Ngaba wakha weva ngamahlwili egazi ahamba ngemithambo yegazi engaphakathi emizimbeni yethu? Enyanisweni, amahlwili egazi abaluleke kakhulu ekumiseni ukopha xa imizimba yethu yenzakele. Kodwa ngamanye amaxesha, ngaphandle kwesizathu, ukuba amahlwili egazi ayenzeka ngaphakathi kwemithambo yegazi, kunokuba yingozi kancinci. Kuba la mahlwili egazi anokuthintela ukuhamba kwegazi kwaye abangele iingxaki ezinkulu. Kwiimeko ezinjalo, utyando olukhethekileyo lokususa loo mahlwili egazi lubizwa ngokuba yi-Embolectomy. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-Embolectomy?
I-Embolectomy kukususwa kwehlwili legazi elinamathele kwimithambo yegazi (imithambo yegazi). Oku ngamanye amaxesha kubizwa ngokuba yi-thrombectomy. Kukho umahluko omncinci phakathi kwala magama mabini. Masiqonde loo nto.
Khawucinge ngehlwili legazi elenzeka kumthambo omkhulu wegazi emlenzeni wakho. Ukuba eli hlwili legazi lihlala endaweni yalo, silibiza ngokuba yi-thrombus . Ngoku khawucinge ngeqhekeza elincinci lale hlwili legazi eliqhekekayo, lihambe negazi, lize liye emiphungeni yakho lize libambeke kumthambo omncinci wegazi apho. Ngokufanayo, ihlwili legazi elenzeka kwenye indawo, lihambe liye kwenye indawo lize libambeke libizwa ngokuba yi-embolus .
Ngoko ke, ngamafutshane, iThrombectomy kukususwa kwehlwili legazi (`thrombus`) kwindawo elakheke kuyo. I-Embolectomy kukususwa kwehlwili legazi (`embolus`) eliye lahamba laza lanamathela kwenye indawo. Nangona kunjalo, kule mihla, la magama mabini asetyenziswa rhoqo ngokutshintshana.
Olu tyando lwenziwa ngugqirha okanye ugqirha oqeqeshwe kwiindlela ezingangenisi gazi kakhulu. Ngokuxhomekeke ekubeni ihlwili legazi likuphi, olu tyando lunokuba lungxamiseko kakhulu . Ukuba ihlwili legazi lithintela ukuhanjiswa kwegazi kwilungu elibalulekileyo emzimbeni, linokuba yingozi ebomini.
Ngubani odinga olu tyando? Kuphantsi kwaziphi iimeko?
I-Deep Vein Thrombosis yimeko apho igazi liqhekeka khona kumthambo onzulu emlenzeni. Ukuba eli hlwili legazi liyaqhekeka lize liye emiphungeni, linokubangela imeko embi ebizwa ngokuba yiPulmonary Embolism . Ukuba le meko ayinakulawulwa ngamayeza, ugqirha unokugqiba ekubeni enze i-Embolectomy.
Ngokubanzi, abanye abantu basengozini enkulu yokuba namahlwili egazi kunabanye. Oku kunokubangelwa zizinto ezahlukeneyo.
- Kwabo banesifo sentliziyo
- Kwabo batyebe kakhulu
- Ngexesha lokukhulelwa
- Kwiimeko zomhlaza
- Kubantu abanezifo ezithile zemfuza ezichaphazela ukujiya kwegazi
Kutheni ugqirha angacebisa olu tyando?
Uninzi lwabantu abanegazi eliqhekekileyo baqala ngokunikwa amayeza okunciphisa igazi, kodwa utyando lunokufuneka kwiimeko ezilandelayo:
- Ukuba awunakunikwa amayeza okunciphisa igazi okanye amayeza okunciphisa igazi ngenxa yesizathu esithile.
- Ukuba, nangona enikwe loo mayeza, ihlwili legazi alinyibiliki kwaye imeko iba mandundu.
- Kukho umngcipheko wemeko ebizwa ngokuba yi- paradoxical embolism , enokwenzeka yokuba igazi liqhekeke lihambe ngomngxuma omncinci entliziyweni liye kwilungu elibalulekileyo elifana nobuchopho.
