Iyini i-angiography?

Iyini i-Angiography?

Umlando wendlela ye-angiography imaging uhlehlela emuva ku-400 BC. Eminyakeni yamuva, kanye nentuthuko emkhakheni wesayensi nobuchwepheshe, kuye kwaba nentuthuko enkulu ezindleleni zokuthwebula izithombe zezokwelapha. I-Angiography, enye yezindlela zokuthwebula izithombe, isetshenziselwa ukuhlola ngokuningiliziwe ukwakheka kwe-anatomical nezici zesimiso semithambo, kuhlanganise namagumbi enhliziyo. Nakuba i-angiography yaqala ukusetshenziselwa ukuxilonga izifo kuphela, namuhla i-angiography iyingxenye ebalulekile yokwelashwa kokungenelela. Uma kuziwa ku-angiography, into yokuqala efika engqondweni ukuhlola izitsha ezondla inhliziyo. Kodwa-ke, i-angiography ngokwezwi nezwi isho ukuthwebula imikhumbi. Ngamanye amazwi, i-angiography iyindlela yokucabanga evumela ukuhlolwa okuningiliziwe kwemikhumbi exhunywe ezithweni ezifana nobuchopho, inhliziyo nesibindi. Ngenxa yalesi sizathu, lapho kuqanjwa i-angiography ezincwadini zezokwelapha, igama lesitho esihloliwe liyasetshenziswa. Ngokwesibonelo; Inqubo ye-angiography ehlola isifo senhliziyo esondla inhliziyo ibizwa ngokuthi i-coronary angiography, ukuhlolwa kwe-angiography okuhlola imithambo yobuchopho kubizwa ngokuthi i-cerebral angiography, noma inqubo ye-angiography ehlola imithambo yezinso ibizwa ngokuthi i-renal angiography.

Kungani I-Angiography Yenziwa?

I-Angiography iyindlela yokuthwebula esiza ukubona izifo kusenesikhathi futhi isindise izimpilo. Ngakho kungani i-angiography yenziwa? I-Angiography iyinqubo eyenziwa ukuze kubonakale ukuthi kukhona yini ukuvinjelwa emikhunjini. Ngesikhathi se-angiography, ama-aneurysms, ukunwetshwa noma ukuncishiswa, namabhaluni ezitsheni angatholakala kalula. Ngaphezu kwalokho, kwezinye izimo zomdlavuza, ukuvaleka noma ukuxoshwa kwemikhumbi kungase kwenzeke ngenxa yokucindezela kwezicubu ezitsheni. Ezifweni ezifana nesifo senhliziyo kanye nesifo sohlangothi, ukuthola umkhumbi obangela inkinga kubaluleke kakhulu ukungenelela kusenesikhathi. Ezimweni ezinjalo, i-angiography yembula umthambo ovinjiwe futhi iqala ukwelashwa. I-Angiography akuyona nje inqubo esetshenziselwa ukuxilongwa kwezifo. Kwezinye izimo, izindlela zokwelapha zokungenelela ezifana nokufaka ama-stents emikhumbi evinjiwe nazo zisetshenziswa nge-angiography.

I-Angiography yenziwa kanjani?

Akulula ukubona ngeso lengqondo imikhumbi ngazo zonke izindlela zokuthwebula nge-radiological. Ngendlela ye-angiography, ukunikeza i-agent ehlukile emithanjeni kuvumela ukuthi imithambo ibonakale. Ngaphambi kwenqubo ye-angiography, udokotela onguchwepheshe ozokwenza inqubo uzonikeza izincomo ezithile esigulini. Isiguli sigeza ngosuku olwandulela inqubo. Ngesikhathi senqubo ye-angiography, ngokuvamile ingena endaweni yesandla kanye ne-groin Ukuze inqubo yenziwe ngendlela oyinyumba, isiguli kufanele sihlanze izinwele endaweni ye-groin ngaphambi kwenqubo. Uma isiguli singakwazi ukwenza la malungiselelo sisodwa, singacela usizo esihlotsheni noma kubasebenzi basesikhungweni sezempilo. Isiguli kufanele silambile ngesikhathi senqubo. Ngenxa yalesi sizathu, uma kungenzeka, isiguli asinconywa ukuba sidle noma siphuze noma yini ngemva kuka-24:00 ebusuku. Isiguli kufanele sazise udokotela ngaphambi kokuhlinzwa nganoma yimiphi imithi esiyisebenzisayo, ikakhulukazi leyo enemiphumela yokunciphisa igazi.

