Renal arteriography

Renal arteriography yakakosha x-ray yemitsipa yeropa yeitsvo.

Muedzo uyu unoitwa muchipatara kana muhofisi yekurapa. Iwe ucharara pamusoro petafura ye x-ray.

Vatapi vezvehutano vanowanzo shandisa arteri padhuze neguyo yekuyedza Dzimwe nguva, mupi anogona kushandisa arteri muchiuno.

Wako mupi acha:

• Chenesa uye shaura nzvimbo yacho.
• Isa mushonga unovevesa kunharaunda.
• Isa tsono mukati tsinga.
• Darika tambo nhete kuburikidza netsono kupinda mutsinga.
• Bvisa tsono.
• Isa chubhu refu, yakatetepa, inochinjika inonzi catheter munzvimbo yayo.

Chiremba anotungamira iyo catheter munzvimbo chaiyo uchishandisa x-ray mifananidzo yemuviri. Chishandiso chinonzi fluoroscope chinotumira mifananidzo kune yeTV yekutarisa, iyo iyo mupi anogona kuona.

Iyo catheter inosundirwa kumberi pamusoro petambo muaorta (huru yeropa mudziyo kubva pamoyo). Inobva yapinda mutsvo yeitsvo. Chiyero chinoshandisa dhayi yakakosha (inonzi musiyano) kubatsira arteri kuratidza pane x-ray. Tsinga dzeropa dzeitsvo hadzionekwe neakajairwa x-ray. Iyo dhayi inoyerera kuburikidza nekatheta kupinda mutsinga yetsvo.

Mifananidzo yeX-ray inotorwa apo dhayi inofamba nemidzi yeropa. Saline (isina mvura yemunyu) ine ropa rakatetepa inogona kutumirwa kuburikidza necatheter kuchengetedza ropa munzvimbo kubva mukugwamba.

Iyo catheter inobviswa mushure mokunge ma-ray atorwa. Chigadziro chekuvhara chinoiswa muguyo kana kumanikidzwa kunoiswa munzvimbo kumisa kubuda kweropa. Nzvimbo inoongororwa mushure memaminitsi gumi kana gumi nemashanu uye bhandeji rinoiswa. Iwe unogona kukumbirwa kuti uchengete gumbo rako rakatwasuka kwemaawa mana kusvika matanhatu mushure mekuita.

Udza mupiki kana:

• Une nhumbu
• Iwe wakambove uine chero dambudziko rekubuda ropa
• Iwe parizvino unotora vatete veropa, kusanganisira aspirin yemazuva ese
• Iwe wakambove nechero allergic reaction, kunyanya iwo ane hukama ne x-ray kusiyanisa zvinhu kana ayodini zvinhu
• Iwe wakamboonekwa uine itsvo kutadza kana kushanda zvakanaka itsvo

Iwe unofanirwa kusaina fomu yekubvuma. Usadye kana kunwa chero chinhu kwemaawa matanhatu kusvika masere usati waedzwa. Unozopihwa hanzu yechipatara yekupfeka uye kukumbirwa kubvisa zvese zvishongo. Iwe unogona kupihwa rinorwadza piritsi (sedative) pamberi pechirongwa kana IV sedatives panguva yekuita.

Iwe ucharara wakatsetseka patafura ye x-ray. Iko kunowanzo kuve nemutsago, asi hauna kusununguka semubhedha. Iwe unogona kunzwa kubaya kana mushonga weanesthesia uchinge wapiwa. Iwe unogona kunzwa kumanikidzwa uye kusagadzikana sezvo iyo catheter yakamiswa.

Vamwe vanhu vanonzwa kudziya kana dhayi rikajowa, asi vanhu vazhinji havagone kurinzwa. Iwe haunzwe catheter mukati memuviri wako.

Panogona kunge paine hunyoro hushoma uye kupwanya panzvimbo yejojo ​​mushure mekuyedzwa.

