Ingabe udokotela wake wakutshela, kungaba kothile emndenini wakho noma kuwe, ukuthi "unemithambo yegazi evalekile" noma "umthambo wegazi uvuvukele njengebhaluni"? Kuvamile ukuzizwa wesaba kakhulu lapho sizwa into efana naleyo. Abantu abaningi bacabanga ukuthi into efana nale idinga ukuhlinzwa okukhulu, ukusikwa okukhulu, kanye nesikhathi eside sokululama. Kodwa bewazi ukuthi ngokuthuthuka kwesayensi yezokwelapha, manje sekukhona indlela yokwelapha eziningi zalezi zinkinga ngaphandle kokusikwa okukhulu, ngembobo encane kakhulu. Namuhla sizokhuluma ngaleyo ndlela yokwelapha emangalisayo, 'ukuhlinzwa kwe-endovascular'.
Kuyini Ukuhlinzwa Kwe-Endovascular?
Kalula nje, ukuhlinzwa kwe-endovascular kuyindlela yokwelapha izifo ezithinta uhlelo lwemithambo yegazi emzimbeni wethu ngaphandle kokwenza izimbobo ezinkulu. Cabanga ngepayipi lamanzi elivalekile endlini yakho. Ukuze ulilungise, ufaka ucingo oluncane epayipini bese ususa ukuvaleka ngaphandle kokuphula udonga.
Igama elithi "Endo" lisho "ngaphakathi." Igama elithi "Vascular" lisho "okuhlobene nemithambo yegazi." Ngakho-ke uma lokhu kokubili kuhlanganiswa, elithi "Endovascular" lisho "ukwelashwa okwenziwa ngaphakathi kwemithambo yegazi." Kulokhu, odokotela abahlinzayo bafaka ithubhu elincane neliguquguqukayo (i-catheter) emthanjeni wegazi bese bedlula kulo ukuze balungise inkinga emthanjeni wegazi. Le nqubo ingabuyisela ukugeleza kwegazi ebuchosheni, enhliziyweni, ezithweni nasemaphashini.
Uyini umehluko phakathi kokuhlinzwa kwendabuko kanye nale ndlela entsha?
Nakuba zombili lezi zindlela zokwelapha imithambo yegazi, kunomehluko omkhulu endleleni udokotela asondela ngayo emthanjeni wegazi. Ukuze uqonde lo mehluko, bheka ithebula elingezansi.
| Isici | Ukuhlinzwa Okuvulekile | Ukuhlinzwa Kwemithambo Yegazi |
|---|---|---|
| Indlela yokufinyelela | Udokotela ohlinzayo usika isikhumba, enze ukusika okukhulu, bese efika emthanjeni wegazi. | Kwenziwa imbobo encane emthanjeni wegazi ngenaliti, bese kufakwa amapayipi amancane (ama-catheter) ngawo. |
| Umgwaqo Wokusika | Kukhulu, ngidinga ukuthungwa. | Incane kakhulu (cishe ngobukhulu bekhanda lephini). |
| Ukopha | Kuphezulu kakhulu. | Kuphansi kakhulu. |
| Isikhathi sokuphulukiswa | Kungathatha amasonto noma izinyanga. | Kungavamile kakhulu, kungabuyela esimweni esijwayelekile ezinsukwini noma emavikini ambalwa. |
| Ubude bokuhlala esibhedlela | Izinsuku ezimbalwa noma ngaphezulu kwesonto. | Ngokuvamile usuku olulodwa noma ezimbili. Mhlawumbe ungaya ekhaya ngalolo suku. |
Into ebaluleke kakhulu ukuthi udokotela wakho uzonquma ukuthi iyiphi kulezi zindlela ezimbili ekufanele, ecabangela isimo sakho sezokwelapha, ubudala, kanye nempilo yakho iyonke.
Yiziphi izimo zezokwelapha eziyinhloko eziphathwa ngale ndlela?
Ukuhlinzwa kwe-Endovascular kusetshenziselwa ukwelapha izifo ezahlukahlukene ezihlobene nenhliziyo nemithambo yegazi. Ezinye zazo zifaka:
- I-Aneurysm: Lokhu kuwukuba buthaka kodonga lomthambo wegazi, okubangela ukuba uqhume ngaphandle njengebhaluni. Lokhu kungenzeka ku-aneurysm ye-aortic yesisu noma ku-aneurysm ye-aortic yesifuba, kanye nakweminye imithambo yegazi emzimbeni. Lokhu kuyingozi ngoba uma le aneurysm iqhuma, ingabangela ukopha okukhulu kwangaphakathi.
- I-atherosclerosis: Kungenzeka ukuthi uke wezwa ngalokhu. Kalula nje, kuwukuqongelela kwe-cholesterol namafutha ngaphakathi kwemithambo yegazi, okwakha ungqimba "lwe-plaque." Lokhu kubangela ukuthi imithambo yegazi inciphe futhi ivimbele ukuhamba kwegazi. Lena imbangela eyinhloko yezifo ezifana nokuhlaselwa yinhliziyo kanye nohlangothi.
- Isifo se-Carotid Artery:Imithambo yegazi ye-carotid iyimithambo yegazi emibili eyinhloko ezinhlangothini zombili zentamo yethu ethwala igazi liye ebuchosheni. Lapho le mithambo ivalekile, ingozi yokushaywa yisifo sohlangothi iyanda kakhulu.
- I-Deep Vein Thrombosis (DVT): Lokhu kuwukuqhekeka kwegazi okwakheka emithanjeni ejulile emzimbeni, ikakhulukazi emilenzeni. Ingozi lapha ukuthi uma leli qhubu legazi liqhekeka futhi libhajwe emthanjeni wegazi emaphashini (Pulmonary Embolism), lingasongela ukuphila.
- Isifo Semithambo Yezinzwa Ehambayo (i-PAD): Isimo esibangelwa ukuncishiswa kwemithambo yegazi ehambisa igazi ezithweni, ikakhulukazi emilenzeni. Uphawu oluyinhloko ubuhlungu emilenzeni uma uhamba ibanga elifushane.
Kwenzekani ngaphambi kokuhlinzwa?
Uma kunconywa ukuthi wenze lolu hlobo lokuhlinzwa, udokotela wakho uzoqala akhulume nawe ngesimo sakho kanye nomlando wempilo yakho. Uzobe esekwenza ukuhlolwa ngokomzimba bese eyala ukuhlolwa okuningana ukuze aqonde kangcono inkinga. Isibonelo:
- Ukuskena nge-ultrasound: Ukubona ukuthi igazi ligeleza kanjani ngaphakathi kwemithambo yegazi nokuthi livimbekile kuphi.
- I-Angiography: Kufakwa udayi okhethekile emithanjeni yegazi bese kuthathwa i-X-ray ukuze kutholakale imephu ecacile yemithambo yegazi.
- I-CT scan noma i-MRI scan: Thola izithombe ezinemininingwane eminingi ezinezinhlangothi ezintathu (3D) zemithambo yegazi kanye nezicubu ezizungezile.
- I-ECG kanye ne-Echocardiogram: Hlola ukusebenza kwenhliziyo.
Ngokusekelwe olwazini olutholakale kulezi zivivinyo, ithimba lezokwelapha lizohlela ukwelashwa okufanele kakhulu kuwe.
Yiziphi izinhlobo eziyinhloko zokwelapha ezisetshenziswa ngale ndlela?
Kunezinhlobo eziningana zokwelapha nge-endovascular. Kuye ngesimo sakho, uzokhetha eyodwa noma ngaphezulu yalezi.
| Indlela yokwelapha (Inqubo) | Kalula nje, kwenzekani? |
|---|---|
| I-Angioplasty | I-catheter enebhaluni ifakwa emthanjeni wegazi ovalekile bese ibhaluni livuthelwa umoya ukuze kwandiswe indawo evalekile. |
| Ukubekwa kwe-Stent | Ngemva kwe-angioplasty, kufakwa ithubhu elincane elifana ne-mesh (i-stent) ngaphakathi komthambo ukuze ungaphinde uvaleke. |
| Ukuhlinzwa kwe-atherectomy | Ukususa i-plaque eqongeleleke ezindongeni zemithambo yegazi ngedivayisi ekhethekile. |
| Ukuxhunyelelwa kwe-Stent | Ipayipi elenziwe ngendwangu kanye ne-mesh yensimbi liyafakwa bese lifakwa ngaphakathi komthambo wegazi obuthakathaka, njenge-aneurysm, ukuze liqiniswe. |
| Ukususwa Kwemithambo Yegazi | Ukususwa ngomshini noma ukuncibilika kwesidakamizwa kwehlule legazi (i-thrombus) elibanjwe emthanjeni wegazi (i-thrombolysis). |
| Ukufakwa kwe-Embolization | Ukuvalwa ngamabomu komthambo wegazi ngokufaka into encane efana nobuhlalu emthonjeni ukuze kumiswe ukopha noma kunqamule ukuphakelwa kwegazi esimila. |
Kwenzekani ngemva kokuhlinzwa? Qaphela lezi zimpawu!
Enye yezinzuzo ezinkulu zalokhu kuhlinzwa ukululama okusheshayo. Kuye ngokuthi ukuhlinzwa kuyinkimbinkimbi kangakanani, ungase uye ekhaya ngosuku olufanayo (ukuyolaliswa esibhedlela) noma uhlale esibhedlela usuku olulodwa noma ezimbili. Abantu abaningi bavame ukuqhubeka nemisebenzi yabo yansuku zonke ngemva kwenyanga. Kodwa-ke, udokotela wakho uzokunikeza iseluleko esingcono kakhulu ngalokhu.
Kubaluleke kakhulu ukuya kuzo zonke izikhathi zokulandelela nodokotela wakho ngemva kokuhlinzwa. Futhi, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ubuhlungu obukhulu esiswini, esifubeni, emhlane, noma embotsheni
- Ukopha okuvela endaweni yokuhlinzwa
- Ubuhlungu noma ukuvuvukala emlenzeni noma engalweni
- Ukuzungeza noma ukulahlekelwa ukwazi
- Ukuba ndikindiki noma ukulahlekelwa umuzwa engalweni noma emlenzeni
- Ubuthakathaka obukhulu noma ukukhathala
- Ukubomvu kwesikhumba noma uketshezi olufana nobomvu oluphuma ekulimaleni okuncane okwenziwe ngesikhathi sokuhlinzwa
- Imfiva
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Endovascular kuyindlela ethuthukisiwe nephephile yokwelapha imithambo yegazi emzimbeni, ngaphandle kokwenza ukusika okukhulu.
- Lokhu kungelapha ngempumelelo izifo eziningi eziyingozi ezifana ne-atherosclerosis, i-aneurysm, kanye ne-deep vein thrombosis (DVT).
- Le ndlela inesikhathi esifushane sokululama, ubuhlungu obuncane, kanye nokuhlala esibhedlela isikhathi esifushane kunokuhlinzwa okuvamile okuvulekile.
- Udokotela okuxilongayo kuphela onganquma ukuthi le ndlela yokwelapha ikufanele yini.
- Uma kuvela izimpawu ezingavamile ngemva kokuhlinzwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokuzishaya indiva.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho