Reka twige gusa ku ikizamini cya angiogram, gishakisha aho imitsi y'amaraso yazibye?

Angiogram ni ikizamini cyihariye cya X-ray gikorerwa kugira ngo harebwe niba hari imiyoboro y'amaraso (imitsi cyangwa imitsi) mu mubiri wawe ifunganye cyangwa igafunganye. Ibi bituma abaganga bareba neza aho amaraso atembera mu mubiri wawe kandi niba hari ikibazo. Urugero, gikoreshwa mu kumenya neza aho hari ikibazo mu mitsi cyangwa imitsi ahantu nko mu mutima, mu ijosi, mu mpyiko, cyangwa mu maguru.

Kuki angiogram ikorwa? Ni ryari ikenewe?

Noneho ushobora kuba wibaza uti 'Kuki nkeneye angiogram?' Muganga wawe azagusaba iki kizamini gusa iyo hari ikimenyetso cy'uko imiyoboro y'amaraso yawe yazibye, yangiritse, cyangwa ifite ikindi kintu kidasanzwe. Ibi bizamufasha kumenya neza ikibazo n'uburyo cyagize ingaruka kuri yo . Ibi bizoroshya gahunda yo kuvura.

Muri make, angiogram ifasha gusuzuma no gutegura uburyo bwo kuvura indwara nka:

• Indwara y'imitsi ijyana amaraso mu mutima: Iyi ni ukufunga cyangwa kugabanya imitsi ijyana amaraso mu mutima.
• Indwara y'imitsi yo mu ruhande rw'imbere: Kuziba cyangwa kugabanya imitsi yo mu maguru.
• Uturemangingo tw'amaraso: Uturemangingo tw'amaraso turaterana tugakora agahu.
• Aneurysm: Gucika intege k'urukuta rw'imitsi itera imitsi ibyimbye nk'umupira w'amaguru.

Ibi bikora bite?

Reka turebe uko ibi bikora. Mu gihe cyo gupima angiogramu, ikintu cyihariye (cyitwa contrast material cyangwa irangi) gishyirwa mu mubiri wawe. Iri bara rigaragara ku mashini ya X-ray. Hanyuma, iyo urebye kuri ecran ya X-ray, urashobora kubona neza uburyo amaraso agenda mu mitsi yawe, ndetse niba hari ahantu hafunganye.

Uzahabwa imiti igufasha kuruhuka no kumva umerewe neza muri iki kizamini. Abantu benshi bazahabwa uburyo bwo kuruhuka. Hari abazahabwa ikinyabutabire rusange, bivuze ko uzaba usinziriye rwose. Ariko, uzakenera umuntu wo kugutwara mu modoka nyuma yo gupimwa.

Witegura ute angiogram?

Mbere y'iki kizamini, amaraso yawe ashobora gufatwa kugira ngo harebwe uko amaraso yawe afungana ndetse niba impyiko zawe zikora neza.

Menya neza imiti

Niba ufata imiti iyo ari yo yose, cyane cyane imiti igabanya amaraso (antiplatelet, anticoagulants) , ugomba kuvugana na muganga wawe mbere yo kuyihagarika. Ubisabwe na muganga wawe:

• Imiti nka "Clopidogrel" ishobora gusabwa guhagarikwa iminsi itanu mbere y'ikizamini.
• Ushobora gusabwa guhagarika gufata imiti igabanya amaraso nka `Dipyridamole` cyangwa `Warfarin` amasaha 72 mbere yo gupimwa no mu masaha 24 nyuma yo gupimwa.
• Indi miti isanzwe ishobora gufatwa nkuko bisanzwe.
• Kuri woweNiba urwaye diyabete , baza muganga wawe neza uburyo n'igihe ugomba gufata insuline cyangwa indi miti ya diyabete.

Ku bijyanye n'ibiribwa n'ibinyobwa

Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro ribanziriza angiogram. Niba uzahabwa ikinya rusange mu gihe cyo gupimwa, ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro ribanziriza.

