Angiography ya ubongo

Cerebral angiography ndi njira yomwe imagwiritsa ntchito utoto wapadera (zinthu zosiyana) ndi ma x-ray kuti muwone m'mene magazi amayendera kudzera muubongo.

Cerebral angiography imachitika mchipatala kapena malo opangira ma radiology.

• Mumagona pa tebulo la x-ray.
• Mutu wanu umagwiritsidwabe ntchito pogwiritsa ntchito lamba, tepi, kapena matumba a mchenga, kuti musayendetse pochita izi.
• Mayeso asanayambe, amakupatsani mankhwala ochepetsa pang'ono kuti akuthandizeni kupumula.
• Electococardiogram (ECG) imayang'anira zochitika zamtima wanu panthawi yamayeso. Zigamba zomata, zotchedwa zitsogozo, zidzaikidwa m'manja ndi m'miyendo yanu. Mawaya amalumikiza zotsogolera ku makina a ECG.

Dera la thupi lanu, nthawi zambiri zowawa, limatsukidwa ndikutenthedwa ndi mankhwala amadzimadzi am'deralo. Thubhu yopyapyala yotchedwa catheter imayikidwa kudzera mumtsempha. Catheter imasunthidwa mosamala kudzera mumitsempha yayikulu yam'mimba ndi pachifuwa kupita mumitsempha yapakhosi. X-ray imathandiza dokotala kutsogolera catheter pamalo oyenera.

Catheter ikakhala kuti ilipo, utoto umatumizidwa kudzera pa catheter. Zithunzi za X-ray zimatengedwa kuti ziwone momwe utoto umadutsira mumitsempha ndi mitsempha yamagazi yaubongo. Utoto umathandizira kuwunikira zotchinga zilizonse zamagazi.

Nthawi zina, kompyuta imachotsa mafupa ndi ziphuphu pazithunzizo zomwe zikuwonedwa, kotero kuti mitsempha yokhayo yamagazi yodzala ndi utoto imawoneka. Izi zimatchedwa digito subtraction angiography (DSA).

Ma x-ray atatengedwa, catheter imachotsedwa. Kupanikizika kumagwiritsidwa ntchito mwendo pamalo olowetsera kwa mphindi 10 mpaka 15 kuti magazi asiye kutuluka kapena chida chimagwiritsidwa ntchito kutseka kabowo kakang'ono. Kenako amamanga bandeji yolimba. Mwendo wanu uyenera kukhala wowongoka kwa maola awiri kapena 6 mutachitika. Onetsetsani malowa kuti akutulutse magazi kwa maola 12 otsatira. Nthawi zambiri, mtsempha wamagazi umagwiritsidwa ntchito m'malo mwa mtsempha wa kubuula.

Angiography yokhala ndi catheter imagwiritsidwa ntchito mochepa tsopano. Izi ndichifukwa choti MRA (magnetic resonance angiography) ndi CT angiography zimapereka zithunzi zowoneka bwino.

Asanachitike, wopereka wanu amakuyesani ndikuyitanitsa mayeso amwazi.

Uzani wothandizira ngati:

• Khalani ndi mbiri yovutitsa magazi kapena kumwa mankhwala ochepetsa magazi
• Wakhala ndi vuto losavomerezeka ndi utoto wosiyanasiyana wa x-ray kapena chinthu chilichonse cha ayodini
• Atha kukhala ndi pakati
• Khalani ndi mavuto a ntchito ya impso

Mutha kuuzidwa kuti musadye kapena kumwa chilichonse kwa maola 4 mpaka 8 mayeso asanayesedwe.

Mukafika pamalo oyesera, mupatsidwa chovala chaku chipatala kuti muvale. Muyenera kuchotsa zodzikongoletsera zonse.

Gome la x-ray limatha kumva kukhala lovuta komanso lozizira. Mutha kufunsa bulangeti kapena pilo.

Anthu ena amamva kuluma pamene mankhwala a dzanzi (dzanzi) aperekedwa. Mukumva kupweteka kwakanthawi, kwakuthwa komanso kukakamizidwa pamene catheter imasunthira mthupi. Mukakhazikitsa koyamba, simudzamvanso catheter.

