Embolization ni iki? Reka twige kuri ubu buryo bwo kuvura buziba imitsi y'amaraso! (Embolization)

Tekereza ko umutsi w'amaraso mu mubiri wawe uhora uva amaraso, cyangwa ko umutsi utanga amaraso ku kibyimba ugenda wiyongera umunsi ku wundi. Mu bihe byashize, ubwoko bw'ibintu bwagombaga kuvurwa no kubagwa bikomeye no gukata agace. Ariko ubu, kubera ko siyansi y'ubuvuzi yateye imbere, hari uburyo butangaje bugufasha kwinjira mu mubiri unyuze mu mwobo muto 'ukawufunga' gusa. Uyu munsi, turimo kuvuga kuri ubu buryo bwo kuvura bwitwa Embolization, abantu benshi batarabyumva, ariko ni ingenzi cyane.

Mu magambo make, embolization ni iki?

Gutera amaraso mu mubiri ni uburyo bwo kuvura budakoresha uburyo bwinshi . Bukubiyemo gufunga cyangwa gufunga umuyoboro w'amaraso runaka mu mubiri. Tekereza ko dushyize ikintu mu muyoboro w'amazi kugira ngo amazi ahagarike gutemba. Nibyo biri kuba hano.

Ubu buryo rimwe na rimwe bushobora kuba uburyo bwo kuvura bwateguwe mbere. Ni ukuvuga ko ari ikintu muganga azakora nyuma yo kugusuzuma no gukoresha gahunda. Ariko rimwe na rimwe, nk'igihe cy'impanuka, ibi bishobora no gukorwa nk'ubuvuzi bwihutirwa kugira ngo amaraso menshi ahagarike.

Ni ubuhe bufasha dukura muri embolization?

Binyuze muri ubu buryo bwo kuvura, dushobora kubona ibisubizo by'agateganyo cyangwa burundu ku bibazo byinshi mu mubiri wacu. Ahanini, ibi bivamo:

• Gufungura imiyoboro y'amaraso idafite aho ihuriye: Hari igihe imiyoboro n'imitsi mu mubiri wacu bishobora guhuzwa mu buryo budasanzwe. Ubu buryo bufunga iyo miyoboro ifitanye isano.
• Kugabanya amaraso ajyana ibibyimba: Iyo imiyoboro y'amaraso itanga ibibyimba bya kanseri n'ibindi bibyimba bidasanzwe ifunzwe, ibibyimba birabura intungamubiri. Bishobora kugabanuka cyangwa bikareka gukura.
• Guhagarika cyangwa gukumira kuva amaraso menshi: Ubu ni uburyo bwiza cyane bwo guhagarika kuva amaraso menshi, haba imbere cyangwa hanze y'umubiri.

Ni ibihe bibazo bivurwa hakoreshejwe embolization?

Ubu buryo bwo kuvura bukoreshwa ku ndwara zitandukanye zishobora gufata igice cyose cy'umubiri. Ushobora kubumenya neza uhereye ku mbonerahamwe iri hepfo.

Ubu buvuzi bukora bute? Ni nde ubikora?

Ubu buvuzi bukorwa n'inzobere mu by'imirasire . Ni ukuvuga inzobere ikoresha ikoranabuhanga ryo gupima nka X-rays kugira ngo ibone imbere mu mubiri, kandi ishyira ibikoresho byoroshye cyane mu mubiri kugira ngo ivure nta kubagwa gukomeye.

Mu magambo make, azaca umwobo muto cyane mu ruhu rwawe, nko ku kuboko kwawe, mu nda, cyangwa mu ijosi. Hanyuma, binyuze muri uwo mwobo, umuyoboro muto cyane kandi woroshye witwa catheter unyuzwa mu miyoboro y'amaraso ukagera ahantu hakeneye kuvurwa. Ibi byose bikorwa hifashishijwe uburyo bwo gupima X-ray. Iyo imaze kugenzurwa neza, ibintu byihariye (embolic agents) binyuzwa muri catheter kugira ngo bifunge umuyoboro w'amaraso.

Ni ibihe bintu bigabanya amaraso bikoreshwa mu kuziba imiyoboro y'amaraso?

Ibikoresho bizakoreshwa bizatandukana bitewe n'uburwayi bwawe ndetse n'imiterere y'imitsi y'amaraso igomba gufungwa.

