likhoele tsa tšepe tse tšesaane li kenngoa ka har'a aneurysm. Ka mor'a moo li kenella ka har'a bolo ea letlooeng. Ka lebaka lena, ts'ebetso ena e boetse e bitsoa ho koala. Ho koala mali ho etsa potoloha kela ena ho thibela aneurysm hore e se ke ea buleha le ho tsoa mali. Ka linako tse ling li-stents (li-mesh tubes) le tsona li kentsoe ho ts'oara li-coil le ho netefatsa hore methapo ea mali e lula e butsoe.
• Nakong le hang kamora ts'ebetso, o ka fuoa mali a tšesaane joalo ka heparin, clopidogrel kapa aspirin. Meriana ena e thibela maqeba a mali a kotsi ho theha stent.

Haeba aneurysm bokong e buleha (e phatloha), ke boemo ba tšohanyetso bo hlokang kalafo sepetlele. Hangata ho phatloha ho phekoloa ka ho buuoa, haholo-holo ho buuoa ka methapo ea pelo.

Motho a ka ba le aneurysm e sa senyehang ntle le matšoao. Mofuta ona oa aneurysm o ka fumanoa ha MRI kapa CT scan ea boko e etsoa ka lebaka le leng.

• Ha se li-aneurysms tsohle tse hlokang ho phekoloa hang-hang. Li -neurysms tse e-song ho tsoa mali, haholo haeba li le nyane haholo (tse ka tlase ho 3 mm ntlheng ea tsona e kholo), ha li hloke ho phekoloa hanghang. Ts'oaetso ena e nyane haholo ha e na monyetla oa ho phatloha.
• Ngaka ea hao e buoang e tla u thusa ho etsa qeto ea hore na ho bolokehile hore ho etsoa opereishene ho thiba aneurysm pele e ka buleha kapa ho lekola aneurysm ka ho nka litšoantšo khafetsa ho fihlela ho hlokahala hore ho buuoe. Ho na le li-aneurysms tse nyane tse ke keng tsa hloka ho buuoa.

Likotsi tsa anesthesia le ho buuoa ka kakaretso ke:

• Liketso tsa meriana
• Mathata a phefumolohang
• Ho tsoa mali, ho koala mali, kapa tšoaetso

Likotsi tsa ho buuoa bokong ke:

• Ho koala mali kapa ho tsoa mali bokong kapa ho bo potoloha
• Ho ruruha ha boko
• Tšoaetso bokong kapa likarolo tse potileng boko, joalo ka lehata kapa hlooho
• Ho oa
• Leqeba

Ho buoa sebakeng se le seng sa boko ho ka baka mathata a ka bang bobebe kapa a matla. Li kanna tsa nka nako e khuts'oane kapa tsa se ke tsa tloha.

Matšoao a mathata a boko le methapo (methapo ea kutlo) a kenyelletsa:

• Boitšoaro boa fetoha
• Pherekano, mathata a ho hopola
• Ho lahleheloa ke botsitso kapa khokahano
• Boikitlaetso
• Mathata a ho hlokomela lintho tse u potileng
• Mathata a puo
• Mathata a pono (ho tloha bofofu ho ea ho mathata a nang le pono e lehlakoreng)
• Bofokoli ba mesifa

Tsamaiso ena hangata e etsoa joalo ka ts'ohanyetso. Haeba e se ts'ohanyetso:

• Bolella mofani oa tlhokomelo ea bophelo hore na u noa meriana efe kapa litlama le hore na u kile oa noa joala bo bongata.
• Botsa mofani oa hau hore na ke meriana efe eo u lokelang ho e nka hoseng ea ho buuoa.
• Leka ho khaotsa ho tsuba.
• Latela litaelo tsa ho se je le ho noa pele ho ts'ebetso.
• Nka meriana eo mofani oa hau a u joetseng eona hore u e noe ka ho noa metsi hanyane.
• Fihla sepetlele ka nako.

Ho lula sepetlele bakeng sa ho lokisoa ha methapo ea mali ho ka ba nako e khuts'oane ho isa ho matsatsi a 1 ho isa ho a 2 haeba ho ne ho sa tsoe mali pele ho ts'ebetso.

