Angiography ya aortic

Angortiography ya aortic ndi njira yomwe imagwiritsa ntchito utoto wapadera ndi ma x-ray kuti muwone momwe magazi amayendera kudzera mu aorta. Morta ndiye mtsempha wamagazi waukulu. Imatulutsa magazi kuchokera mumtima, komanso kudzera m'mimba mwanu kapena m'mimba.

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 kuchipatala. Mayeso asanayambe, mupatsidwa mankhwala ochepetsa pang'ono kuti akuthandizeni kupumula.

• Malo amthupi lanu, nthawi zambiri m'manja mwanu kapena m'chiuno, mumatsukidwa ndikuchita dzanzi ndi mankhwala ozunguza bongo.
• Katswiri wa zamankhwala kapena katswiri wamatenda a mtima adzaika singano m'mitsempha yamagazi. Kuwongolera ndi chubu lalitali (catheter) kudutsa mu singano iyi.
• Catheter imasunthira mu aorta. Adotolo amatha kuwona zithunzi za aorta pazowonera ngati TV. X-ray imagwiritsidwa ntchito kutsogolera catheter kumalo oyenera.
• Catheter ikangokhala, utoto umalowetsedwa. Zithunzi za X-ray zimatengedwa kuti ziwone momwe utoto umadutsira msempha. Utoto umathandiza kuzindikira zotchinga zilizonse zamagazi.

Ma x-ray kapena mankhwala akamaliza, catheter imachotsedwa. Anzanu amagwiritsidwa ntchito pamalo obowoka kwa mphindi 20 mpaka 45 kuti magazi asiye kutuluka. Pambuyo pa nthawiyo, malowa amayang'aniridwa ndipo bandeji yolimba imagwiritsidwa ntchito. Mwendo umasungidwa molunjika kwa maola ena asanu ndi limodzi mutachita izi.

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

Mudzavala chovala chachipatala ndikusainira fomu yovomerezera. Chotsani zodzikongoletsera m'dera lomwe mukuphunzira.

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

Mudzakhala ogalamuka poyesedwa. Mutha kumva kuluma ngati mankhwala ogwidwa ndi dzanzi akuperekedwa komanso kupanikizika pang'ono mukamayikidwa catheter. Mutha kumva kutentha pang'ono pamene utoto wosiyanitsa umadutsa pacatheter. Izi ndi zachilendo ndipo nthawi zambiri zimatha mumasekondi ochepa.

Mutha kukhala ndi vuto chifukwa chogona pa tebulo lachipatala ndikukhala chete kwa nthawi yayitali.

Nthawi zambiri, mutha kuyambiranso kuchita masewera olimbitsa thupi tsiku lotsatira.

Wothandizira anu atha kufunsa izi ngati pali zizindikilo zavuto la aorta kapena nthambi zake, kuphatikiza:

• Aortic aneurysm
• Kutseka kwa minyewa
• Mavuto obadwa nawo (omwe alipo kuyambira pakubadwa)
• Kuwonongeka kwa AV
• Chipilala chachiwiri cha aortic
• Kupanga kwa aorta
• Mphete ya mitsempha
• Kuvulala kwa aorta
• Takayasu arteritis

Zotsatira zachilendo zitha kukhala chifukwa cha:

• M'mimba mwake aortic aneurysm
• Kutseka kwa minyewa
• Kubwezeretsa kwa aortic
• Mavuto obadwa nawo (omwe alipo kuyambira pakubadwa)
• Chipilala chachiwiri cha aortic
• Kupanga kwa aorta
• Mphete ya mitsempha
• Kuvulala kwa aorta
• Mesenteric ischemia
• Matenda a mtsempha wamagazi
• Aimpso mtsempha wamagazi stenosis
• Takayasu arteritis

Zowopsa za angorto ya aortic ndi monga:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• Kutsekedwa kwa mtsempha wamagazi
• Mgazi wamagazi womwe umapita kumapapu
• Kukhwima pamalo a catheter
• Kuwonongeka kwa chotengera chamagazi komwe singano ndi catheter zimalowetsedwa
• 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
• Matenda
• Kuvulaza mitsempha pamalo obowolera singano
• Kuwonongeka kwa impso kuchokera ku utoto

Njirayi itha kuchitidwa ndi catheterization yamanzere yam'mimba kuti muyang'ane matenda amitsempha yama coronary.

Angortiography ya aortic yasinthidwa makamaka ndi computed tomography (CT) angiography kapena magnetic resonance (MR) angiography.

Angiography - msempha; Kujambula; M'mimba msempha angiogram; Kung'ambika kwa mtsempha wamagazi; Aneurysm - aortic arteriogram

• Kukonzekera kwa m'mimba kwa aortic aneurysm - kutseguka - kutulutsa
• Kukonza kwa aortic aneurysm - endovascular - kutulutsa

• Mtima wamagetsi

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Fattori R, Lovato L. The a thoracic aorta: mbali zowunikira. 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; 2014: chap 24.

Grant LA, Griffin N. Morta. Mu: Grant LA, Griffin N, olemba., Eds. Grainger & Allison's Diagnostic Radiology Zofunikira. Wachiwiri ed. Philadelphia, PA: Elsevier; 2019: chap. 2.4.

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; 2014: mutu 84.