Ngokwesiqhelo, isigqibo esifana nesi senziwa liqela loogqirha abadibana kunye baze bahlolisise imeko yesigulana ngononophelo.
Masifunde inyathelo ngenyathelo indlela olu tyando olwenziwa ngayo.
Olu tyando lunokwenziwa ngeendlela ezimbini eziphambili. Ugqirha uza kukhetha eyona ndlela ilungileyo ngokuxhomekeke kubukhulu nendawo apho igazi liqhekeke khona.
Kwenzeka ntoni ngaphambi kotyando?
Ngelixa ulungiselela utyando, iqela lezonyango liza kulungiselela uvavanyo nezixhobo ezifunekayo.
- Ukuba kwenziwe utyando oluvulekileyo (i-Surgical Embolectomy), kuya kwenziwa amalungiselelo okuskena okubizwa ngokuba yi-transesophageal echocardiogram ukujonga ukusebenza kwentliziyo ngexesha lotyando.
- I-catheter embolectomy isebenzisa umatshini we-ultrasound ukufumana indawo echanekileyo apho igazi liqhekekileyo khona kunye nendlela ye-X-ray ebizwa ngokuba yi-angiogram yokuqondisa i-catheter.
Nokuba yeyiphi na indlela yotyando eyenziwayo, uza kunikwa i-anesthesia ukuze ungabi nantlungu.
Kwenzeka ntoni ngexesha lotyando
Le theyibhile ingezantsi iza kusinceda siqonde ngokucacileyo umahluko phakathi kwezi ndlela zimbini kunye nendlela ezenziwa ngayo.
| Indlela | Indlela ekwenziwa ngayo |
|---|---|
| Utyando lweCatheter Embolectomy | Akukho ngxaki inkulu kule nto.
|
| Utyando Oluvulekileyo (i-Embolectomy yotyando) | Kule nto, isifuba siyavulwa kwaye kwenziwa utyando.
|
Ezinye izigulana zikwanaso nesixhobo esincinci esibizwa ngokuba yi-vena cava filter esifakelweyo ukuthintela ukuba amahlwili egazi angahambi aye emiphungeni kwixesha elizayo.
Kwenzeka ntoni emva kotyando?
Emva kokuba utyando lugqityiwe, ukuba wenze utyando oluvulekileyo, amanxeba angaphakathi nangaphandle aya kuthungwa, kwaye uya kususwa kumatshini wentliziyo nemiphunga. Ukuba une-catheter, inxeba elincinci liya kuqina lize libotshwe ngebhandishi.
Emva kotyando, kunokwenzeka ukuba:
- Kuya kufuneka uqhubeke nokuthatha amayeza okunciphisa igazi ukuze unciphise igazi lakho.
- Kuya kufuneka uphinde uhlolwe (iTransthoracic echocardiogram) ukuze ujonge ukusebenza kwentliziyo.
- Kusenokufuneka uhlale kwigumbi labagula kakhulu (ICU) kangangeentsuku ezimbalwa.
Masithethe ngezinto ezilungileyo nezingalunganga (iingozi)
Njengalo naluphi na unyango lwezonyango, olu lunezibonelelo kunye neengozi.
Olu tyando alulungelanga wonke umntu, kodwa lusenokuba lolona khetho lufanelekileyo kwabo bangenako ukuthatha amayeza okunciphisa igazi, abangawaphenduliyo, kwaye abaneempawu ezinzima kakhulu, ukuze baphile ngokukhawuleza.
Nangona kunjalo, kubalulekile ukuba sizazi iingozi eziza nolu tyando.
