Pulmonary angiography

Pulmonary angiography muyedzo kuti uone kuyerera kweropa kuburikidza nemapapu.

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

Muedzo uyu unoitwa kuchipatara. Iwe unozobvunzwa kuti urere pamusoro petafura ye x-ray.

• Muedzo usati watanga, iwe unozopihwa munyoro unonyaradza kuti ubatsire kuzorora.
• Nharaunda yemuviri wako, kazhinji ruoko kana kugomera, inocheneswa uye kuverengerwa nemushonga unovhundutsa wemuno (anesthetic).
• Radiologist anoisa tsono kana kuita kakacheka mutsinga munzvimbo yakacheneswa. Pombi yakatetepa ine mhango inonzi catheter inoiswa.
• Iyo catheter inoiswa kuburikidza neiyo tsinga uye yakanyatso fambiswa kukwira mukati uye kuburikidza nemukati-kurudyi moyo makamuri uye mune yemapapu arteri, iyo inotungamira kumapapu. Chiremba anogona kuona mhenyu x-ray mifananidzo yenzvimbo iyi paTV-senge yekutarisa, uye woishandisa seyambiro.
• Kana iyo catheter yavepo, dhayi inojowa mukateti. Mifananidzo yeX-ray inotorwa kuti ione mafambiro anoita dhayi kuburikidza nemitsipa yemapapu. Iyo dhayi inobatsira kuona chero mabhureki ekuyerera kweropa.

Kupomba kwako, kuwedzerwa kweropa, uye kufema kunoongororwa panguva yekuita. Electrocardiogram (ECG) inotungamirwa yakanamirwa kumaoko ako nemakumbo kuti uone moyo wako.

Mushure mokunge ma-ray-ray atorwa, tsono uye catheter zvinobviswa.

Dzvinyiriro inoiswa panzvimbo yekubaya kwemaminetsi makumi maviri kusvika makumi mana kumisa kubuda kweropa. Mushure menguva iyoyo nzvimbo inotariswa uye bhandeji rakasimba rinoiswa. Iwe unofanirwa kuchengeta gumbo rako rakatwasuka kwemaawa matanhatu mushure mekuita.

Kazhinji, mishonga inoendeswa kumapapu kana iro reropa rakawanikwa panguva yekuita.

Unogona kubvunzwa kuti usadya kana kunwa chero chinhu kwemaawa matanhatu kusvika masere bvunzo isati yaitwa.

Iwe unozobvunzwa kupfeka hanzu yechipatara uye kusaina fomu rekubvuma maitiro acho. Bvisa zvishongo kubva munzvimbo iri kuvezwa.

Udza mupi wako wezvehutano:

• Kana iwe uri nepamuviri
• Kana iwe wakambove nechero allergic reaction kune x-ray kusiyanisa zvinhu, shellfish, kana ayodini zvinhu
• Kana iwe uri weergoria kune chero mishonga
• Ndeapi mishonga auri kutora (kusanganisira chero gadziriro yemakwenzi)
• Kana wakambove nedambudziko rekubuda ropa

Iyo x-ray tafura inogona kunzwa kutonhora. Kumbira gumbeze kana mutsago kana usina kugadzikana Unogona kunzwa kurumwa kupfupi kana mushonga unovhiya uchipihwa uye pfupi, yakapinza, kamuti panowanikwa katheta.

Unogona kunzwa kumanikidzwa apo catheter inokwira ichipinda mumapapu. Musiyano wedhayi unogona kukonzeresa kudziya uye kudziya. Izvi zvakajairika uye zvinowanzoenda mumasekondi mashoma.

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

Chiyero chinoshandiswa kuona kuwanda kweropa (pulmonary embolism) uye kumwe kuvharika muropa kuyerera mumapapu. Kazhinji yenguva, mupi wako anenge aedza mimwe miedzo kuti aongorore kuwanda kweropa mumapapu.

Pulmonary angiography inogona zvakare kushandiswa kubatsira kuongorora.

• AV malformations emapapu
• Congenital (iripo kubva pakuberekwa) kudzikira kwemidziyo yemapapu
• Pulmonary arteri aneurysms
• Pulmonary hypertension, kuwedzerwa kweropa mumatsinga emapapu

Iyo x-ray inoratidza zvimiro zvakajairika zvezera remunhu.

Mhedzisiro isina kujairika inogona kunge iri nekuda kwe:

• Aneurysms emidziyo yemapapu
• Ropa rinovhara mumapapu (pulmonary embolism)
• Mutsipa weropa wakadzikira
• Primary pulmonary hypertension
• Bundu mupapu

Munhu anogona kukura asina kujairika moyo rhythm panguva iyi bvunzo. Bato rezvehutano rinoongorora moyo wako uye rinogona kubata chero zvimiro zvisina kujairika zvinokura.

Dzimwe njodzi dzinosanganisira:

• Allergic reaction kune iyo kusiyanisa dhayi
• Kukuvadza kumudziyo weropa sezvo tsono uye catheter zvakaiswa
• Ropa rakavhara richienda kumapapu, zvichikonzera kuumbika
• 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
• Itsvo kukuvara kubva dhayi
• Kukuvadza kumidziyo yeropa mumapapu
• Kubuda ropa mupapu
• Kukosora ropa
• Kukundikana kwekufema
• Rufu

Iko kune yakaderera radiation kuratidzwa. Wako mupi anoongorora nekutarisa ma x-ray kuti ape hushoma huwandu hwekuratidzwa nemwaranzi. Nyanzvi zhinji dzinofunga kuti njodzi yakaderera kana ichienzaniswa nezvakanaka. Vakadzi vane pamuviri nevana vane hanya nenjodzi dze x-ray.

Computed tomography (CT) angiography yechipfuva yakatsiva uyu muedzo.

Pulmonary arteriography; Angiogram yemapapu; Angiogram yemapapu

• Tsinga dzemapapu

Chernecky CC, Berger BJ. P. Mu: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 842-951.

Hartmann IJC, Schaefer-Prokop CM. Kutenderera kwepulmonary uye pulmonary thromboembolism. 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. 23.

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.

Nazeef M, Sheehan JP. Venous thromboembolism. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019: 858-868.