Sisiphi esi sifo apho imithambo yegazi idityaniswe ngendlela engaqhelekanga? (I-Arteriovenous Malformation - AVM) Masithethe!

Ngaba wakha weva ukuba imithambo yegazi engaphakathi emizimbeni yethu ngamanye amaxesha inokubhideka ngeendlela ezingaqhelekanga, njengebhola yomsonto? Oku kusenokuvakala kungaqhelekanga, akunjalo? Kodwa, kusenokwenzeka ngokwenene, kwaye kunokuba yingozi ngamanye amaxesha. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yi -Arteriovenous Malformation , okanye i-AVM . Ngamafutshane, esi sisiphene kwinkqubo yemithambo yegazi ethwala igazi emizimbeni yethu.

Yintoni i-arteriovenous malformation (AVM)? Masiyiqonde ngokulula.

Khawucinge ukuba sinothungelwano lwemithambo yegazi emizimbeni yethu. Kukho iintlobo ezimbini eziphambili zale mithambo: Imithambo kunye neMithambo . Imithambo yegazi ifana neendlela ezinkulu, ithwala igazi elicocekileyo, elineoksijini lisuka entliziyweni lisiya kuzo zonke iindawo zomzimba, ingakumbi ingqondo. Imithambo yegazi ifana nemithambo yegazi emincinci ethwala igazi elisetyenzisiweyo, elingenaoksijini libuyela entliziyweni.

Ngokwesiqhelo, ezi ndlela zinkulu (imithambo yegazi) ziphela ngenethiwekhi yemithambo emincinci kakhulu, emincinci. Ezi mithambo sizibiza ngokuba zii-capillaries . Kufana nendlela enkulu eqhekeka ibe ziindlela ezincinci xa ifika kwilali. Kungale mithambo yegazi apho ioksijini kunye nezondlo ezisegazini zifikelela kwiiseli zethu, kwaye imveliso yenkunkuma evela kwiiseli ingena egazini. Emva koko eli gazi libuyela entliziyweni ngemithambo ebizwa ngokuba yimithambo yegazi.

Ngoku, okwenzekayo kumntu one-AVM kukuba ibhulorho ye-capillary ekufuneka ibe phakathi komthambo kunye nomthambo ayikho. Emva koko, igazi elivela kwimithambo yegazi, elivela kuxinzelelo oluphezulu, liqhagamshela ngequbuliso kwimithambo yegazi, esetyenziselwa uxinzelelo oluphantsi. Khawuthelekelele umbhobho omkhulu wamanzi oqhagamshela ngequbuliso kumbhobho omncinci, onodonga olubuthathaka. Oku kubangela ukuba imithambo yegazi ibe noxinzelelo olunganyamezelekiyo. Oku kubonakala njengebhola edibeneyo yemithambo yegazi, njengendlwane yentaka. Ngenxa yolu qhagamshelo olungaqhelekanga, kukho ithuba elikhulu lokuba imithambo yegazi iqhume (iqhume) kwaye yophe igazi engqondweni (iphume igazi engqondweni) .

Ngaba kukho iintlobo ezahlukeneyo zee-AVM? Zenzeka phi?

Ewe, singathetha kakhulu ngeentlobo ezimbini ze-AVM:

1. Ii-AVM zobuchopho: Ezi zezona zixhaphakileyo. Zinokuvela naphi na ngaphakathi kwengqondo, kumphezulu wengqondo, kwisiseko sengqondo , okanye ecaleni komqolo . Ezi ziyingozi kancinci kuba ingqondo yindawo ebuthathaka kakhulu.

2. Ii-AVM ezijikeleze umzimba: Ezi zinokwenzeka naphi na kwimithambo yegazi emitha eyi-100,000 yomzimba. Umzekelo, zinokukhula ebusweni, ezingalweni, emilenzeni, nakwizitho zangaphakathi ezifana nentliziyo, isibindi, nemiphunga.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-AVM?

