Kwenzeka ntoni ngaphakathi kwimithambo yakho yegazi? Masifunde nge-Intravascular Ultrasound ngendlela elula!

Ngoku khangela, imithambo yegazi engaphakathi emzimbeni wethu ifana neendlela. Igazi lihamba kwezi ndlela, lizisa ubomi kuwo onke amalungu omzimba wethu. Nangona kunjalo, ngamanye amaxesha ezi ndlela zinokuba neengxaki ezincinci. Ezinye iindawo zinokuvaleka okanye zinciphe. Ngaphambili, kwakunzima kancinci ukunyamekela ezi zinto. Kodwa ngoku, ngokuhambela phambili kwesayensi yezonyango, sineendlela ezinokubona ngaphakathi kwezi ndlela yegazi. Enye indlela emangalisayo ibizwa ngokuba yi-`(Intravascular Ultrasound)`. Makhe sithethe ngale nto namhlanje ngokulula, ngendlela onokuyiqonda.

Yintoni kanye kanye le (Intravascular Ultrasound)?

Ngamafutshane, le `(Intravascular Ultrasound)` ifana nekhamera encinci enokufakwa kwimithambo yegazi yethu. Kodwa le isebenzisa amaza esandi, hayi ikhamera. Ewe, uyivile kakuhle! Amaza esandi asetyenziselwa ukufumana imifanekiso ecacileyo yodonga lwangaphakathi lwemithambo yegazi kunye nezicubu ezithambileyo apho. Khawuthelekelele indlela ekunokuba luncedo ngayo ukukwazi ukufaka isixhobo esincinci uze ubone okwenzekayo ngaphakathi kwangoko, ngaphandle kokwenza utyando olukhulu.

Le ndlela isetyenziswa ngokukodwa ukuhlola imithambo yegazi ejikeleze intliziyo, oko kukuthi imithambo yentliziyo . Kuba le yimithambo yegazi ephambili ehambisa igazi entliziyweni. Nangona kunjalo, oku akupheleli nje entliziyweni. Le ndlela (IVUS) ingasetyenziselwa ukuhlola eminye imithambo yegazi emzimbeni.

Ibizwa ngamanye amagama, kwaye ugqirha wakho angayibiza ngokuba yenye yezi:

• I-ultrasound yemithambo yegazi ye-coronary
• I-ultrasound ye-Endovascular
• I-echocardiography ye-Intravascular

Nokuba ligama lini na, lenza into efanayo - ukujonga kakuhle ngaphakathi kwemithambo yegazi.

Isebenza njani le (IVUS)? Iyamangalisa, akunjalo?

Ngoku mhlawumbi uyazibuza, le nto incinci ingena njani emthanjeni wegazi ize ibone konke oku? Le yiteknoloji elula kakhulu nephucukileyo kakhulu.

Kolu vavanyo lwe-`(IVUS)`, oogqirha basebenzisa ityhubhu ebhityileyo neguquguqukayo . Oku kubizwa ngokuba yi-`(catheter).` Kwelinye icala lale `(catheter)` kuqhotyoshelwe i-`(ultrasound probe) encinci. Ifana nentloko yomatshini omncinci wokuskena.

Emva koko, ugqirha wenza utyando oluncinci eluswini lwakho. Oku kudla ngokwenziwa emqolo . Ukusuka apho, i-catheter ifakwa kancinci kwimithambo yegazi. Emva koko ikhokelwa kwimithambo yegazi ofuna ukuyihlola.

Xa sele ifikile apho, i-ultrasound probe ekwi-catheter ikhupha amaza esandi aphindaphindayo. La maza esandi agxuma kwiindonga zemithambo yegazi aze abuyele umva, njengee-echoes. Amaza esandi abuyayo ahlalutywa yikhompyutha aze aguqulwe abe yimifanekiso yexesha langempela. Khawuthelekelele ubukele imuvi ye-3D ngaphakathi kwemithambo yegazi! Oku kuvumela oogqirha ukuba babone kungekuphela nje ngaphakathi kwemithambo yegazi, kodwa kunye nobukhulu beendonga zayo kunye nokuba kukho naziphi na iidiphozithi.

Zithini iingenelo zovavanyo lwe-IVUS kuwe?

Olu ayilovavanyo nje kuphela. Luyinto enokongeza ixabiso ebomini bakho. Olu vavanyo lwe-"(IVUS)`` luluncedo kakhulu, ingakumbi ukuba oogqirha bacinga ukuba imithambo yegazi yakho inciphile okanye ivalekile .

