I-arteriography yezintso

I-renal arteriography yi-x-ray ekhethekileyo yemithambo yegazi yezintso.

Olu vavanyo lwenziwa esibhedlele okanye kwiofisi yezigulana ezingalaliswayo. Uya kulala etafileni ye-x-ray.

Ababoneleli ngononophelo lwempilo bahlala besebenzisa umthambo kufutshane ne-groin kuvavanyo. Ngamaxesha athile, umboneleli unokusebenzisa umthambo esihlahleni.

Umboneleli wakho uya:

• Coca kwaye uchebe indawo.
• Faka iyeza elibindayo kuloo ndawo.
• Beka inaliti kwimithambo.
• Dlulisa ucingo olunqabileyo ngenaliti kwi-artery.
• Khupha inaliti.
• Faka ityhubhu ende, emxinwa, eguqukayo ebizwa ngokuba yicatheter endaweni yayo.

Ugqirha uhambisa i-catheter kwindawo efanelekileyo usebenzisa imifanekiso ye-x-ray yomzimba. Isixhobo esibizwa ngokuba yi-fluoroscope sithumela imifanekiso kwimonitha yeTV, enokubonwa ngumboneleli.

I-catheter ityhalelwa phambili ngaphaya kocingo kwi-aorta (eyona nto iphambili yegazi isuka entliziyweni). Emva koko ingena kwimithambo yezintso. Uvavanyo lusebenzisa idayi ekhethekileyo (ebizwa ngokuba ngumahluko) ukunceda imithambo ibonakalise kwi-x-ray. Imithambo yegazi yezintso ayibonwa nge-x-reyi eqhelekileyo. Idayi ihamba nge-catheter kwi-artery yezintso.

Imifanekiso yeX-ray ithathwa njengokuba idayi ihamba kwimithambo yegazi. I-saline (amanzi amtyuba amdaka) anegazi elincinci inokuthunyelwa nge-catheter ukugcina igazi kuloo ndawo lingonakali.

I-catheter iyasuswa emva kokuba i-x-ray ithathiwe. Isixhobo sokuvala sifakwa kwi-groin okanye uxinzelelo lusetyenziselwa indawo ukunqanda ukopha. Indawo iyajongwa emva kwemizuzu eli-10 okanye eli-15 kufakwe nebhandeji. Unokucelwa ukuba ugcine umlenze wakho ngokuthe ngqo kwiiyure ezi-4 ukuya kwezi-6 emva kwenkqubo.

Xelela umboneleli ukuba:

• Ukhulelwe
• Wakha wanazo naziphi na iingxaki zokopha
• Okwangoku uthatha ii-thinner zegazi, kubandakanya i-aspirin yemihla ngemihla
• Wakha wanayo nayiphi na into eyenzayo, ngakumbi ezo zinxulumene nezinto zokuthelekisa i-x-ray okanye izinto ze-iodine
• Ukhe wafunyaniswa ukuba unesifo sezintso okanye sezintso zingasebenzi kakuhle

Kufuneka usayine ifom yemvume. Sukutya okanye usele nantoni na iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo. Uya kunikwa ingubo yasesibhedlele ukuba uyinxibe kwaye ucelwe ukuba ususe bonke ubucwebe. Unokunikwa ipilisi yeentlungu (ukuthambisa) ngaphambi kwenkqubo okanye i-IV sedatives ngexesha lenkqubo.

Uya kulala phantsi kwitafile ye-x-ray. Kuhlala kukho umqamelo, kodwa awukho mnandi njengebhedi. Unokuziva uhlaba xa unikwa iyeza lokubulala iintlungu. Unokuziva uxinzelelo kunye nokuphazamiseka njengoko i-catheter ibekwe.

Abanye abantu baziva beshushu xa idayi ifakiwe, kodwa uninzi lwabantu aluyiva. Awuziva i-catheter ngaphakathi komzimba wakho.

Kunokubakho ukuthamba okuncinci kunye nokugruzuka kwindawo yenaliti emva kovavanyo.

