Ubungakanani be-angiography

I-Extremity angiography luvavanyo olusetyenziselwa ukubona imithambo esezandleni, ezingalweni, ezinyaweni, okanye emilenzeni. Ikwabizwa ngokuba yi-peripheral angiography.

I-Angiography isebenzisa ii-x-reyi kunye nedayi ekhethekileyo ukubona ngaphakathi kwimithambo. Imithambo yimithambo yegazi ethwala igazi lisuse entliziyweni.

Olu vavanyo lwenziwa esibhedlele. Uya kulala etafileni ye-x-ray. Unokucela iyeza elithile ukuze likulalise kwaye uphumle (ukuthambisa).

• Umboneleli wezempilo uya kucheba kwaye acoce indawo, amaxesha amaninzi kwindawo yokugcoba.
• Iyeza elirhabaxa (i-anesthetic) litofwe kulusu ngaphezulu komthambo.
• Inaliti ibekwa kuloo mithambo.
• Umbhobho weplastikhi obhityileyo obizwa ngokuba yi-catheter udluliselwa ngenaliti kumthambo. Ugqirha uyisa kwindawo yomzimba ofundwayo. Ugqirha unokubona imifanekiso yommandla ophilayo kwindawo ekubukelwa kuyo iTV, kwaye ayisebenzise njengesikhokelo.
• Idayi igqobhoza ipayipi ize iye kungena kwimithambo.
• Imifanekiso ye-X-ray ithathwa kwimithambo.

Unyango oluthile lunokwenziwa ngale nkqubo. Ezi zonyango zibandakanya:

• Ukunyibilika kwegazi elinamayeza
• Ukuvula umthambo ovaliweyo ngokuyinxalenye ngebhaluni
• Ukubeka ityhubhu encinci ebizwa ngokuba yistent kumthambo ukunceda ukuyibamba ivuleke

Iqela lokhathalelo lwempilo liza kujonga ukubetha kwentliziyo yakho (ukubetha kwentliziyo), uxinzelelo lwegazi kunye nokuphefumla ngexesha lenkqubo.

I-catheter iyasuswa xa kwenziwe uvavanyo. Uxinzelelo lubekwa kwindawo kangangemizuzu eli-10 ukuya kweli-15 ukunqanda ukopha. Ibandage ke iyafakwa enxebeni.

Ingalo okanye umlenze apho inaliti ibekwe khona kufuneka igcinwe ngokuthe ngqo iiyure ezingama-6 emva kwenkqubo. Kuya kufuneka uphephe umsebenzi onzima, njengokuphakamisa okunzima, iiyure ezingama-24 ukuya kwezi-48.

Akufuneki utye okanye usele nantoni na iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo.

Usenokuxelelwa ukuba uyeke ukuthatha amayeza athile, afana neasprini okanye amanye amacoci egazi okwexeshana phambi kovavanyo. Ungaze uyeke ukuthatha nawaphi na amayeza ngaphandle kokuba uxelelwe njalo ngumboneleli wakho.

Qinisekisa ukuba umboneleli wakho uyazi ngawo onke amayeza owathathayo, kubandakanya nalawo uwathengileyo ngaphandle kommiselo. Oku kubandakanya imifuno kunye nezongezelelo.

Xelela umboneleli wakho ukuba:

• Ukhulelwe
• Ngaba i-aleji kuwo nawaphi na amayeza
• Ukhe waba neempendulo ezichaseneyo nezinto ze-x-ray, iqokobhe, okanye izinto ze-iodine
• Ukhe waba naziphi na iingxaki zokopha

Itafile ye-x-ray inzima kwaye iyabanda. Unokufuna ukucela ingubo okanye umqamelo. Unokuziva ungcungcutheka xa kufakwa iyeza elenzayo. Unokuziva uxinzelelo xa i-catheter ishukunyiswa.

Idayi inokubangela imvakalelo yokufudumala kunye nokugungxula. Oku kuqhelekile kwaye kuhlala kuhamba imizuzwana embalwa.

