I-angiography yePulmonary

I-angiography ye-Pulmonary luvavanyo lokujonga ukuba igazi lihamba njani emiphungeni.

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

Olu vavanyo lwenziwa esibhedlele. Uya kucelwa ukuba ulale etafileni ye-x-ray.

• Phambi kokuba uvavanyo luqale, uya kunikwa ukuthomalalisa kancinci ukukunceda uphumle.
• Indawo yomzimba wakho, edla ngokuba yingalo okanye incindi yomzimba, icociwe kwaye yabulawa ngamayeza endawo endikindwayo (iyeza).
• I-radiologist ifaka inaliti okanye isike kancinci emthanjeni kwindawo ecociweyo. Kufakwa ityhubhu ecekeceke yokuhombisa ebizwa ngokuba yi-catheter.
• I-catheter ibekwa emthanjeni kwaye inyuselwe ngononophelo ngaphakathi nangaphakathi kumagumbi entliziyo asecaleni lasekunene kwimithambo yemiphunga, ekhokelela kwimiphunga. Ugqirha unokubona imifanekiso ye-x-ray yendawo leyo kumboniso ofana nomabonwakude, kwaye uyisebenzise njengesikhokelo.
• Emva kokuba i-catheter ikhona, idayi ifakwe kwi-catheter. Imifanekiso ye-X-ray ithathwa ukuze ibone indlela idayi ehamba ngayo kwimithambo yemiphunga. Idayi inceda ukufumanisa naziphi na izithintelo ekuhambeni kwegazi.

Ukubetha kwentliziyo yakho, uxinzelelo lwegazi, kunye nokuphefumla kuyakhangelwa ngexesha lenkqubo. Izikhokelo ze-Electrocardiogram (ECG) zifakwe kwiingalo nasemilenzeni yokujonga intliziyo yakho.

Emva kokuba i-x-ray ithathiwe, inaliti kunye ne-catheter ziyasuswa.

Uxinzelelo lufakwa kwindawo yokuhlatywa imizuzu engama-20 ukuya kwengama-45 ukunqanda ukopha. Emva kwelo xesha indawo iyajongwa kwaye kufakwe nebhandeji eqinileyo. Kufuneka ugcine umlenze wakho ngqo kwiiyure ezingama-6 emva kwenkqubo.

Rhoqo, amayeza asiwa emiphungeni ukuba kufunyenwe iqweqwe legazi ngexesha lenkqubo.

Unokucelwa ukuba ungatyi okanye usele nantoni na iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo.

Uya kucelwa ukuba unxibe igawuni yesibhedlele kwaye utyikitye ifom yemvume yenkqubo. Susa izacholo kwindawo ebonisiweyo.

Xelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe
• Ukuba wakha waba negalelo lokungahambelani nezinto ze-x-ray, iqokobhe, okanye izinto ze-iodine
• Ukuba uxabisa kuwo nawaphi na amayeza
• Ngawaphi amayeza owathathayo (kubandakanya nawaphi na amalungiselelo esintu)
• Ukuba ukhe wanazo naziphi na iingxaki zokopha

Itafile yeX-reyi inokuziva ibanda. Cela ingubo okanye umqamelo ukuba awonwabanga Ungaziva ulunywa kancinci xa unikwa iyeza elenzayo ukuba undwebile kwaye intonga emfutshane, ebukhali, xa kufakwa ipayipi.

Unokuziva uxinzelelo njengoko i-catheter inyuka iye emiphungeni. Idayi eyahlukileyo inokubangela imvakalelo yokufudumala kunye nokugungxula. Oku kuqhelekile kwaye kuhlala kuhamba imizuzwana embalwa.

Unokuba nokuthantamisa kunye nokugruzuka kwindawo yenaliti emva kovavanyo.

Uvavanyo lusetyenziselwa ukufumanisa amahlwili egazi (pulmonary embolism) kunye nezinye izinto ezihamba nokuhamba kwegazi emphungeni. Uninzi lwexesha, umboneleli wakho uya kuzama ezinye iimvavanyo ukufumanisa i-clot yegazi kwimiphunga.

I-angiography ye-pulmonary ingasetyenziselwa ukunceda ukuxilonga:

• Ukungasebenzi kakuhle kwemiphunga
• I-Congenital (ekhoyo kwasekuzalweni) ukunciphisa imithambo yemiphunga
• I-aneurysms yemithambo yamapulmonary
• Uxinzelelo lwegazi kwimiphunga, uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga

IX-reyi iya kubonisa izakhiwo eziqhelekileyo zeminyaka yomntu.

Iziphumo ezingaqhelekanga zinokubangelwa:

• I-Aneurysms yeenqanawa ze-pulmonary
• Igazi elixineneyo emiphungeni (pulmonary embolism)
• Umthambo wegazi omxinwa
• Uxinzelelo lwegazi olusisiseko
• Ithumba emiphungeni

Umntu unokuhlakulela isingqi sentliziyo esingaqhelekanga ngexesha lovavanyo. Iqela lokhathalelo lwempilo liza kubeka esweni intliziyo yakho kwaye linokunyanga nasiphi na isingqisho esingaqhelekanga esikhulayo.

Eminye imingcipheko ibandakanya:

• Ukusabela okungahambelaniyo nedayi eyahlukileyo
• Ukonakala kwisitya segazi njengoko inaliti kunye necatheter zifakwa
• Ihlwili legazi elihamba lisiya emiphungeni, lidale ukubola
• Ukopha kakhulu okanye ihlwili legazi apho kufakwa khona i-catheter, enokunciphisa ukuhamba kwegazi emlenzeni
• Ukuhlaselwa yintliziyo okanye ukubetha
• I-Hematoma (ingqokelela yegazi kwindawo yenaliti)
• Ukonzakala kwimithambo-luvo kwindawo yokubhoboza
• Ukonakala kwezintso kwidayi
• Ukwenzakala kwimithambo yegazi emiphungeni
• Ukopha kumphunga
• Ukukhohlela igazi
• Ukusilela kokuphefumla
• Ukufa

Kukho ukubonakaliswa kwemitha ephantsi. Umboneleli wakho uya kubeka iliso kwaye alawule ii-x-ray ukubonelela ngexabiso elincinci lokuvezwa kwemitha. Uninzi lweengcali zivakalelwa kukuba umngcipheko uphantsi xa kuthelekiswa nezibonelelo. Abafazi abakhulelweyo nabantwana banolwazelelelo ngakumbi kwimingcipheko yeX-reyi.

I-computed tomography (CT) i-angiography yesifuba ithathe indawo yovavanyo ubukhulu becala.

Uluhlu lwemifanekiso; I-angiogram; I-Angiogram yemiphunga

• Imithambo yegazi

IChernecky CC, iBerger BJ. P. Kwi: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 842-951.

IHartmann IJC, iSchaefer-Prokop CM. Ukujikeleza kwepulmonary kunye ne-pulmonary thromboembolism. 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 23.

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.

UNazeef M, uSheehan JP. I-venous thromboembolism. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 858-868.