Coronary angiography

Coronary angiography maitiro anoshandisa dhayi yakasarudzika (musiyano wezvinhu) uye x-ray kuona kuti ropa rinoyerera sei kuburikidza nematsinga ari mumoyo mako.

Coronary angiography inowanzoitwa pamwe chete nemoyo catheterization. Iyi ndiyo nzira ino pima kumanikidza mumakamuri emoyo.

Muedzo usati watanga, iwe unozopihwa munyoro unonyaradza kuti ubatsire kuzorora.

Nharaunda yemuviri wako (ruoko kana kugomera) inoshambidzwa uye yakaverengerwa nemushonga unovhundutsa wemuno (anesthetic). Nyanzvi yezvemwoyo inopfuura nepombi yakatetepa, inonzi catheter, kuburikidza netsinga uye yakanyatso kuisimudzira ichipinda mumoyo. Mifananidzo yeX-ray inobatsira chiremba kuisa catheter.

Kana catheter yangove panzvimbo, dhayi (musiyano wezvinhu) inopinzwa mukateti. Mifananidzo yeX-ray inotorwa kuti ione kuti dhayi rinofamba sei mutsinga. Iyo dhayi inobatsira kujekesa chero mabhureki mukuyerera kweropa.

Maitiro acho anowanzo kutora maminetsi makumi matatu kusvika makumi matanhatu.

Iwe haufanire kudya kana kunwa chero chinhu kwemaawa masere bvunzo isati yatanga. Ungangoda kugara muchipatara husiku husati hwaitwa bvunzo. Zvikasadaro, iwe unozotarisa kuchipatara mangwanani emuedzo.

Uchapfeka hanzu yechipatara. Iwe unofanirwa kusaina fomu yemvumo usati wayedzwa. Anopa hutano hwako anotsanangudza maitiro nemaitiro ayo.

Udza mupiki wako kana iwe:

• Inogadziriswa kune chero mishonga kana kana wakamboita zvakashata kupesanisa zvinhu munguva yakapfuura
• Uri kutora Viagra
• Unogona kunge uine pamuviri

Kazhinji, unenge wakamuka panguva yekuyedzwa. Iwe unogona kunzwa kumwe kumanikidzwa panzvimbo saiti iyo iyo catheter inoiswa.

Iwe unogona kunzwa kuputika kana kudziya kwekunzwa mushure mekunge dhayi yajowa.

Mushure mekuyedzwa, iyo catheter inobviswa. Unogona kunzwa kumanikidzwa kwakasimba kuri kuiswa panzvimbo yekuisa kudzivirira kubuda kweropa. Kana iyo catheter yakaiswa mune yako groin, iwe unozobvunzwa kurara wakarara kumusana kwako kwemaawa mashoma kusvika maawa akati wandei mushure mekuyedzwa kudzivirira kubuda ropa. Izvi zvinogona kukonzeresa kusagadzikana kudzoka kumashure.

Coronary angiography inogona kuitwa kana:

• Une angina kekutanga.
• Angina yako iri kuramba ichiwedzera, isingaendi, ichiitika kazhinji, kana kuitika pakuzorora (inonzi angina isina kugadzikana).
• Iwe une aortic stenosis kana rimwe dambudziko revhavha.
• Iwe une atypical chifuva kurwadziwa, kana kumwe kuyedzwa kuri kwakajairika.
• Iwe waive neakajairika moyo kushungurudzika bvunzo.
• Uri kuzovhiyiwa pamoyo wako uye uri panjodzi huru yechirwere chetsinga.
• Une kutadza kwemoyo.
• Iwe waonekwa kuti une chirwere chemwoyo.

Iko kune kwakajairwa kupihwa kweropa kumoyo uye hakuna mabhureki.

Mhedzisiro isina kujairika inogona kureva kuti une tsinga yakavharika. Muedzo unogona kuratidza kuti mangani maronari etsinga akavharika, kwaanodzivirirwa, uye kuomarara kwekuvharika.

Catheterization yemoyo inotakura njodzi inowedzera zvishoma kana ichienzaniswa nemimwe miedzo yemoyo. Nekudaro, iyo bvunzo yakachengeteka kwazvo kana ichiitwa nechikwata chine ruzivo.

Kazhinji, njodzi yezvinetso zvakakomba inotangira pane 1 mu1000 kusvika pa1 mu500. Njodzi dzemaitiro aya dzinosanganisira zvinotevera:

• Cardiac tamponade
• Kurova kwemoyo zvisina kujairika
• Kukuvadza kune tsinga yemoyo
• Kuderera kweropa
• Allergic reaction yekusiyanisa dhayi kana mushonga unopihwa panguva yekuongorora
• Kurohwa
• Kumira kurova kwemoyo

Kufunga kwakabatana nechero mhando ye catheterization inosanganisira zvinotevera:

• Kazhinji, pane njodzi yekubuda ropa, hutachiona, uye kurwadziwa paIV kana catheter saiti.
• Panogara paine njodzi diki kwazvo yekuti mapurasitiki akapfava anogona kukuvadza tsinga dzeropa kana zvivakwa zvakakomberedza.
• Ropa rakagumbuka raigona kuumbika pane iyo catheters uye ndokuzovhara mitsipa yeropa kumwe kunhu mumuviri.
• Musiyano wedhayi unogona kukuvadza itsvo (kunyanya kune vanhu vane chirwere cheshuga kana matambudziko eitsvo epamberi).

Kana kuvharirwa kukawanikwa, mupi wako anogona kuita inopindirana coronary kupindira (PCI) kuvhura iko kuvhara. Izvi zvinogona kuitwa panguva imwecheteyo maitiro, asi zvinogona kunonoka nekuda kwezvikonzero zvakasiyana.

Cardiac angiography; Angiography - moyo; Angiogram - coronary; Coronary tsinga chirwere - angiography; CAD - angiography; Angina - angiography; Chirwere chemwoyo - angiography

• Coronary angiography

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS yakanangana nekudzidziswa kweiyo gwara rekuongororwa uye manejimendi evarwere vane yakatsiga ischemic moyo chirwere: mushumo weAmerican College yeCardiology / American Heart Association Task Force pane Dzidzira Maitiro, uye iyo American Association for Thoracic Kuvhiya, Kudzivirira Cardiovascular Nurses Association, Sosaiti yeCardiovascular Angiography uye Kupindira, uye Sosaiti yeTracic Surgeons. J Ndiri Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. Catheterization uye angiography. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 51.

Mehran R, Dangas GD. Coronary arteriography uye intravascular imaging. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 20.

Werns S. Acute coronary syndromes uye acute myocardial infarction. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 29.