Cabanga ukuthi umthambo wegazi emzimbeni wakho uphuma igazi njalo, noma ukuthi umthambo ohambisa igazi esimila ukhula usuku nosuku. Esikhathini esidlule, lolu hlobo lwento bekufanele luphathwe ngokwenza ukuhlinzwa okukhulu nokusika indawo. Kodwa manje, ngenxa yokuthi isayensi yezokwelapha isithuthukile, kunendlela emangalisayo ekuvumela ukuthi ungene emzimbeni ngembobo encane futhi 'uvale' kuphela lowo mthambo wegazi othize. Namuhla, sikhuluma ngale ndlela yokwelapha ebizwa ngokuthi i-Embolization, abantu abaningi abangakaze bayizwe, kodwa ibaluleke kakhulu.
Kalula nje, kuyini ukwenziwa kwe-embolization?
Ukufakwa kwe-embolization kuyindlela yezokwelapha engangenisi kakhulu . Kuhilela ukuvimba noma ukuvala umthambo wegazi othize emzimbeni. Ake sithi sifaka okuthile ngaphakathi kwepayipi lamanzi ukuze simise ukugeleza kwamanzi. Kulungile, yilokho okwenzekayo lapha.
Lokhu kungaba ukwelashwa okuhleliwe kusengaphambili ngezinye izikhathi. Okusho ukuthi, into udokotela angayenza ngemva kokukuhlola nokusebenzisa ishejuli. Kodwa ngezinye izikhathi, njengasesimweni esiphuthumayo, lokhu kungadingeka kwenziwe njengokwelashwa okuphuthumayo ukuze kumiswe ukopha ngokweqile.
Yiluphi usizo esilutholayo ngokufakwa kwe-embolization?
Ngale ndlela yokwelapha, singathola izixazululo zesikhashana noma ezihlala njalo zezinkinga eziningi emzimbeni wethu. Ngokuyinhloko, lokhu kuphumela ku:
- Ukuvula imithambo yegazi exhumene ngendlela engajwayelekile: Ngezinye izikhathi imithambo yegazi nemithambo emzimbeni wethu kungahlangana ngendlela engajwayelekile. Le nqubo ivala lezo zixhumanisi ezixhumene ngendlela engajwayelekile.
- Ukunciphisa ukuphakelwa kwegazi ezinhlambini: Lapho imithambo yegazi ephakelwa izinhlambini ezinomdlavuza kanye nezinye izinhlobo ezingavamile ivalekile, izinhlambini ziyancipha izakhamzimba. Zingase zinciphe noma ziyeke ukukhula.
- Ukuvimba noma ukuvimbela ukopha ngokweqile: Lena indlela ephumelela kakhulu yokuvimbela ukopha ngokweqile, kungaba ngaphakathi noma ngaphandle komzimba.
Yiziphi izimo eziphathwa nge-embolization?
Lokhu kwelashwa kusetshenziselwa izimo ezahlukahlukene ezingathinta cishe noma iyiphi ingxenye yomzimba. Ungathola umbono omuhle ngakho kuthebula elingezansi.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukuxhumana okungajwayelekile kwemithambo yegazi kanye nemithambo yegazi (Ukukhubazeka kwemithambo yegazi - AVM) | Imithambo yegazi (imithambo yegazi kanye nemithambo yegazi) iyahlangana. Lokhu kungenzeka ebuchosheni noma kwenye indawo emzimbeni. |
| Ama-aneurysms obuchopho | Ubuthakathaka bodonga lomthambo wegazi ebuchosheni, okubangela ukuba luvuvuke njengebhaluni. Lokhu kungaba yingozi kakhulu uma luqhuma. |
| Izimila eziphuma igazi kanye nezinye izimila | Eminye imidlavuza kanye nezimila ziyaphuma igazi. Ukopha kwegazi kulawulwa ngokuvala umthambo wegazi owunikezayo. |
| Ukopha impumulo okuvamile (i-Epistaxis) | Ukopha kwamakhala okuvamile, okunzima okungenakukwazi ukulawulwa ngezinye izindlela zokwelapha. |
| Ukopha kwamathumbu | Ukopha okubangelwa yizimo ezifana nezilonda zesisu noma i-diverticulosis. |
| Ukopha okukhulu kokuya esikhathini | Ukopha kakhulu nokuqhubeka isikhathi eside esikhathini kwabesifazane. |
| Ama-fibroids esibeletho | Lezi yizimila ezingezona ezomdlavuza. Ukuvimba imithambo yegazi ezihlinzeka ngazo kunciphisa izimila. |
| Ukopha kwangaphakathi okubangelwa izingozi | Ukuvimbela ukuphuma kwegazi okubangelwa ukulimala kwezitho zomzimba ezifana ne-spleen, isibindi namaphaphu. |
| Ukuvuvukala kwemithambo emasendeni (i-Varicocele) | Isimo lapho imithambo ezungeze amasende amadoda ivuvukala futhi ibe buhlungu. |
Lokhu kwelashwa kusebenza kanjani? Ngubani okwenzayo?
