Yintoni i-angiography?

Yintoni iAngiography?

Imbali ye-angiography imaging indlela ibuyela kwi-400 BC. Kwiminyaka yakutshanje, kunye nenkqubela kwinkalo yenzululwazi nobugcisa, kuye kwakho inkqubela ephawulekayo kwiindlela zonyango ezibonisa imifanekiso. I-Angiography, enye yeendlela zokucinga, isetyenziselwa ukuhlolisisa ngokubanzi isakhiwo se-anatomical kunye neempawu zenkqubo ye-vascular, kubandakanywa namagumbi entliziyo. Nangona i-angiography yayisetyenziselwa kuphela ukuxilonga izifo, namhlanje i-angiography iyinxalenye ebalulekileyo yonyango lokungenelela. Xa kuziwa kwi-angiography, into yokuqala efika engqondweni kukuhlolwa kweenqanawa ezondla intliziyo. Nangona kunjalo, i-angiography ngokoqobo ithetha ukucinga iinqanawa. Ngamanye amazwi, i-angiography yindlela yokucinga evumela ukuba kuhlolwe ngokucokisekileyo kwiinqanawa eziqhagamshelwe kumalungu afana nengqondo, intliziyo kunye nesibindi. Ngenxa yesi sizathu, xa ubiza i-angiography kwiincwadi zonyango, igama lelungu elihlolwe lisetyenziswe. Umzekelo; Inkqubo ye-angiography ehlola isifo senhliziyo esondla intliziyo ibizwa ngokuba yi-coronary angiography, uvavanyo lwe-angiography oluhlola imithambo yobuchopho lubizwa ngokuba yi-cerebral angiography, okanye inkqubo ye-angiography yokuhlola imithambo yezintso ibizwa ngokuba yi-renal angiography.

Kutheni i-Angiography yenziwe?

I-Angiography yindlela yokucinga enceda ukufumanisa izifo kwasekuqaleni kwaye isindise ubomi. Ngoko kutheni i-angiography yenziwa? I-Angiography yinkqubo eyenziwa ukujonga ukuba kukho ukuvaleka kwiinqanawa. Ngexesha le-angiography, i-aneurysms, ukwandiswa okanye ukunciphisa, kunye neebhaluni kwiinqanawa ziyakwazi ukufunyanwa lula. Ukongezelela, kwezinye iimeko zomhlaza, ukuvalelwa okanye ukufuduswa kweenqanawa kunokwenzeka ngenxa yokunyanzeliswa kwamathumba kwiinqanawa. Kwizifo ezifana nokuhlaselwa yintliziyo kunye nokubetha, ukufumanisa isitya esibangela ingxaki kubaluleke kakhulu kungenelelo lokuqala. Kwiimeko ezinjalo, i-angiography ityhila i-vein evaliweyo kwaye iqala unyango. I-Angiography ayikho kuphela inkqubo esetyenziselwa ukuxilongwa kwezifo. Kwezinye iimeko, iindlela zonyango zokungenelela ezifana nokufaka i-stents kwiinqanawa ezivaliweyo nazo zisetyenziswa nge-angiography.

Yenziwa njani iAngiography?

Akukho lula ukubona iinqanawa ngayo yonke indlela yokucinga ngemitha. Kwindlela ye-angiography, ukulawula i-agent echaseneyo kwi-veins ivumela ukuba imithambo ibonakale. Ngaphambi kwenkqubo ye-angiography, ugqirha oyingcali oya kwenza inkqubo uya kunika iingcebiso kwisigulane. Isigulane sihlamba ngosuku olungaphambi kwenkqubo. Ngethuba lenkqubo ye-angiography, ngokuqhelekileyo ifakwe kwi-wrist and groin area Ukuze inkqubo yenziwe ngendlela eyinyumba, isigulane kufuneka sihlambulule iinwele kwindawo ye-groin ngaphambi kwenkqubo. Ukuba isigulana asikwazi ukwenza la malungiselelo sisodwa, sinokucela uncedo kwisalamane okanye kubasebenzi kwiziko lezempilo. Isigulane kufuneka silambe ngexesha lenkqubo. Ngenxa yesi sizathu, ukuba kunokwenzeka, isigulane asikhuthazwa ukuba sidle okanye sisele nantoni na emva kwe-24: 00 ebusuku. Umguli ufanele amazise ugqirha ngaphambi kokuba atyandwe ngawo nawaphi na amayeza awasebenzisayo, ingakumbi lawo anegazi elincinane.

