Kuyesa kwa Cerebral Angiogram: Kodi ndi chinthu choopa? Tiyeni tidziwe bwino!

Mwina dokotala wanu wakuuzani kuti muyenera kuyesedwa mwapadera pa mitsempha yamagazi muubongo wanu. Kodi munachita mantha pang'ono atakuuzani kuti dzina la mayesowo linali 'Cerebral Angiogram'? Kapena munavutika kuganiza momwe zinalili mutamva dzinalo? Palibe chifukwa choopa kapena kuda nkhawa. Munkhaniyi, tikambirana momveka bwino komanso mwachidule za momwe zilili, momwe zimachitikira, komanso chifukwa chake zimachitika.

Kodi angiogram ya ubongo ndi chiyani?

Mwachidule, angiogram ya ubongo ndi mayeso apadera omwe amafufuza mavuto a mitsempha yamagazi muubongo wanu. Monga mapu a mzinda, mayesowa amalola madokotala kuwona chithunzi chowoneka bwino, chonga mapu cha mitsempha yamagazi yomwe imanyamula magazi kupita ku ubongo wanu.

Mayesowa amachitidwa ndi madokotala ophunzitsidwa bwino, nthawi zambiri m'chipinda chochitira opaleshoni. Izi ndi zomwe zimachitika:

1. Dokotala amaika chubu chapulasitiki chopyapyala kwambiri chotchedwa catheter mu mtsempha waukulu wamagazi womwe uli m'dzanja lanu kapena m'mimba mwanu.

2. Kenako, utoto wapadera umalowetsedwa kudzera mu chubu. Utoto uwu umapangitsa kuti mitsempha yamagazi yanu iwonekere bwino kwambiri pazithunzi za X-ray.

3. Pamene mukugona patebulo lofufuzira, dokotala akujambula zithunzi zingapo za X-ray pamene utoto uwu ukudutsa m'mitsempha yanu yamagazi.

Zithunzi zomwe zajambulidwa pogwiritsa ntchito njira imeneyi zimapereka chithunzi chatsatanetsatane komanso chomveka bwino cha mitsempha yamagazi muubongo kuposa CT scan (Computed Tomography) kapena MRI scan (Magnetic Resonance Imaging) yomwe nthawi zambiri timachita.

N’chifukwa chiyani tiyenera kuchita mayeso amenewa?

Nthawi zina mayesowa amachitidwa kuti adziwe matenda enieni. Nthawi zina, amagwiritsidwanso ntchito pochiza matenda enaake. Makamaka, amagwiritsidwa ntchito kutsimikizira ngati pali vuto lililonse m'mitsempha yamagazi muubongo.

Kuphatikiza apo, mayesowa amachitika pazifukwa zina zingapo:

• Yang'anani momwe mitsempha yanu yamagazi ilili musanachite opaleshoni pamutu, pakhosi, kapena muubongo.
• Ngati pali chotupa cha muubongo, fufuzani momwe magazi amaperekedwera komanso kuchokera m'mitsempha iti.
• Dziwani zambiri za vuto lomwe limapezeka pa scan ina (monga MRI kapena CT scan).

Kodi timakonzekera bwanji mayeso asanachitike?

Musanayambe kuyezetsa magazi, dokotala wanu adzaonetsetsa kuti ndi koyenera komanso kotetezeka kuti muchite izi. Adzakuyezani, mwina adzakuyezani magazi, ndikufunsani mafunso okhudza mbiri yanu ya thanzi.