Lokhu kwelashwa kwenziwa yi- Interventional Radiologist . Okusho ukuthi, uchwepheshe osebenzisa ubuchwepheshe bokuskena njenge- X-ray ukuze abone ngaphakathi emzimbeni, futhi osebenzisa amathuluzi abucayi kakhulu ukwenza ukwelashwa ngaphandle kokuhlinzwa okukhulu.
Kalula nje, uzovula imbobo encane kakhulu esikhumbeni sakho, njengesihlakala sakho, imbobo, noma intamo. Ngemuva kwalokho, ngaleyo mbobo, ithubhu elincane kakhulu neliguquguqukayo elibizwa ngokuthi i -catheter lifakwa ngentambo emthanjeni wegazi liye endaweni edinga ukwelashwa. Konke lokhu kwenziwa ngaphansi kwesiqondiso sesibuko esifana ne-X-ray. Uma seliqondiswe ngqo, izinto ezikhethekile (ama-embolic agents) zifakwa nge-catheter ukuze kuvalwe umthambo wegazi.
Yiziphi izinto ezisetshenziswayo ukuvimba imithambo yegazi?
Izinto ezisetshenziswayo zizohluka kuye ngesimo sakho sezempilo kanye nohlobo lomthambo wegazi okudingeka uvalwe.
- Amabhaluni: Amabhaluni amancane kakhulu angafuthwa ngokuwafaka emthanjeni wegazi. Lawa asetshenziselwa ukuvala umthambo okwesikhashana noma unomphela.
- I-Gelatin foam: Into efana nesiponji encibilika emzimbeni zingakapheli izinsuku ezimbalwa.
- Iglue ewuketshezi: Uhlobo olukhethekile lweglue oluqina ngokushesha futhi olusetshenziselwa ukuvala imithambo yegazi engajwayelekile.
- Amakhoyili ensimbi: Amakhoyili amahle kakhulu ensimbi enziwe ngensimbi engagqwali neplatinum. Lawa angabekwa ngokunembile ukuze avimbe umthambo.
- Izinto ezibangela izinhlayiya: Izinhlayiya eziyisiyingi ezinobukhulu obuhlukahlukene. Lezi zivimba unomphela imithambo yegazi emincane.
Kwenzekani ngesikhathi sokwelashwa nangemva kwalokho?
Yini okufanele ngiyenze ngaphambi kokwelashwa?
Udokotela wakho cishe uzoyala ukuskena okuningana, njenge -ultrasound, i-CT scan, noma i-MRI , ukuze aqonde kangcono imithambo yegazi yakho kanye nokugeleza kwegazi ngaphambi kokwelashwa. Futhi, uma uthatha imithi ethile, njengemithi yokunciphisa igazi , ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
1. Okokuqala, uzonikezwa umuthi wokudambisa umzimba ukuze ulale kancane. Ngemuva kwalokho, indawo lapho kuzofakwa khona i-catheter kuphela ezoncishiswa.
2. Ngemuva kwalokho, uchwepheshe wenza ukusika okuncane esikhumbeni sengalo, i-groin, noma intamo.
3. I-catheter ifakwa emthanjeni wegazi ngaleyo mbobo bese iqondiswa endaweni oyifunayo yokwelashwa, kusetshenziswa ubuchwepheshe be-X-ray obubizwa ngokuthi i-fluoroscopy .
4. Ukuze kubonakale kahle imithambo yegazi kanye nokugeleza kwegazi, kufakwa udayi okhethekile (udayi ohlukile) nge-catheter.
5. Ngemuva kwalokho, i-embolic agent esikhulume ngayo ngaphambili (into efana ne-wire coil, i-gum, izinhlayiya) iyajovwa bese kuqiniswa ukopha.
6. Uma inqubo isiqediwe, i-catheter iyasuswa bese kufakwa ibhandishi elincane endaweni yokubhoboza. Akudingeki ukuhlikihlwa okukhulu noma ukuthungwa.
Ngeke uzwe ubuhlungu obukhulu phakathi nalokhu kwelashwa. Ungase uzwe umuzwa omncane wokucasuka lapho umuthi oqeda izinhlungu ujovwa. Ungase uzwe nokufudumala okuncane njengoba udayi ungena emzimbeni wakho.
Izinzuzo kanye nezingozi zokwelashwa nge-embolization
Ziyini izinzuzo zalokhu kwelashwa?
Ukwelashwa nge-embolization kuzuzisa kakhulu kunokuhlinzwa okuvamile okuvulekile.
