Endovascularʻoki kino: Kind o uao ai '

Ma ka hopeʻumi makahiki, endovascularʻoki kino mea pili a me ka hanohano, akā, hoomaka ae la kona pii ana ma ka 50s o ka 20th kenekulia.

A wahi moʻolelo

Kuekene radiologist Sven Seldinger hai mai i ka manaʻo o ka i hoʻolaunaʻia ma loko o ka kinowai ipu, i mea, ke Akä naÿe hope paha. Ke AIM o ke nä känaka 'epekema ua e pale aku i ka oki. Pela ka mea, ua hiki mai i ka moku puncture kaʻina hana i kūikawā kuikele ma ka ili.

He hele mai ma ke kui kele ma ia -a-, penetrating i loko o ka moku ma ke kaōhiʻana i ka X-Ray, i ke kui kele ma o ka weheʻana, a me ka kaula catheter hookomo. Ke Akä naÿe hope paha i pili i ka catheter, laila au i ke kiʻi ma luna o ka X-Ray ho film. Pela ka mea i loaa i ke kiʻi o ka moku. Ke kui kele ma alakaʻi catheter i walaʻauʻana hana ma endovascularʻoki kino a me ka hoʻohana 'ia i keia la. He nui e hoailona oukou i ka pono o ka mea paahana o ke ki i ka pomaikai o ka hana. Eia pehea originated endovascularʻoki kino o ka mea maloko carotid artery.

I kekahi kahua o ka? Acaeoey pili i ka 1964. Radiologist Charles Dotter hoʻolauna i ka papa hana no ka hoʻonui i ka hou moku ka hoʻohana 'ana i ka inflatable hoʻonui, a ua pili i ka pau ana i loko o ka catheter. Kēia HOU hemolele Hawaiian cardiologist Manuela Gryunttsig. He i ka mea mua hoʻonui angioplasty o ka naau arteries. Ma ke kakahiakaʻumi makahiki, i ke kahua o ka laau lapaau, a hahai akula i nāʻano o? Acaeoey. It E e hoʻomaopopo i ka makana o ka i nā kukui hoi lakou iloko vascularʻoki kino e: Serbinenko fa, Rabkin I. H., Savelev V. S., Zingerman ls a me na mea e ae.

I kēia lā, endovascularʻoki kino ua oki ia ia i ka ke kahu moku. He Ua paa ia kona wahi, a ua holo pono.

About Vascularʻoki kino

Vascularʻoki kino - wahi o ka oihana lapaau, i nā hana maikaʻiʻole o ke koko a me ka lymph moku. Mākou i pili i ke ano o ka Inc like me ka operable a me ka intravascularʻoki kino. Initially, i ka manao o keʻoki kino ua PalekanaEND_LINK. E piʻi like a me ka hopena o ka lapaʻau 'ae, e kau aku i kekahi kaʻawale wahi.

Minimally invasive laha 'pili ana i kaʻiʻo nō o kēia vascularʻoki kino. Efficient hana intravascularly hiki i ke aloha a hiki i ka eiiiaaoeiiiue enehana ma ka lapaau, hiki endovascularʻoki kino ua manaoia he kuokoa, hana kūikawā ololi holoʻokoʻa, a i kona wahi, a i 'ano like i ka loinaʻoki kino.

Kaʻia "endovascular", a 'o ia hoʻi "intravascular" pono hoʻopili like i ka i Kekahi Mau'. He He ao iaoia i mea pili no kela vascular pathologies a me intraorgan ducts.

I ka papa kuhikuhiE ano o

Endovascularʻoki kino nā rentgenohirurgii, interventional cardiology, interventional radiology - kēiaʻano o kaʻoki lāʻau lapaʻau 'uao, a ua lawe mai ma luna o ka moku koko Via percutaneous ke kōkua o ke kaōhiʻana pāhawewe kiʻi.

Ke kumu nui ia Morohiha o intravascularʻoki kino - keia 'uao ma punctures liʻiliʻi i loko o kaʻili a me ka X-Ray hooponopono o ka manipulation.
Endovascular PalekanaEND_LINK a me ka pākōlea uao ai 'i hana i loko o ka? Aaieou, a noi aku kekahi mau lā o ka hospitalization. pono:

• Ma awelika,ʻaʻohe mea'ē aʻe e pono no ka mau anesthesia.
• I mea e haahaa i ka pilikia o ka wa e kaawale aku o kupono uao ai 'operable, nolaila haʻahaʻa eha, kokololio hoʻopulapula hoʻohālikelike i ka paninaʻoki kino.
• Kind o endovascular uao ai 'i uʻi Bedroom kumu kūʻai.

Pinepine hoʻohana endovascular hana - he PalekanaEND_LINK angiography. He aha ke ano o ka Center no Endovascularʻoki kino?

Ka hou ana o ka moku e ia dilatation paha stenting. I ka oi koko lako o ka hui, (ʻeho, angiodysplasia, etc.) a me'āno'ē koko (arteriovenous shunt, varicocele) pili vascular embolization.
Inā diagnose pathological vasodilation - intravascular aneurysm pakuiia auanei lakou ua hoʻohana 'ia, i ka neʻe aku i ke aneurysm mai koko wahi.

hoʻomanaʻo kōkua

Me ka mahalo i nā mea maʻi me kaʻike, o "ka puka hypertension" (kiʻekiʻe ke koko, i loko o ka nū aa koko aie i ka iaʻi o ke koko ma ke akepaʻa) kōkua 'ana i kūpono hoʻohana - ua hana hack "Kanal" o ke koko mai ka nū aa koko i loko o ke akepaʻa. Kēia ho'ēmi i kā ka puka ke koko, ka mea, ua hooki ola mau olelo hooweliweli.

