Uthe ufuna ukubona imithambo yentliziyo yakho? Masithethe nge-coronary angiogram!

Mhlawumbi ugqirha ukhe wakuxelela ukuba kufuneka wenze i-angiogram ukujonga imithambo yegazi yentliziyo yakho, akunjalo? Kuqhelekile ukuba uzive usoyika kancinci kwaye unexhala xa uxelelwa loo nto. Kodwa wakuba uyazi kakuhle ukuba yintoni, yenziwa njani, kwaye kutheni yenziwe, uloyiko lwakho kunye novalo luya kuncipha kakhulu. Ngoko ke, masithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Ngoko ke, yintoni i-coronary angiogram?

Ngamafutshane, i-coronary angiogram luvavanyo olukhethekileyo olujonga ukuhamba kwegazi kwimithambo yakho yentliziyo , imithambo yegazi ethwala igazi entliziyweni yakho. Isebenzisa ii-X-ray kunye nolwelo olukhethekileyo olubizwa ngokuba yidayi yokungafani . Ngamanye amaxesha oogqirha balubiza ngokuba yi -coronary angiography , into efanayo.

Olu vavanyo lunokubona ngokucacileyo ukuba imithambo yentliziyo yakho ivalekile okanye inciphile . Ngokuqhelekileyo, oku kungenxa yemeko ebizwa ngokuba yi -atherosclerosis . Oku kuthetha ukuba izinto ezifana ne -cholesterol ziyaqokelelana ngaphakathi kwemithambo, nto leyo ebangela ukuba udonga lwemithambo luqine kwaye lunciphe, nto leyo enciphisa ukuhamba kwegazi.

Uyazi na ukuba imithambo yentliziyo yinkqubo yemithambo yegazi ebaluleke kakhulu entliziyweni yethu? Kuba le mithambo ithwala igazi elibonelela ngeoksijini kunye nezondlo ezifunekayo ukuze izihlunu zentliziyo ziphile kwaye zisebenze. Ngoko ke, ukuba enye yale mithambo ayisebenzi kakuhle okanye ivalekile, imeko eyingozi efana nokuhlaselwa yintliziyo inokwenzeka.

Kutheni ugqirha engayiyalela le angiogram?

Kukho izizathu ezahlukeneyo zokuba ugqirha wakho okanye ingcali yentliziyo inokucebisa ukuba uhlolwe i-coronary angiogram. Makhe sijonge ukuba zeziphi ezi zinto:

• Ukuba kukho naziphi na iingxaki kuvavanyo lwakho loxinzelelo okanye uvavanyo lwe-ECG (Electrocardiogram) .
• Ukuba unesifo se-valve yentliziyo , ukungasebenzi kakuhle kwentliziyo , okanye ukhe wahlaselwa yintliziyo ngaphambili.
• Ukuba ucwangciselwe utyando lwentliziyo, kwaye ugqirha enamathandabuzo, kuya kufunekaKusenokwenzeka ukuba unesifo semithambo yegazi yentliziyo .
• Ukuba uneentlungu zesifuba (i-angina) , kusenokwenzeka ukuba zintsha okanye uhlobo lwentlungu oye wanayo lusenokuba lutshintshile.
• Unentlungu engaqhelekanga esifubeni okanye ubunzima bokuphefumla, kodwa ezinye iimvavanyo azifumananga nto.

Yingakho ugqirha ecebisa olu vavanyo. Ungaze woyike ukubuza imibuzo ngalo. Kubaluleke kakhulu ukubuza ugqirha wakho nantoni na oyicingayo okanye ongayiqondiyo.

Ndingayilungiselela njani le angiogram?

Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nendlela yokulungiselela olu vavanyo. Uza kuthetha nawe ngamayeza owasebenzisayo kunye nembali yakho yempilo. Ngokwesiqhelo, ugqirha uza kuthetha izinto ezifana nezi:

• Uza kucelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezisibhozo ngaphambi kovavanyo. Ungasela amanzi kuphela. Oku sikubiza ngokuba 'kukuzila', okanye ukuzila ukutya.
• Ukuba uthatha amayeza okunciphisa igazi , amayeza eswekile, amayeza okukhupha umchamo (amayeza anyusa ukuchama), okanye i-sildenafil (efana neViagra® okanye iRevatio®), uya kunikwa imiyalelo yokuba ungazisebenzisa njani kunye nokuba uziyeke na kwiintsuku ezingaphambi kovavanyo.
• Baza kukubuza ukuba ngaba wakha waba ne-allergy kwidayi yokwahlula okanye i-anesthesia ekhankanyiweyo ngaphambili.
• Ukuba ungumfazi okhulelweyo, kufuneka uxelele ugqirha wakho .

Enye into ebalulekileyo kukuba, ngenxa yokhuseleko lwakho, awuyi kuvunyelwa ukuba uziqhubele ekhaya ngemoto yakho ngomhla wovavanyo. Ngoko ke, kungcono ukulungiselela ukuba umntu akuqhubele ekhaya ngaloo mini usuka esibhedlele.

Kwenzeka ntoni ngexesha le-angiogram?

Kulungile, ngoku masibone ukuba kwenzeka ntoni ngexesha lovavanyo lwentliziyo. Cinga ngayo njengesigcawu esivela kwimuvi.

1. Okokuqala, kuya kufuneka unxibe ilokhwe ekhethekileyo yezonyango enikezelwe sisibhedlele. Emva koko, kuya kufuneka ulale ebhedini yovavanyo.

2. Ilungu labasebenzi bezonyango liza kukunika isithomalalisi nge-IV (uhlobo lwesicombululo setyuwa esifakwa emthanjeni osengalweni yakho). Oku kuza kukwenza uzive ukhululekile, kodwa awuyi kulala ngokupheleleyo. Uza kube uvukile kwaye ukwazi ukumamela imiyalelo kagqirha. Umzekelo, unokucelwa ukuba ukhohlele okanye ubambe umphefumlo wakho imizuzwana embalwa.

3. Ukubetha kwentliziyo yakho kuya kuhlolwa ngomatshini we-ECG (Electrocardiogram) kulo lonke uvavanyo.

4. Gqirha, ngaba ikho indawo apho unokufikelela khona kumthambo omkhulu wegazi (umthambo wegazi) emqolo okanye engalweni yakho?I-anesthesia yendawo. Oku kuthetha ukuba uza kubanjwa yintlungu kuphela liyeza. Ngeli xesha, usenokuziva urhawuzelelwa kancinci, kodwa awuyi kuva ntlungu.

5. Emva koko ugqirha wentliziyo usebenzisa inaliti encinci ukungena emthanjeni wegazi kwindawo ebhobokileyo. Emva koko, ishelufu , eyityhubhu encinci, ibekwa phezu kwenaliti ize ingene kumthambo omkhulu.

6. Okulandelayo, ugqirha uza kufaka iingcingo ezincinci kakhulu kunye nee-catheters (iityhubhu ezincinci) ngale tyhubhu ukuya kwimithambo yentliziyo ephezu kwentliziyo yakho. Awuyi kuva ityhubhu ihamba ngemithambo yegazi yakho.

7. Umatshini we-X-ray ujikeleza ngeenxa zonke kuwe. Oku kubizwa ngokuba yi-fluoroscopy . Oku kuvumela ugqirha ukuba abone indlela ye-catheter macala onke.

8. Xa i-catheter isentliziyweni yakho okanye kwi-aorta , ugqirha uza kufaka idayi ekhethekileyo kwityhubhu. Emva koko, baza kusebenzisa ii-X-ray ukubona indlela idayi ehamba ngayo kwi-artery. Ngeli xesha, ungaziva ushushu emzimbeni wakho imizuzwana embalwa, okanye ungaziva ngathi ufuna ukuchama. Oku kuqhelekile.

9. Xa idayi idlula kwimithambo yentliziyo, ugqirha unokubona ngokucacileyo ukuba kukho i-cholesterol okanye i-plaque eqokeleleneyo kwindawo ethile ngaphakathi kwimithambo yentliziyo, nto leyo ethintela ukuhamba kwegazi.

