Ukusasazeka kwe-Aortic kuyisifo esiyingozi esidinga ukulaliswa kwezibhedlele. Izibalo zibonisa ukuba ukufa ekungabikho kwonyango olufanelekileyo ngu-65-70%, ngelixa nangona kunikezelwa unyango lwezempilo, inani lokufa liphezulu.
Izizathu eziphambili ze-aortic dissection
I-aneurysm yintlambo yodonga lwesitya segazi ngenxa yokucoca kwayo, okanye iqoqo le-cholesterol plaques. Kwimeko apho i-aneurysm iphula ugcino lwesigxina sangaphakathi sodonga lwe-aortic, intima, igazi liqala ngokungenelela ukungena phakathi kwendawo engaphakathi kunye nendawo ephakathi kwodonga, ngokukhawuleza ukuyifaka. Sekule nqanaba, isiguli sifuna ukulaliswa esibhedlele ukukhusela umonakalo omkhulu kwi-aorta. Ngelishwa, kunokwenzeka ukufumanisa ukulungelelaniswa kweli nqanaba kuphela ngethuba, ngexesha lokuhlolwa ngokubanzi kwimeko yempilo yendalo.
Kamva, igazi phakathi kweendonga zodonga lweempahla luba lukhulu ngakumbi, kwaye luwela phakathi kweendawo eziphakathi kunye nangaphandle kwe-aorta. Ukuba kukho ukuphazamiseka okupheleleyo, umntu uya kufa ngenxa yokuphaphazeleka kwangaphakathi okanye intlungu. Ngako oko, kubalulekile nje ukuba uhlolisise eso sifo ngexesha, kodwa nokuba uqaphele izinto ezinobungozi.
Ngokuqhelekileyo, i-aortic aneurysm dissection ine-genetic predisposition, ngoko ukuba kukho iimeko ezinjalo kwintsapho yakho, kufuneka uqaphele. Kwakhona iziganeko ezishukumisayo zizifo zesifo kunye nezifo ezahlukeneyo. Nolu uluhlu lweentlobo zabantu abaninzi abasengozini:
- abantu abangaphezulu kwama-60;
- madoda amnyama;
- Iziguli ezinentliziyo kunye nesifo se-vascular;
- abantu abagqithiseleyo;
- utywala, izilwanyana;
- izigulane ezine-syphilis kunye nezinye izifo ezibonakaliswe yi-necrosis yezicubu;
- izigulane eziphezulu;
- ba mbaleki.
Abameli beli candelo lokugqibela kufuneka bathethe ngokuhlukileyo. Abantu ababandakanyekayo kwimidlalo kaninzi banomthwalo wokunyusa umthwalo kwi-cardiovascular system, ngoko ihamba ngokukhawuleza. Izifo ezichaphazela abantu abaneminyaka engama-60-70 ubudala, ziyafumaneka kumagosa aneminyaka engama-40 kunye nabagibeli. Isisombululo se-aortic dissection sinokuba sisifo esibuhlungu esicaleni kwintsimi ye-thoracic.
Iimpawu eziphambili ze-aortic dissection yintlungu engavuthayo, engenakubekezeleka entliziyweni kunye nommandla wesilonda, ukuhla kwe-pulse ngokunyuka kwengcinezelo. Kukho nakwezinye izibonakaliso zezifo.
Ukunyangwa kwe-aortic dissection
Unyango lwe-bundle lithetha ukulaliswa kwezibhedlele kunye nokungenelela okutyathwayo. Ukuhlinzwa kuphela kuya kunceda ukuyeka ukuqhubela phambili kwe-aortic kunye nokuqhekeza kwayo ngokupheleleyo, nokuba isiqingatha seyure ukulibaziseka kunokuhlawula ubomi bomguli. Ukuba le meko ayibalulekanga kwaye igazi phakathi kweendonga ze-aorta linokuphonywa ngendlela eyahlukileyo, kuya kufuneka kube yinto efunekayo ukuba iqhube inkqubo yonyango olulondolozayo olubandakanya ukuqinisa iindonga zemigudu yegazi kunye nokunciphisa uxinzelelo lwegazi. Oku kuya kwandisa ubomi besigulane kwiminyaka eyi-10-15, kodwa ukuba ulungelelaniso sele seluqalile,
Ngokuxhomekeke kwindawo echaphazelekayo, unokwenza uqikelele kwakhona:
- Ngokuhlukana kwe-aorta ye-thoracic, izinga lokusinda liphantsi kakhulu, njengoko liphazamisa isangqa esincinci sokujikeleza kwaye sinokubamba ukuphelelwa kwentliziyo. Kule meko, iintlungu ziya kufana nesimo kunye nobukhulu be- infyoction ye- myocardial kwaye ugqirha onamava uya kubeka ngokukhawuleza ukuxilongwa ngokuchanekileyo, ukuthumela isigulane kutyando.
- Ukuqulunqwa kwe-aorta esiswini kudla ngokungaqhelekanga, i-syndrome yesifo ivela emva kwexesha elide, eliyinkimbinkimbi yokuxilongwa. Olu hlobo lwesifo aluyingozi, kodwa kubalulekile ukukrokra ngexesha elithile into engalunganga kwaye yenza i-MRI okanye i-tomography.