i-aneurysm yobuchophoEyaziwa nangokuthi i-cerebral aneurysm. I-aneurysm ebuchosheni ukukhuliswa okwenzeka ezindaweni ezibuthakathaka zokujikeleza kwe-arterial. Ngokwesibonelo; izindonga zemithambo yegazi yobuchopho zanda.
Kuchazwa njengokuvuvukala kwemithambo yegazi. Imithambo evuvukele yenza amagwebu. Ngisho nemithambo ebuthakathaka ingaqhuma.
Lesi simo ngokuvamile siholela ekopheni kwe-subarachnoid. Ukopha kwe-Subarachnoid kubangela ukunwebeka, ukuncipha, nokuqhekeka kwemithambo yegazi. Ukopha kubangela isifo sohlangothi esophayo noma ukopha ngaphakathi kobuchopho, okwandisa ingozi yokufa.
Ama-aneurysm amaningi obuchopho athule. Itholakala ngengozi kuphela ngesikhathi se-neuroimaging noma i-autopsy.
Yiziphi izinhlobo ze-aneurysms yobuchopho?
izinhlobo ezintathu i-aneurysm yobuchopho ine:
- I-Aneurysm ye-Saccular: i-aneurysm yobuchophoifomu elivame kakhulu. Kubonakala njengesaka eliyindilinga eligcwele igazi, elixhunywe emithanjeni eyinhloko.
- I-Fusiform aneurysm: Izibonakalisa ngendlela yokuvuvukala ngenxa yebhaluni noma i-protrusion kusuka kuzo zonke izinhlangothi zomthambo.
- I-Mycotic aneurysm: Ifana ne-succulent fungus, njengoba yakhiwe ikakhulukazi ngenxa yokutheleleka.
Yiziphi izimbangela ze-aneurysm yobuchopho?
Lapho izindonga zemithambo yegazi ebuchosheni ziba mncane, ziphuka, noma zibe buthaka i-aneurysm yobuchopho kuyenzeka. Ukuncipha kwemithambo kungenzeka kunoma ibuphi ubudala futhi kuye ngezici eziningi. Ezinye zezinto ezingaholela ekuthuthukisweni kwalesi simo zihlanganisa:
- Ukuntuleka kwe-alpha-glucosidase,
- Ehlers-Danlos syndrome,
- I-Fibromuscular dysplasia,
- Isifo sezinso se-Polycystic (PCKD)
- Izifo zofuzo ezifana ne-Klinefelter syndrome.
- Izifo zenhliziyo ezingelapheki njengomfutho wegazi kanye ne-atherosclerosis.
- Ukuphuza utshwala okungapheli
- Ukusetshenziswa okungapheli kwezidakamizwa ezingekho emthethweni njenge-cocaine
- ukubhema okungapheli
- I-Glioma
- Ukutheleleka kwemithambo yegazi yobuchopho (mycotic aneurysm).
- ukuhlukumezeka kwekhanda
- Izifo ezingamahlalakhona ezifana nesifo sikashukela
Yiziphi izimpawu ze-aneurysm yobuchopho?
ayidabukile i-aneurysm Ezinye izimpawu yilezi:
- Ubuhlungu bekhanda
- ushintsho embonweni
- Ubuhlungu bamehlo
Izimpawu ezibangelwa ukuphuka kwe-aneurysm zibonakaliswa kanje:
- Ikhanda elibuhlungu ngokuzumayo
- Isicanucanu
- Ukuhlanza
- ukuqina entanyeni
- Ukuba ndikindiki
- Ukulahlekelwa ukwazi
- ukulahlekelwa ukusebenzisana
- Ukungasebenzi kahle kwezindlebe, ikhala, iso noma ulimi
- I-Photophobia okungukuthi i-photosensitivity.
- ukwanda kwabafundi
Ubani othola i-aneurysm yobuchopho?
Ezinye zezinto ezingabangela i-aneurysm ukuthi iqhume zihlanganisa:
- Ukuba ne-aneurysm kulungu lomndeni
- Ama-aneurysms amakhulu (11 kuya ku-25 mm noma ngaphezulu).
- Ukuba ngaphezu kuka-40.
- Ukuba nama-aneurysms amaningi avame ukukhula
- Umfutho wegazi ophezulu
Yiziphi izinkinga ze-aneurysm yobuchopho?
Lesi simo bekwaziwa ukuthi siholela ekukhubazekeni. Kodwa konke aneurysms yobuchopho ayibangeli isifo sohlangothi esophayo. i-aneurysm yobuchopho Izimo ezingase zenzeke ngenxa yalokho yilezi:
- ukuquleka
- ukulimala kobuchopho unomphela
- I-Coma
- Ukufa ngokuzumayo
Itholwa kanjani i-aneurysm yobuchopho?
Uma ingadabukile, itholakala ngengozi phakathi nesithombe sobuchopho. Ezinye zezindlela zokuxilonga yilezi:
- I-Magnetic resonance imaging (MRI): Kuyasiza ukubona izinguquko ezicutshini zobuchopho.
- I-Cerebral angiography: Kwenziwa ukuthola izinkinga emithanjeni yegazi.
- I-Computed tomography scan (CT scan): Isebenza ukucacisa indawo yama-aneurysms nokuthi aqhumile yini.
- Ukuhlaziywa kwe-Cerebrospinal fluid (CSF): Lokhu kuhlaziya kusetshenziselwa ukuthola ukopha eduze kobuchopho.
Yelashwa kanjani?
Ukwelashwa kwe-Brain aneurysmIzindlela zimi kanje:
- I-Microsurgical clipping (MSC): Kuyasiza ukuvimbela ukuvuza kwegazi ebuchosheni. Ivimba kusetshenziswa isiqeshana sensimbi.
- I-Platinum coil embolization: Ukujula kokungenelela kulinganiselwe kakhulu kunenye indlela. Lapha, amakhoyili asetshenziselwa ukuvala ama-aneurysms futhi avimbele igazi ukuthi lingangeni ebuchosheni.
- Imithi: Imithi efana ne-anticonvulsants isetshenziswa.
i-aneurysm yobuchopho Kuyisimo esisongela ukuphila. I-Subarachnoid hemorrhage ingabangela ukulimala okungapheli kwezinzwa kwabanye abantu. Ukuxilongwa kusenesikhathi nokwelashwa kubalulekile ukuze kwandiswe ithuba lokululama.
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