Pamwe wakaudzwa nachiremba kuti unofanira kuongororwa ropa kuti utarise tsinga dzemwoyo wako, handiti? Zvakajairika kuti unzwe kutya uye kutya kana waudzwa izvozvo. Asi kana wangoziva kuti chii chaizvo, kuti zvinoitwa sei, uye kuti zvinoitwa sei, kutya kwako nekutya kwako zvichaderera zvikuru. Saka, ngatitaurei nezvazvo zvakadzama nhasi, handiti?
Saka, chii chinonzi coronary angiogram?
Zvichitaurwa zviri nyore, coronary angiogram iongororo yakakosha inotarisa kuyerera kweropa mutsinga dzemwoyo , tsinga dzeropa dzinotakura ropa kuenda kumoyo wako. Inoshandisa X-rays uye mvura chaiyo inonzi contrast dye . Dzimwe nguva vanachiremba vanoidaidzawo kuti coronary angiography , izvo zvakafanana.
Kuongororwa uku kunogona kuona zvakajeka kana tsinga dzemwoyo wako dzakavharika kana kuti dzakatetepa . Kazhinji, izvi zvinokonzerwa nechirwere chinonzi atherosclerosis . Izvi zvinoreva kuti zvinhu zvakaita secholesterol zvinoungana mukati metsinga, zvichiita kuti madziro etsinga akobvu uye atetepe, zvichiita kuti ropa riderere.
Unoziva here kuti tsinga dzemwoyo dzinobatsira zvikuru pamoyo wedu? Nekuti tsinga idzi dzinotakura ropa rinopa okisijeni nezvinovaka muviri zvinodiwa kuti tsandanyama dzemwoyo dzirarame uye dzishande. Saka, kana imwe yetsinga idzi isingashande zvakanaka kana kuti ikavharika, ipapo mamiriro ezvinhu ane njodzi akadai sechirwere chemwoyo anogona kuitika.
Sei chiremba angaraira angiogram iyi?
Pane zvikonzero zvakawanda nei chiremba wako kana chiremba wemwoyo angakurudzira kuongororwa kwemoyo. Ngationei kuti ndezvipi:
- Kana paine zvisina kunaka pabvunzo yako yekushushikana kana bvunzo yeECG (Electrocardiogram) .
- Kana uine chirwere chevharuvhu yemwoyo , kutadza kushanda kwemoyo , kana kuti wakamborwara nemoyo kare.
- Kana wakarongerwa kuvhiyiwa mwoyo, uye chiremba aine kusava nechokwadi nazvo, unofaniraZvinokwanisika kuti une chirwere chemwoyo .
- Kana uine kurwadziwa muchipfuva (angina) , kungave kutsva kana kuti rudzi rwekurwadziwa kwawakaita rwakachinja.
- Une dambudziko rechipfuva risingawanzoitiki kana kuti une dambudziko rekufema, asi mimwe miedzo haina kuwana chero chinhu.
Ndosaka chiremba achikurudzira bvunzo iyi. Usatya kubvunza mibvunzo nezvazvo. Zvakakosha kubvunza chiremba wako chero chaunofunga kana chausinganzwisisi.
Ndingagadzirira sei angiogram iyi?
Chiremba wako achakupa mirairo yakajeka yekuti ungagadzirira sei bvunzo iyi. Achataurawo newe nezvemishonga yauri kutora uye nhoroondo yehutano hwako. Kazhinji, chiremba anotaura zvinhu zvakaita seizvi:
- Uchakumbirwa kuti usadye kana kunwa chero chinhu kwemaawa masere usati waongororwa. Unogona kunwa mvura chete. Tinoti izvi 'kutsanya', kana kuti kutsanya.
- Kana muchitora mishonga inorwisa ropa , mishonga yechirwere cheshuga, mishonga inobvisa ropa kubva muropa (diuretics) (mishonga inowedzera weti), kana sildenafil (yakadai seViagra® kana Revatio®), muchapiwa mirairo yekuti mungaishandisa sei uye kana muchifanira kuirega mumazuva mashoma bvunzo isati yaitwa.
- Vachakubvunza kana wakambova neallergy nekuda kwe contrast dye kana anesthesia yambotaurwa.
- Kana uri mukadzi ane pamuviri, unofanira kuudza chiremba wako .
Chimwe chinhu chakakosha ndechekuti, kuti uchengetedzeke, hauzobvumidzwe kutyaira mota yako uchienda kumba pazuva rekuongororwa. Saka, zvakanaka kuronga kuti mumwe munhu akutorese mota yako uchienda kumba kubva kuchipatara pazuva iroro.
Chii chinoitika panguva ye angiogram?
Zvakanaka, ngationei zvinowanzoitika panguva iyi ye coronary angiogram. Funga nezvazvo sechiitiko chemufirimu.
