Vuto la venal

Vuto la impso ndiyeso yoyang'ana mitsempha ya impso. Amagwiritsa ntchito ma x-ray ndi utoto wapadera (wotchedwa kusiyanitsa).

X-ray ndi mitundu yamagetsi yamagetsi yamagetsi ngati kuwala, koma yamphamvu kwambiri, kuti athe kuyenda mthupi kuti apange chithunzi. Makina olimba (monga mafupa) adzawoneka oyera ndipo mpweya uzikhala wakuda. Zida zina zidzakhala zotuwa.

Mitsempha sikuwoneka kawirikawiri mu x-ray. Ndiye chifukwa chake utoto wapadera umafunika. Utoto umawunikira mitsempha kuti iwoneke bwino pama x-ray.

Kuyesaku kumachitika kuchipatala komwe kuli zida zapadera. Mugona patebulo la x-ray. Mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito kufooketsa malo omwe utoto umayikidwa. Mutha kufunsa mankhwala otonthoza (sedative) ngati mukuda nkhawa za mayeso.

Wothandizira zaumoyo amayika singano mumtsempha, nthawi zambiri m'mimba, koma nthawi zina m'khosi. Kenako, chubu chosinthasintha, chotchedwa catheter (chomwe ndi mulifupi mwa nsonga ya cholembera), chimalowetsedwa muboola ndikusunthira mtsempha mpaka ufike mumtsinje wa impso. Kutenga magazi kumatha kutengedwa ku impso iliyonse. Utoto wosiyanasiyana umadutsa mu chubu ichi. Ma X-ray amatengedwa pamene utoto umadutsa m'mitsempha ya impso.

Njirayi imayang'aniridwa ndi fluoroscopy, mtundu wa x-ray womwe umapanga zithunzi pa TV.

Zithunzizo zitatengedwa, catheter imachotsedwa ndipo bandage imayikidwa pachilondacho.

Mudzauzidwa kuti mupewe zakudya ndi zakumwa kwa maola pafupifupi 8 mayeso asanayesedwe. Wothandizira anu akhoza kukuwuzani kuti musiye kumwa aspirin kapena mankhwala ena ochepetsa magazi musanayesedwe. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Mudzafunsidwa kuvala zovala zachipatala ndikusayina fomu yovomerezera pochita izi. Muyenera kuchotsa zodzikongoletsera zilizonse mdera lomwe mukuphunzira.

Uzani wothandizira ngati:

• Ali ndi pakati
• Khalani ndi chifuwa cha mankhwala aliwonse, utoto wosiyanitsa, kapena ayodini
• Khalani ndi mbiri yovuta yamagazi

Mudzagona pansi pa tebulo la x-ray. Nthawi zambiri pamakhala khushoni, koma siyabwino ngati bedi. Mutha kumva kuluma mukalandira mankhwala oletsa ululu. Simungamve utoto. Mutha kumva kupanikizika komanso kusasangalala pamene catheter ili bwino. Mutha kumva zizindikiro, monga kutsuka, utoto ukabayidwa.

Pakhoza kukhala kufatsa pang'ono ndi kuvulala pamalo pomwe kateti idayikidwapo.

Kuyesaku sikuchitikanso pafupipafupi. M'malo mwake adasinthidwa ndi CT scan ndi MRI. M'mbuyomu, kuyezetsa kunkagwiritsidwa ntchito kuyeza kuchuluka kwa mahomoni a impso.

Nthawi zambiri, mayeso amatha kugwiritsidwa ntchito kuti azindikire magazi, zotupa, ndi mavuto amitsempha. Kugwiritsa ntchito kwake masiku ano ndi gawo la mayeso pochiza mitsempha ya varicose yamachende kapena thumba losunga mazira.

Pasapezeke kuundana kapena zotupa mu mtsempha wa impso. Utoto uyenera kuyenda mwachangu kudzera mumitsempha osabwerera kuma testes kapena thumba losunga mazira.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Magazi amagazi omwe amalepheretsa pang'ono mtsempha
• Chotupa cha impso
• Vuto la mtsempha

Zowopsa pamayesowa atha kukhala:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• Magazi
• Kuundana kwamagazi
• Kuvulaza mtsempha

Pali ma radiation otsika otsika. Komabe, akatswiri ambiri amaganiza kuti chiopsezo cha ma x-ray ambiri ndi ochepa kuposa zovuta zina zomwe timakhala nazo tsiku lililonse. Amayi oyembekezera ndi ana amazindikira zowopsa za x-ray.

Venogram - aimpso; Zolemba; Venogram - impso; Aimpso mtsempha thrombosis - venogram

• Matenda a impso
• Mitsempha ya impso

Perico N, Remuzzi A, Remuzzi G. Pathophysiology ya proteinuria. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 30.

Pin RH, Ayad MT, Gillespie D. Kujambula. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chaputala 26.

Wymer DTG, Wymer DC. Kujambula. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 5.