Tiyeni tingophunzira za mayeso a angiogram, omwe amafufuza kutsekeka kwa mitsempha yamagazi?

Angiogram ndi mayeso apadera a X-ray omwe amachitidwa kuti aone ngati pali kutsekeka kapena kuchepa kwa mitsempha yamagazi (mitsempha kapena mitsempha) m'thupi lanu. Izi zimathandiza madokotala kuona komwe magazi akuyenda m'thupi lanu komanso ngati pali vuto. Mwachitsanzo, imagwiritsidwa ntchito kudziwa komwe kuli vuto m'mitsempha kapena mitsempha m'malo monga mtima, khosi, impso, kapena miyendo.

N’chifukwa chiyani angiogram imachitidwa? Kodi imafunika liti?

Tsopano mwina mukudzifunsa kuti, 'N'chifukwa chiyani ndikufunika angiogram?' Dokotala wanu angakulimbikitseni mayesowa pokhapokha ngati pali chizindikiro chilichonse chakuti mitsempha yanu ya magazi yatsekedwa, yawonongeka, kapena ili ndi vuto linalake. Izi zidzawathandiza kudziwa vuto lenilenilo komanso momwe lawakhudzira . Izi zipangitsa kuti zikhale zosavuta kukonzekera chithandizo.

Mwachidule, angiogram imathandiza kuzindikira ndikukonzekera chithandizo cha matenda monga:

• Matenda a mitsempha ya mtima: Uku ndi kutsekeka kapena kuchepa kwa mitsempha yomwe imapereka magazi kumtima.
• Matenda a mitsempha ya m'mapazi: Kutsekeka kapena kuchepa kwa mitsempha ya m'mapazi.
• Magazi amaundana: Maselo a magazi amasonkhana pamodzi ndikupanga magazi kuundana.
• Aneurysm: Kufooka kwa khoma la mitsempha yamagazi lomwe limatupa ngati baluni.

Kodi ichi chimagwira ntchito bwanji?

Chabwino, tiyeni tiwone momwe izi zimagwirira ntchito. Pa angiogram, chinthu chapadera (chotchedwa utoto wosiyana) chimalowetsedwa m'thupi lanu. Utoto uwu umawonekera pa makina a X-ray. Kenako, mukayang'ana X-ray screen, mutha kuwona bwino momwe magazi akuyendetsera m'mitsempha yanu yamagazi, komanso ngati pali kutsekeka kwinakwake.

Mudzapatsidwa mankhwala okuthandizani kupumula ndikukhala omasuka panthawi yoyezetsayi. Anthu ambiri adzapatsidwa mankhwala ochepetsa ululu. Anthu ena adzapatsidwa mankhwala oletsa ululu, zomwe zikutanthauza kuti mudzakhala mutulo tofa nato. Komabe, mudzafunika munthu woti akuyendetseni kunyumba mukamaliza kuyezetsa.

Kodi mumakonzekera bwanji angiogram?

Musanayambe mayesowa, magazi anu ena angayesedwe kuti awone momwe magazi anu amaundana komanso ngati impso zanu zikugwira ntchito bwino.

Dziwani mankhwala

Ngati mukumwa mankhwala aliwonse, makamaka ochepetsa magazi (antiplatelet, anticoagulants) , muyenera kulankhula ndi dokotala musanawasiye. Ngati dokotala wanu akuvomereza:

• Mankhwala monga ``Clopidogrel`` angapemphedwe kuti asiye kugwiritsidwa ntchito masiku asanu mayeso asanachitike.
• Mungapemphedwe kuti musiye kumwa mankhwala ochepetsa magazi monga `Dipyridamole` kapena `Warfarin` maola 72 musanayambe mayeso komanso kwa maola 24 mutatha mayeso.
• Mankhwala ena odziwika bwino angatengedwe mwachizolowezi.
• Kwa inuNgati muli ndi matenda a shuga , funsani dokotala wanu momwe muyenera kumwa insulin kapena mankhwala ena a shuga komanso nthawi yake.

