Qalliinka Endovascular: Noocyada waxqabadyada

Tobankii sano ee la soo dhaafay, qaliin endovascular waa dabaqi karo oo caan ah, laakiin loo fuulaana waxay bilaabeen in ay 50s ee qarnigii 20aad.

A yar oo taariikh

darsaya Swedish Sven Seldinger naadiyey fikradda ah soo bandhigid weelka dareere ah, in uu yahay, wakiilka farqiga. Ujeedada cilmiga ahaa in ay ka fogaadaan cut ah. Sidaasay u soo nidaam dalool markabka irbad gaar ah maqaarka.

Wuxuu u yimid iyada oo string irbadda, cabaar galay markabka ay gacanta ku X-ray, irbadda laga saaro iyo gelinta tuubada xarig ah. Wakiilka duwan ayaa waxaa laga codsadaa in ay kateetarka, ka dibna waxaan ku soo qaaday sawir on film X-ray ah. Sidaa daraadeed waxaa la helay image ah ee markabka. Kateetarka guide irbadda waa qalab asaasiga ah ee qalliinka endovascular oo maanta loo isticmaalo. Waxaa muhiim ah in la ogaado in tayada qalabka fure u tahay guusha howlgalka. Halkan sida asalkiisu ka soo jeedo qaliin endovascular ee halbowlaha artery gudaha.

Marxaladda xigta ee horumarinta loola jeedaa 1964. Darsaya Charles Dotter soo bandhigay hab for ballaarinta markabka cidhiidhi la isticmaalayo buufin ah buufin, kaas oo ku lifaaqan dhammaadka in tuubada. Tani abuurnimo kaamileen wadnaha Swiss Andreas Gryunttsig. Oo wuxuu kaloo sameeyey angioplasty ku buufin ugu horeysay ee halbowlayaasha wadnaha. Tobankii sano ee soo socda, berrinkii daawo oo waxay gaadheen dhaqdhaqaaqa horumarinta. Waa in la ogaadaa ka qayb of nuurar maxaliga ah ee qalliinka vascular waa: Serbinenko FA, Rabkin I. H., Savelev V. S., Zingerman LIS iyo kuwa kale.

Maanta, qaliin endovascular ayaa iska daayeen inay noqon tijaabo ah. Waxa uu si adag u qaaday meeshiisii iyo horumar.

About Qalliinka Vascular

qaliin Vascular - degaanka ee dawada, taas oo ka mid ah daaweynta oo ah dhiig iyo weelashii lymph. Waxaan ka codsan habka daaweynta sida qalitaanka buuxsan, iyo intravascular. Markii hore, ujeedada qaliin ahaa ogaanshaha. Guulaha iyo natiijooyinka daaweynta loo oggol yahay inay ka dhisaan aag gaar ah.

noocyada yar invasive iska leh qalliinka vascular casriga ah. hawlgalka hufan intravascularly suurto gal ah in technology cusub ee daawada mahad, qaliin oon endovascular waxaa loo arkaa madax banaan ah, oo khaas ah profile cidhiidhi ah, taas oo ay meesha iyo sameeyey kale qaaday in qaliin dhaqanka.

Ereyga "endovascular", taas oo macnaheedu yahay "intravascular" si sax ah u dhigma gaarka ah. Waa hab universal waa dabaqi karo heley kala duwan vascular iyo marinnada intraorgan.

Noocyada ugu muhiimsan ee

Qalliinka Endovascular ka mid ah rentgenohirurgii, wadnaha, raajada la tacaalid ah - nooc this of qalliin, oo waxaa lagu fuliyaa on xididada dhiigga via helaan KORONARKAR gacanta imaging shucaaca.

Faa'iidada ugu weyn ee qaliinka intravascular - qabashada this dhex badhxo yar ee maqaarka iyo gacanta X-ray salaysayn khalkhalgelinta.
waxqabadyada ogaanshaha iyo daweynta Endovascular ayaa la sameeyey ee rugta iyo u baahan tahay dhowr maalmood oo isbitaal. faa'iidooyinka:

• Celcelis ahaan, waxaa jira uma baahna suuxinta guud.
• Si loo yareeyo khatarta ka mid ah maqnaanshaha waxqabadyada lagama maarmaan buuxsan,, xanuun awgeed hoose, dhaqan celinta deg deg ah marka la barbar dhigo qalliinka classical.
• Noocyada waxqabadyada endovascular waa binta miisaaniyadda soo jiidasho leh.

Inta badan loo isticmaalaa habka endovascular - ANGIOGRAFI lagu ogaanayo. Maxay Xarunta Qalliinka Endovascular?

cidhiidhi ee markabka waxaa Dilatation ama stenting dhigi. Marka qulqulka dhiigga ka badan xubin (burada, angiodysplasia, iwm) ama socodka dhiigga aan caadi ahayn (boodo arteriovenous, varicocele) codsan embolization vascular.
Haddii la ogaado vasodilation bahal - jab aneurysm intravascular loo isticmaalo, taas oo reebaysa aneurysm ka aagga socodka dhiigga.

QODOBO Tabaha

Marka la eego bukaanka qaba cudurka ah "hypertension portal" (cadaadis dhiig oo sareeya ee xididka portal ay sabab u xirma ee socodka dhiigga iyada oo beerka) farsamo TIPS loo isticmaalo - waxaa laga abuuray hack "channel" ee socodka dhiigga ka xididka portal galay beerka. Tani waxa ay yaraynaysaa cadaadiska dhiigga portal, waxaa looga hortagi nolosha halis.

