Khawucinge ukuba unehlwili legazi kwindawo ethile emzimbeni wakho, okanye umthambo ohambisa igazi kwithumba elinomhlaza. Ngaphambili, bekuya kufuneka wenze utyando olukhulu kwinto efana nale. Kodwa ngoku, kukho iteknoloji ekuvumela ukuba ungene emzimbeni ngomngxuma omncinci kakhulu uze uvale loo mthambo wegazi. Yiloo nto siyibiza ngokuba yi-Embolization. Le yindlela yonyango engaphantsi kakhulu engabangeli monakalo mkhulu emzimbeni kwaye ayifuni kusikwa okukhulu. Kweli nqaku, siza kuthetha ngayo ngokulula.
Zithini iingenelo zonyango lwe-embolization?
Ngamafutshane, olu nyango lubandakanya ukuvala umthambo wegazi othile emzimbeni okwethutyana okanye ngokusisigxina. Oku kusinika iingenelo ezininzi ezibalulekileyo.
- Ukuphelisa unxibelelwano olungaqhelekanga lwemithambo yegazi: Ngamanye amaxesha, unxibelelwano olungaqhelekanga lunokwenzeka phakathi kwemithambo yegazi kunye nemithambo yegazi emzimbeni wethu. Ukuhlanganiswa kwemithambo yegazi kunokuvala olu nxibelelwano ngaphambi kokuba lubangele iingxaki ezinkulu.
- Ukunciphisa ukunikezelwa kwegazi kwiithumba kunye nomhlaza: Ithumba lifuna ukunikezelwa kwegazi ukuze likhule. Xa olu nyango luthintela ukunikezelwa kwegazi kwithumba, iiseli zomhlaza ziyaphelelwa zizondlo ezizidingayo kwaye ziyafa.
- Ukuthintela ukopha kakhulu: Le ndlela iyasebenza kakhulu ekuthinteleni ukopha ngaphakathi emzimbeni ngenxa yengozi, ukwenzakala esiswini, okanye nasiphi na esinye isizathu.
Zeziphi iimeko olu nyango lusetyenziselwa zona?
Ukufakelwa kwezicubu zomzimba lunyango olunokusetyenziswa kwiingxaki ezininzi phantse kuyo nayiphi na indawo yomzimba. Itheyibhile engezantsi idwelisa ezinye zezi meko.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Iingxaki zemithambo yegazi (ii-AVM) | Ukuthintela ukuhamba kwegazi kwiindawo apho imithambo yegazi idityaniswe khona, njengeeqhina. |
| Ii-aneurysms zobuchopho | Ukuvala indawo ukuze kuncitshiswe umngcipheko wokugqabhuka komthambo wegazi. |
| Umhlaza wokopha kunye neethumba | Ukunciphisa ukuhanjiswa kwegazi kumhlaza. |
| Ukopha rhoqo kwempumlo (i-Epistaxis) | Xa ukopha kungalawuleki, umthambo omncinci wegazi obangela ukuba uvaleke. |
| Ukopha kwamathumbu | Ukuthintela ukopha ngenxa yeemeko ezifana nezilonda zesisu. |
| Iifibroids zesibeleko | Iyanciphisa ii-fibroids ngokunciphisa ukuhanjiswa kwegazi, ngaloo ndlela ilawula ukopha kakhulu kokuya exesheni. |
| Ukudumba kwemithambo emasendeni (iVaricocele) | Ukuthintela igazi ukuba lingangeni emithanjeni evuvukileyo. |
| Ukopha ngaphakathi ngenxa yeengozi | Ukuthintela ukopha okubangelwa kukwenzakala kwamalungu omzimba anjengesibindi kunye nepleen. |
Lwenziwa njani kanye kanye olu nyango?
Olu nyango lwenziwa yi- Interventional Radiologist , ingcali esebenzisa ubuchwepheshe bokufota njengee-X-rays ukukhokela iityhubhu ezincinci ngemithambo yegazi emzimbeni.
