Asike izidumbu zabantu yomthambo i-aorta

asike izidumbu zabantu yomthambo i-aorta kwenzeka okuholela igazi ekujuleni nogange lwawo ngenxa ukushayisana isakhiwo igobolondo kwangaphakathi. Lokhu zokugula iyona izifo ezivame kakhulu futhi iyingozi oyingozi. Ngaphandle kokwelashwa esifike asike izidumbu zabantu yomthambo i-aorta imiphumela ekufeni isiguli cishe ngaso sonke isikhathi.

Isici eziyisisekelo kulesi sifundazwe kungukuphula phakathi igobolondo isitsha.

asike izidumbu zabantu yomthambo i-aorta (inyuka) kwenzeka kaningi kakhulu ngemuva nomfutho wegazi ophezulu. Ukonakala igobolondo maphakathi (fibrosis necrosis medial) kwenzeka cishe ngo-20% eziguli. Kungase kuhambisane-Marfan syndrome. Ukuthi lokhu kwakuphambene nemvelo zofuzo zezinzwa izicubu iziyaluyalu libhekene iso lwamathambo kanye, yezinkinga zenhliziyo, ukubhujiswa concomitant odongeni isitsha, kanye esingamahlalakhona ngakwesokudla umphini atrioventricular kanye valve yomthambo i-aorta. Iningi leziguli ezine- Marfan syndrome musa ukuphila ngokuvumelana neminyaka emashumi mane engukumkani.

asike izidumbu zabantu yomthambo i-aorta (downlink) senzeka njalo ephelezelwa atherosclerosis ezinzima kanye nomfutho wegazi ophezulu. Ezimweni ezingavamile, isimo kuhambisana necrosis fibrosis (medial).

Cishe njalo iqala ukubhujiswa ubunzima ingaphakathi igobolondo ezindaweni eyodwa noma ngaphezulu. I-aorta inyuka Kuyaqapheleka, ngokuvamile i-amasentimitha amabili kuya kwamahlanu ngaphezu valve yayo, endaweni phansi - ingxenye osenyameni ngezansi Umthambo subclavian (ngakwesokunxele). Lo mkhumbi kuyinto kulezi zindawo kuqhathaniswa esinqunyiwe, kodwa ezithathekayo ohlangothini ngalunye. Ngakho, kukhona esiphezulu ukucindezeleka hemodynamic kulezi zingxenye ezimbili wagxila ngamunye systolic. Kulokhu igobolondo kwangaphakathi kungenzeka overstrain ngokunembile akulezi zindawo, ukuthuthukisa ophumayo wegazi uhlukanisa isitsha odongeni.

Kufanele kuqashelwe ukuthi izilonda kanye nezimpawu, ikakhulukazi izindlela zokwelapha ezihlukahlukene ngokuphelele lapho lenqwaba ukwehla noma inyuka aorta.

Aneurysms izitsha thoracic ukuthuthukisa, ngokuvamile asymptomatic ukuze iziguli ngokuvamile ungenawo akhononde. show yabo ngaleso-X-ray noma ultrasound ingozi.

Kwezinye izimo, lapho useshonile iba usayizi esikhulu, kungaba khona ubuhlungu esifubeni, entanyeni noma emuva. Ngakho kukhona kokucindezelwa kwezitho eduze.

Izimpawu useshonile:

- ukukhwehlela, iphika;

- ukwephulwa kokugwinya;

- zokuzikhukhumeza ebusweni nasentanyeni;

- ubuhlungu.

Soreness kungenzeka uhlobo wamgwaza zifane angina, kodwa akakhishwanga nitroglycerin.

Besisu umnyango iziguli yomthambo i-aorta useshonile izikhalazo, njengoba umthetho, musa ukuthi abeke. Ukunqotshwa wathola ngengozi ocwaningweni nangezinye izikhathi. Kwezinye izimo, iziguli waphawula anda okusizwa ukushaya esiswini futhi ubuhlungu noma ukungaphatheki ephansi emuva noma ngemuva.

Sokuhlaziya useshonile yomthambo i-aorta kwenzeka zokugwema ukuphuka kwangaphakathi ayesisebenzisa igobolondo. Ngakho igazi ukuvuza ungqimba oluphakathi nendawo kanye phakathi amagobolondo obumba cluster.

Ngakho, kukhona kuphela omunye ezintathu lonke igobolondo (yangaphandle), okuyinto esilimele angase aqhume, okwaholela ekufeni isiguli.

useshonile ukudabuka ku-aorta kuhambisana babulawa baking ubuhlungu esiswini noma esifubeni, ukwehla elibukhali blood pressure. Isithombe sokucindezeleka ngaleyo ndlela efanayo kakhulu uwukubonakaliswa ukushaqeka cardiogenic futhi isilethikusebenza, okuvame kuletha odokotela ngokwanele astray.

Ngenxa yokuthi isifo sokuvuvukala kwemithambo cishe akusho ukuzibonakalisa futhi itholakala ngengozi, ukuphula izimpawu wakhe ukuthuthukisa aluhambisani nawo ukuphila, kanti isiguli cha lamula, njengoba isikhathi ngoba impatho namanje cluster yayinjalo kulahleka.