Ibuka ibi bintu ku munsi w'ikizamini

• Kunywa ibinyobwa byoroheje gusa (urugero: amazi, icyayi kidasembuye) mu gitondo cyo gupimwa.
• Siga imitako yawe n'ibintu byawe by'agaciro mu rugo .
• Teganya ko umuntu ufite inshingano agutwara mu rugo.
• Zana urutonde rw'imiti urimo gufata n'amakuru arambuye ku byerekeye ubwivumbure ushobora kuba ufite .
• Niba umuganga wawe agomba kubonana n'umurwayi wihutirwa, ushobora gutegereza kugeza igihe cyawe cyo kuvura. Rero ni byiza kuzana ikintu nk'igitabo cyangwa ikinyamakuru.
• Niba urwaye diyabete, menyesha abakozi bose bo kwa muganga ibyayo.
• Uzagomba kwambara ikanzu yo kwa muganga kandi uryame ku meza yihariye ya X-ray.
• Mbere yo gupimwa, ganira na muganga wawe ku mabwiriza yawe, ibibazo byose ufite, n'amateka yawe y'ubuvuzi.

Ni iki kibaho mu gihe cy'ikizamini?

Mu gihe umuganga akora angiogram, aza:

• Ubwa mbere, ahantu hazajya hashyirwa catheter haraba hameze nk'aho nta kintu na kimwe gihari.
• Hanyuma, urushinge rukoreshwa mu kwinjiza muri umwe mu mitsi yawe y'amaraso.
• Insinga inyuzwa muri urwo rushinge.
• Umuyoboro muremure kandi woroshye witwa catheter ushyirwa hejuru y'insinga mu mutsi munini, akenshi mu kibuno cyangwa ku kuboko.
• Hanyuma, witonze cyane, katheteri iyoborwa mu mitsi kugeza igeze ku gice cy'imitsi ikeneye gusuzumwa.
• Noneho, igice gito cy'ibintu byavuzwe haruguru bya "contrast material" (ni ukuvuga "irangi") kizashyirwa mu mitsi yawe y'amaraso binyuze muri catheter. Muri iki gihe , ushobora kumva ushyushye mu masegonda make, cyangwa ukumva ukeneye kunyara . Ibi ni ibisanzwe, ntugire ikibazo.
• Hanyuma hafatwa X-ray.
• Urebye kuri ecran ya X-ray, ukareba uko irangi rigenda, ushobora kubona neza uko amaraso agenda mu mitsi yawe n'aho hari ibiziba.

Igipimo cya angiogram kimara igihe kingana iki?

Ubusanzwe angiogram ishobora gukorwa mu minota 15 gusa , ariko rimwe na rimwe bishobora gufata amasaha menshi. Ibi biterwa niba muganga azakora ubundi buryo bwo kuvura nyuma yo kumenyekana kw'ikibazo.

Tekereza, muganga aramutse abonye ikibazo cyo kuziba, azahita akora angioplasty.Ubu buryo bwo kuvura bukoresha agakoresho gato kameze nk'agapira kugira ngo gasunike agace kafunzwe ku rukuta rw'imitsi. Niba ibi bituma amaraso atembera neza kandi hagasigara munsi ya 30% by'aho yazibye, angioplasty ishobora kuba ari yo nzira yonyine.

Ariko niba angioplasty idatanga umwobo munini uhagije kugira ngo amaraso atembera, ushobora gukenera gushyirwamo stent . Uyu ni umuyoboro muto umeze nk'icyuma ushyirwa mu mitsi y'amaraso kandi ugafasha kuyigumana ifunguye. Ushobora kuyishyiramo nyuma gato ya angioplasty.

Ubundi buryo bwo kuvura ni ukubaga imitsi y'umutima cyangwa kubaga imitsi yo mu mitsi yo mu mpande . Ibi bikubiyemo gushyiraho inzira nshya amaraso atemberamo akikije imitsi yazibye. Ariko, ubu buvuzi bukorwa ku munsi utandukanye.

Bigenda bite nyuma y'ikizamini?

