Ukwelashwa kwe-Radiofrequency (RF) Ablation for Varicose Veins: Yazi Kabanzi

Isifo se-venous sithinta ngendlela emangalisayo i-40% kuya ku-80% yabantu abadala emhlabeni jikelele. Kulabo abafuna ukwelashwa okuphumelelayo, i-varicose vein surgery radiofrequency ablation iye yavela njengesixazululo esihamba phambili kusukela ekugunyazweni kwayo yi-FDA ngo-1999. Lo mhlahlandlela obanzi uhlola ukukhishwa kwe-radiofrequency emithanjeni ye-varicose, ehlanganisa yonke into kusukela enkambweni ngokwayo kuya kulokho okulindelekile ukululama.

Iyini i-Radiofrequency Ablation ye-Varicose Veins?

I-Radiofrequency ablation yelapha imithambo ye-varicose ngenqubo yokushisa eqondile eqondise emithanjeni eyinkinga. Inqubo isebenzisa amandla e-radiofrequency ukuze ikhiqize ukushisa okulawulwayo ku-120 degrees Celsius, ivale ngempumelelo imithambo enephutha.

Izingxenye ezibalulekile zokwelashwa kwe-RFA zifaka:

• Ijeneretha ye-radiofrequency yokukhiqiza amandla
• I-catheter ekhethekile enesici sokushisa
• Isistimu yokuqondisa i-Ultrasound
• Isixazululo sendawo yokubulala izinzwa

Ngakho-ke, lapho ukwelashwa sekuphelile, umthambo oyinkinga uyavaleka, futhi ukugeleza kwegazi ngokwemvelo kuqondise kabusha emithanjeni enempilo.

Yiziphi Izinkomba Ze-Varicose Veins Radiofrequency Ablation?

Izimpawu ezivamile ezibonisa isidingo sokwelashwa zihlanganisa:

• Ukungakhululeki kokushaywa kanye nobuhlungu obuvuthayo emilenzeni
• Ukuvuvukala komlenze okuphikelelayo kanye nobunzima
• Ukopha okuzenzakalelayo kusuka ku-varicosities
• Isikhumba sishintsha njenge-eczema kanye ne-hyperpigmentation
• Izilonda ezingapholi kahle ezimweni ezithuthukile

Ngokuphawulekayo, ububanzi be-vein budlala indima ebalulekile ezinqumweni zokwelashwa. Nakuba izifundo zangaphambili zazingabandakanyi imithambo emikhulu kuno-12 mm, ucwaningo lwanamuhla lubonisa imiphumela ephumelelayo ngemithambo efinyelela ku-20 mm ububanzi. Inqubo idinga ibanga elincane elingaphansi kwe-subcutaneous lika-0.5 cm phakathi kodonga lwemithambo nendawo yesikhumba ukuvimbela izinkinga.

Ukulungiselela kwangaphambilini

• Amalungiselelo Abalulekile: Izinyathelo ezilandelayo ziyadingeka ngaphambi kwenqubo:
  • Iziguli kufanele zazise udokotela wazo ngayo yonke imithi yamanje
  • Gqoka amasokisi okucindezela izinsuku ezingu-3-4 ukuze uqinisekise ukulingana okufanele
  • Gwema ukushefa imilenze ngosuku lwenqubo ukuvimbela ukucasuka kwesikhumba
  • Qhubeka uphuza imithi ejwayelekile ngaphandle uma uyalwe ngenye indlela
  • Ukuzila ukudla kuyadingeka amahora angu-6 ngaphambi kwenqubo
  • Hlela izinto zokuhamba eziya ekhaya ngemva kwenqubo
• Ukucatshangelwa Okukhethekile: Iziguli kufanele zidalule noma yikuphi ukungezwani komzimba nezinto ezithile, ikakhulukazi i-iodine noma ukudla kwasolwandle, njengoba lezi zinto zingasetshenziswa phakathi nenqubo. Ngokunjalo, abesifazane kufanele bazise udokotela wabo mayelana nokukhulelwa noma isimo sokuncelisa.

Ngesikhathi Senqubo

Ithimba lezokwelapha linikeza i-anesthesia yendawo ngemijovo eminingi endaweni yokwelapha. Isixazululo esiyingqayizivele sokubulala izinzwa esine-epinephrine, i-bicarbonate, ne-lidocaine sijovwa ngokucophelela eduze komthambo. Lesi sixazululo sisebenzisa izinhloso ezimbili: sivikela izicubu ezizungezile emonakalweni wokushisa futhi sithuthukise ukuxhumana phakathi kwe-catheter nezindonga zemithambo.

Inqubo ivela kulezi zinyathelo eziqondile:

• Ukusika okuncane kuvumela ukufakwa kwenaliti engu-16 noma engu-18 F endaweni ephansi yokungakwazi ukusebenza kahle kwe-vein.
• I-RF catheter ithuthuka ngaphansi kokuqondiswa kwe-ultrasound, ibekwe ku-2 cm ukusuka ku-saphenofemoral junction.
• Ijeneretha yenza kusebenze ukuletha ukushisa ku-120 degrees Celsius
• Ukwelashwa kwenzeka ngezikhawu ezingama-20 engxenyeni ngayinye engu-7-cm

Lapho sekuqediwe, amabhandeshi okucindezela noma amasokisi asetshenziswa emlenzeni olashiwe.  

Ukunakekelwa kwangemva kwenqubo

Ekuqaleni, iziguli ziqhubeka nokugqoka amasokisi amasokisi namabhandishi amahora angu-24, kulandelwa amasokisi okucindezela ezinye izinsuku ezingu-90.

Imihlahlandlela ebalulekile yangemva kwenqubo ihlanganisa:

• Hamba imizuzu engama-30 nsuku zonke ukukhuthaza ukujikeleza
• Gwema ukuvivinya umzimba okukhandlayo nokuphakamisa izinto ezisindayo amasonto amabili
• Gcina indawo yokubhoboza ihlanzekile futhi yomile
• Phakamisa imilenze ngaphezu kwezinga lenhliziyo kathathu ngosuku
• Hlala unamanzi amaningi ukuze uvimbele amahlule egazi

Izinzuzo ze-RFA ze-Varicose Veins

Ukwelashwa kunikeza izinzuzo eziningana ezihlukene:

• Amazinga okuphumelela aphezulu 
• Amaphuzu obuhlungu obuphansi uma kuqhathaniswa nokwelashwa kwe-laser ablation
• Izidingo zokulungiselela ezincane zeziguli
• Ukubuyela ngokushesha emisebenzini yansuku zonke

Izinkinga ze-Varicose Vein Radiofrequency Ablation

Umthelela oseceleni ovame kakhulu ubandakanya ukushiswa noma ukuba ndikindiki endaweni yomjovo, okuvamise ukuzwakala kufana nokushiswa yilanga.

Inqubo ingase ibangele izinkinga ezimbalwa zakuqala:

• I-Phlebitis kanye nobuhlungu bendawo
• Amahlule egazi emithanjeni engaphezulu noma ejulile
• Ukusha kwesikhumba noma ukucasuka ezindaweni ezilashiwe
• Ukulimala kwezinzwa okubangela ukuzwa okugedla
• Ukutheleleka ezindaweni zokujova
• Ukopha ezindaweni zokwelashwa
• I-Deep Vein Thrombosis (DVT) isalokhu ikhathaza kakhulu, cishe u-1% weziguli eziba nalesi simo. Nokho siyaqikelela ukuthi izinkinga ezinjalo zingenzeki futhi zonke izinyathelo zokuphepha ziyathathwa

Isiphetho

I-Radiofrequency ablation ime njengesixazululo esifakazelwe semithambo ye-varicose, enikeza iziguli enye indlela ethembekile yokuhlinzwa kwendabuko. Ubufakazi bomtholampilo busekela ukusebenza kahle kwayo, amazinga empumelelo afinyelela ku-95% futhi imiphumela ehlala njalo idlulela eminyakeni emibili. Inqubo ihlanganisa izinzuzo zokuhlasela okuncane kanye nezikhathi zokululama ngokushesha, okuvumela iziguli eziningi ukuthi ziqale kabusha imisebenzi yazo yansuku zonke ngemva nje kokwelashwa. Nakuba imiphumela engemihle ingenzeka, ukulungiswa okufanele kanye nokunakekelwa ngemuva kwesikhashana kunciphisa kakhulu lezi zingozi. 

Imibuzo Evame Ukubuzwa

1. Yini ongayilindela enqubweni ye-RFA?

Inqubo ithatha cishe imizuzu engama-45-60 ukuqeda. Okokuqala, ithimba lezokwelapha lihlanza indawo yokwelapha futhi linikeze i-anesthesia yendawo. Khona-ke, i-catheter encane iletha ukushisa okulawulwayo ukuvala umthambo onenkinga.

2. Ingabe ukukhishwa kwe-radiofrequency kubuhlungu?

Iningi labantu libhekana nokungakhululeki okuncane njengoba inqubo isebenzisa i-anesthesia yendawo. Eqinisweni, ucwaningo lubonisa ukuthi i-RFA ibangela ubuhlungu obuncane uma kuqhathaniswa nezinye izindlela zokwelapha ezishisayo.

3. Yini okufanele uyenze ngaphambi kokukhishwa kwe-radiofrequency?

Iziguli kufanele zigqoke amasokisi okucindezela izinsuku ezingu-3-4 ngaphambi kokwelashwa ukuze kuqinisekiswe ukulingana okufanele. Woza esibhedlela uzile ukudla, thatha yonke imishanguzo yakho evamile ngosuku lokuhlinzwa ngaphandle uma kucacisiwe ukuthi ungayiphuzi.

4. Yini ongayilindela kulandela ukukhishwa kwe-radiofrequency ablation?

Ucwaningo lwezokwelapha lubika izinga lempumelelo elingu-99.4% ekuvaleni kwemithambo. Iziguli ngokuvamile zibona ukuthuthuka kwezimpawu phakathi namaviki angu-1-2 okwelashwa.

5. Kubuhlungu kangakanani ukukhishwa kwe-radiofrequency emithanjeni ye-varicose?

Ubuhlungu bangemva kwenqubo buthinta iziguli ezincane. Ukungakhululeki okuningi kuxazululwa ngemithi yezinhlungu etholakala ngaphandle kwe-counter kanye nokuphakama kwemilenze efanele.

6. Ukukhishwa kwemithambo ye-varicose kuthatha isikhathi esingakanani?

Ucwaningo lubonisa imiphumela emihle kakhulu yesikhathi eside, ngempumelelo ngemva kweminyaka emithathu. 

7. Ingabe imithambo ikhula kabusha ngemva kokukhishwa?

Imithambo eselashiwe ayikhuli kabusha, njengoba ivalwa unomphela futhi imuncwe umzimba. Noma kunjalo, imithambo emisha ye-varicose ingakhula kwezinye izindawo ngokuhamba kwesikhathi.

8. Ukuphumula kombhede kuthatha isikhathi esingakanani ngemva kokukhishwa kwesisu?

Ukuphumula kombhede akunconywa. Kunalokho, iziguli kufanele zihambe njalo, ziqale ngokushesha ngemva kwenqubo. Nokho, imisebenzi ekhandlayo kufanele igwenywe amasonto amabili ngemva kokwelashwa.