Ke i-angiography yenziwa njani? Ngokuqhelekileyo i-anesthesia ayisetyenziswanga ngexesha lenkqubo ye-angiography; Emva koko, i-cannula ifakwe kwi-artery ukusuka kuyo nayiphi na indawo ekuza kungena kuyo kwaye indlela yokungena ivuliwe. Icatheter emile okwetyhubhu ifakwa kumnyango ovuliweyo. Inkqubela ye-catheter emzimbeni ibekwe esweni kwimonitha liqela elenza inkqubo. Emva koko, izinto ezichaseneyo ezivumela ukubonwa kweemvini zithunyelwa emzimbeni nge-catheter. Ubungakanani bezinto ezichaseneyo ezisetyenzisiweyo ziyahluka ngokuxhomekeke kwiminyaka yesigulane, ubunzima, isini kunye nezikhalazo ezinxulumene nesifo. Izinto ezichaseneyo ezithunyelwa ngexesha le-coronary angiography zifikelela entliziyweni, ngelixa intliziyo isebenza. Imifanekiso yemithambo ithathwa ngoncedo lwe-X-ray kwaye idluliselwe kwikhompyuter. Imifanekiso edlulisiweyo ixelwa ngugqirha oyingcali.

Ithatha ixesha elingakanani iAngiography?

I-Angiography yindlela esebenzayo esetyenziselwa ukuxilongwa kwezifo ezininzi. Ezinye izigulane zicinga ukuba i-angiography yinkqubo ende kwaye inzima. Ke i-angiography ithatha ixesha elingakanani? Inkqubo ye-angiography ithatha malunga nemizuzu engama-20-60. Eli xesha lingahluka ngokuxhomekeke kwiminyaka yesigulane, ubunzima kunye neenqanawa eziza kuhlolwa. I-Angiography ayikho inkqubo ebuhlungu. Ngenxa yesi sizathu, izigulane aziziva naziphi na iintlungu ngeli xesha. Nangona kunjalo, emva kwe-angiography, izigulane azikhuthazwa ukuba ziphume ebhedini okanye zihambise indawo apho inkqubo yenziwa khona iiyure ezingama-6-8 ngenxa yomngcipheko wokuphuma kwegazi.

Ziziphi izinto omele uziqwalasele emva kwe-angiography?

Ngaphambi kwenkqubo, ugqirha oya kwenza inkqubo ucela isigulana ukuba size namanzi kunye naye. Esona sizathu sibalulekileyo soku kukunciphisa umngcipheko wezinto ezichaseneyo ezisetyenziswa kwinkqubo eyonakalisa izintso. Ukuba isigulana asinangxaki yempilo ethintela ukuba asele amanzi amaninzi, kucetyiswa ukuba asebenzise malunga neelitha ezi-2 zolwelo kwiiyure ezi-2 emva kwenkqubo. Xa isigulane sifika kwigumbi emva kwenkqubo, ugqirha owenza umsebenzi uyayisusa i-catheter. Nangona kunjalo, emva kokuba i-catheter isusiwe, i-sandbag ifakwe kwindawo apho inkqubo yenziwa khona, ngakumbi kwi-angiography eyenziwa kwi-groin. I-sandbag ebekiweyo kufuneka igcinwe malunga neeyure ezi-6 kwaye akufanele isuswe. Kwangaxeshanye, ekubeni ukuhambisa umlenze kunokubangela ukopha, umguli akafanele aphakame ukuze afune indlu yangasese ngeli xesha yaye ufanele afumane uncedo kwabo bamngqongileyo. Ukunyakaza ngokukhawuleza okunjengokukhwehlela kunokubangela ukopha, ngoko ke kwimeko ye-reflex ngokukhawuleza, uxinzelelo lwezandla kufuneka lusetyenziswe kwindawo ephathwayo. Emva kwenkqubo ye-angiography, iimeko ezifana nokuvuvukala kunye ne-edema ayinakwenzeka ngokungaqhelekanga kwindawo ephathwayo. Emva kokuphuma esibhedlele, isigulane sinokuqhubeka nobomi bemihla ngemihla. Emva kwe-angiography, intlungu, ukudumba kunye ne-edema kunokunqabile ukwenzeka kwindawo ephathwayo. Kule meko, ugqirha kufuneka adibane ngaphandle kokuchitha ixesha.

Iingozi ze-Angiography kunye neengxaki ezinokwenzeka

Xa isenziwa yingcali kunye neqela elinamava kwinkalo ye-angiography, amathuba okuba neengxaki ezinxulumene ne-angiography ziphantse zingabikho. Nangona kunjalo, njengazo zonke iinkqubo, ezinye iingozi kunye neengxaki zinokuthi zenzeke emva kwe-angiography. Imingcipheko enokwenzeka ye-angiography inokudweliswa ngolu hlobo lulandelayo:

• Ngokukodwa emva kweenkqubo ezenziwe nge-groin, ukunyakaza kwesigulane okanye ukunyanzeliswa okungafanelekanga kwindawo yenkqubo kunokubangela umngcipheko wokuphuma kwegazi. Kule meko, ukubetha okukhulu kunokwenzeka emlenzeni wesigulane.
• Ukuba ngaba isigulana asihambisani nesixhobo sokuchasana esisetyenzisiweyo, ukusabela okungephi okufana nokurhawuzelelwa nokuba bomvu kunokuthi kwenzeke.
• Ukutshisa kunye nokufudumala kunokuvakala kwindawo ephathwayo.
• I-nausea kunye nesiyezi singenzeka ngenxa yokuzila ixesha elide.
• Ukusebenza kwezintso zesigulana kusenokuba mandundu. Le meko idla ngokuba yeyokwexeshana. Nangona kunjalo, kunqabile, umonakalo omkhulu kwizintso unokwenzeka. Kule meko, isigulane sifuna ukungenelela ngokukhawuleza.
• Ubuhlungu, ukuvuvukala kunye nobomvu kungenzeka kwindawo yokungena apho i-cannula ifakwe khona. Ekubeni le meko idla ngokuba ngumqondiso wosulelo, iziko lezempilo elikufutshane kufuneka lidibane ngaphandle kokulibazisa.
• Inkqubo ye-angiography engenziwanga liqela leengcali inokonakalisa umthambo ongenisiweyo.
• Kukho umngcipheko wokuhlaselwa yintliziyo kunye ne-stroke ngexesha lenkqubo. Nangona kunjalo, akukho bungqina obaneleyo bokuthi le meko ihambelana ngqo ne-angiography. Umthambo ovaliweyo wesigulana unokubangela umngcipheko wokuhlaselwa yintliziyo kunye ne-stroke ngexesha lenkqubo.

I-Angiography yindlela ebalulekileyo yokusindisa ubomi xa yenziwa ziingcali. Ngombulelo kwi-angiography, izifo ezininzi ezibalulekileyo ezifana nokuhlaselwa yintliziyo, ukubetha, ukungaphumeleli kwezintso kunye nezifo zesibindi zingabonwa kwaye ziphathwe kwasekuqaleni. Ungalibali ukuqhagamshelana neziko lezempilo elikufutshane ukuze ufumane iinkcukacha ezithe vetshe malunga ne-angiography. Sikunqwenelela iintsuku ezisempilweni.