Cerebral angiography

Cerebral angiography inzira inoshandisa dhayi yakakosha (musiyano wezvinhu) uye x-rays kuti uone kuyerera kweropa kuburikidza nepfungwa.

Cerebral angiography inoitwa muchipatara kana radiology nzvimbo.

• Iwe unorara patafura ye x-ray.
• Musoro wako wakabatwa uchiri kushandisa tambo, tepi, kana masaga mabhegi, saka HAUFANIRI kuifambisa panguva yekuita.
• Muedzo usati watanga, iwe unopihwa unonyaradza hunyoro kuti ubatsire kuzorora.
• Electrococardiogram (ECG) inoongorora chiitiko chemoyo wako panguva yekuyedzwa. Matanda anonamira, anonzi anotungamira, anozoiswa pamaoko ako nemakumbo. Tambo dzinobatanidza zvinotungamira kumuchina weECG.

Nharaunda yemuviri wako, kazhinji kacho kugomera, inocheneswa uye kuverengerwa nemushonga unovhundutsa wemuno (anesthetic). Chubhu mutete, isina mhango inonzi catheter inoiswa kuburikidza netsinga. Iyo catheter inonyatso fambiswa kumusoro kuburikidza nemidzi mikuru yeropa munzvimbo yedumbu uye chipfuva mune tsinga iri mumutsipa. X-ray inobatsira chiremba kutungamira iyo catheter kunzvimbo chaiyo.

Kana iyo catheter yavepo, dhayi rinotumirwa kuburikidza nekateti. Mifananidzo yeX-ray inotorwa kuti ione mafambiro anoita dhayi kuburikidza netsinga nemidziyo yeropa yeuropi. Iyo dhayi inobatsira kujekesa chero mabhureki mukuyerera kweropa.

Dzimwe nguva, komputa inobvisa mapfupa uye zvinyama pamifananidzo iri kutariswa, zvekuti chete tsinga dzeropa dzakazara nedhayi ndidzo dzinoonekwa. Izvi zvinodaidzwa kunzi kudhijitari kubvisa angiography (DSA).

Mushure mokunge ma-ray-ray atorwa, iyo catheter inobviswa. Kumanikidza kunoiswa pagumbo panzvimbo yekuiswa kwemaminetsi gumi kusvika gumi nemashanu kumisa kubuda kweropa kana mudziyo unoshandiswa kuvhara buri diki. Bhandeji rakasimba rinobva raiswa. Gumbo rako rinofanirwa kuchengetwa rakatwasuka kwemaawa maviri kusvika matanhatu mushure mekuita. Tarisa nzvimbo yekubuda ropa kwemaawa gumi nemaviri anotevera. Muzviitiko zvisingawanzoiti, arteri yechiuno inoshandiswa pachinzvimbo chegain artery.

Angiography ine catheter inoshandiswa zvishoma kazhinji izvozvi. Izvi zvinodaro nekuti MRA (magnetic resonance angiography) uye CT angiography inopa yakajeka mifananidzo.

Maitiro acho asati aitwa, mupi wako anozokuongorora uye oodha kuongororwa kweropa.

Udza mupi kana iwe:

• Iva nenhoroondo yezvinetso zvekubuda ropa kana kutora mishonga iyo inoonda ropa
• Wakave neanogadzirisa kugadzirisa kune x-ray musiyano dhayi kana chero chinhu cheiyodini
• Angave nepamuviri
• Iva nezvinetso zveitsvo

Unogona kuudzwa kuti usadya kana kunwa chero chinhu kwemaawa mana kusvika masere bvunzo isati yaitwa.

Paunosvika panzvimbo yekuyedza, iwe unozopihwa gown repachipatara kuti upfeke. Unofanira kubvisa zvishongo zvese.

Iyo x-ray tafura inogona kunzwa yakaoma uye kutonhora. Unogona kukumbira gumbeze kana mutsago.

Vamwe vanhu vanonzwa kubaya kana mushonga unovhiya (unesthetic) uchinge wapiwa. Iwe unozonzwa kurwadziwa kupfupi, kwakapinza uye kumanikidza sezvo catheter ichiendeswa mumuviri. Kamwe iko kuiswa kwekutanga kwapera, hauzonzwa catheter zvakare.

