Ake sithi une-blood clot endaweni ethile emzimbeni wakho, noma umthambo ohambisa igazi esimila somdlavuza. Esikhathini esidlule, bekuzodingeka wenze ukuhlinzwa okukhulu ngento efana nale. Kodwa manje, kukhona ubuchwepheshe obukuvumela ukuthi ungene emzimbeni ngembobo encane kakhulu bese uvala lowo mthambo wegazi. Yilokho esikubiza ngokuthi i-Embolization. Lena indlela yokwelapha engangenisi kakhulu engabangeli umonakalo omkhulu emzimbeni futhi engadingi ukusikwa okukhulu. Kulesi sihloko, sizokhuluma ngakho kalula.
Yiziphi izinzuzo zokwelashwa nge-embolization?
Kalula nje, lokhu kwelashwa kuhilela ukuvimba okwesikhashana noma unomphela umthambo wegazi othize emzimbeni. Lokhu kusinika izinzuzo eziningana ezinkulu.
- Ukuqeda ukuxhumana okungavamile kwemithambo yegazi: Ngezinye izikhathi, ukuxhumana okungavamile kungakheka phakathi kwemithambo yegazi nemithambo emzimbeni wethu. Ukuhlanganiswa kwemithambo yegazi kungavala lokhu kuxhumana ngaphambi kokuba kubangele izinkinga ezinkulu.
- Ukunciphisa ukunikezwa kwegazi ezimilanjeni kanye nomdlavuza: Isimila sidinga ukunikezwa kwegazi ukuze sikhule. Uma lokhu kwelashwa kuvimbela ukunikezwa kwegazi esimilanjeni, amangqamuzana omdlavuza alahlekelwa izakhamzimba azidingayo bese efa.
- Ukuvimba ukopha ngokweqile: Le ndlela iphumelela kakhulu ekumiseni ukopha emzimbeni ngenxa yengozi, ukulimala kwesisu, noma esinye isizathu.
Yiziphi izimo ezisetshenziswayo lokhu kwelashwa?
Ukwelashwa kwe-embolization kuyindlela yokwelapha engasetshenziswa ezinkingeni eziningi cishe kunoma iyiphi ingxenye yomzimba. Ithebula elingezansi libala ezinye zalezi zimo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukukhubazeka kwemithambo yegazi (ama-AVM) | Ukuvimba ukugeleza kwegazi ezindaweni lapho imithambo yegazi ihlangana khona, njengezifindo. |
| Ama-aneurysms obuchopho | Ukuvimba indawo ukuze kuncishiswe ingozi yokuqhuma komthambo wegazi. |
| Umdlavuza wegazi kanye nezimila | Ukuqeda ukuphakelwa kwegazi kumdlavuza. |
| Ukopha impumulo okuvamile (i-Epistaxis) | Uma ukopha kungalawuleki, umthambo wegazi omncane obangela ukuthi uvaleke. |
| Ukopha kwamathumbu | Ukuvimbela ukuphuma kwegazi ngenxa yezimo ezifana nezilonda esiswini. |
| Ama-fibroids esibeletho | Inciphisa ama-fibroid ngokunqamula ukugeleza kwegazi, ngaleyo ndlela ilawule ukopha okukhulu kokuya esikhathini. |
| Ukuvuvukala kwemithambo emasendeni (i-Varicocele) | Ukuvimbela igazi ukuthi lingagelezi emithanjeni evuvukele. |
| Ukopha kwangaphakathi okubangelwa izingozi | Ukuvimbela ukuphuma kwegazi okubangelwa ukulimala kwezitho zomzimba njengesibindi kanye ne-spleen. |
Kwenziwa kanjani ngempela lokhu kwelashwa?
Lokhu kwelashwa kwenziwa yi- Interventional Radiologist , uchwepheshe osebenzisa ubuchwepheshe bokuthwebula izithombe njenge-X-ray ukuqondisa amashubhu amancane emithanjeni yegazi emzimbeni.