I-AVM yimeko engaqhelekanga kakhulu.Kuthiwa ngumntu omnye kuphela kubantu abayi-1000 abanokuba nayo. Nabani na unokuzalwa enayo. Nangona kunjalo, oogqirha bayifumana rhoqo kubantu abaneminyaka ephakathi kwama-20 nama-40. Iimpawu zibonakala kakhulu phakathi kweminyaka engama-30 nama-50.

Zithini iimpawu ze-AVM?

Nantsi into ebalulekileyo. Abanye abantu banokuba ne-AVM kodwa bangabonakalisi zimpawu. Malunga ne-15% yabantu abane-AVM abayi kuba nazo naziphi na iimpawu. Uninzi lwexesha, ufumanisa ukuba une-AVM kuphela emva kokuba igqabhukile, oko kuthetha ukuba iyopha.

Nangona kunjalo, ukuba kukho iimpawu, zinokuba ngolu hlobo:

• Ukuxhuzula, nokuba akuqondi okanye akuqondi. Oku kungenzeka ngequbuliso.
• Intloko ebuhlungu rhoqo. Ngamanye amaxesha oku kunokuba nzima kakhulu.
• Ubuthathaka bemisipha okanye ukukhubazeka ngokupheleleyo.
• Isicaphucaphu nokuhlanza.
• Ukungaziva mnandi okanye ukurhawuzelelwa kwiindawo ezithile zomzimba.
• Isiyezi.
• Ubunzima bokuhamba, ubunzima bokuthetha, ukulahlekelwa yinkumbulo, ubunzima bokucinga, ukulahlekelwa yibhalansi, okanye ukuphazamiseka kokubona.
• Iimeko ezinje ngokudideka kwengqondo, ukubona izinto ezingekhoyo, okanye i-dementia.
• Intlungu yomqolo. Oku kunokubakho ngequbuliso kwaye kube nzima. Kunokubangela ukuziva ngathi kukho into ebuhlungu ukusuka esinqeni ukuya emilenzeni nasezinzwaneni.
• Ukuphefumla kancinci ngexesha lokuzilolonga (oku kunokwenzeka ukuba kukho i-AVM emiphungeni)
• Ukukhohlela igazi (oku kukwaluphawu lwe-AVM zemiphunga)
• Intlungu zesisu.
• Amaqhuma avela ezingalweni, emilenzeni, okanye esiqwini.
• Intlungu kunye nokudumba.

Kubalulekile: Malunga nama-50% abantu abane-AVM yobuchopho baya kuba nokopha ebuchotsheni njengophawu lwabo lokuqala. Oku kunokukhokelela kwistroke kunye nomonakalo wobuchopho.

Kutheni ezi AVM zenzeka? Yintoni unobangela?

Enyanisweni, izazinzulu azikayazi kakuhle ukuba kutheni ii-AVM zikhula. Kukholelwa ngokubanzi ukuba zizalwa nazo . Oku kuthetha ukuba ezi mithambo yegazi ziyadibana ngexesha lokukhula komntwana ongekazalwa, esibelekweni sikamama. Azifane zidluliselwe kwizizukulwana ngezizukulwana, nto leyo ethetha ukuba zinokudluliselwa kwizizukulwana ngezizukulwana .

I-AVM inaliphi ifuthe emizimbeni yethu?

Kukho iindlela ezintathu eziphambili apho i-AVM inokubangela umonakalo:

1. Ukopha:Njengoko benditshilo ngaphambili, xa uxinzelelo lwegazi oluphezulu oluvela kwimithambo ludlula kwi-AVM, iindonga zemithambo zinokuba buthathaka kwaye zingakwazi ukumelana noxinzelelo. Emva koko imithambo iyaqhuma ize iqale ukopha. Xa eli gazi lingena kwizicubu ezingqongileyo, linokubangela umonakalo ongunaphakade . Ukuba kukho ukopha okuninzi , kunokubangela nokufa.

