Wakambonzwa here nezvemagwamba eropa anofamba nemutsinga dzeropa dziri mumiviri yedu? Kutaura zvazviri, magwamba eropa akakosha zvikuru kuti ropa rimire kubuda kana miviri yedu yakuvara. Asi dzimwe nguva, pasina chikonzero, kana magwamba eropa akaumbwa mukati metsinga dzeropa, zvinogona kuva nengozi zvishoma. Nekuti magwamba aya eropa anogona kudzivirira kufamba kweropa uye kukonzera matambudziko akakomba. Muzviitiko zvakadaro, kuvhiyiwa kwakakosha kubvisa magwamba eropa kunonzi Embolectomy. Nhasi, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Embolectomy?
Kubviswa kweropa rakagwamba mutsinga yeropa (embolectomy) kuvhiyiwa kwekubviswa kweropa rakagwamba mutsinga yeropa (tsinga yeropa). Izvi dzimwe nguva zvinonzi thrombectomy. Pane musiyano mudiki pakati pemazita maviri aya. Ngatizvinzwisiseiwo.
Fungidzira ropa richigwamba mutsinga huru yeropa mugumbo rako. Kana ropa iri rikaramba riri panzvimbo yaro, tinoridaidza kuti thrombus . Zvino fungidzira kachidimbu kadiki keropa iri kanotyoka, kachifamba neropa, koenda kumapapu ako konamatira mutsinga diki yeropa ipapo. Saizvozvowo, ropa rinogwamba panzvimbo imwe, roenda kune imwe nzvimbo ronamatira rinonzi embolus .
Saka, muchidimbu, Thrombectomy kubviswa kweropa rakagwamba (`thrombus`) panzvimbo yaro. Embolectomy kubviswa kweropa rakagwamba (`embolus`) rakafamba ndokunamira kune imwe nzvimbo. Zvisinei, mazuva ano, mazwi maviri aya anowanzo shandiswa achichinjana.
Kuvhiyiwa uku kunoitwa nachiremba anovhiya kana chiremba akadzidziswa nzira dzisinganyanyi kukuvadza muviri. Zvichienderana nekuti ropa rakagwamba kupi, uku kunogona kuva kuvhiyiwa kwekukurumidzira . Kana ropa rakagwamba rikavhara ropa rinoenda kunhengo inokosha mumuviri, zvinogona kuisa upenyu panjodzi.
Ndiani anoda kuvhiyiwa uku? Mumamiriro ezvinhu api?
Deep Vein Thrombosis chirwere chinoumba ropa rakagwamba mutsinga yakadzika mugumbo. Kana ropa iri rikagwamba roenda kumapapu, rinogona kukonzera chirwere chakakomba chinonzi Pulmonary Embolism . Kana chirwere ichi chisingagoni kudzorwa nemishonga, chiremba anogona kusarudza kuita Embolectomy.
Kazhinji, vamwe vanhu vane njodzi huru yekugwamba kweropa kupfuura vamwe. Izvi zvinogona kukonzerwa nezvinhu zvakawanda.
- Kune avo vane chirwere chemwoyo
- Kune avo vane kufuta zvakanyanya
- Panguva yekuzvitakura
- Muzviitiko zvegomarara
- Kune vanhu vane zvimwe zvirwere zvemajini zvinokanganisa kuumbwa kweropa
Sei chiremba angakurudzira kuvhiyiwa uku?
Vanhu vazhinji vane ropa rakagwamba vanotanga vapihwa mishonga inodzikisa ropa, asi kuvhiyiwa kunogona kudiwa muzviitiko zvinotevera:
- Kana usingakwanise kupihwa mishonga inorwisa ropa kana mishonga yekudzikisa ropa nekuda kwechikonzero chipi zvacho.
- Kana, pasinei nekupa mishonga iyoyo, ropa rakagwamba risinganyungudike uye mamiriro acho akawedzera kuipa.
- Pane mukana wekuva nechirwere chinonzi paradoxical embolism , icho chiri mukana wekuti ropa ripfuure nepaburi diki mumoyo roenda kunhengo inokosha yakaita seuropi.
