Kodi ubongo aneurysm? Brain Aneurysm: Zizindikiro, Matendawa

ubongo aneurysm, zizindikiro amene ali pansipa, angayambe pa m'badwo uliwonse. Koma ambiri khalidwe kudwala akuluakulu kuposa ana. Kenaka, timapeza zimene aneurysm ngati zikuoneka lero, ndi zimene amagwiritsa ntchito kuti athe kuzindikira ndi kuthetsa izo.

mwachidule

Kodi aneurysm? Mawonekedwe kakang'ono m'kati chigaza lapansi. Zikuoneka pa magazi chotengera ubongo. Education msanga kumawonjezera. Mbali otukukira kunja kwa zikhoza amaumiriza zimakhala ozungulira kapena pa mitsempha. Kuopsa kwambiri moyo ndi ubongo aneurysm chophukacho. Pankhaniyi, magazi akulowa minofu ozungulira. boma wotchedwa kukha magazi. mavuto amenewa amayambitsa mapangidwe miyeso yaing'ono. An aneurysm angayambe zosiyanasiyana ubongo. Komabe, ikusonyeza kuchita, nthawi zambiri m'dera la magwero a nthambi mtsempha wamagazi. malo ili pakati m'munsi ndipo m'munsi cranial ubongo m'deralo. Koma dongosolo, ndi aneurysm khosi alipo. Iwo anapitiriza atatu wosanjikiza dongosolo la mitsempha, amene kuusandutsa gawo khola kwambiri maphunziro. The aneurysm ndi thupi. Kakhungu zotanuka ndi wosweka; akulu wosanjikiza nawonso akusowa. Malo thinnest ndi mzikiti. Amakhala yekha wa intima mtima. Apa ndi pamene pali yopuma.

kudwala Zoyambitsa

Zadzidzidzi mapangidwe kungakhale matenda osiyanasiyana cerebrovascular. Chifukwa cha kudwala angakhale matenda chibadwa. Makamaka, zingakhale polycystic impso zotupa kapena minofu connective. Kulimbikitsa yatsoka mapangidwe ndi cerebrovascular matenda kugwirizana ndi mkhutu kufalitsidwa. Izi, makamaka, ndi obadwa nawo arteriovenous malformation. Ndi zinthu n'zothandiza ayenera wachinsinsi monga kuvulala ndi kuvulala zina mutu, matenda, magazi kuthamanga magazi chotupa. Chifukwa cha aneurysm kungakhale atherosclerosis - mtima kudwala, kumva ndi mafunsidwe a mafuta pa makoma. Kukulitsa vuto la makhalidwe oipa: kusuta fodya, kumwa mowa, mankhwala osokoneza bongo. Ofufuza ena, tikadwala kulera m'kamwa kumaonjezera ngozi ya aneurysm. Maphunziro, kuwonekera chifukwa cha matenda otchedwa mycotic. Aneurysms kuti ayende matenda a khansa, amaganizira zotupa metastatic kapena yaikulu ya mutu ndi khosi. Pa ntchito makope mankhwala osokoneza bongo anawawidwa. Makamaka, phwando pafupipafupi cocaine kukhala zotupa mtima, kotero kuti aneurysm angayambe.

Gawo

Chithandizo ziwiya oziziritsa ikuchitika malinga ndi mtundu ndi kuopsa kwa kudwala wa madziwo. Pankhani kuona wa maphunziro onse mitundu itatu. Yoyamba zikuphatikizapo aneurysms saccular. Ikukhala ngati thumba anamaliza ndi magazi. Iwo Ufumuyo khosi kapena m'munsi gawo ziwiya nthambi kapena mitsempha mwachindunji. mtundu Saccular imatengedwa mtundu ambiri kudwala. Limatchedwanso "Berry" chifukwa cha kufanana ndi ikulendewera zipatso tsinde la. Childs, chotero aneurysm limapezeka mitsempha ya m'munsi mwa ubongo. Saccular mtundu wa maphunziro wapezeka zambiri akuluakulu. Mtundu wachiwiri imatengedwa lateral aneurysm. Ndi yofanana ndi chotupa pa imodzi mwa makoma. Gulu lachitatu ndi fusiform maphunziro. Iwo apangidwa chifukwa cha kukula kwa mpanda mtima pamalo amodzi. Palinso mabungwe gulu ndi kukula. Amatanthauza aang'ono awiri a mamilimita zosakwana 11. Ndi pafupifupi kukula kwa aneurysms monga mapangidwe 11-25 mm, kuti chimphona - oposa 25 mm.