2. Ukucinezela amalungu omzimba: Olu qhagamshelo lungaqhelekanga lubangela ukuba igazi elingakumbi lihlangane kwimithambo. Emva koko imithambo iyakhula ize icinezele izicubu ezingqongileyo, ezifana nengqondo. Oku kunciphisa ubungakanani beoksijini efikelela kwezo ndawo kwaye kunciphisa amandla enkqubo ye-lymphatic okususa inkunkuma.

3. Ukunciphisa ioksijini efunekayo kwizicubu: Ngenxa yokuba akukho bhulorho ye-capillary phakathi kwemithambo yegazi kunye nemithambo yegazi, izicubu ezikwindawo ye-AVM azifumani oksijini kunye nezondlo ezaneleyo. Emva koko izicubu kunye neeseli zemithambo-luvo kuloo ndawo zinokuqala ukufa.

Ziziphi iingxaki ezinokubakho ze-AVM?

Ii-AVM, ingakumbi engqondweni, zinokubangela iingxaki ezinkulu ezifana nezi:

• Ukopha kobuchopho / Istroke : Le yeyona ngozi inkulu ye-AVM. Ukuba i-AVM iqhuma ngaphakathi kwengqondo, inokubangela ukukhubazeka, umonakalo wobuchopho, okanye ukuxhuzula. I-AVM isenokutyhala kwaye yonakalise iindawo zengqondo okanye umqolo.
• Ukuxhuzula: Imeko ebonakaliswa kukulahlekelwa zingqondo kunye nokuxhuzula okungalawulekiyo kwamalungu omzimba ngenxa yokusebenza kombane ngequbuliso engqondweni.
• I-Aneurysm: Udonga olubuthathaka lomthambo wegazi oluqhagamshelwe kwi-AVM okanye olujikeleze i-AVM kwaye luvuthuluka njengebhaluni. Ezi zibangelwa ziindonga zemithambo yegazi ezibuthathaka. Le meko ibonakala malunga ne-50% yee-AVM ebuchotsheni nakwi-spinal cord. Ezi zinyusa umngcipheko wokuqhekeka kwe-AVM.
• Ukonakala kwengqondo: Oku kunokuchaphazela izinto ezifana nokukwazi ukucinga, inkumbulo, kunye nokuqonda intetho.
• Ukukhohlela kunye nokufa: Ingakumbi ukuba kukho ukopha okukhulu ngaphakathi kwengqondo.

Ufumanisa njani ukuba unayo i-AVM?

Ukuba uneempawu, ugqirha wakho uza kuqala akubuze ngazo aze enze uvavanyo lomzimba. Ngamanye amaxesha, xa kufakwa i-stethoscope phezu kwe-AVM, kuvakala isandi segazi elihamba ngemithambo yegazi.

Ukongeza, iimvavanyo zomfanekiso ezifana nezi:

• I-MRI (Magnetic Resonance Imaging) Scan: Uvavanyo olusebenzisa intsimi yemagnethi kunye namaza erediyo.
• I-CT (Computed Tomography) Scan: Isebenzisa ii-X-rays ukuthatha imifanekiso yomzimba enqamlezileyo.
• I-Angiography yeCatheter:Kule meko, ugqirha ufaka ityhubhu encinci (i-catheter) ngemithambo yegazi engalweni okanye emqolo wakho aze ayikhokelele apho kucingelwa ukuba i-AVM ikhoyo. Emva koko, kufakwa idayi ekhethekileyo kwaye kuthathwa ii-X-ray ukuze kuthathwe imifanekiso eneenkcukacha zemithambo yegazi.

Ukuba kukho i-AVM ekrokrelwayo engqondweni, uvavanyo oluthile olufana nolu:

• I-Cerebral MRI Angiography (Cerebral MRA): Isebenzisa itekhnoloji ye-MRI ukufumana imifanekiso eneenkcukacha zemithambo yegazi engqondweni nangaphakathi.
• I-CT angiography (CTA): Itekhnoloji ye-CT ivelisa imifanekiso eneenkcukacha zemithambo yegazi.
• I-Transcranial Doppler ultrasound: Isebenzisa amaza esandi ukulinganisa isantya sokuhamba kwegazi engqondweni.