Inā he mea i ka pilikia o ka poe o ka thrombus o lalo, lala aa koko me ka hou transporter ia i loko o ka pulmonary artery, laila, i ka cava kānana like me ka prophylactic ana.

kēia māhele 'āina chemotherapy

Regional chemotherapy hana hoʻohana no ka pale ka pahu kui i loko o ka hui, kēia, e like me infusion ma ka huʻi pancreatitis, Ka maʻi 'aʻai Chemotherapy (catheter hookomo ia i loko o ka artery, a laila, ua injected' ana i ka lāʻau i loko o ka maÿi hui, kēia). Introduction i loko o ka artery o ka chemotherapy ma ka pu ana me ka aila Akä naÿe meakino - himioembilizatsiya.

thrombolysis

Thrombosis moku hoʻohana 'ana i nā' āina 'thrombolysis. I hoʻolaunaʻia ma ka catheter i loko o ka wahi o ka thrombosis, ua lawelawe iho la no ka waiwai a pau e hoike mai i ka thrombus (thrombolytic) 'ana i loko o ka ipu ahi thrombosis. Ma ia mea no i ka thrombus hapa 'ia a pau loa ia ia ka pono, i laila hoemi i ka lāʻau mahele lāʻau tramboliticheskogo.

i kēia mau endovascular i kūpono i ka piha. Nā realities o kaʻiʻo nō o kēia lā, ua like ia endovascularʻoki kino i ka hoʻonaʻauao kū hoʻokahi, e ulu ana exponentially lālā o ka lāʻau lapaʻau. I ka papa o kekahi pākōlea endovascular kaʻina hana Hoʻonui i ka pono.

He aha e hiki ke hana i ke kōkua o ka X-Ray?

Research o ka moku, arteries a me aa koko hōʻike hou, occlusion o na moku koko, ka pulakaumaka, ka nui o ka? Aiey moku maʻi, a hōʻike na kahe ana ke koko,ʻeho kaʻina, a me ka oi, i ka mea mea hiki ke kuhikuhi i kekahi'ē aʻe hana.

Endovascularʻoki kino 'Oihana ua komo i loko o ia noiʻi.
Ke kaʻina hana mea nui ke eia me ke kapuai hookahi. E puncture i artery a aa koko ua hoʻohana 'ia ka kūikawā kuikele - i loko o ka groin, armpit, ma lalo o ka clavicle a me ka'ā'ī. Hālawa ea şarkı - he catheter komo i loko o ka moku. Fluoroscopic alakaʻi kōkua e hoopaa i ka catheter i loko o ka pale umauma hoʻokahi ipu.

A laila, Hānai maila i loko o ka catheter Akä meakino i mea hiki i ka X-kukuna. Ke Akä naÿe Agena, pālahalaha no ke kumuhana he vascular paena, e hoolilo ana ia he koʻikoʻi X-Ray mea ulana lole. I ka hopena o ke ao ka hopuʻia ka X-Ray paha wikiō. X-Ray endovascularʻoki kino e kuhikuhi i kaʻokoʻa pathology ana o na moku a me na nā loko, a mea he irreplaceable iaoia o ka noiʻi.

Ka wā hagiographic like o ka hiki pōkole-makahiki eha o ka loli iki pinepine 'i loko o ka mahele. I kekahi manawa, o ka eha Inc ua pono.

Eia kekahi laʻana angiograms

No laila, pehea e Ka hana endovascularʻoki kino o ka carotid arteries? Overlapped moku hou paha hoemi ma kekahi kūikawā hoʻonui laila i hoʻolaunaʻia ma ua inflated ia i loko o ka lumen. Kēia kaʻina hana e hooponopono i ka patency o ka moku, aole ia e pono i ka koke 'ana, ka mea paʻa, i pono, no kekahi kanaka moku.

Ke vasoconstriction hānai catheter angiography hana, e kuhikuhi i ke kiʻekiʻe o ka hou ana o ka moku. Ma ka puali ololi a paʻa hapa o ka moku ua lawe mai hoʻopololei - ke alakaʻi mele. A laila, ua hānai i ka hoʻonui catheter, a 'ano o ka hou hapa.

Ke hoʻonui Hoʻonui i ka pono o ka hou wahi. Ke kumu no ke kapu - he koko clot a plaque, a i haawi uniformly ma o kaʻelemakule Kikoo paia o ka moku. Next, ka hoʻonui ua deflated, hiki hookuu wahi hapa a ua hoihoi hou ia i ka piha koko.

Paukūʻolokaʻa lawe aku oe i maikaʻiʻano ua hoʻonānā e hai angiography. I kaulana endovascularʻoki kino o ka vertebral artery.

Me ka ineffectiveness o dilatation

Pinepine, ma hope o dilatation malama koena stenosis mea hua ole ālai ia 'ana me ka mea maʻamau kaʻina hana o ke koko.

Inā ka dilatation ineffective paipai stent e kākoʻo i loko o ka moku, a e ole e haawi ia ia pilikia. Ma ka stent i ia no e loli iki lōʻihi a me ke anawaena, he okoa iaoia o ka mea hoʻonoho. Ke stent Ua wae pākahi. I ka lā, a pau kanaka moku i loaʻa no endovascular coronary stent.

ka hopena

Aia i likeʻole nāʻikepili, ka wā e hooki aku i ke koko kahe ma ka moku. No ka embolizirovaniya moku ua lawe mai i loko o kona catheter. Ua mea nui ia e hoonohoia ka catheter no laila, i ka embolization mea, aole ia i haule i loko o ka ipu 'ē aʻe. catheter ma ka moku lawe embolizing waiwai a me ka noonoo, e like me kaʻoni iho, ea (gelatin) huna sclerosant.