| Iingozi zotyando lwe-Embolectomy | |
|---|---|
| Iingozi zeCatheter Method (Ezingenabungozi kangako) | |
| Ukopha | Ukopha kungenzeka ngenxa yomonakalo kumthambo wegazi. |
| Umonakalo wentliziyo | Ukulimala kwentliziyo okanye ukubetha kwentliziyo okungaqhelekanga (i-arrhythmia) kunokwenzeka. |
| Igazi elisele | Kusenokungabi lula ukususa ngokupheleleyo ihlwili legazi. |
| Iingozi zotyando oluvulekileyo | |
| Ukopha kakhulu | Ukopha kakhulu ngexesha okanye emva kotyando. |
| Isifo sentliziyo | Ukubetha kwentliziyo ngokukhawuleza (i-supraventricular tachycardia - SVT) kunye nokungaphumeleli kwentliziyo kunokwenzeka. |
| Ezinye iingozi | Ukungasebenzi kakuhle kwezintso, usulelo, kwaye kunqabile ukuba kubekho nokufa. |
Ukuchacha kunye nexesha lokubona ugqirha kwakhona
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Uya kuvunyelwa ukuba uye ekhaya xa ukuphefumla kwakho kunye nokusebenza kwentliziyo yakho kubuyele esiqhelweni. Ukuchacha kudla ngokukhawuleza emva kwenkqubo ye-catheter kunasemva kotyando oluvulekileyo.
Kwixesha elidlulileyo, inani elikhulu labantu ababesenza olu tyando bafa. Nangona kunjalo, ngokuhambela phambili kwesayensi yezonyango, loo meko itshintshe kakhulu . Namhlanje, umngcipheko wokufa ngenxa yolu tyando wehle waya kuthi ga kwi-5% kunye ne-16%. Uphando lufumanise ukuba ama-73% abantu ababenze olu tyando basaphila kwaye baphilile emva kweminyaka emihlanu.
Nikela ingqalelo kwezi mpawu!
Ukuba ufumana naziphi na ezi mpawu emva kokubuyela ekhaya, kufuneka wazise ugqirha wakho ngoko nangoko .
- Ubunzima bokuphefumla
- Iimpawu zosulelo kwindawo etyumkileyo (ukudumba, ukuba bomvu, ukuphuma kwamanzi ebumnyameni)
- Iintlungu zesifuba
- Ukubetha kwentliziyo
- Ukopha okungaqhelekanga
Zifana, kodwa zahlukile! (Ezinye iindlela zonyango)
Kukho amanye amagama ambalwa avakala ngathi yi-embolectomy. Makhe sijonge umahluko phakathi kwawo.
I-Embolectomy kunye ne-Endarterectomy
I-Embolectomy kukususwa kwehlwili legazi. I-Endarterectomy kukususwa kwamafutha aqokelelene ngaphakathi kwemithambo yegazi. Oku kwenzelwa ukuthintela ukuvaleka kwemithambo yegazi.
Unyango lwe-Embolectomy kunye ne-Thrombolytic
I-Embolectomy yinkqubo yomzimba ebandakanya ukususwa kwehlwili legazi ngotyando. Unyango lwe-Thrombolytic lubandakanya ukufaka amayeza emthanjeni ukuze kunyibilikiswe ihlwili legazi emzimbeni. Eli yeza ngamanye amaxesha linokubangela ukopha kwezinye iindawo, ezifana nengqondo.
Njengoko ubona, kukho iindlela ezininzi ezahlukeneyo zokunyanga amahlwili egazi. Ugqirha wakho uya kugqiba ukuba loluphi unyango olukulungeleyo kwaye olukhuselekileyo kuwe. Ukuba wena okanye umntu omaziyo ucwangciselwe ukwenza olu hlobo lotyando, ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo ngalo.
Umyalezo Wokuya Ekhaya
- I-Embolectomy kukususwa kwehlwili legazi eliyingozi elinamathele kwimithambo yegazi.
- Oku kwenziwa ngeendlela ezimbini eziphambili: nge-catheter (ityhubhu encinci) nangotyando oluvulekileyo lwesifuba.
- Olu tyando lunokusindisa ubomi kwizigulana ezingasabeliyo okanye ezingakwaziyo ukuthatha amayeza okunciphisa igazi.
- Njengazo zonke iintlobo zotyando, olu lunemingcipheko, kodwa ngenxa yeteknoloji yezonyango yanamhlanje, izinga lempumelelo liphezulu kakhulu.
- Ukuba ufumana iimpawu ezifana nobunzima bokuphefumla okanye iintlungu zesifuba emva kotyando, yazisa ugqirha wakho ngoko nangoko.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment