Cabanga nje uma omunye wemithambo yegazi emzimbeni wakho uphuma igazi njalo, noma mhlawumbe isimila sikhula usuku nosuku ngoba umthambo wegazi uwuphakela. Esikhathini esidlule, ukwelapha izimo ezinjalo kwakuvame ukudinga ukuhlinzwa okukhulu okuhlanganisa ukusikwa okukhulu. Kodwa-ke, ngenxa yentuthuko kwezokwelapha , manje sinenqubo emangalisayo esivumela ukuthi sifinyelele umthambo othize ngembobo encane futhi siwuvale ngaphandle kwesidingo sokusikwa okukhulu. Namuhla, sixoxa ngenqubo abaningi abangase bangayizwa, kodwa ebaluleke kakhulu: Ukufakwa kwe-Embolization.
Kalula nje, kuyini i-Embolization?
Ukufakwa kwe-embolization kuyindlela yezokwelapha engangenisi kakhulu . Umgomo uwukuvala ngamabomu umthambo wegazi othize emzimbeni wakho. Cabanga ngakho njengokufaka ipulaki epayipini lamanzi ukuze umise ukugeleza kwegazi; yilokho esikwenzayo lapha.
Lokhu kungaba inqubo ehleliwe, lapho udokotela wakho ekuxilonga khona bese ebeka usuku kusengaphambili. Kodwa-ke, ezimweni zezimo eziphuthumayo zezokwelapha—njengokulimala okukhulu noma ukopha kakhulu—kungenziwa futhi njengendlela yokungenelela ephuthumayo esindisa impilo .
I-Embolization ingakusiza kanjani?
Le nqubo inikeza izixazululo zesikhashana noma ezihlala njalo ezinkingeni eziningi zezempilo. Isetshenziswa kakhulu:
- Imithambo yegazi engavamile ehlukene: Ngezinye izikhathi, imithambo yegazi nemithambo yegazi kungabhidlika ngendlela engajwayelekile. Le ndlela ivala lokhu kuxhumana okungajwayelekile.
- Ukuvimbela ukuhlinzekwa kwegazi ezinhlamvini: Ngokuvimba imithambo yegazi ephakela izimila ezinomdlavuza noma ezingengozini, siqeda izakhamzimba zesimila, okungabangela ukuthi sinciphe noma siyeke ukukhula ngokuphelele.
- Misa noma uvimbele ukopha okukhulu: Kuyindlela ephumelela kakhulu yokulawula ukopha kwangaphakathi noma kwangaphandle.
Yiziphi izimo zezokwelapha ezisebenzisa i-Embolization?
Lokhu kwelashwa kusetshenziselwa izimo ezahlukahlukene emzimbeni wonke. Ithebula elingezansi linikeza umbono ocacile.
| Isimo | Incazelo Elula |
|---|---|
| Ukukhubazeka Kwemithambo Yemithambo (AVM) | Ukuhlangana okungavamile kwemithambo yegazi nemithambo yegazi okungenzeka ebuchosheni noma kwezinye izingxenye zomzimba. |
| Ama-Aneurysms obuchopho | Udonga lwemithambo yegazi ebuchosheni olubuthakathaka oluvuvukala njengebhaluni. Uma luqhuma, lusongela ukuphila. |
| Amathumba Aphumayo | Amanye amathumba ayopha; ukuvimba ukugeleza kwegazi lawo kusiza ekulawuleni lokhu kuphuma kwegazi. |
| Ukopha Kwempumulo Okungapheli (i-Epistaxis) | Ukopha kwamakhala okunzima, okuphindaphindayo okungenakuxazululwa ngezindlela zokwelapha ezijwayelekile. |
| Ukopha Kwamathumbu | Ukopha okubangelwa izilonda, i-diverticulosis, noma ezinye izinkinga zomgudu wokugaya ukudla. |
| Ukopha Okukhulu Kokuya Esikhathini | Ukopha ngokweqile nokuthatha isikhathi eside ngesikhathi sokuya esikhathini. |
| Ama-Fibroid esibeletho | Ukukhula okungewona umdlavuza; ukuvimba ukutholakala kwegazi kuyabasiza ukuba banciphe. |
| Ukopha Kwangaphakathi Okubuhlungu | Ukuvimba ukopha ezithweni zomzimba ezifana ne-spleen, isibindi, noma amaphaphu ngemva kwengozi. |
| I-Varicocele | Imithambo evuvukele ngaphakathi kwe-scrotum engabangela ubuhlungu noma ukungakhululeki kwabesilisa. |
Le nqubo yenziwa kanjani futhi ngobani?
Le nqubo yenziwa yi- Interventional Radiologist . Lona udokotela ochwepheshe osebenzisa ubuchwepheshe obuthuthukisiwe be-X-ray kanye ne-imaging ukuze ahambe ngaphakathi emzimbeni wakho, enza ukwelashwa okuyinkimbinkimbi esebenzisa amathuluzi amancane nanembile ngaphandle kokudinga ukuhlinzwa okuvulekile.
Kalula nje, udokotela wenza ukusika okuncane esihlakaleni sakho, embotsheni, noma entanyeni. Ngalesi simbobo, ithubhu elincane neliguquguqukayo elibizwa ngokuthi i-catheter liqondiswa ngemithambo yegazi yakho kuze kufike endaweni eqondile yenkinga. Yonke inqubo iqashwa esikrinini se-X-ray. Uma i-catheter isisendaweni yayo, izinto ezikhethekile ezaziwa ngokuthi 'ama-embolic agents' ziyakhishwa ukuze zivale imithambo yegazi.
Ayini ama-Embolic Agents?
Uhlobo lwezinto ezisetshenziswa ukuvimba umkhumbi luncike ngokuphelele esimweni sakho esithile kanye nezici zomkhumbi odinga ukwelashwa.
- Amabhaluni Amancane: Lawa amabhaluni amancane, afuthwayo aqondiswa emthanjeni wegazi. Asetshenziselwa ukuvimba umthambo okwesikhashana noma unomphela.
- I-Gelatin Foam: Indwangu efana nesiponji encibilika ngokuphephile emzimbeni wakho ngemva kwezinsuku ezimbalwa.
- Iglue Ewuketshezi: Inhlaka ekhethekile eqina ngokushesha ukuze ivale imithambo yegazi engavamile noma enenkinga.
- Amakhoyili Ensimbi: Amakhoyili amancane, aklanywe ngokunemba enziwe ngensimbi engagqwali noma iplatinum. Lawa abekwa lapho kudingeka khona ukuvimba umkhumbi ngempumelelo.
- Izinto Eziyinhlayiya: Izinhlayiya ezincane, eziyindilinga ezinobukhulu obuhlukahlukene ezisetshenziselwa ukuvala unomphela imithambo yegazi emincane.
Kwenzekani ngesikhathi nangemva kwenqubo?
Yini okufanele uyenze ngaphambi kwenqubo?
Ngaphambi kokwelashwa kwakho, udokotela wakho waseNirogi Lanka cishe uzocela ukuhlolwa kwezithombe njenge- Ultrasound, CT, noma i-MRI scan.ukuze uthole imephu ecacile yemithambo yegazi yakho kanye nokugeleza kwegazi. Uma uthatha noma yimiphi imithi enciphisa igazi , ungase utshelwe ukuthi uyiyeke ezinsukwini ezimbalwa ngaphambi kwenqubo.
Kwenzekani ngesikhathi senqubo?
1. Uzonikezwa umuthi wokudambisa ubuhlungu omncane ukuze uphumule (uzobe uphapheme kodwa ukhululekile), futhi indawo lapho kuzofakwa khona i-catheter izoncishiswa nge-anesthetic yendawo.
2. Uchwepheshe wakho uzokwenza ukusika okuncane kakhulu esikhumbeni sesihlakala sakho, imbobo, noma intamo.
3. Ipayipi elincane neliguquguqukayo elibizwa ngokuthi i-catheter lizofakwa emthanjeni wegazi bese liqondiswa endaweni eqondiwe kusetshenziswa i-fluoroscopy (isithombe se-X-ray sangempela).
4. Kuzofakwa idayi ekhethekile yokuhlukanisa nge-catheter ukuze kugqanyiswe imithambo yegazi yakho futhi kutholakale umthombo oqondile wokopha noma umthambo ozophathwa.
5. I-embolic agent ekhethiwe (njenge-coils, i-glue, noma izinhlayiya) iyalethwa, futhi udokotela wakho uzoqinisekisa ukuthi ukugeleza kwegazi kuvinjelwe ngempumelelo.
6. Uma isiqediwe, i-catheter iyasuswa, bese kufakwa ibhandishi elincane phezu kwendawo yokungena. Akudingeki ukuchezuka okukhulu noma ukuthungwa.
Akufanele uzizwe ubuhlungu obukhulu ngesikhathi senqubo. Ungase uzizwe ulunywa kancane lapho kunikezwa umuthi wokubulala izinzwa, futhi ungase uzwe umuzwa ofudumele wesikhashana lapho kufakwa idayi yokuhlukanisa.
Izinzuzo kanye Nezingozi Zokugonywa
Ziyini izinzuzo?
Ukufakelwa kwe-embolization kunezinzuzo eziningana ngaphezu kokuhlinzwa okuvulekile kwendabuko:
- Ukulawulwa okusheshayo kokopha ngamazinga aphezulu empumelelo.
- Akudingi ukuhlinzwa okuvulekile; ngoba kudinga ukubhobozwa okuncane kuphela kunokusikwa okukhulu, ukulahlekelwa igazi kuncane kakhulu.
- Izikhathi zokululama ezisheshayo, lapho iziguli eziningi zibuyela emisebenzini evamile zingakapheli isonto.
- Isikhathi sokuhlala esibhedlela esincishisiwe.