Kazhinji, sarudzo yakaita seiyi inotorwa nechikwata chevanachiremba vanoungana pamwe chete vonyatsoongorora mamiriro emurwere.
Ngatidzidzei nhanho nhanho kuti kuvhiyiwa uku kunoitwa sei.
Kuvhiyiwa uku kunogona kuitwa nenzira mbiri huru. Chiremba achasarudza nzira yakanakisisa zvichienderana nehukuru nenzvimbo yeropa rakagwamba.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Pakugadzirira kuvhiyiwa, timu yezvekurapa ichagadzirira bvunzo nemidziyo inodiwa.
- Kana kuvhiyiwa kwemoyo kwakavhurika (Surgical Embolectomy), gadziriro dzekuongororwa kwemoyo dzinoitwa dzinonzi transesophageal echocardiogram kuti dziongorore mashandiro emoyo panguva yekuvhiyiwa.
- Kuvhiyiwa kweCatheter embolectomy kunoshandisa muchina we ultrasound kuti uone nzvimbo chaiyo yeropa rakagwamba uye nzira ye X-ray inonzi angiogram inotungamira catheter.
Hazvina mhosva kuti nzira ipi yekuvhiyiwa ichaitwa, uchapihwa mushonga wekuti usazonzwa kurwadziwa.
Chii chinoitika panguva yekuvhiyiwa
Tafura iri pazasi ichatibatsira kunzwisisa musiyano uripo pakati penzira mbiri idzi uye maitirwo adzo.
| Maitiro | Maitirwo azvo |
|---|---|
| Kuvhiyiwa kweCatheter Embolectomy | Hapana dambudziko guru pane izvi.
|
| Kuvhiyiwa Kwakavhurika (Kuvhiyiwa Kwekuvhiya) | Muizvi, chipfuva chinovhurwa uye kuvhiyiwa kunoitwa.
|
Vamwe varwere vanewo mudziyo mudiki unonzi vena cava filter wakaiswa kuti ropa risagwambe kuenda kumapapu mune ramangwana.
Chii chinoitika mushure mekuvhiyiwa?
Kana kuvhiyiwa kwapera, kana wakavhiyiwa wakavhurika, mavanga ari mukati nekunze achasonerwa, uye uchabviswa mumuchina wemwoyo nemapapu. Kana wakamboshandisa catheter, banga diki richasungwa zvakasimba uye richasungwa nebhandeji.
Mushure mekuvhiyiwa, ungangove:
- Uchafanira kuramba uchitora mishonga inorwisa ropa kuti ropa rako riderere.
- Uchafanirwa kuedzwazve (Transthoracic echocardiogram) kuti utarise mashandiro emoyo.
- Ungangofanira kugara muchikamu chevarwere vanorwara zvakanyanya (ICU) kwemazuva mashoma.
Ngatitaureiwo nezvezvakanakira nezvazvakaipira (njodzi)
Kufanana nechero nzira yekurapa, iyi ine zvakanakira uye njodzi.
Kuvhiyiwa uku hakusi kwemunhu wese, asi kungave kuri iko kwakanakisa kune avo vasingakwanise kutora mishonga inobvisa ropa, vasingapindure, uye vane zviratidzo zvakakomba, kuti vakwanise kupora nekukurumidza.
Zvisinei, zvakakosha kuti tizive nezvenjodzi dzinouya nekuvhiyiwa uku.