- Ukopha kungalawulwa ngokushesha futhi ukwelashwa kuphumelele kakhulu.
- Akunamthelela omkhulu emzimbeni njengokuhlinzwa okuvulekile. Kukhona imbobo encane esikhundleni sokusikwa okukhulu, ngakho-ke kukhona ukopha okuncane.
- Isikhathi sokululama sifushane, futhi abantu abaningi bangaqhubeka nemisebenzi yabo evamile phakathi nesonto .
- Isikhathi esichithwa esibhedlela sifushane.
Ingabe zikhona izingozi kulokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile ezihilelekile. Kodwa-ke, lokhu akunakwenzeka. Udokotela wakho uzokuchazela konke lokhu kusenesikhathi.
| Ingozi engaba khona | Incazelo elula |
|---|---|
| Ukungezwani komzimba nodayi | Abanye abantu bangase babe nokungezwani komzimba nodayi wokwehlukanisa osetshenziswa ngesikhathi sokwelashwa. |
| Ukopha noma ukuphuka endaweni yokubhoboza | Kungase kube nokopha noma ukuklwebheka lapho kufakwe khona i-catheter. |
| I-embolic agent iya endaweni engafanele | Akuvamile kakhulu ukuthi izinto ezisetshenziswa ukuvala umthambo wegazi zingaphuma ziye kwenye indawo. |
| Izifo | Njenganoma iyiphi inqubo yezokwelapha, kunengozi encane yokutheleleka. |
| Ukulimala kwemizwa (i-Neuropathy) | Kunethuba elincane kakhulu lokulimala kwemizwa eduze nendawo yokwelashwa. |
| Isifo sohlangothi noma ubumpumputhe | Uma i-embolic agent ingena emthanjeni wegazi ebuchosheni ngesikhathi sokwelashwa kwekhanda, isifo sohlangothi noma ukukhubazeka kokubona kungase kwenzeke kaningi. |
Yini okufanele uyiqaphele ngesikhathi sokululama?
Kuzodingeka uhlale esibhedlela okungenani ubusuku obubodwa ngemva kokwelashwa. Phakathi nalesi sikhathi, uzonikezwa imithi yokwelapha izinhlungu.
Ngemva kokufika ekhaya, kufanele uphumule kahle izinsuku ezimbalwa futhi unciphise umsebenzi womzimba.
- Uma ubhoboza imbobo: Nciphisa imisebenzi yakho njengokukhuphuka nokwehla izitebhisi.
- Uma ubhoboza ingalo: Yeka ukwenza imisebenzi enzima njengokubhala nokuthayipha izinsuku ezimbalwa.
Imisebenzi enzima njengokuphakamisa izinsimbi kufanele igwenywe ngokuphelele. Kodwa-ke, ukuhamba ngezinyawo okufushane nsuku zonke kungasiza ekuvimbeleni izinkinga ezifana nokuqhekeka kwegazi. Kubalulekile futhi ukufaka iqhwa endaweni yokubhoboza ukuze unciphise ukuvuvukala nokugcina inxeba lihlanzekile.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuya ekhaya ekwelashweni, kufanele wazise udokotela wakho ngokushesha . Uma kwenzeka isimo esiphuthumayo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Izimpawu zokutheleleka | Umkhuhlane, ukubomvu noma ukufudumala endaweni elashwe ngayo. |
| Izimpawu ze-clot yegazi | Ubomvu, ukuvuvukala, noma ubuhlungu embotsheni noma emlenzeni. |
| Ukopha okukhulu | Ukopha okungenakuvinjelwa okuvela endaweni yokubhoboza. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula ngokuzumayo. |
| Iqhubu lapho kwabhoboka khona | Isigaxa esibuhlungu noma esikhula ngokushesha eduze kwendawo lapho kubhotshozwe khona. |
| Ukucanuzela nokuhlanza okuqhubekayo | Ukucanuzela nokuhlanza kuze kube sezingeni lokungakwazi ukugcina ukudla noma isiphuzo. |
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa nge-embolization kuyindlela yokwelapha esezingeni eliphezulu nephumelelayo evimba umthambo wegazi othize emzimbeni ngaphandle kokwenza ukusikwa okukhulu.
- Yelapha izimo ezahlukahlukene, okuhlanganisa ukopha okukhulu, izimila ezinomdlavuza, ama-uterine fibroids, kanye nama-AVM.
- Njengoba kunomthelela omncane emzimbeni njengokuhlinzwa okuvulekile, ubuhlungu buncane futhi isikhathi sokululama sincane.
- Njengakuzo zonke izindlela zokwelapha, kunezingozi, ngakho qiniseka ukuthi uxoxa ngazo zonke lezi zinto nodokotela wakho ngaphambi kokwelashwa.
- Uma kuvela izimpawu ezingavamile ngemva kokwelashwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.
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