Ingabe zikhona izingozi?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezingaba khona, yize zingavamile. Udokotela wakho uzoxoxa nawe ngalokhu ngokuningiliziwe kusengaphambili.
| Ingozi Engaba Khona | Incazelo Elula |
|---|---|
| Ukusabela kokungezwani komzimba nodayi | Ezinye iziguli zingase zibe nokusabela okuncane kokungezwani komzimba nodayi wokungafani osetshenziswayo. |
| Ukopha noma ukuphuka endaweni | Ukopha okuncane noma ukuklwebheka kungenzeka lapho kufakwe khona i-catheter. |
| Ukufuduka kwe-embolic agent | Akuvamile kakhulu ukuthi izinto ezisetshenziswa ukuvimba umkhumbi zikwazi ukuthuthela kwenye indawo. |
| Ukutheleleka | Njenganoma iyiphi inqubo, kunengozi encane yokutheleleka. |
| Ukulimala kwemizwa (i-Neuropathy) | Kukhona ingozi encane kakhulu yokulimala kwemizwa eseduze. |
| Izinkinga zokushaya kwenhliziyo noma zokubona | Uma welapha imithambo yekhanda noma yentamo, kunengozi engavamile kakhulu yokushaywa yisifo sohlangothi noma ukushintsha kombono uma umuthi uhamba ngokungazelelwe. |
Yini okufanele uyiqaphele ngesikhathi sokululama?
Iningi leziguli kuzodingeka lihlale esibhedlela okungenani ubusuku obubodwa ngemva kwenqubo, lapho uzonikezwa khona ukuphathwa kobuhlungu njengoba kudingeka.
Uma usubuyile ekhaya, kufanele uphumule izinsuku ezimbalwa futhi unciphise umsebenzi wakho womzimba.
- Uma inqubo yenziwa nge-groin: Gwema ukukhuphuka izitebhisi noma ukunyakaza ngokweqile isikhashana esifushane.
- Uma inqubo yenziwa ngesihlakala: Gwema imisebenzi ecindezela isandla, njengokuthayipha noma ukubhala kakhulu, izinsuku ezimbalwa.
Gwema ngokuqinile ukuphakamisa izinto ezisindayo. Kodwa-ke, ukuhamba kancane kancane kungasiza ekuvimbeleni amahlule egazi. Ukugcina indawo yokungena ihlanzekile nokufaka iqhwa ukunciphisa noma yikuphi ukuvuvukala nakho kubaluleke kakhulu.
Uma uhlangabezana nalezi zimpawu, xhumana nodokotela wakho ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya, xhumana nodokotela wakho ngokushesha . Uma kwenzeka isimo esiphuthumayo, iya ngqo eGumbini Lezimo Eziphuthumayo eliseduze (ER) noma ushayele u-911 .
| Izimpawu Zesixwayiso Okufanele Uziqaphele | |
|---|---|
| Izimpawu Zokutheleleka | Umkhuhlane, noma ukubomvu kanye nokushisa endaweni yokuhlinzwa. |
| Izimpawu Zegazi Eligobile | Ubomvu, ukuvuvukala, noma ubuhlungu obungapheli embotsheni noma emlenzeni wakho. |
| Ukopha Okukhulu | Ukopha okungalawuleki endaweni yokusikwa. |
| Ubunzima Bokuphefumula | Ukuqala ngokuzumayo kokuphelelwa umoya. |
| Iqhubu Esizeni | Isigaxa esibuhlungu noma esikhula ngokushesha eduze kwendawo yokungena. |
| Ukucanuzela/Ukuhlanza Okuqhubekayo | Ukungakwazi ukugcina uketshezi noma ukudla kunganele. |
Umyalezo Wokuya Ekhaya Ovela eNirogi Lanka
- Ukufakwa kwe-embolization kuyindlela ethuthuke kakhulu, engangenisi kakhulu igazi eyenzelwe ukuvimba imithambo yegazi ethile ngokuphephile ngaphandle kwesidingo sokuhlinzwa okuvulekile kwendabuko.
- Sisebenzisa le ndlela ukwelapha izimo ezahlukahlukene, okuhlanganisa ukopha okukhulu, izimila, ama-uterine fibroids, kanye nama-AVM.
- Ngenxa yokuthi ayihlaseli kakhulu, cishe uzozwa ubuhlungu obuncane kanye nesikhathi sokululama esisheshayo uma kuqhathaniswa nokuhlinzwa okuvulekile.
- Njenganoma yikuphi ukungenelela kwezokwelapha, kunezingozi ezingaba khona. Sicela uzizwe ukhululekile ukuxoxa ngazo zonke izinkinga zakho ngokukhululekile nodokotela wakho ngaphambi kwenqubo.
- Uma uhlangabezana nanoma yiziphi izimpawu ezikukhathazayo ngemva kokwelashwa kwakho, xhumana nodokotela wakho ngokushesha. Uma kwenzeka isimo esiphuthumayo sezokwelapha, shayela u-911 noma uvakashele umnyango wezimo eziphuthumayo oseduze nawe ngokushesha.
ukuvalwa kwemithambo yegazi, ukwelashwa okungangenisi kakhulu, ama-fibroids esibeletho, i-AVM, ukuvalwa kwemithambo yegazi, i-radiology yokungenelela
