Masifunde nje ngovavanyo lwe-angiogram, olujonga ukuvaleka kwemithambo yegazi?

I-angiogram luvavanyo olukhethekileyo lwe-X-ray olwenziwayo ukuze kubonwe ukuba kukho na ukuvaleka okanye ukuncitshiswa kwemithambo yegazi (imithambo yegazi okanye imithambo yegazi) emzimbeni wakho. Oku kuvumela oogqirha ukuba babone ngqo apho igazi lihamba khona emzimbeni wakho kwaye ukuba kukho ingxaki na. Umzekelo, isetyenziselwa ukufumanisa ngqo apho kukho ingxaki khona kwimithambo yegazi okanye kwimithambo yegazi kwiindawo ezifana nentliziyo, intamo, izintso, okanye imilenze.

Kutheni kwenziwa i-angiogram? Ifuneka nini?

Ngoku usenokuba uzibuza, 'Kutheni ndifuna i-angiogram?' Ugqirha wakho uza kucebisa olu vavanyo kuphela ukuba kukho naluphi na uphawu lokuba imithambo yakho yegazi ivaliwe, yonakele, okanye inesinye isiphako. Oku kuya kubanceda baqonde ukuba yintoni kanye kanye ingxaki kwaye iyichaphazele kangakanani . Oku kuya kwenza kube lula ukucwangcisa unyango.

Ngamafutshane, i-angiogram inceda ekuxilongeni nasekucebeni unyango lweemeko ezifana nezi:

• Isifo semithambo yegazi: Oku kukuvaleka okanye ukuncitshiswa kwemithambo yegazi ehambisa igazi entliziyweni.
• Isifo semithambo yegazi ejikeleze imilenze: Ukuvaleka okanye ukuncitshiswa kwemithambo yegazi emilenzeni.
• Amahlwili egazi: Iiseli zegazi ziyahlangana zenze ihlwili.
• I-Aneurysm: Ubuthathaka bodonga lwemithambo yegazi oluvuvukala njengebhaluni.

Isebenza kanjani lento?

Kulungile, masibone ukuba oku kusebenza njani. Ngexesha le-angiogram, kufakwa into ekhethekileyo (ebizwa ngokuba yi-contrast material okanye idayi) emzimbeni wakho. Le dayi ibonakala kumatshini we-X-ray. Emva koko, xa ujonga isikrini se-X-ray, unokubona ngokucacileyo indlela igazi elihamba ngayo kwimithambo yegazi yakho, kwaye ukuba kukho ukuvaleka kwenye indawo.

Uza kunikwa amayeza okukunceda uphumle kwaye uzive ukhululekile ngeli xesha lovavanyo. Uninzi lwabantu luza kunikwa inqanaba elithile lokuthomalalisa. Abanye abantu baza kunikwa i-anesthesia eqhelekileyo, oko kuthetha ukuba uza kube ulele ngokupheleleyo. Nangona kunjalo, uza kufuna umntu oza kukuyisa ekhaya emva kovavanyo.

Ulungiselela njani i-angiogram?

Ngaphambi kolu vavanyo, igazi lakho lingathathwa ukuze kubonwe ukuba igazi lakho liwa njani na kwaye nokuba izintso zakho zisebenza kakuhle na.

Lumka ngamayeza

Ukuba usebenzisa nawaphi na amayeza, ingakumbi amayeza okunciphisa igazi (alwa neeplatelets, amayeza okunciphisa igazi) , ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba uwayeke. Ngemvume kagqirha wakho:

• Amayeza anjenge-"Clopidogrel" angacelwa ukuba amiswe kwiintsuku ezintlanu ngaphambi kovavanyo.
• Usenokucelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi afana ne-`Dipyridamole` okanye i-`Warfarin` iiyure ezingama-72 ngaphambi kovavanyo kwaye emva kweeyure ezingama-24 emva kovavanyo.
• Amanye amayeza aqhelekileyo anokuselwa njengesiqhelo.
• Eya kuweUkuba unesifo seswekile , buza ugqirha wakho ngqo ukuba umele usithathe njani kwaye nini i-insulin okanye amanye amayeza eswekile.

Malunga nokutya neziselo

Musa ukutya okanye ukusela nantoni na emva kobusuku obungaphambi kobusuku be-angiogram. Ukuba uza kunikwa i-anesthesia jikelele ngexesha lovavanyo, musa ukutya okanye ukusela nantoni na emva kobusuku obungaphambi kobusuku.