Ngenxa yokuba ii-AVM ezininzi azinazo iimpawu, ngamanye amaxesha zifunyanwa ngexesha lokuhlolwa ngesinye isizathu (njengokwenzakala, iingxaki zokubona, okanye iintloko ezibuhlungu), okanye emva kokuba iimpawu zivele ngenxa yokopha.

Iphathwa njani i-AVM?

Unyango lwe-AVM luxhomekeke kwizinto ezininzi, kuquka:

• Uhlobo lwe-AVM, ukuba inkulu kangakanani, ikuphi, kunye nohlobo lwemithambo yegazi kunye nemithambo ebandakanyekayo.
• Umngcipheko wokuqhekeka kwe-AVM.
• Iimpawu zakho.
• iminyaka yakho.
• Impilo yakho iyonke.

Injongo ephambili yonyango kukunciphisa umngcipheko wokopha kwi-AVM, okanye ukuyinyanga ngokupheleleyo. Kukho iindlela ezahlukeneyo zonyango. Ezi ziquka utyando oluvulekileyo , ukuvalwa kwemithambo yegazi esekwe kwi-catheter (Embolization) , kunye/okanye i-radiation egxile kwi-AVM . Unyango ngalunye luneengenelo kunye neengozi zalo. Ezi ziyahluka ngokuxhomekeke kwimpilo yakho kunye nohlobo lwe-AVM.

Ngokubanzi, ukunyanga i-AVM ngokukhawuleza yeyona ndlela ilungileyo yokuphepha iingxaki ezinkulu.

I-AVM yomntu wonke yahlukile. Akukho sicwangciso sonyango esimiselweyo esinokukuxelela into omawuyenze. Iqela lakho lezonyango liza kuthetha nawe kunye nosapho lwakho ukuze kuthathwe isigqibo ngonyango olulungele imeko yakho.

Ngamanye amaxesha i-AVM ikwindawo apho utyando okanye olunye unyango luyingozi ngakumbi kunokungenzi nto. Kwimeko enjalo, iqela lakho lezonyango liza kuyijonga ngononophelo i-AVM yakho ngeeskeni zamaxesha athile. Ukuba i-AVM ibonisa naluphi na utshintsho, njengeempawu zokopha okongeziweyo, unyango lunokuqwalaselwa ngelo xesha.

Amayeza

Amayeza anokunikwa ukulawula ezinye iimpawu:

• Amayeza okulwa nokuxhuzula.
• Izithomalalisi zentlungu kwiintloko ezibuhlungu kunye nomqolo.
• Amayeza oxinzelelo lwegazi.

Iindlela zonyango (Iinkqubo)

Oogqirha bangazama enye okanye ezingaphezulu kwezi ndlela:

1. Utyando lokususa i-AVM: Kule meko, kwenziwa umngxuma omncinci kufutshane ne-AVM, imithambo ejikelezileyo kunye nemithambo ivalwe ukuze kuthintelwe ukopha, kwaye i-AVM isusiwe. Emva koko, ukuhamba kwegazi kuya kujikeleziswa kwimithambo yegazi eqhelekileyo. Le yindlela ekuphela kwayo yokunyanga ngokupheleleyo i-AVM. Emva kotyando, kwenziwa iskeni yobuchopho ukuze kubonwe ukuba i-AVM isusiwe ngokupheleleyo na. Kusenokufuneka uhlale esibhedlele iintsuku ezimbalwa kwaye ufumane ixesha elifutshane lokuvuselelwa.

