Zonse zokhudza chipangizo chaching'ono (Vena Cava Filter) chomwe chimaletsa magazi kuundana kufika m'mapapo

Kodi mukudziwa kuopsa kwake ngati magazi ataundana m'mitsempha ya thupi lanu, makamaka m'miyendo yanu, n'kukakamira m'mapapo anu? Mu zamankhwala, timatcha izi kuti 'pulmonary embolism'. Izi zitha kukhala zoopsa ngakhale moyo. Chifukwa chake lero tikambirana za chipangizo chaching'ono koma chofunikira kwambiri chomwe chimagwiritsidwa ntchito popewa vuto loopsa ngati limeneli.

Mwachidule, kodi Vena Cava Fyuluta iyi ndi chiyani?

Chosefera cha Vena Cava ndi chipangizo chaching'ono chachitsulo. Kwenikweni, chili ngati ukonde waung'ono, kapena fyuluta. Ntchito yake yayikulu ndikusunga magazi oundana omwe amayenda m'mitsempha ya thupi ndikuletsa kupita ku mapapo anu.

Pali mitundu iwiri ikuluikulu ya mitsempha yamagazi m'thupi lathu.

• Vena Cava Wosauka (IVC): Izi zimanyamula magazi kuchokera m'munsi mwa thupi (monga miyendo ndi mimba) kupita kumtima.
• Superior Vena Cava (SVC): Iyi imanyamula magazi kuchokera kumtunda kwa thupi (monga mutu ndi manja) kupita kumtima.

Fyuluta iyi imayikidwa kwambiri mu Inferior Vena Cava (IVC) , mtsempha waukulu womwe umanyamula magazi kuchokera m'thupi la pansi. Ichi ndichifukwa chake izi zimatchedwanso `(IVC filters)`. Kuti tifotokoze mwachidule, ganizirani ngati tikuyika fyuluta mu chitoliro cha madzi. Timalola madzi kuti adutse popanda chopinga chilichonse, koma dothi lomwe lili m'madzi limatsalira mu fyuluta imeneyo. Fyuluta iyi imachitanso chimodzimodzi. Ngakhale imalola magazi kuyenda kupita kumtima popanda chopinga chilichonse, imagwira magazi owuma omwe amabwera nawo.

Ndi anthu amtundu wanji omwe akufunikira fyuluta iyi?

Si aliyense amene amafunikira izi. Dokotala angakulangizeni fyuluta iyi pazifukwa zingapo. Mungaganizidwe kuchita izi ngati muli ndi magazi oundana m'mitsempha yanu (Venous Thromboembolism kapena VTE) ndi chimodzi mwa zifukwa izi:

Kodi pali mitundu ya zosefera izi?

Inde, pali mitundu iwiri makamaka.

1. Zosefera Zokhazikika: Zikayikidwa, mitundu iyi ya zosefera siichotsedwa. Zimakhalapo kwa moyo wonse. Izi nthawi zambiri zimayikidwa mwa anthu omwe sangathe kumwa mankhwala ochepetsa magazi ndipo ali pachiwopsezo chachikulu cha mavuto a nthawi yayitali.

2. Zosefera Zakanthawi/Zomwe Zingathe Kubwezedwa: Izi zimayikidwa mwa anthu omwe ali pachiwopsezo chakanthawi. Mwachitsanzo, pambuyo pa opaleshoni yayikulu. Chiwopsezocho chikatha ndipo mankhwala ochepetsa magazi akatha kuyambikanso, zoseferazi zimachotsedwa opaleshoni.

Kodi chimachitika ndi chiyani musanachite opaleshoni?

Chabwino, tiyeni tinene kuti dokotala wasankha kukuyikirani fyuluta iyi. Pali zinthu zingapo zomwe muyenera kukonzekera musanachite zimenezo.

• Dokotala wanu adzakufunsani za mbiri yanu yonse ya thanzi. Muyenera kufotokoza bwino mankhwala onse omwe mumamwa (ngakhale mavitamini).
• Mankhwala ena angafunike kuyimitsidwa masiku angapo opaleshoni isanachitike. Mwachitsanzo:
• Mankhwala Oletsa Kutsekeka kwa Magazi
• Aspirin
• Mankhwala Ochepetsa Ululu (NSAIDs)
• Dokotala adzakuuzani maola angati omwe muyenera kusiya kudya ndi kumwa musanachite opaleshoni. Nthawi zambiri, mudzapemphedwa kuti musiye kudya maola 8 musanachite opaleshoni ndipo mudzamwa maola awiri musanachite opaleshoni.
• Mungathenso kuyesedwa kangapo kuti muwone thanzi lanu, monga kuyezetsa magazi, `Echocardiogram (echo)`, ndi `Electrocardiogram (EKG)`.

