Kunyanyisa angiography

Extremity angiography muyedzo unoshandiswa kuona tsinga dziri mumaoko, maoko, tsoka, kana makumbo. Inodanwawo kunzi peripheral angiography.

Angiography inoshandisa x-ray uye dhayi yakasarudzika kuti uone mukati meiyo arteri. Tsinga imidziyo yeropa inotakura ropa kubva pamoyo.

Muedzo uyu unoitwa muchipatara. Iwe ucharara pamusoro petafura ye x-ray. Iwe unogona kukumbira mumwe mushonga kuti uite iwe kurara uye kuzorora (kunyaradza).

• Anopa hutano anogera nekuchenesa nzvimbo, kazhinji kazhinji muchiuno.
• Mushonga unodziisa (jekiseni) unopinda mukati meganda pane tsinga.
• Tsono inoiswa mutsinga iyoyo.
• Chubhu yepurasitiki yakatetepa inonzi catheter inopfuudzwa netsono kupinda mutsinga. Chiremba anochinjisa munzvimbo yemuviri uri kuongororwa. Chiremba anogona kuona mhenyu mifananidzo yenzvimbo iyi paTV-senge yekutarisa, uye anoishandisa seyambiro.
• Dhayi inoyerera nepasefaipi uye kupinda mutsinga.
• Mifananidzo yeX-ray inotorwa yetsinga.

Kumwe kurapwa kunogona kuitwa panguva iyi maitiro. Aya marapirwo anosanganisira:

• Kuparara kweropa rine mushonga
• Kuvhura arteri yakavharika zvishoma nebhaluni
• Kuisa chubhu diki inonzi stent mutsinga yekubatsira kuivhura

Bato rezvehutano rinotarisa yako kurova kwemoyo (kurova kwemoyo), BP, uye kufema panguva yekuita.

Iyo catheter inobviswa kana bvunzo dzaitwa. Dzvinyiriro inoiswa panzvimbo iyi kwemaminitsi gumi kusvika gumi nemashanu yekumisa chero kubuda ropa. Bhandeji rinobva raiswa pachironda.

Ruoko kana gumbo pakaiswa tsono zvinofanirwa kuchengetwa zvakatwasuka kwemaawa matanhatu mushure mekuita. Iwe unofanirwa kudzivirira kuita kunetesa, kwakadai sekusimudza zvinorema, kwemaawa makumi maviri nemana kusvika makumi mana.

Haufanire kudya kana kunwa chero chinhu kwemaawa matanhatu kusvika masere bvunzo isati yaitwa.

Unogona kuudzwa kuti usiye kutora mimwe mishonga, yakadai seaspirin kana zvimwe zvinocheka ropa kwenguva pfupi usati waedzwa. Usamborega kutora chero mishonga kunze kwekunge waudzwa kuti uite saizvozvo nemupi wako.

Ita shuwa kuti mupi wako anoziva nezve yese mishonga yaunotora, kusanganisira iyo yawakatenga pasina tsamba. Izvi zvinosanganisira mishonga uye zvinowedzera.

Udza mupiki wako kana iwe:

• Une pamuviri
• Inogadziriswa kune chero mishonga
• Wakambove neyakagonana kugadzirisa kune x-ray kusiyanisa zvinhu, shellfish, kana ayodini zvinhu
• Wakambove nematambudziko ekubuda ropa

Iyo x-ray tafura yakaoma uye inotonhora. Ungangoda kubvunza gumbeze kana mutsago. Iwe unogona kunzwa kumwe kurira kana mushonga unovhiringa ukajowa. Iwe unogona zvakare kunzwa kumwe kumanikidzwa apo catheter inofambiswa.

Iyo dhayi inogona kukonzera manzwiro ekudziya uye kubhururuka. Izvi zvakajairika uye zvinowanzoenda mumasekondi mashoma.

Iwe unogona kunge uine hunyoro uye kupwanya pane iyo saiti yekateti yekuisa mushure mekuedzwa. Tsvaga rubatsiro rwekurapa nekukurumidza kana iwe uine:

• Kuzvimba
• Kubuda ropa kusingaendi
• Kurwadziwa kwakanyanya muruoko kana gumbo

Iwe ungangoda bvunzo iyi kana iwe uine zviratidzo zvekutetepa kana kuvharirwa ropa tsinga mumaoko, maoko, makumbo, kana tsoka.

Muedzo unogona zvakare kuitwa kuti uongorore:

• Kubuda ropa
• Kuzvimba kana kuzvimba kwemitsipa yeropa (vasculitis)

Iyo x-ray inoratidza zvakajairika zvimiro zvezera rako.

Mhedzisiro isingawanzo kazhinji inowanzo kuve nekuda kwekudzikira uye kuomesa kwetsinga dzemaoko kana makumbo kubva kubwe rakakwenenzverwa (kuomesa kwetsinga) mumadziro etsinga.

Iyo x-ray inogona kuratidza kuvhara mukati memidziyo inokonzerwa ne:

• Aneurysms (kuwedzera zvisina kujairika kana kubhaluni kwechikamu chetsinga)
• Ropa rinovhara
• Zvimwe zvirwere zvetsinga

Mhedzisiro isina kujairika inogona zvakare kuve nekuda kwe:

• Kuzvimba kwemitsipa yeropa
• Kukuvadza kumidziyo yeropa
• Thromboangiitis obliterans (Chirwere cheBuerger)
• Takayasu chirwere

Zvinetso zvinogona kusanganisira:

• Allergic reaction kune iyo kusiyanisa dhayi
• Kukuvadza kumudziyo weropa sezvo tsono uye catheter zvakaiswa
• Kuwedzeredza kubuda ropa kana kuvhara ropa uko kunoiswa catheter, izvo zvinogona kudzikisa kuyerera kweropa kuenda pagumbo
• Chirwere chemwoyo kana sitiroko
• Hematoma, muunganidzwa weropa panzvimbo yeyakabaya tsono
• Kukuvadza kumitsipa panzvimbo yekubaya tsono
• Itsvo kukuvara kubva dhayi
• Kukuvadza kumidziyo yeropa iri kuongororwa
• Limb kurasikirwa kubva kumatambudziko nemaitiro

Iko kune yakaderera-mwero mwaranzi kuratidzwa. Nekudaro, nyanzvi zhinji dzinofunga kuti njodzi yemazhinji x-ray yakaderera kana ichienzaniswa nezvakanaka. Vakadzi vane pamuviri nevana vane hanya nenjodzi dzeiyo x-ray.

Angiography yemugumo; Peripheral angiography; Lower kumucheto angiogram; Peripheral angiogram; Arteriography yemugumo; PAD - angiography; Peripheral tsinga chirwere - angiography

American Heart Association webhusaiti. Peripheral angiogram. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Yakagadziridzwa Gumiguru 2016. Yakasvika munaNdira 18, 2019.

Desai SS, Hodgson KJ. Endovascular yekuongorora maitiro. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 60.

Harisinghani MG, Chen JW, Weissleder R. Vascular imaging. Mune: Harisinghani MG, Chen JW, Weissleder R, eds. Kutanga kweKuongorora Kufungidzira. 6th ed. Philadelphia, PA: Elsevier; 2019: chits.

Jackson JE, Meaney JFM. Angiography: misimboti, maitiro uye zvinetswa. Muna: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Kuongorora Radiology: Bhuku Rezvinyorwa Zvekurapa Kufananidza. 6th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chits. 84.