1. Kutanga, unofanira kupfeka jira rekurapa rakapihwa kuchipatara. Wobva warara pamubhedha wekuongorora.
2. Mushandi wezvekurapa achakupa mushonga wekunyaradza kuburikidza neIV (rudzi rwemushonga wesaline unoiswa mutsinga iri muruoko rwako). Izvi zvichaita kuti unzwe wakasununguka, asi hauzorara zvachose. Uchamuka uye uchakwanisa kuteerera mirairo yachiremba. Semuenzaniso, unogona kukumbirwa kuti ukosora kana kubata mweya wako kwemasekondi mashoma.
3. Kurova kwemoyo wako kuchaongororwa nemuchina weECG (Electrocardiogram) mukati mebvunzo yese.
4. Chiremba, pane nzvimbo here yaunogona kusvika patsinga huru yeropa (tsinga) muhudyu mako kana paruoko rwako?Anesthesia yemunzvimbo. Izvi zvinoreva kuti uchanzwa kusagadzikana chete nemushonga. Panguva ino, unganzwa kunhuhwirira kudiki, asi hauzonzwi kurwadziwa.
5. Chiremba wemwoyo anoshandisa tsono diki kuti apinde mutsinga yeropa nepaburi repaburi. Zvadaro, sheath , inova chubhu diki, inoiswa pamusoro petsono yopinda mutsinga huru.
6. Tevere, chiremba achapinza waya dzakapfava uye macatheter (machubhu matete) kuburikidza nechubhu iyi mutsinga dzemwoyo dziri pamusoro pemoyo wako. Hauzonzwi chubhu ichifamba nemutsinga dzeropa.
7. Muchina weX-ray unotenderera wakakupoteredza. Izvi zvinonzi fluoroscopy . Izvi zvinoita kuti chiremba aone nzira yecatheter kubva kumativi ese.
8. Kana catheter yave mumoyo mako kana mutsinga weropa , chiremba achabaya dhayi yakakosha muchubhu. Zvadaro, vachashandisa X-rays kuti vaone kuti dhayi iri kufamba sei nepatsinga yeropa. Munguva iyi, unogona kunzwa kupisa mumuviri wako wese kwemasekonzi mashoma, kana kuti unganzwa sekunge unoda kuita weti. Izvi zvakajairika.
9. Kana dhayi ikapinda nemutsinga dzemwoyo, chiremba anogona kuona zvakajeka kana paine cholesterol kana kuti plaque yakaungana pane imwe nzvimbo mukati metsinga dzemwoyo, zvichivharira kuyerera kweropa.
Fungidzira izvi, zvakafanana nekushandisa kamera yedrone kuti uone kana paine kuzara kwemotokari mumugwagwa uye kuti uri kupi.
Dzimwe nguva, kana chiremba akaona kuti tsinga yeropa yavharika, anogona kuputira bharumu kuti avhure nzvimbo yakavharwa. Izvi zvinonzi angioplasty . Zvadaro, stent , mudziyo mudiki wakaita semesh, unogona kuiswa mutsinga kuti isaputsika zvakare.
Zvisinei, kana izvozvo zvisingaite, kana kuti kana chiremba achifunga kuti zvingave nani kuita imwe nzira yekurapa gare gare, ipapo coronary angiogram ichapedzwa ipapo.
Bvunzo yese inowanzotora pakati pemaminitsi makumi matatu nemakumi mashanu , asi dzimwe nguva inogona kureba kana kupfupika.
Chii chinoitika mushure me angiogram?
Kana bvunzo yapera, chiremba anobvisa catheter. Ipapo mumwe wevashandi vekurapa anobatisisa tsono kuti ropa risabude.
Vanhu vazhinji vanogona kudzokera kumba zuva rimwe chete rinoitwa bvunzo, maawa maviri kusvika mana gare gare.
Zvisinei, kana bvunzo yako yakaoma zvishoma, kana kuti bvunzo yacho yakaitwa masikati, zvakanaka kutarisira kugara muchipatara husiku ihwohwo.
Unganzwa kuneta zvishoma mushure mekuongororwa kwe angiogram. Nzvimbo yakapinzwa tsono (ronda) ichava inorwadza kweinenge vhiki.Ungave uine shungu uye wakaita semavanga. Chiremba wako anogonawo kukuudza kuti uderedze mabasa ako kwemazuva mashoma mushure mekunge waenda kumba.
Pane njodzi dziripo pabvunzo iyi here?
Zvakanakisisa kuita bvunzo iyi panzvimbo ine huwandu hwakawanda apo chiremba ane ruzivo anoiita nguva dzose. Kazhinji, bvunzo idzi dzakachengeteka. Zvisinei, kana tichienzanisa nedzimwe bvunzo, dzakadai se ultrasound, iyi bvunzo inopindira zvishoma. Matambudziko akakomba haawanzoitiki.
Zvisinei, zvakanaka kuziva njodzi dzingangoitika dze angiogram:
- Kusarongeka kwemoyo (arrhythmia) .
- Kurwara nedhayi kana mushonga unonyaradza marwadzo.
- Kukuvadzwa kwetsinga yeropa.