Muganga wawe azakuraho catheter hanyuma ashyire igitambaro ku ruhu rwawe. Igitambaro kizaguma aho kiri nibura iminota 15 kugira ngo gihagarike cyangwa kidatuma amaraso ava.

Niba catheter yashyizwemo inyuze mu kaguru kawe, uzakenera kuruhuka mu buriri amasaha ane kugeza kuri atandatu. Ibi bizafasha kugabanya kuva amaraso mu gisebe.

Mbere yo gutaha

Mbere yo kukwohereza mu rugo, muganga azagusuzuma kandi akubwire amabwiriza yo gukurikiza mu rugo.

Iyo ugiye mu rugo (ukiri mu gihe cyo gukira angiogram)

Nubwo waba warakorewe angioplasty no gukorerwa stent, uzabasha gutaha umunsi umwe cyangwa umunsi ukurikiyeho nyuma ya angiogram. Ariko, kubera ko wahawe ikinya, uzakenera umuntu wo kugutwara mu rugo .

Umaze gutaha, ntugaterure ibiro birenga 10 (hafi 4.5 kg) mu minsi ibiri iri imbere, ntugapfukame cyangwa ngo wuname . Ibi bizagufasha kwirinda kuva amaraso mu gikomere.

Ni byiza kugira umuntu mukuru w’inyangamugayo ugumana nawe mu ijoro ryo kwipimisha. Hari abantu bashobora gukenera kurara mu bitaro kugira ngo bakire.

Niba urwaye diyabete, ntugafate metformin mu masaha 48 nyuma yo gupimwa . Ibi bigabanya ibyago byo kugira ibibazo by'impyiko.

Nywa amazi menshi . Ibi bizafasha irangi kuva mu mubiri wawe vuba.

Ni izihe ngaruka mbi zo gupimwa angiogram?

Ingaruka zo gupimwa angiogramu ni nke cyane. Ariko, hashobora kubaho ingorane nto aho muganga agutera akantu ko gutobora uruhu kugira ngo agere ku mitsi yawe. Izi ngorane zibaho munsi ya 1% by'ibibazo .

Ingaruka zo gupimwa angiogramu akenshi zifitanye isano n'aho yapfumuwe. Zirimo:

• Ibikomere: Ibi ni ibisanzwe kandi bizashira mu cyumweru kimwe kugeza ku byumweru bitatu.
• Kuva amaraso
• Kwandura
• Ububabare
• Ibibazo by'impyiko
• Uburyo bwo kuvura ubwivumbure ku bintu bitandukanya ibintu (irangi)
• Kwangirika kw'imitsi y'amaraso
• Umutima utari umeze neza (arrhythmia) cyangwa indwara nko guhagarara k'umutima (guhagarara k'umutima) bisaba ko umuntu yongera imbaraga.
• Udukoko tw'amaraso dufunga imiyoboro y'amaraso, bigatera indwara y'umutima cyangwa indwara yo gucika kw'imitsi (nta gake cyane)
• Kuva amaraso mu mitsi y'amaraso (bidakunze kugaragara cyane)

Ibisubizo biboneka bite? Bitubwira iki?

Muganga ashobora gusanga utubazo duto tudakomeye. Ashobora kuba adakeneye ubuvuzi bukomeye. Ashobora kukubwira gufata imiti cyangwa guhindura bimwe mu buzima bwawe bwa buri munsi. Urugero, kora siporo nyinshi cyangwa urye ibiryo bizima.

Ariko rimwe na rimwe habaho kuziba kw'imitsi minini. Ibyo bisaba ubuvuzi bwinshi. Niba ari uko bimeze, muganga ashobora gukora angioplasty icyarimwe na angiogram, agashyiraho stent kugira ngo afungure imitsi yawe kandi igume ifunguye.

Hari abantu bakeneye kuvurwa ukwabo ku munsi utandukanye. Muganga ashobora gusaba kubagwa bypass, bigatuma amaraso atembera neza aho yazibye.

Ni ryari ibisubizo bizamenyekana?