Ngakho-ke, i-angiography yenziwa kanjani? I-anesthesia ngokuvamile ayisetshenziswa ngesikhathi senqubo ye-angiography; Ngemva kwalokho, i-cannula ifakwa emthanjeni wegazi ukusuka kunoma iyiphi indawo okufanele ingene kuyo bese kuvulwa indlela yokungena. I-catheter emise okweshubhu ifakwa emnyango ovuliwe. Inqubekelaphambili ye-catheter emzimbeni iqashwe ngemonitha yithimba elenza inqubo. Ngemuva kwalokho, into ehlukile evumela ukubonwa kwemithambo ithunyelwa emzimbeni nge-catheter. Inani lezinto zokuqhathanisa ezisetshenzisiwe liyahlukahluka kuye ngeminyaka yesiguli, isisindo, ubulili kanye nezikhalazo ezihlobene nesifo. Izinto ezihlukile ezithunyelwa ngesikhathi se-coronary angiography zifinyelela inhliziyo, kuyilapho inhliziyo isebenza. Izithombe zemithambo zithathwa ngosizo lwe-X-ray futhi zidluliselwe kukhompyutha. Izithombe ezidlulisiwe zibikwa udokotela onguchwepheshe.

I-Angiography ithatha isikhathi esingakanani?

I-Angiography iyindlela ephumelelayo esetshenziswa ekuxilongeni izifo eziningi. Ezinye iziguli zicabanga ukuthi i-angiography iyinqubo ende futhi enzima. Ngakho-ke i-angiography ithatha isikhathi esingakanani? Inqubo ye-angiography ithatha cishe imizuzu engama-20-60. Lesi sikhathi singahluka kuye ngeminyaka yesiguli, isisindo kanye nezitsha okufanele zihlolwe. I-Angiography akuyona inqubo ebuhlungu. Ngenxa yalesi sizathu, iziguli ngokuvamile azibuzwa ubuhlungu phakathi nalesi sikhathi. Kodwa-ke, ngemuva kwe-angiography, iziguli azinconywa ukuba ziphume embhedeni noma zihambise indawo lapho inqubo yenziwa khona amahora angu-6-8 ngenxa yengozi yokopha.

Yiziphi izinto okufanele uzicabangele ngemuva kwe-angiography?

Ngaphambi kwenqubo, udokotela ozokwenza inqubo ucela isiguli ukuba silethe amanzi naye. Isizathu esibaluleke kakhulu salokhu ukunciphisa ubungozi bezinto ezihlukile ezisetshenziswa enqubweni elimaza izinso. Uma isiguli singenayo inkinga yezempilo esivimbela ukuba siphuze amanzi amaningi, kutuswa ukuthi sidle cishe amalitha angu-2 oketshezi phakathi namahora angu-2 ngemva kwenqubo. Lapho isiguli sifika ekamelweni ngemva kwenqubo, udokotela owenza ukuhlinzwa ususa i-catheter. Kodwa-ke, ngemva kokususwa kwe-catheter, i-sandbag ifakwa endaweni lapho inqubo yenziwa khona, ikakhulukazi ku-angiography eyenziwa ku-groin. I-sandbag ebekiwe kufanele igcinwe cishe amahora angu-6 futhi akufanele isuswe. Ngesikhathi esifanayo, njengoba ukuhambisa umlenze kungase kubangele ukopha, isiguli akufanele sivuke sidinge indlu yangasese phakathi nalesi sikhathi futhi kufanele sithole usizo kwabasizungezile. Ukunyakaza okungazelelwe njengokukhwehlela kungabangela ukopha, ngakho-ke uma kwenzeka i-reflex engazelelwe, ukucindezela okwenziwa ngesandla kufanele kusetshenziswe endaweni ephathwayo. Ngemuva kwenqubo ye-angiography, izimo ezinjengokuvuvukala kanye ne-edema zingase zingavamile ukwenzeka endaweni ephathwayo. Ngemva kokuphuma esibhedlela, isiguli singaqhubeka nokuphila kwansuku zonke. Ngemuva kwe-angiography, ubuhlungu, ukuvuvukala kanye ne-edema kungase kungavamile ukwenzeka endaweni yokwelashwa. Kulokhu, udokotela kufanele abonisane ngaphandle kokuchitha isikhathi.

Izingozi ze-Angiography kanye Nezinkinga Ezingenzeka

Uma kwenziwa uchwepheshe kanye nethimba elinolwazi emkhakheni we-angiography, amathuba okuba nezinkinga ezihlobene ne-angiography cishe awekho. Kodwa-ke, njengazo zonke izinqubo, ezinye izingozi nezinkinga zingase zenzeke ngemva kwe-angiography. Izingozi ezingenzeka ze-angiography zingafakwa kuhlu kanje:

• Ikakhulukazi ngemva kwezinqubo ezenziwa nge-groin, ukunyakaza kwesiguli noma ukucindezela okunganele endaweni yenqubo kungase kubangele ingozi yokopha. Kulokhu, ukulimala okukhulu kungase kwenzeke emlenzeni wesiguli.
• Uma isiguli siguliswa yizinto ezihlukile ezisetshenzisiwe, ukungezwani okuncane okufana nokuluma nokubabomvu kungase kwenzeke.
• Ukuvutha nokufudumala kungase kuzwakale endaweni ephathwayo.
• Isicanucanu nesiyezi kungase kwenzeke ngenxa yokuzila ukudla isikhathi eside.
• Ukusebenza kwezinso kwesiguli kungase konakalise. Lesi simo ngokuvamile singesesikhashana. Nokho, akuvamile, umonakalo omkhulu ezinso kungenzeka. Kulesi simo, isiguli sidinga ukungenelela okuphuthumayo.
• Ubuhlungu, ukuvuvukala nokubomvu kungase kwenzeke endaweni yokungena lapho i-cannula ibekwe khona. Njengoba lesi simo ngokuvamile siwuphawu lokutheleleka, isikhungo sezempilo esiseduze kufanele sithintwe ngaphandle kokulibala.
• Inqubo ye-angiography engenziwanga ithimba lochwepheshe ingase ilimaze umthambo ongenile.
• Kukhona ingozi yokuhlaselwa yinhliziyo nokushaywa unhlangothi phakathi nenqubo. Kodwa-ke, abukho ubufakazi obanele bokusho ukuthi lesi simo sihlobene ngokuqondile ne-angiography. Umthambo ovalekile wesiguli ungase ubangele ingozi yokuhlaselwa yinhliziyo nokushaywa unhlangothi phakathi nenqubo.

I-Angiography iyindlela ebalulekile esindisa ukuphila uma yenziwa ngochwepheshe. Ngenxa ye-angiography, izifo eziningi ezibalulekile ezifana nesifo senhliziyo, isifo sohlangothi, ukwehluleka kwezinso kanye nezifo zesibindi zingatholakala futhi zelashwe zisencane. Ungakhohlwa ukuxhumana nesikhungo sezempilo esiseduze ukuze uthole imininingwane enemininingwane mayelana ne-angiography. Sikufisela izinsuku ezinempilo.