Yisiphi lesi sifo lapho imithambo yegazi ixabene khona ngendlela engavamile? (Ukukhubazeka Kwemithambo Emikhulu - AVM) Ake sixoxe!

Wake wezwa ukuthi imithambo yegazi engaphakathi kwemizimba yethu ngezinye izikhathi ingabhidlika ngezindlela ezingavamile, njengebhola lentambo? Lokhu kungase kuzwakale kungavamile, akunjalo? Kodwa, kungenzeka ngempela, futhi kungaba yingozi ngezinye izikhathi. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Arteriovenous Malformation , noma i-AVM . Kalula nje, lokhu kuyiphutha ohlelweni lwemithambo yegazi ethwala igazi emzimbeni wethu.

Kuyini ukukhubazeka kwemithambo yegazi (i-AVM)? Masikuqonde kalula.

Ake sithi sinenethiwekhi yemithambo yegazi emizimbeni yethu yonke. Kunezinhlobo ezimbili eziyinhloko zale mithambo: Imithambo kanye nemithambo . Imithambo injengemigwaqo emikhulu, ithwala igazi elihlanzekile, elinomoya-mpilo lisuka enhliziyweni liye kuzo zonke izingxenye zomzimba, ikakhulukazi ubuchopho. Imithambo injengemithambo emincane ethwala igazi elisetshenzisiwe, elingenawo umoya-mpilo libuyele enhliziyweni.

Ngokuvamile, le migwaqo emikhulu (imithambo yegazi) iphelela kunethiwekhi yemithambo emincane kakhulu, emincane. Sibiza lawa ngama-capillary . Kufana nomgwaqo omkhulu ohlukana ube yimigwaqo emincane eseceleni uma ufika edolobhaneni. Kungala ma-capillary lapho umoya-mpilo nezakhamzimba ezisegazini kufinyelela khona amangqamuzana ethu, futhi imfucuza evela kumaseli ingena egazini. Bese leli gazi libuyela enhliziyweni ngemithambo ebizwa ngokuthi imithambo.

Manje, okwenzekayo kumuntu one-AVM ukuthi ibhuloho le-capillary okufanele libe phakathi komthambo nomthambo lilahlekile. Bese kuthi, igazi elivela emithanjeni, elivela ekucindezelekeni okuphezulu, lixhumeke ngokuzumayo emithanjeni, esetshenziselwa ukucindezela okuphansi. Cabanga ngepayipi elikhulu lamanzi elixhumeka ngokuzumayo epayipini elincane, elinodonga olubuthakathaka. Lokhu kubangela ukuthi imithambo ibe nokucindezela okungabekezeleleki. Lokhu kubhekwa njengebhola elihlangene lemithambo yegazi, njengesidleke senyoni. Ngenxa yalokhu kuxhumana okungavamile, kunethuba elikhulu lokuthi imithambo yegazi iqhume (iqhume) futhi yophe ebuchosheni (iqhume igazi ebuchosheni) .

Ingabe kunezinhlobo ezahlukene zama-AVM? Akhiwa kuphi?

Yebo, singakhuluma kakhulu ngezinhlobo ezimbili ze-AVM:

1. Ama-AVM obuchopho: Lawa avame kakhulu. Angakhula noma kuphi ngaphakathi kobuchopho, ebusweni bobuchopho, esiqwini sobuchopho , noma eduze komgogodla . Lawa ayingozi kancane ngoba ubuchopho buyindawo ebucayi kakhulu.

2. Ama-AVM angaphandle: Lawa angavela noma kuphi emithanjeni yegazi eqhele ngamakhilomitha angu-100,000 emzimbeni. Isibonelo, angakhula ebusweni, ezingalweni, emilenzeni, kanye nasezithweni zangaphakathi njengenhliziyo, isibindi namaphaphu.

Sivame kangakanani lesi simo esibizwa ngokuthi i-AVM?

I-AVM empeleni iyisimo esingavamile kakhulu.Kuthiwa umuntu oyedwa kuphela kubantu abayikhulu lezinkulungwane angaba nayo. Noma ubani angazalwa nayo. Kodwa-ke, odokotela bayithola ivame kakhulu kubantu abaneminyaka ephakathi kuka-20 no-40. Izimpawu zivame ukuvela phakathi kweminyaka engu-30 no-50.

Ziyini izimpawu ze-AVM?

Nansi into ebalulekile. Abanye abantu bangase babe ne-AVM kodwa bangakhombisi zimpawu. Cishe abantu abayi-15% abane-AVM ngeke babe nazimpawu. Esikhathini esiningi, uthola ukuthi une-AVM kuphela ngemva kokuba iqhumile, okusho ukuthi iyopha.

Kodwa-ke, uma kuvela izimpawu, zingaba kanje:

• Ukuquleka, kungaba ngokungazi noma ngokuqaphela. Lokhu kungenzeka ngokuzumayo.
• Ubuhlungu bekhanda obuhlala bukhona. Ngezinye izikhathi lokhu kungaba nzima kakhulu.
• Ubuthakathaka bemisipha noma ukukhubazeka okuphelele.
• Isicanucanu nokuhlanza.
• Ukungazweli noma ukuzwa ukuqaqamba kwezinye izingxenye zomzimba.
• Isiyezi.
• Ubunzima bokuhamba, ubunzima bokukhuluma, ukulahlekelwa yinkumbulo, ubunzima bokucabanga, ukulahlekelwa yibhalansi, noma ukukhubazeka kokubona.
• Izimo ezinjengokudideka kwengqondo, ukubona izinto ezingekho, noma i-dementia.
• Ubuhlungu emhlane. Lokhu kungavela ngokuzumayo futhi kube nzima kakhulu. Kungabangela nomuzwa wokuba ndikindiki kusukela ezinqeni kuya emilenzeni nasezinzwaneni.
• Ukuphefumula kanzima ngesikhathi sokuzikhandla (lokhu kungenzeka uma kukhona i-AVM emaphashini)
• Ukukhwehlela igazi (lokhu futhi kuyisibonakaliso se-AVM yamaphaphu)
• Ubuhlungu besisu.
• Amaqhubu avela ezingalweni, emilenzeni, noma esiqwini.
• Ubuhlungu nokuvuvukala.

Okubalulekile: Cishe abantu abangu-50% abane-AVM yobuchopho bazozwa ukopha ebuchosheni njengophawu lwabo lokuqala. Lokhu kungaholela ekushayweni yisifo sohlangothi kanye nokulimala kobuchopho.

Kungani lawa ma-AVM akheka? Iyini imbangela?

Eqinisweni, ososayensi abakakazi kahle ukuthi kungani ama-AVM ekhula. Kukholelwa kabanzi ukuthi azalwa nawo . Lokhu kusho ukuthi lawa mathambo egazi ayahlangana ngesikhathi sokukhula kombungu, esibelethweni sikamama. Akuvamile kakhulu ukuthi adluliselwe ezizukulwaneni ngezizukulwane, okusho ukuthi angaba yifa .

I-AVM inamuphi umphumela emizimbeni yethu?

Kunezindlela ezintathu eziyinhloko lapho i-AVM ingadala khona umonakalo:

1. Ukopha:Njengoba ngishilo ngaphambili, lapho umfutho wegazi ophezulu ovela emithanjeni udlula ku-AVM, izindonga zemithambo zingase zibe buthaka futhi zingakwazi ukumelana nomfutho. Ngemuva kwalokho imithambo iyaqhuma bese iqala ukopha. Uma leli gazi lingena ezicutshini ezizungezile, lingabangela umonakalo ongapheli . Uma kukhona ukopha okuningi , kungabangela nokufa.

