Cudurka neefta ee loo yaqaan 'Thoracic aortic aneurysm'

Aneurysm waa balaarin aan caadi aheyn ama buufin qeyb ka mid ah halbowlaha sababo la xiriira daciifnimo darbiga marinka dhiiga.

Xanuun wadnaha ah oo ku dhaca wadnaha ayaa ku dhaca qaybta halbowlaha jirka ee ugu weyn (aorta) oo ka gudba laabta.

Sababta ugu badan ee keenta xididdada xididdada dhiigga ee wadnuhu waa adkaanshaha xididdada dhiigga. Xaaladdani waxay ku badan tahay dadka qaba kolestarool sarreeya, dhiig-kar sareeya, ama kuwa sigaar caba.

Waxyaabaha kale ee halista u ah aneurysm-ka wadnaha waxaa ka mid ah:

• Isbedelada da'da ay keento
• Ciladaha unugyada isku xira sida Marfan ama Ehlers-Danlos syndrome
• Caabuq ku dhaca aorta
• Dhaawaca dhicitaanka ama shilalka baabuurta
• Waraabow

Aneurysms waxay si tartiib tartiib ah u horumarisaa sanado badan Dadka badankood ma laha wax calaamado ah illaa iyo inta ay aneurysmku ka bilaabanayso inay soo daadato ama ay sii ballaadho.

Astaamuhu badanaa waxay si lama filaan ah u bilaabmaan marka:

• Aneurysm si dhakhso leh ayuu u koraa.
• Ilmada aneurysm-ka ayaa furan (oo loo yaqaanno dillaac).
• Dhiig ayaa ku daadanaya darbiga aorta (kala-baxa aortic).

Haddii aneurysmku ku cadaadiyo dhismooyinka u dhow, astaamaha soo socda ayaa dhici kara:

• Cabaadis
• Dhibaatooyinka wax liqidda
• Neefsashada sare (stridor)
• Barar qoorta ah

Calaamadaha kale waxaa ka mid noqon kara:

• Laab ama xanuunka dhabarka sare
• Maqaarka isku dhejinta
• Lalabbo iyo matag
• Qiyaasta garaaca wadnaha
• Dareenka masiibada soo socota

Imtixaanka jireed badiyaa waa iska caadi haddii aan dillaacin ama daadin dhicin.

Inta badan aneurysms-ka wadnaha ee wadnaha waxaa lagu ogaadaa baaritaanada sawirka lagu sameeyo sababo kale awgood. Imtixaanadan waxaa ka mid ah raajada xabadka, echocardiogram, ama baaritaanka CT-ga ee laabta ama MRI.Baadhitaanka 'CT scan' ayaa muujinaya cabbirka aorta iyo meesha saxda ah ee aneurysm-ka.

Aortogram (nooc gaar ah oo sawir raajo ah oo la sameeyay markii dheeh lagu duray aorta) ayaa lagu garan karaa aneurysm iyo laamo kasta oo aorta ka mid ah oo ku lug lahaan kara.

Waxaa jirta khatar ah in aneurysmku furmo (dillaaco) haddii aadan haysan qalliin aad ku dayactirto.

Daaweyntu waxay kuxirantahay meesha uu ku jiro aneurysm. Aorta waxay ka kooban tahay saddex qaybood:

• Qaybta hore waxay kor ugu sii socotaa dhanka madaxa. Waxaa lagu magacaabaa aorta kor u socota.
• Qaybta dhexe waa qalooca. Waxaa loo yaqaan 'aortic arch'.
• Qaybta ugu dambeysa waxay u dhaqaaqdaa hoos, xagga cagaha. Waxaa lagu magacaabaa aorta soo degaysa.

