Aortic dissection

Aortic dissection chirwere chinotyisa chinodikanwa nokukurumidza kuchipatara. Nhamba dzinoratidza kuti kufa kwekusavapo kwekurapa kwakanaka kune 65-70%, kunyange kunyange kana kurapwa kwakapiwa, nhamba yevakafa yakakwirira.

Zvinonyanya kukonzera aortic dissection

An aneirysm inoratidzika kumadziro eropa remudziyo nekuda kwekucheka kwayo, kana masumbu echolesterol plaques. Muchiitiko apo aneurysm inoputsa kuvimbika kwomukatikati mukati measvingo, intima, ropa rinotanga kupinda mukati mechikamu pakati pepakati nepakati nepakati pamadziro, zvishoma nezvishoma kuifukisa. Pave panhanho iyi, murwere anoda munharaunda yekudzivirira kuchengetedza kumwe kuora kweaorta. Zvinosuruvarisa, zvinokwanisika kuona ruzivo rwechikwata ichi pangozi chete, panguva yekuongororwa kwehupenyu hwehutano hwehupenyu.

Gare gare, ropa pakati pezvigadziro zvemasvingo emidziyo zvinoramba zvichiwedzera, uye rinopinda pakati pepakati nepakati nechekunze kwe aorta. Kana pane kuparara kwakakwana, munhu angangodaro achifa kubva mukati mokubuda ropa mukati kana kurwadza kunorwadza. Saka, zvinokosha kwete kungoongorora chirwere ichi munguva, asiwo kuziva kuti zvinogona kuitika.

Kazhinji kacho, aortic aneurysm dissection ine chimiro chekuberekwa, naizvozvo kana paine maitiro akadaro mumhuri yako, unofanira kunge wakangwarira. Zvimwe zvinokonzera zvinhu zvirwere zvinokonzerwa nehutachiona uye marudzi akasiyana-siyana ekuchinja. Heino urongwa hwezvikamu zvevanhu vakawanda vari pangozi:

• vanhu vanopfuura makumi matanhatu;
• varume vatema;
• Varwere vane mwoyo uye zvirwere zvevascular;
• vanhu vakaoma;
• vanodhakwa, zvinodhaka;
• varwere vane syphilis nedzimwe zvirwere zvinoratidzirwa nehunhu necrosis;
• hypertensive patients;
• vatambi.

Vamiririri vekupedzisira boka vanofanira kutaura zvakasiyana. Vanhu avo vanoita zvepamusoro mune zvemitambo kazhinji vane huwandu hwemabasa akawanda pamwoyo yematambudziko, saka inotakura zvakakurumidza. Zvirwere zvinokonzera vanhu vane makore 60-70, zvinowanika mumakore makumi mana nemakore vaimhanya nevatasvi vemabhiza. Chikonzero cheaortic dissection chinogona kunge chiri chishuwo chakakomba munzvimbo yakatenda.

Zvimwe zviratidzo zveaortic dissection iyi inotyisa, isingagoni kushungurudzika mumoyo uye munzvimbo yezvipembenene, kuderera mukati memhepo kunowedzera kuwedzera. Izvo zvinenge zvisina zvimwe zviratidzo zvehutano huno.

Kurapa kweaortic dissection

Kurapa kwebundle kunoreva kuti munguva pfupi yekupatara uye kupindira kwekuvhiya. Kuvhiyiwa chete kunobatsira kumisa kupfuurira kweaortic dissection uye kupera kwayo kwakakwana, kunyange hafu yenguva yekunonoka kunogona kukonzera hupenyu hwehutano. Kana chirwere ichi chisina kukosha uye ropa pakati pemasvingo e-aorta rinogona kuputirwa nenzira yakasiyana, richazodikanwa kuti rive nedzidzo yekuchengetedza inoshandiswa inosanganisira kusimbisa masvingo emidziyo yeropa nekuderedza ropa. Izvi zvichawedzera hupenyu hwomurwere kwemakore gumi nemashanu, asi kana stratification yatotanga, inofanira kunzwisiswa kuti kune nguva inogara ichityisidzira upenyu.

Zvichienderana nenzvimbo yenharaunda yakakanganisika, unogona kuita zvimwe zvinoreva:

1. Nekuparadzaniswa kwetroatic aorta, kuponeswa kwemuviri kwakanyanya kwazvo, sezvo kunokanganisa denderedzwa duku rekupararira uye kunogona kukonzera kukamhina kwemoyo wose. Muchiitiko ichi, marwadzo achafanana nemasikirwo uye kusimba kwemyocardial infarction uye chiremba ane ruzivo achakurumidza kuisa chirwere chakakodzera, kutumira murwere kuvhiiyo.
2. Stratification yemubereki aorta kazhinji inowedzera kusinganzwisisiki, chirwere chinorwadza chinoitika zvikuru gare gare, chinosanganisa kuongororwa. Urwu rudzi rwechirwere haruna ngozi, asi zvakakosha kufungidzira mune imwe nguva chimwe chinhu chakaipa uye kuita MRI kana tomography.