I-angiography yamapulmonary

I-angiography ye-Pulmonary isivivinyo sokubona ukuthi igazi ligeleza kanjani ngamaphaphu.

I-Angiography isivivinyo semifanekiso esisebenzisa ama-x-ray kanye nodayi okhethekile ukubona ngaphakathi kwemithambo. Imithambo yegazi yimithambo yegazi ehambisa igazi lisuke enhliziyweni.

Lokhu kuhlolwa kwenziwa esibhedlela. Uzocelwa ukuba ulale etafuleni le-x-ray.

• Ngaphambi kokuba kuqale ukuhlolwa, uzonikezwa isidambisi esincane sokukusiza uphumule.
• Indawo yomzimba wakho, imvamisa ingalo noma imbilapho, iyahlanzwa futhi inezinhlungu ngomuthi endikindiki wendawo (izinzwa).
• Isazi semisebe sifaka inaliti noma sisike kancane emthanjeni osuhlanzwe. Kufakwa ishubhu elincane elingenalutho elibizwa ngokuthi i-catheter.
• I-catheter ifakwa emthanjeni futhi inyuselwe ngokucophelela ngaphakathi nangaphakathi kwamagumbi enhliziyo asemaceleni nasemthanjeni wamaphaphu, oholela emaphashini. Udokotela angabona izithombe ze-x-ray ezibukhoma zendawo endaweni yokuqapha efana ne-TV, futhi azisebenzise njengomhlahlandlela.
• Uma i-catheter isendaweni, idayi ifakwa ku-catheter. Izithombe ze-X-ray ziyathathwa ukubona ukuthi udayi uhamba kanjani emithanjeni yamaphaphu. Idayi isiza ukuthola noma yikuphi ukuvinjelwa ekugelezeni kwegazi.

Ukushaya kwenhliziyo, umfutho wegazi nokuphefumula kwakho kuyabhekwa ngesikhathi senqubo. Imikhombandlela ye-Electrocardiogram (ECG) ithayiselwa izingalo nemilenze yakho ukuqapha inhliziyo yakho.

Ngemuva kokuthi kuthathwe ama-x-ray, inaliti ne-catheter kuyasuswa.

Ingcindezi ifakwa endaweni yokubhoboza imizuzu engama-20 kuye kwengama-45 ukumisa ukopha. Ngemuva kwaleso sikhathi indawo iyahlolwa bese kufakwa ibhandishi eliqinile. Kufanele ugcine umlenze wakho uqonde amahora angu-6 ngemuva kwenqubo.

Imvamisa, imithi ihanjiswa emaphashini uma kutholakala ihlule legazi ngesikhathi senqubo.

Ungacelwa ukuthi ungadli noma uphuze noma yini amahora ayisithupha kuya kwangu-8 ngaphambi kokuhlolwa.

Uzocelwa ukuthi ugqoke ingubo yasesibhedlela bese usayina ifomu lokuvuma lenqubo. Susa ubucwebe endaweni enesithombe.

Tshela umhlinzeki wakho wezempilo:

• Uma ukhulelwe
• Uma ngabe uke waba nokungezwani komzimba nezinto zokuqhathanisa ze-x-ray, i-shellfish, noma izinto ze-iodine
• Uma uxabana nanoma imiphi imithi
• Imiphi imithi oyiphuzayo (kufaka phakathi noma yimaphi amalungiselelo e-herbal)
• Uma ngabe uke waba nezinkinga zokopha

Itafula le-x-ray lingazizwa libanda. Cela ingubo noma umcamelo uma ungakhululekile Ungase uzwe ukuluma okufushane lapho unikezwa umuthi onendikindiki kanye nenduku emfushane, ebukhali njengoba kufakwa ipayipi.

Ungase uzwe ukucindezela okuthile lapho ipayipi likhuphuka lingena emaphashini. Idayi ehlukile ingadala umuzwa wemfudumalo nokuhlanza. Lokhu kujwayelekile futhi kuvame ukuhamba ngemizuzwana embalwa.

Ungaba nobumnene nokulimala endaweni yomjovo ngemuva kokuhlolwa.

Isivivinyo sisetshenziselwa ukuthola amahlule egazi (i-pulmonary embolism) nokunye ukuvimba ekugelezeni kwegazi emaphashini. Esikhathini esiningi, umhlinzeki wakho uzobe esezame ezinye izivivinyo ukuthola ukuthi i-clot yegazi emaphashini yini.

I-angiography ye-Pulmonary nayo ingasetshenziselwa ukusiza ukuxilonga:

• Ukonakala kwe-AV kwamaphaphu
• I-Congenital (ekhona kusukela ekuzalweni) ukunciphisa izitsha zamaphaphu
• Ama-aneurysms emithambo yamaphaphu
• Umfutho wegazi ophakeme, umfutho wegazi ophakeme emithanjeni yamaphaphu

I-x-ray izokhombisa izakhiwo ezijwayelekile zeminyaka yomuntu.

Imiphumela engajwayelekile ingabangelwa:

• Ama-Aneurysms ezitsha ze-pulmonary
• Ukuqina kwegazi emaphashini (embolism pulmonary)
• Isitsha segazi esincishisiwe
• Umfutho wegazi ophezulu wamaphaphu
• Isimila emaphashini

Umuntu angahlakulela isigqi senhliziyo esingajwayelekile phakathi nalokhu kuhlolwa. Ithimba lokunakekelwa kwezempilo lizoqapha inhliziyo yakho futhi lingelapha noma yisiphi isigqi esingajwayelekile esikhulayo.

Ezinye izingozi zifaka:

• Ukusabela okwe-allergen kudayi wokuqhathanisa
• Ukulimala komthambo wegazi njengoba kufakwa inaliti nepayipi
• Ukuqina kwegazi okuya emaphashini, kubangele ukuqaqanjelwa
• Ukopha ngokweqile noma ihlule legazi lapho kufakwa khona ipayipi, okunganciphisa ukugeleza kwegazi kuye emlenzeni
• Isifo senhliziyo noma isifo sohlangothi
• I-Hematoma (iqoqo legazi endaweni yokubhoboza inaliti)
• Ukulimala kwezinzwa endaweni yokubhoboza
• Ukulimala kwezinso kudayi
• Ukulimala emithanjeni yegazi ephashini
• Ukopha emaphashini
• Akhwehlele igazi
• Ukwehluleka kokuphefumula
• Ukufa

Kukhona ukutholakala kwemisebe ephansi. Umhlinzeki wakho uzoqapha futhi alawule ama-x-ray ukuze anikeze inani elincane lokuchayeka kwemisebe. Ochwepheshe abaningi banomuzwa wokuthi ingozi iphansi uma iqhathaniswa nezinzuzo. Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini zama-x-ray.

I-computed tomography (CT) angiography yesifuba ithathe indawo yalolu vivinyo ikakhulukazi.

I-pulmonary arteriography; I-angiogram yamaphaphu; I-Angiogram yamaphaphu

• Imithambo yegazi

IChernecky CC, iBerger BJ. P. Ku: IChernecky CC, uBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 842-951.

IHartmann IJC, iSchaefer-Prokop CM. Ukusakazwa kwamapulmonary kanye ne-thromboembolism ye-pulmonary. 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 23.

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.

UNazeef M, uSheehan JP. I-venous thromboembolism. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 858-868.