Dadka qaba aneurysms of aorta koraysa ama qalooc wadnaha:

• Qalliin lagu beddelayo aorta ayaa lagula taliyaa haddii xididku ka weynaado 5 ilaa 6 sentimitir.
• Googo ayaa laga sameeyaa dhexda lafta xabadka.
• Aorta waxaa lagu badalay balaastiig ama maro lagu tolay.
• Tani waa qalliin weyn oo u baahan mashiin wadnaha-sambabaha ah.

Dadka qaba aneurysms-ka soo degaya wadnaha wadnaha:

• Qalliin weyn ayaa la sameeyaa si aorta loogu beddelo maro maro haddii xididku ka weynaado 6 sentimitir.
• Qalliinkan waxaa lagu sameeyaa jarista dhinaca bidix ee xabadka, oo laga yaabo inuu gaaro caloosha.
• Xannibaadda xididdada wadnaha (vendovascular stent) waa ikhtiyaar yar oo duullaan ah. Stent waa bir yar yar ama tuubo caag ah oo loo isticmaalo in lagu xidido halbowle furan. Stents-ka ayaa jidhka la geyn karaa iyada oo aan laabta goyn. Si kastaba ha noqotee, maahan dhammaan dadka leh xididdada wadnaha ee soo noqnoqda inay yihiin musharraxiin xajin.

Aragtida muddada-dheer ee dadka qaba xididdada wadnaha ee wadnaha waxay kuxirantahay dhibaatooyinka kale ee caafimaad, sida cudurka wadnaha, dhiig karka, iyo kaadi macaanka. Dhibaatooyinkan ayaa laga yaabaa inay sababeen ama wax ka geysteen xaaladda.

Dhibaatooyinka halista ah qalliinka xubinta taranka ka dib waxaa ka mid noqon kara:

• Dhiigbax
• Caabuq ku-tallaal
• Wadne qabad
• Wadne garaac aan caadi ahayn
• Dhaawaca kilyaha
• Curyaannimo
• Faalig

Dhimashada waxyar kadib qalliinka waxay ku dhacdaa 5% ilaa 10% dadka.

Dhibaatooyinka ka dib cirridka aneurysm waxaa ka mid ah dhaawaca xididdada dhiigga ee keenaya lugta, oo u baahan kara qalliin kale.

U sheeg daryeel caafimaad bixiyahaaga haddii aad leedahay:

• Taariikh qoys oo ku saabsan ciladaha unugyada isku xiran (sida Marfan ama Ehlers-Danlos syndrome)
• Laab ama raaxo xanuun

Si looga hortago atherosclerosis:

• Xakamee cadaadiska dhiiggaaga iyo heerarka dufanka dhiiggaaga.
• SIGAAR ha cabin.
• Cun cunto caafimaad leh.
• Samee jimicsi joogto ah.

Aortic aneurysm - wadnaha; Xanuunka 'Syphilitic aneurysm'; Aneurysm - aortic wadnaha ah

• Dayactirka aneurysm-ka caloosha - furan - dheecaan
• Dayactirka xididdada dhiigga ee jirka - endovascular - dheecaan

• Aneurysm xasaasiyadeed
• Dillaaca jirka - raajada xabadka

Acher CW, Wynn M. Thoracic iyo aneurysms-ka wadnaha wadnaha: daaweynta qalliinka furan. Gudaha: Sidawy AN, Perler BA, eds. Qalliinka Rutherford ee Vascular and Endovascular Therapy. 9aad. Philadelphia, PA: Elsevier; 2019: cutubka 77.

Braverman AC, Schermerhorn M. Cudurada ku dhaca aorta. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 63.

Lederle FA. Cudurada ku dhaca aorta. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 69.

Singh MJ, Makaroun MS. Cudurka 'Thoracic and thoracoabdominal aneurysms': daaweynta xididada xididada (endovascular treatment). Gudaha: Sidawy AN, Perler BA, eds. Qalliinka Rutherford ee Vascular and Endovascular Therapy. 9aad. Philadelphia, PA: Elsevier; 2019: cutubka 78.