Wakambonzwa here nezvemuchina unotumira mudziyo mudiki wakaita sekamera mukati metsinga yeropa mumuviri wedu woongorora mamiriro emadziro ayo emukati? Inyanzvi inoshamisa zvechokwadi. Pamwe wakambonzwa nezve angiogram, iyo inowanzo shandiswa kutarisa kuvharika kana cholesterol mutsinga dzemwoyo. Asi nhasi tichataura nezvebvunzo yakakosha inogona kuva yakapusa, uye inogona kuona zviri kuitika mukati metsinga yeropa. Izvi ndizvo zvatinodaidza kuti Intravascular Ultrasound (IVUS) .
Zvichitaurwa zviri nyore, chii chinonzi Intravascular Ultrasound (IVUS)?
Fungidzira kuti pombi yemvura mumba mako yakavharwa. Asi haugone kuona kubva kunze kuti iri kupi, yakavharwa sei, kana kuti madziro ari mukati mepombi akakuvara here, handiti? Ndizvo zvazviri netsinga dzedu dzeropa. IVUS, kutaura chokwadi, idiki scanner inogona kutumirwa mukati metsinga dzeropa.
Izvi zvinosanganisira kushandisa mafungu eruzha kuongorora nyama yakapfava iri mukati metsinga dzeropa. Mudziyo wakaomarara wakagadzirirwa izvi unotora mifananidzo chaiyo kubva mukati metsinga dzeropa. Kuedza uku kunowanzo shandiswa kutarisa mamiriro etsinga dzemoyo , dzinopa ropa kumoyo. Zvisinei, kana zvichidikanwa, nzira iyi inogona kushandiswawo kuongorora dzimwe tsinga dzeropa mumuviri.
Bvunzo iyi inodanwawo nemamwe mazita akati wandei:
- Ultrasound yemukati meropa
- Ultrasound yeropa nemidziyo yeropa
- Kuongororwa kwemoyo mutsinga dzeropa
Tekinoroji iyi inoshanda sei? Inoshamisa!
Mashandiro azvinoita aya ari nyore uye anoshamisa. Funga nezvekuti chiremwaremwa chinobhururuka sei nepabako rerima chisina kurova madziro. Chiremwaremwa chinoburitsa ruzha, uye kana charova chipingamupinyi chodzoka (echo), chiremwaremwa chinonzwa uye chinonzwisisa zviri mberi. Tekinoroji yeIVUS yakaita seizvi.
1. Kuisa Catheter: Kutanga, chiremba anoisa chubhu yakatetepa, inochinjika, inonzi catheter , mutsinga yeropa kuburikidza nekucheka kudiki muhudyu mako kana ruoko. Uchapihwa mushonga unopedza simba panzvimbo yekuisira, saka hauzonzwi kurwadziwa.
2. Ultrasound Probe: Pakupera kwe catheter iyi pane gamba renyaya yedu, ultrasound probe diki. Iyi idiki kwazvo.
3. Kutumira mafungu eruzha: Chiremba anofambisa catheter iyi nepatsinga yeropa nokungwarira kuti iongororwe. Painofamba, purobe inoburitsa mafungu eruzha ane ruzha rwakawanda.
4. Kudzokororwa kweEcho: Mafungu aya anosvetuka kubva pamadziro etsinga yeropa odzoka, sezvakangoita munyaya yemuremwaremwa.
5. Kugadzira mifananidzo yemakombiyuta:Manzwiro anodzoka anoongororwa nekombiyuta uye anoshandurwa ipapo ipapo kuita mifananidzo yakajeka yemukati metsinga yeropa. Nekutarisa mifananidzo iyi chiremba anogona kunyatsoongorora mamiriro ari mukati metsinga yeropa.
Zvichitaurwa zviri nyore, nzira iyi inokutendera kuti upinde mutsinga yeropa woona millimeter ne millimeter kuti madziro ayo akakora sei, kana cholesterol iri muropa, uye kuti ropa rine nzvimbo yakareba sei yekuyerera.
Kuongororwa kweIVUS kungandibatsira sei?