Kodi opaleshoniyi imachitidwa bwanji?

Iyi si opaleshoni yaikulu yoti muope. Imatchedwa njira 'yowononga pang'ono'. Izi zikutanthauza kuti palibe mabala akuluakulu. Nthawi zambiri imatha pafupifupi ola limodzi.

Umu ndi momwe zimachitikira:

1. Choyamba, chubu cha saline (IV) chidzalumikizidwa ku mtsempha womwe uli m'dzanja lanu.

2. Mudzapatsidwa mankhwala ochepetsa ululu kuti mukhale bata komanso omasuka.

3. Kenako, malo omwe fyuluta idzayikidwe (m'khosi kapena m'mimba) amayeretsedwa ndipo malo amenewo okha ndi omwe amachotsedwa mano .

4. Dokotala amadula pang'ono malo omwe dzanzi limakhalapo ndipo amaika chubu chopyapyala chotchedwa catheter mu mtsempha.

5. Kenako, pogwiritsa ntchito mtundu wa X-ray wotchedwa ``Fluoroscopy,'' chubu ichi chimatsogozedwa bwino ku mtsempha wa IVC. Nthawi zina, madzi apadera otchedwa ``contrast material'' angalowetsedwe kudzera mu chubuchi kuti mtsempha uwonekere bwino.

6. Akafika pamalo oyenera, fyuluta imalowetsedwa mu mtsempha kudzera mu catheter. Imatseguka mkati mwa mtsempha ndikumangirira ku makoma a mtsempha.

7. Ntchito ikatha, catheter imachotsedwa ndipo bandeji yaying'ono imayikidwa pamwamba pa chodulidwacho kuti itseke.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, muyenera kukhala m'chipatala kwa maola angapo. Gulu lachipatala lidzayang'anira kugunda kwa mtima wanu ndi kupuma kwanu, ndipo lidzakupatsani mankhwala ochepetsa ululu ngati mukumva ululu.

Nthawi zambiri , mutha kupita kunyumba tsiku lomwelo lomwe munachita opaleshoni . Komabe, simungathe kuyendetsa galimoto nokha, muyenera kukhala limodzi ndi mnzanu kapena wachibale wanu. Pakhoza kukhala mabala ndi kusasangalala pamalo odulidwa kwa masiku angapo.

Kodi mungachire posachedwa?

Inde. Fyuluta imayamba kugwira ntchito mukangoyiyika.

• Ngati fyulutayo yaikidwa kudzera m'mitsempha ya m'khosi mwanu , nthawi zambiri mutha kuyambiranso ntchito zanu zachizolowezi mkati mwa maola 24.
• Ngati fyulutayo idalowetsedwa kudzera m'mitsempha ya m'mimba , muyenera kupewa zinthu zina kwa masiku awiri.

Komabe, dokotala wanu adzakupatsani malangizo enieni omwe akukukhudzani.

Kodi pali zoopsa zilizonse zomwe zingachitike?

Kawirikawiri opaleshoni imeneyi imaonedwa kuti ndi yotetezeka kwambiri. Komabe, monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono kwambiri. Mwayi woti izi zichitike ndi wochepa kwambiri, koma ndibwino kudziwa za izo.

• Kusamvana ndi zinthu zosiyanitsa zomwe zimagwiritsidwa ntchito poyesa.
• Kutuluka magazi kapena matenda pamalo oikira catheter.
• Kuwonongeka kwa mitsempha yamagazi.
• Kusweka kwa fyuluta.
• Magaziwo mwina anatuluka mu fyuluta n’kupita ku mtima kapena mapapo.
• Kuundana kwa magazi mu mtsempha wa IVC (IVC thrombosis).

Zinthu zimenezi sizimachitika kawirikawiri. Dokotala wanu adzachita zonse zomwe angathe kuti achepetse zoopsazi.

Kodi muyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kusamalira thupi lanu mukapita kunyumba mutachita opaleshoni. Ngati mukumana ndi zizindikiro zotsatirazi, muyenera kuyimbira dokotala nthawi yomweyo .