Kusiyanaku kumatha kubweretsa kutentha kapena kutentha kwa khungu la nkhope kapena mutu. Izi si zachilendo ndipo nthawi zambiri zimatha pakangopita masekondi ochepa.

Mutha kukhala ndi kukoma pang'ono ndi kuvulaza pamalo a jakisoni mutatha mayeso.

Cerebral angiography imagwiritsidwa ntchito nthawi zambiri kuzindikira kapena kutsimikizira zovuta ndi mitsempha yamagazi muubongo.

Wothandizira anu akhoza kuyitanitsa mayesowa ngati muli ndi zizindikiro kapena zizindikiro za:

• Mitsempha yamagazi yosazolowereka muubongo (kupindika kwamitsempha)
• Kutulutsa chotengera chamagazi muubongo (aneurysm)
• Kuchepetsa mitsempha muubongo
• Kutupa kwa mitsempha yamagazi muubongo (vasculitis)

Nthawi zina amagwiritsidwa ntchito kuti:

• Yang'anani kuthamanga kwa magazi pachotupa.
• Unikani mitsempha ya mutu ndi khosi musanachite opareshoni.
• Pezani chovala chomwe chingayambitse sitiroko.

Nthawi zina, njirayi itha kugwiritsidwa ntchito kuti mumve zambiri mukawona china chake chachilendo ndi MRI kapena CT scan pamutu.

Mayesowa amathanso kuchitidwa pokonzekera chithandizo chamankhwala (njira zamagetsi zamagetsi) kudzera mumitsempha ina yamagazi.

Utoto wosiyanitsa womwe umatuluka mumtsuko wamagazi ukhoza kukhala chizindikiro chakutaya magazi.

Mitsempha yopapatiza kapena yotsekedwa imatha kunena kuti:

• Cholesterol amasungitsa
• Kuphipha kwa mtsempha wamaubongo
• Matenda obadwa nawo
• Kuundana kwamagazi kumayambitsa sitiroko

Mitsempha yamagazi ingakhale m'malo mwake chifukwa cha:

• Zotupa zamaubongo
• Kutuluka magazi mkati mwa chigaza
• Kuzindikira
• Kulumikizana kwachilendo pakati pa mitsempha ndi mitsempha muubongo (arteriovenous malformation)

Zotsatira zachilendo zitha kukhalanso chifukwa cha khansa yomwe idayamba mbali ina ya thupi ndipo yafalikira ku ubongo (metastatic brain tumor).

Zovuta zingaphatikizepo:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• Kuundana kwamagazi kapena kutuluka magazi pomwe catheter imalowetsedwa, yomwe imatha kulepheretsa magazi kulowa mwendo kapena dzanja (osowa)
• Kuwonongeka kwa mtsempha wamagazi kapena mtsempha wamtambo kuchokera ku catheter, komwe kumalepheretsa kuthamanga kwa magazi ndikupangitsa sitiroko (kawirikawiri)
• Kuwonongeka kwa impso kuchokera ku kusiyana kwa IV

Uzani wothandizira wanu nthawi yomweyo ngati muli:

• Kufooka mu nkhope yanu
• Dzanzi mwendo mwanu mukamaliza kapena mutatha
• Kulankhula mopanda mawu munthawiyo kapena pambuyo pake
• Mavuto masomphenya munthawiyo kapena pambuyo pake

Mawonekedwe ozungulira; Angiography - mutu; Mawonekedwe a Carotid; Cervicocerebral catheter ofotokoza angiography; Kuchotsa kwapakatikati pama digito angiography; IADSA

• Ubongo
• Carotid stenosis - X-ray yamitsempha yamanzere
• Carotid stenosis - X-ray yamitsempha yolondola

Adamczyk P, Liebeskind DS. Kujambula kwamitsempha: computed tomographic angiography, magnetic resonance angiography, ndi ultrasound. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 40.

CD ya Barras, Bhattacharya JJ. Mkhalidwe wapano wazithunzi zaubongo ndi mawonekedwe a anatomical. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Kuzindikira Mafilimu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 53.

Chernecky CC, Berger BJ. Cerebral angiography (ubongo angiogram) - matenda. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 309-310.