Nkọwapụta akwara

Ngosiputa akwara bu usoro iji gwo akwara obara n’arughi aru ya na akuku ndi ozo. Ọ bụ ihe ọzọ iji mepee ịwa ahụ.

Usoro a na-ebelata ọbara n’ahụ n’akụkụ ụfọdụ nke ahụ.

May nwere ike ịnwe ọgwụ nhụjuanya izugbe (ụra na enweghị mgbu) na tube iku ume. Ma ọ bụ, enwere ike inye gị ọgwụ iji zuru ike gị, mana ị gaghị ehi ụra.

A ga-eme obere ịwa ahụ n'obere. Dọkịta ga-eji agịga mepụta oghere n'ime akwara femoral, nnukwu arịa ọbara.

• Obere, ụyọkọ na-agbanwe agbanwe nke a na-akpọ catheter na-agafe na akpụkpọ ahụ mepere emepe ma banye n'ime akwara.
• A na-agbazi agba ka mmiri n'ahụ ya ka e wee nwee ike ịhụ arịa ọbara ahụ n'ihe onyonyo x-ray.
• Dọkịta ji nwayọ na-ebugharị catheter ahụ site na arịa ọbara ya ruo ebe a na-amụ ihe.
• Ozugbo catheter dị, dọkịta na-etinye obere ngwongwo plastik, gluu, ihe igwe, ụfụfụ, ma ọ bụ balloon site na ya iji mechie arịa ọbara na-adịghị mma. (Ọ bụrụ na ejiri eriri igwe, a na-akpọ ya eriri igwe.)

Usoro a nwere ike were ọtụtụ awa.

A na-ejikarị usoro ahụ eme ihe iji gwọọ aneurysms na ụbụrụ. A nwekwara ike iji ya maka ọnọdụ ahụike ndị ọzọ mgbe ịwa ahụ na-emeghe nwere ike ịdị egwu. Ebumnuche nke ọgwụgwọ bụ iji gbochie ọbara ọgbụgba na mpaghara nsogbu ahụ na iji belata ihe egwu na arịa ọbara ga-emeghe (mgbawa).

Dọkịta gị ga - enyere gị aka ikpebi ma ọ ka mma ịwa ahụ iji gbochie aneurysm ahụ tupu ọ daa.

Enwere ike iji usoro a mee ihe:

• Ọkpụkpụ arteriovenous (AVM)
• Brain aneurysm
• Carotid artery cavernous fistula (nsogbu nwere nnukwu akwara n'olu)
• Tumfọdụ etuto

Ize ndụ site na usoro ahụ nwere ike ịgụnye:

• Ọbara ọgbụgba na saịtị nke ogwu ahụ
• Ọbara ọgbụgba na ụbụrụ
• Mmebi dị na akwara ebe etinyere agịga ahụ
• Achịchapu ma ọ bụ balloon
• Enweghị ike ịgwọ arịa ọbara na-adịghị ahụkebe
• Ofufe Ọrịa
• Ọkụ
• Mgbaàmà na-alaghachi
• Ọnwụ

A na-emekarị usoro a na ihe mberede. Ọ bụrụ na ọ bụghị ihe mberede:

• Gwa onye na-elekọta ahụike gị ọgwụ ma ọ bụ ahịhịa ị na-a ,ụ, ma ọ bụrụ na ị na-a aụ nnukwu mmanya.
• Jụọ onye na-enye gị ọrụ ọgwụ ndị ị ka kwesiri ị takeụ n’ụbọchị ịwa ahụ.
• Gbalịa ịkwụsị ị smokingụ sịga.
• A ga-ajụkarị gị ka ị ghara iri ma ọ bụ drinkụọ ihe ọ bụla maka awa 8 tupu ịwa ahụ.
• Were ọgwụ ndị a gwara gị were obere mmiri pụọ.
• Abịa n’ụlọ ọgwụ n’oge.

Ọ bụrụ na enweghị ọbara ọgbụgba tupu usoro ahụ, ịnwere ike ịnọ n'ụlọ ọgwụ maka 1 ruo ụbọchị 2.

Ọ bụrụ na ọbara ọgbụgba mere, ịnọ n'ụlọ ọgwụ gị ga-aka ogologo.

Kedu otu ngwa ngwa ị gbakere dabere na ahụike gị dum, ogo nke ọnọdụ ahụike gị, na ihe ndị ọzọ.

N'ọtụtụ ọnọdụ, ime ka ọkpụkpụ na-arụ ọrụ na-aga nke ọma na-arụpụta ezigbo ihe.

Ele ihe anya dabere na mbibi ụbụrụ ọ bụla nke mere site na ọbara ọgbụgba tupu, oge, ma ọ bụ mgbe ịwa ahụ.

Ọgwụgwọ - endovascular embolism; Nchikota igwe nkpuchi; Ọrịa ụbụrụ aneurysm - endovascular; Coiling - endovascular; Saccular aneurysm - endovascular; Berry aneurysm - mmezi nke endovascular; Fusiform aneurysm mmezi - endovascular; Aneurysm mmezi - endovascular

Kellner CP, Taylor BES, Meyers PM. Njikwa akwara na - agbanwe agbanwe na - agwọ ọrịa. Na: Winn HR, ed. Youmans na ịwa ahụ na-agwọ ọrịa Winn. Nke 7. Philadelphia, PA: Elsevier; 2017: isi 404.

Lazzaro MA, Zaidat OO. Ofkpụrụ nke ọgwụgwọ neurointerventional. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 56.

Rangel-Castilla L, Shakir HJ, Siddiqui AH. Usoro ọgwụgwọ akwara maka ịgwọ ọrịa nke ọrịa cerebrovascular. Na: Caplan LR, Biller J, Leary MC, et al, ndị ọzọ. Mbido na Ọrịa Cerebrovascular. Nke abụọ ed. Cambridge, MA: Elsevier Academic Pịa; 2017: isi 149.