Kana chiremba akafungidzira kuti mitsipa yeropa yako yakavharwa kana kuti yakamanikana, bvunzo yeIVUS inogona kubatsira zvikuru. Inogona kubatsira mukurapa zvirwere zvakakomba, zvinotyisidzira hupenyu zvakaita sekurwadziwa kwemoyo, pulmonary embolism, uye sitiroko .
Ngatitarisei tafura iri pazasi kuti tione kuti kuongororwa kweIVUS kunobatsira sei vanachiremba.
| Nzvimbo yekutarisa | Tsananguro yakawanikwa neIVUS |
|---|---|
| Kuisa cholesterol muropa (atherosclerosis) | Inogona kuyera nemazvo kana cholesterol, mafuta, nezvimwe zvinhu zvakaiswa (plaque) pamadziro etsinga dzeropa, uye kana zvakadaro, kuti zvakanyanya sei. |
| Kuronga kurapwa | Ruzivo urwu rwakakosha pakusarudza kana murwere achifanira kuiswa stent kana kuvhiyiwa kukuru kwakadai sekuvhiyiwa kwe coronary artery bypass . |
| Kuiswa kweStent | Kana stent (chinhu chakaita semesh chinoiswa kuti tsinga yeropa irambe yakavhurika) chiri kuiswa, IVUS inobatsira kusarudza saizi chaiyo yestent uye kuona kuti yakabatana zvakanaka pamadziro etsinga. |
| Zvimwe zvinhu zvinokonzera njodzi | Bvunzo iyi inoshandiswawo kuona zvirwere zvakaita sekugwamba kweropa, aneurysm yeaorta, uye chirwere chetsinga dzeropa. |
Chii chakasiyana pakati peIVUS neAngiogram?
Uyu mubvunzo unowanzo bvunzwa nevanhu vazhinji. Kuongororwa kwetsinga dzeropa dzakavharika ne angiogram, uye IVUS inoita zvimwe chetezvo, saka musiyano uripi pakati pezviviri izvi?
Fungidzira kuti uri kufamba mumugwagwa wobva waona mumvuri wemunhu pasi. Nekutarisa mumvuri iwoyo, unogona kunzwisisa chimiro chemunhu wacho. Angiogram chinhu chakadaro. Inosanganisira kuisa dhayi chaiyo mutsinga dzeropa wotora mufananidzo weX-ray. Zvadaro tinongoona 'mumvuri' weropa richiyerera mukati metsinga dzeropa. Kureva, mufananidzo une mativi maviri (2D).
Asi IVUS haina kufanana nekutarisa mumvuri. Zvakafanana nekucheka chingwa kuita zvidimbu, kutora chidimbu chimwe chete woongorora zviri mukati. NeIVUS, tinowana chikamu chetsinga yeropa, chiono chemativi matatu (3D). Zvadaro tinogona kuona zvakajeka zvinhu zvakawanda zvisingaonekwe neangiogram, zvakaita sezvikamu zvemadziro etsinga yeropa, nzira iyo cholesterol inowanikwa nayo, uye ukobvu hwayo.
Maitiro ebvunzo: nhanho nenhanho
Vamwe vanhu vanogona kutya zvishoma pavanonzwa nezvebvunzo iyi. Asi chaizvoizvo inoitwa pasina kunetseka. Inoitwa nachiremba wemwoyo (Interventional Cardiologist) kana chiremba wetsinga dzeropa (Vascular Surgeon) .
Kazhinji, pakuongorora tsinga dzeropa dzemwoyo, bvunzo iyi yeIVUS inoitwa sechikamu chebvunzo yemoyo ye catheterization . Izvi zvinoita kuti zvimwe zvinhu zvakawanda zviri mumoyo zviongororwe nenzira imwe chete.
Heino mashandiro anoita maitiro acho:
1. Kugadzirira: Ucharara patafura yekuongororwa. Wobva wapihwa mushonga wekunyaradza kuti ugare wakasununguka. Uchagara wakangwarira nguva zhinji, asi uchagara wakasununguka. Hauzonzwi kurwadziwa.
2. Kuchenesa nekubvisa zvinyadzi: Nzvimbo ichaiswa catheter (kazhinji pahudyu) inocheneswa zvakanaka nemushonga unouraya utachiona. Zvadaro, mushonga unouraya marwadzo unobayiwa kuti nzvimbo yacho iite zvinyadzi .