Khawucinge nje ngoku, kufana nokusebenzisa ikhamera yedrone ukuze ubone ukuba kukho ukuxinana kweemoto endleleni na nokuba iphi na.

Ngamanye amaxesha, ukuba ugqirha ubona ukuba umthambo wegazi uvalekile, angavuthela ibhaluni ukuvula indawo evalekileyo. Oku kubizwa ngokuba yi -angioplasty . Emva koko, i -stent , isixhobo esincinci esifana ne-mesh, singafakwa emthanjeni ukuze singawi kwakhona.

Nangona kunjalo, ukuba oko akunakwenzeka, okanye ukuba ugqirha ucinga ukuba kungcono ukwenza enye indlela yonyango kamva, i-coronary angiogram iya kugqityezelwa apho.

Uvavanyo lonke ludla ngokuthatha imizuzu engama-30 ukuya kwengama-50 , kodwa ngamanye amaxesha lunokuba lude okanye lube lufutshane.

Kwenzeka ntoni emva kwe-angiogram?

Emva kokuba uhlolisiso lugqityiwe, ugqirha uyayisusa i-catheter. Emva koko omnye wabasebenzi bezonyango ubamba inaliti ngokuqinileyo ukuze ayeke ukopha.

Uninzi lwabantu lunokubuyela ekhaya ngosuku olunye uvavanyo olwenziwe ngalo, emva kweeyure ezimbini ukuya kwezine.

Nangona kunjalo, ukuba uvavanyo lwakho luyinkimbinkimbi ngakumbi, okanye ukuba uvavanyo lwenziwe emini, kungcono ulindele ukuhlala esibhedlele ngobo busuku.

Usenokuziva udiniwe kancinci emva kovavanyo lwe-angiogram. Indawo apho inaliti ifakwe khona (inxeba) iya kuba buhlungu kangangeveki.Usenokuba nobuthathaka kwaye uluhlaza okwesibhakabhaka, njengomvumbo. Ugqirha wakho angakuxelela ukuba unciphise imisebenzi yakho kwiintsuku ezimbalwa emva kokuba ubuyele ekhaya.

Ngaba kukho naziphi na iingozi kolu vavanyo?

Kungcono ukuba olu vavanyo lwenziwe kwiziko elinomthamo omkhulu apho ugqirha onamava elwenza rhoqo. Uninzi lwexesha, olu vavanyo lukhuselekile. Nangona kunjalo, xa kuthelekiswa nezinye iimvavanyo, ezifana ne -ultrasound, olu luvavanyo olungenamsebenzi. Iingxaki ezinkulu azixhaphakanga.

Nangona kunjalo, kulungile ukwazi ukuba zeziphi iingozi ezinokubakho ze-angiogram:

• Ukubetha kwentliziyo okungaqhelekanga (i-arrhythmia) .
• I-aleji kwidayi okanye kwi-anesthetic.
• Ukonakala komthambo wegazi.
• Ukwakheka kwamahlwili egazi .
• Ulwelo luqokelelana lujikeleze intliziyo luze lubeke uxinzelelo entliziyweni (i-cardiac tamponade) .
• Ukuhlaselwa yintliziyo .
• Ukonakala kwezintso, mhlawumbi kufuna i-dialysis ukuze kucocwe igazi.
• Uxinzelelo lwegazi oluphantsi.
• Intlungu, ukopha, okanye usulelo kwindawo efakwe kuyo inaliti okanye i-catheter.
• Istroke .

Abantu abalandelayo banokuba semngciphekweni omkhulu wokufumana ezi ngxaki:

• Kwabo baneminyaka engaphezu kwama-65 ubudala.
• Kwabo banesifo seswekile .
• Kwabo banesifo sezintso .

Ukuba unemibuzo engaphezulu malunga nezi ngozi, thetha nogqirha wakho.

Ndiza kuzazi nini iziphumo zovavanyo?

Ngamanye amaxesha ugqirha angakubonisa imifanekiso ye-X-ray ngexesha lovavanyo. Nangona kunjalo, emva kokuba i-angiogram igqityiwe, ugqirha uya kukuchazela ukuba iziphumo zithetha ukuthini.

