Angiography yamapapu

Angiography ya pulmonary ndiyeso kuti muwone m'mene magazi amayendera m'mapapu.

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

Kuyesaku kumachitika kuchipatala. Mudzafunsidwa kuti mugone pa tebulo la x-ray.

• Mayeso asanayambe, mupatsidwa mankhwala ochepetsa pang'ono kuti akuthandizeni kupumula.
• Malo amthupi lanu, nthawi zambiri mkono kapena kubuula, amatsukidwa ndikuchita dzanzi ndi mankhwala am'manja (dzanzi).
• Radiologist amaika singano kapena amadula pang'ono mumtsinje mdera lomwe latsukidwa. Thupi laling'ono lopanda pake lotchedwa catheter limalowetsedwa.
• Catheter imayikidwa kudzera mumitsempha ndikusunthidwa mosamala ndikudutsa muzipinda zamtima zamkati ndikulowa m'mitsempha yam'mapapo, yomwe imadzetsa m'mapapu. Dotolo amatha kuwona zithunzi za x-ray zam'derali pazowonera ngati TV, ndikuzigwiritsa ntchito ngati chitsogozo.
• Catheter ikangokhala, utoto umalowetsedwa mu catheter. Zithunzi za X-ray zimatengedwa kuti ziwone momwe utoto umadutsira m'mitsempha ya m'mapapu. Utoto umathandiza kuzindikira zotchinga zilizonse zamagazi.

Kuthamanga kwanu, kuthamanga kwa magazi, ndi kupuma kwanu kumayang'aniridwa panthawiyi. Zitsogozo za Electrocardiogram (ECG) zimalumikizidwa m'manja ndi miyendo yanu kuti muwone mtima wanu.

Ma x-ray atatengedwa, singano ndi catheter zimachotsedwa.

Anzanu amagwiritsidwa ntchito pamalo obowoka kwa mphindi 20 mpaka 45 kuti magazi asiye kutuluka. Pambuyo pa nthawi imeneyo malowa amayang'aniridwa ndipo bandage yolimba imagwiritsidwa ntchito. Muyenera kusunga mwendo wanu kwa maola 6 mutatha.

Nthawi zambiri, mankhwala amaperekedwa m'mapapu ngati magazi atsekedwa popezeka.

Mutha kupemphedwa kuti musadye kapena kumwa chilichonse kwa maola 6 mpaka 8 mayeso asanayesedwe.

Mudzafunsidwa kuvala chovala chachipatala ndikusainira fomu yovomerezera. Chotsani zodzikongoletsera m'deralo.

Uzani wothandizira zaumoyo wanu:

• Ngati muli ndi pakati
• Ngati munakhalapo ndi vuto losiyana ndi X-ray yosiyana, nkhono, kapena zinthu za ayodini
• Ngati matupi anu sagwirizana ndi mankhwala aliwonse
• Ndi mankhwala ati omwe mukumwa (kuphatikizapo mankhwala azitsamba)
• Ngati mwakhalapo ndi vuto lililonse lotuluka magazi

Gome la x-ray limatha kumva kuzizira. Funsani bulangeti kapena pilo ngati simukukhulupirira Mutha kumva kupweteka pang'ono mukamamwa mankhwala ogwidwa ndi dzanzi ndi ndodo yayifupi, yakuthwa pamene catheter imayikidwa.

Mutha kumva kupanikizika pamene catheter imakwera m'mapapu. Utoto wosiyanitsa ungayambitse kutentha ndi kutentha. Izi si zachilendo ndipo nthawi zambiri zimangopita masekondi ochepa.

Mutha kukhala ndiubwenzi komanso kuvulaza pamalo a jakisoni mutatha mayeso.

Mayesowa amagwiritsidwa ntchito kuti azindikire magazi omwe ali ndi magazi (pulmonary embolism) ndi zotchinga zina zomwe zimatuluka m'magazi m'mapapu. Nthawi zambiri, omwe amakupatsani amakhala atayesa mayeso ena kuti apeze magazi m'mapapu.

Angiography ya pulmonary itha kugwiritsidwanso ntchito kuthandizira kuzindikira:

• Matenda a AV m'mapapu
• Kobadwa nako (alipo kuyambira kubadwa) kuchepetsa ziwiya m'mapapo mwanga
• Mitsempha yamitsempha yamagazi
• Matenda oopsa, kuthamanga kwa magazi m'mitsempha ya m'mapapo

X-ray iwonetsa mawonekedwe abwinobwino azaka zamunthuyo.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Mafinya a ziwiya zam'mapapo
• Kuundana kwamagazi m'mapapu (pulmonary embolism)
• Mitsempha yamagazi yochepetsedwa
• Kuthamanga kwa pulmonary koyambirira
• Chotupa m'mapapo

Munthu atha kukhala ndi vuto la mtima wosadziwika panthawiyi. Gulu lazachipatala lidzawunika mtima wanu ndipo limatha kuthana ndi vuto lililonse lomwe lingachitike.

Zowopsa zina ndi izi:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• Kuwonongeka kwa chotengera chamagazi momwe singano ndi catheter zimayikidwa
• Magazi amagazi akuyenda m'mapapu, ndikupangitsa kuphatikizika
• Kutaya magazi kwambiri kapena magazi omwe amaundana kumene catheter imalowetsedwa, zomwe zimatha kuchepetsa magazi kulowa mwendo
• Matenda a mtima kapena sitiroko
• Hematoma (chophatikiza cha magazi pamalo obowolera singano)
• Kuvulaza mitsempha pamalo obowoleza
• Kuwonongeka kwa impso kuchokera ku utoto
• Kuvulaza mitsempha yamagazi m'mapapu
• Kuthira magazi m'mapapu
• Kutsokomola magazi
• Kulephera kupuma
• Imfa

Pali kuchepa kwa ma radiation. Wothandizira anu amayang'anira ndikuwongolera ma x-ray kuti apereke kuchepa kwa radiation. Akatswiri ambiri amaganiza kuti chiopsezo chake ndi chochepa poyerekeza ndi maubwino ake. Amayi apakati ndi ana amakhala ndi chidwi ndi zoopsa za ma x-ray.

Ma computed tomography (CT) angiography pachifuwa asintha kwambiri mayesowa.

Zojambula m'mapapo; Angiogram yamapapu; Angiogram yamapapu

• Mitsempha ya m'mapapo

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Hartmann IJC, Schaefer-Prokop CM. Kuzungulira kwamapapo ndi thromboembolism yamapapo. 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: chap 23.

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.

Nazeef M, Sheehan JP. Venous thromboembolism. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019: 858-868.