Ngaba wakha wazibuza ukuba kwenzeka ntoni xa igazi lihamba ngemithambo yegazi emizimbeni yethu kwaye ihlwili legazi lenzeka ndaweni ithile endleleni? Inokuba yimeko eyoyikisayo nengxamisekileyo. Ukususwa ngotyando kwehlwili legazi elinjalo elinokubeka ubomi esichengeni kubizwa ngokuba yi-embolectomy. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-Embolectomy?
I-Embolectomy yinkqubo yokususa ihlwili legazi elinamathele ngaphakathi kwemithambo yegazi kwaye lithintela ukuhamba kwegazi okuqhelekileyo. Ngamanye amaxesha ibizwa ngokuba yi-thrombectomy. Omabini la magama athetha into enye, eyokususa ihlwili legazi.
Kunokubakho iintlobo ezimbini zezi gazi:
1. I-Embolus: Khawucinge ngehlwili legazi elenzeka kwindawo efana nomlenze wakho, liqhekeke apho, lihambe negazi, lize libambeke kwenye indawo, njengemiphunga yakho. Yiloo nto siyibiza ngokuba yi-embolus , ihlwili legazi eliqhekekayo apho lenzeka khona lize libambeke kwenye indawo.
2. I-Thrombus: Olu hlobo lwe-blood clot lwenza iingxaki kwindawo enye. Oko kuthetha ukuba aluphumi kwaye aluyi ndawo, luhlala lunamathele apho lwenzeka khona. Oku sikubiza ngokuba yi-Thrombus .
Ngokwesiqhelo, ukujiya kwegazi kubalulekile ukuze kumiswe ukopha xa senzakele. Kodwa ngamanye amaxesha, ngaphandle kwesizathu esicacileyo, amahlwili egazi aqala ukwakheka kwiindawo emzimbeni apho kungafanele ukuba ajike khona. Kulapho ke oogqirha kufuneka basuse ihlwili.
Ngubani odinga olu tyando?
Utyando lwe-Embolectomy ludla ngokucetyiswa kuphela xa kukho imeko enzima. Umzekelo, ihlwili legazi kumthambo onzulu emlenzeni libizwa ngokuba yi -Deep Vein Thrombosis (DVT) . Ukuba ihlwili liyaqhekeka lize lihlale emiphungeni, linokubangela imeko eyingozi kakhulu ebizwa ngokuba yi -Pulmonary Embolism . Ukuba imeko ayinakulawulwa ngamayeza, oogqirha bakhetha olu tyando.
Kukho izinto ezininzi ezinokunyusa umngcipheko wokuqhekeka kwegazi:
- Isifo sentliziyo: Xa ukusebenza kwentliziyo kungahambelani, kukho amathuba amakhulu okuba igazi liqhekeke.
- Ukutyeba kakhulu: Ubunzima bomzimba obugqithisileyo bukwanyusa umngcipheko wokuqhekeka kwegazi.
- Ukukhulelwa: Umngcipheko wokuqhekeka kwegazi uyanda kancinci ngenxa yotshintsho lweehomoni kunye nolunye utshintsho emzimbeni ngexesha lokukhulelwa.
- Umhlaza: Ezinye iintlobo zomhlaza kunye nonyango lomhlaza zinokubangela ukuqhekeka kwegazi.
- Ezinye iingxaki zokujiya kwegazi:Lo mngcipheko uphezulu nakubantu abaneengxaki zofuzo zokugalela igazi.
Iindlela ezimbini zokwenza utyando lwe-embolectomy
Ngokuxhomekeke kubukhulu behlwili legazi lakho kunye nendawo elikuyo, oogqirha basebenzisa iindlela ezimbini eziphambili zokulisusa. Makhe sijonge ngokusondeleyo ezi ndlela zimbini.