- Kuumbwa kweropa rakagwamba.
- Mvura inoungana yakakomberedza moyo uye inoisa kumanikidzwa pamoyo (cardiac tamponade) .
- Kumira kurova kwemoyo .
- Kukuvara kweitsvo, zvichida kunoda dialysis kuti ropa richeneswe.
- Kuderera kweropa.
- Kurwadziwa, kubuda ropa, kana utachiona panzvimbo yakapinzwa tsono kana catheter.
- Kurohwa nestroke .
Vanhu vanotevera vanogona kunge vari panjodzi yakakura yekusangana nematambudziko aya:
- Kune avo vane makore anopfuura makumi matanhatu nemashanu ekuberekwa.
- Kune avo vane chirwere cheshuga .
- Kune avo vane chirwere cheitsvo .
Kana muine mimwe mibvunzo nezvenjodzi idzi, taurai nachiremba wenyu.
Ndichaziva rini mhedzisiro yebvunzo?
Dzimwe nguva chiremba anogona kukuratidza mifananidzo yeX-ray panguva yekuongororwa. Zvisinei, kana angiogram yapera, chiremba achakutsanangurira zvinorehwa nemhedzisiro yacho.
Chiremba wako anogona kuti mhinduro dzako dze angiogram 'dzakajairika' kana kuti 'dzisina kujairika'.
- Mhedzisiro yakajairika inoreva kuti hapana tsinga dzemwoyo dzakavharika uye kuti mwoyo wako uri kuwana ropa rakakwana. Zvisinei, kana uchiri nezviratidzo, bvunzo dzakawanda dzingangodiwa kuti uwane chikonzero.
- Kana mhedzisiro yacho isingawanzoitika , panogona kunge paine kuvharika kwetsinga dzemwoyo. Chiremba wako achakuudza kuti ndedzipi tsinga dzakavharika uye kupi. Vachatsanangurawo kuti dzakakomba sei. Vanogonawo kukuudza kuti tsinga dzakavharika dzakakura sei.
Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?
Kana zvabuda muongororo yako zvisina kujairika, chiremba wako achakutsanangurirawo kuti ndeapi marapirwo anokurudzirwa kwauri. Mamwe acho anosanganisira:
- Angioplasty kana stenting (kuisa bharumu rataurwa pamusoro apa woisa stent).
- Kuchinja hupenyu hwako hwezuva nezuva, semuenzanisoKurovedza muviri zvakanyanya uye kuchinja maitiro ako ekudya.
- Kuvhiyiwa kweCoronary artery bypass (CABG) .
- Kushandisa mishonga.
Unofanira kutaura nachiremba rini?
Mushure mekuongororwa, kana ukaona chimwe chezvinotevera panzvimbo yakaisirwa catheter, fonera chiremba wako nekukasika:
- Kana ropa rakawanda rikabuda, izvozvo hazvimire.
- Kana nzvimbo iyoyo yakazvimba .
- Kana paine zviratidzo zvehutachiona (semuenzaniso, ganda richichinja ruvara, pus).
Uyewo, kana uine kusanzwa zvakanaka nekuda kwekufamba kweropa mumaoko ako kana makumbo, udza chiremba wako nezvazvo futi.
Angiogram inorwadza here?
Kazhinji, coronary angiogram hainyanyi kurwadza. Unogona kunzwa kurwadziwa kwenguva pfupi, kudiki panguva ye:
- Pavanoisa mutsetse weIV kuti vakupe mushonga wekurarisa wakareruka.
- Paunenge uchibaya mushonga weanesthesia wemunharaunda.
Hauzonzwi kurwadziwa panguva yekuyedzwa nekuda kwecatheter. Zvakare, hauzonzwi kurwadziwa painofamba nemutsinga dzako netsinga dzeropa.
Mushure mekuongororwa, unogona kunzwa kurwadziwa pakaiswa IV uye pakaiswa catheter. Izvi zvinopera mushure mevhiki imwe chete.
Kana uchinzwa kurwadziwa kusingatsungiririki panguva yekuongororwa, taurira chiremba nekukurumidza.
Pakupedzisira...
Zvakajairika kunzwa kutya uye kunetseka kana ukaudzwa kuti unofanira kuongororwa coronary angiogram. Ungatoshamisika kana mhedzisiro yacho ichange isina kujairika. Asi yeuka, ruzivo rwunowanikwa nachiremba wako kubva mukuongororwa uku ruchamubatsira kuona chirwere chako uye kugadzira hurongwa hwekurapa hwakakunakira. Saka, taura nachiremba wako nezvechero chausinganzwisisi kana kuti une mibvunzo nezvacho. Aripo kuti akubatsire.
` Coronary angiogram, chirwere chemwoyo, tsinga dzemwoyo, angioplasty, stent, kurwadziwa kwechipfuva, kurwiswa kwemoyo, ECG, bvunzo dzemwoyo, kuongororwa kwechirwere chemwoyo











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