I-aortic angiography

I-aortic angiography yinkqubo esebenzisa idayi ekhethekileyo kunye ne-x-ray ukubona indlela igazi elihamba ngayo kwi-aorta. I-aorta yeyona mithambo iphambili. Ihambisa igazi liphume entliziyweni, nakwisisu okanye isisu.

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

Olu vavanyo lwenziwa esibhedlele. Phambi kokuba uvavanyo luqale, uya kunikwa ukuthomalalisa kancinci ukukunceda uphumle.

• Indawo yomzimba wakho, edla ngokuhlala engalweni okanye kwindawo yokugcuma, icociwe kwaye inamayeza ngamayeza endawo endikindisholo (i-anesthetic).
• I-radiologist okanye i-cardiologist iya kubeka inaliti kwisitya segazi. Isikhokelo kunye netyhubhu ende (i-catheter) iya kudlula kule naliti.
• I-catheter ihanjiswa kwi-aorta. Ugqirha unokubona imifanekiso ebonakalayo ye-aorta kumlolo-ofana nomabonwakude. IX-reyi isetyenziselwa ukukhokelela i-catheter kwindawo efanelekileyo.
• Xa i-catheter ikhona, idayi iyafakwa kuyo. Imifanekiso ye-X-ray ithathwa ukuze ibone indlela idayi ehamba ngayo kwi-aorta. Idayi inceda ukufumanisa nakuphi na ukuvala ukuhamba kwegazi.

Emva kokuba i-x-reyi okanye unyango lugqityiwe, i-catheter iyasuswa. Uxinzelelo lufakwa kwindawo yokuhlatywa imizuzu engama-20 ukuya kwengama-45 ukunqanda ukopha. Emva kwelo xesha, indawo iyajongwa kwaye kufakwe nebhandeji eqinileyo. Umlenze uhlala ugcinwa ngokuthe ngqo kwezinye iiyure ze-6 emva kwenkqubo.

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

Uya kunxiba isambatho esibhedlele kwaye utyikitye ifom yemvume yokwenza le nkqubo. Susa izacholo kwindawo efundwayo.

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

Uya kuba uvukile ngexesha lovavanyo. Unokuziva ulwamvila njengoko kunikwa iyeza elibandayo kunye noxinzelelo njengoko kufakwa i-catheter. Unokuziva ugungxwa ngokufudumeleyo xa idayi eyahlukileyo ihamba ngekatheter. Oku kuqhelekile kwaye kuhlala kuhamba imizuzwana embalwa.

Unokuba ungonwabanga ngokulala etafileni yesibhedlele kwaye uhlale uzolile ixesha elide.

Kwiimeko ezininzi, unokuqhubeka nomsebenzi oqhelekileyo ngosuku emva kwenkqubo.

Umboneleli wakho unokucela olu vavanyo ukuba ngaba kukho iimpawu okanye iimpawu zengxaki kwi-aorta okanye kumasebe awo, kubandakanya:

• Aortic aneurysm
• Ukuqhekeka kwe-aortic
• Iingxaki zokuzalwa (ezikhoyo kwasekuzalweni)
• Isiphoso se-AV
• I-arch ephindwe kabini
• Ukudibanisa i-aorta
• Isangqa semithambo
• Ukwenzakala kwi-aorta
• Takayasu arteritis

Iziphumo ezingaqhelekanga zinokubangelwa:

• Isisu esine-aortic aneurysm
• Ukuqhekeka kwe-aortic
• Ukuphinda ubuye kwakhona kwi-Aortic
• Iingxaki zokuzalwa (ezikhoyo kwasekuzalweni)
• I-arch ephindwe kabini
• Ukudibanisa i-aorta
• Isangqa semithambo
• Ukwenzakala kwi-aorta
• IMesenteric ischemia
• Imithambo yegazi lomda
• Umthambo we-renal stenosis
• Takayasu arteritis

Iingozi ze-aortic angiography zibandakanya:

• Ukusabela okungahambelaniyo nedayi eyahlukileyo
• Ukuvaleka komthambo
• Ihlwili legazi elihamba liye emiphungeni
• Ukuqunjelwa kwindawo yokufakwa kwecatheter
• Ukonakala kwisitya segazi apho kufakwa inaliti kunye necatheter
• Ukopha kakhulu okanye ihlwili legazi apho kufakwa khona i-catheter, enokunciphisa ukuhamba kwegazi emlenzeni
• Ukuhlaselwa yintliziyo okanye ukubetha
• I-Hematoma, ingqokelela yegazi kwindawo yenaliti
• Usulelo
• Ukwenzakala kwemithambo-luvo kwindawo yokubhoboza inaliti
• Ukonakala kwezintso kwidayi

Le nkqubo inokwenziwa nge-catheterization yentliziyo yasekhohlo ukujonga isifo se-coronary disease.

I-Aortic angiography ithathelwe indawo ikakhulu yicomputer tomography (CT) angiography okanye magnetic resonance (MR) angiography.

Angiography - aorta; UbuGcisa; Isisu se-aorta angiogram; IAortic arteriogram; I-Aneurysm - iarteriogram yomthambo

• Ukulungiswa kwesisu se-aortic aneurysm - ukukhutshwa okuvulekileyo
• Ukulungiswa kwe-aortic aneurysm-endovascular-discharge

• Iarteriogram yentliziyo

IChernecky CC, iBerger BJ. C. Kwi: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 266-432.

UFattori R, uLovato L.I-thoracic aorta: imiba yokuqonda isifo. 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; I-2014: isahluko 24.

Isibonelelo LA, uGriffin N. I-aorta. Ku: Isibonelelo LA, uGriffin N, ii-eds. IGrainger kunye neAllison's Diagnostic Radiology Essentials. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2019: isahluko 2.4.

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; 2014: isahl. 84.