Ukudityaniswa kwe-Endovascular

Ukudityaniswa kwe-endovascular yinkqubo yokunyanga imithambo yegazi engaqhelekanga kwingqondo nakwezinye iindawo zomzimba. Enye indlela yokuvula utyando.

Le nkqubo isika unikezelo lwegazi kwindawo ethile yomzimba.

Unokuba ne-anesthesia ngokubanzi (ilele kwaye ayinazintlungu) kunye netyhubhu yokuphefumla. Okanye, unganikwa iyeza lokuphumla, kodwa awuzukulala.

Ukusikwa okuncinci kotyando kuyakwenziwa kwindawo ye-groin. Ugqirha uya kusebenzisa inaliti ukwenza umngxunya kwithambo lobufazi, umthambo omkhulu wegazi.

• Umbhobho omncinci oguqukayo obizwa ngokuba yi-catheter ugqitha kulusu oluvulekileyo nakwimithambo.
• Idayi ifakwe ngaphakathi kule tyhubhu ukuze isitya segazi sibonakale kwimifanekiso ye-x-ray.
• Ugqirha uhambisa ngobunono i-catheter ngomthambo wegazi ukuya kwindawo efundwayo.
• Nje ukuba i-catheter ibesendaweni, ugqirha ubeka amasuntswana eplastiki, iglu, iikhoyili zentsimbi, igwebu, okanye ibhaluni ngayo ukuvalela isitya segazi esingalunganga. (Ukuba kusetyenziswa iikhoyili, ibizwa ngokuba yi-coil embolization.)

Le nkqubo inokuthatha iiyure ezininzi.

Inkqubo ihlala isetyenziselwa ukunyanga ii-aneurysms kwingqondo. Ingasetyenziselwa ezinye iimeko zonyango xa utyando oluvulekileyo lunokuba semngciphekweni. Injongo yonyango kukuthintela ukopha kwindawo yengxaki kunye nokunciphisa umngcipheko wokuba umphanda wegazi uqhekeke (uqhekeke).

Ugqirha wakho uya kukunceda uthathe isigqibo sokuba ngaba kukhuselekile na ukwenza uqhaqho ukuvimba i-aneurysm ngaphambi kokuba iphuke.

Le nkqubo inokusetyenziselwa ukunyanga:

• I-Arteriovenous malformation (AVM)
• I-aneurysm yobuchopho
• Umthambo weCarotid cavernous fistula (ingxaki kumthambo omkhulu entanyeni)
• Amathumba athile

Iingozi ezivela kwinkqubo zinokubandakanya:

• Ukopha kwindawo yenaliti
• Ukopha kwingqondo
• Ukonakala komthambo apho kufakwe inaliti
• Ikhoyili okanye ibhaluni
• Ukusilela ukunyanga ngokupheleleyo isitya segazi esingaqhelekanga
• Usulelo
• Ukubetha
• Iimpawu ezihlala zibuyela
• Ukufa

Le nkqubo ihlala isenziwa kwimeko kaxakeka. Ukuba akuyongxamiseko:

• Xelela umboneleli wakho wezempilo ukuba zeziphi iziyobisi okanye amayeza owasebenzisayo, kwaye ukuba ubusele utywala kakhulu.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.
• Zama ukuyeka ukutshaya.
• Uya kuhlala ucelwa ukuba ungatyi okanye usele nantoni na iiyure eziyi-8 ngaphambi kotyando.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Ukuba kwakungekho ukopha ngaphambi kwenkqubo, kuya kufuneka uhlale esibhedlele kangangeentsuku ezi-1 ukuya kwezi-2.

Ukuba ukopha kwenzeka, ukuhlala kwakho esibhedlele kuya kuba ngaphezulu.

Ukukhawuleza kwakho ukufumana kwakhona kuxhomekeke kwimpilo yakho iyonke, ubuzaza bemeko yakho yezonyango, kunye nezinye izinto.

Kwiimeko ezininzi, ukubethelwa kwe-endovascular yinkqubo eyimpumelelo eneziphumo ezilungileyo.

Umbono uxhomekeke nakuwuphi na umonakalo wengqondo owenzekileyo ekuphumeni kwegazi ngaphambi, ngexesha, okanye emva kotyando.

Unyango - i-endovascular embolism; Ukudityaniswa kwekhoyili; I-aneurysm yeCerebral - i-endovascular; Ikhoyili - i-endovascular; I-aneurysm ye-Saccular - i-endovascular; I-Berry aneurysm - ukulungiswa kwe-endovascular; Ukulungiswa kwe-Fusiform aneurysm - i-endovascular; Ukulungiswa kwe-Aneurysm-endovascular

UKellner CP, uTaylor BES, uMeyers PM. Ulawulo lwe-Endovascular lwe-arteriovenous malformations yokunyanga. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 404.

ILazzaro MA, iZaidat OO. Imigaqo yonyango olungena ngaphakathi. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 56.

URangel-Castilla L, uShakir HJ, uSiddiqui AH. Unyango lwe-Endovascular kunyango lwesifo se-cerebrovascular. Ku: UCaplan LR, uBiller J, uLeary MC, et al, ii-eds. Ukuqala kwizifo zeCerebrovascular. Ngomhla wesi-2. ICambridge, MA: Elsevier Academic Press; Ngo-2017: isahluko 149.