I-renal arteriography

I-renal arteriography iyi-x-ray ekhethekile yemithambo yegazi yezinso.

Lokhu kuhlolwa kwenziwa esibhedlela noma ehhovisi labangalaliswa esibhedlela. Uzolala etafuleni le-x-ray.

Abahlinzeki bezokunakekelwa kwempilo bavame ukusebenzisa umthambo oseduze nendawo yokubhalela ukuhlolwa. Ngesinye isikhathi, umhlinzeki angasebenzisa umthambo esihlakaleni.

Umhlinzeki wakho uzokwenza lokhu:

• Hlanza futhi ugunde indawo.
• Faka umuthi oyindikindiki endaweni.
• Faka inaliti emthanjeni.
• Dlulisa ucingo oluncane ngenaliti emthanjeni.
• Khipha inaliti.
• Faka ithubhu ende, encanyana, eguquguqukayo ebizwa ngokuthi i-catheter endaweni yayo.

Udokotela uqondisa i-catheter endaweni efanele usebenzisa izithombe ze-x-ray zomzimba. Ithuluzi elibizwa nge-fluoroscope lithumela izithombe kumqaphi we-TV, ongabonwa ngumhlinzeki.

I-catheter iqhutshelwa phambili ngaphezu kocingo ku-aorta (isitsha segazi esikhulu esivela enhliziyweni). Bese lingena emthanjeni wezinso. Isivivinyo sisebenzisa udayi okhethekile (obizwa ngokuqhathanisa) ukusiza imithambo ekhombisa i-x-ray. Imithambo yegazi yezinso ayibonwa ngama-x-ray ajwayelekile. Idayi igeleza nge-catheter iye emithanjeni yezinso.

Izithombe ze-X-ray zithathwa njengoba udayi udlula emithanjeni yegazi. I-saline (amanzi anosawoti oyinyumba) aqukethe ne-thinner yegazi nayo ingathunyelwa nge-catheter ukugcina igazi endaweni lingaqandi.

I-catheter iyasuswa ngemuva kokuthi ama-x-ray ethathiwe. Umshini wokuvala ufakwa emgodini noma kufakwa ingcindezi endaweni ukumisa ukopha. Indawo ihlolwa ngemuva kwemizuzu eyi-10 noma eyi-15 bese kufakwa ibhandishi. Ungacelwa ukuthi ugcine umlenze wakho uqonde amahora amane kuya kwayisithupha ngemuva kwenqubo.

Tshela umhlinzeki uma:

• Ukhulelwe
• Wake waba nezinkinga zokopha
• Okwamanje uthatha izinciphisi zegazi, kufaka phakathi i-aspirin yansuku zonke
• Uke waba nokungezwani komzimba, ikakhulukazi lezo ezihlobene nezinto zokuqhathanisa ze-x-ray noma izinto ze-iodine
• Uke watholakala ukuthi unezinso zezinso noma izinso ezingasebenzi kahle

Kufanele usayine ifomu lokuvuma. UNGADLI noma uphuze noma yini amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Uzonikezwa ingubo yokugqoka esibhedlela futhi ucelwe ukuba ususe bonke ubucwebe. Unganikezwa iphilisi lobuhlungu (lokuthambisa) ngaphambi kwenqubo noma ama-sedative we-IV ngesikhathi senqubo.

Uzolala phansi etafuleni le-x-ray. Imvamisa kukhona umcamelo, kepha awunethezekile njengombhede. Ungase uzizwe uluma lapho kunikezwa umuthi wokubulala izinzwa. Ungazizwa unengcindezi nokungakhululeki njengoba i-catheter ibekwe kahle.

Abanye abantu bazizwa befudumele lapho idayi ifakwa, kepha abantu abaningi abakwazi ukuyizwa. Awuyizwa i-catheter engaphakathi komzimba wakho.

Kungaba nobumnene nokulimazeka endaweni yomjovo ngemuva kokuhlolwa.

