Yintoni i-Brain Aneurysm, Kutheni isenzeka? Iimpawu kunye noNyango

I-aneurysm yobuchophoIkwabizwa ngokuba yi-cerebral aneurysm. I-aneurysm ebuchosheni kukwandiswa okwenzeka kwiindawo ezibuthathaka zokujikeleza kwe-arterial. Umzekelo; iindonga zemithambo yegazi yobuchopho ziyanda. 

Kuchazwa njengokudumba kwemithambo yegazi. Imithambo idumbile yenza amaqamza. Kwanemithambo ebuthathaka inokugqabhuka. 

Le meko ihlala ikhokelela kwi-subarachnoid hemorrhage. I-Subarachnoid hemorrhage ibangela ukuvuleka, ukuncipha, kunye nokuqhekeka kwemithambo yegazi. Ukopha kukhokelela kwistroke esophayo okanye ukopha ngaphakathi kwengqondo, nto leyo eyandisa ingozi yokufa.

Uninzi lwee-aneurysms zobuchopho zithe cwaka. Ifunyaniswa kuphela ngengozi ngexesha le-neuroimaging okanye i-autopsy.

Ziziphi iintlobo ze-aneurysms yobuchopho?

iintlobo ezintathu I-aneurysm yobuchopho ine:

1. I-Saccular aneurysm: I-aneurysm yobuchophoyeyona fomu ixhaphakileyo. Kubonakala njengengxowa engqukuva ezaliswe ligazi, edityaniswe kumthambo oyintloko.
2. I-Fusiform aneurysm: Izibonakalisa ngendlela yokuvuvukala ngenxa yebhaluni okanye i-protrusion evela kumacala onke e-artery.
3. I-Mycotic aneurysm: Ifana ne-succulent fungus, njengoko yenziwe ngokukodwa ngenxa yosulelo. 

Ziziphi izizathu ze-aneurysm yobuchopho?

Xa iindonga zemithambo esengqondweni zibhitya, zaphuka, okanye zibe buthathaka I-aneurysm yobuchopho iyenzeka. Ukunciphisa i-artery kungenzeka nanini na ubudala kwaye kuxhomekeke kwizinto ezininzi. Ezinye zezinto ezinokukhokelela ekuphuhliseni imeko ziquka:

• Ukunqongophala kwe-alpha-glucosidase, 
• Ehlers-Danlos syndrome, 
• I-Fibromuscular dysplasia, 
• Isifo sezintso zePolycystic (PCKD)
• Izifo ze-Genetic ezifana ne-Klinefelter syndrome.
• Izifo zentliziyo ezinganyangekiyo ezifana noxinzelelo lwegazi kunye ne-atherosclerosis.
• Ukusetyenziswa kotywala okungapheliyo
• Ukusetyenziswa okungapheliyo kweziyobisi ezingekho mthethweni njengecocaine
• ukutshaya okungapheliyo
• IGlioma
• Usulelo lwemithambo yegazi yobuchopho (mycotic aneurysm).
• ukwenzakala entloko
• Izifo ezingapheliyo ezifana nesifo seswekile

Ziziphi iimpawu ze-aneurysm yobuchopho?

ayikrazukanga kwi-aneurysm Ezinye iimpawu zezi:

• Intloko ebuhlungu
• utshintsho kumbono
• Iintlungu zamehlo

Iimpawu ngenxa yokuqhekeka kwe-aneurysm zibonakaliswa ngolu hlobo:

• Intloko ebuhlungu ngokukhawuleza 
• Isicaphucaphu
• Ukuhlanza
• ukuqina entanyeni
• Ubundisholo
• Ukulahlekelwa zingqondo
• ukulahleka kolungelelwaniso
• Ukungasebenzi kakuhle kwendlebe, impumlo, iliso okanye ulwimi
• Ifotophobia oko kukuthi i-photosensitivity.
• ukwanda kwabafundi

Ngubani ofumana i-aneurysm yobuchopho?

Ezinye zezinto ezinokubangela ukugqabhuka kwe-aneurysm ziquka:

• Ukuba ne-aneurysm kwilungu losapho
• Ii-aneurysms ezinkulu (i-11 ukuya kwi-25 mm okanye ngaphezulu).
• Ukuba ngaphezulu kwama-40.
• Ukuba ne-aneurysms ezininzi ezivame ukukhula
• Uxinzelelo lwegazi

Ziziphi iingxaki ze-aneurysm yobuchopho?

Le meko yaziwa ngokukhokelela ekubeni umntu okhubazekileyo. Kodwa zonke aneurysms yobuchopho akubangeli ukuba sistroke esophayo. I-aneurysm yobuchopho Iimeko ezinokuthi zenzeke ngenxa yoko zezi:

• ukuxhuzula
• umonakalo osisigxina engqondweni
• Coma
• Ukufa ngequbuliso

Ifunyaniswa njani i-aneurysm yobuchopho?

Ukuba ayigqabhukanga, ifunyaniswa ngengozi ngexesha lokuthathwa kobuchopho. Ezinye zeendlela zokuxilonga zezi:

• Umfanekiso wemagnetic resonance imaging (MRI): Kuyanceda ukubona utshintsho kwizicubu zengqondo.
• I-angiography yeCerebral: Yenziwa ukufumanisa iingxaki kwimithambo yegazi.
• Iskena seComputed tomography (CT scan): Isebenza ukumisela indawo ye-aneurysms kunye nokuba igqabhukile.
• Uhlalutyo lwe-Cerebrospinal fluid (CSF): Olu hlalutyo lusetyenziselwa ukufumanisa ukopha kwingqondo.

Iphathwa njani?

Unyango lwe-Brain aneurysmIindlela zezi zilandelayo:

• Ukunqunyulwa kweMicrosurgical clipping (MSC): Inceda ukuthintela ukuvuza kwegazi engqondweni. Ivimba usebenzisa ikliphu yentsimbi. 
• Ukufakwa kwekhoyili yeplatinam: Ubunzulu bongenelelo bulinganiselwe kunenye indlela. Apha, iikhoyili zisetyenziselwa ukuvala ii-aneurysms kunye nokuthintela igazi ukuba lingavuzi lingene ebuchotsheni.
• Amayeza: Amayeza afana ne-anticonvulsants asetyenziswa.

I-aneurysm yobuchopho Yimeko ebeka ubomi esichengeni. I-Subarachnoid hemorrhage inokubangela umonakalo osisigxina we-neurological kwabanye abantu. Ukuxilongwa kwangaphambili kunye nonyango kubalulekile ukwandisa ithuba lokubuyisela.

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