3. Kuisa katheta:Chiremba achacheka kadiki panzvimbo isina chinhu oisa purasitiki mukati mayo. Izvi zvichaita kuti zvive nyore kuisa catheter mutsinga yeropa. Catheter yeIVUS inozopinzwa nayo yoendeswa kutsinga kuti iongororwe.
4. Kufungidzira: Kana catheter yangoiswa, ultrasound probe iri pamucheto inotanga kushanda kuti itore mifananidzo yemukati metsinga yeropa. Chiremba anoita izvi achitarisa pakombiyuta.
5. Kupedzisa: Mushure mekunge mifananidzo yese inodiwa yawanikwa, chiremba anobvisa catheter ne sheath nokungwarira. Sezvo kucheka kwacho kuri kudiki kwazvo, hazviwanzodiwi kusonwa. Bandeji yakachena yekuvhiya inoiswa panzvimbo iyi kudzivirira hutachiona.
Mhedzisiro uye Kupora
Chimwe chinhu chakanaka nezvebvunzo iyi ndechekuti mhinduro dzinowanikwa panguva chaiyo. Zvisinei, chiremba achakutsanangurira izvi mushure mekunge bvunzo yapera uye mhedzisiro yekurapisa kwawakapihwa yapera. Unogona kukwanisa kuona mhedzisiro yacho uchiri mukamuri rekurapwa.
Kana uri wekupora, kana wakangoongororwa neIVUS chete, unogona kuenda kumba zuva rimwe chete. Zvisinei, kana wakaongororwa pamwe chete ne cardiac catheterization test, ungangoda kugara muchipatara husiku hwese. Chiremba wako achakuudza nezveizvi pachine nguva.
Ndezvipi zvakanakira uye njodzi dzekuongororwa kweIVUS?
Kufanana nechero nzira yekurapa, iyi ine zvayakanakira uye dzimwe njodzi.
Mabhenefiti
- Mhedzisiro yakarurama kwazvo: Unogona kuwana ruzivo rwakarurama uye rwakadzama nezvemamiriro etsinga yeropa.
- Hazvishandisi ma radiation: Sezvo ma X-ray asingashandiswe mukuita uku, hapana mwaranzi inoonekwa mumuviri.
- Mhedzisiro nekukurumidza uye kupora: Mhedzisiro inokurumidza, uye nguva yekupora ipfupi.
Njodzi
Njodzi idzi hadziwanzowaniki. Uyewo, sezvo bvunzo iyi ichiitwa pasi pekutarisirwa kwechikwata chevanachiremba vane ruzivo, vakagadzirira kutarisana nechero mamiriro ezvinhu.
- Kusarongeka kwekurova kwemoyo (Arrhythmia) - (kunyanya kana zvakabatana nemoyo)
- Kugwamba kweropa
- Utachiona panzvimbo yakachekwa
- Kupwanywa kana kukuvara kwemidziyo yeropa
Chinhu chinonyanya kukosha kutaura nachiremba wako nezvebvunzo iyi wobvunza mibvunzo yako yese usati waiongororwa. Hapana chikonzero chekutya.
Mharidzo Yekuenda Nayo Kumba
- Intravascular Ultrasound (IVUS) inzira yekuongororwa inoshandisa mafungu eruzha kuti ibudise mifananidzo yakajeka yemadziro emukati metsinga yeropa.
- Izvi zvinogona kupa ruzivo rwakadzama kupfuura runogona kuonekwa ne angiogram yenguva dzose, kunyanya nezvehunhu hwe cholesterol deposits (atherosclerosis).
- Ruzivo rwakawanikwa kubva mukuongororwa uku rwakakosha zvikuru kuti vanachiremba vasarudze zvakanaka nezvekurapa kwakadai sekuiswa kwestent uye kuvhiyiwa kwebypass.
- Iyi bvunzo yakachengeteka zvikuru, uye njodzi dzinogona kuitika dzakaderera zvikuru.
- Kana uine chirwere chemwoyo kana matambudziko etsinga dzeropa, taura nachiremba wako kuti asarudze kana bvunzo iyi yakakunakira.
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