Renal arteriography inowanzo kudikanwa kuti ibatsire kusarudza pamusoro pekurapa kwakanakisa mushure mekunge kumwe kuyedzwa kwaitwa kutanga. Izvi zvinosanganisira duplex ultrasound, CT mudumbu, CT angiogram, MRI mudumbu, kana MRI angiogram. Aya mabvunzo anogona kuratidza anotevera matambudziko.

• Kuwedzera zvisina kujairika kwetsinga, inonzi aneurysm
• Kusabatana kusanzwisisika pakati pemitsipa uye arteri (fistula)
• Ropa rakavhara rinovhara tsinga inopa itsvo
• Isingatsanangurwe yakakwira BP yekufunga inofanirwa kuve nekuda kwekudzikira kwemitsipa yeropa yeitsvo
• Benign tumarara nekenza dzinosanganisira itsvo
• Kushanda kubuda ropa kubva muitsvo

Bvunzo iyi inogona kushandiswa kuongorora vanopa uye vanogashira pamberi petsvo.

Mhedzisiro inogona kusiyana. Taura nachiremba wako nezve zvinorehwa nemimwe miedzo yako.

Renal angiography inogona kuratidza kuvepo kwemamota, kudzikira kweiyo arteri kana aneurysms (kuwedzerwa kweiyo tsinga kana arteri), kugwamba kweropa, fistula, kana kubuda ropa muitsvo.

Muedzo unogona zvakare kuitwa nemamiriro anotevera:

• Kuvharika kwetsinga neropa
• Renal tsinga stenosis
• Kenza yesero renal
• Angiomyolipomas (noncancerous mamota eitsvo)

Mamwe ematambudziko aya anogona kurapwa nemaitiro anoitwa panguva imwechete arteriogram ichiitwa.

• Angioplasty maitiro ekuvhura yakamanikana kana yakavharika tsinga dzeropa dzinopa ropa kuitsvo dzako.
• Iyo stent idiki, simbi mesh chubhu inochengeta tsinga yakavhurika. Inogona kuiswa kuti uchengetedze tsinga yakamanikana yakavhurika.
• Cancers uye isina-cancerous tumors inogona kurapwa uchishandisa nzira inonzi embolization. Izvi zvinosanganisira kushandisa zvinhu zvinovhara ropa kuyerera kuitira kuuraya kana kudzikisa bundu. Dzimwe nguva, izvi zvinoitwa pamwe chete nekuvhiyiwa.
• Kubuda ropa kunogona kurapwa ne embolization.
  

Maitiro acho anowanzo chengeteka. Panogona kunge paine njodzi, senge:

• Allergic reaction kune iyo dhayi (musiyano wepakati)
• Arterial kukuvara
• Kukuvadza kune arteri kana arteri madziro, izvo zvinogona kutungamira kukugwamba kweropa
• Itsvo kukuvara kubva kukuvara kune tsinga kana kubva dhayi

Iko kune yakaderera radiation kuratidzwa. Vakadzi vane pamuviri nevana vane hanya nenjodzi dzine chekuita nema x-ray.

Muedzo UNOFANIRA kuitwa kana uine nhumbu kana uine matambudziko akakomba ekubuda ropa.

Magnetic resonance angiography (MRA) kana CT angiography (CTA) inogona kuitwa panzvimbo. MRA neCTA hazvipindiri uye zvinogona kupa kufungidzira kwakafanana kwetsinga dzeitsvo, kunyangwe dzisingakwanise kushandiswa pakurapa.

Renal angiogram; Angiography - itsvo; Renal angiography; Renal artery stenosis - arteriography

• Itsvo anatomi
• Tsinga dzetsvo

Azarbal AF, Mclafferty RB. Arteriography. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 25.

Duddalwar VA, Jadvar H, Palmer SL. Kuongorora kweitsvo kufungidzira. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 25.

Textor SC. Renovascular hypertension uye ischemic nephropathy. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsama 47.