Khumbula ezi zinto ngomhla wovavanyo

• Sela ulwelo olulula kuphela (umz. amanzi, iti engenaswekile) ngentsasa yovavanyo.
• Shiya izinto zakho zobucwebe kunye nezinto zakho ezixabisekileyo ekhaya .
• Lungiselela umntu onoxanduva ukuba akuse ekhaya.
• Zisa uluhlu lwamayeza owasebenzisayo ngoku kunye neenkcukacha zazo naziphi na izinto ezibangela ukuba ungabi namdla .
• Ukuba ugqirha wakho kufuneka abone isigulana esingxamisekileyo, kusenokufuneka ulinde de kufike ithuba lakho. Ngoko ke licebo elihle ukuzisa into efana nencwadi okanye imagazini.
• Ukuba unesifo seswekile, yazisa bonke abasebenzi bezonyango ngaso.
• Kuya kufuneka unxibe ilokhwe yesibhedlele uze ulale etafileni ekhethekileyo ye-X-ray.
• Ngaphambi kovavanyo, thetha nogqirha wakho malunga nemiyalelo yakho, nayiphi na imibuzo onayo, kunye nembali yakho yezonyango.

Kwenzeka ntoni ngexesha lovavanyo?

Xa esenza i-angiogram, ugqirha uza:

• Okokuqala, indawo apho i-catheter iza kufakwa khona ivaliwe.
• Emva koko, kusetyenziswa inaliti ukufaka kwenye yemithambo yakho yegazi.
• Ucingo ludlula kuloo naliti.
• Ityhubhu ende nebhityileyo ebizwa ngokuba yi-catheter ifakwa phezu kwentambo kwimithambo emikhulu, ngokuqhelekileyo kwimiqolo yakho okanye esihlahleni.
• Emva koko, ngononophelo olukhulu, i-catheter ikhokelwa ecaleni kwemithambo yegazi ide ifikelele kwinxalenye yomthambo wegazi ekufuneka ihlolwe.
• Ngoku, inxalenye encinci ye-'contrast material' ekhankanyiweyo ngaphambili (oko kukuthi 'idayi') iya kufakwa kwimithambo yegazi yakho nge-catheter. Ngeli xesha , ungaziva ufudumele imizuzwana embalwa, okanye ungaziva ngathi kufuneka uchame . Oku kuqhelekile, ungakhathazeki.
• Emva koko kuthathwa i-X-ray.
• Ngokujonga i-X-ray monitor, ubukele idayi ishukuma, ungayibona kakuhle indlela igazi elihamba ngayo kwimithambo yegazi yakho kunye nalapho kukho khona ukuvaleka.

I-angiogram ithatha ixesha elingakanani?

I-angiogram idla ngokugqitywa kwimizuzu eli-15 nje kuphela , kodwa ngamanye amaxesha ingathatha iiyure ezininzi. Oku kuxhomekeke ekubeni ugqirha uza kwenza naluphi na unyango olongezelelweyo emva kokuba ingxaki ichongiwe.

Khawucinge nje, ukuba ugqirha ufumanisa ukuba kukho into evalelekileyo, uza kwenza i-angioplasty ngoko nangoko.Olu nyango lubandakanya ukusebenzisa isixhobo esincinci esifana nebhaluni ukutyhala indawo evalekileyo eludongeni lomthambo. Ukuba oku kuvumela ukuhamba kwegazi okuhle kwaye kushiyeke ngaphantsi kwama-30% okuvalekileyo, i-angioplasty inokuba lolona khetho kuphela.

Kodwa ukuba i-angioplasty ayivuli sithuba sikhulu ngokwaneleyo ukuze igazi lihambe, kunokufuneka ufake i-stent . Le yityhubhu encinci yesinyithi efana ne-mesh efakwa ngaphakathi kwemithambo yegazi kwaye inceda ukuyigcina ivulekile. Le ingafakwa emva nje kwe-angioplasty.

Olunye unyango lutyando lwe-coronary artery bypass okanye utyando lwe-peripheral artery bypass . Oku kuquka ukudala indlela entsha yokuba igazi lijikeleze i-artery evalekileyo. Nangona kunjalo, olu tyando lwenziwa ngosuku olwahlukileyo.

