Ngaba wakha wacinga ngomthambo wegazi omkhulu emzimbeni wethu? Njengombhobho wamanzi ophambili ozisa amanzi endlwini yethu, umthambo wegazi oyintloko othwala igazi kuwo onke amalungu kunye neeseli emzimbeni wethu yi -aorta, okanye njengoko siyibiza njalo, i-aorta . Lo mthambo unamandla kakhulu. Kodwa ngamanye amaxesha, njengokuba icala letayara yemoto endala liba buthathaka kwaye liqhuma njengeqamza, udonga lwale aorta lunokuba buthathaka kwaye luqhume kwindawo enye. Okanye umaleko walo wangaphakathi unokukrazuka. Ezi ziimeko eziyingozi kakhulu. Kodwa ungakhathazeki, ngokuhambela phambili kwesayensi yezonyango, ngoku kukho unyango olusebenzayo kakhulu koku. Yiloo nto sithetha ngayo namhlanje.
Yintoni le tyando yeTEVAR?
Ngamafutshane, i-TEVAR (Thoracic Endovascular Aortic Repair) yinkqubo yotyando engangenisi mandla esetyenziselwa ukulungisa umonakalo kwi-thoracic aorta.
Khawucinge ngendlela olu hlobo lwesifo olwalunyangwa ngayo ngaphambili. Oogqirha kwakufuneka bavule isifuba ngokupheleleyo baze benze utyando olukhulu ukulungisa lo monakalo. Bekunzima kakhulu, kwathatha ixesha elide ukuphola, kwaye bekuyingozi kakhulu.
Kodwa kwindlela ye-TEVAR, ukunqunyulwa okukhulu kangaka akwenziwa. Endaweni yoko, kwenziwa ukunqunyulwa okuncinci kakhulu emqolo, kufakwa ityhubhu encinci (i-catheter) kuyo, kwaye kudluliselwa isixhobo esikhethekileyo kuloo tyhubhu ukulungisa inxalenye ebuthathaka ye-aorta. Oku kufana nendlela umbhobho ohamba ngaphakathi kodonga lwendlu oqhekekayo ngayo kwaye umbhobho omncinci ufakwa ngaphakathi kombhobho ngaphandle kokuphula udonga. Oku kubangela ixesha elifutshane kakhulu lokuphiliswa, iintlungu ezincinci, kunye nomngcipheko omncinci.
Kukweziphi iimeko apho utyando lwe-TEVAR luyimfuneko?
Oogqirha basebenzisa olu tyando ukunyanga iimeko ezininzi ezinzulu ezenzeka kwi-aorta. Makhe sijonge ukuba ziyintoni na.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| I-Aneurysm ye-Thoracic Aortic | Yile nto bendithetha ngayo ngaphambili, indawo ebuthathaka eludongeni lwe-aorta evuthuluka njengebhaluni. Ingakhula kancinci kancinci ize ekugqibeleni iqhume. Ukuba oko kuyenzeka, kunokuba yingozi kakhulu ebomini. |
| Ukuqhaqha kwe-Aortic | Kulapho umaleko wangaphakathi wodonga lwe-aorta ukrazuka khona. Igazi liyavuza phakathi kweengqimba ezimbini zodonga, lahlula ezo zingqimba zimbini. Le yimeko enzima kakhulu efuna unyango olungxamisekileyo. |
| Utyando lwe-Aortic | Ukulimala okukhulu esifubeni, njengengozi yemoto, kunokubangela ukuba i-aorta ikrazuke okanye iqhekeke. |
Into ebalulekileyo kukuba, nangona ezi meko ziyingozi kakhulu, unyango lwanamhlanje olufana ne-TEVAR ngoku lusindise ubomi babantu abaninzi.
Uzilungiselela njani ngaphambi kotyando?
Ukuba ugqiba ekubeni wenze olu hlobo lotyando, ugqirha wakho uza kukuchazela ngokucacileyo indlela ekufuneka uyilungiselele ngayo. Ngokuqhelekileyo unokucelwa ukuba wenze izinto ezinje:
- Ulawulo loxinzelelo lwegazi kunye ne-cholesterol: Usenokunikwa amayeza okunceda ukulawula ezi zinto.
- Kuphephe ukutshaya: Ukuba ungumntu otshayayo, kufuneka uyeke ngokupheleleyo.