Unokuba nethenda kunye nokugruzuka kwindawo yokufaka i-catheter emva kovavanyo. Funa uncedo lwangoko lwezonyango ukuba unayo:

• Ukudumba
• Ukopha okungahambiyo
• Intlungu ebuhlungu engalweni okanye emlenzeni

Unokulufuna olu vavanyo ukuba uneempawu zethambo legazi elincinci okanye elivalekileyo kwiingalo, izandla, imilenze, okanye iinyawo.

Uvavanyo luyakwenziwa ukufumanisa ukuba:

• Ukopha
• Ukudumba okanye ukudumba kwemithambo yegazi (vasculitis)

IX-reyi ibonisa izakhiwo eziqhelekileyo zeminyaka yakho.

Isiphumo esingaqhelekanga siqhele ukwenzeka ngenxa yokuxinana kunye nokuqina kweethambo ezingalweni okanye emilenzeni evela kwi-plaque buildup (ukuqina kwemithambo) kwiindonga zomthambo.

IX-reyi ingabonisa ukuvaleka kwiinqanawa ezibangelwa:

• I-Aneurysms (ukwandiswa okungaqhelekanga okanye ibhaluni yenxalenye yomthambo)
• Amahlwili egazi
• Ezinye izifo zemithambo

Iziphumo ezingaqhelekanga zinokubangelwa:

• Ukudumba kwemithambo yegazi
• Ukwenzakala kwimithambo yegazi
• I-Thromboangiitis obliterans (isifo se-Buerger)
• Isifo seTakayasu

Iingxaki zinokubandakanya:

• Ukusabela okungahambelaniyo nedayi eyahlukileyo
• Ukonakala kwisitya segazi njengoko inaliti kunye necatheter zifakwa
• Ukopha kakhulu okanye ihlwili legazi apho kufakwa khona i-catheter, enokunciphisa ukuhamba kwegazi emlenzeni
• Ukuhlaselwa yintliziyo okanye ukubetha
• I-Hematoma, ingqokelela yegazi kwindawo yenaliti
• Ukwenzakala kwemithambo-luvo kwindawo yokubhoboza inaliti
• Ukonakala kwezintso kwidayi
• Ukonzakala kwimithambo yegazi kuvavanywa
• Ukulahleka kwamalungu kwiingxaki zenkqubo

Kukho ukuvezwa kwemitha kwinqanaba elisezantsi. Nangona kunjalo, uninzi lweengcali zivakalelwa kukuba umngcipheko wezininzi ze-x-ray ziphantsi xa kuthelekiswa nezibonelelo. Abafazi abakhulelweyo kunye nabantwana banomdla ngakumbi kumngcipheko we-x-ray.

I-Angiography yesiphelo; Iipheripheral angiography; I-angiogram yomda osezantsi; Iipheripheral angiogram; IArteriography yesiphelo; I-PAD - i-angiography; Isifo se-arteripheral isifo-i-angiography

Iwebhusayithi yeAmerican Heart Association. Umda we-angiogram. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Ukuhlaziywa kwe-Okthobha ka-2016. Kufikeleleke ngoJanuwari 18, 2019.

UDesai SS, uHodgson KJ. Inkqubo yokuqonda isifo ye-Endovascular. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 60.

IHarisinghani MG, uChen JW, uWeissleder R.Ukucinga ngemithambo. Ku: Harisinghani MG, Chen JW, Weissleder R, ii-eds. I-Primer yoFundo lokuChonga. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 8.

UJackson JE, Meaney JFM. I-Angiography: imigaqo, ubuchule kunye neengxaki. Ku: UAdam A, uDixon AK, uGillard JH, uSchaefer-Prokop CM, ii-eds. I-Grainger kunye ne-Allison's Diagnostic Radiology: Incwadi ebhaliweyo yoNyango lwezoNyango. Umhla wesi-6. IPhiladelphia, PA: Elsevier Churchill Livingstone; 2015: isahl. 84.