2. Ukucindezela izingxenye zomzimba: Lokhu kuxhumana okungajwayelekile kubangela ukuthi igazi eliningi lihlangane emithanjeni. Imithambo ibe isikhula futhi ingacindezela izicubu ezizungezile, njengobuchopho. Lokhu kunciphisa inani lomoya-mpilo ofinyelela kulezo zingxenye futhi kunciphisa ikhono lohlelo lwe-lymphatic lokususa imfucuza.

3. Ukunciphisa izicubu zomoya-mpilo odingekayo: Ngenxa yokuthi akukho bhuloho lama-capillary phakathi kwemithambo yegazi nemithambo yegazi, izicubu ezisendaweni ye-AVM azitholi umoya-mpilo owanele nezakhamzimba. Ngemuva kwalokho izicubu namaseli ezinzwa kuleyo ndawo angaqala ukufa.

Yiziphi izinkinga ezingaba khona ze-AVM?

Ama-AVM, ikakhulukazi ebuchosheni, angabangela izinkinga ezinkulu ezifana nalezi:

• Ukopha kobuchopho / Isifo sohlangothi : Lena ingozi enkulu ye-AVM. Uma i-AVM iqhuma ngaphakathi kobuchopho, ingabangela ukukhubazeka, ukulimala kobuchopho, noma ukuxhuzula. I-AVM ingacindezela futhi yonakalise izingxenye zobuchopho noma umgogodla.
• Ukuquleka: Isimo esibonakala ngokulahlekelwa ukwazi kanye nokugxumagxuma okungalawuleki kwezitho ngenxa yokusebenza kukagesi okungazelelwe ebuchosheni.
• I-Aneurysm: Udonga olubuthakathaka lomthambo wegazi oluxhunywe noma oluzungezile i-AVM futhi luqhuma njengebhaluni. Lokhu kubangelwa udonga olubuthakathaka lwemithambo yegazi. Lesi simo sibonakala cishe kuma-50% ama-AVM ebuchosheni nasemgogodleni. Lokhu kwandisa ingozi yokuqhekeka kwe-AVM.
• Ukulimala kobuchopho: Lokhu kungathinta izinto ezifana nekhono lokucabanga, inkumbulo, nokuqonda inkulumo.
• Ukuquleka kanye nokufa: Ikakhulukazi uma kukhona ukopha okukhulu ngaphakathi kobuchopho.

Uthola kanjani ukuthi une-AVM?

Uma unezimpawu, udokotela wakho uzoqala akubuze ngazo bese ekwenza ukuhlolwa ngokomzimba. Ngezinye izikhathi, uma kufakwa i-stethoscope phezu kwe-AVM, kuzwakala umsindo wegazi eligijima emithanjeni yegazi.

Ngaphezu kwalokho, izivivinyo zokuthwebula izithombe ezifana nalezi:

• I-MRI (Magnetic Resonance Imaging) Scan: Ukuhlolwa okusebenzisa insimu yamagnetic namagagasi omsakazo.
• I-CT (Computed Tomography) Scan: Isebenzisa ama-X-ray ukuthatha izithombe zomzimba ezihlukaniswe izingxenye.
• I-Catheter Angiography:Kulokhu, udokotela ufaka ithubhu elincane (i-catheter) ngemithambo yegazi engalweni noma esinqeni sakho bese eliqondisa lapho kucatshangwa ukuthi i-AVM ikhona. Ngemuva kwalokho, kufakwa idayi ekhethekile bese kuthathwa ama-X-ray ukuze kuthathwe izithombe ezinemininingwane zemithambo yegazi.

Uma kusolwa ukuthi i-AVM itholakala ebuchosheni, ukuhlolwa okuqondile okufana nalokhu:

• I-Cerebral MRI Angiography (i-Cerebral MRA): Isebenzisa ubuchwepheshe be-MRI ukuthola izithombe ezinemininingwane zemithambo yegazi ebuchosheni nasezindaweni ezizungezile.
• I-CT angiography (CTA): Ubuchwepheshe be-CT bukhiqiza izithombe ezinemininingwane zemithambo yegazi.
• I-Transcranial Doppler ultrasound: Isebenzisa amaza omsindo ukukala ijubane lokugeleza kwegazi ebuchosheni.