Nansi indlela ukwelashwa okusebenza ngayo isinyathelo ngesinyathelo:
1. Ukulungiselela: Ngaphambi kokwelashwa, uzobe usuhlolwe nge-CT scan, i-MRI, noma i-ultrasound scan ukuze kuhlolwe isimo semithambo yegazi yakho. Uma uthatha imithi yokunciphisa igazi, kuzodingeka uyiyeke okwesikhashana njengoba kuqondiswe udokotela wakho.
2. Ukudambisa Ubuhlungu Nokungakwazi Ukuphefumula: Ngaphambi kokuba ukwelashwa kuqale, uzonikezwa umuthi wokudambisa. Ngemuva kwalokho, kuzonikezwa umjovo wokwenza indawo lapho kuzofakwa khona ipayipi (ngokuvamile i-groin, esihlakaleni, noma entanyeni) ingasebenzi kahle.
3. Ukufaka i-catheter: Udokotela uvula imbobo encane esikhumbeni endaweni engenalutho bese efaka ipayipi elincane kakhulu neliguquguqukayo elibizwa ngokuthi i-catheter emthanjeni wegazi ngayo.
4. Ukuqhubekela phambili emgomweni:Ngesikhathi ebukele ubuchwepheshe bevidiyo ye-X-ray yesikhathi sangempela njenge-fluoroscopy, udokotela uqondisa i-catheter emthanjeni wegazi iye endaweni eqondile lapho kudingeka khona ukwelashwa.
5. Ukuthumela I-Embolic Agent: Uma isisendaweni efanele, into ekhethekile noma ithuluzi (i-embolic agent) elisetshenziswa ukuvala umthambo wegazi lithunyelwa nge-catheter.
6. Ukuvaleka nokuvalwa: Ngemva kokuqinisekisa ukuthi umthambo wegazi uvalwe ngokuphelele yile nto, udokotela ususa ngokucophelela i-catheter. Kufakwa ibhande elincane endaweni yokubhoboza. Akudingeki ukuhlikihla okukhulu noma ukuthungwa.
Akumangalisi yini? Indlela yokuxazulula inkinga emzimbeni ngaphandle kokuyisika! Lokhu kuyintuthuko kwezokwelapha zanamuhla.
Ama-Embolic Ejenti
Izinhlobo ezahlukene zezinto ezisetshenziswayo ukuvala umthambo wegazi. Ukukhetha kuncike esimweni sakho sezokwelapha kanye nohlobo lomthambo wegazi.
| Uhlobo lwe-Embolic Agent | Incazelo |
|---|---|
| Amakhoyili ensimbi | Ama-coil amancane ensimbi enziwe ngensimbi efana ne-platinum. Lawa afakwa ngaphakathi emthanjeni futhi amise ukugeleza kwegazi. |
| Igwebu le-gelatin | Into efana nesiponji evimba imithambo yegazi okwesikhashana futhi incibilike emzimbeni zingakapheli izinsuku ezimbalwa. |
| Iglue yoketshezi | Uhlobo lwensini yezokwelapha. Uma ifakwa emthanjeni, iqina ngokushesha futhi ivale umthambo unomphela. |
| Ama-ejenti e-particulate | Izinhlayiya ezincane kakhulu eziyindilinga. Lezi zingavimba unomphela ama-capillary amancane egazi. |
Ingabe zikhona izingozi kulokhu kwelashwa?
Njenganoma yikuphi ukwelashwa kwezokwelapha, ukwelashwa kwe-embolization kungaba nezingozi ezithile. Kodwa-ke, amathuba okuba lokhu kwenzeke mancane kakhulu. Udokotela wakho uzoxoxa nawe ngalokhu.
- Umbala Wokungezwani Nomzimba: Abanye abantu bangase babe nomzimba ongezwani nombala okhethekile osetshenziswa ngesikhathi sokuskena.
