I-aortic angiography

I-aortic angiography yinqubo esebenzisa udayi okhethekile nama-x-ray ukubona ukuthi igazi ligeleza kanjani nge-aorta. I-aorta ingumthambo omkhulu. Ikhipha igazi enhliziyweni, nangesisu noma isisu sakho.

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

Lokhu kuhlolwa kwenziwa esibhedlela. Ngaphambi kokuba kuqale ukuhlolwa, uzonikezwa isidambisi esincane sokukusiza uphumule.

• Indawo yomzimba wakho, imvamisa engalweni yakho noma endaweni ebusayo, iyahlanzwa futhi inezinhlungu ngomuthi obandayo wasendaweni (izinzwa).
• I-radiologist noma i-cardiologist izofaka inaliti emgodini wegazi lomgodi. I-guidewire ne-tube ende (i-catheter) izodluliswa ngale naliti.
• I-catheter idluliselwa ku-aorta. Udokotela angabona izithombe ezibukhoma ze-aorta kumqapha ofana ne-TV. Ama-X-ray asetshenziselwa ukuqondisa ipayipi le-catheter endaweni efanele.
• Lapho ipayipi selikhona, udayi ufakwa kulo. Izithombe ze-X-ray ziyathathwa ukubona ukuthi udayi uhamba kanjani phakathi kwe-aorta. Idayi isiza ukuthola noma yikuphi ukuvinjelwa kokugeleza kwegazi.

Ngemuva kokuthi ama-x-ray noma ukwelashwa sekuphelile, i-catheter iyasuswa. Ingcindezi ifakwa endaweni yokubhoboza imizuzu engama-20 kuye kwengama-45 ukumisa ukopha. Ngemuva kwalesi sikhathi, indawo iyahlolwa bese kufakwa ibhandishi eliqinile. Umlenze uvame ukugcinwa uqonde ngamanye amahora ayisithupha ngemuva kwenqubo.

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

Uzogqoka ingubo yasesibhedlela bese usayina ifomu lokuvuma ukwenza le nqubo. Susa ubucwebe endaweni okufundwa kuyo.

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

Uzobe uphapheme ngesikhathi sokuhlolwa. Ungazizwa uluma njengoba unikezwa umuthi obundikindiki nengcindezi ethile njengoba kufakwa ipayipi. Ungazizwa ushaywa ngokufudumele lapho udayi wokuqhathanisa ugeleza nge-catheter. Lokhu kujwayelekile futhi kaningi kuyaphela ngemizuzwana embalwa.

Ungase ube nokungakhululeki ngokulala etafuleni lesibhedlela futhi uhlale unganyakazi isikhathi eside.

Ezimweni eziningi, ungaqala kabusha umsebenzi ojwayelekile ngosuku olulandelayo ngemuva kwenqubo.

Umhlinzeki wakho angacela lolu vivinyo uma kunezimpawu noma izimpawu zenkinga nge-aorta noma amagatsha awo, kufaka phakathi:

• I-aortic aneurysm
• Ukuhlukaniswa kwe-aortic
• Izinkinga zokuzalwa (ezikhona kusukela ekuzalweni)
• I-AV malformation
• I-arch ephindwe kabili
• Ukuhlangana kwe-aorta
• Indandatho ye-Vascular
• Ukulimala ku-aorta
• Takayasu arteritis

Imiphumela engajwayelekile ingabangelwa:

• I-aneurysm yesisu esiswini
• Ukuhlukaniswa kwe-aortic
• Ukuvuselelwa kabusha kwe-aortic
• Izinkinga zokuzalwa (ezikhona kusukela ekuzalweni)
• I-arch ephindwe kabili
• Ukuhlangana kwe-aorta
• Indandatho ye-Vascular
• Ukulimala ku-aorta
• I-Mesenteric ischemia
• Isifo semithambo yegazi
• I-renal artery stenosis
• Takayasu arteritis

Izingozi ze-aortic angiography zifaka:

• Ukusabela okwe-allergen kudayi wokuqhathanisa
• Ukuvaleka komthambo
• Ukuqina kwegazi okuya emaphashini
• Ukulimaza endaweni yokufakwa kwe-catheter
• Ukulimala komthambo wegazi lapho kufakwa khona 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
• Ukutheleleka
• Ukulimala kwemizwa esizeni sokubhoboza inaliti
• Ukulimala kwezinso kudayi

Le nqubo ingenziwa nge-catheterization yenhliziyo engakwesokunxele ukubheka isifo semithambo yegazi.

I-aortic angiography ithathelwe indawo kakhulu yi-computed tomography (CT) angiography noma i-magnetic resonance (MR) angiography.

I-Angiography - i-aorta; I-aortography; I-angiogram yesisu esiswini; I-aortic arteriogram; I-Aneurysm - i-aortic arteriogram

• Ukulungiswa kwe-aortic aneurysm esiswini - ukuvula - ukukhipha
• Ukulungiswa kwe-aortic aneurysm - endovascular - discharge

• I-Cardiac arteriogram

IChernecky CC, iBerger BJ. C. Ku: IChernecky CC, uBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 266-432.

UFattori R, Lovato L. I-aorta ye-thoracic: izici zokuxilonga. 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; 2014: isahluko 24.

UGrant LA, uGriffin N. I-aorta. Ku: Grant LA, Griffin N, eds. Ama-Grainger & Allison's Diagnostic Radiology Essentials. Okwesibili. IPhiladelphia, PA: Elsevier; 2019: isahluko 2.4.

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; 2014: isahluko 84.