Haddii ay jirto halis ah in askartii of thrombus of hoose xididka addinka iyaga xamuulka ah sii halbowlaha pulmonary, markaas dhigay filtarrada cava sida qiyaas profilatikada.

chemotherapy gobolka

Habka chemotherapy Regional loo isticmaalo cirbad diirada u galay xubnaha, sida galiyey in pankreatit ba'an, kansarka Kiimiko (tuubada la geliyo oo halbowle ah ka dibna daroogada waxaa toos loogu mudayo xubinta ka buka). Hordhac galay halbowlaha ee chemotherapy isku dhafan oo dhexdhexaad ah la barbardhigo saliid - himioembilizatsiya.

thrombolysis

weel thrombosis isticmaalaya thrombolysis gobolka. Soo Bandhigida tuubada galay degaanka ee thrombosis, waxaa maamula walax in u kala diray thrombus ah (thrombolytic) si toos ah in thrombosis qoryaha. Sidee thrombus a qayb ahaan ama gebi kala diri, taasoo tramboliticheskogo dose daroogada.

Kuwani farsamooyinka endovascular ma aha in buuxa. The xaqiiqada ah maalintii oo casri ah kuwaas oo kale in qaliin endovascular leedahay cusub, sii kordhaya aheyn laan ka mid ah daawada. Liiska nidaamka endovascular kala duwan daweynta ballaarinaya.

Maxaad samayn kartaa iyadoo la kaashanayo X-ray?

Cilmi-marinnada, xididdada ama xididdada ayaa muujinaya cidhiidhi, qabsamin xididdada dhiigga, diiradda, size ee Cudurka marinka ballaarinta, iyo in la garto dhiig bax gudaha ah, habka buro, iyo in ka badan, in ay tahay wax aan macquul aheyn in la aqoonsado hab kasta oo kale.

waaxda qalliinka Endovascular ayaa ku hawlan cilmi sida.
Habka guud ahaan waa tallaabooyinka soo socda. Si dillacinin oo halbowle ah ama xididka waxaa loo isticmaalaa cirbad khaas ah - qanjidhka, kilkilooyinka, hoos kalxanta ama qoorta. tube caag Curved - tuubo gelin galay markabka. hanuun Fluoroscopic caawiyaa si uu u qabto tuubada weel bartilmaameedka.

Markaas quudin galay dhexdhexaad ah ee la barbardhigo kateetarka in la arki karo in X-rays. Wakiilka Farqiga u, oo fidsan mawduuca site a vascular, waxaa dogob X-ray caan ah samaynta. Natiijada daraasadda qabsatay ah X-ray ama video. qaliin endovascular X-ray si ay u aqoonsadaan cudurada kala duwan oo weelasha iyo xubnaha gudaha iyo waa hab la bedeli karin oo ah cilmi-baarista.

Marka daraasad hagiographic ee suurto gal xanuun muddo gaaban adag ee kala duwan ee aagga daraasadda. Mararka qaar ka mid ah therapy xanuunka loo baahan yahay.

baarka angiograms

Sidaas, sida loo sameeyaa qaliin endovascular ee halbowlayaasha artery? weelasha dabooleen cidhiidhi ah ama la dhimay by bandhigid markaas buufin gaar ah loo badbadiyay in Lumen ah. Habkani waxaa soo celinayo patency ee markabka ma u baahan tahay inaad keento tallaabo, universal ah, sida lagu dabaqi karo, waayo, wax kasta oo weelal aadanaha.

vasoconstriction quudin ANGIOGRAFI Kateetarka sameeyo si loo ogaado heerka cidhiidhi markabka. Iyada oo qayb ka mid cidhiidhi ah ama u xiran yihiin markabka waa la fuliyay qalab - kaari ah. Markaas kateetarka biibiilaha la quudin jiray, taas oo overlaps qaybtii cidhiidhi ah.

buufin ayaa ballaarinaya aagga cidhiidhi ah. Sababta xakamaynta - xinjir dhiig ah ama huurada, kuwaas oo isku qaybiyey derbigii si xoogan oo culays lixaad ee markabka. Next, biibiilaha la baabi'say, oon ku sii daayay qayb kafaalaqaade kaas oo la soo celiyey socodka dhiigga buuxa.

Dhululubada ah ka saaraysaa dhaqdhaqaaqa wanaagsan socdo by ANGIOGRAFI soo noqnoqda. qaliin endovascular Sidoo kale caanka ah ee halbowlaha vertebral.

Iyada oo waxtardarradoodu ee Dilatation

Inta badan, ka dib markii Dilatation arkay stenosis haraaga ah oo aan faragelin habka caadiga ah ee socodka dhiigga.

Haddii Dilatation stent loo baahnayn lagu talinayo in ay taageertaa gudaha markabka oo isaga kama aanan siin doonaa cidhiidhi ah. In stent ayaa laga yaabaa of kala duwan dhererka iyo dhexroor, hab oo kala duwan oo loo xirxiro. stent ayaa la doortay si gaar ah. Si aad u taariikhda, oo alaabteeda oo dhan aadanaha diyaar u stent coronary endovascular.

gunaanad

Waxaa jira calaamado muujinaya kala duwan, marka si loo joojiyo socodka dhiigga iyada oo markabka. Waayo, weel embolizirovaniya waa la fuliyay in uu kateetarka. Waxaa muhiim ah in tuubada waa in lagu rakibaa si uusan wax embolization ku dhici lama gelin weelal kale. tuubada iyada oo markabka gaadhsiiyey embolizing walax ama qalab, sida loogu aarayo, caag ah (gelatin) sclerosant walxaha a.