Mhlawumbi ugqirha wakho ukuxelele ukuba kufuneka wenze uvavanyo olukhethekileyo kwimithambo yegazi engqondweni yakho. Ngaba uzive usoyika kancinci xa ekuxelela ukuba igama lovavanyo yi-'Cerebral Angiogram'? Okanye ngaba unengxaki yokucinga ukuba kwakunjani xa usiva eli gama? Akukho sizathu sokoyika okanye sokukhathazeka. Kweli nqaku, siza kuthetha ngokuchanekileyo nangokulula malunga nokuba yintoni kanye kanye, indlela eyenziwa ngayo, kunye nesizathu sokuba yenziwe.
Yintoni i-cerebral angiogram?
Ngamafutshane, i-cerebral angiogram luvavanyo olukhethekileyo olujonga iingxaki zemithambo yegazi engqondweni yakho. Njengemephu yesixeko, olu vavanyo luvumela oogqirha ukuba babone umfanekiso ocacileyo, ofana nemephu wemithambo yegazi ethwala igazi liye engqondweni yakho.
Olu vavanyo lwenziwa ngoogqirha abaqeqeshwe ngokukodwa, ngesiqhelo kwindawo efana negumbi lotyando. Nantsi into eyenzekayo:
1. Ugqirha ufaka ityhubhu yeplastiki encinci kakhulu ebizwa ngokuba yi-catheter kwimithambo yegazi emikhulu esihlahleni okanye esinqeni sakho.
2. Emva koko, kufakwa idayi ekhethekileyo, efakwa ngetyhubhu. Le dayi yenza imithambo yegazi yakho ibonakale ngokucacileyo kwimifanekiso ye-X-ray.
3. Ngelixa ulele etafileni yovavanyo, ugqirha uthatha uthotho lwemifanekiso ye-X-reyi njengoko le dayi idlula kwimithambo yegazi yakho.
Imifanekiso ethathwe ngale ndlela inika umfanekiso ocacileyo noneenkcukacha ngakumbi wemithambo yegazi engqondweni kune-CT scan (Computed Tomography) okanye i-MRI scan (Magnetic Resonance Imaging) esiqhele ukuyenza.
Kutheni kufuneka senze olu vavanyo?
Ngamanye amaxesha olu vavanyo lwenziwa ukuze kufunyaniswe ukuba yintoni kanye kanye isifo. Ngamanye amaxesha, lukwasetyenziselwa ukunyanga iimeko ezithile zempilo. Ngokuyintloko, lusetyenziselwa ukuqinisekisa ukuba kukho naziphi na iingxaki kwimithambo yegazi engqondweni.
| Iimeko zokuxilonga | Kalula nje... |
|---|---|
| I-Aneurysm yobuchopho | Fumana indawo engqondweni apho umthambo wegazi uvuthuluke khona kwaye ubuthathaka. |
| I-atherosclerosis | Jonga ukuba amafutha (i-cholesterol) afakwe kwimithambo yegazi aze ayinciphise na. |
| Ukukhubazeka kwemithambo yegazi | Jonga ukuba akukho kuxinana okungaqhelekanga kwimithambo yegazi kunye nemithambo yegazi (imithambo yegazi ethwala igazi elilungileyo negazi elibi) engqondweni. |
| I-Vasculitis | Jonga ukuba iindonga zemithambo yegazi zidumbile kwaye ziyavuvukala na. |
| Istroke | Ukufumana indawo echanekileyo apho igazi lenzeke khona laza lavala umthambo wegazi engqondweni. |
Ukongeza, olu vavanyo lwenziwa ngenxa yezizathu ezininzi:
- Jonga imeko yemithambo yegazi yakho ngaphambi kokuba wenze utyando entlokweni yakho, entanyeni, okanye engqondweni.
- Ukuba kukho ithumba lobuchopho, fumanisa ukuba liphuma njani na kwaye liphuma kwimithambo yegazi.
- Funda ngakumbi malunga nokungaqhelekanga okubonwe kwenye iskeni (njenge-MRI okanye i-CT scan).
Silungiselela njani ngaphambi kovavanyo?
Ngaphambi kokuba wenze olu vavanyo, ugqirha wakho uya kuqinisekisa ukuba kufanelekile kwaye kukhuselekile ukuba ulwenze. Baza kukuhlola, mhlawumbi benze uvavanyo lwegazi, baze bakubuze imibuzo malunga nembali yakho yempilo.
Ngokuqinisekileyo kufuneka uxoxe ngezi zinto ngokucacileyo nogqirha wakho. Musa ukufihla nantoni na.
- Sixelele ngazo zonke amayeza owasebenzisayo ngoku: Oku kuquka iivithamini, izongezo, kunye namayeza athengiswa ngaphandle kwemvume kagqirha (OTC).
- Sixelele ngezinye izifo onazo: nokuba yinto efana nomkhuhlane osandul’ ukwenzeka.
- Ukuba unengxaki yokopha okanye uthatha amayeza okunciphisa igazi: Kwakhona khankanya nayiphi na imithi efana neyeza zokunciphisa iintlungu (ii-NSAID).
