Ukuhlanganiswa kwe-Endovascular

Ukuhlanganiswa kwe-Endovascular inqubo yokwelapha imithambo yegazi engajwayelekile ebuchosheni nakwezinye izingxenye zomzimba. Kungenye indlela yokuvula ukuhlinzwa.

Le nqubo isika ukunikezwa kwegazi engxenyeni ethile yomzimba.

Ungaba ne-anesthesia ejwayelekile (ilele futhi ayinazinhlungu) kanye nethambo lokuphefumula. Noma, unganikezwa umuthi wokukuphumuza, kepha ngeke ulale.

Ukusikwa okuncane kokuhlinzwa kuzokwenziwa endaweni yokububula. Udokotela uzosebenzisa inaliti ukudala imbobo emthanjeni wesifazane, umthambo omkhulu wegazi.

• Ishubhu elincane eliguquguqukayo elibizwa ngokuthi i-catheter lidluliselwa esikhunjeni esivulekile nasemthanjeni.
• Udayi ujojowe ngale tube ukuze umthambo wegazi ubonakale ezithombeni ze-x-ray.
• Udokotela uhambisa ngobunyoninco ipayipi ngomthambo wegazi aye endaweni efundwayo.
• Lapho i-catheter isikhona, udokotela ubeka izinhlayiya ezincane zepulasitiki, iglu, amakhoyili wensimbi, igwebu, noma ibhaluni ngalo ukuvala isitsha segazi esingalungile. (Uma kusetshenziswa amakhoyili, kubizwa ngokuthi yi-coil embolization.)

Le nqubo ingathatha amahora ambalwa.

Inqubo isetshenziswa kakhulu ukwelapha ama-aneurysms ebuchosheni. Ingasetshenziselwa nezinye izimo zezokwelapha lapho ukuhlinzwa okuvulekile kungaba yingozi. Inhloso yokwelashwa ukuvimbela ukuphuma kwegazi endaweni enenkinga nokunciphisa ubungozi bokuthi umthambo wegazi uqhekeke (uqhekeke).

Udokotela wakho uzokusiza unqume ukuthi kuphephile yini ukuhlinzwa ukuze uvimbele i-aneurysm ngaphambi kokuthi iqhume.

Le nqubo ingasetshenziselwa ukwelapha:

• I-arteriovenous malformation (AVM)
• I-aneurysm yobuchopho
• I-Carotid artery cavernous fistula (inkinga ngomthambo omkhulu entanyeni)
• Izicubu ezithile

Izingozi ezivela kule nqubo zingafaka:

• Ukopha endaweni yokubhoboza inaliti
• Ukopha ebuchosheni
• Ukulimala emthanjeni lapho kufakwa khona inaliti
• Ikhoyili ekhishwe noma ibhaluni
• Ukwehluleka ukwelapha ngokuphelele isitsha segazi esingajwayelekile
• Ukutheleleka
• Unhlangothi
• Izimpawu ezilokhu zibuya
• Ukufa

Le nqubo ivame ukwenziwa ngesimo esiphuthumayo. Uma kungesona isimo esiphuthumayo:

• Tshela umhlinzeki wakho wezempilo ukuthi yiziphi izidakamizwa noma amakhambi owaphuzayo, nokuthi ngabe uphuze kakhulu utshwala.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Zama ukuyeka ukubhema.
• Imvamisa uzocelwa ukuthi ungadli noma uphuze noma yini amahora ayisishiyagalombili ngaphambi kokuhlinzwa.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Fika esibhedlela ngesikhathi.

Uma bekungekho ukopha ngaphambi kwenqubo, kungadingeka ukuthi uhlale esibhedlela izinsuku ezi-1 kuya kwezi-2.

Uma kwenzeka ukuphuma kwegazi, ukuhlala kwakho esibhedlela kuzoba isikhathi eside.

Ukuthi ululama ngokushesha kangakanani kuya ngempilo yakho yonke, ubunzima besimo sakho sezokwelapha, nezinye izinto.

Ezimweni eziningi, ukuhlanganiswa kwe-endovascular inqubo ephumelelayo enemiphumela emihle.

Umbono ubuye uncike kunoma yikuphi ukulimala kobuchopho okuvele ngenxa yokopha ngaphambi, ngesikhathi, noma ngemuva kokuhlinzwa.

Ukwelashwa - i-endovascular embolism; Ukuhlanganiswa kwe-Coil; I-cerebral aneurysm - i-endovascular; Coiling - endovascular; I-aneurysm ye-Sacular - i-endovascular; I-Berry aneurysm - ukulungiswa kwe-endovascular; Ukulungiswa kwe-Fusiform aneurysm - i-endovascular; Ukulungiswa kwe-aneurysm - endovascular

UKellner CP, Taylor BES, Meyers PM. Ukuphathwa kwe-Endovascular kokungasebenzi kahle komzimba kokwelashwa. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 404.

ILazzaro MA, iZaidat OO. Izimiso zokwelashwa kwe-neurointerventional. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 56.

URangel-Castilla L, uShakir HJ, uSiddiqui AH. Ukwelashwa kwe-Endovascular for the treatment of cerebrovascular disease. Ku: Caplan LR, Biller J, Leary MC, et al, ama-eds. Ukuqala ngezifo zeCerebrovascular. Okwesibili. ICambridge, MA: I-Elsevier Academic Press; I-2017: isahluko 149.