Intliziyo yasekhohlo ye-ventricular angiography
I-angiography yentliziyo yasekhohlo yinkqubo yokujonga kumagumbi wentliziyo asekhohlo kunye nomsebenzi wezivalo ezisekhohlo. Ngamanye amaxesha idityaniswa ne-coronary angiography.
Phambi kovavanyo, uya kunikwa iyeza lokukunceda uphumle. Uya kuba uvukile kwaye ukwazi ukulandela imiyalelo ngexesha lovavanyo.
Umgca ofakwe ngaphakathi ufakwa engalweni yakho. Umboneleli wezempilo ucoceka kwaye abunandipha indawo engalweni okanye kumphako. I-cardiologist yenza ukusika okuncinci kwindawo, kwaye ifake ityhubhu eguqukayo (catheter) kwimithambo. Sebenzisa i-x-ray njengesikhokelo, ugqirha uhambisa ngononophelo ityhubhu encinci (i-catheter) entliziyweni yakho.
Xa ityhubhu isendaweni, idayi iyafakwa kuyo. Idayi ihamba ngemithambo yegazi, eyenza ukuba kube lula ukuyibona. X-reyi zithathwa njengokuba idayi ihamba kwimithambo yegazi. Le mifanekiso ye-x-reyi yenza i "movie" yentsimbi esekhohlo njengoko isenza isingqisho.
Inkqubo inokuhlala ukusuka kwiiyure ukuya kwiiyure ezininzi.
Uya kuxelelwa ukuba ungatyi okanye usele iiyure ezi-6 ukuya kwezi-8 phambi kovavanyo. Inkqubo yenzeka esibhedlele. Abanye abantu banokufuna ukuhlala esibhedlele ubusuku ngaphambi kovavanyo.
Umboneleli uya kuchaza inkqubo kunye neengozi zayo. Kufuneka usayine ifom yemvume yokwenza le nkqubo.
Uyakuziva uluma kwaye utshise xa i-anesthetic yendawo itofwa. Unokuziva uxinzelelo xa kufakwa i-catheter. Ngamaxesha athile, imvakalelo yokugungxula okanye imvakalelo ekufuneka uyichamile kwenzeka xa idayi ifakiwe.
I-angiography yentliziyo yasekhohlo iyenziwa ukuvavanya ukuhamba kwegazi kwicala lasekhohlo lentliziyo.
Iziphumo eziqhelekileyo zibonisa ukuhamba kwegazi okuqhelekileyo kwicala lasekhohlo lentliziyo. Imiqulu yegazi kunye noxinzelelo ziqhelekile.
Iziphumo ezingaqhelekanga zinokubangelwa:
- Umngxuma entliziyweni (isiphako septricular septal)
- Ukungaqheleki kwezivalo zentliziyo yasekhohlo
- I-aneurysm yodonga lwentliziyo
- Iindawo zentliziyo azivumelani ngesiqhelo
- Iingxaki zokuhamba kwegazi kwicala lasekhohlo lentliziyo
- Izithintelo ezinxulumene nentliziyo
- Umsebenzi wokupompa obuthathaka we-ventricle yasekhohlo
I-Coronary angiography inokufuneka xa kuthintelwa imithambo yecoronary.
Iingozi ezinxulumene nale nkqubo zibandakanya:
- Ukubetha kwentliziyo okungaqhelekanga (arrhythmias)
- Ukunyanga komzimba kwidayi okanye kumayeza okuthambisa
- Umthambo okanye ukonakala kwemithambo
- I-tamponade yentliziyo
- I-Embolism evela kumahlwili egazi kwincam yecatheter
- Ukungaphumeleli kwentliziyo ngenxa yevolumu yedayi
- Usulelo
- Ukusilela kwezintso kwidayi
- Uxinzelelo lwegazi oluphantsi
- Ukuhlaselwa yintliziyo
- Ukopha
- Ukubetha
I-catheterization yentliziyo yasekunene inokudityaniswa nale nkqubo.
I-angiography yentliziyo yasekhohlo inobungozi kuba yinkqubo engenelelayo. Ezinye iindlela zokucinga zinokuthatha umngcipheko omncinci, njenge:
- Ukuskena kweCT
- Echocardiography
- Imagnetic resonance imaging (MRI) yentliziyo
- Iradionuclide ventriculography
Umboneleli wakho unokuthatha isigqibo sokwenza enye yezi nkqubo endaweni yentliziyo yasekhohlo ye-angiography.
Angiography - intliziyo ekhohlo; I-ventriculography yasekhohlo
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UPatel MR, uBaley SR, uBonow RO, et al. I-ACCF / i-SCAI / i-AATS / i-AHA / i-ASE / i-ASNC / i-HFSA / i-HRS / i-SCCM / i-SCCT / i-SCMR / i-STS i-2012 yokusetyenziswa ngokufanelekileyo kwe-catheterization yokuqonda: ingxelo ye-American College of Cardiology Foundation efanelekileyo yokuSebenzisa iCriteria Task Force, uMbutho we-Cardiovascular Angiography kunye nongenelelo, Umbutho waseMelika woNyango lweThoracic, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic I-Resonance, kunye noMbutho woNyango lwe-Thoracic. J NdinguColl Cardiol. Ngo-2012; 59 (22): 1995-2027. IINKCUKACHA: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.
IWebb GD, i-Smallhorn JF, iTherrien J, iRedington AN. Isifo sentliziyo esibelekwe kumntu omkhulu nakwisigulana sabantwana. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, et al. ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 75.