| Indlela | Indlela yokwenza (elula) |
|---|---|
| Utyando lweCatheter Embolectomy | Le yinkqubo encinci. Ulusu entanyeni okanye emqolo luyavaleka, kwenziwa umngxuma omncinci, kwaye kudluliswa umbhobho omncinci (i-catheter) kuwo ngomthambo wegazi ukuya kwindawo apho igazi liqhekekileyo khona. Oku kwenziwa kusetyenziswa indlela efana ne-X-ray. Emva koko ihlwili legazi liyatsalwa liphume kwityhubhu, njengesicoci se-vacuum. Le nkqubo ayibandakanyi umngxuma omninzi, ngoko ke ukuphola kuyakhawuleza. |
| Utyando lwe-Embolectomy | Olu lutyando olukhulu. Le ndlela isetyenziswa ngakumbi ukuba ihlwili legazi elikhulu linamathele emiphungeni okanye entliziyweni. Apha, kwenziwa i-sternotomy ephakathi kwesifuba, intliziyo kunye nemiphunga zitshintshelwa okwethutyana kumatshini (Cardiopulmonary Bypass), kwaye ugqirha otyandayo uvula umthambo wegazi ofanelekileyo aze asuse ihlwili legazi ngesandla. |
Kutheni kufuneka utyando? Ngaba akunakwenzeka oko ngamayeza?
Amaxesha amaninzi, abantu abanegazi eliqhekekileyo baqala ngokunikwa amayeza okunciphisa igazi. Umzekelo, amayeza okuthintela ukujiya kwegazi (amayeza athintela ukujiya kwegazi) okanye amayeza e-thrombolytic (amayeza anyibilikisa ukujiya kwegazi okukhoyo). Nangona kunjalo, kwezinye iimeko, olu tyando luyimfuneko. Amatyala anjalo aquka:
- Ukuba awukwazi ukuthatha ezi mithi zokunciphisa igazi ngenxa yezinye iimeko zempilo.
- Ukuba ihlwili legazi alinyibiliki nangona usebenzisa amayeza okanye imeko yakho iba mandundu.
- Ukuba iimpawu ezibangelwa kukuqhekeka kwegazi zinzima kakhulu kwaye zifuna unyango olukhawulezileyo.
Kwenzeka ntoni emva kotyando? Kwaye zithini iingozi?
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, mhlawumbi kwigumbi lonyango olunzima (ICU). Oogqirha baya kukujonga de umsebenzi wakho wokuphefumla kunye nokusebenza kwentliziyo yakho kubuyele esiqhelweni. Ukuba ubutyando oluvulekileyo, ixesha lakho lokuchacha liza kuba lide kancinci kunokuba ubutyando lwe-catheter.
Njengalo lonke utyando, olu luneengozi ezithile.
- Iingozi zendlela yokusebenzisa i-catheter: Ukopha ngenxa yomonakalo kwimithambo yegazi, umonakalo wentliziyo okanye i-arrhythmia, ukungakwazi ukususa ngokupheleleyo ihlwili legazi.
- Iingozi zotyando oluvulekileyo: Ukopha kakhulu, ukubetha kwentliziyo ngokukhawuleza (SVT - Supraventricular Tachycardia), ukungasebenzi kakuhle kwentliziyo, ukungasebenzi kakuhle kwezintso, kunye nosulelo.
Nangona kukho ezi ngozi, eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba olu tyando lwenziwa kuphela xa kuyimfuneko ukusindisa ubomi. Ke ngoko, oogqirha benza esi sigqibo emva kokuqwalasela izinto ezilungileyo nezingalunganga.
Ufanele ubone ugqirha nini emva kotyando
Kubaluleke kakhulu ukunyamekela umzimba wakho nasemva kokuba ubuyele ekhaya. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka wazise ugqirha wakho ngoko nangoko . Kwiimeko ezinzima, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
- Ubunzima bokuphefumla
- Inxeba liba libomvu, livuvukele, okanye libonakale liyimpawu zosulelo.
- Iintlungu zesifuba
- Ukubetha kwentliziyo
- Ukopha kakhulu
Umyalezo Wokuya Ekhaya
- I-Embolectomy yindlela yotyando esusa ihlwili legazi elinokuba yingozi ebomini elinamathele kwimithambo yegazi.
- Oku kwenziwa ngeendlela ezimbini eziphambili: utyando oluncinci kusetyenziswa i-catheter (ityhubhu encinci) kunye notyando olukhulu kusetyenziswa isifuba esivulekileyo.
- Oogqirha bacebisa olu tyando kuphela kwiimeko ezinzima ezingenakulawulwa ngamayeza.
- Njengakwezinye iintlobo zotyando, kukho iingozi, kodwa oku kunokuba yimfuneko ukusindisa ubomi.
- Landela imiyalelo kagqirha wakho ngononophelo emva kotyando. Funa ingcebiso kagqirha ngokukhawuleza ukuba ufumana naziphi na iimpawu ezingaqhelekanga.
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