Eriri akpa nwa akwara embolization na ọgwụgwọ nke eriri akpa nwa fibroids

Na oge a na ọrịa ụmụ nwanyị kasị nwayọọ nwayọọ na-usoro ọgwụgwọ nke eriri akpa nwa fibroids na-deservedly ghọtara dị ka eriri akpa nwa akwara embolization. Nke a pụrụ iche na usoro na-enye ohere iji zere a ịwa ahụ na ime ihe, ọ bụ na-ewebata embolus amụba mkpọchi (occlusion) nke ọbara arịa. Na nchoputa nke eriri akpa nwa fibroids ruo ọtụtụ afọ ndị inyom a họpụtara resection agụmakwụkwọ, ruo mgbe zuru mwepụ nke akpanwa, ma taa, eriri akpa nwa akwara embolization-enye gị ohere na-egbochi ọbara eruba kpọbata ọbara fibromatous mmiri na, si otú, na-egbochi ọganihu nke ngwọta. Dị ka a n'ihi nke fibroid agwọ ọrịa a na-nwayọọ nwayọọ belata na size.

The usoro nke usoro

The ọgwụgwọ usoro a na-ịmapusị femoral akwara, sochiri catheter eriri akpa nwa arịa na ndinọ site a catheter embolization ọgwụ. The ahụ nke ọgwụ na-araparawo arịa ndị a na-n'obosara ma yitewere ha. The usoro a rụrụ iji wuchaa mkpọchi nke ọbara arịa na-enye nri fibomiomy. N'ihi na a zuru ngọngọ nke akpụ embolization nke eriri akpa nwa akwara mụụrụ si abụọ n'akụkụ. Iji gosi na enweghị inweta ọbara nke nkeji na njedebe nke usoro a rụrụ a akara arteriogram. Places akpụkpọ punctures na-emeso ya na ihe antiseptik, 12 awa maka ha karịrị compressive akpali mmasị mgbakwasa.

Egosi na contraindications maka usoro

Eriri akpa nwa akwara embolization na e kenyere ndị na-esonụ mgbe:

1. akọwa na-eto eto ma ọ bụ symptomatic eriri akpa nwa fibroids. Ẹda atụ aro usoro:

• na eriri akpa nwa size kwekọrọ ekwekọ gestational afọ 7 ruo 20 izu, na-anọghị nke cervical daa ọrịa, ovarian, na endometrium. Na nta size of eriri akpa nwa embolization bụghị na-achọsi ike n'ihi na nke a na-ịga nke ọma nke ya, mmejuputa iwu bụ ntakiri;
• mgbe ọrịa aka iso mmasị ime na fibroids ike ọrụ ke pathogenesis nke infertility ma ọ bụ elu puru nke ime ọpụpụ;
• na nkwadebe maka nke ogwugwo mwepụ nke akpanwa (myomectomy) ma ọ bụ hysteroresectoscopy;

2. Na-akara eriri akpa nwa ọbara ọgbụgba dị iche iche etiology, na otu ebe ụzọ ndị ọzọ nke ọgwụgwọ na-metụtara ihe doro egwu egwu ka ndụ nke onye ọrịa.

Contraindication maka embolization nwere ike ọnụnọ nke ọrịa na oké asọ ọgwụ ọjọọ eme ihe, na-akpata anaphylactic ujo ma ọ bụ Quincke si edema.

uru nke usoro

Eriri akpa nwa akwara embolization bụ a na-abụghị invasive, ngwa-echebekwa ọgwụgwọ, nke na-enye ohere ndị inyom mgbe ogbako ịnọgide na-enwe omumu ọrụ. Ọ na-emepụta na-enweghị ojiji nke general ná Nkụnwụ na-achọ a ngụkọta nke 8 awa nke bed ike. Embolization doo onya anụ ahụ na emebi ya, mmejuputa iwu dị ka ala - 2 ịmapusị catheter. Ọtụtụ ndị ọrịa na otu ụbọchị, na-aga n'ụlọ, na zuru ezu mgbake emee n'ime izu 2. Bụrụ na nke na-abawanye na ngụkọta ahu okpomọkụ kenyere mgbochi mkpali ọgwụ ọjọọ, na o kwere omume mgbu gbochie iji analgesics.

Nyocha

Women nwere nnọọ obi ụtọ na N'ihi ya, nke na-akpata eriri akpa nwa akwara embolization. Nyocha nke ọtụtụ ndị ọrịa na-ebelata ka eziokwu ahụ bụ na dum ọrụ bụ enweghi mgbu na-ekwupụtakwa ọ dịghị ihe karịrị 10 nkeji. Mgbe echekwara ọrụ nke akpanwa, akpụ bụ agaghịkwa na-aga n'ihu na-eji nwayọọ nwayọọ ebelata ke size. Na ọtụtụ ihe - nke a bụ ihe ndị inyom mgbe usoro ka nwere ike ịmụ ụmụ.

Na taa ọgwụ eriri akpa nwa akwara embolization eri bụ elu ezu, ma n'ihi bụ maa kwesịrị ya. A ego na-gụnyere ọrụ dọkịta, ndị price nke ọgwụ embolization na ngwaọrụ eji, nakwa dị ka a na ọnụnọ a ọgwụ.