I-Coronary angiography

I-Coronary angiography yinkqubo esebenzisa idayi ekhethekileyo (izinto ezahlukileyo) kunye ne-x-ray ukubona ukuba igazi lihamba njani kwimithambo esentliziyweni yakho.

I-Coronary angiography ihlala isenziwa kunye ne-catheterization yentliziyo. Le yinkqubo emisela uxinzelelo kumagumbi entliziyo.

Phambi kokuba uvavanyo luqale, uya kunikwa ukuthomalalisa kancinci ukukunceda uphumle.

Indawo yomzimba wakho (ingalo okanye i-groin) iyacocwa kwaye ibonakaliswe ngeyeza lendawo (iyeza). I-cardiologist idlula ityhubhu engenanto, ebizwa ngokuba yi-catheter, ngokusebenzisa i-artery kwaye iyayihambisa kakuhle entliziyweni. Imifanekiso ye-X-ray inceda ugqirha abeke i-catheter.

Nje ukuba i-catheter ibesendaweni, idayi (into eyahlukileyo) iyafakwa kwi-catheter. Imifanekiso ye-X-ray ithathwa ukuze ibone indlela idayi ehamba ngayo kwimithambo. Idayi inceda ukuqaqambisa naziphi na iibhloksi ekuhambeni kwegazi.

Inkqubo ihlala ithatha imizuzu engama-30 ukuya kwengama-60.

Akufuneki utye okanye usele nantoni na kangangeeyure ezisi-8 phambi kokuba uvavanyo luqale. Kuya kufuneka uhlale esibhedlele ubusuku ngaphambi kovavanyo. Ngaphandle koko, uya kujonga esibhedlele ngentsasa yovavanyo.

Uya kunxiba ilokhwe yasesibhedlele. Kufuneka utyikitye ifom yemvume phambi kovavanyo. Umboneleli wakho wezempilo uya kuchaza inkqubo kunye nobungozi bayo.

Xelela umboneleli wakho ukuba:

• Ngaba i-aleji kuwo nawaphi na amayeza okanye ukuba uthe wasabela gwenxa xa uthelekisa izinto zangaphambili
• Bathatha iViagra
• Unokukhulelwa

Kwiimeko ezininzi, uya kuvuka ngexesha lovavanyo. Unokuziva uxinzelelo kwindawo apho kubekwa khona i-catheter.

Unokuziva ugungxula okanye ushushu kamnandi emva kokuba idayi ifakiwe.

Emva kovavanyo, i-catheter iyasuswa. Unokuziva uxinzelelo oluqinileyo lusetyenziswa kwindawo yokufaka ukuthintela ukopha. Ukuba i-catheter ifakwe kwi-groin yakho, uya kucelwa ukuba ulale phantsi emqolo kwiiyure ezimbalwa ukuya kwiiyure ezimbalwa emva kovavanyo ukunqanda ukopha. Oku kunokubangela ukungonwabi okubuyayo.

I-Coronary angiography inokwenziwa ukuba:

• Une-angina okokuqala.
• I-angina yakho iya isiba mandundu, ingahambi, isenzeka rhoqo, okanye yenzeke ekuphumleni (okubizwa ngokuba yi-angina engaqinisekanga).
• Unesorta stenosis okanye enye ingxaki yevalvu.
• Unentlungu yesifuba, xa ezinye iimvavanyo ziqhelekile.
• Ube novavanyo loxinzelelo lwentliziyo ngokungaqhelekanga.
• Uza kwenziwa utyando entliziyweni yakho kwaye usemngciphekweni omkhulu wesifo semithambo.
• Unesifo sentliziyo.
• Ufumanise ukuba unesifo sentliziyo.

Kukho unikezelo oluqhelekileyo lwegazi entliziyweni kwaye akukho zithintelo.

Iziphumo ezingaqhelekanga zinokuthetha ukuba une-artery evaliweyo. Uvavanyo lunokubonisa ukuba zingaphi ii-coronary arteries ezivaliweyo, apho zivaliwe khona, kunye nobukhali beebhloko.

I-catheterization ye-Cardiac inobungozi obuncinci xa kuthelekiswa nezinye iimvavanyo zentliziyo. Nangona kunjalo, uvavanyo lukhuselekile kakhulu xa lwenziwa liqela elinamava.

Ngokubanzi, umngcipheko weengxaki ezinzulu uvela ku-1 ukuya ku-1 ukuya ku-1 kuma-500. Iingozi zale nkqubo zibandakanya oku kulandelayo:

• I-tamponade yentliziyo
• Ukubetha kwentliziyo okungaqhelekanga
• Ukonzakala kwimithambo yentliziyo
• Uxinzelelo lwegazi oluphantsi
• Ukusabela okungahambelaniyo nokwahlula idayi okanye iyeza elilawulwa ngexesha loviwo
• Ukubetha
• Ukuhlaselwa yintliziyo

Ukuqwalaselwa okunxulunyaniswa naluphi na uhlobo lwe-catheterization kubandakanya oku kulandelayo:

• Ngokubanzi, kukho umngcipheko wokopha, usulelo, kunye nentlungu kwindawo ye-IV okanye ye-catheter.
• Kuhlala kukho umngcipheko omncinci kakhulu wokuba iicathetter zeplastiki ezithambileyo zingonakalisa imithambo yegazi okanye izakhiwo ezingqongileyo.
• Amagqabantshintshi egazi anokubakho kwi-catheters kwaye kamva avale imithambo yegazi kwenye indawo emzimbeni.
• Idayi eyahlukileyo inokonakalisa izintso (ngakumbi kubantu abanesifo seswekile okanye iingxaki zezintso zangaphambili).

Ukuba kufunyenwe ukuvaleka, umboneleli wakho unokwenza ungenelelo ngoncedo lwecoronary percutaneous (PCI) ukuvula ukucinywa. Oku kunokwenziwa ngexesha elifanayo, kodwa kunokulibaziseka ngezizathu ezahlukeneyo.

Angiography yentliziyo; I-Angiography - intliziyo; I-Angiogram - i-coronary; Isifo semithambo Coronary - angiography; I-CAD - i-angiography; Angina - angiography; Isifo sentliziyo-i-angiography

• I-Coronary angiography

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I-Werns S. Acute coronary syndromes kunye ne-myocardial infarction ebukhali. Ku: Parrillo JE, Dellinger RP, ii-eds. Unyango oluKhathalelayo oluBalulekileyo: Imigaqo yokuchongwa kunye noLawulo kuLuntu oluDala. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 29.