Kwenzeka ntoni emva kovavanyo?

Ugqirha wakho uza kuyisusa i-catheter aze abeke ibhandishi phezu kwendawo ebhobokileyo eluswini lwakho. Ibhandishi iya kuhlala endaweni yayo ubuncinane imizuzu eli-15 ukuze iyeke okanye ithintele ukopha.

Ukuba i-catheter ifakwe emlenzeni wakho, kuya kufuneka uphumle ebhedini iiyure ezine ukuya kwezintandathu. Oku kuya kunceda ekunciphiseni ukopha okuvela enxebeni.

Ngaphambi kokuba uye ekhaya

Ngaphambi kokuba akuthumele ekhaya, ugqirha uza kukuxilonga aze athethe nawe ngemiyalelo omawuyilandele ekhaya.

Xa ubuyela ekhaya (ngexesha usaphila kwi-angiogram)

Nokuba ukhe wahlinzwa i-angioplasty kwaye wabekwa kwi-stent, uya kukwazi ukuya ekhaya ngaloo mini okanye ngosuku olulandelayo emva kwe-angiogram. Nangona kunjalo, ekubeni unikwe i-anesthesia, kuya kufuneka umntu akuse ekhaya .

Emva kokuba ubuyele ekhaya, musa ukuphakamisa ubunzima obungaphezulu kweekhilogram ezili-10 (malunga ne-4.5 kg) kwiintsuku ezimbini ezizayo, musa ukugoba, okanye ukugoba . Oku kuya kunceda ukuthintela ukopha enxebeni.

Kungumbono omhle ukuba nomntu omdala othembekileyo ahlale nawe ngobusuku bovavanyo. Abanye abantu kusenokufuneka bahlale esibhedlele ubusuku bonke ukuze baphile.

Ukuba unesifo seswekile, musa ukuthatha i-metformin iiyure ezingama-48 emva kovavanyo . Oku kunciphisa umngcipheko weengxaki zezintso.

Sela amanzi amaninzi . Oku kuya kunceda idayi iphume emzimbeni wakho ngokukhawuleza.

Zithini iingozi ze-angiogram?

Iingozi ze-angiogram ziphantsi kakhulu. Nangona kunjalo, kunokubakho iingxaki ezincinci apho ugqirha ekhupha ulusu lwakho ukuze afikelele kumthambo wakho. Ezi ngxaki zenzeka ngaphantsi kwe-1% yamatyala .

Iingozi ze-angiogram zihlala zinxulumene nendawo yokubhoboza. Ziquka:

• Ukudumba: Oku kuqhelekile kwaye kuya kuphela kwiveki ukuya kwiiveki ezintathu.
• Ukopha
• Usulelo
• Intlungu
• Iingxaki zezintso
• Impendulo yokunganyamezelani nezinto ezichaseneyo (idayi)
• Ukonakala kwemithambo yegazi
• Ukubetha kwentliziyo okungaqhelekanga (arrhythmia) okanye imeko efana nokuma kwentliziyo (ukuma kwentliziyo) efuna ukuvuselelwa.
• Ihlwili legazi livala umthambo wegazi, nto leyo ebangela ukuhlaselwa yintliziyo okanye isifo sohlangothi (kunqabile kakhulu)
• Ukopha kwegazi emthanjeni wegazi (kunqabile kakhulu)

Zifumaneka njani iziphumo? Zisixelela ntoni?

Ugqirha usenokufumanisa iingxaki ezincinci ezingabalulekanga kangako. Basenokungadingi naluphi na unyango olukhulu. Basenokukuxelela ukuba uthathe amayeza okanye wenze utshintsho oluthile kubomi bakho bemihla ngemihla. Umzekelo, qhelisela umthambo ngakumbi okanye utye ukutya okunempilo.

Kodwa ngamanye amaxesha kubakho ukuvaleka okukhulu. Oko kufuna unyango olungaphezulu. Ukuba kunjalo, ugqirha angenza i-angioplasty ngaxeshanye ne-angiogram, abeke i-stent ukuvula umthambo wakho kwaye awugcine uvulekile.

Abanye abantu bafuna unyango olwahlukileyo ngosuku olwahlukileyo. Ugqirha angacebisa utyando lwe-bypass, oludala indlela yokuba igazi lihambe kuyo yonke indawo evalekileyo.