Zokhudza chakudya ndi zakumwa

Musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku usanachitike angiogram. Ngati mudzapatsidwa mankhwala oletsa ululu panthawi yoyezetsa, musadye kapena kumwa chilichonse pambuyo pa pakati pausiku usiku watha.

Kumbukirani zinthu izi pa tsiku la mayeso

• Imwani zakumwa zopepuka zokha (monga madzi, tiyi wopanda shuga) m'mawa wa tsiku loyeserera.
• Siyani zodzikongoletsera zanu ndi zinthu zanu zamtengo wapatali kunyumba .
• Konzani kuti munthu amene ali ndi udindo akutengereni kunyumba.
• Bweretsani mndandanda wa mankhwala omwe mukumwa panopa komanso tsatanetsatane wa ziwengo zilizonse zomwe mungakhale nazo .
• Ngati dokotala wanu akuyenera kuonana ndi wodwala wadzidzidzi, mungafunike kudikira mpaka nthawi yanu ifike. Choncho ndi bwino kubweretsa chinthu monga buku kapena magazini.
• Ngati muli ndi matenda a shuga, dziwitsani ogwira ntchito zachipatala onse za matendawa.
• Muyenera kuvala diresi la kuchipatala ndikugona patebulo lapadera la X-ray.
• Musanayesedwe, lankhulani ndi dokotala wanu za malangizo anu, mafunso aliwonse omwe muli nawo, komanso mbiri yanu yachipatala.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Dokotala akamachita angiogram, adzayang'ana:

• Choyamba, malo omwe catheter idzalowetsedwemo ndi ofooka.
• Kenako, singano imagwiritsidwa ntchito kulowetsa mu imodzi mwa mitsempha yanu yamagazi.
• Waya umadutsa mu singano imeneyo.
• Chubu chachitali, chopyapyala chotchedwa catheter chimayikidwa pamwamba pa waya mu mtsempha waukulu, nthawi zambiri m'mimba mwanu kapena pachikhatho.
• Kenako, mosamala kwambiri, catheter imatsogozedwa motsatira mtsempha wamagazi mpaka itafika pagawo la mtsempha wamagazi lomwe likufunika kufufuzidwa.
• Tsopano, pang'ono pa 'zosiyana' zomwe tatchula kale (monga 'dye') zidzalowetsedwa mumtsempha wamagazi kudzera mu catheter. Panthawiyi , mutha kumva kutentha kwa masekondi angapo, kapena mungamve ngati mukufuna kukodza . Izi sizachilendo, musadandaule.
• Kenako X-ray imatengedwa.
• Mwa kuyang'ana chowunikira cha X-ray, kuwona momwe utoto ukugwirira ntchito, mutha kuwona momwe magazi akuyendetsera m'mitsempha yanu yamagazi komanso komwe kuli zotsekeka.

Kodi angiogram imatenga nthawi yayitali bwanji?

Angiogram nthawi zambiri imatha kuchitidwa mu mphindi 15 zokha , koma nthawi zina imatenga maola angapo. Izi zimadalira ngati dokotala apereka chithandizo china chilichonse vutoli litadziwika.

Tangoganizirani, ngati dokotala apeza kuti pali vuto, adzachita angioplasty nthawi yomweyo.Chithandizochi chimaphatikizapo kugwiritsa ntchito chipangizo chaching'ono chonga baluni kukankhira malo otsekekawo pakhoma la mitsempha yamagazi. Ngati izi zilola kuti magazi aziyenda bwino ndipo kutsekeka kwatsala kochepera 30%, angioplasty ingakhale njira yokhayo.

Koma ngati angioplasty sipanga mpata waukulu woti magazi aziyenda, mungafunike kuyika stent . Iyi ndi chubu chaching'ono chachitsulo chomwe chimayikidwa mkati mwa mtsempha wamagazi ndipo chimathandiza kuti chikhale chotseguka. Izi zitha kuyikidwa nthawi yomweyo angioplasty itatha.

Njira ina yothandizira ndi opaleshoni ya mitsempha ya mtima kapena opaleshoni ya mitsempha ya m'mphepete mwa mitsempha . Izi zimaphatikizapo kupanga njira yatsopano yoti magazi aziyenda mozungulira mitsempha yotsekeka. Komabe, opaleshoniyi imachitika tsiku lina.

