Opaleshoni yodutsa (saphenectomy): zoopsa, momwe zimachitikira, ndikuchira

Zamkati

• Pamene opaleshoni ikuwonetsedwa
• Kuopsa kwa opaleshoni kuchotsa mtsempha wa saphenous
• Kodi kuchira kumachotsedwa bwanji?
• Kodi opaleshoniyo imachotsa bwanji mtsempha wa saphenous

Opaleshoni yochotsa mitsempha ya saphenous, kapena saphenectomy, ndi njira yothandizira mitsempha ya varicose m'miyendo ndikupeza zolumikizira zamatenda kulambalala aortocoronary, chifukwa ndikofunikira kuchotsa mtsempha, ndizovuta kwambiri kuposa njira zina, monga jekeseni wa thovu kapena ma radiofrequency, mwachitsanzo, koma, komano, ndichithandizo chotsimikizika cha mitsempha ya varicose.

Kuchira kuchokera ku opaleshoni yamitsempha ya varicose kumatenga pafupifupi 1 mpaka milungu iwiri, ndipo zochitika zathupi zimatulutsidwa pakatha masiku 30. Munthawi imeneyi, kugwiritsa ntchito masokosi otanuka komanso mankhwala othandizira kupweteka, monga mankhwala oletsa kutupa kapena ma analgesics, amaperekedwa ndi dokotala wochita opaleshoni.

Pamene opaleshoni ikuwonetsedwa

Saphenectomy imawonetsedwa nthawi zina, monga:

• Pakakhala pachiwopsezo kuti mitsempha yotupa singalimbane ndikuphulika;
• Kuchedwa kuchiritsidwa kwa mitsempha ya varicose;
• Mapangidwe amkati mkati mwa mitsempha ya varicose.

Izi zikuyenera kuyesedwa ndi angiologist kapena opaleshoni yamitsempha, omwe ndi akatswiri pochiza matenda amtunduwu, omwe angasankhe nthawi yomwe saphenectomy idzafunika.

Kuopsa kwa opaleshoni kuchotsa mtsempha wa saphenous

Ngakhale kukhala opareshoni yokhala ndi zoopsa zochepa, saphenectomy imatha kukhala ndi zovuta zina, monga kuwonongeka kwa mitsempha pafupi ndi mtsempha, zomwe zimatha kuyambitsa kulira komanso kutayika, kuphatikiza magazi, thrombophlebitis, thrombosis ya mwendo kapena pulmonary embolism.

Onani chisamaliro chomwe chiyenera kutengedwa musanachite opaleshoni kapena pambuyo pake kuti mupewe zovuta zamtunduwu.

Kodi kuchira kumachotsedwa bwanji?

Mu nthawi ya postoperative mutachotsa mtsempha wa saphenous, amalangizidwa kuti apumule, posankha kukweza miyendo, kwa sabata limodzi, kuphatikiza:

• Gwiritsani zotchinga zotanuka kuti muchepetse miyendo;
• Gwiritsani ntchito mankhwala opewetsa ululu, monga anti-inflammatories ndi analgesics, operekedwa ndi dokotala;
• Osamachita masewera olimbitsa thupi kapena kudziwonetsera nokha padzuwa kwa mwezi umodzi.

Kuphatikiza apo, malo owoneka bwino ayenera kukhala oyera ndi owuma.Zodzola zitha kugwiritsidwanso ntchito kuthana ndi mikwingwirima, monga hirudoid, mwachitsanzo.

Kodi opaleshoniyo imachotsa bwanji mtsempha wa saphenous

Kuchotsa mtsempha wa saphenous kumawonetseredwa kuti kumachiza mitsempha ya varicose pomwe mtsempha wa saphenous watsekedwa chifukwa chakutambalala kwambiri kwa chotengera ichi, kapena pamene mtsempha wa saphenous sukugwiranso ntchito momwe uyenera kubwezera magazi kuchokera ku miyendo kupita pamtima, ndi mkati ndi mitsempha yakunja yosalala. Ndondomekoyi imachitikira m'chipinda chogwiritsira ntchito, ndi msana kapena mankhwala oletsa ululu, ndipo nthawi yochita opaleshoni nthawi zambiri imakhala pafupifupi maola awiri.

Mtsempha wa saphenous ndi mtsempha waukulu womwe umachokera pachiwuno, kupyola pa bondo, pomwe umagawika pakati, mtsempha waukulu wa saphenous ndi mtsempha waung'ono, womwe umapitilira mpaka kumapazi. Ngakhale kukula kwake, kuchotsedwa kwa mtsempha wa saphenous sikungavulaze thanzi, popeza pali zina, zotengera zakuya zomwe ndizofunikira kwambiri kuti magazi abwerere pamtima.

Komabe, ngati mitsempha ya saphenous ikugwirabe ntchito, kuchotsa kwake kuyenera kupewedwa, chifukwa mtsempha wa saphenous ndiwothandiza pochita kulambalala, ngati kuli kofunikira, komwe ndi opaleshoni yomwe mitsempha ya saphenous imayikidwa mumtima m'malo mwa mitsempha yotseka zamumtima.

Onani zina mwa njira zochitira opaleshoni yamitsempha ya varicose yomwe imasunga mtsempha wa saphenous.