- Ukuphuka noma ukuphuma kwegazi endaweni yokubhoboza: Kungase kuvele ukuphuka okuncane endaweni yokubhoboza.
- Ukutheleleka: Akuvamile kakhulu ukuthi kube nokutheleleka.
- Ukungasebenzi kahle kwe-embolic agent: Into esetshenziswa ukuvimba umthambo wegazi ingakhululeka ngandlela thile bese iya komunye umthambo bese iwuvimba (lokhu akuvamile kakhulu).
- Ukulimala kwezicubu ezizungezile: Kunethuba elincane lokuthi izicubu ezinempilo ezizungeze indawo okuqondiswe kuyo zizolimala ngenxa yokunqamuka kokuhlinzekwa kwegazi.
Into ebaluleke kakhulu ukungesabi lezi zingozi, kodwa ukukhuluma nodokotela wakho ngokucophelela ngaphambi kokwelashwa bese ubuza yonke imibuzo onayo.
Ngemva kokwelashwa kanye nesikhathi sokululama
Ngemva kokwelashwa, kuzodingeka uhlale esibhedlela cishe usuku lonke. Ungase ube nobuhlungu endaweni yokujova izinsuku ezimbalwa. Uzonikezwa imithi yobuhlungu ngalokhu.
Abanye abantu bangase babe nesimo esibizwa ngokuthi i-post-embolization syndrome , okuyisimo esibangela izimpawu ezifana nomkhuhlane, isicanucanu nokuhlanza. Lokhu kuvame ukuba ngcono ezinsukwini ezimbalwa.
Ngemva kokubuyela ekhaya:
- Phumula izinsuku ezimbalwa uphumule kahle. Gwema ukuphakamisa izinto ezisindayo noma ukuphakamisa izinto ezisindayo.
- Uma ufakwe i-catheter embotsheni yakho , ungakhuphuki futhi wehle izitebhisi njalo.
- Uma ukhubeka esihlakaleni , yeka ukwenza imisebenzi enzima njengokuthayipha noma ukubhala izinsuku ezimbalwa.
- Gcina indawo lapho uhlabe khona ihlanzekile.
Uzophinde ubone nini udokotela wakho
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo , shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Isigaxa esibuhlungu noma esikhula ngokushesha eduze nendawo lapho kuhlatshwe khona ulwelwesi.
- Ukopha ngokweqile okuvela endaweni yokubhoboza.
- Ubunzima bokuphefumula.
- Izimpawu zokutheleleka (umkhuhlane, ukubomvu kanye nokufudumala endaweni yokwelashwa).
- Ukubomvu nokuvuvukala emlenzeni noma embotsheni (kungaba uphawu lokuqhekeka kwegazi).
- Ukucanuzela nokuhlanza kuze kube sezingeni lokungakwazi ukugcina ukudla nokuphuza kuphansi.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakwa kwe-embolization kuyindlela yokwelapha ephumelela kakhulu evimba umthambo wegazi othize emzimbeni ngaphandle kokuhlinzwa okukhulu.
- Isetshenziselwa ukuvimba ukopha ngokweqile, ukuqeda ukutholakala kwegazi ezimila ezinomdlavuza, kanye nokwelapha izinkinga zemithambo yegazi ezingavamile njenge-AVM.
- Ngenxa yokuthi lokhu akuyona inxeba elikhulu, ubuhlungu buncane futhi isikhathi sokululama sifushane kunokuhlinzwa okuvamile.
- Njengakuzo zonke izindlela zokwelapha, kunezingozi ezithile, ngakho-ke kubaluleke kakhulu ukuxoxa ngazo ngokuphelele nodokotela wakho ngaphambi kokwelashwa.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokwelashwa. Uma ubona noma yiziphi izimpawu eziyisixwayiso, funa iseluleko sikadokotela ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment