Ukukhethekile okuhlinzekwa ukuhlinzeka ngamathambo kunomthelela wokuphatha imithwalo yegazi yomzimba, ngaphandle kweziqukathi zenhliziyo nobuchopho. Udokotela ohlinzayo wezinambuzane angase enze izinqubo ezithinta imithwalo nemithanjeni yezindawo ezihlukahlukene zomzimba, kubandakanya izingalo, imilenze, izitho kanye nezinye izicubu.
Ngaphandle kwenhliziyo namaphaphu, aphethwe odokotela abahlinzayo base-cardiothoracic nobuchopho, obuphathwa ngabahlinzayo bobuchopho, abahlinzayo abahlinzeka ngezicathulo ngokuvamile babheka ukuthi wonke umzimba womuntu kufanele ufanele umsebenzi wabo.
Uyothunyelwa kudokotela ohlinzayo ohlinzayo nge-dokotela wakho oyinhloko wokunakekelwa ngezimo ezifana nesifo se-peripheral arterial disease. Noma, ungase udinga udokotela ohlinzayo ngemuva kokulimala okudabukisayo noma esinye isimo esiphuthumayo sezokwelapha, njenge-aortic aneurysm.
Yeka ukuthi udokotela ohlinzayo we-Vascular Does
Abahlinzayo abahlinzeka nge-Vascular ngokuvamile basebenza ukubuyisela ukugeleza kwegazi endaweni yomzimba ngemva kokuhlukunyezwa, izifo, noma enye inkinga elimaza izitsha zegazi. Lokhu kungase kusho ukuthi benza inqubo yokunciphisa ukubuyisela ukuhamba kahle kwegazi ezinyaweni, noma bangabeka i-AV shunt kumuntu odingeka ukuqala i-dialysis. Kulezi ziguli ezinezinyolo ezithintekayo entanyeni yabo, udokotela ohlinzayo angase enze i- endaro- digrectomy ye- carotid ukuthuthukisa ukugeleza kwegazi kuya ebuchosheni.
Ngaphandle kokunakekelwa okubucayi kweziguli ezihlinzeka ngeziguli, udokotela ohlinzayo wezinyosi unikeza ukunakekelwa okuphelele isiguli. Akagcini nje ngokugxila ekuhlinzekeni, kodwa kunalokho usebenza neziguli ukuthuthukisa izimo zabo ngemithi, ukuvivinya umzimba, nezinye izinhlobo zokwelapha.
Ngokusho kweNhlangano ye-Vascular Surgery, udokotela ohlinzayo wesibindi akagxile ekuhlinzekeni uhlobo olulodwa lwezokwelapha kodwa esikhundleni salokho usebenza ngeso lengqondo ukuze athole isisombululo esihle kunazo zonke, kungakhathaliseki ukuthi kuyinkimbinkimbi yokuhlinzwa, izinqubo ezincane ezingenasidingo, noma akukho ukuhlinzwa okungeyona nhlobo.
Uhlola isiguli futhi uhlola njenge-angiography, i- MRI , i- CT , ne-duplex ultrasonography.
Ulawula izifo zakhe ezinesifo se-vascular, kuhlanganise nezikrini zezempilo, ezilandela iziguli ezinezimo eziqhubekayo, ezichaza imithi, iyala iziguli ukuthi zinganciphisa kanjani izimbangela zabo ezingozini, nokuphathwa kwezilonda.
Ezinye zezokwelapha ezijwayelekile ezingase zihlinzekwe zifaka amputation, ukwelapha okuthandwayo, ukunakekelwa kwezinyawo zesifo sikashukela, ukufinyelela kwe-dialysis, umugqa we-PICC, ukulungiswa kwe-aortic, endarterectomy ye-carotid, ukuhlinzwa okuvulekile nokuvulekayo kwe-aortic aneurysms nokuphikisana.
Ukuqeqeshwa
Udokotela ohlinzayo wezinyosi ngokuvamile uqedela isikole sezokwelapha, kulandelwa ukuhlala ngokujwayelekile kokuhlala iminyaka emihlanu, bese kuba nokuhlanganyela okuhloswe ngemithi yama-vascular. Lezi zinhlelo kumele zivunywe nguMkhandlu Wokugunyazwa Wezemfundo Ephakeme (ACGME) e-US, noma iRoyal College of Physicians kanye Neziqhumane zaseCanada (RCPSC). Kumele baqinisekiswe yizivivinyo ezivela eMelika Bhodi Yokuhlinzwa phakathi kweminyaka eyisikhombisa yokuqedela ukuqeqeshwa kwabo ukuthola isitifiketi ngaphambi kokuqala umkhuba ozimele.
Izimo ze-Vascular ezithathwa yizokwelapha
Izimo ezintathu ezinkulu abahlinzayo abahlinzeka ngamathambo yizi:
- I-aneurysm ye-aortic yomzimba: Lokhu kuyinhloko emtheni omkhulu kunazo zonke esiswini. Uma ibuthakathaka futhi ihlukana, uzoba nokuphuma kwegazi ngaphakathi, ukufaka ingozi yokufa.
- I-carotid artery isifo: Uma umthambo omkhulu entanyeni une-plaque of plaque, kungaholela ekushayweni.
- Isifo segazi esiphezulu: Lokhu kungumakhi we-plaque emithanjeni yegazi edla zonke izindawo zomzimba wakho. Ama-blockages emlenzeni angabangela ubuhlungu, izilonda ezinyaweni, nesilonda, okudinga ukuthunjwa. Lokhu kungaholela ekuhlaselweni kwenhliziyo noma ngesifo sohlangothi.
> Imithombo:
> Izinsiza ezibekezelayo. Society for Surgery Vascular. https://vascular.org/patient-resources.