Brain aneurysm rụkwaa

Brain aneurysm idozi bụ ịwa ahụ iji dozie aneurysm. Nke a bụ mpaghara adịghị ike na mgbidi arịa ọbara nke na-eme ka arịa ahụ bulie ma ọ bụ balloon ma mgbe ụfọdụ ọ na-agbawa (mgbawa). O nwere ike ibute:

• Ọbara ọgbụgba n'ime ụbụrụ cerebrospinal (CSF) gburugburu ụbụrụ (nke a na-akpọkwa ọbara ọgbụgba subarachnoid)
• Ọbara ọgbụgba n'ime ụbụrụ nke na-etolite nchịkọta ọbara (hematoma)

E nwere ụzọ abụọ eji eme ihe iji mezie anurysm:

• Clipping na-eme n'oge a na-emeghe craniotomy.
• Ndozi akwara (ịwa ahụ), na-ejikarị eriri igwe ma ọ bụ coiling na stent (tubes mesh), bụ ụzọ na-adịghị emerụ ahụ na nke a na-ahụkarị iji gwọọ aneurysms.

N'oge a na - egbugharị aneurysm:

• A na-enye gị ọgwụ mgbochi ọrịa na iku ume iku ume.
• Isi gị, okpokoro isi gị, na mkpuchi nke ụbụrụ ghere oghe.
• A na-etinye mkpirisi igwe na isi (olu) nke ihe omumu ahụ iji gbochie ya imebi (mgbawa).

N'oge mmezi endovascular (ịwa ahụ) nke aneurysm:

• May nwere ike ịnwe ọgwụ na-egbu egbu na iku ume iku ume. Ma ọ bụ, enwere ike ịnye gị ọgwụ iji zuru ike gị, mana ezughi ezu iji hie gị ụra.
• A na-eduzi catheter site na obere mkpịsị ụkwụ gị na akụrụngwa wee banye na arịa ọbara n'ime ụbụrụ gị ebe ọrịa a dị.
• Ihe di iche na-agbanye site na catheter. Nke a na - eme ka dọkịta na - awa ahụ lee akwara akwara na aneurysm na nlebanye anya n’ime ime ụlọ ọrụ.
• A na-etinye wires ndị dị larịị n'ime aneurysm. Ha na-agbakwunye n'ime bọọlụ ntupu. N'ihi nke a, a na-akpọ usoro ahụ coiling. Mgbochi ọbara nke na-etolite gburugburu eriri a na-egbochi aneurysm ka ọ ghara imeghe na ọbara ọgbụgba. Mgbe ụfọdụ a na-etinye stents (tubes mesh) iji jide eriri igwe ma hụ na arịa ọbara na-emeghe.
• N'ime oge ahụ na ozugbo ị gachara usoro ahụ, enwere ike ịnye gị ihe na-eme ka ọbara gị dị ka heparin, clopidogrel, ma ọ bụ ọgwụ mgbu. Ọgwụ ndị a na-egbochi mkpụkọ ọbara dị egwu ịmalite na stent.

Ọ bụrụ na ihe anurysm na ụbụrụ mebiri (ruptures), ọ bụ ihe mberede chọrọ ọgwụgwọ na ụlọ ọgwụ. A na-ejikarị ịwa ahụ arụ ọrụ ịwa ahụ, ọkachasị ịwa ahụ.

Mmadu nwere ike inwe anurisim n’echeghi echiche n’enweghi ihe mgbaàmà obula. Dị aneurysm a nwere ike ịchọta mgbe emere MRI ma ọ bụ CT nke ụbụrụ maka ihe ọzọ.

• Ọ bụghị ihe niile na-achọ ịgwọ ọrịa ka ekwesiri ịgwọ ozugbo. Aneurysms nke na-egbutụbeghị ọbara, ọkachasị ma ọ bụrụ na ha pere mpe pere mpe (ihe na-erughị 3 mm n'ogo kachasị ha), ekwesighi ka emeso ya ozugbo. Nnukwu aneurysms ndị a anaghị enwecha ike ịgbaji.
• Dọkịta dọkịta gị ga - enyere gị aka ikpebi ma ọ ga - adị mma ịwa ahụ iji gbochie aneurysm ahụ tupu ya agbaji ma ọ bụ iji nyochaa onyonyo ahụ site na iji onyonyo ugboro ugboro ruo mgbe ịwa ahụ ga - adị mkpa. Smallfọdụ obere aneurysms agaghị achọ ịwa ahụ.

Ihe ize ndụ nke ọgwụ nchịkwa na ịwa ahụ n'ozuzu ya bụ:

• Mmeghachi omume na ọgwụ
• Nsogbu iku ume
• Ọbara, mkpụkọ ọbara, ma ọ bụ ọrịa

Ihe ize ndụ nke ịwa ahụ ụbụrụ bụ:

• Mgbapu ọbara ma ọ bụ ọbara ọgbụgba n'ime ma ọ bụ gburugburu ụbụrụ
• Brain ọzịza
• Ọrịa na ụbụrụ ma ọ bụ akụkụ gburugburu ụbụrụ, dị ka okpokoro isi ma ọ bụ isi
• Ọdịdọ
• Ọkụ

Wa ahụ n'akụkụ ọ bụla nke ụbụrụ nwere ike ịkpata nsogbu ndị nwere ike ịdị obere ma ọ bụ dị njọ. Ha nwere ike ịnọ obere oge ma ọ bụ na ha agaghị aga.