2. Ukufakelwa kwemithambo: Kule nkqubo, ugqirha ufaka i-catheter kumthambo osesinqeni okanye engalweni yakho aze ayikhokelele kwi-AVM. Xa sele ilapho, into efana neglue, ii-coil, okanye ezinye izinto ziyakhutshwa kwi-AVM. Oku kunciphisa okanye kuyekisa ngokupheleleyo ukopha nge-AVM. Le nkqubo isetyenziswa kakhulu ukuba i-AVM inkulu kwaye yopha kakhulu. Emva koko, ukuba utyando lwenziwa kamva, i-AVM inokususwa ngokulula, nto leyo enciphisa umngcipheko wokopha. Nangona utyando lungenziwa ngoko nangoko, le nkqubo inokunciphisa umngcipheko wokopha.

3. Utyando lwe-radiosurgery lweGamma Knife®: Kule meko, imisebe ye-radiation egxile kakhulu ijoliswe kwi-AVM. Kwiminyaka eliqela, i-AVM iyancipha kancinci kancinci, itshixe, inyibilike, okanye ibe ncinci ngokwaneleyo ukuba isuswe ngokulula ngotyando. Kufuneka ii-scan zamaxesha athile ukujonga ukuba i-AVM iyancipha na.

Iingxaki zonyango

Unyango lwe-AVM lunokubangela iingxaki okanye iziphumo ebezingalindelekanga ezifana nezi:

• Ukopha.
• Intloko ebuhlungu.
• Ukudumba.
• Ukonakala kwezicubu ezingqongileyo.
• Ubuthathaka kwelinye icala lomzimba.
• Imiphumo kwintetho, ukuva, okanye ekuboneni.
• Iziphumo zisenokungaphelelanga, zisenokungahlali ixesha elide, okanye zingathatha iinyanga ukuba zibonakale ngokupheleleyo.
• Iingxaki ezinzima ezinokubangela ukukhubazeka okanye ukufa.

Ngaba ukwakheka kwe-AVM kungathintelwa?

Hayi. Ekubeni kukholelwa ukuba ii-AVM zizalwa nazo, azinakuthintelwa ukuba zivele. Nangona kunjalo, ukuba ufumana naziphi na iimpawu ezikhankanyiweyo kweli nqaku, bona ugqirha ngokukhawuleza. Kungcono ukuphendula kwiimpawu ngokukhawuleza xa zibonakala.

Yintoni onokuyilindela ukuba une-AVM?

I-AVM yomntu wonke yahlukile. Ukuba utyando kwaye i-AVM isusiwe ngempumelelo, uya kunyangeka ngokupheleleyo kule meko.

Iziphumo zonyango nezinye zilungile kakhulu, kodwa kuxhomekeke kwizinto ezininzi:

• Apho ikhoyo i-AVM.
• Ubungakanani be-AVM.
• Uhlobo lwe-AVM.
• Ubudala bakho kunye nempilo yakho ngokubanzi.

Iqela lakho lezonyango linokukuchazela ngcono nge-AVM yakho kunye neziphumo ezinokubakho.

Kubalulekile:Ukuba une-AVM kwaye awufumani nyango, kukho umngcipheko we-2-4% ngonyaka wokuba iyopha. I-AVM ekhe yaqhuma ngaphambili inethuba le-17% ngonyaka lokuba iqhume kwakhona.

Ndifanele ndimbone nini ugqirha wam?

Abanye abantu banokuba ne-AVM ngaphezu kwesihlandlo esinye (ukuphinda). Bona ugqirha wakho ukuba ubonakalisa iimpawu ezintsha. Emva konyango, kufuneka ubonane nogqirha wakho rhoqo emva kweenyanga ezintathu kunyaka wokuqala. Emva konyaka wokuqala, kufuneka ubonane nogqirha wakho kanye ngonyaka.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu:

• Intloko ebuhlungu ngequbuliso ("eyona imbi kakhulu endakha ndanayo ebomini bam").
• Ukuxhuzula.
• Ukuba ndindisholo kwiingalo okanye emilenzeni.
• Iingxaki ngokubona, ukulinganisela, inkumbulo, okanye ingqalelo.

Ezi ziimpawu zengxakeko esongela ubomi. Oku kungaba kukopha kwegazi ebuchotsheni.

