Khawucinge ukuba omnye wemithambo yegazi emzimbeni wakho uphuma igazi rhoqo, okanye mhlawumbi ithumba likhula imihla ngemihla kuba umthambo wegazi uwutya. Ngaphambili, ukunyanga ezo meko bekuya kufuna utyando olukhulu olubandakanya ukunqunyulwa okukhulu. Nangona kunjalo, ngenxa yenkqubela phambili kwezonyango , ngoku sinenkqubo emangalisayo esivumela ukuba sifikelele kwimithambo ethile ngomngxuma omncinci size siwuvale ngaphandle kwesidingo sokunqunyulwa okukhulu. Namhlanje, sixoxa ngenkqubo abaninzi abasenokuba abazange bayive, kodwa ibaluleke kakhulu: Ukufakelwa kwegazi.
Ngamafutshane, yintoni i-Embolization?
Ukufakwa kwe-embolization yinkqubo yezonyango engangenisi mandla kangako . Injongo kukuvala ngabom okanye ukuvala umthambo othile wegazi emzimbeni wakho. Cinga ngayo njengokufaka iplagi kumbhobho wamanzi ukuze uyeke ukuhamba kwamanzi; yiloo nto kanye esiyenzayo apha.
Le inokuba yinkqubo ecwangcisiweyo, apho ugqirha wakho ekuhlola aze amisele umhla kwangaphambili. Nangona kunjalo, kwiimeko zengxakeko yezonyango—ezifana nokwenzakala okukhulu okanye ukopha kakhulu—ingenziwa njengendlela yokungenelela engxamisekileyo yokusindisa ubomi .
I-Embolization inokukunceda njani?
Le nkqubo inika izisombululo zexeshana okanye ezisisigxina kwiinkalo ezahlukeneyo zempilo. Isetyenziswa kakhulu uku:
- Ukwahlula imithambo yegazi engaqhelekanga: Ngamanye amaxesha, imithambo yegazi kunye nemithambo yegazi zinokudibaniswa ngendlela engaqhelekanga. Le ndlela ivala olu nxibelelwano lungaqhelekanga.
- Ukuthintela ukuhanjiswa kwegazi kwiithumba: Ngokuvimba imithambo yegazi eyondla izihluma ezinomhlaza okanye ezingenobungozi, sinciphisa izondlo zethumba, nto leyo enokubangela ukuba linciphe okanye liyeke ukukhula ngokupheleleyo.
- Yima okanye uthintele ukopha kakhulu: Yindlela esebenzayo kakhulu yokulawula ukopha ngaphakathi okanye ngaphandle.
Ziziphi iimeko zonyango ezisebenzisa i-Embolization?
Olu nyango lusetyenziselwa iimeko ezahlukeneyo emzimbeni wonke. Itheyibhile engasezantsi inika umbono ocacileyo.
| Imeko | Ingcaciso elula |
|---|---|
| Iingxaki zemithambo yegazi (AVM) | Ukuxinana okungaqhelekanga kwemithambo yegazi kunye nemithambo yegazi okunokwenzeka engqondweni okanye kwezinye iindawo zomzimba. |
| Ii-Aneurysms zobuchopho | Udonga lwemithambo yegazi olubuthathaka engqondweni oluvuthuluka njengebhaluni. Ukuba luyagqabhuka, lubeka ubomi esichengeni. |
| Iithumba eziphuma igazi | Ezinye iithumba ziphuma igazi; ukuvala ukuhanjiswa kwegazi kunceda ekulawuleni ukopha. |
| Ukopha Kweempumlo Okungapheliyo (i-Epistaxis) | Ukopha impumlo okuqatha nokuphindaphindiweyo okungenakulawulwa ngonyango oluqhelekileyo. |
| Ukopha kwamathumbu | Ukopha okubangelwa zizilonda, i-diverticulosis, okanye ezinye iingxaki zendlela yokugaya ukutya. |
| Ukopha Okukhulu Kwexesha Lokuya Exesheni | Ukopha kakhulu nokuthatha ixesha elide ngexesha lokuya exesheni. |
| Iifibroids zesibeleko | Ukukhula okungengomhlaza; ukuthintela ukuhanjiswa kwegazi kubanceda banciphe. |
| Ukopha Kwangaphakathi Okubuhlungu | Ukuyeka ukopha kwizitho ezifana nepleen, isibindi, okanye imiphunga emva kwengozi. |
| I-Varicocele | Imithambo evuvukileyo ngaphakathi kwi-scrotum enokubangela iintlungu okanye ukungakhululeki kumadoda. |
Le nkqubo yenziwa njani kwaye ngubani?