Ihe ịrịba ama nke ụbụrụ na ụjọ (nsogbu) bụ nsogbu:

• Omume gbanwere
• Mgbagha, nsogbu ncheta
• Enweghi nguzozi ma obu nhazi
• Ọnụ ọgụgụ
• Nsogbu ichota ihe gbara gi gburugburu
• Nsogbu banyere ikwu okwu
• Ọhụụ ọhụụ (site na ikpu ìsì na nsogbu na ọhụụ n'akụkụ)
• Ike adịghị ike

A na-eme usoro a dị ka ihe mberede. Ọ bụrụ na ọ bụghị ihe mberede:

• Gwa onye na-elekọta ahụike gị ọgwụ ma ọ bụ ahịhịa ị na-a andụ ma ọ bụrụ na ị na-a aụ nnukwu mmanya.
• Jụọ onye na - enye gị ọrụ ọgwụ ole ị ka kwesiri ị takeụ n’ụtụtụ ịwa ahụ.
• Gbalịa ịkwụsị ị smokingụ sịga.
• Soro ntuziaka ka ị ghara iri nri na ị drinkingụ ihe ọ beforeụ beforeụ tupu ịwa ahụ.
• Were ọgwụ ndị onye na-enye gị gwara gị ka ị were obere mmiri mmiri.
• Abịa n’ụlọ ọgwụ n’oge.

Ọnọdụ ụlọ ọgwụ maka nrụzi endovascular nke aneurysm nwere ike ịdị mkpirikpi ka ụbọchị 1 ruo 2 ma ọ bụrụ na enweghị ọbara ọgbụgba tupu ịwa ahụ.

Lọ ọgwụ na-anọ mgbe craniotomy na aneurysm clipping na-abụkarị 4 ruo 6 ụbọchị. Ọ bụrụ na ọbara ọgbụgba ma ọ bụ nsogbu ndị ọzọ, dị ka arịa ọbara dị warara na ụbụrụ ma ọ bụ ịmịpụta mmiri na ụbụrụ, ịnọ n'ụlọ ọgwụ nwere ike ịbụ izu 1 ruo 2, ma ọ bụ karịa.

Probably nwere ike ịnwale ule nyocha nke arịa ọbara (angiogram) na ụbụrụ tupu eziga gị n'ụlọ, na ikekwe otu ugboro n'afọ maka afọ ole na ole.

Soro ntuziaka maka ilekọta onwe gị n'ụlọ.

Jụọ dọkịta gị ma ọ bụrụ na ọ ga-adịrị gị mma ịnwe ule nyocha dị ka angiogram, CT angiogram, ma ọ bụ MRI na-enyocha isi n'ọdịnihu.

Mgbe ịwachara nke ọma maka ọbara na-agba ọbara, ọ bụ ihe ọhụrụ na ọ ga-agba ọbara ọzọ.

Echiche na-adaberekwa na mbibi ụbụrụ sitere na ọbara ọgbụgba tupu, n'oge, ma ọ bụ mgbe ịwachara ahụ.

Ọtụtụ mgbe, ịwa ahụ nwere ike igbochi ụbụrụ ụbụrụ nke na-emebeghị ka ihe mgbaàmà buru ibu ma gbawaa.

I nwere ike inwe ihe kariri otu ihe omimi ma obu ihe omumu nke etinyere n'ime ya nwere ike itolita. Mgbe ị na-arụ ọrụ mmezi, ọ ga-adị mkpa ka onye ọrụ gị na-ahụ gị kwa afọ.

Aneurysm mmezi - ụbụrụ; Mmezi aneurysm mmezi; Coiling; Saccular aneurysm rụkwaa; Berry aneurysm mmezi; Fusiform aneurysm rụkwaa; Kesa nrụzigharị anurysm; Imezi aneurysm idozi - ụbụrụ; Ọbara ọbara nke subarachnoid - aneurysm

• Brain aneurysm mmezi - ihapu
• Surgerywa ahụ ụbụrụ - ihapu
• Ilekọta spasticity ma ọ bụ spasms
• Ikwurịta okwu na onye nwere aphasia
• Ikwurita okwu na onye nwere dysarthria
• Mgbaka na ịnya ụgbọ ala
• Dementia - omume na nsogbu ihi ura
• Mgbaka - nlekọta kwa ụbọchị
• Mgbaka - idebe nchekwa n'ụlọ
• Akwụkwụ na-adọ na ụmụaka - ihapu
• Ọkụ - ihapu
• Nsogbu ilo

Altschul D, Vats T, Unda S. Ọgwụgwọ ụbụrụ nke ụbụrụ aneurysms. Na: Ambrosi PB, ed. Ihe omuma ohuru n'ime oria Cerebrovascular - Nyochaa zuru oke. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. IntechOpen; 2020: isi: 11. Nyochaa August 1, 2019. Nweta May 18, 2020.

Ebe nrụọrụ weebụ American Stroke Association. Ihe ị kwesịrị ịma gbasara ụbụrụ ụbụrụ. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-know-about-cerebral-aneurysms#. Emelitere December 5, 2018. Nabata July 10, 2020.

Le Roux PD, Winn HR. Mkpebi ịwa ahụ maka ọgwụgwọ nke intranranial aneurysms. Na: Winn HR, ed. Youmans na Winn Winwa Ahụ Neurological. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 379.

National Institute of Neurological Disorders na ebe nrụọrụ weebụ strok. Cerebral aneurysms akwụkwọ mpempe akwụkwọ.www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Emelitere March 13, 2020. Nabata July 10, 2020.

Spears J, Macdonald RL. Nchịkwa nke ọbara ọgbụgba nke subarachnoid. Na: Winn HR, ed. Youmans na Winn Winwa Ahụ Neurological. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 380.