Uterine mtsempha wamagazi embolization mankhwalawa fibroids uterine

Mu matenda achikazi zambiri zamakono mwapang'onopang'ono njira ya chithandizo cha fibroids uterine ndi mpake anazindikira kuti mtsempha wamagazi uterine embolization. izi ndondomeko yapadera zimathandiza kupewa opaleshoni opaleshoni, tichipeza poyamba embolus ikuyambitsa blockage (occlusion) Mitsempha. Ndi matenda a fibroids uterine kwa zaka zambiri akazi aikidwa resection a maphunziro, mpaka wathunthu kuchotsa chiberekero, koma lero, uterine mtsempha wamagazi embolization amalola kuti ndigwire magazi kupereka magazi zigawo fibromatous ndipo motero, kutchinga patsogolo chotupa cha. Chifukwa cha mankhwala fibroid pang'ono ndi pang'ono yafupika kukula.

The ndondomeko ya ndondomeko

The ndondomeko achire ndi puncture mtsempha wamagazi femoral, namtsata ndi catheter ziwiya uterine ndi kutumikiridwa kupyolera catheter embolization mankhwala. The particles mankhwala mwaima ziwiya awiri ena ndipo alipo iwo. Ndondomeko ikuchitika kumaliza blockage Mitsempha kuti kupereka chakudya fibomiomy. Pakuti chipika wathunthu chotupa embolization ya mitsempha uterine imachitika kwa mbali ziwiri. Pofuna kutsimikizira kupanda kotunga magazi mayunitsi pa mapeto a ndondomeko ikuchitika kulamulira arteriogram. punctures Places khungu ankachitira ndi antiseptic, maola 12 kuti iwo superimposed compressive wosabala kuvala.

Zizindikiro ndi contraindications kuti njira

Uterine mtsempha wamagazi embolization akapatsidwa milandu zotsatirazi:

1. Matanthauzo kukula kapena symptomatic fibroids uterine. Kuchititsa ndondomeko analimbikitsa:

• ndi kukula uterine lolingana zaka gestational masabata 7 mpaka 20, pakalibe khomo lachiberekero kudwala, yamchiberekero, ndi endometrium. Ndi kukula ang'onoang'ono a embolization uterine si zofunika chifukwa Pankhaniyi bwino kukhazikitsa ndi kochepa;
• pamene odwala chidwi mimba ndi fibroids anakhazikitsa ntchito pa pathogenesis kukhala osabereka kapena mkulu Mwina wa padera;
• pokonzekera kuchotsa opaleshoni ya m'chiberekero (myomectomy) kapena hysteroresectoscopy;

2. Mu amalembedwa magazi uterine wa etiology osiyana, pa nthawi imene njira zina zochizira imakhudzana ndi kuopseza achindunji moyo wa wodwalayo.

Contraindication kwa embolization kungakhale pamaso kachilombo ndi ziwengo kwambiri kwa mankhwala ntchito, chifukwa mu mantha anaphylactic kapena edema Quincke a.

Ubwino wa njira

Uterine mtsempha wamagazi embolization ndi sanali olanda, limba-asayambe mankhwala, amene amalola akazi pambuyo msonkhano kukhalabe ntchito ubereki. Chifukwa amapangidwa popanda kugwiritsa ntchito mankhwala ochititsa dzanzi ambiri ndipo amafuna maola 8 pabedi zina. Embolization masamba palibe minofu yovulazidwa kuwonongeka mu kukhazikitsa monga otsika - 2 kwa puncture ndi catheter. odwala ambiri mu tsiku lomwelo, kupita kunyumba, ndi kuchira wathunthu amapezeka mkati mwa masabata 2. Mu nkhani ya kuwonjezeka okwana thupi kutentha Kwalamulidwa mankhwala odana ndi yotupa, ndi ululu zotheka akulephera ntchito analgesics.

Reviews

Akazi tiri okondwa kwambiri ndi zotsatira zake, zomwe zimabweretsa mtsempha wamagazi uterine embolization. Reviews odwala ambiri ndi kuchepetsedwa chakuti ntchito lonse ndi sabweretsa chisoni zimatha mphindi zosapitirira 10. Pamene kusungidwa ntchito ya chiberekero, chotupacho salinso m'kati ndi pang'onopang'ono yafupika kukula. Ndipo ambiri Chofunika - izi ndi zimene akazi pambuyo ndondomeko akadali kubereka ana.

Mu mtengo chipatala uterine mtsempha wamagazi embolization lero ndi mkulu okwanira, koma chifukwa ndithudi zedi. kuchuluka Izi zinaphatikizapo ntchito ya madotolo, mtengo wa embolization mankhwala ndi zipangizo ntchito, komanso kukhala m'chipatala.