Le nkqubo yenziwa yi- Interventional Radiologist . Lo ngugqirha oyingcali osebenzisa i-X-ray ephucukileyo kunye netekhnoloji yokufota ukuze angene ngaphakathi emzimbeni wakho, esenza unyango oluntsonkothileyo esebenzisa izixhobo ezincinci nezichanekileyo ngaphandle kokufuna utyando oluvulekileyo.
Ngamafutshane, ugqirha wenza umngxuma omncinci esihlahleni sakho, esinqeni, okanye entanyeni. Ngale mngxuma, ityhubhu encinci neguquguqukayo ebizwa ngokuba yi -catheter ikhokelwa ngemithambo yegazi ukuya kwindawo echanekileyo apho ingxaki ikhona khona. Yonke le nkqubo ijongwa kwisikrini se-X-ray. Nje ukuba i-catheter ikwindawo yayo, izinto ezikhethekileyo ezaziwa ngokuba 'zii-embolic agents' ziyakhululwa ukuvala imithambo yegazi.
Zithini ii-Embolic Agents?
Uhlobo lwezinto ezisetyenziswa ukuvala inqanawa luxhomekeke ngokupheleleyo kwimeko yakho ethile kunye neempawu zenqanawa ezifuna unyango.
- Iibhaluni ezincinci: Ezi ziibhaluni ezincinci, ezinokufuthwa zikhokelwa kwimithambo yegazi. Zisetyenziselwa ukuvala imithambo yegazi okwethutyana okanye ngokusisigxina.
- I-Gelatin Foam: Yinto efana nesiponji enyibilika ngokukhuselekileyo emzimbeni wakho emva kweentsuku ezimbalwa.
- Iglue yolwelo: Iglue ekhethekileyo eqina ngokukhawuleza ukuze ivale imithambo yegazi engaqhelekanga okanye enengxaki.
- Iikhoyili zeMetallic: Iikhoyili ezincinci, ezenziwe ngobuchule ezenziwe ngentsimbi engagqwaliyo okanye iplatinum. Ezi zibekwe kanye apho kufuneka khona ukuvala inqanawa ngokufanelekileyo.
- Izinto ezisetyenziswa kwi-particles: Ii-particles ezincinci, ezingqukuva ezinobukhulu obahlukeneyo ezisetyenziselwa ukuvala imithambo yegazi emincinci ngokusisigxina.
Kwenzeka ntoni ngexesha nasemva kwenkqubo?
Yintoni omele uyenze ngaphambi kokuba kwenziwe le nkqubo?
Ngaphambi kokuba unyango lwakho luqale, ugqirha wakho waseNirogi Lanka usenokucela uvavanyo lomfanekiso olufana ne- Ultrasound, CT, okanye i-MRI scan.ukuze ufumane imephu ecacileyo yemithambo yegazi yakho kunye nokuhamba kwegazi. Ukuba uthatha nawaphi na amayeza okunciphisa igazi , ungayalelwa ukuba uwayeke kwiintsuku ezimbalwa ngaphambi kwenkqubo.
Kwenzeka ntoni ngexesha lenkqubo?
