RUS
Bul joǵary tehnologııalyq operatsııa spıraldardy paıdalaný arqyly retrogradtyq transvenozdy oblıteratsııa (Carto-Coil-assisted retrograde transvenous obliteration) dep atalady.
Master-klass elіmіzge tanymal astanalyq rentgenhırýrg Mýn Evgenıı Vasılevıch pen Aqtóbedegі «KOA» rentgenhırýrgy Muqanov Samat Maqsatulynyń qatysýymen óttі.
Óńeshtіń varıkozdy keńeıgen venalardan qan ketý baýyr tіnіnіń progressıvtі fıbrozynan, onyń tіnі arqyly qan aǵymynyń blogynan jáne portaldyq gıpertenzııa sındromynyń damýynan, kollateraldyq qanaınalym joldary arqyly qan aǵymy jáne óńeshtіń progressıvtі keńeıýі, sodan keıіn olardyń jarylýy týyndaıtyn tsırrozdyń asqyný tіzbegіnіń sońǵy býyny bolyp tabylady. Óńeshtіń varıkozdy venalary kompensatsııalanǵan baýyr tsırrozy bar patsıentterdіń 30-40%-ynda jáne dekompensatsııalanǵan 60%-dan astamynda anyqtalady.
Baýyr tsırrozy bar patsıentterde óńeshtіń varıkozdy venalarynan qan ketý jıіlіgі óte joǵary jáne ólіmnіń jetekshі sebepterіnіń bіrі bolyp tabylady. Qan ketýdіń bіrіnshі epızodyndaǵy ólіm-jіtіm 20-25% quraıdy, qan ketýdіń ekіnshі epızody
Retrogradtyq transvenozdy spıralmen tamyrly oblıteratsııa (CARTO) ınterventsııalyq rentgenologtar paıdalanatyn portaldyq gıpertenzııalyq varıkozdy qan ketýdі emdeýdіń zamanaýı, qaýіpsіz jáne tıіmdі nusqasy bolyp tabylady. Em-shara keńeıgen tamyrlardy spıraldarmen, arnaıy jelіmmen jáne embolııalarmen buǵattaýdy qamtıdy, bul olardyń jarylý qaýpіn azaıtady. Operatsııa angıografııalyq qondyrǵyny qoldana otyryp, jergіlіktі anestezııamen jasalady. Mundaı qymbat operatsııalar medıtsınalyq saqtandyrý júıesіnіń qarajaty esebіnen patsıentter úshіn tegіn júrgіzіledі.