Khawucinge ukuba umthambo wegazi emzimbeni wakho uhlala uphuma igazi, okanye umthambo ohambisa igazi kwithumba ukhula imihla ngemihla. Ngaphambili, olu hlobo lwento bekufuneka lunyangwe ngokwenza utyando olukhulu kunye nokususa loo ndawo. Kodwa ngoku, ngenxa yokuba isayensi yezonyango ihambele phambili, kukho indlela emangalisayo ekuvumela ukuba ungene emzimbeni ngomngxuma omncinci kwaye 'uvale' kuphela loo mthambo wegazi. Namhlanje, sithetha ngale ndlela yonyango ebizwa ngokuba yi-Embolization, abantu abaninzi abangazange bayive, kodwa ibaluleke kakhulu.
Ngamafutshane, yintoni i-embolization?
Ukufakwa kwe-embolization yinkqubo yezonyango engangenisi mandla kangako . Ibandakanya ukuvala okanye ukuvala umthambo othile wegazi emzimbeni. Khawucinge ukuba sifaka into ethile ngaphakathi kumbhobho wamanzi ukuze siyeke ukuhamba kwamanzi. Kaloku, yiloo nto eyenzekayo apha.
Oku ngamanye amaxesha kunokuba lunyango olucwangcisiweyo kwangaphambili. Oko kukuthi, into eza kwenziwa ngugqirha emva kokukuhlola nokusebenzisa ishedyuli. Kodwa ngamanye amaxesha, njengakwimeko engxamisekileyo, oku kunokufuneka kwenziwe njengonyango olungxamisekileyo ukuze kuthintelwe ukopha kakhulu.
Luluphi uncedo esilufumanayo kwi-embolization?
Ngale ndlela yonyango, sinokufumana izisombululo zexeshana okanye ezisisigxina kwiingxaki ezininzi emzimbeni wethu. Oku kukhokelela koku:
- Ukuvula imibhobho yegazi edibeneyo ngendlela engaqhelekanga: Ngamanye amaxesha imibhobho kunye nemithambo emzimbeni wethu inokudibana ngendlela engaqhelekanga. Le nkqubo ivala loo mibhobho idibeneyo.
- Ukunciphisa ukuhanjiswa kwegazi kwiithumba: Xa imithambo yegazi ehambisa iithumba ezinomhlaza kunye nezinye izihluma ezingaqhelekanga ivalekile, iithumba azifumani izondlo. Zisenokuncipha okanye ziyeke ukukhula.
- Ukuyeka okanye ukuthintela ukopha kakhulu: Le yindlela esebenzayo kakhulu yokuthintela ukopha kakhulu, nokuba ngaphakathi okanye ngaphandle komzimba.
Ziziphi iimeko eziphathwa nge-embolization?
Olu nyango lusetyenziselwa iintlobo ngeentlobo zeemeko ezinokuchaphazela phantse naliphi na ilungu lomzimba. Ungalufumana umbono olungileyo ngalo kwitheyibhile engasezantsi.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Unxibelelwano olungaqhelekanga lwemithambo yegazi kunye nemithambo yegazi (iingxaki zemithambo yegazi - AVM) | Imithambo yegazi (imithambo yegazi kunye nemithambo yegazi) ziyadibana. Ezi zinokwenzeka engqondweni okanye kwenye indawo emzimbeni. |
| Ii-aneurysms zobuchopho | Ubuthathaka bodonga lomthambo wegazi engqondweni, okubangela ukuba ludumbe njengebhaluni. Oku kunokuba yingozi kakhulu ukuba ludubule. |
| Iithumba eziphuma igazi kunye nezinye iithumba | Eminye imiphunga kunye neethumba ziyaphuma igazi. Ukopha kulawulwa ngokuvala umthambo wegazi owunikayo. |
| Ukopha rhoqo kwempumlo (i-Epistaxis) | Ukopha rhoqo, okunamandla empumlweni okungenakulawulwa zezinye iindlela zonyango. |
| Ukopha kwamathumbu | Ukopha okubangelwa zizifo ezifana nezilonda zesisu okanye i-diverticulosis. |
| Ukopha kakhulu kokuya exesheni | Ukopha kakhulu nokuthatha ixesha elide exesheni kwabasetyhini. |
| Iifibroids zesibeleko | Ezi zi-tumor ezingezizo zomhlaza. Ukuvala imithambo yegazi ehambisa igazi kuzo kuyanciphisa ii-tumor. |
| Ukopha ngaphakathi ngenxa yeengozi | Ukuthintela ukopha okubangelwa kukwenzakala kwamalungu omzimba afana nepleen, isibindi kunye nemiphunga. |
| Ukudumba kwemithambo emasendeni (iVaricocele) | Imeko apho imithambo ejikeleze amasende amadoda idumba kwaye ibe buhlungu. |
Lusebenza njani olu nyango? Ngubani olwenzayo?