- Utshintsho kumayeza: Ungacelwa ukuba uyeke okanye utshintshe amanye amayeza owasebenzisayo okwangoku okwethutyana ngaphambi kotyando.
- Uvavanyo olukhethekileyo: Ugqirha kuya kufuneka enze uvavanyo oluninzi ukuze acwangcise utyando.
Uvavanyo lwangaphambi kotyando
Eyona nto ibalulekileyo kwezi vavanyo yi -CT Angiogram . Olu luvavanyo olukhethekileyo lwe-CT. Lunokububona ngokucacileyo ubukhulu kunye nemeko ye-aorta yakho kunye neminye imithambo yegazi esetyenziselwa utyando.
Khawucinge nje, ityhubhu yotyando ifakwa ngemithambo yegazi ekwisinqe. Ukuba loo mthambo wegazi umxinwa kakhulu, okanye ukuba uvalwe yi-cholesterol deposits, ityhubhu ayinakudluliswa. Olu vavanyo lunceda ekufumaneni izinto ezinjalo kwangaphambili.
Kwakhona, ukulinganisa okuvela kolu vavanyo kubaluleke kakhulu ekukhetheni ubungakanani obufanelekileyo be-stent graft kwindawo eyonakeleyo kwi-aorta yakho.
Yintoni i-stent graft?
Eli liqhawe lolu tyando. I-stent graft yityhubhu eyenziwe ngezinto ezifana nelaphu. Ine-mesh yesinyithi ngaphakathi. Igoqwa ize idlule kwi-aorta. Xa ifika kwindawo efanelekileyo, ivuleka njengentwasahlobo ize inamathele ngokuqinileyo eludongeni lwe-aorta.
Okwenzekayo kukuba igazi lihamba ngale tube intsha. Udonga olubuthathaka noluvuvukileyo lwe-aorta alunaxinzelelo oluvela egazini. Ngoko ke luyeka ukudumba. Kufana nokufaka ulwelo olutsha ngaphakathi kwe-aorta.
Lwenziwa njani utyando?
Umele ukuba unomdla kakhulu ngale nto. Makhe sijonge amanyathelo alula abandakanyekayo kolu tyando.
1. Ukuthomalalisa: Okokuqala, uza kufakwa phantsi kwe-anesthesia eqhelekileyo, okanye yindawo apho utyando luza kwenziwa khona kuphela eya kuba ne-numbness, kwaye uza kunikwa amayeza okuphumza.
2. Ukusikwa okuncinci: Okulandelayo, kwenziwa ukusikwa okuncinci eluswini, ngokuqhelekileyo kwindawo yempumlo, kwaye umthambo wegazi (umthambo we-femoral) olapho uyafikelelwa.
3. Ucingo olukhokelayo: Ucingo oluncinci (ucingo olukhokelayo) ludluliselwa kulo mthambo wegazi, ludlule kwindawo eyonakeleyo ye-aorta, luze luyekiswe.
4. I-catheter kunye ne-stent: Emva koko, ityhubhu (i-catheter) idluliselwa ecaleni kwentambo. I-stent graft egobileyo ingaphakathi kweli tyhubhu. Konke oku kwenziwa phantsi kwesikhokelo somatshini we-X-ray okhethekileyo (i-fluoroscopy).
5. Ukubekwa kwe-stent: Nje ukuba ityhubhu ikwindawo eyiyo, ugqirha uza kuyifaka ngononophelo i-stent graft. Emva koko iya kwanda ngokuzenzekelayo ize inamathele eludongeni lwe-aorta.
6. Ukugqitywa: Emva koko, ityhubhu kunye nocingo ziyakhutshwa, kwaye ukusika okuncinci okwenziwe kwi-groin kuvalwa ngezitishi.
Ngokwesiqhelo, yonke le nkqubo ithatha malunga neeyure ezimbini.
Ziziphi iingenelo kunye neengozi zotyando lwe-TEVAR?
Njengakweminye inkqubo yezonyango, kukho iingenelo kunye neengozi, kodwa iingenelo zotyando lwe-TEVAR zingaphezulu kakhulu kuneengozi.
| Iinzuzo | Iingozi |
|---|---|
| Ixesha lokuchacha lifutshane. | Ukuvuza kwegazi elijikeleze i-stent (Endoleak). |
| Inani leentsuku ezichithwa esibhedlele liyancipha. | Usulelo. |
| Iintlungu nokopha azinciphi. | I-stent iyasuka endaweni yayo. |
| Ayizukushiya isilonda esikhulu. | I-Paraplegia (ukungakwazi ukuhamba kakuhle kwemilenze) ngenxa yokuncipha kokuhamba kwegazi ukuya kwi-spinal cord - oku kunqabile kakhulu. |
| Umngcipheko weengxaki ezinkulu uphantsi. | Ukuhlaselwa yintliziyo okanye isifo sohlangothi. |
Ugqirha wakho uza kukuchazela kakuhle ezi ngozi, aze athathe onke amanyathelo anokwenzeka ukuze azinciphise.
Linjani ixesha lokuchacha emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi lokhathalelo olunzulu (ICU) ukuze ujongwe usuku olunye okanye ezimbini, uze emva koko udluliselwe kwigumbi eliqhelekileyo. Ukuba yonke into ihamba kakuhle, uza kukwazi ukuya ekhaya kwiintsuku ezimbalwa. Nazi ezinye izinto ekufuneka uzikhumbule emva kokuba ubuyele ekhaya:
- Ukuqhuba: Kuphephe ukuqhuba iveki enye ukuya kwezimbini.
- Ukuhlamba: Kuphephe ukuntywila ebhafini yamanzi de inxeba lesisu liphole. Ukuhlamba kulungile.
- Ukuphakamisa iintsimbi: Musa ukuphakamisa ngaphezu kweekhilogram ezili-10 (malunga ne-4.5 kg) kangangeveki enye ukuya kwezimbini.
Ukulandelela ubomi bonke kubalulekile!
Le yeyona ngongoma ibalulekileyo . Emva kotyando lwe-TEVAR, kubalulekile ukubona ugqirha wakho ukuze ahlolwe ubomi bakho bonke. Ngokwesiqhelo,
- Inyanga emva kotyando
- Emva koko emva kweenyanga ezintandathu (ukuba bekukho ingxaki kuvavanyo lokuqala)
- Emva konyaka
- Emva koko kube kanye ngonyaka
Kuya kufuneka uhlolwe. Oku kwenzelwa ukujonga ukuba i-stent ikwindawo elungileyo na, ukuba kukho naziphi na iingxaki ngayo, ukuba kukho nakuphi na ukuvuza kwegazi. Musa ukuliphosa eli thuba. Oku kubaluleke kakhulu kukhuseleko lwakho.
Ndifanele ndimfowunele nini ugqirha?
Ukuba unemibuzo okanye iinkxalabo malunga nonyango lwakho okanye ixesha lokuchacha, ungoyiki ukuthetha nogqirha wakho. Kwakhona, ukuba ufumana iimpawu zesifo sentliziyo okanye isifo sohlangothi (umz., iintlungu eziqatha esifubeni, ukuphefumla kancinci, ubunzima bokuthetha, okanye ubuthathaka kwelinye icala lomzimba), yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
I-TEVAR yinkqubela phambili emangalisayo kwisayensi yezonyango. Incede ekunyangeni iimeko ezazikade zisongela ubomi, namhlanje, ngomngcipheko omncinci kakhulu nangomngcipheko omncinci kakhulu. Ukuba wena okanye umntu omaziyo unale meko, ungoyiki ukuthetha nogqirha uze ugqibe ngonyango olungcono kuwe.
Umyalezo Wokuya Ekhaya
- I-TEVAR yindlela yotyando yanamhlanje, engangenisi kakhulu enyanga iimeko ezinzulu ezifana ne-aneurysms okanye ukuqhekeka kwe-aorta yesifuba.
- Oku akubuhlungu kangako, akunaxesha lininzi lokuchacha, kwaye akunabungozi kangako njengotyando lwesiqhelo oluvulekileyo esifubeni.
- Olu tyando lwenziwa ngokufaka isixhobo esikhethekileyo esibizwa ngokuba yi-stent graft ngokusebenzisa umngxuma omncinci owenziwe emqolo.
- Nangona ukuchacha emva kotyando kukhawuleza, uhlolo lwezonyango lonyaka kunye neeskeni ziyimfuneko ebomini bonke .
- Ungaze ungathandabuzi ukuxoxa nogqirha wakho ngayo nayiphi na ingxaki okanye iinkxalabo onazo.
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