• Balloons: Udupira duto cyane dushobora guhumekwa no kutwinjizwa mu mitsi itwara amaraso. Utwo dupira dukoreshwa mu gufunga umutsi by'agateganyo cyangwa burundu.
• Ifuro rya Gelatin: Igikoresho gisa n'ikiponji gishonga mu mubiri mu minsi mike.
• Kole y'amazi: Ubwoko bwihariye bwa kole ikomera vuba kandi ikoreshwa mu gufunga imiyoboro y'amaraso idasanzwe.
• Imigozi y'icyuma: Imigozi myiza cyane y'insinga ikozwe mu cyuma kitagira umugese na platine. Iyi migozi ishobora gushyirwa neza kugira ngo ihagarike imiyoboro y'amaraso.
• Uduce duto: Uduce duto tw’umubumbe dufite ingano zitandukanye. Utu duce duto tw’amaraso tuziba burundu.

Ni iki kibaho mu gihe cyo kuvurwa na nyuma yaho?

Ni iki nkwiye gukora mbere yo kuvurwa?

Muganga wawe ashobora kugutegeka gupima inshuro nyinshi, nko gupima ultrasound, gupima CT, cyangwa MRI , kugira ngo usobanukirwe neza imitsi yawe n'uburyo amaraso atembera mbere yo kuvurwa. Nanone, niba ufata imiti imwe n'imwe, nka imiti igabanya amaraso , ushobora gusabwa kuyihagarika iminsi mike mbere yo kuvurwa.

Ni iki kibaho mu gihe cyo kuvurwa?

1. Ubwa mbere, uzahabwa ikiruhuko cyoroheje kugira ngo usinzire gake. Hanyuma, ahantu hazajya hashyirwamo catheter gusa niho hazashyirwa ibinure.

2. Hanyuma, inzobere ikora akantu gato ku ruhu rw'ukuboko, mu kibuno, cyangwa mu ijosi.

3. Katheteri ishyirwa mu mitsi y'amaraso inyuze muri uwo mwobo ikayoborwa aho ikeneye kuvurwa, hakoreshejwe ikoranabuhanga rya X-ray ryitwa fluoroscopy .

4. Kugira ngo imitsi y'amaraso n'amaraso bigaragare neza, irangi ryihariye (irangi ritandukanye) rishyirwa muri katheteri.

5. Hanyuma, umuti wo mu maraso twavuze mbere (nk'icyuma gifunga, ishinya, uduce duto) uraterwa hanyuma amaraso akagaragara.

6. Iyo igikorwa kirangiye, catheter irakurwaho hanyuma agapfundikizo gato gashyirwa aho yatobowe. Nta gukata cyangwa kudoda gukomeye bikenewe.

Ibyiza n'ingaruka zo kuvura indwara ya embolization

Ni izihe nyungu z'ubu buvuzi?

Uburyo bwo kuvura indwara yo mu bwoko bwa Embolization bugira akamaro cyane kuruta kubagwa mu buryo buhoraho.

• Kuva amaraso bishobora kugenzurwa vuba kandi ubuvuzi bugatanga umusaruro mwiza cyane.
• Ingaruka mbi ku mubiri zigira ku rugero ruto nk'uko bikorwa mu kubaga. Hari umwobo muto aho kuba umusenyi munini, bityo amaraso akaba make cyane.
• Igihe cyo gukira ni gito, kandi abantu benshi bashobora kongera gukora imirimo yabo isanzwe mu cyumweru kimwe .
• Igihe cyamaze mu bitaro ni gito.

Ese hari ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari ingaruka zimwe na zimwe zishobora kubaho. Ariko, ibi ntibishoboka. Muganga wawe azagusobanurira ibi byose mbere y'igihe.

Ni iki ukwiye kwitaho mu gihe cyo gukira?

Akenshi ugomba kumara mu bitaro nibura ijoro rimwe nyuma yo kuvurwa. Muri icyo gihe, uzahabwa imiti igabanya ububabare.

Umaze kugera mu rugo, ugomba kuruhuka neza iminsi mike kandi ukagabanya imyitozo ngororamubiri.

• Niba ufite ikibazo cyo gutobora mu kibuno: Gabanya ibikorwa byawe, nko kuzamuka no kumanuka ingazi.
• Niba ufite ikibazo cyo gutobora ukuboko: Reka gukora imirimo ivunanye nko kwandika no kwandika mu gihe cy'iminsi mike.

Ibikorwa birushya nko guterura ibyuma bigomba kwirindwa burundu. Ariko, gukora ingendo ngufi buri munsi bishobora gufasha mu gukumira ingorane nko kubyimba kw'amaraso. Ni ngombwa kandi gushyira urubura aho umuntu yapfumuwe kugira ngo ugabanye kubyimba no kugira ngo igisebe gikomeze gusukurwa.

Niba ufite ibi bimenyetso, hamagara muganga wawe vuba!

Niba ubonye kimwe muri ibi bimenyetso bikurikira nyuma yo gusubira mu rugo uvuye kuvurwa, ugomba guhita ubimenyesha muganga wawe . Mu gihe habaye ikibazo cyihutirwa, jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro biri hafi yawe.