Nantsi indlela olusebenza ngayo unyango inyathelo ngenyathelo:
1. Ukulungiselela: Ngaphambi konyango, uza kwenziwa i-CT scan, i-MRI, okanye i-ultrasound scan ukujonga imeko yemithambo yegazi yakho. Ukuba uthatha amayeza okunciphisa igazi, kuya kufuneka uwayeke okwethutyana njengoko ugqirha wakho eyalele.
2. Ukuthomalalisa kunye nokuba ndindisholo: Ngaphambi kokuba unyango luqale, uza kunikwa isithomalalisi. Emva koko, kuza kunikwa inaliti yokuvala indawo apho kuza kufakwa khona umbhobho (ngokuqhelekileyo i-groin, i-wrist, okanye intamo).
3. Ukufaka i-catheter: Ugqirha wenza umngxuma omncinci eluswini kwindawo engenanto aze afake ityhubhu encinci kakhulu, eguquguqukayo ebizwa ngokuba yi-catheter kwimithambo yegazi ngayo.
4. Ukuya kwinjongo:Ngelixa ebukele itekhnoloji yevidiyo ye-X-ray yexesha langempela efana ne-fluoroscopy, ugqirha ukhokela i-catheter ecaleni kwemithambo yegazi ukuya kwindawo kanye apho kufuneka unyango khona.
5. Ukuthumela i-Embolic Agent: Xa ikwindawo efanelekileyo, into ethile okanye isixhobo esikhethekileyo (i-embolic agent) esisetyenziselwa ukuvala umthambo wegazi sithunyelwa nge-catheter.
6. Ukuvaleka nokuvalwa: Emva kokuqinisekisa ukuba umthambo wegazi uvalwe ngokupheleleyo yile nto, ugqirha uyayisusa ngononophelo i-catheter. Kufakwa ibhandeji elincinci kwindawo ebhoboziweyo. Akukho mfuneko yokusikwa okanye ukuthungwa okukhulu.
Ayimangalisi na le nto? Indlela yokusombulula ingxaki engaphakathi emzimbeni ngaphandle kokuyisika! Le yinkqubela phambili kwezonyango zanamhlanje.
Iiarhente ze-Embolic
Iindidi ezahlukeneyo zezinto ezisetyenziswayo ukuvala umthambo wegazi. Ukhetho luxhomekeke kwimeko yakho yempilo kunye nohlobo lomthambo wegazi.
| Uhlobo lwe-Embolic Agent | Inkcazo |
|---|---|
| Iikhoyili zesinyithi | Iintambo ezincinci ezenziwe ngeentsimbi ezifana neplatinum. Ezi zifakwa ngaphakathi emthanjeni kwaye ziyeke ukuhamba kwegazi. |
| Igwebu leGelatin | Into efana nesiponji evala imithambo yegazi okwethutyana ize inyibilike emzimbeni kwiintsuku ezimbalwa. |
| Iglu yolwelo | Uhlobo lwentsini yezonyango. Xa ifakwa emthanjeni, iqina ngokukhawuleza ize ivale umthambo ngokusisigxina. |
| Iiarhente ze-particle | Amasuntswana amancinci kakhulu angqukuva. La masuntswana anokuthintela imithana yegazi emincinci ngokusisigxina. |
Ngaba kukho naziphi na iingozi kolu nyango?
Njengakwezinye iindlela zonyango, kukho iingozi ezithile ezibandakanyekayo kwi-embolization. Nangona kunjalo, amathuba okuba ezi zinto zenzeke mancinci kakhulu. Ugqirha wakho uza kuxoxa nawe ngezi zinto.
- Idayi Yokungqubana Ne-Allergy: Abanye abantu banokuba ne-allergy kwidayi ekhethekileyo esetyenziswa ngexesha lokuskena.
- Ukugruzuka okanye ukopha kwindawo ebhobokileyo: Kusenokuvela inxeba elincinci kwindawo ebhobokileyo.
