Ugqirha ogqityiweyo lwe-optic surgery lujongene nokuphathwa kwemithambo yegazi yomzimba, ngaphandle kweempahla zentliziyo kunye nengqondo. Umgqirha we-vascular angenza iinkqubo kwiimithambo kunye neemvini zeendawo ezahlukeneyo zomzimba, kubandakanywa iingalo, imilenze, izitho kunye nezinye iiscupu.
Ngaphandle kweentliziyo kunye nemiphunga, ephathwa ngamagqirha e-cardiothoracic kunye nengqondo, ephathwa ngabagqirha bezobuchopho, oogqirha bezilwanyana baqaphela ukuba wonke umzimba womntu ufanelekile umsebenzi wabo.
Uya kuthunyelwa kwi-articular surgeon ngogqirha wakho wokunakekela ugqirha kwiimeko ezifana nesifo sesifo somzimba. Okanye, ungadinga ugqirha we-vascular emva kokulimala koluhlungu okanye enye ingxamiseko yonyango, njenge-aneorysm ye-aortic.
Nguwuphi uVietric Surgeon
Izigulane ze-Vascular zisebenza ngokutsha ukubuyisela ukuhamba kwegazi kwindawo yomzimba emva kokuxhwaleka, izifo, okanye omnye umonakalo obonakalisa imilambo yegazi. Oku kunokuthetha ukuba benza inkqubo yokudlulela ukubuyisela ukuhamba kakuhle kwegazi kwinqanaba, okanye bangafaka i-AV shunt kumntu ofuna ukuqala udialysis. Kwizigulane ezinemibhobho eminyango entanyeni yabo, ugqirha unokwenza i- endarterectomy ye- carotid ukuphucula ukuphuma kwegazi kwingqondo.
Ukongezelela ekunyamekelweni okukhulu kwizigulane zokuhlinzwa zethambo, ugqirha we-vascular uhlinzeka ngononophelo olunzulu kumguli. Akagcini nje ngokugxila ekutyunjweni, kodwa kunoko usebenza nezigulane ukuphucula izimo zabo ngamachiza, ukuzivocavoca, kunye nezinye iindlela zonyango.
Ngokutsho koMbutho we-Surgery ye-Vascular, i-articular surgeon ayijolise ekunikezeni uhlobo olulodwa lonyango kodwa kunoko lusebenza kwimeko nganye ukufumana isisombululo esona siphumo, nokuba ngaba utyando oluyinkimbinkimbi, iinkqubo ezincinci zokungena, okanye akukho uphando olungenanto.
Uvavanya isigulane kwaye uvavanya njenge-angiography, MRI , CT kunye ne-duplex ultrasonography.
Ulawula izifo ze-vascular kwizigulane zakhe, kubandakanywa izikrini zempilo, ezi zilandelayo zigulane ezinomdla oqhubekayo, ukuchaza imichiza, ukucebisa izigulane ngendlela yokunciphisa umngcipheko, kunye nokulawulwa kwezilonda.
Ezinye zezibonelelo zonyango angabonelela zibandakanya ukuchithwa, unyango lwe-thrombolytic, ukunakekelwa kweenyawo zesifo sikashukela, ukufikelela kwe-dialysis, umgca we-PICC, ukulungiswa kwe-aortic, endarterectomy ye-carotid, ukuhlinzwa okuvulekileyo kunye ne-endovascular kwi-aortic aneurysms kunye nezichaso.
Qeqesho
Udokotela ogqithiseleyo we-vascular ngokugqiba ugcwalisa isikolo sezokwelapha, olulandelwa ukuhlala ngokugqithiseleyo iminyaka emihlanu, kwaye emva koko ulwalamano oluchanekileyo kwiyeza zonyango. Iiprogram kufuneka zivunywe yiBhunga loVavanyo lwe-Education Graduate Education (ACGME) e-US, okanye ngeKholeji yaseRoyal of Physicians kunye nabaPhandi beCanada (RCPSC). Kumele baqinisekiswe yiimviwo ezivela kwi-American Board of Surgery zingaphantsi kweminyaka eyisixhenxe zokugqiba uqeqesho lwabo ukuze bafumane isatifikethi ngaphambi kokuba baqalise ukuziqhelanisa.
Izimo ze-Vascular ezithathwa nguBuroyiki
Iziganeko ezintathu eziphambili ezinokuthi ziphathwe ngama-vascular surgeon:
- I-aortic aneurysm yesisu: Le ngqungquthela kwi-artery enkulu kunesisu. Ukuba inobuthakathaka kunye nokuphuka, uza kuba nokuphuma kwamanzi kwangaphakathi, ubungozi bokufa.
- I-Carotid i-artery disease: Xa umthambo ophezulu entanyeni unomthi we-plaque we-plaque, unokukhokelela kwisifo.
- Isifo esiphezulu sesifo: Lo ngumakhi weplate emithanjeni yegazi enondla yonke indawo yomzimba wakho. Iibhloko ezenziwe emlenzeni zingabangela intlungu, iinyawo zeenyawo, kunye ne-gangrene, efuna ukuchithwa. Oku kunokukhokelela ekuhlaselweni kwentliziyo okanye ngesifo.
> Imithombo:
> Izibonelelo zoMonde. UMbutho weeNtsholongwane zeVascular. https://vascular.org/patient-ources.