1. Uza kunikwa i-sedation encinci ukuze uphumle (uza kuba nengqondo kodwa ukhululekile), kwaye indawo apho i-catheter iza kufakwa khona iza kuba ne-numb nge-anesthetic yendawo.
2. Ingcali yakho iza kwenza umngxuma omncinci kakhulu eluswini lwesandla sakho, i-groin, okanye intamo.
3. Ityhubhu ebhityileyo neguquguqukayo ebizwa ngokuba yi-catheter iya kufakwa kwimithambo yegazi ize ikhokelwe kwindawo ekujoliswe kuyo kusetyenziswa i-fluoroscopy (i-X-ray imaging yexesha langempela).
4. Idayi ekhethekileyo yokwahlulahlula iza kufakwa kwi-catheter ukuze kubonakale imithambo yegazi yakho kwaye kuchongwe umthombo ochanekileyo wokopha okanye umthambo oza kunyangwa.
5. Emva koko i-embolic agent ekhethiweyo (efana nee-coils, iglu, okanye amasuntswana) iyaziswa, kwaye ugqirha wakho uya kuqinisekisa ukuba ukuhamba kwegazi kuvaliwe ngempumelelo.
6. Nje ukuba igqityiwe, i-catheter iyasuswa, kwaye ibhandeji elincinci libekwe phezu kwendawo yokungena. Akukho mfuneko yokusikwa okukhulu okanye ukuthungwa.
Akufanele uzive iintlungu ezinkulu ngexesha lenkqubo. Usenokuziva ulunywa kancinci xa unikwa i-anesthetic, kwaye unokufumana ubushushu obufutshane xa kufakwa idayi yomahluko.
Iingenelo kunye neengozi ze-Embolization
Zithini iingenelo?
Ukufakelwa kwe-embolization kunika iingenelo ezininzi ngaphezu kotyando oluvulekileyo lwendabuko:
- Ulawulo olukhawulezileyo lokopha kunye namazinga aphezulu empumelelo.
- Ayingenisi kakhulu kunotyando oluvulekileyo; kuba ifuna ukugqojozwa okuncinci kuphela endaweni yokusikwa okukhulu, ukulahleka kwegazi kuncinci.
- Amaxesha okuchacha akhawuleza, uninzi lwezigulane lubuyela kwimisebenzi yazo eqhelekileyo kwisithuba seveki.
- Ukuncipha kwexesha lokuhlala esibhedlele.
Ngaba kukho naziphi na iingozi?
Njengayo nayiphi na inkqubo yezonyango, kukho iingozi ezinokubakho, nangona zinqabile. Ugqirha wakho uza kuxoxa nawe ngazo ngokweenkcukacha kwangaphambili.
| Umngcipheko onokubakho | Ingcaciso elula |
|---|---|
| Impendulo yokunganyamezelani nedayi | Ezinye izigulana zinokuba ne-allergy encinci kwidayi yokwahlulahlula esetyenzisiweyo. |
| Ukopha okanye ukukrwela kwindawo | Ukopha okanye ukukrweleka okuncinci kunokwenzeka apho kufakwe khona i-catheter. |
| Ukufuduswa kweearhente ze-embolic | Kunqabile kakhulu, izinto ezisetyenziselwa ukuvimba inqanawa zinokuya kwenye indawo. |
| Usulelo | Njengakweminye inkqubo, kukho umngcipheko omncinci wokosuleleka. |
| Ukonakala kwemithambo-luvo (i-Neuropathy) | Kukho umngcipheko omncinci kakhulu wokonakala kwemithambo-luvo ekufutshane. |
| Iingxaki zestroke okanye umbono | Ukuba unyanga imithambo yegazi yentloko okanye yentamo, kukho umngcipheko ongaqhelekanga wokuba umntu afumane isifo sohlangothi okanye umbono otshintshileyo ukuba iarhente ihamba ngequbuliso. |
Yintoni ekufuneka uyiqaphele ngexesha lokuchacha?
