Angiography yamtima wamanzere

Angiography yamtima wamanzere ndi njira yoyang'ana zipinda zamtima zamanzere ndi magwiridwe amagetsi a kumanzere. Nthawi zina zimaphatikizidwa ndi coronary angiography.

Asanayesedwe, adzapatsidwa mankhwala okuthandizani kupumula. Mudzakhala ogalamuka ndipo mutha kutsatira malangizo mukamayesedwa.

Mzere wolowa mkati umayikidwa m'manja mwanu. Wothandizira zaumoyo amatsuka ndikumasalaza dera lanu kapena mkono wanu. Katswiri wamtima amadula pang'ono m'deralo, ndikuyika chubu chofewa (catheter) mumtsempha. Pogwiritsa ntchito ma X-ray ngati chitsogozo, adokotala amasuntha mosamala chubu chowonda (catheter) mumtima mwanu.

Chitoliro chikakhala m'malo, utoto umabayidwa kudzera mu utoto. Utoto umadutsa mumitsempha yamagazi, kuwapangitsa kuti azioneka mosavuta. X-ray amatengedwa pamene utoto umadutsa m'mitsempha yamagazi. Zithunzi izi za x-ray zimapanga "kanema" wa ventricle wakumanzere momwe umagwirira ntchito mwanzeru.

Njirayi imatha kuthera kwa ola limodzi kapena angapo.

Adzauzidwa kuti musadye kapena kumwa kwa maola 6 mpaka 8 mayeso asanayesedwe. Njirayi imachitika mchipatala. Anthu ena angafunike kugona mchipatala usiku woti ayesedwe.

Wothandizira adzalongosola njirayi ndi kuopsa kwake. Muyenera kusaina fomu yovomerezera.

Mudzamva kuluma ndi kutentha pamene mankhwala oletsa ululu adzabayidwa. Mutha kumva kupanikizika pamene catheter imayikidwa. Nthawi zina, kutentha kapena kumva kuti mukufunika kukodza kumachitika utoto utayikidwa.

Angiography yamtima wamanzere imachitidwa kuti iwunike magazi akuyenda mbali yakumanzere kwa mtima.

Zotsatira zabwinobwino zimawonetsa magazi oyenera kudzera mbali yakumanzere ya mtima. Magazi ambiri ndi zovuta zimakhalanso zachilendo.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Bowo mumtima (vuto lamitsempha yamagetsi)
• Zovuta zamapiko amtima akumanzere
• Matenda a mtima wamtambo
• Madera amtima samachita mgwirizano mwachizolowezi
• Mavuto amtundu wamagazi kumanzere kwa mtima
• Zoletsa zamtima
• Ntchito yopopera yofooka ya ventricle yakumanzere

Coronary angiography itha kukhala yofunikira pakafunikira kutsekeka kwamitsempha yama coronary.

Zowopsa zokhudzana ndi njirayi ndi monga:

• Kugunda kwamtima kosazolowereka (arrhythmias)
• Matupi awo sagwirizana ndi utoto kapena mankhwala ogonetsa
• Mitsempha kapena kuwonongeka kwa mitsempha
• Tamponade yamtima
• Embolism kuchokera kumatumba amwazi kumapeto kwa catheter
• Kulephera kwa mtima chifukwa cha kuchuluka kwa utoto
• Matenda
• Impso kulephera kuchokera ku utoto
• Kuthamanga kwa magazi
• Matenda amtima
• Kutaya magazi
• Sitiroko

Catheterization yamtima yolondola imatha kuphatikizidwa ndi njirayi.

Angiography yamtima wamanzere ili pachiwopsezo chifukwa ndi njira yowonongeka. Njira zina zojambulira zitha kukhala pachiwopsezo chochepa, monga:

• Kujambula kwa CT
• Zojambulajambula
• Kujambula kwamaginito (MRI) kwamtima
• Radionuclide ventriculography

Wothandizira anu atha kusankha kuchita imodzi mwa njirazi m'malo mozungulira angiography yamtima wamanzere.

Angiography - mtima wamanzere; Vuto loyang'ana kumanzere

Hermann J. Catheterization yamtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 19.

Patel MR, Bailey SR, Bonow RO, ndi al. ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 njira zoyenera kugwiritsa ntchito catheterization yodziwitsa: lipoti la American College of Cardiology Foundation Yoyenera Ntchito Criteria Task Force, Society for Cardiovascular Angiography ndi Ntchito, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society of Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Maginito Magnetic Magnetic Resonance, ndi Society of Opaleshoni Yamatsenga. J Ndine Coll Cardiol. 2012; 59 (22): 1995-2027. (Adasankhidwa) PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925. (Adasankhidwa)

Webb GD, Smallhorn JF, Therrien J, Redington AN. Matenda obadwa nawo mumtima mwa wamkulu komanso wodwala. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, ndi al. okonza. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 75.