| Njodzi dzeEmbolectomy Surgery | |
|---|---|
| Njodzi dzeCatheter Method (Inokuvadza Zvishoma) | |
| Kubuda ropa | Kubuda ropa kunogona kuitika nekuda kwekukuvara kwetsinga yeropa. |
| Kukuvara kwemoyo | Kukuvara kwemoyo kana kurova kwemoyo zvisina kurongeka (arrhythmia) kunogona kuitika. |
| Kugwamba kweropa kwasara | Zvingasakwanisika kubvisa ropa rakagwamba zvachose. |
| Njodzi dzekuvhiyiwa pachena | |
| Kubuda ropa rakawanda | Kubuda ropa rakawanda panguva yekuvhiyiwa kana mushure mekuvhiyiwa. |
| Chirwere chemwoyo | Kurova kwemwoyo nekukurumidza (supraventricular tachycardia - SVT) uye kutadza kushanda kwemoyo zvinogona kuitika. |
| Dzimwe njodzi | Kutadza kushanda zvakanaka kweitsvo, hutachiona, uye kashoma kuti munhu afe. |
Kupora uye nguva yekuona chiremba zvakare
Uchafanira kugara muchipatara kwemazuva mashoma mushure mekuvhiyiwa. Uchabvumirwa kudzokera kumba kana kufema kwako nemoyo wako zvadzokera pakushanda zvakanaka. Kupora kunowanzo kurumidza mushure mekuvhiyiwa necatheter pane mushure mekuvhiyiwa pachena.
Kare, vanhu vakawanda vakavhiyiwa uku vakafa. Zvisinei, nekufambira mberi kwesainzi yezvekurapa, mamiriro acho ezvinhu akachinja zvikuru . Nhasi, njodzi yekufa kubva mukuvhiyiwa uku yadzikira kusvika pakati pe5% ne16%. Ongororo yakawana kuti 73% yevanhu vakavhiyiwa uku vachiri vapenyu uye vakura mushure memakore mashanu.
Teerera zviratidzo izvi!
Kana ukaona chimwe chezviratidzo izvi mushure mekudzokera kumba, unofanira kuzivisa chiremba wako nekukasika .
- Kuoma kufema
- Zviratidzo zvehutachiona panzvimbo yakachekwa (kuzvimba, kutsvuka, kubuda kwehurwa)
- Kurwadziwa kwechipfuva
- Kurova kwemoyo
- Kubuda ropa kusingajairika
Zvinotaridzika zvakafanana, asi zvakasiyana! (Mimwe mishonga)
Kune mamwe mazwi mashoma anonzwika akafanana ne embolectomy. Ngatitarisei musiyano uripo pakati pawo.
Kubviswa kweEmbolectomy uye Kubviswa kweEndarter
Kubviswa kweropa rakagwamba. Endarterectomy kubviswa kwemafuta (plaque) anoungana mutsinga yeropa. Izvi zvinoitirwa kudzivirira kuvharika kwetsinga dzeropa.
Kuvhiyiwa kweEmbolectomy uye Thrombolytic Therapy
Kubviswa kweropa muropa (Embolectomy) inzira yekurapa nayo muviri inosanganisira kubviswa kweropa rakagwamba. Kurapa neThrombolytic kunosanganisira kubaya mushonga mutsinga kuti ropa rakagwamba mumuviri rinyungudike. Mushonga uyu dzimwe nguva unogona kukonzera kubuda ropa munzvimbo dzakadai seuropi.
Sezvamunoona, kune nzira dzakasiyana-siyana dzekurapa mavhandi eropa. Chiremba wenyu ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakirai uye yakachengeteka kwamuri. Kana imi kana mumwe munhu waunoziva akarongerwa kuvhiyiwa kwerudzi urwu, musatya kubvunza chiremba wenyu chero mibvunzo yamunogona kuva nayo nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Embolectomy kuvhiyiwa kubvisa ropa rine njodzi rakanamira mutsinga yeropa.
- Izvi zvinoitwa nenzira mbiri huru: kuburikidza necatheter (chubhu yakatetepa) uye kuburikidza nekuvhiyiwa kwechipfuva chakavhurika.
- Kuvhiyiwa uku kunogona kuponesa hupenyu hwevarwere vasingapindure kana kuti vasingakwanise kutora mishonga inodzikisa ropa.
- Kufanana nekuvhiyiwa kwese, uku kune njodzi, asi nekuda kwetekinoroji yemazuva ano yekurapa, mwero wekubudirira wakakwira zvikuru.
- Kana ukaona zviratidzo zvakaita sekuoma kufema kana kurwadziwa pachipfuva mushure mekuvhiyiwa, zivisa chiremba wako nekukasika.
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