Konke malunga nesixhobo esincinci (iVena Cava Filter) esithintela amahlwili egazi ukuba angafiki emiphungeni

Uyazi ukuba kuyingozi kangakanani ukuba igazi liqhekeke emithanjeni yomzimba wakho, ingakumbi emilenzeni yakho, lize libhajwe emiphungeni yakho? Kwizonyango, oku sikubiza ngokuba yi-'pulmonary embolism'. Oku kunokuba yingozi nakubomi. Ngoko ke namhlanje siza kuthetha ngesixhobo esincinci kodwa esibaluleke kakhulu esisetyenziselwa ukuthintela imeko enobungozi kangaka.

Kalula nje, yintoni le Vena Cava Filter?

Isihluzi seVena Cava sisixhobo esincinci sesinyithi. Ngokuchanekileyo, sifana ne-mesh encinci, okanye isihluzi. Umsebenzi waso ophambili kukubamba amahlwili egazi ahamba ngemithambo yomzimba aze awathintele ukuba aye emiphungeni yakho.

Kukho iintlobo ezimbini eziphambili zemithambo yegazi emzimbeni wethu.

• I-Inferior Vena Cava (IVC): Le ithwala igazi lisuka kwiindawo ezisezantsi zomzimba (ezifana nemilenze nesisu) ukuya entliziyweni.
• I-Superior Vena Cava (SVC): Le ithwala igazi lisuka kwinxalenye ephezulu yomzimba (njengentloko neengalo) ukuya entliziyweni.

Esi sihluzo sibekwe kakhulu kwi -Inferior Vena Cava (IVC) , umthambo omkhulu othwala igazi ukusuka emzimbeni ongezantsi. Yiyo loo nto ezi zibizwa ngokuba yi-`(IVC filters)`. Ukubeka umzekelo olula, cinga ngaso njengokuba sibeka isihluzo kumbhobho wamanzi. Sivumela amanzi ukuba adlule ngaphandle kokuphazanyiswa, kodwa ukungcola emanzini kuhlala kuloo sihluzo. Esi sihluzo senza into efanayo. Nangona sivumela igazi ukuba lihambe liye entliziyweni ngaphandle kokuphazanyiswa, sibamba amahlwili egazi ayingozi ahamba nawo.

Ngabantu abanjani abadinga esi sihluzo?

Asinguye wonke umntu odinga oku. Ugqirha unokucebisa esi sihluzo ngezizathu ezimbalwa ezithile. Ungaqwalaselwa ukuba unegazi elijiyileyo emithanjeni yakho (i-Venous Thromboembolism okanye i-VTE) kunye nenye okanye ezingaphezulu kwezi meko zilandelayo:

Ngaba kukho iintlobo zezi zihluzo?

Ewe, kukho iintlobo ezimbini kuphela.

1. Izihluzo ezisisigxina: Nje ukuba zifakwe, ezi ntlobo zezihluzo azisuswa. Zihlala ubomi bonke. Ezi zihlala zifakwa kubantu abangakwaziyo ukuthatha amayeza okunciphisa igazi kwaye abasengozini enkulu yokufumana iingxaki ezihlala ixesha elide.

2. Izihluzo zexeshana/ezinokufumaneka: Ezi zifakwa kubantu abasengozini yexeshana. Umzekelo, emva kotyando olukhulu. Xa ingozi iphelile kwaye kuqaliswe kwakhona izihluzi zegazi, ezi zihluzo ziyasuswa ngotyando.

Kwenzeka ntoni ngaphambi kotyando?

Kulungile, masithi ugqirha ugqiba ekubeni akufake esi sihluzo. Kukho izinto ezimbalwa ekufuneka uzilungiselele ngaphambi koko.

• Ugqirha wakho uza kukubuza ngembali yakho epheleleyo yempilo. Kuya kufuneka unike inkcazo epheleleyo yazo zonke amayeza owasebenzisayo (kwaneevithamini).
• Amanye amayeza anokufuneka ayekiswe kwiintsuku ezimbalwa ngaphambi kotyando. Umzekelo:
• Izinto ezilwa nokugabha kwegazi
• I-aspirin
• Iipilisi zokubulala iintlungu (ii-NSAID)
• Ugqirha uza kukuxelela ukuba zingaphi iiyure ngaphambi kotyando ekufuneka uyeke ukutya nokusela. Ngokwesiqhelo, uya kucelwa ukuba uyeke ukutya iiyure ezisi-8 ngaphambi kokuba utyandwe kwaye usele iiyure ezi-2 ngaphambi kokuba utyandwe.
• Usenokwenza uvavanyo oluninzi ukujonga impilo yakho, olufana novavanyo lwegazi, i-`Echocardiogram (echo)`, kunye ne-`Electrocardiogram (EKG)`.

Lwenziwa njani olu tyando?

Olu asilotyando olukhulu lokoyika. Lubizwa ngokuba yinkqubo 'engena kakhulu'. Oko kuthetha ukuba akukho zisikeko zinkulu. Ngokwesiqhelo lunokugqitywa malunga neyure.

Nantsi indlela eyenzeka ngayo:

1. Okokuqala, umbhobho we-saline (IV) uza kudityaniswa nomthambo osengalweni yakho.

2. Uza kunikwa isithomalalisi ukuze uhlale uzolile kwaye uphumle.

3. Okulandelayo, indawo apho isihluzo siza kufakwa khona (entanyeni okanye emqolo) iyacocwa kwaye loo ndawo kuphela evalwe amehlo .

4. Ugqirha wenza umngxuma omncinci kwindawo engenanto aze afake umbhobho omncinci obizwa ngokuba yi-catheter emthanjeni.

5. Emva koko, kusetyenziswa uhlobo lwe-X-ray olubizwa ngokuba yi-``Fluoroscopy,'' le tube ikhokelwa ngqo kwi-IVC vein. Ngamanye amaxesha, ulwelo olukhethekileyo olubizwa ngokuba yi-``contrast material'' lunokufakwa ngale tube ukuze lwenze umthambo ubonakale ngokucacileyo.

6. Xa sele ikwindawo efanelekileyo, isihluzo sifakwa kumthambo nge-catheter. Sivuleka ngaphakathi komthambo size sinamathele eludongeni lomthambo.

7. Xa umsebenzi ugqityiwe, i-catheter iyakhutshwa kwaye ibhandeji elincinci libekwa phezu kwe-incision ukuze livalwe.

Kwenzeka ntoni emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa. Iqela lezonyango liza kujonga ukubetha kwentliziyo yakho kunye nokuphefumla kwakho, kwaye liza kukunika amayeza okudambisa iintlungu ukuba uneentlungu.

Kwiimeko ezininzi , ungaya ekhaya ngosuku olufanayo notyando lwakho . Nangona kunjalo, awukwazi ukuqhuba imoto ngokwakho, kufuneka ukhatshwe ngumhlobo okanye lilungu losapho. Kunokubakho ukukruquka nokungakhululeki kwindawo yokusika kangangeentsuku ezimbalwa.

Ngaba ungaphila kungekudala?

Ewe. Isihluzo siqala ukusebenza kwangoko nje ukuba usifake.

• Ukuba isihluzo sifakwe ngemithambo entanyeni yakho , ungaqhubeka nemisebenzi yakho yesiqhelo kwiiyure ezingama-24.
• Ukuba isihluzo sifakwe ngomthambo osesinqeni , kuya kufuneka uziphephe izinto ezithile kangangeentsuku ezimbini.

Nangona kunjalo, ugqirha wakho uza kukunika imiyalelo echanekileyo efanelekileyo kuwe.

Ngaba kukho naziphi na iingozi ezibandakanyekileyo?

Olu tyando ludla ngokuthathwa njengotyando olukhuselekileyo. Nangona kunjalo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu. Amathuba okuba oku kwenzeke mancinci kakhulu, kodwa kulungile ukuzazi.

• I-aleji kwizinto ezichaseneyo ezisetyenzisiweyo kuvavanyo.
• Ukopha okanye usulelo kwindawo yokufaka i-catheter.
• Ukonakala kwemithambo yegazi.
• Ukuqhekeka kwesihluzo.
• Igazi lisenokuba liphumile kwisihluzo laza laya entliziyweni okanye emiphungeni.
• Ukuqhekeka kwegazi kwimithambo ye-IVC (i-IVC thrombosis).

Ezi zinto azifane zenzeke. Ugqirha wakho uza kwenza konke okusemandleni akhe ukunciphisa ezi ngozi.

Ufanele uye nini kugqirha?

Kubaluleke kakhulu ukunyamekela umzimba wakho xa ubuyela ekhaya emva kotyando. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kufuneka ufowunele ugqirha wakho ngoko nangoko .