Kuwonongeka kwakukulu

Kukula kwa angiography ndi mayeso omwe amagwiritsidwa ntchito kuwona mitsempha m'manja, mikono, mapazi, kapena miyendo. Amatchedwanso zotumphukira angiography.

Angiography imagwiritsa ntchito ma x-ray ndi utoto wapadera kuti muwone mkati mwa mitsempha. Mitsempha ndi mitsempha yamagazi yomwe imachotsa magazi kuchokera mumtima.

Kuyesaku kumachitika mchipatala. Mugona patebulo la x-ray. Mutha kupempha mankhwala kuti akupangitseni kugona ndi kupumula (kutonthoza).

• Wothandizira zaumoyo ameta ndi kuyeretsa malo, nthawi zambiri m'malo obisika.
• Mankhwala oletsa dzanzi (jekeseni) amalowetsedwa pakhungu pamtsempha.
• Singano imayikidwa mumtengowo.
• Thupi laling'ono la pulasitiki lotchedwa catheter limadutsa mu singano mumtsempha. Dokotala amasunthira m'dera lomwe thupi limaphunziridwa. Dotolo amatha kuwona zithunzi zapa malowa pazowonera ngati TV, ndikuzigwiritsa ntchito ngati chitsogozo.
• Utoto umadutsa mu catheter ndikulowa m'mitsempha.
• Zithunzi za X-ray zimatengedwa pamitsempha.

Mankhwala ena amatha kuchitidwa munthawi imeneyi. Mankhwalawa ndi awa:

• Kuthetsa magazi oundana ndi mankhwala
• Kutsegula mtsempha wotsekedwa pang'ono ndi buluni
• Kuyika chubu chaching'ono chotchedwa stent mumtsempha kuti chithandizire kutseguka

Gulu lazachipatala lidzayang'ana kugunda kwanu (kugunda kwa mtima), kuthamanga kwa magazi, komanso kupuma kwanu panthawiyi.

Catheter imachotsedwa mayeso atachitika. Anzanu amayikidwa pamalopo kwa mphindi 10 mpaka 15 kuti asiye magazi. Kenako amamanga bandeji pachilondacho.

Dzanja kapena mwendo momwe singano idayikidwapo ziyenera kukhala zowongoka kwa maola 6 mutatha kuchita. Muyenera kupewa zovuta, monga kunyamula katundu, kwa maola 24 mpaka 48.

Simuyenera kudya kapena kumwa chilichonse kwa maola 6 mpaka 8 musanayezedwe.

Mutha kuuzidwa kuti musiye kumwa mankhwala ena, monga aspirin kapena othandizira magazi ena kwakanthawi kochepa musanayezedwe. Osasiya kumwa mankhwala aliwonse pokhapokha atakuwuzani kuti atero.

Onetsetsani kuti omwe akukuthandizani amadziwa za mankhwala onse omwe mumamwa, kuphatikiza omwe mwagula popanda mankhwala. Izi zimaphatikizapo zitsamba ndi zowonjezera.

Uzani wothandizira wanu ngati:

• Ali ndi pakati
• Matendawa sagwirizana ndi mankhwala aliwonse
• Kodi simunakhalepo ndi vuto lililonse poyerekeza ndi zinthu za x-ray, nkhono zam'madzi, kapena zinthu za ayodini
• Munakhalapo ndi vuto lililonse lotuluka magazi

Tebulo la x-ray ndilovuta komanso lozizira. Mungafune kufunsa bulangeti kapena pilo. Mutha kumva kuti mukumva kuwawa kwinakwake mukalandira jakisoni. Muthanso kumva kukakamizidwa pamene catheter imasunthidwa.

Utoto ukhoza kuyambitsa kutentha komanso kutentha. Izi ndi zachilendo ndipo nthawi zambiri zimatha mumasekondi ochepa.

Mutha kukhala achisoni ndi kuvulaza pamalo amtundu wa catheter mukayesedwa. Funani thandizo lachipatala mwachangu ngati muli ndi:

• Kutupa
• Kutuluka magazi komwe sikupita
• Kupweteka kwambiri pamkono kapena mwendo

Mungafunike kuyesedwaku ngati muli ndi zizindikilo za chotupa chamagazi chothina kapena chotsekedwa m'manja, manja, miyendo, kapena mapazi.

Mayesowo amathanso kuchitidwa kuti mupeze:

• Magazi
• Kutupa kapena kutupa kwa mitsempha yamagazi (vasculitis)

X-ray imawonetsa mawonekedwe abwinobwino azaka zanu.

Zotsatira zosazolowereka zimachitika makamaka chifukwa cha kuchepa ndi kuuma kwa mitsempha m'manja kapena miyendo kuchokera pachikwangwani chomanga (kuumitsa kwa mitsempha) m'makoma amitsempha.

X-ray imatha kuwonetsa kutsekeka kwa zotengera zoyambitsidwa ndi:

• Ma anneurysms (kukulira kosazolowereka kapena kuwerengera gawo la mtsempha wamagazi)
• Kuundana kwamagazi
• Matenda ena amitsempha

Zotsatira zachilendo zitha kukhalanso chifukwa cha:

• Kutupa kwa mitsempha yamagazi
• Kuvulala pamitsempha yamagazi
• Thromboangiitis obliterans (Matenda a Buerger)
• Matenda a Takayasu

Zovuta zingaphatikizepo:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• Kuwonongeka kwa chotengera chamagazi momwe singano ndi catheter zimayikidwa
• Kutaya magazi kwambiri kapena magazi omwe amaundana kumene catheter imalowetsedwa, zomwe zimatha kuchepetsa magazi kulowa mwendo
• Matenda a mtima kapena sitiroko
• Hematoma, chopereka cha magazi pamalo obayira singano
• Kuvulaza mitsempha pamalo obowolera singano
• Kuwonongeka kwa impso kuchokera ku utoto
• Kuvulala pamitsempha yamagazi yoyesedwa
• Kutaya ziwalo pamavuto ndi njirayi

Pali ma radiation otsika otsika. Komabe, akatswiri ambiri amaganiza kuti chiopsezo cha ma x-ray ambiri ndi ochepa poyerekeza ndi maubwino. Amayi apakati ndi ana amazindikira zowopsa za x-ray.

Angiography ya kumapeto; Zotumphukira angiography; Angiogram yotsika kumapeto; Zotumphukira angiogram; Zolemba za kumapeto; PAD - malingaliro; Matenda a mtsempha wamagazi - angiography

Tsamba la American Heart Association. Mpira angiogram. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Idasinthidwa mu Okutobala 2016. Idapezeka pa Januware 18, 2019.

Desai SS, Hodgson KJ. Njira yodziwitsa matenda yamatenda. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 60.

Harisinghani MG, Chen JW, Weissleder R.Kulingalira kwa mitsempha. Mu: Harisinghani MG, Chen JW, Weissleder R, olemba. Chiyambi Chojambula Kuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 8.

Jackson JE, Meaney JFM. Angiography: mfundo, maluso ndi zovuta. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Diagnostic Radiology: Buku Lophunzirira Kujambula Kwazachipatala. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 84.