Ugqirha wakho usenokuthi iziphumo zakho ze-angiogram 'ziqhelekile' okanye 'aziqhelekanga'.

• Isiphumo esiqhelekileyo sithetha ukuba akukho zithintelo kwimithambo yakho yentliziyo kwaye intliziyo yakho ifumana igazi elaneleyo. Nangona kunjalo, ukuba usenazo iimpawu, kunokufuneka uvavanyo olongezelelweyo ukuze kufunyanwe unobangela.
• Ukuba iziphumo aziqhelekanga , kunokubakho ukuvaleka kwemithambo yegazi yentliziyo yakho. Ugqirha wakho uza kukuxelela ukuba zeziphi iimithambo yegazi ezivalekileyo kwaye phi. Baza kuchaza nokuba zinzima kangakanani. Banokukuxelela nokuba kungakanani ukuvaleka kwemithambo yegazi.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ukuba iziphumo zakho aziqhelekanga, ugqirha wakho uya kukuchazela nokuba loluphi unyango olucetyiswayo kuwe. Ezinye zezi ziquka:

• I-Angioplasty okanye i-stenting (ukufaka ibhaluni ekhankanyiweyo ngaphambili kunye nokubeka i-stent).
• Ukwenza utshintsho kubomi bakho bemihla ngemihla, umzekeloUkuzilolonga ngakumbi nokwenza utshintsho kwindlela otya ngayo.
• Utyando lwe-Coronary artery bypass (CABG) .
• Ukusebenzisa amayeza.

Kufuneka uthethe nogqirha nini?

Emva kovavanyo, ukuba ubona naziphi na kwezi zilandelayo kwindawo apho i-catheter ifakwe khona, fowunela ugqirha wakho ngoko nangoko:

• Ukuba kukho ukopha okugqithisileyo oko akupheli.
• Ukuba loo ndawo idumbile .
• Ukuba kukho iimpawu zosulelo (umz., ukutshintsha kombala wolusu, ubomvu).

Kwakhona, ukuba unengxaki yokujikeleza kwegazi ezingalweni okanye emilenzeni, xelela ugqirha wakho ngaloo nto.

Ngaba i-angiogram ibuhlungu?

Ngokwesiqhelo, i-coronary angiogram ayibuhlungu kangako. Usenokuba neentlungu zexeshana nezincinci ngexesha:

• Xa befaka umgca we-IV ukuze bakunike elo yeza lokulala elilula.
• Xa ufaka i-anesthesia yendawo.

Awuyi kuva ntlungu ngexesha lovavanyo ngenxa ye-catheter. Kwakhona, awuyi kuva ntlungu njengoko ihamba ngemithambo yakho kunye nemithambo yegazi.

Emva kovavanyo, ungaziva iintlungu ezithile apho kufakwe khona i-IV kwaza kwafakwa i-catheter. Oku kuya kuphela emva kweveki.

Ukuba uziva iintlungu ezinganyamezelekiyo ngexesha lovavanyo, xelela ugqirha ngoko nangoko.

Ekugqibeleni...

Kuqhelekile ukuba novalo nokukhathazeka xa uxelelwa ukuba kufuneka wenze i-coronary angiogram. Usenokuzibuza nokuba iziphumo azizukuba zezingaqhelekanga na. Kodwa khumbula, ulwazi olufunyanwa ngugqirha wakho kolu vavanyo luya kumnceda ukuba axilonge imeko yakho aze enze isicwangciso sonyango esifanelekileyo kuwe. Ngoko ke, thetha nogqirha wakho ngayo nayiphi na into ongayiqondiyo okanye onemibuzo ngayo. Ukho ukukunceda.

I- Coronary angiogram, isifo sentliziyo, imithambo yegazi yentliziyo, i-angioplasty, i-stent, iintlungu zesifuba, uhlaselo lwentliziyo, i-ECG, uvavanyo lwentliziyo, ukuxilongwa kwesifo sentliziyo