Aneurysm ndiko kuzvimba kwemadziro etsinga, kuputika kwayo kunotungamirira kuropa, nengozi yekufa. Inogona kusanganisira nhengo dzakasiyana dzakadai seitsvo, mwoyo kana uropi.

Tsanangudzo yeaneurysm

Aneurysm inoratidzirwa nehenia mumadziro etsinga, zvichiita kuti kupera simba kwekupedzisira. Aneurysms inogona kuramba yakanyarara kana kuputika, zvichikonzera matambudziko makuru ehutano kana kunyange rufu.

Aneurysm inogona kuitika mumatsinga makuru seaya anopa ropa kuuropi uye aorta.

Aneurysm inogonawo kuitika mutsinga dzeparipheral - kazhinji kuseri kwemabvi - kunyange kuputika kweizvi kusingawanzoitiki.

Nzvimbo mbiri dzinonyanya kukosha dzeaneurysms ndeidzi:

Mutsinga inosiya mwoyo zvakananga: inonzi aortic aneurysm. Inosanganisira aneurysm yethoracic aorta uye aneurysm yeabdominal aorta.

Mutsinga inopa huropi: inonzi cerebral aneurysm, inowanzonzi intracranial aneurysm.

Kune mamwe marudzi eaneurysms akadai seanobata mesenteric artery (inokanganisa tsinga inodyisa ura) uye inobata splenic artery uye inoitika muspleen.

Nezve cerebral aneurysm, iyo yekupedzisira inogona kukonzera kudonha kana kuputika kweropa, zvichikonzera kubuda ropa muuropi: mumwe anotaura ipapo nezve.Kurohwa hemorrhagic type. Kazhinji kacho aneurysm yeuropi kubva mumudziyo wakatsemuka inoitika munzvimbo iri pakati pehuropi nematishu (meninges) anovhara uropi. Iyi mhando yehemorrhagic sitiroko inonzi subarachnoid hemorrhage. Mazhinji aneurysms europi, zvisinei, haaparadzi. Brain aneurysms inowanzoitika muvakuru kupfuura muvana uye inowanzoitika kuvakadzi kupfuura varume.

Zvikonzero zvekuputika aneurysm

Aneurysms inoumbwa sei?

Kuzvimba mutsinga kunoitika nekuda kwekutetepa kwemadziro ayo, izvo zvinoita kuti BP iwedzere zvisina mwero madziro etsinga.

Aortic aneurysm inowanzotora chimiro chebundu chinofanana kumativi ose etsinga, nepo cerebral aneurysm pachinzvimbo ichikonzera kuumbwa kwebundu rinotora chimiro chesaga, kazhinji panzvimbo iyo tsinga dzinenge dzisina kusimba.

Ruptured brain aneurysms ndiyo inonyanya kukonzera rudzi rwesitiroko inozivikanwa sesubarachnoid hemorrhage. Mhando iyi yesitiroko haina kuwanda kupfuura ischemic stroke.

Sei aneurysms ichikura?

Hazvinyatsonzwisiswe kuti sei arterial rusvingo rusina simba uye kuti rinoita sei kukonzera aneurysm.

Izvo zvinozivikanwa, zvisinei, kuti kune huwandu hwezvipingamupinyi (ona pazasi) izvo zvinozivikanwa kuti zvine chekuita nekuvandudzwa kweaneurysms.

Kuongororwa kweuropi aneurysm

Kana uine musoro wakaerekana kana wakanyanya kana zvimwe zviratidzo zvine chekuita neaneurysm, unenge uine bvunzo kana nhevedzano yemiedzo kuti uone kana uri kubuda ropa munzvimbo iri pakati pehuropi hwako nenyama yakatenderedza (hemorrhage subarachnoid) kana chimiro chesitiroko. .

Kana kubuda ropa kwaitika, boka rekukurumidzira richaona kana aneurysm iriyo chikonzero.

Kana uine zviratidzo zvehuropi husina kuputika aneurysm - zvakadai sekurwadziwa kuseri kweziso rako, matambudziko ekuona, uye kuoma mitezo kune rumwe rutivi rwechiso chako - iwe unogona kuedzwa zvakafanana.

