I-Coronary angiography

I-Coronary angiography yinqubo esebenzisa udayi okhethekile (okokuqhathanisa okwehlukile) nama-x-ray ukubona ukuthi igazi ligeleza kanjani emithanjeni esenhliziyweni yakho.

I-Coronary angiography ivame ukwenziwa kanye ne-catheterization yenhliziyo. Le yinqubo ekala izingcindezi emakamelweni enhliziyo.

Ngaphambi kokuba kuqale ukuhlolwa, uzonikezwa isidambisi esincane sokukusiza uphumule.

Indawo yomzimba wakho (ingalo noma imbilapho) iyahlanzwa futhi ifakwe izinzwa ngomuthi ondikazayo wendawo (i-anesthetic). Udokotela wenhliziyo udlulisa ishubhu elincane elingenalutho, elibizwa ngokuthi i-catheter, emthanjeni bese elinyusela ngokucophelela lingene enhliziyweni. Izithombe ze-X-ray zisiza udokotela ukubeka ipayipi.

Lapho ipayipi selikhona, udayi (okokuqhathanisa okungafaniyo) ufakwa emgodleni. Izithombe ze-X-ray ziyathathwa ukubona ukuthi udayi uhamba kanjani emthanjeni. Idayi isiza ukugqamisa noma yikuphi ukuvinjelwa kokugeleza kwegazi.

Inqubo ivame ukuthatha imizuzu engama-30 kuya kwengu-60.

Akufanele udle noma uphuze noma yini amahora ayisishiyagalombili ngaphambi kokuqala kokuhlolwa. Ungadinga ukuhlala esibhedlela ngobusuku obandulela ukuhlolwa. Ngaphandle kwalokho, uzohlola esibhedlela ekuseni sokuhlolwa.

Uzogqoka ingubo yasesibhedlela. Kufanele usayine ifomu lokuvuma ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzochaza inqubo kanye nezingozi zayo.

Tshela umhlinzeki wakho uma:

• Ingabe iguliswa yimiphi imithi noma uma uke waba nempendulo engeyinhle ngokuqhathanisa izinto ezedlule
• Bathatha i-Viagra
• Kungenzeka ukhulelwe

Ezimweni eziningi, uzobe uphapheme ngesikhathi sokuhlolwa. Ungase uzwe ingcindezi ethile kusayithi lapho kubekwa khona ipayipi.

Ungazizwa ushayela noma ushisa ngemuva kokufakwa kwedayi.

Ngemuva kokuhlolwa, i-catheter iyasuswa. Ungase uzwe ingcindezi eqinile isetshenziswa endaweni yokufaka ukuvimbela ukuphuma kwegazi. Uma i-catheter ifakwe emgodini wakho, uzocelwa ukuba ulale phansi emhlane amahora ambalwa kuya emahoreni ambalwa ngemuva kokuhlolwa ukuze ugweme ukuphuma kwegazi. Lokhu kungadala ukungakhululeki okuncane emuva.

I-Coronary angiography ingenziwa uma:

• Une-angina okokuqala.
• I-angina yakho eya ngokuya iba yimbi, ingapheli, ivela kaningi, noma yenzeke ekuphumuleni (okubizwa ngokuthi i-angina engazinzile).
• Une-aortic stenosis noma enye inkinga ye-valve.
• Unobuhlungu besifuba obungajwayelekile, lapho ezinye izivivinyo zivamile.
• Ube nokuhlolwa kokucindezeleka kwenhliziyo okungavamile.
• Uzohlinzwa enhliziyweni yakho futhi usengozini enkulu yesifo semithambo yenhliziyo.
• Unokwehluleka kwenhliziyo.
• Utholwe ukuthi unesifo senhliziyo.

Kukhona ukunikezwa kwegazi okujwayelekile enhliziyweni futhi akukho okuvinjiwe.

Umphumela ongajwayelekile ungasho ukuthi unomthambo ovinjiwe. Ukuhlolwa kungakhombisa ukuthi imithambo ye-coronary emingaki ivinjiwe, lapho ivinjelwe khona, nobukhali bamabhlokhi.

I-catheterization yenhliziyo inengozi eyengeziwe uma iqhathaniswa nezinye izivivinyo zenhliziyo. Kodwa-ke, ukuhlolwa kuphephe kakhulu lapho kwenziwa iqembu elinolwazi.

Ngokuvamile, ubungozi bezinkinga ezinkulu busuka ku-1 kuye ku-1 kuye ku-1 ku-500. Izingozi zale nqubo zifaka okulandelayo:

• I-tamponade yenhliziyo
• Ukushaya kwenhliziyo okungajwayelekile
• Ukulimala emthanjeni wenhliziyo
• Umfutho wegazi ophansi
• Ukusabela okweqile ekuqhathaniseni udayi noma umuthi ophethwe ngesikhathi sokuhlolwa
• Unhlangothi
• Isifo senhliziyo

Ukucatshangelwa okuhlobene nanoma yiluphi uhlobo lwe-catheterization kufaka okulandelayo:

• Ngokuvamile, kunengozi yokuphuma kwegazi, ukutheleleka, nobuhlungu esizeni se-IV noma se-catheter.
• Kuhlala kunengozi encane kakhulu yokuthi iziqobelo zepulasitiki ezithambile zingalimaza imithambo yegazi noma izakhiwo ezizungezile.
• Amahlule egazi angakha kuma-catheters futhi kamuva avimbe imithambo yegazi kwenye indawo emzimbeni.
• Idayi ehlukile ingalimaza izinso (ikakhulukazi kubantu abanesifo sikashukela noma izinkinga zangaphambili zezinso).

Uma kutholakala ukuvinjelwa, umhlinzeki wakho angenza ukungenelela kwe-coronary percutaneous (PCI) ukuvula ukuvinjelwa. Lokhu kungenziwa ngesikhathi senqubo efanayo, kepha kungabambezeleka ngezizathu ezahlukahlukene.

I-angiography yenhliziyo; I-Angiography - inhliziyo; I-angiogram - yenhliziyo; Isifo semithambo yegazi Coronary - angiography; I-CAD - i-angiography; I-Angina - i-angiography; Isifo senhliziyo - i-angiography

• I-Coronary angiography

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