Mitundu ya Machitidwe Otsatiridwa ndi Njira Zogwiritsidwa Ntchito
Ablation ndi mawu ogwiritsidwa ntchito pa mankhwala pofotokoza kuchotsedwa kwa minofu kapena opaleshoni kapena njira zochepetsera zochepa. Amagwiritsidwa ntchito pochiza matenda osiyanasiyana osiyanasiyana kuchokera ku zodzikongoletsa kwambiri. Zimasiyanasiyana ndi resection yomwe imaphatikizapo kuchotseratu gawo kapena kuchotsa chiwalo. Kupatulapo, kumatanthawuzira kuchotsa mzere wosanjikiza (kapena zigawo) za minofu ndi cholinga chobwezeretsa ntchito yachibadwa.
Zina mwa mitundu yowonjezera ya ablation ndizo:
Pamwamba Ablation
Kuchulukanso kwa khungu kumaphatikizapo kuchotsedwa kwa minofu kuti muzitha kupuma, kusintha khungu, kapena kuchotsa zilonda zam'mimba, ziphuphu, kapena zotupa. Pamene amagwiritsidwa ntchito kuti azidzola khungu, imatchedwa dermabrasion . Pali njira zingapo zomwe zimagwiritsidwa ntchito pothandizira khungu:
- Kuperewera kwa laser kumagwiritsidwa ntchito makamaka chifukwa cha zilonda zakunja kapena kutuluka
- Chemoablation yomwe imagwiritsidwa ntchito pofiira khungu kapena kuchotsa ziphuphu
- Cryoablation yomwe imatulutsa khungu pogwiritsa ntchito mpweya wozizira monga madzi a nitrogeni kapena argon
- Kuwombera pogwiritsa ntchito mafunde amphamvu kwambiri omwe amachokera pamagetsi kumachotsa zilonda zazing'ono kapena ziphuphu
Mankhwala a diso laser ogwiritsidwa ntchito pochiza astigmatism ndi njira ina yowonjezeretsa pansi. Njirayi, yomwe imadziwikanso kuti opaleshoni ya Lasik , imachotsa maselo a pamwamba pa cornea yomwe kenako imakonzanso vutoli.
Kupuma kwapadera kungagwiritsidwe ntchito pa njira za otolaryngologic zokhudzana ndi khutu, mphuno, kapena mmero. Njira imodzi yotereyi imatulutsa minofu yochulukirapo yowonongeka kapena yopuma.
Ablation wamagazi
Kupereka kwa mtima ndi njira yogwiritsira ntchito makamaka kukonza mavuto a mtima ( arrhythmias ).
M'malo mochotsa minofu kuti yikhalenso kukonzanso, kupuma kwa mtima kumafuna kuwononga minofu mu mtima yogwirizana ndi zipsinjo za mtima. Mwa kutseka njira zenizeni za mitsempha, zizindikiro zamagetsi zomwe zimayambitsa arrhythmias zimayima bwino.
Kuperekera kwa mtima kumapangidwa mwa kuika chubu chochepa, chosasinthika (chotchedwa catheter) kupyolera mu mitsempha kapena mitsempha mu kubuula ndi kulumikiza izo pamtima. Pamene ali, mawonekedwe a mphamvu amagwiritsidwa ntchito pozizira kapena kuwotcha minofu. Njirayi, yomwe imatchulidwa kuti catheter ablation, ikhoza kugwiritsidwa ntchito popanga magetsi a zipinda zam'mwamba (atria) kapena zipinda zochepetsera (mtima).
Zikuphatikizapo:
- Kupuma kwapanyumba kunthaka (kuphatikizapo atria)
- Kudzipatula pamimba (kuphatikizapo atria)
- Mkulu wa tachycardia ablation (kuphatikizapo atria)
- Vuto la tricycardia ablation (kuphatikizapo ventricles)
Njira yofananayi ingagwiritsidwe ntchito pazitsulo zosagwira ntchito zomwe sizikugwirizana ndi kavalidwe ka angioplasty . Chodziwika kuti rotoablation, ndondomekoyi imaphatikizapo kugwiritsa ntchito kanyumba kakang'ono kakang'ono kamene kamachotsa mafuta ndi kubwezeretsa magazi.
Kuperekera kwa Endometrial
Kuperekera kwa m'mimba ndi njira yowonongeka yomwe imawononga chiberekero (chotchedwa endometrium).
Cholinga cha ndondomeko ndi kuchepetsa kapena kuchepetsa kutaya kwachibadwa kwa chiberekero.
Kupuma kwa pulogalamu yamakono kungathe kuchitidwa ku ofesi ya dokotala malinga ndi momwe amachitira. Kupereka kotheka kungathe kuchitika m'njira zingapo:
- Mphamvu yamagetsi yotentha yomwe imapangitsa kutentha kwa chiberekero kuwononga minofu ya endometrial
- Kupuma kwa balloon kutentha kumene buluni imayikidwa mu chiberekero ndi kudzazidwa ndi 190 o F
- Matenda a microwave endometrial ablation (MEA) omwe amachititsa kutentha kwa endometrium pogwiritsa ntchito microwaves
- Cryoablation yomwe pulojekiti imalowetsedwa mu chiberekero ndipo imadulidwa mpaka -4 o F kuti ipange mpira wophika umene umawononga minofu ya endometrial
Mitundu Yina ya Kupereka Kwawo
Kugwiritsira ntchito mafuta a mafuta amtundu wa mafupa kumagwiritsidwa ntchito kwambiri kuchotsa mkaka wa mafupa musanayambe kupuma mafuta . Sichikugwiritsidwa ntchito mosakanikirana koma m'malo mwa kuphatikiza mankhwala a chemotherapy ndi ma radiation.
Opaleshoni ya ubongo yowonongeka imagwiritsidwa ntchito pochiza matenda ena a ubongo monga matenda a Parkinson ndi mutu wa masango .
> Zotsatira:
> Kutha, B .; Leyland, N .; Murji, A. et al. "Kupititsa Kwambiri Kwambiri M'kutsogolerani kwa Kuphulika Kwambiri kwa Uterine." J Obstet Gyn Can. 2015; 387 (4) 362-76. DOI: 10.1016 / S1701-2163 (15) 30288-7.
> Safavi-Naeini, P. ndi Rasekh, A. "Zisinthirani pa Ziphuphu Zakale." Tex Heart Inst J. 2016; 43 (5): 412-4. DOI: 10.14503 / THIJ-16-5916.