I-angiography kaMesenteric

I-Mesenteric angiography isivivinyo esisetshenzisiwe sibheke emithanjeni yegazi enikezela amathumbu amancane namakhulu.

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. Uzolala etafuleni le-x-ray. Ungacela umuthi ozokusiza uphumule (ukuthambisa) uma uwudinga.

• Ngesikhathi sokuhlolwa, kuzobhekwa umfutho wegazi, ukushaya kwenhliziyo, nokuphefumula kwakho.
• Umhlinzeki wezempilo uzogunda futhi ahlanze imbila. Umuthi obandayo (i-anesthetic) ufakwa esikhunjeni ngomthambo. Kufakwa inaliti emthanjeni.
• Ishubhu elincane eliguquguqukayo elibizwa ngokuthi i-catheter lidluliswa ngenaliti. Iyiswa emthanjeni, futhi ikhuphuke ngemikhumbi emikhulu yendawo yesisu ize ibekwe kahle emthanjeni we-mesenteric. Udokotela usebenzisa ama-x-ray njengomhlahlandlela. Udokotela angabona izithombe ezibukhoma zendawo endaweni yokuqapha efana ne-TV.
• Idayi yokuqhathanisa ifakwa ngale tube ukuthola ukuthi kukhona yini izinkinga ngemithambo yegazi. Izithombe ze-X-ray zithathwa emthanjeni.

Ukwelashwa okuthile kungenziwa phakathi nale nqubo. Lezi zinto zidluliselwa nge-catheter ziye endaweni esemthanjeni edinga ukwelashwa. Lokhu kufaka phakathi:

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

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

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

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

Tshela umhlinzeki wakho:

• 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

Ungase uzizwe uluma okwesikhashana lapho unikezwa umuthi obundikindiki. Uzozwa ubuhlungu obufushane obucayi kanye nengcindezi ethile lapho kufakwa ipayipi bese uhanjiswa emthanjeni. Ezimweni eziningi, uzozizwa umuzwa wokucindezela kuphela endaweni yokububula.

Njengoba udayi ufakwa, uzozwa umuzwa ofudumele, oshayayo. Ungaba nobumnene nokulimala endaweni yokufakwa kwe-catheter ngemuva kokuhlolwa.

Lokhu kuhlolwa kwenziwa:

• Lapho kunezimpawu zomthambo wegazi omncane noma ovinjiwe emathunjini
• Ukuthola umthombo wokopha kumgudu wamathumbu
• Ukuthola imbangela yobuhlungu besisu obuqhubekayo nokulahleka kwesisindo lapho kungekho sizathu esingatholwa
• Lapho ezinye izifundo zinganikeli ngemininingwane eyanele mayelana nokukhula okungajwayelekile emgudwini wamathumbu
• Ukubheka ukulimala komthambo wegazi ngemuva kokulimala esiswini

I-mesenteric angiogram ingenziwa ngemuva kokuthi izikena zemithi yenuzi ezibucayi zithole ukuphuma kwegazi okusebenzayo. Udokotela we-radiologist angabe esekhomba bese elapha umthombo.

Imiphumela ijwayelekile uma imithambo ehlolwayo ibukeka ngendlela ejwayelekile.

Ukutholwa okungajwayelekile okuvamile kunciphisa futhi kuqinise imithambo ehambisa amathumbu amakhulu namancane. Lokhu kubizwa ngokuthi yi-mesenteric ischemia. Inkinga yenzeka lapho okunamafutha (uqweqwe) kwakha ezindongeni zemithambo yakho yegazi.

Imiphumela engajwayelekile futhi ingabangelwa ukopha emathunjini amancane namakhulu. Lokhu kungabangelwa:

• I-Angiodysplasia yekoloni
• Ukuqhekeka kwesitsha segazi ekulimaleni

Eminye imiphumela engajwayelekile ingabangelwa:

• Amahlule egazi
• Isifo sokuqina kwesibindi
• Izimila

Kukhona ubungozi bokuthi ipayipi lokufaka ipayipi lingalimaza umthambo noma lidilize ucezu lodonga lomthambo. Lokhu kunganciphisa noma kuvimbe ukugeleza kwegazi futhi kuholele ekufeni kwezicubu. Lokhu kuyinkinga engajwayelekile.

Ezinye izingozi zifaka:

• Ukusabela okwe-allergen kudayi wokuqhathanisa
• 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
• Ukulimala kwamathumbu uma igazi lincishisiwe

I-arteriogram yesisu; I-Arteriogram - isisu; I-angiogram kaMesenteric

• I-Mesenteric arteriography

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.

I-Lo RC, iShermerhorn ML. Isifo seMesenteric arterial: i-epidemiology, i-pathophysiology, kanye nokuhlolwa komtholampilo. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 131.

vd Bosch H, Westenberg JJM, d Roos A.I-angioography yama-magnetic resonance magnetic angiography: ama-carotids, i-aorta, nemikhumbi yomngcele. Ku: Manning WJ, uPennell DJ, ama-eds. Ukuvezwa kwemagnethi yemithambo yenhliziyo. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 44.