- Malunga nee-allergies zakho: Qiniseka ukuba uyasixelela ukuba unayo nayiphi na i-allergies, ingakumbi kwi-anesthetics, i-contrast dyes, okanye nantoni na equlethe i-iodine.
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe:Nam kufuneka ndimxelele ugqirha loo nto.
Ukuba unikwe iyeza lokuthomalalisa ukuze uhlale uphumle ngexesha lovavanyo, uya kuyalelwa ukuba ungatyi okanye usele iiyure ezine ukuya kwezisibhozo ngaphambi kovavanyo. Kwakhona, ukuba unikwe i-anesthesia, uya kucelwa ukuba uze nomntu oza kukuthatha akuse ekhaya emva kovavanyo. Landela yonke le miyalelo ngononophelo.
Kwenzeka ntoni ngexesha lovavanyo?
Kulungile, ngoku makhe sibone ukuba oku kwenzeka njani inyathelo ngenyathelo. Ungakhathazeki, yonke into iza kwenziwa ngononophelo olukhulu kwaye ngaphandle kwengxaki kuwe.
1. Okokuqala, uza kunikwa ilokhwe ekhethekileyo yesibhedlele oza kuyinxiba.
2. Umongikazi okanye ingcali ye-radiology iza kufaka i-cannula (umgca we-IV) emthanjeni osengalweni yakho. Kulapho uza kunikwa khona amayeza okukunceda uphumle, ukuba kuyimfuneko. Oku kuya kuvakala ngathi kukuhlaba kwembovane. Abanye abantu, ingakumbi abantwana kunye nabantu abadala abancinci, banokunikwa idosi epheleleyo ye-anesthesia.
3. Izixhobo ziya kuqhotyoshelwa emzimbeni wakho ukuze zijonge izinga lentliziyo yakho kunye noxinzelelo lwegazi kulo lonke uvavanyo.
4. Uza kubekwa etafileni yovavanyo. Intloko yakho iza kuvalwa ngentambo okanye ngenkxaso yefoam.
5. Indawo apho i-catheter iza kufakwa khona (empumlweni okanye engalweni) icocwe kakuhle ngesisombululo se-antiseptic.
6. Emva koko , kufakwa iyeza elibangela ukuba umntu angakwazi ukuziva ephilile kwindawo leyo. Xa lifakwa, ungaziva utshile kancinci imizuzwana embalwa, kodwa ke indawo leyo iza kuqala ukuziva ingenamsebenzi.
7. Ugqirha wenza umngxuma omncinci kakhulu eluswini ukuze afake i-catheter.
8. Emva koko, phantsi kwesikhokelo se-X-ray, i-catheter ifakwa kwimithambo yegazi ngomngxuma omncinci owenziwe ngenaliti. Uza kuziva utyhalwa kancinci ngeli xesha, kodwa akuyi kuba buhlungu.
9. Ngoku ugqirha uza kuyikhokela ngononophelo i-catheter ngemithambo yakho ize ingene emthanjeni entanyeni yakho. Awuyi kuyiva i-catheter idlula emzimbeni wakho.
10. Nje ukuba i-catheter ibekwe endaweni yayo, idayi yomahluko ifakwa kuyo. Ungaziva ubushushu obuncinci njengoko idayi ihamba emzimbeni wakho, kodwa oku kuya kuphela ngokukhawuleza.
11. Nje ukuba idayi ingene kwimithambo yegazi engqondweni yakho, ugqirha uza kuthatha imifanekiso emininzi ye-X-reyi. Ngeli xesha, kufuneka ubambe umphefumlo wakho kwaye uhlale ungashukumi . Le yindlela ekuphela kwayo yokufumana imifanekiso ecacileyo.
12. Emva kokuthatha yonke imifanekiso efunekayo, ugqirha uyisusa ngononophelo i-catheter.
13. Ukuze umise ukopha kwindawo yokufaka i-catheter, faka uxinzelelo kwindawo okwethutyana. Kusenokufuneka usebenzise isixhobo sokuvala ukuvala umngxuma omncinci.
14. Ekugqibeleni, kuya kufakwa iplasta encinci kuloo ndawo kwaye i-cannula esesandleni sakho iya kususwa.
Kuza kuthatha ixesha elingakanani oku?
Uvavanyo lonke ludla ngokuthatha malunga neyure enye ukuya kwezintathu . Ukongeza, kunokubakho ixesha elongezelelweyo lokulungiselela uvavanyo kunye nokujonga emva kovavanyo.
Kuthatha ixesha elingakanani ukuphiliswa?
Emva kovavanyo, uza kugcinwa kwigumbi lokuchacha iiyure ezimbalwa. Ukuba yonke into ilungile, ungaya ekhaya. Ugqirha wakho uza kukunika imiyalelo yokuba ungaziphatha njani ekhaya. Yilandele ngokuchanekileyo.
- Ungatya ngendlela eqhelekileyo.