• Tiuzeni za mankhwala onse omwe mukumwa panopa: Izi zikuphatikizapo mavitamini, zowonjezera zakudya, ndi mankhwala ogulitsidwa kunja kwa chipatala (OTC) omwe mumamwa.
• Tiuzeni za matenda ena aliwonse omwe muli nawo: ngakhale ngati malungo omwe mwangoyamba kumene.
• Ngati muli ndi vuto la kutuluka magazi kapena mukumwa mankhwala ochepetsa magazi: Tchulaninso mankhwala aliwonse monga ochepetsa ululu (NSAIDs).
• Zokhudza ziwengo zanu: Onetsetsani kuti mwatiuza ngati muli ndi ziwengo zilizonse, makamaka mankhwala oletsa ululu, utoto wosiyanitsa, kapena chilichonse chokhala ndi ayodini.
• Ngati muli ndi pakati kapena mukukayikira kuti muli ndi pakati:Ndiyeneranso kuuza dokotala zimenezo.

Ngati mwapatsidwa mankhwala ochepetsa ululu kuti mukhale omasuka panthawi yoyezetsa, mudzalangizidwa kuti musadye kapena kumwa kwa maola anayi mpaka asanu ndi atatu mayeso asanachitike. Komanso, ngati mwapatsidwa mankhwala oletsa ululu, mudzapemphedwa kuti mubweretse munthu wina kuti akutengereni kunyumba mukamaliza kuyezetsa. Tsatirani malangizo onsewa mosamala.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Chabwino, tsopano tiyeni tiwone momwe izi zidzachitikire pang'onopang'ono. Musadandaule, chilichonse chidzachitika mosamala kwambiri popanda kukusokonezani.

1. Choyamba, mudzapatsidwa diresi lapadera la kuchipatala kuti muvale.

2. Namwino kapena katswiri wa radiation adzaika cannula (IV line) mu mtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mudzapatsidwa mankhwala okuthandizani kupumula, ngati pakufunika. Izi zidzamveka ngati kumva pang'ono kwa nyerere. Anthu ena, makamaka ana ndi achinyamata, angapatsidwenso mankhwala oletsa ululu.

3. Zipangizo zidzalumikizidwa ku thupi lanu kuti ziwunikire kugunda kwa mtima wanu ndi kuthamanga kwa magazi panthawi yonse yoyezetsa.

4. Mudzaikidwa patebulo loyezetsera. Mutu wanu udzalephereka kuyenda ndi lamba kapena chothandizira thovu.

5. Malo omwe catheter idzalowetsedwe (pakhosi kapena padzanja) ayeretsedwe bwino ndi yankho la antiseptic.

6. Kenako , mankhwala opangitsa kuti munthu asamve kupweteka amabayidwa m'derali. Mukabayidwa, mungamve kutentha pang'ono kwa masekondi angapo, koma kenako deralo lidzayamba kumva dzanzi.

7. Dokotala amadula khungu pang'ono kwambiri kuti aikepo catheter.

8. Kenako, motsogozedwa ndi X-ray, catheter imalowetsedwa mu mtsempha wamagazi kudzera mu dzenje laling'ono kwambiri lopangidwa ndi singano. Mudzamva kukankhidwa pang'ono panthawiyi, koma sikudzapweteka.

9. Tsopano dokotala adzatsogolera mosamala catheter kudzera m'mitsempha yanu ndikulowa m'mitsempha ya m'khosi mwanu. Simudzamva catheter ikudutsa m'thupi mwanu.

10. Katheta ikayikidwa, utoto wosiyana umalowetsedwa kudzera mu utotowo. Mungamve kutentha pang'ono pamene utotowo ukuyenda m'thupi lanu, koma izi zidzatha msanga.

11. Utoto ukalowa m'mitsempha yamagazi muubongo wanu, dokotala adzajambula zithunzi zingapo za X-ray. Panthawiyi, muyenera kugwira mpweya wanu ndikukhala chete . Iyi ndiyo njira yokhayo yopezera zithunzi zomveka bwino.

12. Dokotala akatenga zithunzi zonse zofunika, amachotsa mosamala katheta.

13. Kuti muletse kutuluka magazi kuchokera pamalo olowetsa catheter, ikani mphamvu pamalopo kwa kanthawi. Mungafunikenso kugwiritsa ntchito chipangizo chotseka kuti mutseke dzenje laling'ono.