anthu okhudzidwa

Mwamtheradi kwa mitundu yonse ya aneurysms akhoza chotupa ndi kukha magazi. Mu gulu yayenda anthu ndi ena kuvutika kobadwa nako. Anapeza kuti akazi aneurysm ndi wapezeka zambiri kuposa abambo. Pakuti yense 10 chikwi. Anthu chaka chilichonse pafupifupi 10 chotupa cha aneurysm lapansi.

ndi chiopsezo cha matenda chiyani?

Monga tanenera, aneurysm chotupa kumatanthauza kukha magazi mu ubongo. Zimenezi, amachititsa zoopsa ndithu, moyo pachiswe zosokonezeka. Makamaka, CNS kuwonongeka, hemorrhagic sitiroko, kapena imfa. Pakuti yopuma woyamba kutsata ndi wachiwiri. Pankhaniyi, kukonzanso magazi kumachitika. Komanso, zotsatirazi angathe aneurysms latsopano. Monga ulamuliro, yopuma magazi akulowa mlengalenga pakati pa ubongo ndipo mutu mafupa. Pankhaniyi tilankhula za kukha mwazi subarachnoid. Zimakhala zowopsa kwambiri chifukwa hydrocephalus. chikhalidwe ichi amakhala ndi kudzikundikira kuchuluka kwa madzimadzi cerebrospinal mu ventricles oziziritsa, amene kukuza ndi atolankhani pa ubongo minofu. Kungakhale wina, palibe vuto zochepa oopsa - vasospasm. Pankhaniyi ndi kuchepetsa Mitsempha, motero limene mbali zina zofunika kwambiri za otaya ubongo magazi koletsedwa. Kupanda zotsatira kotunga magazi kuwononga minofu kapena kachigawo.

Brain Aneurysm: Zizindikiro

Nthawi zambiri kudwala alibe kuonekera. Zizindikiro za aneurysms oziziritsa kuonekere akafika chachikulu kapena bursts, womwe zingachitike motsutsa likhale munthu wangwiro ngati pambuyo nkhawa thupi kapena maganizo. Small, maphunziro osati kuwonjezeka sitingazimvetse limodzi ndi zizindikiro zilizonse pa moyo wa munthu. Mu ichi aneurysm likukulirakulira ubongo, zizindikiro zimene mosavuta kusokonezedwa ndi pathologies mzake mokwana, ali ndi kuthamanga zonse pa minofu ndi misempha. Avereji cha odwala amene wapezeka kudwala - zaka 30-50. Ambiri moyo ndithu nthawi yayitali ngakhale kuti iwoŵa ubongo aneurysm. Zizindikiro za matenda monga: kupweteka kwa diso m'dera ziwalo, dzanzi kapena kufooka kwa minofu ya mbali imodzi ya nkhope. Iwo ananenanso kusawona bwino, ana dilated.

