Masifunde ngesixhobo esincinci (iVena Cava Filter) esithintela amahlwili egazi ukuba angafiki emiphungeni.

Ngamanye amaxesha, amahlwili egazi anokwakheka kwimithambo enzulu yemizimba yethu, ingakumbi emilenzeni. Ukuba la mahlwili egazi ayaphuma apho, ahambe negazi, ahambe entliziyweni, aze abhajwe emthanjeni emiphungeni, kunokuba yimeko eyingozi kakhulu enokuba yingozi nakubomi. Ngoko ke namhlanje siza kuthetha ngesixhobo esikhethekileyo, esincinci esisetyenziselwa abantu abasengozini yoku kwaye abangenakuthatha amayeza okunciphisa igazi.

Kalula nje, yintoni le Vena Cava Filter?

Esi sisixhobo esincinci sesinyithi. Cinga ngaso njengesakhelo sesambrela, okanye i-mesh encinci. Sifakwa ngaphakathi komthambo wegazi omkhulu emzimbeni wethu. Umsebenzi waso ophambili kukuthintela amahlwili egazi akhiwa kwiindawo ezisezantsi zomzimba ukuba angahambi negazi aye emiphungeni. Sifana nesihluzo esifakwa kumbhobho wamanzi ukunqanda ukungcola. Sivumela igazi ukuba lidlule ngaphandle kokuphazamiseka, kwaye sibamba amahlwili egazi kuphela.

Kukho iintlobo ezimbini eziphambili zezi zihluzo:

• Isihluzo se-Inferior Vena Cava (IVC): Le yeyona isetyenziswa kakhulu. I-Inferior Vena Cava ngumthambo ophambili othwala igazi ukusuka kwinxalenye esezantsi yomzimba wethu (njengemilenze nesisu) ukuya entliziyweni. Ngoko ke, esi sihluzo sifakwa ngaphakathi kwesi sihluzo ukuze kuthintelwe ukwakheka kwamahlwili egazi emilenzeni.
• Isihluzi seSuperior Vena Cava (SVC): Esi sisetyenziswa rhoqo. Sisetyenziswa xa kukho umngcipheko wokuqhekeka kwegazi emthanjeni othwala igazi lisuka kwinxalenye ephezulu yomzimba (njengeengalo, intamo, okanye intloko) ukuya entliziyweni.

Ngubani ofuna esi sihluzo se-IVC?

Ugqirha unokucebisa isihluzo se-IVC ngezizathu ezithile. Asinguye wonke umntu ofumana ihlwili legazi oya kuyidinga. Usenokufuna ukuqwalasela esinye ukuba unenye yezi meko zilandelayo:

• Ukuba unemeko apho igazi liqhekeka khona emithanjeni yakho, ebizwa ngokuba yiVenous Thromboembolism (VTE) , kwaye...
• Ukuba awukwazi ukuthatha amayeza okunciphisa igazi, kusenokwenzeka ukuba unenye ingxaki yempilo eyonyusa umngcipheko wakho wokopha, okanye ngenxa yokuba une-allergy kumayeza.
• Ukuba usenamahlwili egazi aphindaphindayo , nangona usela amayeza okunciphisa igazi.
• Ukuba sele ukhe wavela okanye ngoku unegazi elijiyileyo kumthambo onzulu emlenzeni wakho, oko kukuthi, i-Deep Vein Thrombosis (DVT) .
• Ukuba ukhe waba ne- pulmonary embolism , igazi elijiyileyo emiphungeni, kwaye kukho umngcipheko omkhulu wokuba iphinde yenzeke.

Olu tyando lwenziwa njani?

Olu asilotyando olukhulu. Ludla ngokugqitywa kwisithuba esingangeyure.

Ngaphambi kotyando

Ugqirha wakho uza kukubuza ngembali yakho yempilo. Kuya kufuneka ubaxelele ngazo zonke iziyobisi ozisebenzisayo. Basenokukucela ukuba uyeke ukusebenzisa i-aspirin okanye amayeza okunciphisa igazi kangangeentsuku ezimbalwa. Banokukucebisa nokuba uyeke ukutya nokusela iiyure ezimbalwa ngaphambi kotyando. Banokwenza uvavanyo lwegazi, i-ECG, kunye ne-echocardiogram.

Ngexesha lotyando

1. Okokuqala, i-saline (IV) iya kufakwa emthanjeni osengalweni yakho.

2. Ndiza kukunika iyeza lokukuthomalalisa nokukwenza uzive unesizungu.

3. Iyeza lokudambisa iintlungu lifakwa kwindawo apho isihluzo siza kufakwa khona (ngesiqhelo entanyeni okanye emqolo).

4. Emva koko, kwenziwa umngxuma omncinci kakhulu, kwaye ityhubhu encinci ebizwa ngokuba yi-catheter idluliselwa kuyo ngomthambo ukuya kwindawo ekuyo iVena Cava.

5. Ugqirha uza kusebenzisa indlela ekhethekileyo ye-X-ray (i-fluoroscopy) ukujonga ukuba ityhubhu ikwindawo efanelekileyo na. Angayifaka ulwelo olukhethekileyo (izinto ezichaseneyo) ukuze enze umthambo ubonakale ngakumbi.

6. Xa sele ikwindawo efanelekileyo, isihluzo sifakwa nge-catheter size sibekwe apho. Isihluzo siyavuleka ngaphakathi size sinamathele eludongeni lomthambo.

7. Xa umsebenzi ugqityiwe, i-catheter iyasuswa kwaye i-incision ivalwe ngebhandishi.

Zithini iingozi kunye nokhathalelo emva kotyando?

Emva kotyando, kuya kufuneka uhlale esibhedlele iiyure ezimbalwa. Ukuba unentlungu, uya kunikwa amayeza okudambisa iintlungu. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye. Kodwa uya kufuna umntu oza kukuyisa ekhaya.

Nangona olu lutyando olukhuselekileyo kakhulu, kukho iingozi ezithile ezinokwenzeka rhoqo.

• Ukwaliwa lulwelo olukhethekileyo (umahluko) olufakwe kwi-aleji.
• Ukopha okanye usulelo kwindawo yokusikwa.
• Ukonakala komthambo wegazi.
• Ukusuka kwindawo yokufaka isihluzo uye entliziyweni okanye emiphungeni.
• Ukuqhekeka kwesihluzo .
• Ukuvaleka komthambo apho kufakwa khona isihluzo (IVC thrombosis) .

Ezi ngozi ziphantsi kakhulu, kodwa kubalulekile ukuba uzazi.

Ukuchacha

Isihluzo siqala ukusebenza kwangoko emva kokufakwa. Kunokubakho ukukruquka kunye nokungakhululeki kwindawo yokusikwa kangangeentsuku ezimbalwa. Ukuba sifakwe ngentamo, ungaqhubeka nemisebenzi eqhelekileyo malunga neeyure ezingama-24. Ukuba sifakwe nge-groin, ugqirha ukucebisa ukuba uphephe imisebenzi efana nokunyuka izinyuko, ukuqhuba, kunye nokuphakamisa iintsimbi kangangeentsuku ezimbini.

Ukuba sisihluzo sexeshana (esinokufumaneka), kubaluleke kakhulu ukusisusa ngokukhawuleza, xa umngcipheko wokuqhekeka kwegazi unciphile, okanye xa kuqalwa izinto zokunciphisa igazi. Kuba ukuba isihluzo sishiywe emzimbeni ixesha elide, umngcipheko weengxaki esizixubushileyo ngaphambili uyanda.