Musiyano unogona kukonzeresa kudziya kana kutsva kwekunzwa kweganda rechiso kana musoro. Izvi zvakajairika uye zvinowanzoenda mukati memasekondi mashoma.

Unogona kunge uine hunyoro hushoma uye kupwanya panzvimbo yejojo ​​mushure mekuyedzwa.

Cerebral angiography inowanzo shandiswa kuratidza kana kusimbisa matambudziko nemidzi yeropa muuropi.

Wako mupi anogona kuraira iyi bvunzo kana iwe uine zviratidzo kana zviratidzo zve:

• Mitezo yeropa isina kujairika muuropi (vascular malformation)
• Kubhururuka ropa reropa muuropi (aneurysm)
• Kuderedza tsinga dziri muuropi
• Kuzvimba kwemitsipa yeropa muuropi (vasculitis)

Iyo dzimwe nguva inoshandiswa ku:

• Tarisa uone kuyerera kweropa kune bundu.
• Ongorora tsinga dzemusoro nemutsipa usati wavhiyiwa.
• Tsvaga gumbezi iro rinogona kunge rakakonzera sitiroko.

Mune zvimwe zviitiko, maitiro aya anogona kushandiswa kuwana ruzivo rwakadzama mushure mekunge chimwe chinhu chisina kujairika chaonekwa neMRI kana CT scan yemusoro.

Muedzo uyu unogona zvakare kuitwa mukugadzirira kurapwa (nzira dzekupindira dzeradiology) nenzira yemamwe mitsipa yeropa.

Kusiyanisa dhayi inoyerera ichibuda mutsinga yeropa inogona kunge iri chiratidzo chekubuda ropa.

Tsinga dzakadzikira kana dzakavharwa dzinogona kuratidza kuti:

• Cholesterol inoisa
• Kupenga kwetsinga yeuropi
• Dambudziko rekugara nhaka
• Ropa rinovhara rinokonzera sitiroko

Kunze kwenzvimbo tsinga dzeropa dzinogona kuve nekuda kwe:

• Mamota ehuropi
• Kubuda ropa mukati mehenya
• Aneurysm
• Kusabatana kusinganzwisisike pakati petsinga uye mutsinga muuropi (arteriovenous malformation)

Mhedzisiro isina kujairika inogona zvakare kunge iri nekuda kwekenza iyo yakatanga mune chimwe chikamu chemuviri uye yakapararira kuuropi (metastatic brain tumor).

Zvinetso zvinogona kusanganisira:

• Allergic reaction kune iyo kusiyanisa dhayi
• Ropa rakavhara kana kubuda ropa panowanikwa kateti, izvo zvinogona kuvharidzira kuyerera kweropa kuenda pagumbo kana ruoko (zvisingawanzo)
• Kukuvadza kune arteri kana arteri madziro kubva kune catheter, iyo inogona kudzivirira kuyerera kweropa uye kukonzera sitiroko (isingawanzo)
• Kukuvadza kune itsvo kubva ku IV mutsauko

Udza mupiki wako ipapo ipapo kana uine:

• Kushaya simba kumeso kwako mhasuru
• Unhu mugumbo rako panguva kana mushure mekuita
• Kutaura kwakadzora panguva kana mushure mekuita
• Zviratidzo zvekuona panguva kana mushure mekuita

Vertebral angiogram; Angiography - musoro; Carotid angiogram; Cervicocerebral catheter-based angiography; Intra-arterial yedigital kubvisa angiography; IADSA

• Ubongo
• Carotid stenosis - X-ray yetsinga yekuruboshwe
• Carotid stenosis - X-ray yetsinga chaiyo

Adamczyk P, Liebeskind DS. Vascular imaging: computed tomographic angiography, magnetic resonance angiography, uye ultrasound. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 40.

Barras CD, Bhattacharya JJ. Ikozvino mamiriro ekufungidzira kwehuropi uye anatomical maficha. Muna: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Kuongorora Radiology. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 53.

Chernecky CC, Berger BJ. Cerebral angiography (cerebral angiogram) - kuongororwa. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 309-310.