Kuvhiyiwa kwechimbichimbi mushure mekuputika kweaneurysm

Zvose zviitiko zvekusava nekuputika aneurysm zvinoda kurapwa kwakasimba, asi apo aneurysm inoputika, kuvhiyiwa kwekukurumidzira kunodiwa.

Nezve aortic aneurysm, ingave yedumbu kana thoracic, inoda kuvhiyiwa kwekukurumidzira kana paine kuputika. Pasina kupindira kwekukurumidzira, kuputika kweaneurysm nguva dzose kunouraya muthoracic aorta uye inenge nguva dzose inouraya mu abdominal aorta.

Chisarudzo chekushanda pane asina kuparara aneurysm muaorta zvinoenderana nehuwandu hwezvinhu zvine chokuita nemamiriro emurwere, zera, uye maitiro eaneurysm pachayo (hukuru uye kukurumidza kwekukura).

Kuti ushande pane aortic aneurysm, kune maitiro maviri ekushanda ayo achasarudzwa zvichienderana nekuoma uye nzvimbo yeaneurysm.

Nzira yekuvhiya yakajairika.

Zvinoda kubvisa aneurysm mushure mekubata (kushandisa forceps) ye arteri. Kutenderera muaorta kunokanganiswa uye chikamu chakakanganisika chetsinga chinotsiviwa neprosthesis.

Kuvhiya kwemagetsi

Iro idanho rekuita zvishoma rinosanganisira kuisa chubhu yepurasitiki (catheter) mutsinga, kazhinji mugomba, uyezve kusunda waya yeplatinamu kuburikidza necatheter kunzvimbo yeaneurysm. Tambo inovhuvhuta mukati meaneurysm, ichikanganisa kuyerera kweropa uye ichikonzera kugwamba kweropa. Kuvhiyiwa kweEndovascular kunowanzo kufarirwa pane kuvhiyiwa kwechinyakare, kunyanya nekuti nguva yekushanda uye kugara muchipatara ipfupi.

Kuvhiyiwa kweEndovascular, zvisinei, kunotakura njodzi, kunze kweiyo inowanzosangana panguva yekuvhiyiwa.

Aneurysms isinganyanyi kutsemuka hairapwa nekuvhiyiwa nekuda kwengozi inogona kuitika yekukuvara kwehuropi kunokonzerwa nezvinogoneka mukuvhiya.

Varwere vanozopiwa mazano pamusoro pekutarisa nekugadzirisa, kana zvichibvira, zvinhu zvinowedzera njodzi yekuputika kweuropi aneurysm. Izvi zvinonyanya kunetsa kutonga kweBP. Zvechokwadi, kana munhu wacho akarapwa nokuda kweBP, kurapwa kwayo nemishonga inorwisa BP yaizoderedza ngozi yekuputika.

Apo kuputika kweuropi aneurysm kunokonzera kubuda kweropa re subbarachnoid, murwere achamhanyiswa kuchipatara uye anovhiyiwa uropi kuti avhare tsinga yakaputika, mukuedza kudzivirira kuwedzera kubuda ropa.

Kusavhiya kurapwa kweaneurysms yeuropi nekuputika

Kune marapirwo emishonga anowanikwa kuti abvise zviratidzo uye kugadzirisa matambudziko.

• Pain relievers, senge acetaminophen inogona kushandiswa kurapa misoro.
• Calcium channel blockers inodzivirira calcium kuti isapinda mumasero mumadziro etsinga dzeropa. Mishonga iyi inogona kuderedza kutetepa kwetsinga dzeropa (vasospasm) iyo inogona kuve complication yeaneurysm. Imwe yemishonga iyi, nimodipine, inoita seinoderedza njodzi yekukuvadzwa kwehuropi kunokonzerwa nekusakwana kwekuyerera kweropa kunotevera kubuda kweropa.
• Anti-seizure mishonga inogona kushandiswa kurapa pfari inosanganiswa neaneurysm. Mishonga iyi inosanganisira levetiracetam, phenytoin, uye valproic acid.
• Rehabilitation therapy. Kukuvadzwa kwehuropi kunokonzerwa ne subbarachnoid hemorrhage kunogona kutungamirira kune kudiwa kwekugadziriswa kwehutano hwemuviri, kutaura, uye kurapa kwebasa.

Nzvimbo dzekufarira uye zvinyorwa

Nzvimbo dzekufarira:

Cerebral aneurysm: tsananguro, zviratidzo, kurapwa (Science et Avenir)

Cerebral aneurysm (CHUV, Lausanne)

matura: 

Dr Helen Webberley. Aneurysm: Zvinokonzera, Zviratidzo uye Mabatirwo. Medical News Nhasi, Kurume 2016.

Brain aneurysm. Mayo kiriniki, Gunyana 2015.

Chii chinonzi aneurysm? National Heart, Lung, uye Bool Insitute, avril 2011.