14. Pomaliza, pulasitala yaying'ono idzaikidwa pamalopo ndipo kanula yomwe ili m'manja mwanu idzachotsedwa.

Kodi izi zitenga nthawi yayitali bwanji?

Mayeso onse nthawi zambiri amatenga ola limodzi kapena atatu . Kuphatikiza apo, pakhoza kukhala nthawi yowonjezera yokonzekera mayeso ndi kuyang'anitsitsa pambuyo pa mayeso.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Mukamaliza kuyezetsa, mudzasungidwa m'chipinda chochiritsira odwala kwa maola angapo. Ngati zonse zili bwino, mutha kupita kunyumba. Dokotala wanu adzakupatsani malangizo amomwe mungadzisamalire kunyumba. Atsatireni bwino.

• Mungathe kudya mwachizolowezi.
• Mukamaliza mayeso, muyenera kupuma bwino kwa maola 8 mpaka 12. Pokhapokha muyenera kuyamba ntchito ina.
• Ngati ndinu mayi woyamwitsa, pewani kuyamwitsa mwana wanu kwa maola 24 mutapaka utoto.

Kodi pali zoopsa zilizonse pa mayesowa?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, pali zoopsa zazing'ono zomwe zimachitika poika catheter mu mtsempha wamagazi. Komabe, muyenera kukumbukira kuti izi sizichitika kawirikawiri ndipo madokotala amasamala kwambiri pa izi.

Dokotala wanu adzakambirana nanu zoopsa izi musanayesedwe. Musazengereze kufunsa mafunso kapena nkhawa zilizonse zomwe mungakhale nazo panthawiyo.

Kodi zotsatira za mayeso zikuti chiyani?

Dokotala wa radiology adzafufuza mosamala zithunzi zanu za X-ray ndikupanga lipoti. Dokotala amene adalamula kuti muyesedwe akalandira lipotilo, adzakambirana nanu momveka bwino.

• Ngati utoto ukuoneka kuti ukutuluka m'mitsempha yamagazi, ukhoza kukhala kutuluka magazi .
• Ngati mitsempha yamagazi yachepa kapena yatsekeka, chifukwa chake chingakhale kuyika kwa cholesterol (plaque) kapena magazi kuundana .
• Ngati mitsempha yamagazi ikutupa kapena pamalo osazolowereka, ikhoza kukhala aneurysm , chotupa cha muubongo , kapena vuto lina lililonse.

Ngati chinthu chonga ichi chichitika mutamaliza kuyezetsa, imbani dokotala nthawi yomweyo!

Ngati mukukumana ndi zizindikiro zotsatirazi mutapita kunyumba kuchokera ku mayeso, dziwitsani dokotala wanu nthawi yomweyo.

• Kufooka kwa minofu kapena kumva kuwawa pankhope, m'manja, kapena m'miyendo.
• Kusalankhula bwino kapena kusokoneza mawu .
• Mavuto a masomphenya .
• Zizindikiro za matenda, monga kutentha, kufiira, kapena kutupa pamalo oikapo catheter.
• Chizungulire.
• Kupweteka pachifuwa.
• Kuvuta kupuma.
• Kutupa pakhungu .

Kodi iyi ndi opaleshoni?

Ayi. Kuyeza angiogram ya ubongo si njira yochitira opaleshoni. Ndi njira yodziwira matenda yomwe siivuta kwenikweni. Kuchita opaleshoni ndi njira yomwe dokotala amadula ndikusintha minofu m'thupi lanu. Njirayi imangophatikizapo kupanga dzenje laling'ono kwambiri kuti muikepo catheter. Sikusintha minofu iliyonse m'thupi lanu.

Kuyeza kwa ubongo (cerebral angiogram) ndi njira yofunika kwambiri komanso yothandiza pofufuza matenda okhudzana ndi mitsempha yamagazi muubongo. Ngati mwakonzekera kuchita mayesowa, musaope kufunsa dokotala wanu mafunso aliwonse omwe mungakhale nawo.