Mesenteric angiography

Mesenteric angiography bvunzo yakashandiswa yakatarisana nemidziyo yeropa inopa zvidiki uye zvakakura ura.

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 muchipatara. Iwe ucharara pamusoro petafura ye x-ray. Unogona kukumbira mishonga kuti ikubatsire kuzorora (kunyaradza) kana uchiida.

• Munguva yekuyedzwa, yako BP, kurova kwemoyo, uye kufema zvichaongororwa.
• Anopa hutano anogera uye nekuchenesa iyo groin. Mushonga unodziisa (jekiseni) unopinda mukati meganda pane tsinga. Tsono inoiswa mutsinga.
• Chubhu mutete inochinjika inonzi catheter inopfuudzwa nepano tsono. Inotamirwa kupinda mutsinga, uye kumusoro kuburikidza nemidziyo mikuru yedumbu nzvimbo kusvikira yaiswa musvo mune mesenteric arteri. Chiremba anoshandisa x-ray senge gwara. Chiremba anogona kuona mhenyu mifananidzo yenzvimbo iyi paTV-senge yekutarisa.
• Musiyano wedhayi wakaiswa mukati meiyi chubhu kuti uone kana paine chero matambudziko nemitsipa yeropa. Mifananidzo yeX-ray inotorwa yetsinga.

Kumwe kurapwa kunogona kuitwa panguva iyi maitiro. Zvinhu izvi zvinopfuudzwa nepatheta kuenda kunzvimbo iri mutsinga inoda kurapwa. Izvi zvinosanganisira:

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

Mushure mokunge ma-ray-ray kana kurapwa kwapera, iyo catheter inobviswa. Dzvinyiriro inoiswa panzvimbo yekubaya kwemaminetsi makumi maviri kusvika makumi mana kumisa kubuda kweropa. Mushure menguva iyoyo nzvimbo inotariswa uye bhandeji rakasimba rinoiswa. Gumbo rinowanzo chengetwa rakatwasuka kune mamwe maawa matanhatu mushure mekuita.

Haufanire kudya 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 mupiki wako:

• 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

Iwe unogona kunzwa kurumwa kupfupi kana mushonga unovhiya uchipihwa. Iwe unozonzwa marwadzo mapfupi anopinza uye kumwe kumanikidza sezvo catheter ichiiswa uye ichiendeswa mune tsinga. Muzviitiko zvakawanda, iwe unonzwa chete kungonzwa kwekumanikidzwa munzvimbo yekugomera.

Sezvo dhayi iri kuiswa jekiseni, iwe unozonzwa kudziya, kumeso kwekunzwa. Iwe unogona kunge uine hunyoro uye kupwanya pane iyo saiti yekateti yekuisa mushure mekuedzwa.

Bvunzo iyi yaitwa:

• Kana paine zviratidzo zvekutetepa kana kuvharika tsinga yeropa mumatumbu
• Kuti uwane kunobva kubuda ropa mudumbu remudumbu
• Kuti uwane chikonzero chekuenderera kwekurwadziwa kwemimba uye kurasikirwa nekurema kana pasina chikonzero chingazivikanwe
• Kana zvimwe zvidzidzo zvikasapa ruzivo rwakakwana pamusoro pekukura zvisina kujairika padumbu remudumbu
• Kutarisa kukuvara kwemidziyo yeropa mushure mekukuvara mudumbu

Mesenteric angiogram inogona kuitwa mushure mekunyanyisa kwemishonga yenyukireya kuchiona kubuda ropa. Radiologist anogona ipapo kunongedza nekurapa kwainobva.

Mhedzisiro yakajairika kana arteri yakaongororwa yakajairika pakuonekwa.

Chinhu chakajairika chisingawanikwe chiri kudzikira uye kuomesa kwetsinga dzinopa ura hukuru uye hudiki. Izvi zvinodaidzwa kuti mesenteric ischemia. Dambudziko rinoitika kana chakakora (plaque) chakawanda pamadziro etsinga dzako.

Mhedzisiro isina kujairika inogona zvakare kunge iri yekuda kubuda ropa mudumbu uye muhombe ura. Izvi zvinogona kukonzerwa ne:

• Angiodysplasia yekoloni
• Ropa remidzi rinoputika kubva mukukuvara

Mimwe mhedzisiro isingaite inogona kunge iri nekuda kwe:

• Ropa rinovhara
• Cirrhosis
• Mamota

Kune imwe njodzi yekuti catheter inokuvadza arteri kana kugogodza chidimbu chemadziro etsinga. Izvi zvinogona kudzora kana kuvhara kuyerera kweropa uye kutungamira kune kufa kwetishu. Ichi chinetso chisingawanzoitika.

Dzimwe njodzi dzinosanganisira:

• Allergic reaction kune iyo kusiyanisa dhayi
• Kukuvadza kumudziyo weropa uko kunoiswa tsono uye catheter
• 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
• Utachiona
• Kukuvadza kumitsipa panzvimbo yekubaya tsono
• Itsvo kukuvara kubva dhayi
• Kukuvadza kune ura kana kuwedzerwa kweropa kwadzikira

Abdominal arteriogram; Arteriogram - dumbu; Mesenteric angiogram

• Mesenteric arteriography

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.

Lo RC, Schermerhorn ML. Mesenteric arterial chirwere: epidemiology, pathophysiology, uye kiriniki kuongorora. Mune: Sidawy AN, Perler BA, eds. Rutherford Kuvhiya kweVascular uye Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 131.

vd Bosch H, Westenberg JJM, d Roos A. Cardiovascular magnetic resonance angiography: carotids, aorta, uye mhiri kwemidziyo. Mune: Manning WJ, Pennell DJ, eds. Mwoyo Magnetic Resonance. 3rd ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 44.