Ndingayibuza yiphi imibuzo ugqirha wam?

Eminye imibuzo onokuyibuza ugqirha wakho:

• Iphi i-AVM yam emzimbeni wam?
• Yeyiphi indlela yonyango engcono kum?
• Ukuba andityandwanga ngoko nangoko, kuza kufuneka ndijongwe kangaphi?

Ngaba i-AVM iyingozi?

Ewe, inokwenzeka. Eyona ngozi inkulu kukopha (ukopha kwegazi). Ukuba ngequbuliso unentloko ebuhlungu ("eyona nto imbi owakha wayiva ebomini bakho"), fowunela ku-119 ngoko nangoko. Isenokuba yi-AVM eqhekekileyo engqondweni. I-AVM engaqhekekanga inomngcipheko we-2-4% wokopha ngonyaka. I-AVM eqhekekileyo ngaphambili inethuba le-17% lokuphinda iqhekeke ngonyaka.

Ngaba zonke ii-AVM ekugqibeleni ziphuma igazi?

Hayi. Ezinye ii-AVM azikaze zophe, kwaye zisenokungabangeli naziphi na iimpawu okanye iingxaki zempilo ubomi bonke. Ezinye ii-AVM zifunyanwa ngexesha lokuhlolwa kwesinye isizathu okanye xa kuhlolwa isidumbu.

Ii-AVM zinokubangela ezinye iingxaki zempilo ngaphandle kokopha. Ezinye ii-AVM ezikhula zibe nkulu zinokucinezela indawo yezicubu, zonakalisa ezo zicubu, iiseli zemithambo-luvo, kunye nezinye iiseli. Ukuba zikhulu kwaye zikwindawo ebalulekileyo, ukungabikho kwee-capillaries phakathi kwemithambo-luvo kunye nemithambo-luvo kuthintela izicubu ezikuloo ndawo ekufumaneni ioksijini, izondlo kunye nemveliso engcolileyo. Oku kunokubangela ukufa kwezicubu.

Ngaba i-AVM ingabulala?

Ewe, inokuba njalo. Ukuba i-AVM iyingozi kwaye inzima kangakanani kuxhomekeke kubukhulu bayo nendawo ekuyo. Ukuba i-AVM iyagqabhuka ize ibangele ukopha okukhulu ngaphakathi kwengqondo, inokubulala. Nangona kunjalo, abanye abantu abane-AVM abaze babe nazo naziphi na iimpawu okanye iingxaki zempilo.

Ngaba ungatsho ukuba i-AVM ivela phi apho ndiziva khona iintlungu entlokweni yam?

Ngokuqinisekileyo akunjalo.Kusenokuba njalo, kodwa uninzi lwexesha, indawo entloko ibuhlungu ayixhomekekanga kwindawo ekuyo i-AVM.

Ingaba umngcipheko uphezulu ukuba umfazi okhulelweyo une-AVM?

Kwabanye abantu, iimpawu ze-AVM zinokuvela ngequbuliso okanye zibe mandundu ngenxa yotshintsho ngexesha lokukhulelwa . Ukwanda komthamo wegazi kunye noxinzelelo lwegazi ngexesha lokukhulelwa kunokunyusa umngcipheko wokopha kwi-AVM.

Ngaba ii-AVM ziyabachaphazela abantwana abancinci?

Ii-AVM zinokubangela utshintsho oluncinci kwindlela yokuziphatha okanye ukukhubazeka kokufunda ebantwaneni. Olu tshintsho lunokwenzeka ngaphambi kokuba iimpawu zibonakale ngokucacileyo de umntwana abe mdala kancinci (ukuba iimpawu ziyavela).

Ngaba ukopha ebuchosheni okuvela kwii-AVM kusoloko kubangela umonakalo ebuchosheni?

Hayi. Ukopha okuncinci kakhulu kwengqondo, okubizwa ngokuba yi-microbleeds , kubangela umonakalo omncinci kunye neempawu ezimbalwa. Nangona kunjalo, ukuba kukho ukopha okuncinci okuninzi ekuhambeni kwexesha, kunokunyusa umngcipheko we-dementia kwaye kuphazamise iinkqubo zokucinga.

