Chii chinonzi uropi aneurysm? Brain Aneurysm: Zviratidzo, kuongorora chirwere

uropi aneurysm, zviratidzo izvo zvinorondedzerwa pazasi, anogona kuitika chero zera. Asi chinonyanya mamirire zvokurwara kuti vakuru pane vana. Next, tinoona chii aneurysm sezvahunooneka nhasi, uye chii nzira zvinoshandiswa kuziva uye kuhupedza.

tsananguro

Chii chinonzi aneurysm? Izvi chimiro diki mukati dehenya. Rinooneka pamusoro ropa mudziyo uropi. Education nokukurumidza inowedzera. The convex Chikamu rinogona vomanikidza dzakapoteredza nyama kana pamusoro etsinga. Mukuru ngozi upenyu uropi aneurysm atsamwira. Panyaya iyi, ropa anopinda yakapoteredza tishu. mamiriro iyi inonzi ropa. yematambudziko izvi regai kukonzera inotungamirwa miganhu duku. An aneurysm anogona kuitika chero nzvimbo uropi. Zvisinei, sezvo tsika inoratidza kazhinji riri munzvimbo yaigara tsinga mapazi. Iyi nzvimbo iri pakati nechigadziko ezasi cranial pfungwa nzvimbo. Kana nemamiriro, asi aneurysm mutsipa aripo. It rakaramba-rukoko matatu nemamiriro arteries, izvo zvinoita kuti akatsiga zvikuru chikamu dzidzo. The aneurysm ndiwo muviri. Kwakavharwa nenyama Kamudzira zviri wakaputsika; tsandanyama rukoko ari kushayikwa. The thinnest inzvimbo rising. Inoitwa chete vascular intima. Izvi ndipo pane kumbozorora.

zvokurwara Zvinokonzera

Chiitiko inotungamirwa kungakonzera siyana cerebrovascular chirwere. The mhaka zvokurwara kunogona majini rebipolar. Zvikurukuru, zvingava polycystic itsvo maronda kana connective tishu. Kurudzirai panowanikwa inotungamirwa uye cerebrovascular chirwere chokuita zvakanaka kutenderera. Izvi, kunyanya, ari vachiberekwa arteriovenous malformation. By afunge Zvinhu zvinofanira semhosva akuvara uye mamwe makuvaro musoro, zvirwere, BP ropa bundu. The mhaka aneurysm zvinogona atherosclerosis - vascular zvokurwara, kuoma nokuda deposition pakati remafuta akawandisa pamadziro. Sembura ezvinhu tsika dzakaipa: kusvuta, doro, mishonga. Maererano nedzimwe nevaongorori, vachitsigira nemumuromo nhumbu kunowedzera mukana aneurysm. Education, nekuratidzwa somugumisiro utachiona zvinonzi mycotic. Aneurysms pematanho zvirwere kenza, kazhinji chokuita metastatic kana chikuru mapundu musoro uye mutsipa. At kushandiswa narcotics anotengeswa anonetseka. Kunyanya, kakawanda negashiro kokeini kuva vascular maronda, saka kuti aneurysm anogona kuitika.

kupatsanura

Treatment pamusoro chepfungwa midziyo rinoitwa maererano mhando nekuomarara ari zvokurwara kuyerera kwayo. Maererano kuongorora dzidzo, ipapo zvose marudzi akasiyana matatu. Wokutanga mhando zvinosanganisira saccular aneurysms. Zvinoita sezvinoita woita mubhegi neropa. It wanamatira pamutsipa kana chawo mugove bazi midziyo kana arteries zvakananga. Saccular mhando ichaongororwa vakawanda mhando zvokurwara. It Anonziwo "bheri" nokuda kufanana ne yakarembera hunde michero. Kazhinji, akadaro aneurysm rinowanikwa arteries mujinga wouropi. Saccular mhando dzidzo iri dzakaonekwa kakawanda nedzevakuru. Chechipiri mhando anonzi lateral aneurysm. Zvakafanana bundu rimwe pamadziro. Muchikwata wechitatu ndiyo dzidzo fusiform. Zvinonzi akaumba nokuda pakuwedzera vascular wall imwe nzvimbo. Panewo kupatsanura masangano maererano nokukura. Rinoreva zviduku dhayamita kuti asingasviki 11 mm. By avhareji kukura aneurysms zvinosanganisira paumbwe 11-25 neMM, kuti hofori - anopfuura 25 mm.

mapoka njodzi

Zvachose mhando dzose aneurysms ungangokuvara kuva atsamwira uye ropa. In boka ane ngozi vari vanhu vane mamwe abnormalities vachiberekwa. It Vakawana kuti vakadzi aneurysm iri dzakaonekwa kakawanda kupfuura vanhu. Nokuti ose 10 zviuru. Vanhu pagore anenge 10 atsamwira yacho aneurysm.

Chii mukana chirwere?

Sezvataurwa pamusoro apa, aneurysm atsamwira rinobatanidza ropa muuropi. Izviwo, hunokonzera chaizvo zvakakomba, nemamwe matambudziko zvinouraya. Zvikurukuru, CNS kukuvara, Hemorrhagic sitiroko, kana rufu. Nokuti rokutanga kwemasikati inogona kuteverwa wechipiri. Muchiitiko chino, kunenge ropa kunoitika. Mukuwedzera, zvinotevera angatanga aneurysms itsva. Kazhinji, kuparadzana ropa anopinda nzvimbo pakati uropi uye dehenya mapfupa. Muchiitiko ichi tinotaura subarachnoid ropa. It anova zvikuru ngozi mugumisiro hydrocephalus. Ichi chirwere kunoratidzwa yakawedzerwa kuunganidza cerebrospinal mvura iri chepfungwa ventricles, izvo chokuwedzera uye shandai uropi. Zvingava mumwe, hapana kuomesa zvishoma ngozi - vasospasm. Panyaya iyi ndiyo aienda rwengarava ropa, somugumisiro iyo inokosha nzvimbo uropi ropa riyerere kurambidzwa. Kushaikwa ropa rive kunoguma kukuvara rinenge kana nevanga.

Brain Aneurysm: Zviratidzo

Kazhinji zvokurwara hakuiti unooneka. Zviratidzo chepfungwa aneurysms dzinotanga kuonekwa kana zvasvika hombe ukuru kana watsemuka, izvo zvinozoita zvinogona kuitika pamusoro colour munhu akakwana munhu, achangobva mumuviri kana mupfungwa. Small, kwete kuwedzera dzidzo zvirege pamwe chero zviratidzo muupenyu hwomunhu. In inoramba ichingowedzera aneurysm iyi uropi, zviratidzo izvo zvinogona nyore kuvhiringidzwa nezvimwe pathologies zvakakwana, ane kugara vomanikidza zvinyama uye utano hwake. Avhareji zera varwere padzakacherechedza zvokurwara - makore 30-50. Vazhinji vanogara kwenguva refu pasinei zvavanopa uropi aneurysm. Zviratidzo chirwere dzinosanganisira: kurwadziwa ziso nharaunda, muviri, chiveve kana neutera tsandanyama rimwe divi chiso. Zvinonzi yakataurawo madzerere, dilated vadzidzi.

Zviratidzo ane aneurysm ari posterior tsinga - the kukanganisa of hurukuro zvinhu, kana kurasikirwa kuona munda kurasikirwa. Kukurirwa pamberi wakatarwa zvinopfuura simba repasi maoko nemakumbo. vascular aneurysm neshure pamwe peripheral chiso tsinga paresis, kunzwa kurasikirwa (imwe-mativi). Uyewo, pane simba inovhuvhuta ruzha pahura. Apo watsemuka kwouropi aneurysm yacho yeropa, munhu anonzwa kurwadziwa pakarepo uye kwazvo. Uyewo avamba kurutsa kana kuda kurutsa, pane nomutsipa mukukutu tsandanyama. Chance kunyange kurasikirwa chavanoziva. Sezvo vanoti pachavo, varwere, achirondedzera mamiriro ichi, ndiwo nomusoro chakaipa kupfuura kuti zvinogona kuitika muupenyu. State kunoratidzwa kukura uye hasha. Mune zvimwe zviitiko, pamberi atsamwira pamusoro aneurysm panguva munhu nyevero kurwadziwa mumusoro. Vanogona kwemazuva kana kunyange vhiki pashure kurwisa kuti zviitike. Nokuti zvimwe zviratidzo zviri zvokurwara kunofanira kusanganisira ashaye anopenya, zvakachinjwa chinzvimbo mupfungwa, ikawanda kufunganya, chimiro aikanganiswa nechiedza. Mune zvisingawanzoitiki kacho, murwere anogona vanowira pakoma. Tiine localization kurwadziwa fronto-orbital nharaunda zvichida kukundwa vari Anterior-mhesano uye Anterior pfungwa, mutemberi uye musana musoro - kumashure, vari pakati dehenya - iri basilar tsinga. Kana pane idzokororo kurwisa kurwadziwa, kukabatanidzwa nevamwe, pamusoro apa zviratidzo, unofanira pakarepo kushanyira chiremba.

Chirwere pamusoro chepfungwa midziyo: Vhuṱanzi

Mune zvimwe zviitiko, zvokurwara iri dzakaonekwa netsaona, panguva imwe ongororo chokuita nedzimwe inoti. Differential chirwere pamwe neoplastic zvirwere uropi. Zvakakwirira ngozi zvakakwana ropa dzakaonekwa dzidzo. Mukana ndiro yakakwirira, makuru kukura lesion. Uyewo, njodzi kuchaenderana pamusoro kwomuviri chinzvimbo (nhamba), nzvimbo aneurysm. Tevera hemorrhages kungawedzera mukana wokuti uite rufu uye anowanikwa zvikuru zvakasimba adarika. Kakawanda, pfungwa aneurysm, mishonga kuitwa bedzi mune nyanzvi Unit, rinowanikwa muitiro ichipaza. Murwere anogona kurasikirwa kuziva, akacherechedza nezvipusha, fungidzira zvipusha nezvokubvuta, anisocoria, fivhiri. Zvinofanira kurangarirwa kuti pakurapa chepfungwa midziyo vanofanira kutakura chiremba. Kana kuratidzwa izvi achishivirira nokukurumidza anofanira muchipatara. Aneurysm fungidzira vasospasm kuwedzera munzvimbo ischemia, ropa budiriro ventricular hurongwa, zvakafanana intracerebral hematoma.

tsvakurudzo nzira

Chirwere pamusoro chepfungwa midziyo inobvumira kuwana zvinhu zvakafanira mashoko pamusoro kukundwa. Zvino, maererano nayo, pokugara kurapa. Kazhinji, tsvakurudzo rinoitwa mushure subarachnoid ropa. Zvinotevera chirwere nzira:

• Angiography. Izvi mhando X-ray Kuongorora rinoitwa pakatanga musiyano mumiririri. Intracerebral angiogram anogona kuona ukuru aienda kana kuparadza ropa nhumbi pamutsipa, musoro, uropi. Achibatsirwa kutsvakurudza vangazivikanwa venous kana arterial kuchinja, kusanganisira kwaita idzodzo. Angiography rinoshandiswa nokuda kweropa zvirwere. Kunoitawo kuti kuona chaiyo nzvimbo, chimiro uye kukura bundu kana aneurysm. Angiography rinoitwa mu yakarongerwa makabhati. Pashure yokutindivadza iri jekiseni kupinda tsinga yacho tefa anobudisa mushonga zvishoma nezvishoma. Zvinonzi akasimudzira kune njodzi mudziyo. Ropa kuyerera asunungurwa vamwe Vhoriyamu kusiyana svikiro. Mushure rakapararira vascular pamutsipa uye musoro, akaurayiwa runodiwa huwandu X-ray.
• Computed tomography. Uyu kumbonyanya anodzidzisa isiri invasive, nokukurumidza uye nyarara chirwere nzira. Kurishandisa kuziva Kuvapo aneurysm, uye panguva yake yokumbozorora kuona kana ropa zvinoitika uropi panguva iyoyowo. Kazhinji, CT riri basa pakutanga kana uchifungidzira kuti dzidzo anogona kuputsa. X-ray mifananidzo kupatsanurwa pakombiyuta muchimiro vaviri-dimensional mifananidzo muchinjikwa zvikamu yeDehenya uye pfungwa. Mune zvimwe zviitiko, risati muropa CT Mukupesana mumiririri chinotarisirwa. angiography kwakadaro inopa mufananidzo wakajeka uye uwane. CT rinoitwa rinokosha kamuri, vakagadzirira pamwe yakakodzera michina.
• MRI - mhando tsvakurudzo umo vanoshandisa remagineti uye redhiyo mafungu. Kuitisa MRA (rinobva resonance angiography) anobvumira kuti vawanze hwakadzama uye zvakajeka mufananidzo midziyo. Pictures zvinogona kuonekwa kukura matatu, uye muchimiro maviri-dimensional muchinjikwa-zvikamu. MRA ndiye nyarara. Kudzidza kunogona kuona chimiro uye kukura unruptured aneurysms, uyewo kuona kana ropa kwakaitika.
• Kuongororwa cerebrospinal mvura. Kana uchifungidzira aparadzanisa pamusoro aneurysm nyanzvi angareva murwere kukomba cerebrospinal mvura. The nzira rinoitwa pasi zvomunharaunda yokutindivadza. With tsono zvikaramba kubva subarachnoid nzvimbo duku Vhoriyamu zvinhu. Cerebrospinal Urume ari ipapo amutsvaka kuti ropa uye ropa. Kutora mashoko rinoitwa mukamba chaiye kuchipatara.

Kuchirapa matanho: Vhuṱanzi

Hatigoni kutaura paumbwe watsemuka kwete nguva dzose. Sezvakataurwa apa, vanhu vanogona kurarama upenyu hwako hwose ane aneurysm, zvisina nzira kuzviita. Vanaamai vakadaro vanofanira kuramba kudzora simba pamusoro inotungamirwa. Zvinofanira vanoramba akuteerere BP, zvakaitika zvakakodzera kurapa pane imwe mafuta omumuviri akawandisa pamwero uyewo kurapa (kana), migumisiro cranial mupfungwa uye zvirwere zvinotapuriranwa. Zvinokoshawo unotara anoratidza itsva, iyo angaperekedzwa uropi aneurysm. Treatment muchiitiko ichi chichange yakarongwa nokukurumidza sezvinobvira. Zvakabuda pakutsvakurudza uye akataura kukubvumira kusarudza inonyatsobudirira mazano. Zvinofanira kucherechedzwa kuti nokurasikirwa ose akasiyana yazvo nenzira. Mabatirwo chepfungwa midziyo vanofanira kufungawo nzvimbo, mhando uye kukura lesion. Zvakafanana rinokosha murwere zera, nhoroondo yemhuri, nhoroondo zvokurapa, pautano. Zvinonzi kufungwa uye ngozi atsamwira of aneurysm.

kuvhiya kupindira

Mabatirwo chepfungwa midziyo iyi nyaya anogona kuitwa nenzira mbiri. nzira wokutanga anonzi rakanga. Chero kuvhiyiwa uropi rinobatanidza ngozi. Akati chipingaidzo pozi mukuru ngozi varwere. Operation uropi aneurysm rakanga rine nzira iri "kure" ukama mugove uye ndichengetedze kweropa kuburikidza huru gwara. Paumbwe Clip kufufutirwa chapedzwa vakamhanyira ropa. Pane imwe nzira nzira uhwo avabvisa aneurysm. Nokushanda endovascular embolization kunogona kuitwa kanoverengeka upenyu murwere. Munguva Kupindira ari femoral tsinga, anokosha nevamiririri vari kutarisirwa. Vari vakazadzwa uropi aneurysm. The oparesheni rinoitwa kushandisa achangobuda zvinodhaka kana Coils vari glued kukuvara. nzira iyi pari vaiona kupfuura mberi.

Zvinoita kudzivirira kukura chirwere?

Pari zviyero havasati kugadzirwa, achibatsirwa izvo zvinoita kudzivisa pakuonekwa uye zvinowedzera kukura nokuumbwa. Varwere vari pangozi, unofanira kunyatsofunga akuteerere utano hwavo, kuti vachengete hurumende zuva, kudzora kufurirwa, regai kuputa kana kutora zvinodhaka (cocaine, etc.). Uyezve, unofanira bvunza chiremba wako nezvokuuraya munowanika "asipurini" uye zvimwe zvinogadzirwa kuti dzinobatsira liquefaction ropa. Vakadzi vanofanira kubvunza nyanzvi pakushandisa nomumukanwa pamuviri. Ichi chiitiko chikuru vanhu vane kubatwa vatovapo kana pfungwa aneurysm. The oparesheni ichaongororwa zvakakodzera munguva ndichibvunza kukura dzidzo uye kuwedzera pakaoma kuti murwere upenyu.

Consequences uye maonero

Unruptured aneurysms muuropi anogona kuramba risingaoneki kwenguva yakareba, uye mune zvimwe zviitiko, hwavo. Mune mamwe mamiriro ezvinhu, asi anobuda ari inotungamirwa kunogona kukonzera rufu, sitiroko kana Hemorrhagic vasospasm. Ekupedzisira kuomesa Nde chinhu afunge rufu kana urema nokuda atsamwira yacho aneurysm. The anobuda pamusoro inotungamirwa kunogona kukonzera pakoma, hydrocephalus. Uyewo kazhinji kusingarapiki kwazvinoita kana duku uropi. Kufembera pashure ropa achavaponesa nemakore murwere, zvinoitwa nhengo, dzimwe chokuita chetsinga ezvinhu. Ukoshi ane urongwa inotungamirwa, kukura, ukuru ropa, uye zvakare kuti kana kakawanda chikuru. In dzinoongorora nemigumisiro vanofanirawo kufunga nguva pakati zororo uye zvakananga ropa. Varwere vakabatwa dzidzo unexploded kunoda shoma kupora nguva pane varwere kuparuka aneurysm. The kupora nguva mukupera nyaya, zvingava vhiki dzakawanda kana mwedzi. Rehabilitation pashure kuvhiyiwa zvinofanira kuitika pasi zvokurapa achitarisirwa. Nemiriwo angashandiswa sezvo yokuzvigadzirisa mishonga.

General matanho

zvirwere zvakawanda vascular inogona kudziviswa zvachose. Chekutanga zvose zvakafanira kunyatsoongorora mufananidzo hwake. Mune zvinhu zvoupenyu hwemazuva ano pamwero mukuru zvakakwana zvakakodzera kuwana nguva yokuti kunyatsozorora. Muchiitiko ichi tiri kutaura pamusoro vanoshingaira mitambo, zvinganaka panze. Nyanzvi vanokurudzira kuti zvinobvira nzira zvose kukurira nokusarovedza muviri. Uyewo zvikuru uye mupfungwa pakanyorwa munhu. Kana zvichibvira, kubvisa kunetseka, mupfungwa zadzisa. Zvose izvi zvakaipa kunokanganisa vascular ezvinhu. zvinodhaka vose ushandiswe nachiremba, zvinofanira kutorwa chete maererano pokushandisa zano haapfuuri kuti chipimo chemushonga. Nyanzvi dzinoti zvakasimba kuteerera muviri wako, usarera anonongedzera kuti anotumira. Kana mukawana nguva nomusoro vanofanira kushanyira chiremba uye kuti kuedzwa. Chero zvazvingava haisi akakurudzira vakazvimirira kugadza pachake chero zvinodhaka. Mune zvokurwara kwouropi midziyo dzokuzvirapa kungaita kuti migumisiro, upenyu pangozi. Nokukurumidza kuchava kushanya kune chiremba, zvinova nyore kuziva mhaka ichi kana kuti mamiriro, zvakakwana kurapa kana kuvhiyiwa. Zvinofanira kurangarirwa kuti zvose muviri hurongwa vari interconnected pamwe nemumwe. zvirwere Vascular havasi kure nedzimwe rinoti iro kuita somurume mugumisiro kunokonzera mhirizhonga munyika chepfungwa ropa wedzerai uye kudya kunovaka. Panguva Chaiyo kuwana chiremba, kakawanda kacho haambotauri kuti vakaremara kana rufu.