Kodi chimachitika ndi chiyani pambuyo pa mayeso?

Dokotala wanu adzachotsa catheter ndikuyika bandeji pamalo obowoledwa pakhungu lanu. Bandejiyo idzasungidwa pamalopo kwa mphindi zosachepera 15 kuti asiye kapena kuletsa kutuluka magazi.

Ngati catheter idayikidwa kudzera mu mwendo wanu, muyenera kupuma pabedi kwa maola anayi mpaka asanu ndi limodzi. Izi zithandiza kuchepetsa kutuluka magazi kuchokera pabala.

Musanapite kunyumba

Dokotala asanakutumizeni kunyumba, adzakuyang'anirani ndikukambirana nanu za malangizo oti mutsatire kunyumba.

Mukapita kunyumba (mukuchira ku angiogram)

Ngakhale mutachitidwa opaleshoni ya angioplasty ndi stent, mudzatha kupita kunyumba tsiku lomwelo kapena tsiku lotsatira pambuyo pa angiogram. Komabe, popeza mudapatsidwa mankhwala oletsa ululu, mudzafunika wina woti akutengereni kunyumba .

Mukapita kunyumba, musanyamule makilogalamu opitirira 4.5 (pafupifupi makilogalamu 4.5) kwa masiku awiri otsatira, musawerame, kapena kuwerama . Izi zithandiza kupewa kutuluka magazi kuchokera pabala.

Ndibwino kukhala ndi munthu wamkulu wodalirika amene angakhale nanu usiku wonse woti muyesedwe. Anthu ena angafunike kukhala m'chipatala usiku wonse kuti achire.

Ngati muli ndi matenda a shuga, musamwe metformin kwa maola 48 mutatha kuyezetsa . Izi zimachepetsa chiopsezo cha mavuto a impso.

Imwani madzi ambiri . Izi zithandiza kuti utoto uchoke m'thupi lanu mwachangu.

Kodi zoopsa za angiogram ndi ziti?

Zoopsa za angiogram ndizochepa kwambiri. Komabe, pakhoza kukhala zovuta zazing'ono pomwe dokotala amabowola khungu lanu kuti alowe m'mitsempha yanu. Mavutowa amapezeka pa milandu yochepera 1% .

Zoopsa za angiogram nthawi zambiri zimakhala zokhudzana ndi malo obowoledwa. Izi zikuphatikizapo:

• Mabala: Izi ndi zachilendo ndipo zimatha mkati mwa sabata imodzi kapena milungu itatu.
• Kutuluka magazi
• Matenda
• Ululu
• Mavuto a impso
• Kusamvana ndi zinthu zosiyanitsa (utoto)
• Kuwonongeka kwa mitsempha yamagazi
• Kugunda kwa mtima kosazolowereka (arrhythmia) kapena vuto monga kulephera kwa mtima (kulephera kwa mtima) lomwe limafuna kutsitsimutsidwa.
• Kuundana kwa magazi kumatseka mtsempha wamagazi, zomwe zimayambitsa matenda a mtima kapena sitiroko (kawirikawiri)
• Kutuluka magazi kuchokera m'mitsempha yamagazi (kawirikawiri kwambiri)

Kodi zotsatira zake zimapezeka bwanji? Kodi zikutiuza chiyani?

Dokotala angapeze mavuto ang'onoang'ono omwe si aakulu. Sangafunike chithandizo chachikulu. Angakuuzeni kuti mumwe mankhwala kapena kusintha zina ndi zina pa moyo wanu watsiku ndi tsiku. Mwachitsanzo, maseŵera olimbitsa thupi kwambiri kapena kudya zakudya zopatsa thanzi.

Koma nthawi zina pamakhala kutsekeka kwakukulu. Zimenezo zimafuna chithandizo chochulukirapo. Ngati zili choncho, dokotala akhoza kuchita angioplasty nthawi yomweyo ndi angiogram, kuyika stent kuti atsegule mtsempha wanu wamagazi ndikuusunga wotseguka.

