Igiceri cyo kubaga ni iki?
- Igikoresho cyo kubaga mubisanzwe ni insinga yoroheje, yoroheje ikozwe mubikoresho nka platine cyangwa ibindi byuma bihuza. Yakozwe muburyo bukomatanyije, busa nisoko. Ubusanzwe igiceri ni gito cyane kandi cyoroshye, cyemerera kwinjizwa muri cathete zifunganye no mubice bimwe byumubiri, nkimiyoboro yamaraso mubwonko.
- Mugihe cyo kuvura aneurysm yubwonko, kurugero, coil yo kubaga yinjizwa binyuze muri catheter muri aneurysm, kikaba ari agace kanini cyangwa intege nke mumitsi yamaraso. Bimaze kwinjira muri aneurysm, coil ihagaze neza kandi irekuwe. Imiterere ifatanye y'insinga irayifasha kuzuza umwanya muri sac ya aneurysm. Iki gikorwa cyo kuzuza gikora intego ebyiri zingenzi. Ubwa mbere, irashobora guhagarika aneurysm yamenetse gukomeza kuva amaraso muguhagarika kumubiri gutembera kwamaraso muri aneurysm. Icya kabiri, kuri aneurysm idahungabanye, coil irashobora kwirinda kuva amaraso igabanya umuvuduko wamaraso muri aneurysm no gutera kwibibyimba, bikarushaho gukomera ahantu hacitse intege.
- Imiterere: Igiceri cyo kubaga ubusanzwe kigizwe na coil yoroshye ya platine yagurishijwe kumurongo wo gutanga ibyuma. Igiceri cya platine nigice cyuzuza aneurysm, mugihe insinga zicyuma zitagira ingese zitanga ubukana ninkunga yo kwinjiza no gukoreshwa binyuze muri catheter.
- Ubwoko: Hariho ubwoko butandukanye bwibikoresho byo kubaga bihari, buri kimwe gifite igishushanyo cyacyo cyihariye. Ibiceri bimwe bishobora kugira urwego rugoye rwimiterere-itatu, rushobora gutanga ibyuzuye kandi bihamye muri aneurysm. Abandi barashobora gushushanyirizwa hamwe bidasanzwe cyangwa ibikoresho kugirango bongere imikorere yabo cyangwa biocompatibilité. Kurugero, ibishishwa bimwe bishobora gutwikirwa nibintu bitera kwifata cyangwa kugabanya ibyago byo kwandura.
- Gukoresha ibibyimba byo kubaga mubisanzwe mubice bigize endovaskulaire. Ubu ni uburyo bworoshye bwo kubaga gakondo kubagwa. Mugihe cyo kubikora, umurwayi ubusanzwe aba anesthesia muri rusange. Umuganga ubaga akora agace gato mu gice cya ruhago kugirango agere ku mitsi y'umugore. Catheter noneho yinjizwa mumitsi yumugore hanyuma igahuzwa neza mumitsi yamaraso kugeza igeze ahakorerwa aneurysm mubwonko. Iyo catheter imaze guhagarara, coil yo kubaga itera imbere binyuze muri catheter no muri aneurysm. Umuganga ubaga akoresha igiceri yitonze, yuzuza aneurysm kandi akagera ku ngaruka yifuza yo kuvura. Igiceri kimaze gushyirwaho neza, catheter irakurwaho, no gutemagura mugituba bifunze.
- Ibyiza: Imwe mu nyungu zingenzi zo gukoresha ibishishwa byo kubaga ni imiterere ntoya yibikorwa. Ugereranije no gufungura kubagwa, mubisanzwe bivamo ihungabana rito kumurwayi, ibitaro bigufi bigumaho, ibihe byo gukira byihuse, nibibazo bike. Ibi bituma abarwayi basubira mubikorwa byabo byihuse. Byongeye kandi, gukoresha ubuhanga buhanitse bwo gufata amashusho mugihe gikwiye butuma hashyirwa neza ibishishwa, bikongera imikorere yubuvuzi.
- Ibitekerezo: Nyamara, kimwe nuburyo ubwo aribwo bwose bwo kwivuza, hari n'ibitekerezo hamwe ningaruka zishobora guterwa no gukoresha ibiceri byo kubaga. Ingorane zishobora kuba zirimo kuva amaraso, kwandura, kwangirika kwimitsi yamaraso mugihe cyo kwinjiza catheter, cyangwa kuzura kwa aneurysm. Rimwe na rimwe, inzira zinyongera zirashobora gukenerwa mugihe aneurysm itavuwe neza cyangwa niba hari ibibazo byakurikiyeho. Ingaruka ndende yo kuvura nayo igomba gukurikiranwa neza, kuko hari akaga gato ko aneurysm yongeye kugaruka cyangwa coil yimuka mugihe.