Olu vavanyo lunokunceda ukulawula ezinye iimeko ezisongela ubomi , ezinje:

• Uhlaselo lwentliziyo: Oku kwenzeka xa imithambo yegazi ethwala igazi eliya entliziyweni ivalekile. I-IVUS ingabonisa ukuba ivalekile kangakanani.
• I-Pulmonary embolism: Igazi eliqhekekileyo kwimithambo yegazi yemiphunga.
• Istroke: Ingabangelwa yingxaki yemithambo yegazi ehambisa igazi engqondweni.

Ukongeza, uvavanyo lwe-IVUS lukwanceda oogqirha:

• Hlola ubukhali bokwakheka kwe-plaque, oku kukwakheka kwamafutha ngaphakathi kwemithambo yegazi. Oku kubizwa ngoogqirha ngokuba yi-atherosclerosis. Kukwajonga nokuba kunokwenzeka kangakanani ukuba imithambo yegazi ivaleke.
• Oku kuya kukunceda ukuba uthathe isigqibo sokuba ufuna olunye unyango, njengotyando lwe-coronary artery bypass .
• Cwangcisa kwaye unikeze unyango ngokuchanekileyo. Ngamanye amaxesha, ukuba umthambo wegazi uvalekile, isixhobo esincinci esifana ne-mesh esibizwa ngokuba yi-stent sinokufuneka sifakwe ukuze sihlale sivulekile. I-IVUS inceda ekuqinisekiseni ukuba i-stent ibekwe ngokuchanekileyo, ukuba kufuneka ibe nkulu kangakanani, kwaye kufuneka ibekwe phi.

Khawucinge nje, oku kufana nokufumana ingxaki endleleni, wazi kakuhle ukuba inkulu kangakanani, kwaye kufuneka kwenziwe ntoni ngayo.

Ndingazi njani ukuba le (IVUS) iyandifanela?

Ayinguye wonke umntu odinga olu vavanyo. Ugqirha wakho uya kugqiba ukuba uyalufuna na. Nangona kunjalo, ukuba unezinye zeempawu ezilandelayo, okanye usemngciphekweni omkhulu wokufumana ezi meko, ugqirha wakho unokucebisa uvavanyo lwe-IVUS:

• I-Aortic aneurysm: Ubuthathaka nokuvuvukala kodonga lomthambo wegazi omkhulu emzimbeni.
• Amahlwili egazi: Amahlwili egazi ayenzeka ngaphakathi kwimithambo yegazi.
• Isifo semithambo ye-carotid:Amafutha afakwa kwimithambo ephambili entanyeni ethwala igazi liye engqondweni.
• Isifo semithambo yegazi: Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• I-Deep vein thrombosis (DVT): Ukuqhekeka kwegazi kwimithambo enzulu, ingakumbi emilenzeni.
• Isifo semithambo yegazi ejikeleze umzimba (i-PAD): Ukuncitshiswa kwemithambo yegazi engalweni ingakumbi emilenzeni.
• I-pulmonary artery stenosis: Ukuncitshiswa kwemithambo yegazi ezalwa nayo okanye efunyenweyo ethwala igazi ukuya emiphungeni.

Ukuba unezi meko, i-IVUS inokukunceda kakhulu ekuxilongeni isifo ngokuchanekileyo nasekucwangciseni unyango.

Yintoni umahluko phakathi kwe (IVUS) kunye ne (Angiography)?

Usenokuba ukhe weva ngovavanyo olubizwa ngokuba yi-"Angiography." Lukwathatha imifanekiso yangaphakathi yemithambo yegazi. Kodwa kukho umahluko phakathi kwezi zimbini.

• I-Angiography: Oku kusebenzisa ii-X-reyi . Kuvelisa imifanekiso yesithunzi yemithambo yegazi enobukhulu obumbini. Kufana nokujonga umphandle wemithambo yegazi uze ufumane umbono ocacileyo wokuba ijongeka njani.
• (IVUS): Njengoko bekutshiwo ngaphambili, oku kusebenzisa amaza esandi . Oku kuvelisa imifanekiso enqamlezileyo. Njengokuba usika isonka sibe ziingceba, unokubona ngokucacileyo iileya zangaphakathi zomthambo wegazi, ubukhulu bodonga, kunye nendlela amafutha agcinwa ngayo.

Ngamafutshane, nangona i-angiography inika into efana "nemephu" yemithambo yegazi, i-IVUS inika ulwazi oluneenkcukacha malunga nengaphakathi lemithambo yegazi kuloo "mephu" kunye nemeko yayo.