Ho lula sepetlele kamora ho koaloa hoa craniotomy le aneurysm hangata ho nka matsatsi a 4 ho isa ho a 6. Haeba ho na le ho tsoa mali kapa mathata a mang, joalo ka methapo e fokolang ea mali bokong kapa mokelikeli o mongata bokong, ho lula sepetlele e ka ba beke e le 'ngoe ho isa ho tse peli, kapa ho feta.

Mohlomong u tla ba le liteko tsa litšoantšo tsa methapo ea mali (angiogram) bokong pele u romelloa hae, mme mohlomong hang ka selemo lilemo tse 'maloa.

Latela litaelo tsa ho itlhokomela lapeng.

Botsa ngaka ea hau hore na ho tla bolokeha hore u be le liteko tsa ho nka litšoantšo tse kang angiogram, CT angiogram, kapa MRI scans ea hlooho nakong e tlang.

Kamora ho buuoa ka katleho bakeng sa aneurysm e tsoang mali, ho tloaelehile hore e tsoe mali hape.

Pono e boetse e ipapisitse le hore na tšenyo ea boko e hlahile ka lebaka la ho tsoa mali pele, nakong kapa kamora 'opereishene.

Boholo ba nako, ho buuoa ho ka thibela aneurysm ea boko e sa kang ea baka matšoao a ho ba kholo le ho buleha.

U ka ba le aneurysm e fetang e le 'ngoe kapa aneurysm e neng e koahetsoe e kanna ea hola hape. Kamora ho lokisa, o tla hloka ho bonoa ke mofani oa hau selemo se seng le se seng.

Tokiso ea Aneurysm - boko; Ho lokisoa ha methapo ea boko; Coiling; Lokisa aneurysm ea methapo; Ho lokisa aneurysm ea Berry; Ho lokisa aneurysm ea Fusiform; Ho qhala ho lokisa aneurysm; Ho lokisa methapo ea methapo ea methapo - boko; Ho tsoa mali ka tlas'a metsi - aneurysm

• Ho lokisa aneurysm ea boko - ho tsoa
• Ho buuoa ka bongoa - ho tsoa
• Ho hlokomela mesifa ea ho hahaba kapa ho kobeha
• Ho buisana le motho ea nang le aphasia
• Ho buisana le motho ea nang le dysarthria
• Dementia le ho khanna
• Dementia - boitšoaro le mathata a boroko
• Dementia - tlhokomelo ea letsatsi le letsatsi
• Dementia - ho ipoloka o bolokehile ka lapeng
• Sethoathoa ho bana - ho tsoa
• Stroke - ho tsoa
• Ho metsa mathata

Altschul D, Vats T, Unda S. Phekolo ea methapo ea methapo ea methapo ea boko. Ka: Ambrosi PB, e hlophisitsoeng. Temoho e Ncha ea Mafu a Cerebrovascular - Tlhahlobo e Nchafalitsoeng e Fetohileng. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. IntechOpen; 2020: khaolo: 11. E hlahlobisitsoe ka la 1 August, 2019. E fihlile ka la 18 Mots'eanong, 2020.

Webosaete ea American Stroke Association. Seo u lokelang ho se tseba ka li-aneurysms tsa boko. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-now-about-cerebral-aneurysms#. E ntlafalitsoe ka la 5 Tšitoe 2018. E fihlile ka la 10 Phupu 2020.

Le Roux PD, Winn HR. Ho etsa liqeto tsa ho buoa bakeng sa kalafo ea li-aneurysms tse sa sebetseng. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 379.

Setsi sa Naha sa Mathata a Neurological le webosaete ea Stroke. Leqephe la lintlha tsa cerebral aneurysms.www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. E ntlafalitsoe ka la 13 Hlakubele 2020. E fihlile ka la 10 Phupu 2020.

Spears J, Macdonald RL. Tsamaiso ea ts'ebetso ea ts'ebeliso ea mali ea subarachnoid hemorrhage. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 380.