Diagnostic bvunzo dzinosanganisira:

• Computerized tomography (CT). Iyi CT scan inowanzova bvunzo yekutanga inoshandiswa kuona kana pane kubuda ropa muuropi.
• Magnetic resonance imaging (MRI). MRI inoshandisa magineti uye masaisai eredhiyo kugadzira mifananidzo yakadzama yehuropi. Anoongorora tsinga zvakadzama anogona kuona nzvimbo yeaneurysm.
• Cerebrospinal fluid test. Subarachnoid hemorrhage inowanzoita kuti kuvepo kwemasero matsvuku eropa mu cerebrospinal fluid (mvura yakapoteredza uropi uye musana). Muedzo uyu unoitwa kana paine zviratidzo zveaneurysm.
• Cerebral angiography kana angioscanner. Munguva iyi nzira, chiremba anopinza dhayi mu catheter mutsinga huru - kazhinji mugomba. Muedzo uyu unoparadza kupfuura vamwe uye unowanzo shandiswa kana mamwe maedzo ekuongorora asingapi ruzivo rwakakwana.

Kushandisa bvunzo dzekufungidzira kuti utarise kune unruptured brain aneurysms kazhinji hazvikurudzirwe kunze kwekunge murwere aine nhoroondo yemhuri aine dhigirii rekutanga hama (mubereki, mukoma).

Matambudziko eaneurysm

Ruzhinji rwevanhu vanogara neaneurysm havatamburi nematambudziko. Kugadzirisa zvinhu zvine njodzi kwakakosha, zvisinei.

Zvinetso zveaneurysm ndezvizvi:

• Venous thromboembolism: Kuvharika kwetsinga nevhavha yeropa kunogona kukonzera marwadzo munhengo yakadai sedumbu kana uropi, uye mune yekupedzisira inogona kukonzera sitiroko.
• Chipfuva chakanyanya uye / kana kurwadziwa kwechiuno: kunoitika zvichitevera chinyararire kana kuputika kweaortic aneurysm.
• angina pectoris : Mamwe marudzi eaneurysm anogona kutungamirira ku angina pectoris, marwadzo ane chokuita netsinga dzakatetepa dzinopa kupa kusina kunaka kumwoyo.

Nyaya yecerebral aneurysm

Kana aneurysm yeuropi inoputika, kubuda ropa kunowanzotora masekonzi mashoma. Kubuda ropa kunogona kukonzera kukanganisa kumasero europi akatenderedza (neurons). Inowedzerawo kumanikidza mukati medehenya.

Kana dzvinyiriro yacho ikakwira zvakanyanya, ropa uye mweya weokisijeni kuuropi zvinogona kukanganiswa kusvika padanho rekuti kufenda kana kufa kunogona kuitika.

Matambudziko anogona kukura mushure mekuputika kweaneurysm anosanganisira:

• Kumwe kubuda ropa. A ruptured aneurysm inogona kubuda ropa zvakare, zvichikonzera kumwe kukuvadza kumasero europi.
• Vasospasm. Kutevera aneurysm, mitsipa yeropa muuropi inogona kupfupika kamwe kamwe uye kwenguva pfupi: iyi vasospasm. Ichi chisina kujairika chinogona kudzora kuyerera kweropa kumaseru ehuropi, zvichikonzera ischemic sitiroko uye kukonzera kumwe kukuvadza kune neuroni.
• Hydrocephalus. Kana kuputika kweaneurysm kuchikonzera kubuda ropa munzvimbo iri pakati peuropi nenyama yakatenderedza (subarachnoid hemorrhage), ropa rinogona kuvhara kuyerera kwemvura (inonzi cerebrospinal fluid) yakatenderedza uropi nemuviri. musana. Ichi chiitiko chinogona kukonzera kuwanda kwecerebrospinal fluid iyo inowedzera kudzvanywa kwehuropi uye inogona kukuvadza matishu: iri hydrocephalus.
• Hyponatremia. Subarachnoid hemorrhage inotevera cerebral aneurysm inogona kukanganisa chiyero chesodium muropa. Izvi zvinogona kuunza kukuvara mu hypothalamus, nzvimbo iri pazasi peuropi. A low sodium mazinga muropa (inonzi hyponatremia) inogona kutungamirira mukuzvimba kwetsinga uye kukuvara zvachose.