Anthu ena amafunika chithandizo chapadera tsiku lina. Dokotala angakulangizeni opaleshoni yodutsa magazi, yomwe imapanga njira yoti magazi aziyenda mozungulira malo otsekekawo.

Kodi zotsatira zake zidzadziwika liti?

Dokotala wanu mwina adzakulankhulani nanu akamaliza angiogram yanu. Komabe, dokotala wanu angafunike nthawi kuti awonenso zithunzi zanu za X-ray asanasankhe choti achite kenako.

Kodi muyenera kukaonananso ndi dokotala liti?

Ngati chilichonse mwa izi chichitika, pitani kwa dokotala nthawi yomweyo:

• Ngati muli ndi ululu kapena kusapeza bwino komwe sikutha ngakhale mutamwa mankhwala .
• Ngati n'kovuta kulankhula kapena kumwetulira .
• Ngati muli ndi dzanzi, kufooka, kutentha, kapena kutupa m'dzanja kapena mwendo kumene catheter imayikidwa.
• Ngati mukumva malungo .
• Ngati pali chotupa pafupi ndi bala .
• Ngati pali kutuluka magazi kuchokera pamalo pomwe catheter idalowetsedwa pakhungu.

Kodi angiogram ndi opaleshoni yaikulu?

Ayi. Angiogram ndi mayeso a "minimally invasive" omwe amachitidwa popanda kudula kwakukulu . Si opaleshoni. Dokotala amagwiritsa ntchito dzenje laling'ono kwambiri. Dzenje limenelo ndi lalikulu mokwanira kuyika catheter mu mtsempha wanu wamagazi.

Kodi angiogram ndi yoopsa bwanji?

Angiogram ndi mayeso osavuta kuwayeza . Komabe, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu a momwe mungakonzekerere.

Kodi izi zimapweteka?

Angiogram si yopweteka kwambiri .

Simudzamva ululu waukulu. Mungakhale ndi vuto laling'ono. Choncho musachite mantha!

Dokotala adzabaya mankhwala oletsa ululu pamalo omwe catheter imayikidwa, ndipo mudzamva singano ikugundani pakhungu lanu. Pambuyo pake, mwina simudzamva kupweteka kulikonse panthawi yoyezetsa. Mungamve kupweteka pang'ono pamene catheter imayikidwa. Pambuyo poyezetsa, mungakhale ndi ululu kapena mabala ena pamene catheter imayikidwa.

Kodi angiogram ndi angioplasty ndi chinthu chimodzi?

Ayi. Angiogram ingathandize dokotala wanu kuona ngati pali kutsekeka kwa mitsempha yanu. Pa nthawi ya angiogram, dokotala wanu akhoza kuchita angioplasty kuti athetse kutsekekako.

Ndani akuchita mayeso awa?

Angiogram ya mtima imapangidwa ndi dokotala wa mtima wolowerera . Angiogram ya mitsempha yamagazi m'mbali zina za thupi (monga miyendo) imapangidwa ndi akatswiri a radiology ndi opaleshoni ya mitsempha . Angiogram ya ubongo imapangidwa ndi akatswiri a mitsempha yolowerera . Dokotala amene amachita angiogram amatha kuphunzira zithunzi zanu ndikupeza madera omwe akukudetsani nkhawa.

Pomaliza, potsiriza, kumbukirani izi.

Ngati dokotala wanu akukuuzani kuti muyese angiogram, zikutanthauza kuti akufuna mayankho a mafunso ena. Chidziwitso chochokera mu angiogram chidzawathandiza kusankha ngati mukufunikira chithandizo. Ngati n'koyenera malinga ndi vuto lanu, akhoza kuchiza vuto lanu pamene mukuyesedwa.

Komabe, izi zimachitika mwanjira yomwe imakupangitsani kumva bwino komanso kumasuka. Palibe chifukwa chochitira mantha.

Ngati muli ndi mafunso okhudza angiogram kapena zomwe ingapeze, musaope kufunsa dokotala wanu. Kumbukirani, izi zachitika kuti zikuthandizeni kukonza thanzi lanu.

Angiogram , matenda a mtima, mitsempha yamagazi, magazi kuundana, stents, angioplasty, mayeso azachipatala