Olu nyango lwenziwa yi- Interventional Radiologist . Oko kukuthi, ingcali esebenzisa ubuchwepheshe bokuskena njenge- X-rays ukuze ibone ngaphakathi emzimbeni, kwaye isebenzisa izixhobo ezibuthathaka kakhulu ukwenza unyango ngaphandle kotyando olukhulu.
Ngamafutshane, uza kwenza umngxuma omncinci kakhulu eluswini lwakho, njengesandla sakho, i-groin, okanye intamo. Emva koko, ngaloo mngxuma, ityhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi -catheter ifakwa ngemithambo yegazi ukuya kwindawo efuna unyango. Konke oku kwenziwa phantsi kwesikhokelo sesikrini esifana ne-X-ray. Nje ukuba ijoliswe ngqo, izinto ezikhethekileyo (ii-embolic agents) zifakwa nge-catheter ukuze kuvalwe umthambo wegazi.
Zeziphi izinto ezibangela i-embolic ezisetyenziswa ukuvimba imithambo yegazi?
Izinto ezisetyenzisiweyo ziya kwahluka ngokuxhomekeke kwimeko yakho yempilo kunye nohlobo lomthambo wegazi ekufuneka uvalwe.
- Iibhaluni: Iibhaluni ezincinci kakhulu ezinokufuthwa ngokuzifaka kwimithambo yegazi. Ezi zisetyenziselwa ukuvala umthambo okwethutyana okanye ngokusisigxina.
- I-gelatin foam: Yinto efana nesiponji enyibilika emzimbeni kwiintsuku ezimbalwa.
- Iglue engamanzi: Uhlobo olukhethekileyo lweglue oluqina ngokukhawuleza kwaye lusetyenziselwa ukuvala imithambo yegazi engaqhelekanga.
- Iikhoyili zesinyithi: Iikhoyili ezincinci kakhulu ezenziwe ngocingo ezenziwe ngentsimbi engagqwaliyo neplatinum. Ezi zinokubekwa ngokuchanekileyo ukuze zivale umthambo.
- Izinto ezibangela iinxalenye: Iinxalenye ezingqukuva ezinobukhulu obahlukeneyo. Ezi zivimba imithambo yegazi emincinci ngokusisigxina.
Kwenzeka ntoni ngexesha nasemva konyango?
Ndingenza ntoni ngaphambi kokuba ndifumane unyango?
Ugqirha wakho usenokuyalela iiskeni ezininzi, ezifana ne -ultrasound, i-CT scan, okanye i-MRI , ukuze aqonde ngcono imithambo yegazi kunye nokuhamba kwegazi ngaphambi konyango. Kwakhona, ukuba uthatha amayeza athile, afana ne -blood thinners , unokucelwa ukuba uyeke ukuwasebenzisa kwiintsuku ezimbalwa ngaphambi konyango.
Kwenzeka ntoni ngexesha lonyango?
1. Okokuqala, uza kunikwa i-laxation encinci ukuze ulale kancinci. Emva koko, yindawo kuphela apho i-catheter iza kufakwa khona iya kuba ne-numbness.
2. Emva koko, ingcali yenza ukusika okuncinci eluswini lwengalo, i-groin, okanye intamo.
3. I-catheter ifakwa kwimithambo yegazi ngaloo mngxuma ize ikhokelwe kwindawo efunekayo yonyango, kusetyenziswa iteknoloji ye-X-ray ebizwa ngokuba yi -fluoroscopy .
4. Ukuze ubone ngokucacileyo imithambo yegazi kunye nokuhamba kwegazi, kufakwa idayi ekhethekileyo (idayi echaseneyo) nge-catheter.
5. Emva koko, i-embolic agent ebesithethe ngayo ngaphambili (into efana ne-wire coil, i-gum, amasuntswana) iyafakwa kwaye ukopha kuyaqinisekiswa.
6. Xa inkqubo igqityiwe, i-catheter iyasuswa kwaye ibhandeji encinci ifakwe kwindawo ebhoboziweyo. Akukho mfuneko yokusikwa okanye ukuthungwa okukhulu.
Awuyi kuva ntlungu ingako ngeli xesha lonyango. Usenokuziva urhawuzelelwa kancinci xa kujovwa iyeza elibangela ukuba umntu angakwazi ukuzibamba. Usenokuziva ufudumele kancinci njengoko idayi ingena emzimbeni wakho.
Iingenelo kunye neengozi zonyango lwe-embolization
Zithini iingenelo zolu nyango?
Unyango lwe-embolization luluncedo kakhulu kunotyando oluvulekileyo oluqhelekileyo.
- Ukopha kungalawulwa ngokukhawuleza kwaye unyango luphumelela kakhulu.