Lwenziwa njani uvavanyo (lwe-IVUS)?

Indlela okwenziwa ngayo oku inokwahluka kancinci, kuxhomekeke ekubeni yeyiphi imithambo yegazi evavanywayo.

• Ukuba uhlola imithambo yentliziyo: Olu vavanyo lwe-IVUS ludla ngokwenziwa kunye nolunye uvavanyo olubizwa ngokuba yi-cardiac catheterization . Olu vavanyo lwentliziyo lujonga izinto ezifana nokusebenza kwentliziyo kunye noxinzelelo lwegazi. Ngoko ke, ngokwenza zombini ezi vavanyo ngaxeshanye, oogqirha banokufumana ulwazi oluthe kratya malunga nempilo yentliziyo ngaxeshanye.
• Ukuba eminye imithambo yegazi enganxulumananga nentliziyo iyahlolwa: umzekelo, ukujonga amahlwili egazi kwimithambo yemilenze, okanye ukujonga i-PAD kwimithambo yemilenze, uvavanyo lwe-IVUS lwenziwa lodwa, oko kukuthi, njengenkqubo ezimeleyo.

Ngubani owenza olu vavanyo (IVUS)?

Olu ayilovavanyo olwenziwa ngugqirha jikelele. Lwenziwa ngabantu abafumene uqeqesho olukhethekileyo ngale njongo.

• Iingcali zentliziyo ezingenelelayo: Aba ngabantu abanyanga iingxaki ezinxulumene nemithambo yegazi yentliziyo besebenzisa izixhobo ezifana nee-catheters.
• Ugqirha wemithambo yegazi: Aba ngabantu abenza utyando kunye nonyango lwezinye izifo ezinxulumene nemithambo yegazi kunye nemithambo yegazi kwiindawo ezahlukeneyo zomzimba.

Olu luhlobo lweengcali eziza kukwenzela uvavanyo lwe-IVUS.

Kwenzeka ntoni ngexesha lovavanyo lwe-IVUS? Akukho nto yokukhathazeka ngayo!

Abanye abantu banokoyika kancinci xa bexelelwa ngovavanyo olufana nolu. Kodwa akukho nto yokoyika. Oogqirha baya kwenza konke okusemandleni abo ukukuphumza. Nantsi into edla ngokwenzeka:

1. Uza kulaliswa etafileni yovavanyo.

2. Emva koko uza kunikwa isithomalalisi sokukunceda uphumle kwaye uzole. Oku kunokukwenza uzive ulele. Usenokuba uvukile, kodwa awuyi kuva ntlungu okanye ukungonwabi.

3. Okulandelayo, ulusu olujikeleze indawo yokufaka i-catheter, oko kukuthi, indawo yokusikwa, lucocwa kakuhle.

4. Emva koko, kufakwa isibulali-zintlungu kuloo ndawo ukuze ingabi nantlungu. Ngoko awuyi kuva ntlungu xa kusenziwa i-incision okanye kufakwa i-catheter.

5. Emva koko, ingcali ifaka isikhongozeli seplastiki esibhityileyo kwi-incision. Oku kudala indlela yokuba i-IVUS catheter ifakwe lula emthanjeni.

6. Nje ukuba i-catheter ikwindawo efanelekileyo ekufuneka ihlolwe kuyo, i-ultrasound probe iqala ukuthatha imifanekiso.

7. Xa uvavanyo lugqityiwe, ugqirha uza kuyisusa kancinci i-catheter kunye ne-sheath.

8. Ngokwesiqhelo, olu qhekezo luncinci aludingi kuthungwa.

9. Okokugqibela, kufakwa ibhandeji yotyando kwindawo leyo ukukhusela kusulelo.

Uyabona, le ayisiyonto inkulu njengoko ucinga. Ungaphumla.

Ndizifumana ngokukhawuleza kangakanani iziphumo zovavanyo (lwe-IVUS)?

Enye into entle ngale nto kukuba iziphumo zifumaneka ngexesha langempela . Ugqirha angayibona imeko yemithambo yegazi njengoko imifanekiso ye-ultrasound ithathwa.

Nangona kunjalo, ugqirha uhlala ethetha nawe kuphela ngeziphumo emva kokuba uvavanyo lugqityiwe ngokupheleleyo. Mhlawumbi ungathetha ngale nto ngelixa usegumbini lokuchacha, emva kokuba iyeza lokuthomalalisa ebelinikwe sele liphelile kancinci.

Kuthatha ixesha elingakanani ukuchacha emva kovavanyo lwe-IVUS?