Ngenxa yokuthi ama-AVM amaningi awanazo izimpawu, ngezinye izikhathi atholakala ngesikhathi sokuhlolwa okwenziwe ngesinye isizathu (njengokulimala, izinkinga zokubona, noma ikhanda), noma ngemva kokuba izimpawu zivele ngenxa yokopha.

Iphathwa kanjani i-AVM?

Ukwelashwa kwe-AVM kuncike ezintweni eziningana, okuhlanganisa:

• Uhlobo lwe-AVM, ukuthi inkulu kangakanani, ukuthi ikuphi, kanye nohlobo lwemithambo yegazi nemithambo ehilelekile.
• Ingozi yokuqhekeka kwe-AVM.
• Izimpawu zakho.
• iminyaka yakho.
• Impilo yakho iyonke.

Umgomo oyinhloko wokwelashwa ukunciphisa ingozi yokopha okuvela ku-AVM, noma ukuyiphulukisa ngokuphelele. Kunezindlela eziningana zokwelapha. Lokhu kufaka phakathi ukuhlinzwa okuvulekile , ukuvimba kwemithambo yegazi okusekelwe ku-catheter (Embolization) , kanye/noma imisebe egxile ku-AVM . Inketho ngayinye yokwelashwa inezinzuzo nezingozi zayo. Lokhu kuyahlukahluka kuye ngempilo yakho kanye nohlobo lwe-AVM.

Ngokuvamile, ukwelapha i-AVM ngokushesha okukhulu kuyindlela engcono kakhulu yokugwema izinkinga ezinkulu.

I-AVM yawo wonke umuntu ihlukile. Akukho uhlelo lokwelapha oluhleliwe olungakutshela ngqo ukuthi wenzeni. Ithimba lakho lezokwelapha lizokhuluma nawe nomndeni wakho ukuze linqume ukuthi yiluphi ukwelashwa okungcono kakhulu kwesimo sakho.

Ngezinye izikhathi i-AVM isendaweni lapho ukuhlinzwa noma olunye ukwelashwa kuyingozi kakhulu kunokungenzi lutho. Kulesi simo, ithimba lakho lezokwelapha lizoqapha i-AVM yakho eduze ngokuskena okwenziwa ngezikhathi ezithile. Uma i-AVM ikhombisa noma yiziphi izinguquko, njengezimpawu zokopha okwandisiwe, ukwelashwa kungacatshangelwa ngaleso sikhathi.

Imithi

Imithi inganikezwa ukulawula ezinye izimpawu:

• Imithi yokulwa nokuquleka.
• Imithi yokuqeda ubuhlungu bekhanda kanye nobuhlungu bomhlane.
• Imithi yokucindezela kwegazi.

Izindlela zokwelapha (Izinqubo)

Odokotela bangazama enye noma ngaphezulu yalezi zindlela:

1. Ukuhlinzwa kokususa i-AVM: Kulokhu, kwenziwa ukusika okuncane eduze kwe-AVM, imithambo ezungezile kanye nemithambo ivalwe ukuze kuvinjelwe ukuphuma kwegazi, bese kususwa i-AVM. Ngemuva kwalokho, ukugeleza kwegazi kuqondiswa emithanjeni yegazi evamile. Lena ukuphela kwendlela yokwelapha ngokuphelele i-AVM. Ngemva kokuhlinzwa, kwenziwa ukuhlolwa kobuchopho ukuze kubonakale ukuthi i-AVM isusiwe ngokuphelele yini. Kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa futhi udlule isikhathi esifushane sokuvuselelwa.

