Mapangidwe am'mimba

Mapangidwe am'mimba ndi njira yochizira mitsempha yachilendo muubongo ndi ziwalo zina za thupi. Ndi njira ina yotsegulira opareshoni.

Njirayi imadula magazi kupita mbali ina ya thupi.

Mutha kukhala ndi anesthesia wamba (ogona komanso opanda ululu) komanso chubu chopumira. Kapenanso, mutha kupatsidwa mankhwala oti musangalatse, koma simugona.

Kudulidwa kocheperako kumapangidwa m'dera lakubalalo. Dokotala adzagwiritsa ntchito singano kuti apange dzenje mu mtsempha wachikazi, chotengera chachikulu chamagazi.

• Chubu chaching'ono, chosinthika chotchedwa catheter chimadutsa pakhungu lotseguka ndikulowa mumtsempha.
• Utoto umalowetsedwa kudzera mu chubu ichi kuti chotengera chamagazi chiwoneke pazithunzi za x-ray.
• Dotolo amasuntha catheter modutsa mumtsuko wamagazi kupita kudera lomwe akuphunziralo.
• Catheter ikakhala kuti ilipo, adokotala amaika tinthu tating'onoting'ono ta pulasitiki, guluu, zokutira zachitsulo, thovu, kapena buluni kudzera momwemo kuti atseke mtsempha wamagazi wolakwika. (Ngati ma coils agwiritsidwa ntchito, amatchedwa koyilo kuphatikiza.)

Njirayi imatha kutenga maola angapo.

Njirayi imagwiritsidwa ntchito kwambiri pochiza matenda am'mimbamo muubongo. Itha kugwiritsidwanso ntchito pazithandizo zina zamankhwala pomwe opaleshoni yotseguka ikhoza kukhala yowopsa. Cholinga cha mankhwalawa ndikuteteza magazi m'malo ovuta ndikuchepetsa chiopsezo choti chotengera chamagazi chitseguke.

Dokotala wanu adzakuthandizani kudziwa ngati kuli kotheka kuchitidwa opaleshoni kuti athetse vutoli lisanatuluke.

Njirayi itha kugwiritsidwa ntchito pochiza:

• Matenda osokoneza bongo (AVM)
• Matenda a ubongo
• Mitsempha ya Carotid cavernous fistula (vuto la mtsempha waukulu m'khosi)
• Zotupa zina

Zowopsa panjira iyi zingaphatikizepo:

• Kukhetsa magazi pamalo omwe panali singano
• Kutuluka magazi muubongo
• Kuwonongeka kwa mtsempha wamagazi komwe singano idalowetsedwa
• Kutulutsa koyilo kapena buluni
• Kulephera kuchiza kwathunthu chotengera chamagazi chachilendo
• Matenda
• Sitiroko
• Zizindikiro zomwe zimangobwerera
• Imfa

Njirayi imachitika nthawi zambiri mwadzidzidzi. Ngati sizadzidzidzi:

• Uzani wothandizira zaumoyo wanu za mankhwala kapena zitsamba zomwe mukumwa, ndipo ngati mwakhala mukumwa mowa wambiri.
• Funsani omwe akukuthandizani mankhwala omwe muyenera kumwa patsiku la opaleshonilo.
• Yesetsani kusiya kusuta.
• Nthawi zambiri mudzafunsidwa kuti musadye kapena kumwa chilichonse kwa maola 8 musanachite opaleshoni.
• Tengani mankhwala omwe mwauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Fikani kuchipatala nthawi yake.

Ngati simunatuluke magazi musanachitike, mungafunike kukhala mchipatala kwa masiku 1 kapena 2.

Ngati magazi atuluka, kugona kwanu mchipatala kumakhala kotalikirapo.

Momwe mumachira mwachangu zimadalira thanzi lanu lonse, kuopsa kwa matenda anu, ndi zina.

Nthawi zambiri, kuphatikiza kwa endovascular ndi njira yopambana yomwe imakhala ndi zotsatira zabwino.

Maganizo ake amatengera kuwonongeka kulikonse kwaubongo komwe kumachitika chifukwa chotuluka magazi asanafike, mkati, kapena pambuyo pa opaleshoni.

Chithandizo - embolism endovascular; Kuphatikiza koyilo; Cerebral aneurysm - endovascular; Coiling - endovascular; Mitsempha aneurysm - endovascular; Berry aneurysm - kukonzanso kwamitsempha; Fusiform aneurysm kukonza - endovascular; Kukonzanso kwa aneurysm - endovascular

Kellner CP, Taylor BES, Meyers PM. Kusamalira kwamitsempha kwamankhwala osokoneza bongo kwamankhwala. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 404.

Lazzaro MA, Zaidat OO. Mfundo zothandizila kupatsirana. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 56.

Rangel-Castilla L, Shakir HJ, Siddiqui AH. Mankhwala a Endovascular othandizira matenda a cerebrovascular. Mu: Caplan LR, Biller J, Leary MC, et al, olemba. Yambani pa Matenda a Cerebrovascular. Wachiwiri ed. Cambridge, MA: Atolankhani a Elsevier Academic; 2017: mutu 149.