Kodi munamvapo za chipangizo chomwe chimatumiza chipangizo chonga kamera mkati mwa mtsempha wamagazi m'thupi lathu ndikuyang'ana momwe makoma ake amkati alili? Ndi ukadaulo wodabwitsa kwambiri. Mwina munamvapo za angiogram, yomwe nthawi zambiri imagwiritsidwa ntchito kuyang'ana kutsekeka kapena kuyika kwa cholesterol m'mitsempha ya mtima. Koma lero tikambirana za mayeso apadera omwe angakhale osawoneka bwino, ndipo amatha kuwona bwino zomwe zikuchitika mkati mwa khoma la mtsempha wamagazi. Ichi ndi chomwe timachitcha Intravascular Ultrasound (IVUS) .
Mwachidule, kodi Intravascular Ultrasound (IVUS) ndi chiyani?
Tangoganizani kuti chitoliro cha madzi m'nyumba mwanu chatsekeka. Koma simungathe kudziwa kuchokera kunja komwe chili, momwe chatsekekera, kapena ngati makoma mkati mwa chitolirocho awonongeka, sichoncho? Umu ndi momwe zilili ndi mitsempha yathu yamagazi. IVUS, kunena zoona, ndi chida chaching'ono chomwe chingatumizidwe mkati mwa mitsempha yamagazi.
Izi zimaphatikizapo kugwiritsa ntchito mafunde a phokoso kuti aone minofu yofewa mkati mwa mitsempha yamagazi. Chipangizo chofewa kwambiri chopangidwira cholinga ichi chimatenga zithunzi zenizeni kuchokera mkati mwa mitsempha yamagazi. Kuyesa kumeneku nthawi zambiri kumagwiritsidwa ntchito pofufuza momwe mitsempha ya mtima ilili , yomwe imapereka magazi kumtima. Komabe, ngati kuli kofunikira, njira iyi ingagwiritsidwenso ntchito pofufuza mitsempha ina yamagazi m'thupi.
Mayesowa amatchedwanso ndi mayina ena angapo:
- Kujambula kwa ultrasound m'mitsempha ya mtima
- Ultrasound ya m'mitsempha yamagazi
- Kujambula kwa mtima m'mitsempha yamagazi
Kodi ukadaulo uwu umagwira ntchito bwanji? Ndi wodabwitsa!
Momwe izi zimagwirira ntchito ndi zosavuta komanso zodabwitsa. Taganizirani momwe mleme umawulukira m'phanga lamdima osagunda makoma. Mleme umatulutsa phokoso, ndipo ukagunda chopinga ndikubwerera (echo), mleme umamva ndikumvetsa zomwe zili patsogolo. Ukadaulo wa IVUS uli ngati uwu.
1. Kuika catheter: Choyamba, dokotala amaika chubu chopyapyala komanso chosinthasintha, chotchedwa catheter , mu mtsempha wamagazi kudzera mu kabowo kakang'ono m'chiuno mwanu kapena m'dzanja. Mudzapatsidwa mankhwala ochepetsa dzanzi pamalo oikamo, kuti musamve kupweteka kulikonse.
2. Choyezera cha Ultrasound: Kumapeto kwa katheta iyi ndi ngwazi ya nkhani yathu, choyezera chaching'ono cha ultrasound . Ichi ndi chaching'ono kwambiri.
3. Kutumiza mafunde a phokoso: Dokotala amasuntha mosamala katheta iyi kudzera m'mitsempha yamagazi kuti akaione. Pamene ikuyenda, chofufuziracho chimatulutsa mafunde a phokoso lapamwamba.
4. Kubwerezabwereza kwa Echo: Mafunde a phokoso awa amatuluka m'makoma a mitsempha yamagazi ndikubweranso, monga momwe zilili munkhani ya mleme.
5. Kapangidwe ka zithunzi za pakompyuta:Ma sound omwe amabwerera amawunikidwa ndi kompyuta ndipo nthawi yomweyo amasinthidwa kukhala zithunzi zomveka bwino za mkati mwa mtsempha wamagazi. Ndi poyang'ana zithunzi izi pomwe dokotala amatha kuwona bwino momwe zilili mkati mwa mtsempha wamagazi.
Mwachidule, njira iyi imakulolani kulowa m'mitsempha yamagazi ndikuwona millimeter ndi millimeter momwe makoma ake alili okhuthala, ngati cholesterol ili m'magazi, komanso kuchuluka kwa malo omwe magazi amadutsa.