2. Ukufakwa kwe-Embolization: Kule nqubo, udokotela ufaka i-catheter emthanjeni osesiswini noma engalweni yakho bese eyiqondisa ku-AVM. Uma isifikile lapho, into efana neglue, ama-coil, noma ezinye izinto ziyakhishwa ku-AVM. Lokhu kunciphisa noma kumise ngokuphelele ukopha nge-AVM. Le nqubo ivame ukusetshenziswa uma i-AVM inkulu futhi yopha kakhulu. Ngemuva kwalokho, uma ukuhlinzwa kwenziwa kamuva, i-AVM ingasuswa kalula, kuncishiswe ingozi yokopha. Nakuba ukuhlinzwa kungenziwa ngokushesha, le nqubo inganciphisa ingozi yokopha.

3. Ukuhlinzwa ngemisebe kweGamma Knife®: Kulokhu, imisebe yemisebe egxile kakhulu iqondiswa ku-AVM. Phakathi neminyaka eminingana, i-AVM iyancipha kancane kancane, ibe nezibazi, incibilike, noma ibe ncane ngokwanele ukuba isuswe kalula ngokuhlinzwa. Kudingeka ukuskena ngezikhathi ezithile ukuze kuhlolwe ukuthi i-AVM iyancipha yini.

Izinkinga zokwelashwa

Ukwelashwa kwe-AVM kungabangela izinkinga noma imiphumela emibi efana nalokhu:

• Ukopha.
• Ikhanda elibuhlungu.
• Ukuvuvukala.
• Ukulimala kwezicubu ezizungezile.
• Ukuba ndikindiki kolunye uhlangothi lomzimba.
• Imiphumela enkulumweni, ekuzweni, noma ekuboneni.
• Imiphumela ingase ingaphelele, ingase ingapheli isikhathi eside, noma ingathatha izinyanga ukuthi ivele ngokugcwele.
• Izinkinga ezinkulu ezingakhubaza noma zibulale.

Ingabe ukwakheka kwe-AVM kungavinjelwa?

Cha. Njengoba kukholelwa ukuthi ama-AVM azalwa nawo, awanakuvinjelwa ukwakheka. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezishiwo kulesi sihloko, bona udokotela ngokushesha. Kungcono ukusabela ezimpawini ngokushesha nje lapho zivela.

Yini ongayilindela uma une-AVM?

I-AVM yawo wonke umuntu ihlukile. Uma uhlinzwa futhi i-AVM isusiwe ngempumelelo, uzophulukiswa ngokuphelele kulesi simo.

Imiphumela yezinye izindlela zokwelapha nayo mihle kakhulu, kodwa kuncike ezintweni eziningana:

• Lapho i-AVM itholakala khona.
• Usayizi we-AVM.
• Uhlobo lwe-AVM.
• Iminyaka yakho kanye nempilo yakho jikelele.

Ithimba lakho lezokwelapha lingachaza kangcono kuwe nge-AVM yakho kanye nemiphumela engaba khona.

Okubalulekile:Uma une-AVM futhi ungatholi ukwelashwa, kunobungozi obungu-2-4% ngonyaka bokuthi izophuma igazi. I-AVM eke yaqhuma ngaphambili inethuba elingu-17% ngonyaka lokuqhuma kabusha.

Kufanele ngimbone nini udokotela wami?

Abanye abantu bangase babe ne-AVM izikhathi ezingaphezu kwesisodwa (ukuphindaphinda). Bona udokotela wakho uma uthola izimpawu ezintsha. Ngemva kokwelashwa, kufanele ubonane nodokotela wakho njalo ezinyangeni ezintathu ngonyaka wokuqala. Ngemva konyaka wokuqala, kufanele ubonane nodokotela wakho kanye ngonyaka.

Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?

Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Ikhanda elibuhlungu elibi kakhulu nelingalindelekile ("elibi kakhulu engake ngaba nalo empilweni yami").
• Ukudlikizela.
• Ukuba ndikindiki ezingalweni noma emilenzeni.
• Izinkinga ngokubona, ukulinganisela, inkumbulo, noma ukunaka.

Lezi yizimpawu zesimo esiphuthumayo esisongela impilo. Lokhu kungaba ukopha ebuchosheni.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Eminye imibuzo ongayibuza udokotela wakho:

• I-AVM yami ikuphi emzimbeni wami?
• Iyiphi indlela yokwelapha engcono kakhulu kimi?
• Uma ngingahlinzwanga ngokushesha, kukangaki ngidinga ukubhekwa?

Ingabe i-AVM iyingozi?

Yebo, kungaba njalo. Ingozi enkulu ukopha (ukopha). Uma ngokuzumayo uba nekhanda elibi kakhulu ("okubi kakhulu owake waba nakho empilweni yakho"), shayela ku-119 ngokushesha. Kungaba yi-AVM ephukile ebuchosheni. I-AVM engaqhekekanga inengozi engu-2-4% yokopha ngonyaka. I-AVM ephukile ngaphambilini inethuba elingu-17% lokuphinde iqhekeke ngonyaka.

Ingabe wonke ama-AVM agcina ephuma igazi?

Cha. Amanye ama-AVM awalokothi ophe igazi, futhi angase angabangela izimpawu noma izinkinga zempilo kukho konke ukuphila. Amanye ama-AVM atholakala ngesikhathi sokuhlolwa kwesinye isizathu noma ekuhlolweni kwesidumbu.

Ama-AVM angabangela ezinye izinkinga zempilo ngaphandle kokopha. Amanye ama-AVM akhula abe makhulu angacindezela indawo yezicubu, alimaze leso zicubu, amangqamuzana ezinzwa, namanye amangqamuzana. Uma makhulu futhi esendaweni ebalulekile, ukuntuleka kwama-capillary phakathi kwemithambo yegazi nemithambo yegazi kuvimbela izicubu kuleyo ndawo ukuthi zithole umoya-mpilo, izakhamzimba, kanye nemikhiqizo engcolile. Lokhu kungabangela ukufa kwezicubu.

Ingabe i-AVM ingaba yingozi?

Yebo, kungaba njalo. Ukuthi i-AVM iyingozi futhi inzima kangakanani kuncike ngobukhulu bayo nendawo ekuyo. Uma i-AVM iqhuma futhi ibangele ukopha okukhulu ngaphakathi kobuchopho, ingaba yingozi. Kodwa-ke, abanye abantu abane-AVM abakaze babe nezimpawu noma izinkinga zempilo.

Ungasho ukuthi i-AVM ivelaphi lapho ngizwa khona ubuhlungu ekhanda lami?

Lutho neze.Kungase kube njalo, kodwa isikhathi esiningi, indawo yekhanda ayiqondile endaweni ye-AVM.

Ingabe ingozi inkulu uma owesifazane okhulelwe ene-AVM?

Kwabanye abantu, izimpawu ze-AVM zingase zivele ngokuzumayo noma zibe zimbi kakhulu ngenxa yezinguquko ngesikhathi sokukhulelwa . Ukwanda komthamo wegazi kanye nomfutho wegazi ngesikhathi sokukhulelwa kungandisa ingozi yokopha okuvela ku-AVM.

Ingabe ama-AVM ayabathinta abantwana abancane?

Ama-AVM angabangela izinguquko ezincane zokuziphatha noma ukukhubazeka kokufunda ezinganeni. Lezi zinguquko zingase zenzeke ngaphambi kokuba kuvele izimpawu ezisobala kuze kube yilapho ingane isikhulile kancane (uma kuvela izimpawu).

Ingabe ukuphuma kwegazi ebuchosheni okuvela kuma-AVM kuhlale kubangela ukulimala kobuchopho?

Cha. Ukopha okuncane kakhulu kobuchopho, okubizwa ngokuthi ukopha okuncane , kubangela umonakalo omncane kanye nezimpawu ezimbalwa. Kodwa-ke, uma ukopha okuningi kwenzeka ngokuhamba kwesikhathi, kungandisa ingozi yokuwohloka komqondo futhi kuphazamise izinqubo zokucabanga.