I-renal arteriography ivame ukudingeka ukusiza ukunquma ngokuthola ukwelashwa okuhle kakhulu ngemuva kokunye ukwenziwa kuqala. Lokhu kufaka phakathi i-duplex ultrasound, isisu se-CT, i-CT angiogram, isisu se-MRI, noma i-MRI angiogram. Lezi zivivinyo zingakhombisa izinkinga ezilandelayo.

• Ukunwetshwa okungajwayelekile komthambo, obizwa nge-aneurysm
• Ukuxhumana okungavamile phakathi kwemithambo nemithambo yegazi (i-fistula)
• Ukuqina kwegazi kuvimbe umthambo ohambisa izinso
• Umfutho wegazi ophezulu ongachazwanga ocatshangwa ukuthi ubangelwa ukuncipha kwemithambo yegazi yezinso
• Izimila ze-Benign nomdlavuza ezibandakanya izinso
• Ukopha okusebenzayo okuvela ezinso

Lokhu kuhlolwa kungasetshenziselwa ukuhlola abanikeli nabamukeli ngaphambi kokufakelwa kwezinso.

Imiphumela ingahluka. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

I-renal angiography ingakhombisa ukuba khona kwezimila, ukuncipha komthambo noma ama-aneurysms (ukunweba umthambo noma umthambo), amahlule egazi, ama-fistula, noma ukopha ezinso.

Isivivinyo singenziwa futhi ngezimo ezilandelayo:

• Ukuvaleka komthambo ngegazi
• I-renal artery stenosis
• Umdlavuza wesifo sezinso
• Ama-angiomyolipomas (izicubu ezingenasifo somdlavuza wezinso)

Ezinye zalezi zinkinga zingelashwa ngamasu enziwe ngasikhathi sinye i-arteriogram yenziwa.

• I-Angioplasty inqubo yokuvula imithambo yegazi encishisiwe noma evinjiwe ehambisa igazi ezinsweni zakho.
• I-stent yishubhu elincane lensimbi elenza umthambo uvuleke. Kungabekwa ukugcina umthambo omncane uvulekile.
• Umdlavuza nezimila ezingenalo umdlavuza zingelashwa kusetshenziswa inqubo ebizwa ngokuthi yi-embolization. Lokhu kubandakanya ukusebenzisa izinto ezivimba ukuhamba kwegazi ukuze kubulawe noma kunciphise isimila. Kwesinye isikhathi, lokhu kwenziwa kuhlangene nokuhlinzwa.
• Ukopha nakho kungaphathwa ngokuhlanganiswa.
  

Inqubo ngokuvamile iphephile. Kungaba khona ezinye izingozi, njenge:

• Ukusabela okwe-aleji kudayi (okuphakathi kokuqhathanisa)
• Ukulimala komzimba
• Ukulimala odongeni lomthambo noma komthambo, okungaholela kumahlule egazi
• Ukulimala kwezinso kusuka ekulimaleni komthambo noma kudayi

Kukhona ukutholakala kwemisebe ephansi. Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini ezihlobene nama-x-ray.

Ukuhlolwa AKUFANELE kwenziwe uma ukhulelwe noma unezinkinga zokopha kakhulu.

I-Magnetic resonance angiography (MRA) noma i-CT angiography (CTA) kungenziwa esikhundleni salokho. I-MRA ne-CTA azidlanga futhi zinganikeza isithombe esifanayo semithambo yezinso, yize ingenakusetshenziselwa ukwelashwa.

I-angiogram yezinso; I-angiography - izinso; I-angiography yezinso; I-renal artery stenosis - i-arteriography

• Ukwakheka kwezinso
• Imithambo yegazi

I-Azarbal AF, iMclafferty RB. I-Arteriography. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 25.

UDuddalwar VA, uJadvar H, uPalmer SL. Ukuxilongwa kwezinso zezinso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 25.

Umbhalo SC. Ukuqina komfutho wegazi ophakeme kanye nephropathy ye-ischemic. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.