- Emva kovavanyo, kufuneka uphumle kakuhle iiyure ezisi-8 ukuya kwezili-12 . Kuphela emva koko kufuneka uqale omnye umsebenzi.
- Ukuba ungumama oncancisayo, musa ukuncancisa umntwana wakho kangangeeyure ezingama-24 emva kokuba idayi ifakiwe.
Ngaba kukho naziphi na iingozi kolu vavanyo?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo xa kufakwa i-catheter kwimithambo yegazi. Nangona kunjalo, kufuneka ukhumbule ukuba ezi azixhaphakanga kakhulu kwaye oogqirha bayalumkela kakhulu olu tyando.
| Umngcipheko | Inkcazo kunye noko kufuneka ukwazi |
|---|---|
| Umonakalo wemithambo yegazi | Kusenokuba kukho ukukrweleka, ukopha, okanye usulelo kwindawo ye-catheter. Ezi zihlala zincinci. |
| Impendulo yokunganyamezelani nedayi yokwahlulahlula | Oku kwenzeka rhoqo. Ukuba kwenzeka njalo, ingcali ye-radiology iyazi indlela yokunyanga. |
| Impembelelo kwizintso | Ukuba unesifo seswekile okanye isifo sezintso, idayi inokuba nefuthe elincinci kwizintso zakho. Nangona kunjalo, idla ngokubuyela kwisiqhelo kwiintsuku ezi-5-7. |
| Istroke | I-catheter inokubangela ukuba iqhekeza leplaque liqhekeke eludongeni lomthambo wegazi lize livale umthambo osebuchotsheni. Amathuba okuba oku kwenzeke aphantsi kakhulu (ngaphantsi kwe-1%). |
Ugqirha wakho uza kuxoxa nawe ngale mingcipheko ngaphambi kovavanyo. Ungathandabuzi ukubuza nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngelo xesha.
Zithini iziphumo zovavanyo?
Ingcali ye-X-reyi iza kufunda ngononophelo imifanekiso yakho ye-X-reyi ize yenze ingxelo. Xa ugqirha oye wayalela uvavanyo efumana ingxelo, uza kuxoxa nawe ngokucacileyo ngayo.
- Ukuba idayi ibonakala ngathi iphuma emthanjeni wegazi, isenokuba ligazi .
- Ukuba imithambo yegazi inciphile okanye ivalekile, unobangela usenokuba yi-cholesterol deposits (i-plaque) okanye i-blood clot .
- Ukuba imithambo yegazi ivuvukele okanye ikwiindawo ezingaqhelekanga, isenokuba yi-aneurysm , ithumba lobuchopho , okanye enye into engaqhelekanga.
Ukuba kwenzeka into efana nale emva kovavanyo, fowunela ugqirha ngokukhawuleza!
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya uvela kuvavanyo, yazisa ugqirha wakho ngoko nangoko.
- Ubuthathaka bemisipha okanye ukurhawuzelela ebusweni, ezingalweni, okanye emilenzeni.
- Ukungathethi kakuhle okanye ukungathethi kakuhle .
- Iingxaki zokubona .
- Iimpawu zosulelo, ezinje ngokufudumala, ukuba bomvu, okanye ukudumba kwindawo yokufaka i-catheter.
- Isiyezi.
- Iintlungu zesifuba.
- Ubunzima bokuphefumla.
- Irhashalala lolusu.
Ukuba ezi mpawu zinzima, yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU) ngokukhawuleza.
Ingaba olu lutyando?
Hayi. I-cerebral angiogram ayilonkqubo yotyando. Luvavanyo lokuxilonga olungenamsebenzi kangako. Inkqubo yotyando yinkqubo apho ugqirha otyandayo esika aze atshintshe izicwili emzimbeni wakho. Le nkqubo ibandakanya ukwenza umngxuma omncinci kakhulu wokufaka i-catheter. Ayitshintshi nasiphi na isicwili emzimbeni wakho.
I-cerebral angiogram luvavanyo olubaluleke kakhulu noluxabisekileyo lokufumanisa izifo ezinxulumene nemithambo yegazi engqondweni. Ukuba ucwangciselwe ukwenza olu vavanyo, ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- I-cerebral angiogram luvavanyo olukhethekileyo lwe-X-ray olujonga impilo yemithambo yegazi engqondweni, hayi utyando olukhulu.
- Kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, ii-allergies onazo, kunye nezinye iimeko zempilo ngaphambi kovavanyo.
- Le nkqubo yenziwa kusetyenziswa ityhubhu encinci (i-catheter) kunye nedayi ekhethekileyo, kwaye yenziwa ngononophelo olukhulu ngoogqirha abaziingcali.
- Iingozi zolu vavanyo ziphantsi kakhulu, kodwa ziqaphele kwaye ungoyiki ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo.
- Ukuba ufumana naziphi na iimpawu ezilumkisayo emva kovavanyo, ezinje ngobuthathaka okanye ubunzima bokuthetha, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) elikufutshane.











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