Uyini umehluko phakathi kwe-AVM, i-Aneurysm, i-Hemangioma, i-Cavernous malformation, kanye ne-Fistula?

• I-aneurysm iyisiqhubu esibuthakathaka, esifana nebhaluni emthanjeni wegazi. Ngokuvamile sakha lapho imithambo emibili ihlukana khona. I-aneurysm ingakhula futhi njengenkinga ye-AVM.
• Ama-hemangioma ayizinkinga zemithambo yegazi ezingabonakala esikhumbeni. Aziyona ingozi futhi azidingi ukwelashwa.
• Ukukhubazeka kwe-cavernous nakho kuwuhlobo lwesilonda semithambo yegazi. Ngokungafani nama-AVM, lawa yimithambo yegazi evuzayo, ngokuvamile enamahlule. Angaphuma igazi, kodwa awophi kakhulu njenge-AVM, futhi avame ukubangela izimpawu.
• I-Fistula yigama elijwayelekile lokuxhumana okungavamile phakathi kwemithambo yegazi. Ama-fistula e-arteriovenous angakheka ezicutshini ezimboza ubuchopho nomgogodla. Ama-AVM akheka ngaphakathi kwezicubu zobuchopho. Ama-Fistula avame ukuhlotshaniswa nokulimala kwekhanda noma ukutheleleka kune-AVM.

Nakuba i-arteriovenous malformation (AVM) iyisimo esibucayi sezokwelapha, ukwelashwa kwamanje kusebenza kahle kakhulu. Ithimba lakho lezokwelapha lizoxoxa nawe ngemininingwane ye-AVM yakho - usayizi wayo, indawo yayo - kanye nezinye izici ukuze kunqunywe izinketho zokwelapha ezingcono kakhulu kuwe. Ungesabi ukubuza imibuzo uma kukhona okungacacile. Ukuqonda izinketho zakho kungakusiza wenze izinqumo ezifanele.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sifingqe izinto okufanele sizikhumbule nge-AVM esikhulume ngayo:

• I-AVM iwukuxinana okungavamile kwemithambo yegazi okuxhumanisa imithambo nemithambo ngqo, ngaphandle kwama-capillary, njengesidleke senyoni.
• Lezi yizinto eziza ngokwemvelo.Mhlawumbe, angazi isizathu esiqondile.
• Izimpawu aziveli kuwo wonke umuntu, kodwa izimpawu ezifana nekhanda elibuhlungu, ukuquleka, kanye nokulahlekelwa ukwazi zingase zivele.
• Ingozi enkulu ukopha, ikakhulukazi uma kwenzeka ngaphakathi ebuchosheni. Lokhu kungaholela ekushayweni yisifo sohlangothi.
• Kungatholakala ngokuhlolwa okufana ne -MRI, i-CT scan, kanye ne-angiography .
• Izindlela zokwelapha zifaka phakathi ukuhlinzwa, ukufakelwa kwezicubu, kanye nokuhlinzwa ngemisebe . Udokotela wakho uzonquma ukuthi yikuphi okungcono kakhulu kuwe.
• Uma uzwa ubuhlungu bekhanda obungazelelwe, obukhulu, ukuxhuzula, noma ukulahlekelwa ukwazi, hamba esibhedlela ngokushesha.
• Nakuba lesi kuyisimo esingavamile, kubaluleke kakhulu ukuqaphela.

Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, sicela ufune iseluleko sezokwelapha. Into ebaluleke kakhulu ukungesabi, ukuthola ulwazi olufanele, nokuthatha izinyathelo ezidingekayo.

Ukukhubazeka kwemithambo yegazi , i-AVM, imithambo yegazi yobuchopho, ukopha, ukukhubazeka, ukuxhuzula, ikhanda elibuhlungu