Zizindikiro za aneurysm mu mtsempha wamagazi ndi zapambuyo - kupotozedwa kwa maphunziro wa zinthu, kapena imfa ya imfa zithunzi kumunda. Ndi kugonjetsedwa patsogolo pa amalembedwa chosakhalitsa kufooka kwa miyendo m'munsi. mtima aneurysm mu kumbuyo limodzi zotumphukira nkhope mitsempha paresis, kumva imfa (mmodzi ndiye amaganiza). Komanso, pali amphamvu ikuwomba phokoso m'khutu. Pamene Kasupe ubongo aneurysm kwa msempha, munthu akuona mwadzidzidzi ndipo kwambiri ululu. Komanso akuyamba kusanza kapena nseru, pali ouma khosi minofu. Chance wa imfa, ngakhalenso chikumbumtima. Pamene iwo amati okha, odwala, polongosola boma, ndi mutu oopsa kwambiri zingachitike moyo. State amakhala ndi mwamphamvu ndi sharpness. Nthawi zina, pamaso chophukacho wa aneurysm pa munthu chenjezo la kupweteka mutu. Iwo ukhoza kwa masiku kapena masabata kuukira kuti zichitike. Pakuti zizindikiro zina za kudwala ayenera akuphatikizapo zikope adatchithisira, asintha udindo maganizo, kuchuluka nkhawa, maonekedwe a kudziwa kuwala. Nthawi zina, wodwala akhoza kugwa mu chikomokere. Ndi kutanthauzira ululu fronto-yozungulira dera ayenera kugonjetsedwa mu zapambuyo-ziwirizi ndi ubongo zapambuyo, mu kachisi ndi kumbuyo kwa mutu - kumbuyo, pakati pa chigaza ndi - womwe ndi mtsinje basilar. Ngati pali kuukira kobwereza kupweteka, pamodzi ndi ena, zizindikiro pamwamba, muyenera yomweyo pitani kuchipatala.

Matenda a zotengera oziziritsa: onse mudziwe

Nthawi zina, kudwala ndi wapezeka mwangozi, pa kafukufuku zokhudzana m'maboma ena. Masiyanidwe matenda ndi matenda neoplastic ubongo. Mkulu chiopsezo chokwanira cha kukha mwazi wapezeka maphunziro. Mwina ndi apamwamba, ikuluikulu kukula kwa chotupa cha. Komanso, chiopsezo kudzadalira pa za thupi (okwana), malo aneurysm lapansi. kukha magazi wotsatira azidwala imfa ndi zimachitika kwambiri kovuta kale. Nthawi zambiri, ubongo aneurysm, mankhwala kuti zizichitidwa yekha mu gulu katswiri, opezeka mu ndondomeko ya kuswa. Wodwalayo angasiye chikumbumtima, anaona khunyu, Nkosatheka khunyu khunyu, anisocoria, malungo. Kumbukirani kuti mankhwala a zotengera oziziritsa azinyamula dokotala. Pamene mawonetseredwe izi woleza ukufuna mofulumira ku chipatala. Aneurysm Nkosatheka vasospasm ndi kuwonjezeka mu dera ischemia, magazi dongosolo yojambula yamitsempha yamagazi, maonekedwe a hematoma intracerebral.

njira zofufuzira

Matenda a zotengera oziziritsa amalola kuti mudziwe zofunika za kugonjetsedwa kwa. Ndiyeno, pa maziko a izo, mankhwala okwanira. Monga ulamuliro, kafukufuku ikuchitika pambuyo kukha mwazi subarachnoid. Zotsatirazi njira yodziwira:

• Angiography. Mtundu wa X-ray Kupenda ikuchitika ndi oyamba wothandizila mosiyana. Intracerebral angiogram angazindikire mlingo wa kuchepetsa kapena chiwonongeko Mitsempha ya m'khosi mutu, ubongo. Mothandizidwa ndi kafukufuku tingaone venous kapena wolumikizira kusintha, kuphatikizapo zikamera wa dongosolo. Angiography ntchito matenda magazi. Timatha kudziwa chenicheni malo, mawonekedwe ndi kukula kwa chotupa kapena aneurysm. Angiography imagwiridwa mu makabati mwapadera. Pambuyo mankhwala ochititsa dzanzi jekeseni mu mtsempha wamagazi ndi catheter kusintha. Iwo zimathandiza kuti chotengera akhudzidwa. The otaya magazi adzamasulidwa zina voliyumu ya Mosiyana sing'anga. Pambuyo inafikira khosi mtima ndi mutu, kunyongedwa chofunika kuchuluka kwa X-ray.
• Yopangidwa tomography. Izi ndi mwachilungamo nkhani si olanda, mwamsanga ndipo sabweretsa chisoni matenda njira. Ntchito kuzindikira kupezeka kwa aneurysm, ndipo nthawi yopuma kudziwa ngati magazi zimachitika mu ubongo nthawi yomweyo. Kawirikawiri, CT akapatsidwa mu malo oyamba ngati mukuganiza kuti maphunziro akhoza kuswa. X-ray zithunzi kukonzedwa pa kompyuta mu mawonekedwe a zithunzi ziwiri ooneka enieni a mtanda zigawo chigaza ndi ubongo. Nthawi zina, isanafike m'magazi wothandizila CT Mosiyana ndi mwanayo. angiography amenewa amapereka bwino ndi mwatsatanetsatane chithunzi. CT imagwiridwa mu chipinda chapadera, zida ndi zipangizo zoyenerera.
• Kujambula - mtundu wa kafukufuku amene ntchito maginito ndi wailesi mafunde. Kuchititsa MRA (maginito kumveka angiography) amalola kupeza zambiri ndi bwino chifaniziro cha zipangizo. Zithunzi angaonedwe mu miyeso itatu, ndipo mu mawonekedwe a ziwiri ooneka enieni mtanda zigawo. MRA ndi sabweretsa chisoni. phunziro akhoza kudziwa mawonekedwe ndi kukula kwa aneurysms unruptured, komanso kuona ngati magazi zinachitika.
• Analysis wa madzimadzi cerebrospinal. Ngati mukukayikira anawononga wa katswiri aneurysm angatanthauze wodwala kugwila madzimadzi cerebrospinal. Ndondomeko anachita pansi mankhwala oletsa ululu pamalopo. Ndi singano yotengedwa danga subarachnoid wa buku ka chuma. Cerebrospinal madzimadzi ndiye anafufuza kwa kukha mwazi ndi magazi. Kutenga chuma ikuchitika mu chipinda chapadera cha chipatala.

Achire miyeso: onse mudziwe

Nkosafuna kunena, mapangidwe bursts nthawi zonse. Monga zinanenedwa pamwamba, anthu kukhala moyo wako onse ndi aneurysm, chimene palibe njira kudzionetsa. odwala amenewa ayenera kukhala ulamuliro pa mphamvu ya mapangidwe a. Izo ziyenera mosalekeza kuwunika magazi, pochitika mankhwala oyenerera pa okwera mafuta mlingo komanso kuchitira (ngati), zotsatira zoopsazo cranial ndi matenda opatsirana. M'pofunikanso imasonyeza kusonyezedwa watsopano amene akhoza limodzi ndi ubongo aneurysm. Chithandizo Pankhaniyi adzakhala inakonzedwa posachedwapa. Zotsatira za kafukufuku ndi kuonerera amakulolani kusankha machenjerero yabwino kwambiri. Tikumbukenso kuti aliyense imfa ndi wapadera m'njira yakeyake. Chithandizo ziwiya oziziritsa ayenera kuganizira malo, mtundu ndi kukula kwa chotupa cha. Ofunika zaka wodwala, mbiri banja, mbiri zachipatala, thanzi labwino. Iwo n'komwe ndi chiopsezo cha chotupa cha aneurysm lapansi.

alowererepo opaleshoni

Chithandizo ziwiya oziziritsa Pankhaniyi akhoza kuchitika mu njira ziwiri. Yoyamba njira otchedwa zodula. opaleshoni iliyonse ubongo kumatanthauza ngozi. Anati kusokonezedwa angabweretse chiopsezo chachikulu odwala. Opaleshoni ubongo aneurysm zodula njira ndi "kusiya" gawo kuonongeka ndi kuteteza magazi kudzera mu njira yaikulu. Mapangidwe a kopanira kusalima inathetsedwa akukhamukira magazi. Pali njira zina imene pochotsa aneurysm. Ntchito embolization endovascular angathe kuchitidwa kangapo pa moyo wa wodwalayo. Pa phukusi la mtsempha wamagazi femoral, wothandizila apadera kutumikiridwa. Ali odzazidwa ndi ubongo aneurysm. ntchito ndi anachita ntchito mankhwala atsopano kapena coils ali glued kuwonongeka. Njira imeneyi panopa amaona vutoli kwambiri.

Kodi n'zotheka kupewa chitukuko cha matenda?