- Ayinampembelelo ingako emzimbeni njengotyando oluvulekileyo. Kukho umngxuma omncinci endaweni yomngxuma omkhulu, ngoko ke akukho gazi lininzi.
- Ixesha lokuchacha lifutshane, kwaye uninzi lwabantu lunokuphinda luqhubeke nemisebenzi yalo yesiqhelo kwiveki enye .
- Ixesha elichithwa esibhedlele lifutshane.
Ngaba kukho naziphi na iingozi kolu nyango?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile ezibandakanyekileyo. Nangona kunjalo, ezi azinakwenzeka. Ugqirha wakho uza kukuchazela konke oku kwangaphambili.
| Umngcipheko onokwenzeka | Ingcaciso elula |
|---|---|
| Ukunganyamezelani nodayi | Abanye abantu banokuba ne-allergy kwidayi yokwahlulahlula esetyenziswa ngexesha lonyango. |
| Ukopha okanye ukukrweleka kwindawo yokubhoboza | Kusenokubakho ukopha okanye ukukrweleka apho kufakwe khona i-catheter. |
| Iarhente ye-embolic iya kwindawo engafanelekanga | Kunqabile kakhulu ukuba izinto ezisetyenziselwa ukuvala umthambo wegazi zikwazi ukukhubeka ziye kwenye indawo. |
| Iintsholongwane | Njengakwezinye iinkqubo zonyango, kukho umngcipheko omncinci wokosuleleka. |
| Ukonakala kwemithambo-luvo (i-Neuropathy) | Kukho ithuba elincinci kakhulu lokonakala komthambo kufutshane nendawo yonyango. |
| Istroke okanye ubumfama | Ukuba i-embolic agent ingena kwimithambo yegazi ebuchotsheni ngexesha lonyango lwentloko, isifo sohlangothi okanye ukuphazamiseka kokubona kungenzeki rhoqo. |
Yintoni ekufuneka uyiqwalasele ngexesha lokuchacha?
Kuza kufuneka uhlale esibhedlele ubuncinane ubusuku obunye emva konyango. Ngeli xesha, uza kunikwa amayeza okudambisa iintlungu.
Emva kokuba ufikile ekhaya, kufuneka uphumle kakuhle iintsuku ezimbalwa kwaye unciphise umsebenzi womzimba.
- Ukuba unesithonga semiqolo: Nciphisa imisebenzi yakho efana nokunyuka nokuhla kwezinyuko.
- Ukuba ugqobhoza esihlahleni: Yeka ukwenza imisebenzi enzima efana nokubhala nokuchwetheza kangangeentsuku ezimbalwa.
Imisebenzi enzima efana nokuphakamisa iintsimbi kufuneka ithintelwe ngokupheleleyo. Nangona kunjalo, ukuhambahamba okufutshane yonke imihla kunokunceda ekuthinteleni iingxaki ezifana nokuqhekeka kwegazi. Kubalulekile nokufaka umkhenkce kwindawo ebhoboziweyo ukunciphisa ukudumba nokugcina inxeba licocekile.
Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokubuya ekhaya emva konyango, kufuneka wazise ugqirha wakho ngoko nangoko . Kwimeko yongxamiseko, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
| Iimpawu zesilumkiso ekufuneka uziqaphele | |
|---|---|
| Iimpawu zosulelo | Umkhuhlane, ukubomvu okanye ubushushu kwindawo enyangiweyo. |
| Iimpawu zehlwili legazi | Ububomvu, ukudumba, okanye intlungu emqolo okanye emlenzeni. |
| Ukopha kakhulu | Ukopha okungenakunqandwa kwindawo ebhoboziweyo. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla ngequbuliso. |
| Iqhuma apho kwahlatywa khona | Iqhuma elibuhlungu okanye elikhula ngokukhawuleza kufutshane nendawo ebhobokileyo. |
| Ukucaphuka rhoqo kunye nokuhlanza | Ukucaphuka nokuhlanza kangangokuba awukwazi ukugcina ukutya okanye isiselo siphantsi. |
Umyalezo Wokuya Ekhaya
- Ukufakelwa kwemithambo yindlela yonyango ephucukileyo nephumelelayo ethintela umthambo othile wegazi emzimbeni ngaphandle kokwenza umsikelo omkhulu.
- Inyanga iimeko ezahlukeneyo, kuquka ukopha kakhulu, iithumba ezinomhlaza, ii-uterine fibroids, kunye ne-AVM.
- Ekubeni ingenampembelelo ingako emzimbeni njengotyando oluvulekileyo, iintlungu azibalulekanga kangako kwaye nexesha lokuchacha lincinci.
- Njengakwezinye iindlela zonyango, kukho iingozi, ngoko ke qiniseka ukuba uxoxa ngazo zonke ezi zinto nogqirha wakho ngaphambi kokuba unyango luqale.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo emva konyango, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.
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