Mitemo yemitemo yakarongwa uye yedzidzo yakashandiswa
Ablation ishoko rinoshandiswa mukurapa kurondedzera kubviswa kwezvisikwa kana kuburikidza nekuvhiyiwa kana zvishoma zvisingasviki maitiro. Inoshandiswa kurapa zvakasiyana-siyana zvehutano kubva kune zvakakomba kusvika kune zvigadzirwa. Icho chinopesana nekugadziriswa kunosanganisira kusunungura zvishoma kana zvakakwana kwechirongwa. Chibvumirano, nenzira yakasiyana, chinorehwa kubvisa chinyorwa (kana zvikamu) zvezviviri pamwe nechinangwa chekudzorera basa rinowanzoitwa.
Mamwe emhando dzakawanda dzinowanikwa dzekubvambura dzinosanganisira:
Surface Ablation
Kubuda kweputi peganda kunosanganisira kubviswa kwechigadzirwa chemashuga ekurapa kuputika, kunatsiridza kugadzirwa kweganda, kana kubvisa zvipembenene zvepamusoro, zviputi, kana mvere. Kana inoshandiswa kuti zvive zvipfeko zvinokonzera kugadzirwa patsva, inonzi dermabrasion . Pane nzira dzakasiyana-siyana dzinoshandiswa kugadzirwa kweganda:
- Laser ablation inoshandiswa zvikuru kunyanya zvipembenene zvisinganzwisisiki
- Chemoablation iyo inonzi acidical acids inoshandiswa kuparadzanisa ganda kana kubvisa maronda
- Cryoablation inosunungura ganda uchishandisa gasi inotonhora semvura inonzi nitrogen kana argon
- Kuwedzerwa kwepamusoro-soro kushandiswa kwepamusoro-purogiramu dzemagetsi kwemhepo kunobvisa zviduku zviduku kana kuti maronda
Maziso eser maziso anoshandiswa kurapa astigmatism chimwe chimiro chekubvisa kwepamusoro. Nzira iyi, inozivikanwawo seAraik kuvhiyiwa , inobvisa pamusoro pemasero e-cornea iyo inodzoka zvakare kugadzirisa dambudziko rekuona.
Kuwedzera kwekubwinya kunogona kushandiswawo kune otolaryngologic nzira dzinosanganisira nzeve, mhino, kana huro. Imwe nzira yakadaro inobvisa nzira yakanyanyisa yakagadzirisa maronda ekubata chirwere kana kupererwa kwekurara.
Cardiac Ablation
Kuparara kwepanyama inzira inonyanya kushandiswa kugadzirisa mwoyo rhythm matambudziko ( arrhythmias ).
Asi kubvisa mishonga kuitira kuti kugadziridzwa kuvezve, kupira kwepfungwa kunoda kuparadza nyama mukati memwoyo inobatanidzwa nekusagadzikana kwepfungwa. Nokudzivirira dzimwe nzira nzira, magetsi emagetsi anokonzera mashythmasi anonyatsomiswa.
Kuipa kwemaradhi kunowanzoitwa nekuisa chidimbu chemuviri, chinogadziriswa (chinonzi catheter) kuburikidza nemuviri kana ariti mumugwagwa uye nekuisungira iyo pamwoyo. Apo paine nzvimbo, simba rekushandisa rinoshandiswa kuisa kana kupisa nzvimbo yemaviri. Iyo nzira, inowanzonzi inonzi catheter ablation, inogona kushandiswa kugadzirisa arrhythmias yemakamuri ekumusoro (atria) kana makamuri apasi (ventricles) yemwoyo.
Dzinosanganisira:
- Kuberekwa kweAric acid (iyo inosanganisira atria)
- Chirwere chemuviri wepachimbuzi (kusanganisira inriya)
- Supraventricular tachycardia ablation (inosanganisira iyo atria)
- Ventricular tachycardia ablation (inosanganisira ventricles)
Imwe nzira yakadaro inogona kushandiswa kumagadziro emagetsi asingateereri muvheti yakakwana angioplasty . Iyo inozivikanwa seti rotoablation, nzira yacho inosanganisira kushandiswa kwekoduku, diamond-tipped drill iyo inobvisa mafuta inopa uye inodzorera kubuda kweropa.
Endometrial Ablation
Endometrial ablation ndiyo nzira shomanana inoparadza iyo inoparadza rwonzi rwechibereko (inozivikanwa se endometrium).
Chinangwa chemuitiro ndechekudzikisa kana kumisa kubuda kwemajeri kwechibereko.
Kugadziriswa kwekupedzisira kwemigodhi kunowanzoitwa muhofisi yechiremba zvichienderana nemamiriro ekurapa. Kuzvipira pachako kunogona kuitwa nenzira dzinoverengeka:
- Iko-yakasimba-simba remhepo inokonzera kutonhora kwechibereko ichikuparadza mishonga yemakemikari
- Bhaluni yakatsvaira iyo ibhaluni inowanikwa muchibereko uye izere ne 190 o F fluid
- Microwave endometrial ablation (MEA) inowedzera kutonhora kwe endometrium kushandisa microwaves
- Cryoablation iyo inonzi probe inowanikwa mukati mechibereko uye inokwidziridzwa kusvika -4 o F kugadzira bhora iri rinoparadza mishonga yekupedzisira
Dzimwe Mhando dzeAblation
Bhabheri rinoshandiswa nemafuta rinowanzoshandiswa kubvisa marora emapfupa musati wapfurikidza kupfutirwa kwemafuta emapfupa . Izvo hazviitwi nemaitiro asi pane kusanganiswa kwekemotherapy uye kupiswa kwezuva.
Ablative chirwere chepfungwa chinoshandiswa kurapa zvimwe zvirwere zvepurovhesi zvakadai sePasinson's disease uye misoro yemasumbu .
> Sources:
> Laberge, B ;; Leyland, N .; Murji, A. et al. "Endometrial Ablation muKutonga kweAnnmalmal Uterine Bleeding." J Kuwana Gyn Can. 2015; 387 (4) 362-76. DOI: 10.1016 / S1701-2163 (15) 30288-7.
> Safavi-Naeini, P. naRasekh, A. "Kuvandudza paAtrial Fibrillation." Tex Heart Inst J. 2016; 43 (5): 412-4. DOI: 10.14503 / THIJ-16-5916.