Aneurysm yemidziyo yemakumbo - bhomba nguva

Kazhinji, asi chirwere chinokuvadza, icho chichakurukurwa, nekukurumidza kuongororwa kunobatanidza nehukuru hwekuremara nekufa. Aneurysm yemidziyo yeperesi ndiyo chirwere umo mune imwe kana mishonga yeropa mukati mehenyare inoshandiswa, inotyisidzira kuputika nekubuda ropa.

Aneurysm yemidziyo yemakumbo - zvinokonzera

Chirwere ichi chinowedzera kune imwe nguva, asi mumatambudziko akawanda inowanikwa kune varwere vane makore 35 kusvika ku60. Panguva imwe chete, nyanzvi dzinotaura nezvekuwedzera kwevakadzi. An ane shumiro yemidziyo yekuberekwa inoumbwa semhaka yekuputsa kwemafuro matatu akaiswa mukati mehuta, iyo, nekuda kwekurasikirwa kwekusimbiswa kwemasvikiro emasikirati emapakati nekunze kwekunze, kuponda kwavo uye kutambanudza, kuputika kwemukati kwemukati kunoumbwa.

Zvinotarisirwa pakuumbwa kweine aneirysm zvinogona kunge zviri zviviri congenital vascular shanduko uye yakawana maitiro. Zviitiko zvekutanga (kuberekwa) zvinosanganisira, semuenzaniso, arteriovenous malformation - pathological tortuosity yemaseriyo pamwe nekushandurwa kwemaatoriki emadziro echidziro chairo. Aneurysm yakawanikwa yeuropi inogona kuwirirana nezvikonzero zvinotevera zvinotevera:

• chakavharwa craniocerebral trauma ;
• hypertensive disease;
• kukanganisa kwe aorta;
• zvipembenene zvinotapukira zvehuputi maviri;
• kusvibiswa kwemavara;
• cysts uye matumire mukati memusoro.

Vazhinji masayendisiti vanobvumirana kuti zvimwe zvikonzero zvinoita basa mukuvandudza kwehutano. Mukuwedzera, zvinotevera zvinotadza zvinogona kuwedzera njodzi yekurasikirwa kwemasikiniki simba uye kuwedzera kwe midziyo, iyo inobatsira pakuumbwa kwe aneurysm:

• kuneta;
• kugamuchirwa kwemakemikari emuviri;
• kunwisa doro;
• kusvuta.

Aneurysm yeuropi - zviratidzo

Zvichienderana nehukuru, aneurysm yemidziyo yekuberekwa, zviratidzo zvinogona kutumidzwa kana kuramba zvisingazivikanwi nemurwere. Chirwere chemakiriniki chinokonzerwa nekudzvinyirira nzvimbo dzeatomical dziri pedo nehuturu hwechirwere uye kukanganisa kwemaitiro emagunha, zvichienderana nekunzvimbo. Iko kliniki huru inowanzoonekwa:

1. Nhamo iri mumusoro - inoratidzwa nekusiyana kwenguva uye simba, kazhinji inowanikwa paroxysmally (mune dzimwe nguva, pane kuwirirana nekuwedzerwa kunetseka). Kunzvimbo yekurwadziwa kunoenderana nenzvimbo yechiremera. Muchiitiko ichi, kana chinangwa chiri chakadzika, marwadzo haana kunyanya kuoma, uye, zvisinei, kuparara kwepasi kunokonzera kurwadziwa kwakanyanya.
2. Matambudziko okurara - apo chinotarisa chinokanganisa nharaunda inotarisirwa kurongedza kurara, inogona kukura kusuruvara, kuoma kurara, kurara mukati mezuva, nezvimwewo.
3. Nausea, chido chekurutsa - zviratidzo zvakadaro zvinowanzoenderana nekuumbwa kwepamusoro, pamwe nekudzivirira kukuru, izvo zvinokonzera kuwedzera kusagadzikana. Ihwo hunoshamisa hwezvinonzwa izvi ndezvokuti hazvibatanidzi nekudya kwekudya, hazvibvisi kubatwa nemishonga, kurutsa hakuna kuunza zororo.
4. Kushungurudzika kunooneka - nechinokanganisa kushandiswa kwemasculasi mumunda wemagetsi, kusarura kana kukwana zvakakwana kwemaonero, kushungurudza, kuonekwa kaviri, cloudiness, "chifukidzo" pamberi pemaziso, nezvimwewo, zvinogona kuitika.
5. Makwenzi - kusadzivirirwa kwemisungo zvipfeko zvinogona kuonekwa kana zvikamu zvepamusoro zveuropi zvichisimbiswa nehukuru hukuru pamatricu.
6. Kusvibiswa kwemaitiro ekufunga - kukanganwa kwepfungwa, kukwanisa kuwana ruzivo rutsva, kufungidzira zvine musoro, kuverenga, kuverenga, nezvimwewo.
7. Zvinetso zvepfungwa - kushanduka kakawanda mumanzwiro emanzwiro, kutsamwa, kunyanya kuzvidya mwoyo.
8. Unhu hwezvinhu zviso zvekunze, kusimba kwemaziso emeso.