Uninzi lwezigulane kuya kufuneka zihlale esibhedlele ubuncinane ubusuku obunye emva kwenkqubo, apho uya kunikwa khona ulawulo lweentlungu njengoko kufuneka.
Wakuba ubuyele ekhaya, kufuneka uphumle iintsuku ezimbalwa kwaye unciphise imisebenzi yakho yomzimba.
- Ukuba inkqubo ibingenwe yi-groin: Kuphephe ukunyuka izinyuko okanye intshukumo egqithisileyo okwethutyana elifutshane.
- Ukuba le nkqubo ibisenziwa ngesandla: Ziphephe izinto ezicinezela isandla, ezinjengokubhala okanye ukubhala kakhulu, kangangeentsuku ezimbalwa.
Kuphephe ngokupheleleyo ukuphakamisa izinto ezinzima. Nangona kunjalo, ukuhamba kancinci kancinci kunokunceda ukuthintela amahlwili egazi. Ukugcina indawo yokungena icocekile kunye nokusebenzisa umkhenkce ukunciphisa nakuphi na ukudumba nako kubaluleke kakhulu.
Ukuba ufumana ezi mpawu, qhagamshelana nogqirha wakho ngoko nangoko!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuyela ekhaya, qhagamshelana nogqirha wakho ngoko nangoko . Kwimeko yongxamiseko, yiya ngqo kwiGumbi loNgxamiseko elikufutshane (ER) okanye utsalele umnxeba ku-911 .
| Iimpawu Zesilumkiso Okufanele Uziqaphele | |
|---|---|
| Iimpawu zosulelo | Umkhuhlane, okanye ukubomvu kunye nobushushu kwindawo yotyando. |
| Iimpawu zeClot yegazi | Ububomvu, ukudumba, okanye intlungu engapheliyo emqolo okanye emlenzeni wakho. |
| Ukopha Okukhulu | Ukopha okungalawulekiyo kwindawo yokusikwa. |
| Ubunzima bokuphefumla | Ukuqala ngequbuliso kokuphelelwa ngumoya. |
| Iqhuma kwindawo | Iqhubu elibuhlungu okanye elikhula ngokukhawuleza kufutshane nendawo yokungena. |
| Isicaphucaphu/Ukugabha okungapheliyo | Ukungakwazi ukugcina ulwelo okanye ukutya kungangeni. |
Umyalezo Wokuya Ekhaya Ovela eNirogi Lanka
- Ukufakelwa kwemithambo yegazi yindlela ephucuke kakhulu, engayi kungenelela kakhulu eyenzelwe ukuvala imithambo yegazi ethile ngokukhuselekileyo ngaphandle kwesidingo sotyando oluvulekileyo lwendabuko.
- Sisebenzisa le ndlela ukunyanga iimeko ezahlukeneyo, kuquka ukopha kakhulu, iithumba, ii-uterine fibroids, kunye ne-AVM.
- Ngenxa yokuba ayingeni kakhulu, kusenokwenzeka ukuba ungabi nantlungu ingako kwaye ukhawuleze ukuphinda uphile xa kuthelekiswa notyando oluvulekileyo.
- Njengakwezinye iindlela zonyango, kukho iingozi ezinokubakho. Nceda uzive ukhululekile ukuxoxa ngazo zonke iingxaki zakho ngokukhululekileyo nogqirha wakho ngaphambi kokuba kwenziwe inkqubo.
- Ukuba ufumana naziphi na iimpawu ezixhalabisayo emva konyango lwakho, nxibelelana nogqirha wakho ngoko nangoko. Kwimeko yongxamiseko lwezonyango, fowunela u-911 okanye undwendwele isebe likaxakeka elikufutshane nawe ngoko nangoko.
ukuvalwa kwemithambo yegazi, unyango olungena kakhulu, ii-fibroids zesibeleko, i-AVM, ukuvalwa kwemithambo yegazi, i-radiology yokungenelela
