I-angiography yenhliziyo engakwesobunxele

I-angiography yenhliziyo engakwesobunxele inqubo yokubheka amakamelo enhliziyo asemaceleni nokusebenza kwamavalvu asohlangothini lwesobunxele. Kwesinye isikhathi kuhlanganiswa ne-coronary angiography.

Ngaphambi kokuhlolwa, uzonikezwa umuthi ozokusiza uphumule. Uzobe uphapheme futhi ukwazi ukulandela imiyalelo ngesikhathi sokuhlolwa.

Kufakwa umugqa ofaka isandla engalweni yakho. Umhlinzeki wezokunakekelwa kwezempilo uhlanza futhi anqume indawo engalweni noma emgodini wakho. Udokotela wenhliziyo usika kancane endaweni, bese efaka ithubhu elincane eliguquguqukayo (ipayipi) emthanjeni. Usebenzisa ama-x-ray njengomhlahlandlela, udokotela uhambisa ngokucophelela ithubhu elincane (ipayipi) enhliziyweni yakho.

Lapho ishubhu lisendaweni, udayi uyajova ngalo. Udayi ugeleza phakathi kwemithambo yegazi, okwenza kube lula ukuwabona. Ama-X-ray ayathathwa njengoba udayi udlula emithanjeni yegazi. Lezi zithombe ze-x-ray zakha "i-movie" ye-ventricle yangakwesobunxele njengoba isebenza ngesigqi.

Inqubo ingahlala kusuka ehoreni elilodwa kuya emahoreni ambalwa.

Uzotshelwa ukuthi ungadli noma uphuze amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Inqubo yenzeka esibhedlela. Abanye abantu bangadinga ukuhlala esibhedlela ngobusuku obandulela ukuhlolwa.

Umhlinzeki uzochaza inqubo kanye nezingozi zayo. Kufanele usayine ifomu lokuvuma lenqubo.

Uzozizwa uluma futhi ushise lapho kufakwa i-anesthetic yendawo. Ungazizwa ucindezelekile lapho kufakwa i-catheter. Kwesinye isikhathi, umuzwa oshayayo noma umuzwa odinga ukuthi uchame kwenzeka lapho idayi ifakwa.

I-angiography yenhliziyo engakwesobunxele yenzelwa ukuhlola ukugeleza kwegazi ohlangothini lwesobunxele lwenhliziyo.

Umphumela ojwayelekile ukhombisa ukugeleza kwegazi okujwayelekile ohlangothini lwesobunxele lwenhliziyo. Amanani egazi nezingcindezi nakho kujwayelekile.

Imiphumela engajwayelekile ingabangelwa:

• Imbobo enhliziyweni (i-ventricular septal defect)
• Ukungajwayelekile kwama-valve wenhliziyo engakwesobunxele
• I-aneurysm yodonga lwenhliziyo
• Izindawo zenhliziyo azenzi isivumelwano ngokujwayelekile
• Izinkinga zokuhamba kwegazi ohlangothini lwesobunxele lwenhliziyo
• Ukuvinjelwa okuhlobene nenhliziyo
• Umsebenzi wokupompa obuthakathaka we-ventricle yesobunxele

I-Coronary angiography ingadingeka lapho kusolwa ukuvinjelwa kwemithambo yenhliziyo.

Izingozi ezihambisana nale nqubo zifaka:

• Ukushaya kwenhliziyo okungavamile (arrhythmias)
• Ukusabela okweqile kudayi noma imithi yokuthambisa
• Ukulimala komthambo noma umthambo
• I-tamponade yenhliziyo
• I-embolism kusuka kumahlule egazi ekugcineni kwepayipi
• Ukwehluleka kwenhliziyo ngenxa yevolumu yedayi
• Ukutheleleka
• Ukwehluleka kwezinso kudayi
• Umfutho wegazi ophansi
• Isifo senhliziyo
• Ukopha
• Unhlangothi

I-catheterization yenhliziyo engakwesokudla ingahlanganiswa nale nqubo.

I-angiography yenhliziyo engakwesobunxele inobungozi obuthile ngoba inqubo ehlaselayo. Ezinye izindlela zokucabanga zingahle zibe nobungozi obuncane, njenge:

• Ukuskena kwe-CT
• I-Echocardiography
• I-Magnetic resonance imaging (MRI) yenhliziyo
• I-Radionuclide ventriculography

Umhlinzeki wakho anganquma ukwenza enye yalezi zinqubo esikhundleni se-angiography yenhliziyo engakwesobunxele.

I-Angiography - inhliziyo engakwesobunxele; I-ventriculography engakwesobunxele

UHermann J. Ukuphefumula kwenhliziyo. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 19.

UPatel MR, uBaley SR, uBonow RO, et al. I-ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 indlela efanele yokusetshenziswa kwe-catheterization yokuxilonga: umbiko we-American College of Cardiology Foundation Applied Use Criteria Task Force, Society for Cardiovascular Angiography kanye nokungenelela, iAmerican Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic I-Resonance, neNhlangano Yabahlinzayo BamaThoracic. UJ Am Coll Cardiol. 2012; 59 (22): 1995-2027. I-PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

I-Webb GD, iSmallhorn JF, uTherrien J, uRedington AN. Isifo senhliziyo esizalwa naso esigulini esidala nesingane. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, et al. ama-eds. Isifo Senhliziyo SikaBraunwald: Incwadi Yemithi Yezinhliziyo Nemithambo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 75.