- Usulelo: Kunqabile kakhulu ukuba kubekho usulelo.
- Ukungasebenzi kakuhle kwe-embolic agent: Into esetyenziselwa ukuvimba umthambo wegazi inokukhululeka ngandlela thile ize iye komnye umthambo ize iwuvale (oku kunqabile kakhulu).
- Ukonakala kwezicubu ezingqongileyo: Kukho ithuba elincinci lokuba izicubu eziphilileyo ezijikeleze indawo ekujoliswe kuyo zonakale ngenxa yokunqanyulwa kwegazi.
Eyona nto ibalulekileyo kukungazoyiki ezi ngozi, kodwa kuthetha nogqirha wakho ngononophelo ngaphambi kokuba ufumane unyango kwaye ubuze yonke imibuzo onayo.
Emva konyango kunye nexesha lokuchacha
Emva konyango, kuya kufuneka uhlale esibhedlele malunga nosuku olunye. Usenokuba neentlungu kwindawo ohlatywe kuyo inaliti kangangeentsuku ezimbalwa. Uza kunikwa amayeza okudambisa iintlungu ngenxa yoku.
Abanye abantu banokufumana imeko ebizwa ngokuba yi -post-embolization syndrome , imeko ebangela iimpawu ezinje ngomkhuhlane, isicaphucaphu, kunye nokuhlanza. Oku kudla ngokuba bhetele kwiintsuku ezimbalwa.
Emva kokubuyela ekhaya:
- Phumla iintsuku ezimbalwa uze uphumle kakuhle. Kuphephe ukuphakamisa izinto ezisindayo okanye ukuphakamisa izinto ezisindayo.
- Ukuba ufake i-catheter kwi-groin yakho , musa ukunyuka nokuhla izitebhisi rhoqo.
- Ukuba ukrunekile esihlahleni , yeka ukwenza imisebenzi enzima efana nokuchwetheza okanye ukubhala kangangeentsuku ezimbalwa.
- Gcina indawo apho uhlaselo lwenzeke khona icocekile.
Uzakumbona nini ugqirha wakho kwakhona
Ukuba ufumana naziphi na kwezi mpawu zilandelayo , fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Iqhuma elibuhlungu okanye elikhula ngokukhawuleza kufutshane nendawo ehlatywe kuyo.
- Ukopha kakhulu kwindawo ebhoboziweyo.
- Ubunzima bokuphefumla.
- Iimpawu zosulelo (umkhuhlane, ububomvu kunye nobushushu kwindawo yonyango).
- Ububomvu kunye nokudumba emlenzeni okanye emqolo (kusenokuba luphawu lokuqhekeka kwegazi).
- Ukucaphuka nokuhlanza kangangokuba awukwazi ukugcina ukutya nokusela kuphantsi.
Umyalezo Wokuya Ekhaya
- Ukufakelwa kwegazi emzimbeni lunyango olusebenza kakhulu oluthintela umthambo othile wegazi emzimbeni ngaphandle kotyando olukhulu.
- Isetyenziselwa ukunqanda ukopha kakhulu, ukunqanda ukufumaneka kwegazi kwiithumba ezinomhlaza, kunye nokunyanga iingxaki ezingaqhelekanga zemithambo yegazi ezifana nee-AVM.
- Ngenxa yokuba olu tyando alukho lukhulu, iintlungu azininzi kwaye ixesha lokuphola lifutshane kunotyando oluqhelekileyo.
- Njengakwezinye iindlela zonyango, kukho iingozi ezithile, ngoko ke kubaluleke kakhulu ukuxoxa ngazo kakuhle nogqirha wakho ngaphambi kokuba ufumane unyango.
- Landela imiyalelo kagqirha wakho ngononophelo emva konyango. Ukuba ubona naziphi na iimpawu ezilumkisayo, funa ingcebiso kagqirha ngokukhawuleza.
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