Muganga wawe ashobora kuzakubwira nyuma yo gukora angiogram yawe. Ariko, muganga wawe ashobora gukenera igihe cyo gusuzuma amashusho ya X-ray mbere yo gufata icyemezo cy'icyo gukora nyuma.

Ni ryari ukwiye kongera kubonana na muganga?

Niba hari kimwe muri ibi kibaye, hita ubonana na muganga wawe:

• Niba ufite ububabare cyangwa ububabare budashira nubwo ufata imiti .
• Niba bigoye kuvuga cyangwa kumwenyura .
• Niba ufite ibinya, intege nke, ubushyuhe, cyangwa kubyimba mu kuboko cyangwa ku kuguru aho catheter yinjijwe.
• Niba urwaye umuriro .
• Niba hari ikibyimba hafi y'igikomere .
• Iyo hari amaraso ava aho catheter yinjijwe mu ruhu.

Ese angiogram ni ukubaga gukomeye?

Oya. Angiogram ni ikizamini cya "minimally invasive" gikorwa hatabayeho gukata igice kinini . Si ukubaga. Muganga anyura mu mwobo muto cyane. Uwo mwobo ni munini bihagije kugira ngo ushyiremo catheter mu mitsi yawe y'amaraso.

Igipimo cya angiogram gifite uburemere bungana iki?

Angiogram ni ikizamini gito gipima indwara . Ariko, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe y'uburyo bwo kuyitegura.

Ibi birababaza?

Angiogram ntabwo ibabaza cyane .

Ntuzumva ububabare bukomeye. Ushobora kugira ububabare buke gusa. Ntutinye rero!

Muganga azatera ikinyabutabire cyo mu gace k’aho kateyine ishyirwa kugira ngo ishiremo ibisebe aho kateyine ishyirwa, kandi uzumva urushinge rukuguye ku ruhu. Nyuma y’ibyo, ushobora kutazongera kumva ububabare mu gihe cyo gupima. Ushobora kumva ubabara gato iyo kateyine ishyizwemo. Nyuma yo gupima, ushobora kugira ububabare cyangwa imvune aho kateyine yashyizwemo.

Ese angiogramu na angioplasty ni kimwe?

Oya. Angiogramu irashobora gufasha muganga wawe kureba niba hari ikibazo kiri mu mitsi yawe. Mu gihe cyo gupima angiogramu, muganga wawe ashobora gukora angioplasty kugira ngo avure icyo kibazo.

Ni nde uri gukora iki kizamini?

Isuzuma rya angiogramu y'umutima rikorwa n'inzobere mu by'umutima . Isuzuma rya angiogramu y'imitsi mu bindi bice by'umubiri (urugero: amaguru) rikorwa n'inzobere mu by'imitsi n'abaganga b'imitsi . Isuzuma rya angiogramu y'ubwonko rikorwa n'inzobere mu by'imitsi . Umuganga ukora angiogramu ashobora kwiga amashusho yawe no kumenya ahantu hateye impungenge.

Amaherezo, amaherezo, ibuka ibi.

Niba muganga wawe akubwiye ko ufata angiogram, bivuze ko arimo gushaka ibisubizo by'ibibazo bimwe na bimwe. Amakuru aturuka muri angiogram azabafasha gufata icyemezo niba ukeneye kuvurwa. Niba bihuye n'ikibazo cyawe, bashobora no kuvura ikibazo cyawe mu gihe uri gupimwa.

Ariko, ibi bikorwa mu buryo butuma wumva umerewe neza kandi utuje. Nta mpamvu yo gutinya.

Niba ufite ikibazo icyo ari cyo cyose kijyanye na angiogram cyangwa icyo ishobora gusanga, ntutinye kubaza muganga wawe. Wibuke ko ibi bikorwa kugira ngo bigufashe kunoza ubuzima bwawe.

Angiogramu , indwara z'umutima, imiyoboro y'amaraso, kubumba amaraso, stent, angioplasty, ibizamini by'ubuvuzi