Kodi mayeso a IVUS angandithandize bwanji?
Ngati dokotala akukayikira kuti mitsempha yanu ya magazi yatsekeka kapena yachepa, mayeso a IVUS angathandize kwambiri. Angathandize kuthana ndi matenda akuluakulu komanso oopsa monga matenda a mtima, pulmonary embolism, ndi sitiroko .
Tiyeni tiwone tebulo ili m'munsimu kuti tiwone momwe kuyezetsa kwa IVUS kumathandizira madokotala.
| Malo owunikira | Kufotokozera komwe kwapezedwa ndi IVUS |
|---|---|
| Kuchuluka kwa cholesterol m'magazi (atherosclerosis) | Imatha kuyeza molondola ngati cholesterol, mafuta, ndi zinthu zina zaikidwa (plaque) pamakoma a mitsempha yamagazi, ndipo ngati ndi choncho, kuchuluka kwake ndi kotani. |
| Kukonzekera chithandizo | Chidziwitsochi n'chofunikira kwambiri posankha ngati wodwalayo akufunika kuikidwa stent kapena kuchitidwa opaleshoni yayikulu monga opaleshoni ya mitsempha ya mtima . |
| Kuyika kwa stent | Ngati stent (chipangizo chonga mesh chomwe chimayikidwa kuti chisunge mtsempha wamagazi wotseguka) chikuyikidwa, IVUS imathandiza kusankha stent yoyenera kukula kwake ndikuwonetsetsa kuti yalumikizidwa bwino kukhoma la mtsempha. |
| Zinthu zina zoopsa | Mayesowa amagwiritsidwanso ntchito pozindikira matenda monga magazi kuundana, aneurysm ya aorta, ndi matenda a mitsempha ya m'mitsempha. |
Kodi kusiyana pakati pa IVUS ndi Angiogram ndi kotani?
Funso limeneli ndi lomwe anthu ambiri amakhala nalo. Angiogram imafufuza ngati mitsempha yamagazi yatsekeka, ndipo IVUS imachita zomwezo, ndiye kusiyana pakati pa ziwirizi ndi kotani?
Tangoganizani kuti mukuyenda mumsewu ndipo mukuona mthunzi wa munthu pansi. Mukayang'ana mthunziwo, mutha kupeza lingaliro losavuta la mawonekedwe a munthuyo. Angiogram ndi chinthu chonga chimenecho. Chimaphatikizapo kubaya utoto wapadera m'mitsempha yamagazi ndikujambula chithunzi cha X-ray. Kenako timangowona 'mthunzi' wamagazi omwe akuyenda mkati mwa mtsempha wamagazi. Ndiko kuti, chithunzi cha magawo awiri (2D).
Koma IVUS si yofanana ndi kuyang'ana mthunzi. Ili ngati kudula buledi m'zidutswa, kutenga chidutswa chimodzi ndikuyang'ana zomwe zili mkati. Ndi IVUS, timapeza gawo lozungulira la mtsempha wamagazi, mawonekedwe amitundu itatu (3D). Kenako timatha kuwona bwino zambiri zomwe angiogram singazione, monga zigawo za khoma la mtsempha wamagazi, momwe cholesterol imayikidwa, ndi makulidwe ake.
Momwe mayeso amachitikira: sitepe ndi sitepe
Anthu ena angachite mantha pang'ono akamva za mayesowa. Koma kwenikweni amachitika popanda kuvutika kulikonse. Amachitidwa ndi dokotala wa mtima (Interventional Cardiologist) kapena dokotala wa mitsempha yamagazi (Vascular Surgeon) .
Kawirikawiri, pofufuza mitsempha yamagazi ya mtima, mayeso a IVUS awa amachitidwa ngati gawo la mayeso a catheterization ya mtima . Izi zimathandiza kuti zinthu zina zambiri mumtima zifufuzidwe mwanjira yomweyo.
Umu ndi momwe njirayi imagwirira ntchito:
1. Kukonzekera: Mudzagona patebulo loyezetsera. Kenako mudzapatsidwa mankhwala ochepetsa ululu kuti akuthandizeni kupumula. Mudzakhala ozindikira nthawi zambiri, koma mudzakhala omasuka kwambiri. Simudzamva kupweteka kulikonse.
2. Kuyeretsa ndi kuyeretsa dzanzi: Malo omwe katheta idzalowetsedwe (nthawi zambiri m'chifuwa) amatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda. Kenako, amabayidwa mankhwala oletsa dzanzi kuti achotse dzanzi pamalopo.
3. Kuyika katheta:Dokotalayo tsopano apanga kachidutswa kakang'ono pamalo omwe pamakhala dzanzi ndikuyikapo chidebe cha pulasitiki. Izi zipangitsa kuti zikhale zosavuta kuyikapo katheta mu mtsempha wamagazi. Kenako katheta ya IVUS idzalowetsedwa kudzera pamenepo ndikutsogoleredwa ku mtsempha kuti akaunikidwe.
4. Kujambula: Katheta ikayikidwa, choyezera cha ultrasound chomwe chili kumapeto chimayatsidwa kuti chijambule zithunzi za mkati mwa mtsempha wamagazi. Dokotala amachita izi akuyang'ana pa kompyuta.
5. Kumaliza: Pambuyo poti zithunzi zonse zofunika zapezeka, dokotala amachotsa mosamala catheter ndi chidebecho. Popeza chodulidwacho ndi chaching'ono kwambiri, nthawi zambiri sipafunika kusoka. Chovala choyera cha opaleshoni chimayikidwa pamalopo kuti chiteteze matenda.
Zotsatira ndi Kuchira
Chinthu china chabwino pa mayesowa ndichakuti zotsatira zake zimapezeka nthawi yomweyo. Komabe, dokotala adzakufotokozerani izi mayesowo atatha ndipo zotsatira za mankhwala ochepetsa ululu omwe mudapatsidwa zatha. Mutha kuwona zotsatira zake mukadali m'chipinda chochiritsira.
Ponena za kuchira, ngati munangoyesedwa ndi IVUS, nthawi zambiri mumatha kupita kunyumba tsiku lomwelo. Komabe, ngati munachita izi limodzi ndi mayeso a catheterization ya mtima, mungafunike kukhala m'chipatala usiku wonse. Dokotala wanu adzakudziwitsani za izi pasadakhale.
Kodi ubwino ndi zoopsa za kuyezetsa IVUS ndi ziti?
Monga njira ina iliyonse yachipatala, iyi ili ndi ubwino ndi zoopsa zina.
Ubwino
- Zotsatira zolondola kwambiri: Mutha kupeza zambiri zolondola komanso zatsatanetsatane zokhudza momwe mtsempha wamagazi ulili.
- Sizimawononga: Popeza X-ray sigwiritsidwa ntchito pa njirayi, palibe kuwala komwe kumaonekera m'thupi.
- Zotsatira zachangu ndi kuchira: Zotsatira zake zimakhala zachangu, ndipo nthawi yochira imakhala yochepa.
Zoopsa
Zoopsa zimenezi n’zosowa kwambiri. Komanso, popeza mayesowa amachitika moyang’aniridwa ndi gulu lachipatala lodziwa bwino ntchito yawo, amakhala okonzeka kukumana ndi vuto lililonse.
- Kusakhazikika kwa kugunda kwa mtima (Arrhythmia) - (makamaka ngati kukugwirizana ndi mtima)
- Magazi amaundana
- Matenda pamalo obayidwa
- Kuduladula kapena kuwonongeka kwa mitsempha yamagazi
Chofunika kwambiri ndikulankhula ndi dokotala wanu za mayesowa ndikufunsa mafunso anu onse musanachite. Palibe chifukwa choopera.
Uthenga Wopita Nawo Kunyumba
- Intravascular Ultrasound (IVUS) ndi njira yapadera yojambulira yomwe imagwiritsa ntchito mafunde a phokoso kuti ipange zithunzi zomveka bwino za makoma amkati mwa mtsempha wamagazi.
- Izi zingapereke chidziwitso chatsatanetsatane kuposa momwe mungawonere ndi angiogram yokhazikika, makamaka za mtundu wa cholesterol deposits (atherosclerosis).
- Chidziwitso chomwe chapezeka kuchokera mu mayesowa n'chofunika kwambiri kuti madokotala apange zisankho zoyenera pankhani ya chithandizo monga kuika stent ndi opaleshoni ya bypass.
- Iyi ndi mayeso otetezeka kwambiri, ndipo zoopsa zomwe zingachitike ndi zochepa kwambiri.
- Ngati muli ndi matenda a mtima kapena vuto la mitsempha yamagazi, lankhulani ndi dokotala wanu kuti mudziwe ngati mayesowa ndi oyenera kwa inu.
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