Oku kuxhomekeke nakwindlela oluvavanywe ngayo uvavanyo lwe-IVUS.

• Ukuba luvavanyo lwe-IVUS oluzimeleyo (oko kukuthi, ukuba kuhlolwe umthambo wegazi ongeyiyo intliziyo), kusenokwenzeka ukuba ukwazi ukuya ekhaya ngaloo mini inye .
• Ukuba une-ultrasound ye-coronary intravascular (oko kukuthi, eyenziwe kunye ne-cardiac catheterization), kunokufuneka uhlale esibhedlele ubusuku bonke ukuze ujonge imeko yakho.

Nangona kunjalo, ugqirha wakho uza kukuchazela oku kwangaphambili.

Zithini iingenelo zovavanyo lwe-IVUS?

Olu vavanyo lwe-"(IVUS)`` luneengenelo ezininzi kubaguli nakoogqirha. Inzuzo ephambili kukuba lunokuchonga ngokuchanekileyo ukuncitshiswa kunye nokuvaleka kwemithambo yegazi kwangaphambili.

Ukongeza, kukho nezinye izibonelelo:

• Ukuchaneka okuphezulu: Imifanekiso efunyenwe koku icacile kakhulu. Ke ngoko, iingxaki ezingaphakathi kwimithambo yegazi zinokuchongwa ngokuchanekileyo.
• Akukho kuvezwa kwimitha: Ekubeni olu vavanyo lungasebenzisi ii-X-reyi, akukho mfuneko yokukhathazeka ngomonakalo onokubakho kwimitha.
• Iziphumo ezikhawulezayo kunye nokuchacha: Iziphumo zifumaneka ngokukhawuleza, kwaye ukuchacha emva kovavanyo akuthathi xesha lide.

Ngaba kukho naziphi na iingozi kolu vavanyo?

Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci ezinxulumene nolu vavanyo (IVUS). Nangona kunjalo, ezi zihlala zincinci, kwaye iingozi ezinkulu azixhaphakanga.

• Ukungahambi kakuhle kwesantya sentliziyo (i-Arrhythmia): Oku kuxhaphake kakhulu kwizigulana ezisebenzisa i-IVUS (Intravascular Ultrasound). Nangona kunjalo, oku kudla ngokuba kokwexeshana.
• Amahlwili egazi: Amahlwili egazi anokwenziwa kwindawo ye-catheter okanye ngaphakathi kwimithambo yegazi.
• Usulelo kwindawo etyumkileyo: Yingakho kubalulekile ukuyigcina icocekile kwaye ubophe ibhandishi.
• Ukuqhekeka okanye ukonakala kwemithambo yegazi: Oku nako kunqabile kakhulu. Oogqirha balumkele kakhulu oku.

Ugqirha wakho uza kuxoxa nawe ngale mingcipheko ngaphambi kovavanyo. Nayiphi na imibuzo okanye iinkxalabo onokuba nazo zingaphendulwa ngelo xesha.

Ngoko ke, ngokufutshane, nazi izinto ekufuneka uzikhumbule (Umyalezo Wokubuyela Ekhaya):

Kulungile, ngoku unombono olungileyo malunga nento ebesithetha ngayo, i-Intravascular Ultrasound okanye i-IVUS. Okokugqibela, khumbula la manqaku:

I-intravascular ultrasound (IVUS) yindlela ephucukileyo esebenzisa amaza esandi ukuhlola ingaphakathi lemithambo yegazi yakho ngokweenkcukacha.

Ukuba ukrokrela ukuba imithambo yakho yegazi inciphile okanye ivalekile, okanye ukuba usemngciphekweni wokufumana izifo ezinjalo, olu vavanyo lunokuba luncedo kakhulu kuwe.

Oku kuvumela oogqirha ukuba babone iindawo ezinengxaki kwimithambo yegazi yakho, bafumanise ukuba zinzulu kangakanani, baze bacebe unyango olungcono kuwe.

Oku kunokunciphisa nomngcipheko weengxaki ezisongela ubomi.

Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho malunga nokuba olu vavanyo lukulungele na.Uza kukunika icebiso elihle kakhulu ngokwemeko yakho. Mamela yonke into ngaphandle koloyiko okanye amathandabuzo. Impilo yakho yeyona nto ibalulekileyo!

i- ultrasound yangaphakathi kwemithambo yegazi, i-IVUS, ukuthathwa kwemifanekiso yemithambo yegazi, isifo semithambo yentliziyo, inkqubo ye-catheter, impilo yentliziyo, ukwakheka kwe-plaque