Kodi munayamba mwadzifunsapo zomwe zimachitika magazi akamayenda m'mitsempha yamagazi mkati mwa matupi athu ndipo magazi amaundana panjira? Zingakhale zoopsa komanso zadzidzidzi. Kuchotsa magazi oundana ngati amenewa pa opaleshoni kumatchedwa embolectomy. Lero, tikambirana izi m'njira yosavuta yomwe mungamvetse.
Mwachidule, kodi Embolectomy ndi chiyani?
Embolectomy ndi njira yochotsera magazi omwe amaundana mkati mwa mtsempha wamagazi ndipo akulepheretsa kuyenda bwino kwa magazi. Nthawi zina amatchedwa thrombectomy. Mayina onse awiri amatanthauza chinthu chimodzi, chomwe ndi kuchotsa magazi omwe amaundana.
Pakhoza kukhala mitundu iwiri ya magazi oundana awa:
1. Embolus: Tangoganizirani magazi oundana omwe amapangika pamalo ngati mwendo wanu, amachoka pamenepo, amayenda ndi magazi, ndipo amamatirira kwina, monga mapapu anu. Ndicho chimene timachitcha embolus , magazi oundana omwe amachoka pamalo pomwe adapangidwira ndimatirira kwina.
2. Thrombus: Mtundu uwu wa magazi oundana umapanga ndi kuyambitsa mavuto pamalo amodzi. Izi zikutanthauza kuti sumasuka ndipo supita kulikonse, umakhalabe pomwe unapangidwira. Timatcha izi Thrombus .
Kawirikawiri, magazi oundana ndi ofunikira kuti magazi asiye kutuluka tikavulala. Koma nthawi zina, popanda chifukwa chomveka, magazi oundana amayamba kupangika m'malo ena m'thupi omwe sayenera kupangidwa. Pamenepo ndi pomwe madokotala amafunika kuchotsa magazi oundana.
Ndani akufunika opaleshoni iyi?
Kuchotsa magazi m'mitsempha nthawi zambiri kumalimbikitsidwa kokha pa matenda aakulu. Mwachitsanzo, magazi kuundana m'mitsempha yozama m'mwendo amatchedwa Deep Vein Thrombosis (DVT) . Ngati magazi kuundanawo atuluka m'mapapo, angayambitse matenda oopsa otchedwa Pulmonary Embolism . Ngati vutoli silingathe kuthetsedwa ndi mankhwala, madokotala amagwiritsa ntchito opaleshoniyi.
Pali zinthu zingapo zomwe zingawonjezere chiopsezo cha magazi kuundana:
- Matenda a mtima: Ngati ntchito ya mtima siili bwino, pamakhala mwayi waukulu woti magazi aziundana.
- Kunenepa kwambiri: Kulemera kwambiri kwa thupi kumawonjezera chiopsezo cha magazi kuundana.
- Mimba: Chiwopsezo cha magazi kuundana chimawonjezeka pang'ono panthawi ya mimba chifukwa cha mahomoni ndi kusintha kwina m'thupi.
- Khansa: Mitundu ina ya khansa ndi mankhwala a khansa ingayambitse magazi kuundana.
- Matenda ena okhudza magazi kuundana:Chiwopsezochi chilinso chachikulu kwa anthu omwe ali ndi matenda a majini otsekereza magazi.
Njira ziwiri zochitira opaleshoni ya embolism
Kutengera ndi kukula kwa magazi anu oundana komanso komwe ali, madokotala amagwiritsa ntchito njira ziwiri zazikulu kuti achotse. Tiyeni tiwone bwino njira ziwirizi.
| Njira | Momwe mungachitire (zosavuta) |
|---|---|
| Kuchotsa Catheter | Iyi ndi njira yaying'ono. Khungu la pakhosi kapena m'mimba limachepa, kudula pang'ono kumapangidwa, ndipo chubu chopyapyala (catheter) chimadutsamo kudzera m'mitsempha yamagazi kupita kumalo komwe magazi amaundana. Izi zimachitika pogwiritsa ntchito njira yofanana ndi X-ray. Kenako magazi amaundana amatengedwa kuchokera mu chubucho, ngati chotsukira vacuum. Njirayi imaphatikizapo kudula kochepa, kotero kuchira kumakhala kofulumira. |
| Kuchotsa Embolectomy mu Opaleshoni | Iyi ndi opaleshoni yaikulu. Njirayi imagwiritsidwa ntchito makamaka ngati magazi ambiri aundana m'mapapo kapena mumtima. Apa, opaleshoni yapakati ya sternotomy imapangidwa pakati pa chifuwa, mtima ndi mapapo zimasinthidwa kwakanthawi kukhala makina (Cardiopulmonary Bypass), ndipo dokotalayo amatsegula mtsempha wamagazi woyenera ndikuchotsa magaziwo pamanja. |
N’chifukwa chiyani muyenera kuchita opaleshoni? Kodi sizingatheke ndi mankhwala?
Kawirikawiri, anthu omwe ali ndi magazi oundana amayamba kupatsidwa mankhwala ochepetsa magazi. Mwachitsanzo, mankhwala oletsa magazi kuundana (mankhwala omwe amaletsa magazi kuundana) kapena mankhwala ochepetsa magazi kutuluka magazi (mankhwala omwe amasungunula magazi omwe alipo). Komabe, nthawi zina, opaleshoniyi ndi yofunika. Milandu yotereyi ikuphatikizapo:
- Ngati simungathe kumwa mankhwala ochepetsa magazi awa chifukwa cha matenda ena.
- Ngati magazi oundana sakusungunuka ngakhale mutamwa mankhwala kapena ngati vuto lanu likuipiraipira.
- Ngati zizindikiro zomwe zimayambitsidwa ndi magazi kuundana ndi zazikulu kwambiri ndipo zimafuna chithandizo chachangu.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Ndipo zoopsa zake ndi ziti?
Mukachita opaleshoni, muyenera kukhala m'chipatala kwa masiku angapo, mwina m'chipinda chosamalira odwala kwambiri (ICU). Madokotala adzakuyang'anirani mpaka kupuma kwanu ndi ntchito ya mtima wanu zitabwerera mwakale. Ngati munachitidwa opaleshoni yotseguka, nthawi yanu yochira idzakhala yayitali pang'ono kuposa ngati munachitidwa opaleshoni ya catheter.
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zina.
- Zoopsa za njira ya catheter: Kutuluka magazi chifukwa cha kuwonongeka kwa mtsempha wamagazi, kuwonongeka kwa mtima kapena kusakhazikika kwa mtima, kulephera kuchotsa magazi onse oundana.
- Zoopsa za opaleshoni yotseguka: Kutuluka magazi kwambiri, kugunda kwa mtima mofulumira (SVT - Supraventricular Tachycardia), kulephera kwa mtima, kulephera kwa impso, ndi matenda.
Ngakhale kuti pali zoopsa zimenezi, chofunika kwambiri kukumbukira n’chakuti opaleshoni imeneyi imachitika pokhapokha ngati pakufunikadi kupulumutsa moyo. Chifukwa chake, madokotala amapanga chisankho ichi ataganizira zabwino ndi zoyipa zake.
Nthawi yoti mukaonane ndi dokotala mutatha opaleshoni
Ndikofunikira kwambiri kusamalira thupi lanu ngakhale mutapita kunyumba. Ngati mukukumana ndi zizindikiro zotsatirazi, muyenera kudziwitsa dokotala wanu nthawi yomweyo . Ngati muli ndi vuto lalikulu, pitani ku Dipatimenti Yodzidzimutsa (ETU) ya chipatala chapafupi.
- Kuvuta kupuma
- Chotupacho chimatuluka utsi, kufiira, kapena kutupa (zizindikiro za matenda)
- Kupweteka pachifuwa
- Kugunda kwa mtima
- Kutuluka magazi kwambiri
Uthenga Wopita Nawo Kunyumba
- Embolectomy ndi opaleshoni yomwe imachotsa magazi omwe amaundana omwe amaika magazi m'mitsempha yamagazi yomwe ingawononge moyo.
- Izi zimachitika m'njira ziwiri zazikulu: opaleshoni yaying'ono pogwiritsa ntchito catheter (chubu chopyapyala) ndi opaleshoni yayikulu pogwiritsa ntchito chifuwa chotseguka.
- Madokotala amalimbikitsa opaleshoniyi pokhapokha ngati pali zovuta zomwe sizingathetsedwe ndi mankhwala.
- Monga momwe zimakhalira ndi opaleshoni zonse, pali zoopsa, koma izi zingakhale zofunikira kuti munthu apulumuke.
- Tsatirani malangizo a dokotala wanu mosamala mukatha opaleshoni. Funsani upangiri wa dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro zachilendo.
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