Uma uzwa igama elithi "ukuhlinzwa" noma "ukuhlinzwa," uyathuthumela kancane? Kuvamile ukucabanga ngokusikwa okukhulu, izinsuku ezimbalwa esibhedlela, kanye nesikhathi eside sobuhlungu. Kodwa namuhla, ezokwelapha sezithuthuke kakhulu. Esikhundleni sokwenza ukusikwa okukhulu njengasesikhathini esidlule, manje sekukhona ubuchwepheshe obusivumela ukuthi singene emzimbeni ngembobo encane futhi selaphe izifo ezinkulu. Yilokho esizokhuluma ngakho namuhla, indlela emangalisayo yokwelapha imithambo yegazi emizimbeni yethu.
Kuyini Ukuhlinzwa Kwe-Endovascular?
Kalula nje, ukuhlinzwa kwe-endovascular inqubo elapha imithambo yegazi emzimbeni wethu ngaphakathi ngaphandle kokwenza izimbobo ezinkulu. Cabanga ngepayipi lamanzi ngaphakathi endlini yakho elivaliwe. Esikhundleni sokuphula udonga nokulungisa ipayipi, lokhu kufana nokufaka ipayipi elincane elinekhamera ngembobo encane bese ususa ukuvaleka.
Kule nqubo, odokotela basebenzisa inalithi encane ukwenza imbobo emthanjeni wegazi bese befaka amapayipi amancane kakhulu, aguquguqukayo abizwa ngokuthi ama-catheter kuwo. Bese, besebenzisa ubuchwepheshe obufana ne-X-ray, lawa mapayipi aqondiswa endaweni eqondile yesifo, okungukuthi, lapho umthambo wegazi uvalekile, uvuvukele, noma wonakele khona. Bese, kudluliswa imishini edingekayo ukuze kwelashwe lesi sifo. Lokhu kungabuyisela ukugeleza kwegazi ebuchosheni, enhliziyweni, ezithweni nasemaphashini.
Uyini umehluko phakathi kokuhlinzwa kwe-endovascular kanye nokuhlinzwa okuvulekile?
Zombili lezi zindlela zokwelapha imithambo yegazi. Kodwa indlela ezibhekana ngayo nayo ihluke ngokuphelele. Ukuze uqonde lo mehluko, bheka ithebula elingezansi.
| Isici | Ukuhlinzwa Kwemithambo Yegazi | Ukuhlinzwa Okuvulekile |
|---|---|---|
| Indlela yokwenza | Ama-catheter afakwa ngembobo encane emthanjeni wegazi bese eya endaweni yesifo ukuze athole ukwelashwa. | Isikhumba siyasikwa bese ukwelashwa kuya ngqo endaweni yomthambo wegazi onesifo. |
| Usayizi wesitho | Incane kakhulu (cishe ngobukhulu bekhanda lephini). | Kudingeka ukusikwa okukhulu. |
| Ukopha | Kuphansi kakhulu. | Kuphezulu kakhulu. |
| Isikhathi sokuphulukiswa | Ngokushesha. Izibazi ezincane. | Kuthatha isikhathi eside kakhulu. |
| Isikhathi esibhedlela | Ngokuvamile kufushane (mhlawumbe ungaya ekhaya ngosuku olulodwa). | Kungathatha izinsuku noma amasonto ambalwa. |
Yiziphi izimo eziphathwa ngale ndlela?
Izinqubo ze-Endovascular zisetshenziselwa ukwelapha izifo eziningi zemithambo yegazi kanye nezifo zenhliziyo. Ezinye zezimo eziyinhloko zifaka:
- I-Aneurysm: Lokhu kwenzeka lapho udonga lomthambo wegazi luba buthakathaka futhi luqhuma njengebhaluni. Lokhu kungenzeka ku-aneurysm ye-aortic yesisu noma ku-aneurysm ye-aortic yesifuba, kanye neminye imithambo yegazi emzimbeni. Uma lokhu kuqhuma, kungaba yingozi empilweni.
- I-atherosclerosis: Lokhu kwenzeka lapho izinto ezinamafutha, njenge-cholesterol, ezitholakala ekudleni esikudlayo, zakhela ezindongeni zemithambo yegazi, zinciphise kancane kancane indlela yegazi. Kufana nokugqwala okwakhela ngaphakathi kwepayipi lamanzi. Lokhu kuvimbela ukugeleza kwegazi.
- Isifo semithambo ye-carotid: Imithambo ye-carotid iyimithambo yegazi emibili eyinhloko entanyeni yethu ethwala igazi liye ebuchosheni. Uma ivinjelwa amafutha amaningi, ingozi yokushaywa yisifo sohlangothi iyanda kakhulu.
- I-Deep vein thrombosis (DVT): Lokhu kwenzeka lapho kwakheka ihlule legazi emithanjeni engaphakathi emzimbeni. Into eyingozi kakhulu ukuthi uma leli hlule legazi liphuka bese lihamba egazini bese libhajwa emaphashini (Pulmonary Embolism), lingabulala.
- Isifo semithambo yegazi engaphandle (i-PAD):Lokhu kwenzeka lapho imithambo yegazi ethwala igazi iye ezingalweni ikakhulukazi emilenzeni ivaleka. Lokhu kubangela izinkinga ezifana nobuhlungu emilenzeni lapho uhamba kanye namanxeba angapholi.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuba wenze lolu hlobo lokuhlinzwa, udokotela wakho uzokhuluma nawe ngokucophelela ngomlando wakho wezokwelapha kanye nempilo yakho yamanje. Uzobe esekwenza ukuhlolwa ngokomzimba, futhi uma kudingeka, acele ukuhlolwa okulandelayo:
- I-Ultrasound scan: Isebenzisa amaza omsindo ukubheka ukugeleza kwegazi ngaphakathi kwemithambo yegazi nokubona ukuthi kukhona yini ukuvaleka.
- I-Angiography: Kufakwa udayi okhethekile emithanjeni yegazi bese kuthathwa izithombe ze-X-ray. Lokhu kungabonisa ngokucacile ukuthi imithanjeni yegazi imincane kangakanani nokuthi ikuphi.
- I-CT scan kanye ne-MRI scan: Lokhu kungaveza izithombe ezinemininingwane eminingi zemithambo yegazi kanye nezicubu ezizungezile.
- I-ECG kanye ne-Echocardiogram: Lokhu kusetshenziselwa ukuhlola ukusebenza kwenhliziyo.
- Inkomba ye-Ankle-brachial (ABI): Ukuhlolwa okulula okulinganisa nokuqhathanisa umfutho wegazi emilenzeni nasezingalweni ukuze kutholakale ukuthi kukhona yini ukugeleza kwegazi okunciphile emilenzeni.
Yiziphi izinhlobo zokuhlinzwa kwe-endovascular ezikhona?
Kuye ngesimo sakho, udokotela wakho angasebenzisa izinhlobo ezahlukene zokwelapha nge-endovascular. Ake sibheke ezimbalwa zazo.
| Indlela yokwelapha | Kalula nje, wenzani? |
|---|---|
| I-Angioplasty | Ibhaluni elincane ekugcineni kwe-catheter liyafuthwa ngaphakathi komthambo wegazi ovalekile, okwenza umthambo uphinde wande. Ibhaluni libe selikhishwa bese likhishwa. |
| Ukubekwa kwe-Stent | Ngemva kwe-angioplasty, ithubhu elincane lensimbi (i-stent) elibukeka njenge-mesh lifakwa ngaphakathi komthambo ovulekile ukuze ungaphinde uvaleke. |
| Ukuhlinzwa kwe-atherectomy | Ungqimba olunamafutha (i-plaque) oluqongeleleke ngaphakathi komthambo wegazi lukhuhlwa ngedivayisi ekhethekile. |
| Ukufakelwa kwe-Stent | Ipayipi elenziwe ngendwangu kanye ne-mesh yensimbi lifakwa emthanjeni wegazi ovuvukele, njenge-aneurysm. Igazi libe seligeleza ngepayipi, livimbele ingcindezi ukuthi inganqwabelani odongeni lwemithambo olubuthakathaka. |
| Ukususwa kwamahlule egazi (Thrombectomy/Thrombolysis) | Amahlule egazi akheke ngaphakathi kwemithambo yegazi asuswa ngamathuluzi akhethekile (i-thrombectomy) noma ancibilikiswe ngemithi (i-thrombolysis). |
| Ukufakwa kwe-Embolization | Ngezinye izikhathi kuyadingeka ukuvimba ukopha noma ukuqeda ukuphakelwa kwegazi esimila esinomdlavuza. Bese kufakwa ubuhlalu obuncane ukuze kuvinjwe ngamabomu umthambo wegazi. |
Yiziphi izinzuzo nezingozi zale ndlela?
Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi.
Izinzuzo
Inzuzo enkulu yendlela ye-endovascular ukululama okusheshayo . Njengoba kungekho ukusikwa okukhulu, kunomonakalo omncane emzimbeni. Ngakho-ke kufanele uhlale esibhedlela isikhathi esincane, ubuhlungu buncane, futhi ungabuyela empilweni ejwayelekile ngokushesha.
Kodwa khumbula, le ndlela ayifanele wonke umuntu. Udokotela wakho uzonquma ukuthi ukuhlinzwa okuvulekile noma ukuhlinzwa kwe-endovascular kungcono yini kuwe, kuye ngesimo sakho, indawo yemithambo yegazi, kanye nempilo yakho iyonke.
Izingozi/Izinkinga
Nakuba lokhu kuhlinzwa ngokuvamile kuphephile kakhulu, kunezingozi ezincane.
- Ukopha okuvela endaweni yokufaka i-catheter.
- Ukulimala kwemithambo yegazi ngesikhathi sokwelashwa.
- Ukuqhekeka kodonga lwemithambo yegazi.
- Ukwakheka kwehlule legazi elisha (i-Thrombosis) endaweni elashwe kuyo.
- Akuvamile ukuthi kube nemiphumela emibi yezinso (ngenxa yohlobo lwedayi esetshenziswayo).
Ingozi yokuthi izinto ezinjalo zenzeke iphansi kakhulu, futhi ithimba lezokwelapha elinolwazi lihlala likulungele ukubhekana nesimo esinjalo uma sivela.
Kufanele ngimbone nini udokotela ngokushesha ngemva kokuhlinzwa?
Uma ubuyela ekhaya ngemva kokuhlinzwa, udinga ukunakekela umzimba wakho kahle. Ngokuvamile, ungabuyela emisebenzini yakho yansuku zonke ngemva kwenyanga. Kodwa-ke, kubalulekile ukukhuluma nodokotela wakho ngalokhu futhi uthole iseluleko. Futhi, kufanele nakanjani uye kokuhlolwa okulandelayo ngosuku oluhleliwe.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, ungalibali futhi wazise udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
| Izimpawu okufanele uziqaphele | Okufanele ngikwenze |
|---|---|
| Ubuhlungu obukhulu esiswini, esifubeni, emhlane, noma endukwini. | Funa iseluleko sezokwelapha ngokushesha. |
| Ukopha noma ukuphuka okuvela endaweni yokuhlinzwa. | Funa iseluleko sezokwelapha ngokushesha. |
| Ubuhlungu noma ukuvuvukala engalweni noma emlenzeni. | Funa iseluleko sezokwelapha ngokushesha. |
| Ukuzizwa unesizungu noma ukuphelelwa yithemba . | Funa iseluleko sezokwelapha ngokushesha. |
| Ukuba ndikindiki noma ukulahlekelwa umuzwa ezithweni. | Funa iseluleko sezokwelapha ngokushesha. |
| Ukuzizwa ubuthakathaka noma ukhathele kakhulu . | Funa iseluleko sezokwelapha ngokushesha. |
| Ukubomvu, ukuvuvukala, noma ubomvu endaweni yokubhoboza. | Funa iseluleko sezokwelapha ngokushesha. |
| Imfiva . | Funa iseluleko sezokwelapha ngokushesha. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Endovascular kuyindlela yesimanje yokwelapha ehilela ukungena emithanjeni yegazi ngemigodi emincane, ngaphandle kokwenza izimbobo ezinkulu.
- Le ndlela iholela ekuhlaleni esibhedlela okuncane, ubuhlungu obuncane, kanye nokululama okusheshayo.
- Le ndlela isetshenziselwa ukwelapha izifo eziningana, njenge-atherosclerosis, i-aneurysms, kanye ne-deep vein thrombosis (DVT).
- Le ndlela ayifanele bonke iziguli. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe.
- Uma kuvela izimpawu ezingavamile ngemva kokuhlinzwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokulibala.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho