Tangoganizani kuti mtsempha wamagazi m'thupi lanu ukutuluka magazi nthawi zonse, kapena kuti mtsempha wopereka magazi ku chotupa ukukulirakulira tsiku ndi tsiku. Kale, chinthu chamtunduwu chimayenera kuchiritsidwa pochita opaleshoni yayikulu ndikudula malowo. Koma tsopano, chifukwa sayansi ya zamankhwala yapita patsogolo, pali njira yodabwitsa yomwe imakulolani kulowa m'thupi kudzera m'bowo laling'ono ndikutseka mtsempha wamagazi womwewo. Lero, tikulankhula za njira yochizira iyi yotchedwa Embolization, yomwe anthu ambiri sanamvepo, koma ndi yofunika kwambiri.
Mwachidule, kodi embolization ndi chiyani?
Kuchotsa magazi m'thupi ndi njira yochiritsira yosavulaza kwambiri . Imafuna kutseka kapena kutseka mtsempha winawake wamagazi m'thupi. Tangoganizani kuti tayika china chake mu chitoliro cha madzi kuti madzi asamayende bwino. Chabwino, ndicho chimene chikuchitika apa.
Izi nthawi zina zingakhale chithandizo chomwe chinakonzedweratu. Izi zikutanthauza kuti, chinthu chomwe dokotala angachite akakufufuzani ndikugwiritsa ntchito nthawi. Koma nthawi zina, monga pa nthawi yadzidzidzi, izi zingafunikenso kuchitidwa ngati chithandizo chadzidzidzi kuti magazi asamatuluke kwambiri.
Kodi timapeza thandizo lotani kuchokera ku embolization?
Kudzera mu njira iyi yochizira, titha kupeza mayankho akanthawi kapena okhazikika a mavuto ambiri m'thupi lathu. Makamaka, izi zimapangitsa kuti:
- Kutsegula mitsempha yamagazi yolumikizidwa molakwika: Nthawi zina mitsempha ndi mitsempha m'thupi lathu zimatha kulumikizidwa molakwika. Njirayi imatseka kulumikizanako kosagwirizana.
- Kuchepetsa magazi opita ku zotupa: Pamene mitsempha yamagazi yomwe imapereka zotupa za khansa ndi zina zotupa zosazolowereka zatsekedwa, zotupazo zimasowa michere. Zingathe kuchepa kapena kusiya kukula.
- Kuletsa kapena kupewa kutuluka magazi ambiri: Iyi ndi njira yothandiza kwambiri yoletsera kutuluka magazi ambiri, kaya mkati kapena kunja kwa thupi.
Ndi matenda ati omwe amachiritsidwa ndi embolization?
Mankhwalawa amagwiritsidwa ntchito pa matenda osiyanasiyana omwe angakhudze pafupifupi gawo lililonse la thupi. Mutha kudziwa bwino za izi kuchokera patebulo lomwe lili pansipa.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kulumikizana kosazolowereka kwa mitsempha yamagazi ndi mitsempha (Arteriovenous malformations - AVM) | Mitsempha ya magazi (mitsempha yamagazi ndi mitsempha yamagazi) imalumikizana. Izi zimatha kuchitika muubongo kapena kwina kulikonse m'thupi. |
| Kuchuluka kwa magazi m'mitsempha ya ubongo | Kufooka kwa khoma la mtsempha wamagazi muubongo, zomwe zimapangitsa kuti lizitupa ngati baluni. Izi zitha kukhala zoopsa kwambiri ngati litaphulika. |
| Zotupa zotuluka magazi ndi zotupa zina | Khansa ndi zotupa zina zimatuluka magazi. Kutuluka magazi kumayendetsedwa ndi kutseka mtsempha wamagazi womwe umaupereka. |
| Kutuluka magazi pafupipafupi m'mphuno (Epistaxis) | Kutuluka magazi m'mphuno pafupipafupi komanso mopitirira muyeso komwe sikungathe kuthetsedwa ndi mankhwala ena. |
| Kutuluka magazi m'mimba | Kutuluka magazi chifukwa cha matenda monga zilonda zam'mimba kapena diverticulosis. |
| Kutuluka magazi ambiri m'mimba | Kutuluka magazi ambiri komanso kwa nthawi yayitali kwa akazi. |
| Matenda a uterine fibroids | Izi ndi zotupa zomwe si khansa. Kutseka mitsempha yamagazi yomwe imapereka magaziwo kumachepetsa zotupazo. |
| Kutuluka magazi mkati mwa thupi chifukwa cha ngozi | Kuletsa kutuluka magazi chifukwa cha kuvulala kwa ziwalo monga ndulu, chiwindi, ndi mapapo. |
| Kutupa kwa mitsempha m'ma testicles (Varicocele) | Matenda omwe mitsempha yozungulira machende a amuna imatupa komanso kupweteka. |
Kodi chithandizochi chimagwira ntchito bwanji? Ndani amachita?
Chithandizochi chimachitidwa ndi Interventional Radiologist . Ndiko kuti, katswiri amene amagwiritsa ntchito ukadaulo wowunikira monga X-ray kuti awone mkati mwa thupi, ndipo amagwiritsa ntchito zida zovuta kwambiri kuti achite chithandizocho popanda opaleshoni yayikulu.
Mwachidule, adzapanga dzenje laling'ono kwambiri pakhungu lanu, monga dzanja lanu, khosi, kapena khosi. Kenako, kudzera m'dzenje limenelo, chubu chopyapyala kwambiri chotchedwa catheter chimalowetsedwa kudzera m'mitsempha yamagazi kupita kumalo omwe akufunikira chithandizo. Zonsezi zimachitika motsogozedwa ndi X-ray. Ikangoyang'aniridwa bwino, zinthu zapadera (embolic agents) zimalowetsedwa kudzera mu catheter kuti zitseke mtsempha wamagazi.
Kodi ma embolic agents amagwiritsidwa ntchito poletsa mitsempha yamagazi?
Zinthu zomwe zingagwiritsidwe ntchito zimasiyana malinga ndi matenda anu komanso mtundu wa mtsempha wamagazi womwe ukufunika kutsekedwa.
- Mabaluni: Mabaluni ang'onoang'ono kwambiri omwe amatha kudzazidwa ndi mpweya powayika mu mtsempha wamagazi. Awa amagwiritsidwa ntchito kutseka mtsempha kwakanthawi kapena kosatha.
- Thovu la Gelatin: Chinthu chonga siponji chomwe chimasungunuka m'thupi mkati mwa masiku ochepa.
- Guluu wamadzimadzi: Mtundu wapadera wa guluu womwe umauma msanga ndipo umagwiritsidwa ntchito kutseka mitsempha yamagazi yosagwira ntchito bwino.
- Ma coil achitsulo: Ma coil abwino kwambiri a waya opangidwa ndi chitsulo chosapanga dzimbiri ndi platinamu. Izi zitha kuyikidwa bwino kuti zitseke mtsempha wamagazi.
- Tinthu tating'onoting'ono: Tinthu tating'onoting'ono tozungulira tosiyanasiyana. Timeneti timatsekereza mitsempha yaing'ono yamagazi kwamuyaya.
Kodi chimachitika ndi chiyani panthawi ya chithandizo komanso pambuyo pake?
Kodi ndiyenera kuchita chiyani ndisanalandire chithandizo?
Dokotala wanu mwina angakupatseni ma scan angapo, monga ultrasound, CT scan, kapena MRI , kuti mumvetse bwino mitsempha yanu yamagazi ndi kayendedwe ka magazi musanalandire chithandizo. Komanso, ngati mukumwa mankhwala ena, monga mankhwala ochepetsa magazi , mungapemphedwe kuti musiye kumwa mankhwalawa masiku angapo musanalandire chithandizo.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
1. Choyamba, mudzapatsidwa mankhwala ochepetsa ululu kuti mugone pang'ono. Kenako, malo okhawo omwe catheter idzalowetsedwemo ndi omwe adzakhale ndi mano.
2. Kenako, katswiriyo amadula pang'ono khungu la mkono, khosi, kapena khosi.
3. Katheta imalowetsedwa mu mtsempha wamagazi kudzera m'bowo limenelo ndikutsogoleredwa kumalo omwe mukufuna kuti akalandire chithandizo, pogwiritsa ntchito ukadaulo wa X-ray wotchedwa fluoroscopy .
4. Kuti muwone bwino mitsempha ya magazi ndi kayendedwe ka magazi, utoto wapadera (utoto wosiyana) umalowetsedwa kudzera mu catheter.
5. Kenako, mankhwala oletsa kutupa omwe tinakambirana kale (chinachake monga waya, chingamu, tinthu tating'onoting'ono) amabayidwa ndipo magazi amatsimikizika.
6. Ndondomeko ikatha, catheter imachotsedwa ndipo bandeji yaying'ono imayikidwa pamalo obowoledwa. Sipafunika kuduladula kapena kusoka kwakukulu.
Simudzamva kupweteka kwambiri panthawi ya chithandizochi. Mungamve kupweteka pang'ono mukabayidwa mankhwala oletsa kumva dzanzi. Mungamvenso kutentha pang'ono utoto ukalowa m'thupi lanu.
Ubwino ndi zoopsa za chithandizo cha embolization
Kodi ubwino wa chithandizochi ndi wotani?
Chithandizo cha embolization ndi chothandiza kwambiri kuposa opaleshoni yotseguka nthawi zonse.
- Kutuluka magazi kungalamuliridwe mwachangu ndipo chithandizocho chimayenda bwino kwambiri.
- Sizimakhudza thupi kwambiri kuposa opaleshoni yotseguka. Pali dzenje laling'ono m'malo mwa kudula kwakukulu, kotero magazi satuluka kwambiri.
- Nthawi yochira ndi yochepa, ndipo anthu ambiri amatha kuyambiranso ntchito zawo za tsiku ndi tsiku mkati mwa sabata imodzi .
- Nthawi yomwe ndimakhala kuchipatala ndi yochepa.
Kodi pali zoopsa zilizonse pa chithandizochi?
Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zoopsa zina zomwe zingachitike. Komabe, izi sizingachitike kawirikawiri. Dokotala wanu adzakufotokozerani zonsezi pasadakhale.
| Chiwopsezo chomwe chingakhalepo | Kufotokozera kosavuta |
|---|---|
| Kutupa kwa utoto | Anthu ena akhoza kukhala ndi vuto la khungu chifukwa cha utoto wosiyana womwe umagwiritsidwa ntchito pochiza. |
| Kutuluka magazi kapena kuvulala pamalo obowoledwa | Pakhoza kukhala kutuluka magazi kapena mabala pomwe catheter idayikidwa. |
| Wothandizira matenda a Embolic akupita pamalo olakwika | Kawirikawiri, zinthu zomwe zimagwiritsidwa ntchito potseka mtsempha wamagazi zimatha kutuluka ndikupita kwina. |
| Matenda | Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali chiopsezo chochepa cha matenda. |
| Kuwonongeka kwa mitsempha (Neuropathy) | Pali mwayi wochepa kwambiri woti mitsempha iwonongeke pafupi ndi malo ochiritsira. |
| Stroke kapena khungu | Ngati mankhwala oletsa magazi alowa m'mitsempha yamagazi muubongo panthawi yochiza mutu, sitiroko kapena vuto la kuwona likhoza kuchitika kawirikawiri. |
Kodi muyenera kulabadira chiyani mukamachira?
Nthawi zambiri mumayenera kukhala m'chipatala kwa usiku umodzi kapena kuposerapo mutalandira chithandizo. Panthawiyi, mudzapatsidwa mankhwala ochepetsa ululu.
Mukafika kunyumba, muyenera kupuma bwino kwa masiku angapo ndikuchepetsa kuchita masewera olimbitsa thupi.
- Ngati muli ndi kuboola m'chiuno: Chepetsani zochita zanu, monga kukwera ndi kutsika masitepe.
- Ngati muli ndi vuto la kuboola dzanja: Siyani kuchita zinthu zovuta monga kulemba ndi kulemba mawu kwa masiku angapo.
Zochita zotopetsa monga kunyamula zolemera ziyenera kupewedwa kotheratu. Komabe, kuyenda pang'ono tsiku lililonse kungathandize kupewa mavuto monga magazi kuundana. Ndikofunikanso kupaka ayezi pamalo obowoledwa kuti muchepetse kutupa ndikusunga bala loyera.
Ngati muli ndi zizindikiro izi, imbani dokotala nthawi yomweyo!
Ngati mukukumana ndi zizindikiro zotsatirazi mutabwerera kunyumba kuchokera ku chithandizo, muyenera kudziwitsa dokotala wanu nthawi yomweyo . Ngati pachitika ngozi, pitani ku Dipatimenti Yothandiza (ETU) ya chipatala chapafupi.
| Zizindikiro zochenjeza zoyenera kuziganizira | |
|---|---|
| Zizindikiro za matenda | Malungo, kufiira kapena kutentha pamalo omwe achiritsidwa. |
| Zizindikiro za magazi kuundana | Kufiira, kutupa, kapena kupweteka m'chifuwa kapena mwendo. |
| Kutuluka magazi ambiri | Kutuluka magazi kosalekeza kuchokera pamalo obowoledwa. |
| Kuvuta kupuma | Kuvuta kupuma mwadzidzidzi. |
| Chotupa chomwe chinabowoledwa | Chotupa chopweteka kapena chomwe chikukulira mofulumira pafupi ndi malo obowoledwa. |
| Kusanza kosalekeza komanso kusanza | Kusanza ndi kusanza mpaka kufika polephera kusunga chakudya kapena chakumwa. |
Uthenga Wopita Nawo Kunyumba
- Kuchotsa magazi m'thupi ndi njira yodziwika bwino komanso yothandiza kwambiri yochizira yomwe imatseka mtsempha wamagazi m'thupi popanda kuduladula magazi ambiri.
- Imachiritsa matenda osiyanasiyana, kuphatikizapo kutuluka magazi ambiri, zotupa za khansa, uterine fibroids, ndi AVM.
- Popeza sizikhudza thupi kwambiri kuposa opaleshoni yotseguka, ululu umakhala wochepa komanso nthawi yochepa yochira imakhala yochepa.
- Monga momwe zilili ndi chithandizo chilichonse chamankhwala, pali zoopsa zake, choncho onetsetsani kuti mwakambirana zonsezi ndi dokotala musanalandire chithandizo.
- Ngati zizindikiro zachilendo zachitika mutalandira chithandizo, ndikofunikira kwambiri kupeza upangiri wa dokotala nthawi yomweyo.
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