I-renal arteriography ihlala ifuneka ukunceda ukuthatha isigqibo ngonyango olulungileyo emva kokuba ezinye iimvavanyo zenziwe kuqala. Oku kubandakanya i-duplex ultrasound, isisu se-CT, i-CT angiogram, isisu se-MRI, okanye i-MRI angiogram. Ezi mvavanyo zingabonisa ezi ngxaki zilandelayo.

• Ukwandiswa ngokungaqhelekanga kwemithambo, ebizwa ngokuba yi-aneurysm
• Unxibelelwano olungaqhelekanga phakathi kwemithambo kunye nemithambo (fistula)
• Igazi elivale igazi emithanjeni ebonelela ngezintso
• Uxinzelelo lwegazi olungachazwanga ekucingelwa ukuba lubangelwa kukuncipha kwemithambo yegazi yezintso
• Izibilini zeBenign kunye nomhlaza obandakanya izintso
• Ukopha okusebenzayo kwintso

Olu vavanyo lunokusetyenziselwa ukuvavanya abanikeli kunye nabamkeli ngaphambi kokufakelwa kwezintso.

Iziphumo zingohluka. Thetha nogqirha wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

I-angiography ye-renal ingabonisa ubukho bamathumba, ukunciphisa i-artery okanye i-aneurysms (ukwandiswa kwe-vein okanye i-artery), amahlwili egazi, i-fistula, okanye ukopha kwizintso.

Uvavanyo luyakwenziwa kwezi meko zilandelayo:

• Ukuvaleka komthambo ngegazi
• Umthambo we-renal stenosis
• Umhlaza weseli womnxeba
• I-Angiomyolipomas (izilonda ezingenasifo sezintso)

Ezinye zezi ngxaki zinokunyangwa ngeendlela ezenziwe ngaxeshanye nge-arteriogram.

• I-Angioplasty yinkqubo yokuvula imithambo yegazi emxinwa okanye evaliweyo ehambisa igazi kwizintso zakho.
• I-stent yityhubhu encinci yentsimbi egcina umthambo uvulekile. Ingabekwa ukugcina umthambo omncinci uvulekile.
• Umhlaza kunye nezilonda ezingenamhlaza zinokunyangwa kusetyenziswa inkqubo ebizwa ngokuba kukudibanisa. Oku kubandakanya ukusebenzisa izinto ezithintela ukuhamba kwegazi ukuze kubulawe okanye kunciphise ithumba. Ngamanye amaxesha, oku kwenziwa ngokudibeneyo notyando.
• Ukopha kunokunyangwa ngokudityaniswa.
  

Inkqubo ikhuselekile ngokubanzi. Kukho iingozi, ezifana:

• Ukusabela okungafunekiyo kwidayi (umahluko ophakathi)
• Umonakalo wemithambo
• Ukonakaliswa komthambo okanye udonga lweartery, olunokukhokelela kugxobhozo lwegazi
• Umonakalo wezintso kumonakalo kwimithambo okanye kwidayi

Kukho ukubonakaliswa kwemitha ephantsi. Abafazi abakhulelweyo kunye nabantwana banolwazelelelo ngakumbi kwimingcipheko enxulumene ne-x-reyi.

Uvavanyo ALUFANELE lwenziwe ukuba ukhulelwe okanye uneengxaki zokopha kakhulu.

I-Magnetic resonance angiography (MRA) okanye i-CT angiography (CTA) inokwenziwa endaweni yoko. I-MRA kunye ne-CTA azisebenzi kwaye zinokubonelela ngemifanekiso efanayo yemithambo yezintso, nangona ingenakusetyenziselwa unyango.

I-angiogram; Angiography - izintso; Angiography; Umthambo we-renal stenosis -i-arteriography

• I-anatomy yezintso
• Imithambo yegazi

I-Azarbal AF, iMclafferty RB. IArteriography. Ku: Sidawy AN, Perler BA, ii-eds. Rutherford Uqhaqho lweMithambo kunye noNyango lwe-Endovascular. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 25.

IDuddalwar VA, uJadvar H, iPalmer SL. Ukuqonda isifo sezintso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 25.

Umbhali SC. Uxinzelelo lwegazi kunye nephropathy yeschemic. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 47.