Yintoni umahluko phakathi kwe-AVM, i-Aneurysm, i-Hemangioma, i-Cavernous malformation, kunye ne-Fistula?

• I-aneurysm yi-bulge ebuthathaka, efana nebhaluni kumthambo wegazi. Ihlala yenzeka apho imithambo emibini yahlukana khona. I-aneurysm inokuthi ivele njengengxaki ye-AVM.
• IiHemangiomas ziingxaki zemithambo yegazi ezinokubonakala eluswini. Azinabungozi kwaye azidingi nyango.
• Ukonakala kwemithambo yegazi kukwaluhlobo lwesilonda semithambo yegazi. Ngokungafaniyo nee-AVM, ezi zimithambo yegazi evuzayo, edla ngokuba namahlwili. Zinokopha, kodwa azophi kakhulu njengee-AVM, kwaye azisoloko zibangela iimpawu.
• I-Fistula ligama eliqhelekileyo lonxibelelwano olungaqhelekanga phakathi kwemithambo yegazi. I-Arteriovenous fistulas inokwakheka kwizicubu ezigubungela ingqondo kunye nomqolo. Ii-AVMs zenzeka ngaphakathi kwizicubu zobuchopho. I-Fistulas idla ngokunxulunyaniswa nokwenzakala entloko okanye usulelo kunee-AVMs.

Nangona i-arteriovenous malformation (AVM) yimeko yezonyango enzulu, unyango lwangoku lusebenza kakhulu. Iqela lakho lezonyango liza kuxoxa nawe ngeenkcukacha ze-AVM yakho - ubungakanani bayo, indawo yayo - kunye nezinye izinto ukuze kuchongwe ezona ndlela zonyango zilungele wena. Musa ukoyika ukubuza imibuzo ukuba kukho into engacacanga. Ukuqonda iindlela zakho kunokukunceda wenze izigqibo ezifanelekileyo.

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, masishwankathele izinto ekufuneka sizikhumbule malunga ne-AVM esithethe ngayo:

• I-AVM yingxaki engaqhelekanga yemithambo yegazi edibanisa imithambo yegazi kunye nemithambo ngqo, ngaphandle kwee-capillaries, njengendlwane yentaka.
• Ezi zizinto ezizenzekela ngokwendalo.Mhlawumbi, andazi isizathu esichanekileyo.
• Iimpawu azibonakali kuye wonke umntu, kodwa iimpawu ezifana neentloko ezibuhlungu, ukuxhuzula, kunye nokulahlekelwa zingqondo zinokubakho.
• Eyona ngozi inkulu kukopha, ingakumbi ukuba kwenzeka ngaphakathi engqondweni. Oku kunokukhokelela kwistroke.
• Ingafunyanwa ngovavanyo olufana ne -MRI, i-CT scan, kunye ne-angiography .
• Iindlela zonyango ziquka utyando, ukufakelwa kwezicubu, kunye notyando lwe-radiosurgery . Ugqirha wakho uya kugqiba ukuba yintoni ekulungeleyo.
• Ukuba ufumana intloko ebuhlungu ngequbuliso, ukuxhuzula, okanye ukuphelelwa zingqondo, yiya esibhedlele ngoko nangoko.
• Nangona le yimeko engaqhelekanga, kubaluleke kakhulu ukuba uqaphele.

Ukuba wena okanye umntu omaziyo unezinye zezi mpawu, nceda ufune ingcebiso kagqirha. Eyona nto ibalulekileyo kukungaxhalabi, ukufumana ulwazi olufanelekileyo, kunye nokuthatha amanyathelo afunekayo.

Ukukhubazeka kwemithambo yegazi , i-AVM, imithambo yegazi yobuchopho, ukopha, ukukhubazeka, ukuxhuzula, intloko ebuhlungu