Ziza kwaziwa nini iziphumo?

Ugqirha wakho usenokuthetha nawe emva kokuba i-angiogram yakho yenziwe. Nangona kunjalo, ugqirha wakho usenokufuna ixesha lokuphonononga imifanekiso yakho ye-X-ray ngaphambi kokuba agqibe kwelokuba enze ntoni ngokulandelayo.

Ufanele ubuye nini ugqirha kwakhona?

Ukuba kukho nayiphi na kwezi zinto eyenzekayo, bona ugqirha wakho ngoko nangoko:

• Ukuba unentlungu okanye ukungakhululeki okungapheliyo nangona usela amayeza .
• Ukuba kunzima ukuthetha okanye ukuncuma .
• Ukuba unesicaphucaphu , ubuthathaka, ubushushu, okanye ukudumba engalweni okanye emlenzeni apho kufakwa khona i-catheter.
• Ukuba ufumana umkhuhlane .
• Ukuba kukho iqhuma kufutshane nenxeba .
• Ukuba kukho ukopha kwindawo apho i-catheter ifakwe khona eluswini.

Ngaba i-angiogram lutyando olukhulu?

Hayi. I-angiogram luvavanyo "olungena kakhulu" oluqhutywa ngaphandle kokwenza umngxuma omkhulu . Ayilotyando. Ugqirha usebenza ngomngxuma omncinci kakhulu. Loo mngxuma mkhulu ngokwaneleyo ukufaka i-catheter kwimithambo yegazi yakho.

Ingakanani ingozi ye-angiogram?

I-angiogram luvavanyo olungenamngcipheko uphantsi . Nangona kunjalo, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho malunga nendlela yokuyilungiselela.

Ingaba oku kubuhlungu?

I-angiogram ayibuhlungu kakhulu .

Awuyi kuva ntlungu ingako. Usenokuba nokungonwabi okuncinci. Ngoko ke ungoyiki!

Ugqirha uza kubeka inaliti yokubulala iintlungu ukuze avale indawo apho kufakwe khona i-catheter, kwaye uya kuziva inaliti ibetha ulusu lwakho. Emva koko, mhlawumbi awuyi kuva ntlungu ngexesha lovavanyo. Usenokuziva ucinezelekile kancinci xa kufakwa i-catheter. Emva kovavanyo, usenokuba nobuhlungu okanye ukukrweleka apho kufakwe khona i-catheter.

Ngaba i-angiogram kunye ne-angioplasty ziyafana?

Hayi. I-angiogram inokunceda ugqirha wakho abone ukuba kukho ukuvaleka kwemithambo yakho. Ngexesha le-angiogram, ugqirha wakho angenza i-angioplasty ukunyanga ukuvaleka.

Ngubani owenza olu vavanyo?

I-angiogram yentliziyo yenziwa yingcali yentliziyo engenelelayo . Ii-angiogram zemithambo yegazi kwezinye iindawo zomzimba (umz., imilenze) zenziwa ziingcali ze-radiology ezingenelelayo kunye noogqirha bemithambo yegazi . Ii-angiogram zobuchopho zenziwa ziingcali ze-neurologists ezingenelelayo . Ugqirha owenza i-angiogram unokufunda imifanekiso yakho aze achonge iindawo ezixhalabisayo.

Ekugqibeleni, ekugqibeleni, khumbula oku.

Ukuba ugqirha wakho ukuxelela ukuba wenze i-angiogram, oko kuthetha ukuba ufuna iimpendulo zemibuzo ethile. Ulwazi oluvela kwi-angiogram luya kubanceda bagqibe ukuba ufuna unyango na. Ukuba lufanelekile kwimeko yakho, banokunyanga imeko yakho ngelixa usenza uvavanyo.

Nangona kunjalo, oku kwenziwa ngendlela ekwenza uzive ukhululekile kwaye ukhululekile. Akukho sizathu sokoyika.

Ukuba unemibuzo malunga ne-angiogram okanye into enokufumaneka kuyo, ungoyiki ukubuza ugqirha wakho. Khumbula, oku kwenzelwe ukukunceda uphucule impilo yakho.

I- Angiogram, isifo sentliziyo, imithambo yegazi, amahlwili egazi, ii-stents, i-angioplasty, iimvavanyo zonyango