Panopa, tingathe koma kuti anakamba, mothandizidwa ndi zomwe n'zotheka kuteteza maonekedwe ndi kuonjezera kukula kwa mapangidwe a. Odwala amene ali pa chiopsezo, muyenera mosamala kuwunika thanzi lawo, kusunga boma la tsiku, kulamulira zoipazi, musasute kapena kutenga mankhwala (cocaine, etc.). Komanso, muyenera kukaonana ndi dokotala wanu za kutenga zida monga "Aspirin" ndi zina zimene zimachititsa liquefaction wa magazi. Akazi ayenera kuonana ndi katswiri pa nkhani ya kulera m'kamwa. Ichi ndi phwando lalikulu kwa anthu amene ali ndi kutengera za kale kapena ubongo aneurysm. opaleshoni imatengedwa kofunikira pa kukula kwambiri za maphunziro ndi kuwonjezera chiopsezo moyo wodwalayo.

Zotsatira ndipo timataya

aneurysms Unruptured mu ubongo akhoza satulukiridwa kwa nthawi yaitali, ndi zina, moyo wawo. Mu zochitika zina, akuphulikira mapangidwe akhoza imfa, sitiroko kapena hemorrhagic vasospasm. The Vuto yamasika chinthu chachikulu ochititsa imfa kapena kulumala chifukwa chophukacho wa aneurysm lapansi. The akuphulikira mapangidwe a zingachititse chikomokere, hydrocephalus. Mwina kwa ubongo sizingasinthe kapena zosakhalitsa. Kuneneratu pambuyo kukha mwazi kudzadalira m'badwo wa mtima, makhalidwe a chamoyo, ndi zina zinthu ubongo. Ubwino ali ndi makonzedwe a mapangidwe, kukula, mlingo wa magazi, komanso kuti mwina mobwerezabwereza chachikulu. Potaya zotsatira ayenera kuganizira nthawi pakati pa mpumulo ndi mwachindunji kukha magazi. Odwala amene achitiridwa maphunziro ouluka amafuna zochepa kuchira nthawi kuposa odwala amene amaphulika aneurysm. Nthawi kuchira mu Zikatero, kungakhale masabata angapo kapena miyezi. Konzanso pambuyo opareshoni ayenera kutenga malo moyang'aniridwa ndi achipatala. The zitsamba akhoza kugwiritsidwa ntchito ngati mankhwala yokonza.

General zodzitetezera

Matenda ambiri mtima angathe kupewedwa kwathunthu. Choyamba m'pofunika kuganizira chifanizo cha moyo wake. Mu zikhalidwe za moyo wamakono mkulu mlingo zokwanira kuti tipeze nthawi kupuma mokwanira. Pankhaniyi tikulankhula za mpira yogwira, makamaka panja. Akatswiri amalangiza kuti njira zonse zotheka kuti athane ndi moyo wongokhala. Komanso chofunika kwambiri ndi maziko maganizo a munthu. Ngati nkotheka, kuthetsa nkhawa, zimamuchulukira maganizo. Zonsezi zoipa zokhudza chikhalidwe mtima. mankhwala zonse zotchulidwa dokotala, ayenera kumwedwa yekha malinga ndi ntchito chiwembu ndi musalumphe mlingo. Akatswiri mwamphamvu amalangiza kumvera thupi lanu, musanyalanyaze ndi chizindikiro kuti akutumiza. Ngati mwakumana ndi mutu zonse muyenera kukaona dokotala ndiponso kuti anayesedwa. Mulimonsemo si analimbikitsa paokha adzaika yekha mankhwala aliwonse. Mu kudwala ziwiya ubongo kudziletsa mankhwala akhoza kuyambitsa mavuto aakulu, moyo pachiswe. Mwamsanga adzakhala kudzacheza kwa dotolo, ndi zosavuta kupeza chifukwa cha ichi kapena kuti boma mankhwala okwanira kapena opaleshoni. Kumbukirani kuti machitidwe onse thupi cholukanalukana ndi mzake. matenda mtima si olekanitsidwa mayiko ena, amene zinthu kaya chifukwa amachititsa chisokonezo kotunga oziziritsa magazi ndi thanzi. kupeza nthawi yake kwa dokotala, nthawi zambiri amapeŵa kulumala kapena imfa.