Aneurysm yeuropi aorta - zviratidzo

Aneurysm yeuropi dzimwe nguva inobata matavi e-aorta - ndiro yakakura yakazara mumuviri. Pakati pezviratidzo zvehutano uhwu, varwere vanowanzoona kudzvinyirira-kusanzwisisika kunetseka kunzwisisika mune zvikamu zvakasiyana zve musoro zvinobatanidza nekuwedzera kudzvinyirirwa. Mukuwedzera, kuve nechezheni, kuderera mumhepo, uye kutuka kunowanzoonekwa. Dzimwe nguva kune manzwiro mashomanana ekudzungira mumusoro munzvimbo yekukuvara.

Chifukidzo cerebral artery aneurysm

Chimiro chechirwere, umo chiremara chakaumbwa chakafanana neropa rinozadza ropa uye rinoumbwa nekuda kwekukuvara kwemukati kune imwe yezvidimbu zvepascular, ndiyo yakawanda. Muchiitiko ichi, mhirizhonga inoumbwa muropa, kufamba kweropa kunoderera, kune dambudziko rekuvhara ropa. Zviratidzo zve-cerebral aneurysm yemhando iyi hazvigone kuratidzwa kwenguva yakareba, kusvika pakuputika kwepurogiramu kana thrombosis.

Aneurysm we arteri huru yeuropi

Nekukundwa kwemasimba makuru (buslar), marwadzo anowanikwa munzvimbo ye occipital yemusoro uye mumutsipa. Mukuwedzera, aneirysm yemakemikari yemaharo inoita kuti zviratidzo zvakadaro seperiipher paresis yechipfupa chemaziso, kusagadzikana kwekunzwa kwekunzwa, ruzha munzeve yakafanana nemhepo yemhepo. Nokuti iyo arteri huru inopa ropa ku-cerebellum uye bhiriji ye variolium, uye nehuwandu hwekuwedzerwa ropa kune madhipatimendi aya, dutu, kunzwa kutadza, uye kukanganiswa kwekubatana kunogona kuitika.

Aneurysm yecarotid arteri yeuropi

Zviratidzo zveAn aneurysm yeuropi inowanikwa panzvimbo yetiyo carotid inosanganisira zviratidzo zvakadai seshungu uye kurira munzeve, maziso makuru, dutu, zvinetso nemaonero ekuona. Munguva ye palpation uye kuongororwa, kana iine nzvimbo yakasarudzwa, kubhururuka kusina kujairika kunoonekwa, munzvimbo umo kune kuora kunononoka.

Aneurysm yemidziyo yemarara - migumisiro

Kuvepo kwenguva yakareba kweakerene aneurysms uye kuwedzerwa kwepamberi lobes kunowanzoita kuti pave nechirwere cheperesi munharaunda iyi. Somugumisiro, pane kuwedzera kukura kwekunzwisisa kwekuwedzera, kuratidzirwa mukushandura mukuzvibata, maitiro evanhu. An aneirysm yeuropi, zviratidzo zvemigumisiro yechipfupa chemhuka nokuda kwekuti hazvibviri kugadzirisa kuora kwemaono, zvinotungamirira kukuvadza kune mutsara we optic.

Pamusoro pehutachiona aneurysms

Nekuongororwa kweperebral aneurysm, chero manzwiro kana muviri, kudarika muropa, miitiro yakaipa inogona kukurumidza kukuvadza migumisiro yakaipisisa - kuputika kweropa-kuzadza vascular formation. Somugumisiro, pane kuora kwemvura muuropi yehupi kana kuti kusagadzikana, ropa rinotanga kuedza kushanda panzvimbo iyi, uye izvi zvinotungamirira mukuvhiringidzwa kwemabasa akasiyana-siyana.

Dzimwe nguva kupera kweine aneirysm yemidziyo yekuberekwa nechisarudzo chisingaoneki chokuvhiya chinogona kutungamirira kumugumo unouraya. Cherechedza nguva yenguva iyo inogona kunge iri pazvinhu zvinokosha zvinotevera:

• kamwe-kamwe kwakanyanya musoro;
• manzwiro ekunyunyuta;
• kurapa kwakanyanya;
• kurasikirwa kwekuziva.

Pamusoro pehutano hwemakumbo - migumisiro

Mune zvimwe zviitiko, kupera kwemakumbo emakumbo kunogona kunge kusingatambudziki, asi mushure mokunge kuora ropa mukati meuropi, munhu anowanzove akaremara. Kuzivikanwa nechinetso ichi kunogona kuva:

• rinokonzera kuparara ;
• hydrocephalus;
• vasospasm;
• coma;
• kusakanganiswa kwehupombwe hwepfungwa, nezvimwewo.

Kurapa kweine aneirysm yeuropi

Zvakakosha kuziva kuti mushonga wemazuva ano hauna maitiro anobatsira ekugadzirisa zvirwere zveperesi. Saka, pakuratidza chirwere chakadai chakaipa, zviri nani kusaisa pangozi uye kwete kuzvidzivirira pachako kana mishonga yevanhu, kana humwe humwe hutano huripo, hunowanzopiwa kwete navanachiremba, asi nevanoratidzira. Kubudirira kwehutano hwehutachiona aneurysms hunogona kuitwa chete nekushandiswa kwekushandisa.

Mumamiriro ezvinhu apo maitiro ezvinyorwa zvishoma, haaiti kukanganisa kwakakura, varwere vanorayirwa kumirira nekucherechedza maitiro, anopa kushanyira nguva dzose kune neurosurgeon kana neurologist, kuongorora ukuru hweine aneurysm, kutevera "maitiro" ake. Mukuwedzera, nzira dzinoderedza dambudziko remigumisiro ine ngozi dzinogadzwa:

• kuwirirana kweropa;
• kuderera kwecholesterol muropa;
• kuwedzera kwehutano hwemasero;
• kurapwa kwezvirwere zvinotapukira;
• kuramba tsika dzakaipa;
• kugoverwa kwekuita basa, nezvimwewo.

Aneurysm wehuropi - kushanda

Kana ane anorysm yemidziyo yekuberekwa ichionekwa, iyo inowanzoongororwa ne X-ray, tomographic examinations uye angiography, zvinokwanisika kutiza kubva pane zvinetso zvayo kuburikidza nekushanda kweuropurgical. Kushandisa kurapwa munyaya iyi kwakaoma kwazvo, inotarisirwa kuparadzanisa cavity ye aneurysm uye kuibvisa kubva pakuchengetedzwa kwepfungwa. Kuvhiya kubvisa aneurysm yemidziyo yebhedha inogona kuitwa neimwe yenzira dzinokosha:

• endovascular occlusion;
• kudonha kervix aneurysm.

Kuvhiyiwa kwekugadziriswa kwemakemikari ane arteri aneurysms

Iyi nzira inowanzosavhiringidzika, inotungamirirwa pasi peanesthesia yakawanda. Endovascular embolization ye aneurysm yemidziyo yecerebral inosanganisira kuiswa kuburikidza neimwe yemidziyo yakanyanyisa kutsvaira kateti inoshanduka zvishoma nezvishoma inopfuurira mberi kunzvimbo yezvirwere pasi pekutungamirirwa kwema-x-ray. Uyezve, microspiral inopindirwa mune aneurysm cavity kubva ku catheter, zvichiita kuti kuvhara uye kufa kwekuumbwa. Kubudirira kwechimiro ichi ndiko kukwanisa kwekuwana kune midziyo yakadzika, kushanda kunyange pashure pokunge aneurysm yapera.

Kugadziriswa kwemawere aneurysms

Apo aneurysm yemidziyo yemakumbo haisi yakadzama kana kana kupindira kunonzwisisika mushure mekudonhora kwemvura kunodiwa, chirwere chakazaruka chinoitwa. Iyi nzira inosanganisira kuvhura kribheni uye kuparadzanisa kuumbwa kubva mukubuda ropa kuburikidza nekugadzira chidimbu chesimbi chakaiswa pamutsipa. Somugumisiro, ruvara rwekudzivirira kwemavhutura runofa zvishoma nezvishoma nekugadziriswazve nemishonga inogadzirwa.

Kuvhiya kunoda mhando yemhando microsurgical equipment, inoshandisa microscope. Kana kupindira kuchiitwa mushure mokunge aneirysm yemidziyo yekuberekwa yakaputika, kushanda kunosanganisira kukonzera iyo yakagadzirwa ne-intracerebral hematoma uye kuchenesa ropa munharaunda ye-subarachnoid space.

Aneurysm yeuropi - migumisiro mushure mekuvhiyiwa

Kunyange semugumisiro wekubudirira kupindira kwekuvhiya kwakabudirira, umo aneurysm yemidziyo yekuberekwa inobviswa, migumisiro mushure mokunge basa racho ringave riri kure. Zvinetso zvinosanganiswa nekutarisana nemishonga inopesana nehutachiona, kukuvadza kumadziro edzimba, kusagadziriswa kwekusvitsa kweropa, nezvimwewo. Munyaya iyi, varwere vanogona kukura:

• kudengenyeka kweropa rinopa hutano hwehupi;
• thrombosis;
• cerebral edema;
• kuonekwa kweine aneurysm;
• kupindirana;
• kuputsa kwekutaura, kunzwa, kuona, nezvimwewo.

Kunyange zvakadaro, mungozi yekuitisa chirongwa inokodzera mumatambudziko akawanda. Hupenyu mushure mekunyora kwe aneurysm yemidziyo yekuberekwa, uyewo shure kwekushanda kwemagetsi, kune zvimwe zvisingakwanisi uye mazano. Varwere vakawanda vanoda nguva refu yekugadziriswa ne physiotherapy, kushandiswa kwemishonga, kudzokorora mabasa.