Zojambula za Mesenteric

Mesenteric angiography ndi mayeso omwe amagwiritsidwa ntchito adayang'ana mitsempha yamagazi yomwe imapereka matumbo ang'ono ndi akulu.

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 mchipatala. Mugona patebulo la x-ray. Mutha kufunsa mankhwala kuti akuthandizeni kupumula (kukhala pansi) ngati mukufuna.

• Mukamayesa, magazi anu, kugunda kwa mtima wanu, komanso kupuma kwanu kudzawunikidwa.
• Wosamalira zaumoyo ameta ndi kuyeretsa kubuula. Mankhwala oletsa dzanzi (jekeseni) amalowetsedwa pakhungu pamtsempha. Singano imayikidwa mumtsempha.
• Thupi laling'ono losinthasintha lotchedwa catheter limadutsa mu singano. Imasunthira mumitsempha, ndikudutsa muzitsulo zazikulu zam'mimba mpaka itayikidwa bwino pamtsempha wa mesenteric. Dokotala amagwiritsa ntchito x-ray ngati chitsogozo. Dotolo amatha kuwona zamoyo zenizeni m'derali pazowonera ngati TV.
• Utoto wosiyanitsa umabayidwa kudzera mu chubu ichi kuti muwone ngati pali zovuta zilizonse pamitsempha yamagazi. Zithunzi za X-ray zimatengedwa ndi mtsempha wamagazi.

Mankhwala ena amatha kuchitidwa munthawi imeneyi. Zinthu izi zimadutsa mu catheter kupita kudera lamitsempha lomwe limafunikira chithandizo. Izi zikuphatikiza:

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

Ma x-ray kapena mankhwala akamaliza, catheter imachotsedwa. 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. Mwendo umasungidwa molunjika kwa maola ena asanu ndi limodzi mutachita izi.

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

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

Uzani wothandizira 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

Mutha kumva kupweteka pang'ono mukalandira mankhwala owawa. Mudzamva kupweteka kwakanthawi kochepa komanso kukakamizidwa pamene catheter imayikidwa ndikusunthira mumtsempha. Nthawi zambiri, mumangomva kukakamizidwa pakumera.

Utoto ukayamba kubayidwa, mudzamva kutentha, kutentha. Mutha kukhala achisoni ndi kuvulaza pamalo amtundu wa catheter mukayesedwa.

Kuyesaku kwachitika:

• Pakakhala zisonyezo zamatenda ochepetsa kapena otsekedwa m'matumbo
• Kupeza gwero la magazi m'mimba mwa m'mimba
• Kuti mupeze chomwe chimayambitsa kupweteka m'mimba komanso kuchepa kwa thupi popanda chifukwa chomwe chingadziwike
• Kafukufuku wina akapanda kupereka zambiri zokwanira za kukula kosazolowereka m'matumbo
• Kuyang'ana kuwonongeka kwa mitsempha yamagazi pambuyo povulala m'mimba

Mesenteric angiogram itha kuchitidwa pambuyo poti makina amagetsi anyukiliya azindikira kuti magazi akutuluka. Radiologist amatha kulongosola ndikuchiritsa komwe amachokera.

Zotsatira zimakhala zachilendo ngati mitsempha yoyesedwa ndiyabwino.

Kupeza kosazolowereka ndikuchepetsa komanso kuwumitsa kwa mitsempha yomwe imapereka matumbo akulu ndi ang'ono. Izi zimatchedwa mesenteric ischemia. Vutoli limachitika pamene mafuta (zolembera) zimakhazikika pamakoma amitsempha yanu.

Zotsatira zachilendo zitha kukhalanso chifukwa chakutuluka m'matumbo ang'ono ndi akulu. Izi zitha kuyambitsidwa ndi:

• Angiodysplasia yamatumbo
• Mitsempha yamagazi imang'ambika kuvulala

Zotsatira zina zachilendo zitha kukhala chifukwa cha:

• Kuundana kwamagazi
• Matenda a chiwindi
• Zotupa

Pali chiopsezo kuti catheter imawononga mtsempha wamagazi kapena kugogoda chidutswa cha khoma la mtsempha. Izi zitha kuchepetsa kapena kuletsa kuyenda kwa magazi ndikutsogolera ku kufa kwa minofu. Izi ndizovuta kawirikawiri.

Zowopsa zina ndi izi:

• Thupi lawo siligwirizana ndi utoto wosiyanitsa
• 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
• Kuwonongeka kwa matumbo ngati magazi achepetsedwa

M'mimba arteriogram; Arteriogram - pamimba; Angiogram ya Mesenteric

• Zojambula za Mesenteric

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.

Onani RC, Schermerhorn ML. Matenda a Mesenteric: epidemiology, pathophysiology, ndi kuwunika kwachipatala. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 131.

vd Bosch H, Westenberg JJM, d Roos A. Cardiovascular magnetic resonance angiography: carotids, aorta, ndi zotengera zotumphukira. Mu: Manning WJ, Pennell DJ, olemba. Kutulutsa Magnetic Maginito. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 44.