Zowonera Coronary

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

Coronary angiography nthawi zambiri imachitika limodzi ndi catheterization yamtima. Iyi ndi njira yomwe imayesa zovuta m'zipinda zamtima.

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

Dera la thupi lanu (mkono kapena kubuula) limatsukidwa ndikuchita dzanzi ndi mankhwala am'manja (dzanzi). Katswiri wa matenda a mtima amadutsa chubu chopyapyala chotchedwa catheter, kudzera mumtsempha wamagetsi ndipo amalisunthira bwino mumtima. Zithunzi za X-ray zimathandiza dokotala kuyika catheter.

Catheter ikakhala kuti ilipo, utoto (wosiyanitsa zinthu) umalowetsedwa mu catheter. Zithunzi za X-ray zimatengedwa kuti ziwone momwe utoto umadutsira mumtsempha. Utoto umathandizira kuwunikira zotchinga zilizonse zamagazi.

Njirayi imatenga mphindi 30 mpaka 60.

Simuyenera kudya kapena kumwa chilichonse kwa maola 8 mayeso asanayambe. Mungafunike kukhala mchipatala usiku woti ayesedwe. Kupanda kutero, mutha kukafika kuchipatala m'mawa wa mayeso.

Mudzavala mkanjo wachipatala. Muyenera kusaina fomu yovomerezera musanayesedwe. Wothandizira zaumoyo wanu adzafotokoza njirayi ndi kuopsa kwake.

Uzani wothandizira wanu ngati:

• Kodi matupi anu sagwirizana ndi mankhwala aliwonse kapena ngati simunayanjanepo ndi zomwe munapanga m'mbuyomu
• Mukutenga Viagra
• Atha kukhala ndi pakati

Nthawi zambiri, mudzakhala ogalamuka poyesedwa. Mutha kumva kukakamizidwa patsamba lomwe aikapo catheter.

Mutha kumva kutentha kapena kutentha pambuyo pa utoto wa jekeseni.

Pambuyo pa kuyesa, catheter imachotsedwa. Mungamve kukakamizidwa kwakukulu kugwiritsidwa ntchito pamalo olowetsera kuti magazi asatuluke. Catheter ikayikidwa m'khosi mwanu, mudzafunsidwa kuti mugone pansi kumbuyo kwanu kwa maola angapo mpaka maola angapo mutayesedwa kuti musatuluke magazi. Izi zitha kuyambitsa mavuto ena obwerera msana.

Coronary angiography itha kuchitidwa ngati:

• Muli ndi angina koyamba.
• Angina yako yomwe ikuipiraipira, osachokapo, yomwe imachitika pafupipafupi, kapena ikuchitika popuma (yotchedwa angina wosakhazikika).
• Muli ndi aortic stenosis kapena vuto lina la valavu.
• Mukumva kupweteka pachifuwa, pomwe mayeso ena amakhala abwinobwino.
• Munali ndi mayeso achilendo a mtima.
• Mupanga opareshoni pamtima ndipo muli pachiwopsezo chachikulu chodwala mtsempha wamagazi.
• Mukulephera mtima.
• Mwapezeka kuti muli ndi vuto la mtima.

Pali magazi abwinobwino pamtima ndipo palibe zotchinga.

Zotsatira zosazolowereka zitha kutanthauza kuti muli ndi mtsempha wotsekedwa. Mayesowa atha kuwonetsa kuti mitsempha ingati yatsekedwa, komwe imatsekedwa, komanso kuuma kwa zotchinga.

Catheterization yamtima imakhala ndi chiopsezo chowonjezeka pang'ono poyerekeza ndi mayeso ena amtima. Komabe, mayesowa ndi otetezeka kwambiri akagwiridwa ndi gulu lodziwa zambiri.

Kawirikawiri, chiopsezo cha zovuta zazikulu chimakhala pakati pa 1 mpaka 1,000 mpaka 1 mwa 500. Zowopsa za njirayi ndi izi:

• Tamponade yamtima
• Kugunda kwamtima kosasintha
• Kuvulaza mtsempha wamagazi
• Kuthamanga kwa magazi
• Thupi lawo siligwirizana ndi utoto wosiyanitsa kapena mankhwala omwe amaperekedwa pakuyeza
• Sitiroko
• Matenda amtima

Zomwe zikugwirizana ndi mtundu uliwonse wa catheterization ndi izi:

• Kawirikawiri, pali chiopsezo chotaya magazi, matenda, ndi kupweteka pa malo a IV kapena catheter.
• Nthawi zonse pamakhala chiwopsezo chochepa kwambiri choti ma catheters ofewa apulasitiki atha kuwononga mitsempha yamagazi kapena zinthu zozungulira.
• Mitsempha yamagazi imatha kupangika pa catheters ndipo pambuyo pake imatseka mitsempha yamagazi kwina kulikonse mthupi.
• Utoto wosiyanayo ungawononge impso (makamaka kwa anthu omwe ali ndi matenda ashuga kapena mavuto am'mbuyomu).

Ngati kutsekedwa kungapezeke, omwe amakupatsani mwayi atha kupanga njira yothandizira (PCI) kuti atsegule kutsekeka. Izi zitha kuchitika munjira imodzimodzi, koma zitha kuchedwa pazifukwa zosiyanasiyana.

Angiography yamtima; Angiography - mtima; Angiogram - mitima; Mitima matenda - angiography; CAD - malingaliro; Angina - mawonekedwe; Matenda a mtima - angiography

• Zowonera Coronary

Fihn SD, Blankenship JC, Alexander KP, ndi al. Chidziwitso cha 2014 ACC / AHA / AATS / PCNA / SCAI / STS chitsogozo chazidziwitso zakuwunika ndi kuwunika kwa odwala omwe ali ndi matenda osakhazikika amtima: lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines, ndi American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervention, ndi Society of Thoracic Surgeons. J Ndine Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 adatulutsidwa.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. (Adasankhidwa) Catheterization ndi angiography. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 51.

Mehran R, Dangas GD. Zolemba za Coronary and intravascular imaging. 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: chap 20.

Werns S. Acute coronary syndromes ndi pachimake m'mnyewa wamtima infarction. Mu: Parrillo JE, Dellinger RP, olemba. Zovuta Zosamalira Mankhwala: Mfundo Zazidziwitso ndi Kuwongolera Kwa Akuluakulu. 5th ed. Philadelphia, PA: Elsevier; 2019: mutu 29.