Zojambula zamkati

Aimpso arteriography ndipadera x-ray ya mitsempha ya impso.

Mayesowa amachitika mchipatala kapena kuofesi ya odwala. Mugona patebulo la x-ray.

Opereka chithandizo chamankhwala nthawi zambiri amagwiritsa ntchito mtsempha wamagazi pafupi ndi kubuula poyesa. Nthawi zina, woperekayo amatha kugwiritsa ntchito mtsempha m'manja.

Wopereka wanu adza:

• Sambani ndi kumeta malowo.
• Ikani mankhwala otsekemera m'deralo.
• Ikani singano mumtsempha.
• Dutsani waya wochepa thupi kudzera mu singano mumtsempha.
• Tulutsani singano.
• Ikani chubu lalitali, chopapatiza, chosinthika chotchedwa catheter m'malo mwake.

Dokotala amatsogolera catheter pamalo oyenera pogwiritsa ntchito zithunzi za x-ray za thupi. Chida chotchedwa fluoroscope chimatumiza zithunzizo kuwunikira TV, yomwe wothandizirayo amatha kuwona.

Catheter imakankhidwira patsogolo pa waya kupita ku aorta (chotengera chachikulu chamagazi kuchokera pamtima). Kenako imalowa mumtsempha wa impso. Mayesowa amagwiritsa ntchito utoto wapadera (wotchedwa kusiyanasiyana) kuti athandize mitsempha yowonekera pa x-ray. Mitsempha yamagazi ya impso simawoneka ndi ma x-ray wamba. Utoto umadutsa mu catheter kupita mumtsempha wa impso.

Zithunzi za X-ray zimatengedwa pamene utoto umadutsa m'mitsempha yamagazi. Mchere (madzi amchere osabereka) okhala ndi magazi ochepera amathanso kutumizidwa kudzera mu catheter kuti magazi m'deralo asamange.

Catheter imachotsedwa ma x-ray atatengedwa. Chida chotsekera chimayikidwa mu kubuula kapena kupanikizika kumagwiritsidwa ntchito kuderalo kuti magazi asiye kutuluka. Malowa amayang'aniridwa pakadutsa mphindi 10 kapena 15 ndipo amamanga bandeji. Mutha kupemphedwa kuti muziwongolera mwendo wanu kwa maola 4 mpaka 6 mutachitika.

Uzani wothandizira ngati:

• Muli ndi pakati
• Munakhalapo ndi vuto lililonse lotuluka magazi
• Pakadali pano mumamwa zoonda zamagazi, kuphatikiza ma aspirin a tsiku ndi tsiku
• Munakhalapo ndi zovuta zina, makamaka zomwe zimakhudzana ndi X-ray zakuthupi kapena ayodini
• Mudapezekapo ndi impso kulephera kapena impso zosagwira bwino ntchito

Muyenera kusaina fomu yovomerezeka. Musadye kapena kumwa chilichonse kwa maola 6 kapena 8 musanayezedwe. Mupatsidwa diresi lachipatala kuti muvale ndikufunsidwa kuti muchotse zodzikongoletsera zonse. Mutha kupatsidwa mankhwala opweteka musanagwiritse ntchito mankhwalawa musanachite izi.

Mudzagona pansi pa tebulo la x-ray. Nthawi zambiri pamakhala khushoni, koma siyabwino ngati bedi. Mutha kumva kuwawa ngati mankhwala a opaleshoni ataperekedwa. Mutha kumva kupanikizika komanso kusasangalala pamene catheter ili bwino.

Anthu ena amamva kutentha pamene utoto wabayidwa, koma anthu ambiri samamva. Simumva catheter mkati mwa thupi lanu.

Pakhoza kukhala kukoma pang'ono ndi kuvulaza pamalo a jakisoni pambuyo pa mayeso.

Renal arteriography nthawi zambiri amafunikira kuti athandizire kusankha njira yabwino kwambiri yothanirana ndi mayesero ena akatha. Izi zikuphatikiza duplex ultrasound, CT mimba, CT angiogram, MRI pamimba, kapena MRI angiogram. Mayesowa atha kuwonetsa mavuto otsatirawa.

• Kukulitsa kwachilendo kwa mtsempha wamagazi, wotchedwa aneurysm
• Kulumikizana kwachilendo pakati pa mitsempha ndi mitsempha (fistula)
• Magazi omwe amatseka mtsempha wopatsira impso
• Kuthamanga kwa magazi kosafotokozedwa komwe kumaganiziridwa kuti kumachitika chifukwa cha kuchepa kwa mitsempha ya impso
• Benign zotupa ndi khansa yokhudzana ndi impso
• Mwakhama magazi a impso

Kuyesaku kungagwiritsidwe ntchito kuwunika omwe amapereka ndi omwe amalandila isanakwane.

Zotsatira zimatha kusiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu zoyesa.

Renal angiography imatha kuwonetsa kupezeka kwa zotupa, kuchepa kwa mtsempha wamagazi kapena zotupa (kufutukuka kwa mtsempha kapena mtsempha), kuundana kwamagazi, fistula, kapena kutuluka magazi mu impso.

Mayesowo amathanso kuchitidwa ndi izi:

• Kutsekedwa kwa mtsempha wamagazi ndi magazi
• Aimpso mtsempha wamagazi stenosis
• Khansara yamphongo yamphongo
• Angiomyolipomas (zotupa zopanda impso za impso)

Ena mwa mavutowa amatha kuthandizidwa pogwiritsa ntchito njira zochitira nthawi yomweyo arteriogram.

• Angioplasty ndi njira yotsegulira mitsempha yamagazi yopapatiza kapena yotseka yomwe imapereka magazi ku impso zanu.
• Stent ndi chubu chaching'ono chachitsulo chomwe chimatsegulira mtsempha wamagazi. Ikhoza kuikidwa kuti mitsempha yochepetsetsa ikhale yotseguka.
• Khansa ndi zotupa zopanda khansa zitha kuchiritsidwa pogwiritsa ntchito njira yotchedwa embolization. Izi zimaphatikizapo kugwiritsa ntchito zinthu zomwe zimatseka magazi kuti aphe kapena kuchepa chotupacho. Nthawi zina, izi zimachitika limodzi ndi opaleshoni.
• Magazi amathanso kuchiritsidwa ndi kuphatikizira.
  

Njirayi imakhala yotetezeka. Pakhoza kukhala zoopsa zina, monga:

• Matupi awo sagwirizana ndi utoto (kusiyanitsa sing'anga)
• Kuwonongeka kwamitsempha
• Kuwonongeka kwa mtsempha wamagazi kapena mtsempha wamtambo, womwe ungayambitse magazi
• Kuwonongeka kwa impso kuwonongeka kwa mtsempha wamagazi kapena kuchokera ku utoto

Pali kuchepa kwa ma radiation. Amayi apakati ndi ana amakhala ndi chidwi ndi zoopsa zokhudzana ndi ma x-ray.

Kuyesaku sikuyenera kuchitika ngati muli ndi pakati kapena muli ndi mavuto owopsa otaya magazi.

Magnetic resonance angiography (MRA) kapena CT angiography (CTA) zitha kuchitidwa m'malo mwake. MRA ndi CTA ndizosavomerezeka ndipo zimatha kupereka chithunzi chofananira cha mitsempha ya impso, ngakhale singagwiritsidwe ntchito ngati mankhwala.

Mphuno angiogram; Angiography - impso; Angiography; Aimpso mtsempha wamagazi stenosis - arteriography

• Matenda a impso
• Mitsempha ya impso

Azarbal AF, Mclafferty RB. Zolemba. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 25.

Duddalwar VA, Jadvar H, Palmer SL. Kuzindikira kwa impso. 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 25.

Zolemba pa SC. Matenda oopsa kwambiri komanso ischemic nephropathy. 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 47.