garbhashay dhamani kaa embolisation

garbhashay dhamani embolisation ack prakriya haye jisamen ack interventional radiologist garbhashay shareer koo rakt kii aapoorti koo avaruddh karane vaale chhote kanon koo vitarit karane key liye ack catheter kaa upayog kartaa haye. prakriya garbhashay fibroid aur adenomyosis key upchaar key liye kii jaati haye. iss nyuntam aakramak prakriya kaa upayog aamtaur parr garbhashay fibroid key upchaar mein kiya jaataa haye aur ise garbhashay fibroid embolisation bhee kahaa jaataa haye.
chikitsa upayog.
garbhashay dhamani embolisation kaa upayog garbhashay fibroid key kaaran pareshan karane vaale thoke-sambandhit lakshnon yaa asamanya yaa bhaari garbhashay raktasraav key ilaaj key liye yaa adenomyosis key ilaaj key liye kiya jaataa haye. fibroid kaa aakar, sankhya aur sthaan ack safal parinam key teen sambhaavit bhavishyavakta hain.
deerghakaalik rogi santushti parinam shalya chikitsa key samaan hotey hain. iss baat key sambhaavit pramaan hain kii paaramparik shalya chikitsa key parinamswarup behtar prajanan kshamata hoe sakati haye. garbhashay dhamani key embolisation key liye bhee shuru mein sergery kii tulanaa mein adhik dohrao prakriyaon kii aavashyakta hoti haye.
isamen cumm recovery samay hotaa haye. garbhashay dhamani embolisation koo kaam karane key liye socha jaataa haye kyonki garbhashay fibroid mein hypoxia (ootakon key liye aparyaapt oxygen) key liye asamanya pratikriyaon key saath asamanya vasculature hotaa haye.
garbhashay dhamani key embolisation kaa upayog fibroid key alawa anya karanon seey bhaari garbhashay raktasraav koo niyantrit karane key liye bhee kiya jaa sakata haye, jaise kii prasavottar prasooti raktasraav. aur adenomyosis.
american journal off gynaecology key anusaar, garbhashay dhamani key embolisation kii laagat hysterectomy seey 12 pratishat cumm aur myomectomy seey 8 pratishat cumm haye.
pratikool prabhaav.
gambhir jatilataon kii darr myomectomy yaa hysterectomy kii tulanaa mein haye. kuchh teji seey thheek honey key samay kaa laabh mamuli jatilataon kii uchch darr aur praarambhik prakriya key dou seey paanch varshon key bheetar shalya chikitsa hastakshep kii aavashyakta kii badhati sambhavana seey cumm hotaa haye.
jatilataon mein nimnalikhit shamil hainh
prakriya.
prakriya koo ack interventional radiologist dwara sachet shaamak key tahat kiya jaataa haye. pahunch aamtaur parr kramshah kalaai yaa groin key madhyam seey radial yaa femoral dhamani key madhyam seey hoti haye. pasand kii dhamani key oopar twacha koo anaesthetise karane key baad, seldinger takneek kaa upayog karke suee puncher dwara dhamani taka pahuncha jaataa haye. ack pahunch aavaran aur guidewire koo phir dhamani mein pesh kiya jaataa haye. baad mein embolisation key liye garbhashay vaahikaon kaa chayan karane key liye, ack maargdarshak catheter kaa upayog aamtaur parr kiya jaataa haye aur aiks-ray fluoroscopy margadarshan key tahat garbhashay dhamani mein rakhaa jaataa haye. ack baar garbhashay dhamani key star parr catheter key sthaan kii pushti karane key liye vipareet key saath ack angiogram kiya jaataa haye aur embolising agent (gole yaa motee) jaari kiya jaataa haye. fibroid mein rakt pravaah kaafee dheema hoe jaayega yaa poori tarah seey bund hoe jaayega, jisase fibroid sikud jaayega. iss prakriya koo utani hii dhamniyon key liye dohraya jaa sakata haye jitani fibroid kii aapoorti curr rahee hain. yeh praarambhik puncher site seey dwaipaakshik roop seey kiya jaataa haye kyonki ektarafa garbhashay dhamani embolisation mein viphalata kaa uchch jokhim hotaa haye. donon garbhashay dhamniyon key bund honey key saath, prachur matra mein sampaarshvik parisancharan garbhashay key necrosis koo rokta haye, aur fibroid aakar aur samvahani mein cumm hoe jaate hain kyonki way embolisation samagri kaa badaa hissa praapt karate hain. prakriya koo aspatal, shalya chikitsa kendra yaa karyalaya mein kiya jaa sakata haye aur aamtaur parr pradarshan karane mein ack ghante seey adhik samay naheen lagata haye. prakriya key baad yadi ack mahila dhamani puncher key madhyam seey pahunch praapt kii gaee thee tou ack avrodh upkaran kaa upayog puncher site key upchaar koo tej karane key liye kiya jaa sakata haye aur rogi koo kaee ghanton taka pair key saath rahane key liye kahaa jaataa haye, lekin kaee rogiyon koo usee dinn chhutti dey dee jaati haye, jisamen kuchh dard niyantran aur avalokan key liye ack dinn key liye aspatal mein bharti hotey hain. yadi radial dhamani key madhyam seey pahunch praapt kii gaee thee tou rogi mez seey utarane aur prakriya key turant baad baahar nikalane mein saksham hoga. prakriya ack shalya chikitsa hastakshep naheen haye, aur garbhashay koo jagah parr rakhane kii anumati detee haye, jisase kaee sambaddh shalya chikitsa jatilataon seey bachaa jaa sakata haye.

