Ihe anerysm aortic bụ awụda nke mmiri nke eriri, isi ikuku n'ime ahụ. Isi ihe mere eji ele ya anya bụ nsogbu bụ na mgbe ụfọdụ, ọkpụkpụ ahụ nwere ike ịgbaji, na-ebute ọbara ọgbụgba. Otú ọ dị, nsogbu ndị ọzọ dị oké njọ ga-ekwe omume.
Ihe kachasị, nkwonkwo aortic na-amalite nke nta nke nta, n'ime oge nke ọtụtụ afọ, ya mere ghara ịmalite ruo n'ókè nke na ọ ga-eme ka rupture dị.
Ụdị egwuregwu ndị dị otú ahụ anaghị enwe mgbaàmà ọ bụla.
Otú ọ dị, n'ọnọdụ ndị ọzọ, ihe anerysm nwere ike ịbawanye ngwa ngwa ma ghọọ nnukwu, na-akpata mgbaàmà. Mgbaàmà ndị a bụ ihe ịrịba ama na njigide na-emewanyewanye. Mgbe aortic aneurysm mebiri ihe ize ndụ nke ọnwụ dị oke elu-ọbụlagodi ma ọ bụrụ na a pụrụ ime ịwa ahụ mberede. N'ihi nke a, ndị nwere ọrịa anortic chọrọ nlebara anya nlekọta ahụ ike ka e wee nwee ike ịwa ahụ tupu ịmalite.
Ya mere, ọ dị ezigbo mkpa ịmara ma ọ bụ aneurysm aortic na-akpata mgbaàmà. Ndị dọkịta ga-eme ngwa ngwa ma ọ bụrụ na onye ọ bụla nwere ndidi n'ihe ize ndụ maka anorysm aortic na - akọwa mgbaàmà ndị nwere ike ịme ihe dị otú a. A ga-ekpuchi ndị a ozugbo. Na ndị a chọpụtara na ha nwere obere ihe na-eme ka ọ bụrụ na ha na-ahụ ihe na-adịghị mma ma ọ bụ na ọ bụ na ha na-enyocha ya, ọ dị mkpa ka ha mara ihe mgbaàmà ịchọrọ ma kọọrọ dọkịta ha ụdị nsogbu ahụ ozugbo.
Ụdị Mgbaàmà
Ihe mgbaàmà nke aneurysm aortic na-adabere, ruo n'ókè ụfọdụ, na ma ọ bụ aneurysm aortic aortic ma ọ bụ aborinal aortic aneurysm.
Aorta abụghị naanị nnukwu arịa ọbara n'ime ahụ, ọ bụ nke kachasị ogologo. Ọ na-amalite site na "n'elu" nke obi nke mere na mgbe obi na-ajụ ọbara site n'aka ventricle aka ekpe na gafee eriri mmiri ahụ n'ime eriri, ọbara na-arịgo elu, n'isi.
A na-akpọ akụkụ mbụ nke aorta ahụ aorta arịgo (ebe ọ na-eme ka ọbara ahụ dị n'elu).
N'elu obi, dị n'okpuru akpịrị, aorta na-eme ka ọkpụkpụ U-gbanwee-ihe a na-akpọ arch nke aorta-ma jiri ya na-agbada ala n'akụkụ azụ ahụ, site n'ime obi na afọ. A na-akpọ nke aorta na-arịda.
N'ime ogologo ya nile, aorta na-enye ọtụtụ arịa ọbara nke na-enye isi, ogwe aka, ụra, na akụkụ abdominal. N'ikpeazụ, na ụdọ ala, aorta na-ekewa n'ime akwara ikiri abụọ, nke na-aga n'ihu inye ụkwụ.
Anerysm nwere ike ịzụlite n'oge ọbụla na usoro aorta. Ọ bụrụ na aneurysm dị n'elu diaphragm (anụ ahụ na-eku ume na isi nke thorax) a na-akpọ ya anerysm aracic aracic. Ọ bụrụ na ọ dị n'okpuru diaphragm, a na-akpọ ya anortysm aortic abdominal. Ihe dị ka pasent 40 nke ọgwụ na-egbuke egbuke bụ ọgwụgwọ, na pasent 60 nke abdominal.
Mgbaàmà Thoracic Aortic Aneurysm
Anerysm nke ma ọ bụ arịgo arịgoro, arch aortic, ma ọ bụ ịrị elu aorta n'elu diaphragm a na-akpọ akpracic aortic aneurysm. Dịka ọ bụla aortic aneurysm, ndị a na-amalitekarị obere obere na-eto eto nke nta nke nta. Ọ bụrụ na ọ na-aghọ nnukwu nke ọgwụ anortysm aracic nwere ike ịkpata ọtụtụ ụdị mgbaàmà, dabere na ọnọdụ ya na nke ọzọ akụkụ ahụ ọ pụrụ ịmalite ịbanye na ya.
Mgbaàmà ndị a nwere:
- Ihe mgbochi akpụ. A na-ejikọta ihe mgbu na- akpata site na anorysm aortic na anerysm na-arị elu, ma ọ bụ ihe anerysm na-emetụta njiko. Ụdị obi mgbu a, nke dị iche na angina , anaghị ejikarị arụ ọrụ.
- Mgbu azụ. A na-enwekarị ihe mgbu nke ọrịa anracish aracic aralic na-emekarị n'agbata n'azụ ubu, ma ọ bụ ntakịrị ala. Ọ na-emekarị na aneurysm nke na-agbapụta thoracic aorta.
- Ịdị nwayọọ. Ndapu nke aorta na-arị elu ma ọ bụ nke aortic nwere ike imetụta ọkpụkpụ laryngeal na-alaghachi, nke na-enye ụda olu. E nwere ụda olu ụda olu nwere ike iduga na njedebe.
