I-angiography eyedlulele

I-Extremity angiography isivivinyo esisetshenziselwa ukubona imithambo esezandleni, ezingalweni, ezinyaweni, noma emilenzeni. Ibizwa nangokuthi i-peripheral angiography.

I-Angiography isebenzisa ama-x-ray nedayi ekhethekile ukubona ngaphakathi kwemithambo. Imithambo yegazi yimithambo yegazi ehambisa igazi lisuke enhliziyweni.

Lokhu kuhlolwa kwenziwa esibhedlela. Uzolala etafuleni le-x-ray. Ungacela umuthi othile ozokukwenza ulale futhi uphumule (ukuthambisa).

• Umhlinzeki wezokunakekelwa kwempilo uzogunda futhi ahlanze indawo, imvamisa kakhulu emgodini.
• Umuthi obandayo (i-anesthetic) ufakwa esikhunjeni ngomthambo.
• Kufakwa inaliti kulowo mthambo.
• Ishubhu lepulasitiki elincanyana elibizwa ngokuthi i-catheter lidluliselwa ngenaliti emthanjeni. Udokotela uyisa endaweni yomzimba efundwayo. Udokotela angabona izithombe ezibukhoma zendawo endaweni yokuqapha efana ne-TV, futhi azisebenzise njengomhlahlandlela.
• Udayi ugeleza phakathi kwepayipi bese ungene emithanjeni yegazi.
• Izithombe ze-X-ray zithathwa ngemithambo yegazi.

Ukwelashwa okuthile kungenziwa phakathi nale nqubo. Lezi zindlela zokwelapha zifaka:

• Ukuqothula iqhwa legazi elinomuthi
• Ukuvula umthambo ovinjiwe kancane ngebhaluni
• Ukufaka ishubhu elincane elibizwa ngokuthi i-stent emthanjeni ukusiza ukulivula

Ithimba lokunakekelwa kwezempilo lizohlola ukushaya kwenhliziyo (ukushaya kwenhliziyo) yakho, umfutho wegazi nokuphefumula kwakho ngesikhathi senqubo.

I-catheter iyasuswa lapho isivivinyo senziwa. Ingcindezi ibekwa endaweni imizuzu eyi-10 kuya kwengu-15 ukunqanda noma yikuphi ukopha. Ngemuva kwalokho kufakwa ibhandishi enxebeni.

Ingalo noma umlenze lapho kwabekwa khona inaliti kufanele kugcinwe kuqondile amahora ayisithupha ngemuva kwenqubo. Kufanele ugweme umsebenzi onzima, njengokuphakamisa okunzima, amahora angama-24 kuye kwangama-48.

Akufanele udle noma uphuze noma yini amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa.

Ungatshelwa ukuthi uyeke ukuthatha imishanguzo ethile, njenge-aspirin noma ezinye izinciphisi zegazi isikhashana ngaphambi kokuhlolwa. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kokuthi utshelwe ngumhlinzeki wakho.

Qiniseka ukuthi umhlinzeki wakho uyazi ngayo yonke imithi oyiphuzayo, kufaka phakathi leyo oyithenge ngaphandle kadokotela. Lokhu kufaka amakhambi nezithako.

Tshela umhlinzeki wakho uma:

• Bakhulelwe
• Ingabe iguliswa yimiphi imithi
• Wake waba nokungezwani komzimba nezinto zokuqhathanisa ze-x-ray, i-shellfish, noma izinto ze-iodine
• Wake waba nezinkinga zokopha

Itafula le-x-ray linzima futhi liyabanda. Ungahle ufune ukucela ingubo noma umcamelo. Ungase uzwe ukunaka lapho umuthi obandayo ufakwa. Ungase uzwe nengcindezi ethile lapho i-catheter isuswa.

Idayi ingadala umuzwa wokufudumala nokuhlanza. Lokhu kujwayelekile futhi kaningi kuyaphela ngemizuzwana embalwa.

Ungaba nobumnene nokulimala endaweni yokufakwa kwe-catheter ngemuva kokuhlolwa. Funa usizo lwezokwelapha ngokushesha uma une:

• Ukuvuvukala
• Ukopha okungapheli
• Ubuhlungu obukhulu engalweni noma emlenzeni

Ungadinga lokhu kuhlolwa uma unezimpawu zomthambo wegazi omncane noma ovinjiwe ezingalweni, ezandleni, emilenzeni noma ezinyaweni.

Ukuhlolwa kungenziwa futhi ukuxilonga:

• Ukopha
• Ukuvuvukala noma ukuvuvukala kwemithambo yegazi (vasculitis)

I-x-ray ikhombisa ukwakheka okujwayelekile kweminyaka yakho.

Umphumela ongajwayelekile uvame ukubangelwa ukuncipha nokuqina kwemithambo esezingalweni noma emilenzeni evela ekwakhiweni kocwecwe (ukuqina kwemithambo) ezindongeni zemithambo.

I-x-ray ingakhombisa ukuvimba ezitsheni ezibangelwe yi:

• Ama-aururms (ukunwetshwa okungajwayelekile noma ukubhaliswa kwengxenye yomthambo)
• Amahlule egazi
• Ezinye izifo zemithambo

Imiphumela engajwayelekile futhi ingabangelwa:

• Ukuvuvukala kwemithambo yegazi
• Ukulimala emithanjeni yegazi
• I-Thromboangiitis obliterans (Isifo se-Buerger)
• Isifo se-Takayasu

Izinkinga zingafaka:

• Ukusabela okwe-allergen kudayi wokuqhathanisa
• Ukulimala komthambo wegazi njengoba kufakwa inaliti nepayipi
• Ukopha ngokweqile noma ihlule legazi lapho kufakwa khona ipayipi, okunganciphisa ukugeleza kwegazi kuye emlenzeni
• Isifo senhliziyo noma isifo sohlangothi
• IHematoma, iqoqo legazi esizeni sokubhoboza inaliti
• Ukulimala kwemizwa esizeni sokubhoboza inaliti
• Ukulimala kwezinso kudayi
• Ukulimala emithanjeni yegazi ehlolwayo
• Ukulahleka kwezitho kusuka ezinkingeni ngenqubo

Kukhona ukutholakala kwemisebe esezingeni eliphansi. Kodwa-ke, ochwepheshe abaningi banomuzwa wokuthi ingozi yama-x-ray amaningi iphansi uma iqhathaniswa nezinzuzo. Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini ze-x-ray.

I-Angiography yomkhawulo; I-angiography eseceleni; I-angiogram yomkhawulo ongaphansi; I-angiogram yomngcele; I-Arteriography yomkhawulo; I-PAD - i-angiography; Isifo semithambo eseceleni - i-angiography

Iwebhusayithi yeAmerican Heart Association. I-peripheral angiogram. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Kubuyekezwe u-Okthoba 2016. Kufinyelelwe ngoJanuwari 18, 2019.

UDesai SS, uHodgson KJ. Inqubo yokuxilonga ye-Endovascular. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 60.

UHarisinghani MG, Chen JW, Weissleder R. Ukucabanga ngemithambo. Ku: Harisinghani MG, Chen JW, Weissleder R, abahleli. Isiqalo Sokufanekisa Ukuhlola. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 8.

UJackson JE, Meaney JFM. I-Angiography: imigomo, amasu kanye nezinkinga. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology: Incwadi Yokufunda Ngezithombe. Umhlaka 6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahluko 84.