I-angiography kaMesenteric

I-Mesenteric angiography luvavanyo olusetyenzisiweyo kujongwe kwimithambo yegazi ebonelela ngamathumbu amancinci kunye amakhulu.

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 kulala etafileni ye-x-ray. Ungacela amayeza akuncede uphumle (uyalalisa) xa uludinga.

• Ngexesha lovavanyo, uxinzelelo lwegazi, ukubetha kwentliziyo, kunye nokuphefumla kuya kujongwa.
• Umboneleli wezempilo uya kucheba kwaye acoce i-groin. Iyeza elirhabaxa (i-anesthetic) litofwe kulusu ngaphezulu komthambo. Inaliti ifakwe kumthambo.
• Umbhobho ocekeceke obhetyebhetye obizwa ngokuba yi-catheter udlula ngenaliti. Ishukunyiselwa kwimithambo, kwaye inyuke ngeyona nqanawa iphambili yesisu de ibekwe ngokufanelekileyo kwimithambo ye-mesenteric. Ugqirha usebenzisa i-x-ray njengesikhokelo. Ugqirha unokubona imifanekiso yommandla ophilayo kwindawo ekubukelwa kuyo iTV.
• Idayi eyahlukileyo itofwe ngale ityhubhu ukubona ukuba akukho ngxaki na ngemithambo yegazi. Imifanekiso ye-X-ray ithathwa kwimithambo.

Unyango oluthile lunokwenziwa ngale nkqubo. Ezi zinto zidluliselwa kwi-catheter ukuya kwindawo ye-artery efuna unyango. Oku kubandakanya:

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

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.

Akufuneki utye 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:

• 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

Unokuziva ukuqaqanjelwa ngokufutshane xa unikwa iyeza elenzayo. Uya kuziva iintlungu ezibukhali kunye noxinzelelo njengoko i-catheter ibekwa kwaye ihanjiswa kwimithambo. Kwiimeko ezininzi, uya kuziva kuphela uxinzelelo loxinzelelo kwindawo ye-groin.

Njengoko idayi itofwe, uya kuziva ushushu, ulusu luthambe. Unokuba nethenda kunye nokugruzuka kwindawo yokufaka i-catheter emva kovavanyo.

Olu vavanyo lwenziwe:

• Xa kukho iimpawu zethambo legazi elimxinwa okanye elivalekileyo emathunjini
• Ukufumana umthombo wokopha kwiphecana lesisu
• Ukufumana unobangela wentlungu eqhubekayo yesisu kunye nokulahleka kobunzima xa kungekho sizathu sinokuchongwa
• Xa ezinye izifundo zinganikezeli ngolwazi olwaneleyo malunga nokukhula okungaqhelekanga kumgaqo wamathumbu
• Ukujonga ukonakala kwesitya segazi emva kokonzakala esiswini

I-angiogram ye-mesenteric inokwenziwa emva kokuvavanywa ngakumbi kwamayeza enyukliya achonge ukopha okusebenzayo. I-radiologist inokukhomba kwaye inyange umthombo.

Iziphumo ziqhelekile ukuba imithambo evavanyiweyo iqhelekile ukubonakala.

Ukufumana okungaqhelekanga okuqhelekileyo kukunciphisa kunye nokuqina kwemithambo ebonelela ngamathumbu amakhulu namancinci. Oku kubizwa ngokuba yi-mesenteric ischemia. Ingxaki yenzeka xa izinto ezinamafutha (i-plaque) zisakha ezindongeni zemithambo yakho.

Iziphumo ezingaqhelekanga zisenokubakho ngenxa yokopha kumathumbu amancinci nakakhulu. Oku kunokubangelwa:

• I-Angiodysplasia yekholoni
• Ukuqhekeka kwenqanawa yegazi ekonzakaleni

Ezinye iziphumo ezingaqhelekanga zinokubangelwa:

• Amahlwili egazi
• Isibindi
• Amathumba

Kukho umngcipheko wokuba i-catheter yonakalise i-artery okanye ikhuphe isiqwenga sodonga lwe-artery. Oku kunokunciphisa okanye kuthintele ukuhamba kwegazi kwaye kukhokelele ekufeni kwethishu. Le yingxaki enqabileyo.

Eminye imingcipheko ibandakanya:

• Ukusabela okungahambelaniyo nedayi eyahlukileyo
• 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
• Umonakalo emathunjini ukuba unikezelo lwegazi luyacuthwa

I-arteriogram yesisu; Arteriogram - isisu; I-angiogram kaMesenteric

• I-arteriography kaMesenteric

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Jonga i-RC, iShermerhorn ML. Isifo seMesenteric isifo: i-epidemiology, i-pathophysiology, kunye novavanyo lweklinikhi. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 131.

vd Bosch H, Westenberg JJM, d Roos A.I-cardiovascular resonance magnetic angiography: i-carotids, i-aorta, kunye neenqanawa zepheripher. Ku: Manning WJ, Pennell DJ, ii-eds. Isandi seMagnetic Cardio. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 44.