- Nsogbu . Anerysm nke aorta na-arị elu ma ọ bụ njiko nwere ike ịbanye n'èzí, na-emepụta ụkwara.
- Dyspnea (obere ume). Maka ihe ndị dị otú ahụ, ihe ọkpụkpụ nke arịgo elu ma ọ bụ njiko nwere ike ịkpata dyspnea .
Abdominal Aortic Aneurysm Symptoms
Ihe anortysm abdominal abdominal bụ obere ihe na-akpata mgbaàmà karịa ọgwụ anortysm nke thoracic n'ihi na enwere ọtụtụ "ụlọ" n'ime afọ maka anerysm ka o too tupu ya emetụta akụkụ ndị ọzọ. Mgbe ihe mgbaàmà na-eme, ọ na-egosikarị na anerysm dị ukwuu na / ma ọ bụ na-eto ngwa ngwa. Mgbaàmà ndị a gụnyere:
- Mgbu azụ. A na-eche na ihe mgbu site na aburinal aneurysm dị na akụkụ ala nke azụ, n'okpuru diaphragm.
- Oké afọ ojuju abdominal. Mkpụrụ obi anortysm nke abdominal nwere ike ime ka obi erughị ala, enweghi nsogbu, ihe mgbu, ma ọ bụ "njupụta" n'ime afọ.
- Ihe na-emetụ n'ahụ. Ọ bụrụ na ọkpụkpụ abortinal aneurysm na-aba ụba, ọ nwere ike ịmepụta mkpasu iwe na mpaghara nke otu.
Nsogbu
Mgbe a na-edeghị ya, nsogbu ndị a nwere ike ime.
Rupture
Isi ihe na nke kachasị atụ egwu nke anortysm aortic bụ nkwụsị. Ihe anerysm ruputara na-emekarị ihe nhụsianya, nke na-ebute ọbara ọgbụgba. Mgbaàmà nke mgbapu na-amalitekarị na mgbu mberede na mberede ma ọ bụ n'azụ, soro ngwa ngwa site na mkparịta ụka , adịghị ike dị ike, na ntutu isi , ihe ijuanya , na ụfụ nke uche.
Ọdịda obi na-emekarị ngwa ngwa na, ọ bụrụgodị na a ga-eme mgbalị iji rụzie ọrụ ahụ n'ụzọ ọrụ ahụ, ọnwu dị oke elu. Ọ bụrụ na a ga-edozigharị anortysm nke aortic, a ghaghị imegharị ahụ mgbe ọ bụla tupu a gbasaa.
Dissection Aortic
Ọkpụkpụ aortic na-agbaji na eriri nke aorta, nke nwere ike ime na mpaghara ọ bụla adịghị ike na mgbidi aortic. Mmiri na-asọ asọ nwere ike ịbanye na akwa, nke na-ekewapụrịrị akụkụ nke mgbidi aortic. Mgbe nkwarụ dị otú a na-eme, ọtụtụ mgbe, onye ahụ ga-enwe nsogbu na mberede ma ọ bụ azụ.
Mmegharị ọbara nke ọbara na mmebi ọbara nke na-ebutekarị site na nchịkọta nwere ike ime ka uche, ọrịa strok, ma ọ bụ ihe ndị ọzọ na-adịghị mma, mmebi ahụ, ma ọ bụ ọnwụ. Mgbasa aortic nwere ike ime ọbụna ma ọ bụrụ na ọ bụ onye anorysm aortic dị, ma ọnụnọ nke aneurysm na-eme ka ntụgharị dịkwuo.
Aortic Regurgitation
Ihe ọzọ nke nwere ike ịpụta site na aoric aneurysm bụ regurgitation aortic (valvụ aortic na-adịghị mma). Ngwakọta a nwere ike ịpụta site na aneurysm nke arịgo elu, ozugbo n'elu valvụ aortic.
Nnukwu dilal nke aorta na ebe a nwere ike imegharị valvụ aortic iji mee ka valvụ ahụ ghara ịrụ ọrụ. Ndị na - enweta mgbagwoju anya a nwere ihe ịrịba ama na mgbaàmà ndị dị na regurgitation aortic, gụnyere dyspnea, ihe mgbu obi , ụkọ akwara , arrhythmias obi , na nkụda obi .
Dịka, ọ bụ naanị mgbe a na-atụle ndị a n'ihi na ha na-achọpụta na a na-eme ka nsogbu ahụ pụta ìhè-arịgoro aneurysm aortic-a na-amata.
Ọbara Ọbara
N'ọnọdụ ụfọdụ, eriri ọbara nwere ike ịmalite n'ime akụkụ ahụ dịpụrụ adịpụ nke eriri ahụ, bụ ebe a ga-eme ka ọbara ghara ịdị na-ebute ma ọ bụrụ na ebe obibi dị elu nwere ike ịzụlite. Ọbara na-ejikọta na eriri nwere ike ime ka ọ bụrụ ihe ọ bụla n'ime anụ ahụ, na-emekarị ihe ọjọọ.
> Isi mmalite:
> Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF / AHA / AATS / ACR / ASA / SCA / SCAI / SIR / STS / SVM Ntuziaka Maka Nchoputa na Nchịkwa nke Ndị Ọrịa Na Ọrịa Aortic Thoracic: Report nke American College of Cardiology Foundation / American Heart Association Task Force on Practice Ntuziaka, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Ọkpụkpụ 2010; 121: e266.
> Moll FL, Powell JT, Fraedrich G, et al. Njikwa nke Abdominal Aortic Aneurysms Clinical Practice Guidelines Of The European Society For Vascular Surgery. Eur J Vasc Endovasc Surg 2011; 41 Wọnye 1: S1.