Uvavanyo lweVenogram: Ingcaciso elula yeX-ray ejonga ukuhamba kwegazi ngaphakathi emithanjeni

Xa waya kugqirha kuba umlenze wakho wawudumbile kwaye ubuhlungu, ngaba ukuxelele ukuba wenze i-'venogram' ukujonga ukuba igazi alikho na emthanjeni wakho? Okanye ngaba olu vavanyo luyalelwe ukuba lusetyenziswe kwenye ingxaki yomthambo? Xa usiva igama elinje, ungaziva usoyika kancinci. "Yintoni le, njenge-X-ray? Ingaba ihlaba nantoni na?" Imibuzo emininzi kufuneka ukuba ifike engqondweni. Yinto eqhelekileyo. Kodwa akukho sizathu sokoyika. Namhlanje, siza kuthetha ngolu vavanyo lwe-venogram ngendlela elula kakhulu, ngendlela onokuyiqonda.

Ngamafutshane, yintoni i-venogram?

I-venogram luvavanyo olukhethekileyo lwe-X-ray olujonga indlela igazi elihamba ngayo ngemithambo yomzimba wakho. Ngokwesiqhelo, xa sithatha i-X-ray, sinokubona izinto eziqinileyo njengamathambo ngokucacileyo. Izicubu ezithambileyo ezifana nemithambo azibonakali ngokucacileyo.

Ngoko ke ukuze ubone okungaphakathi kwimithambo yakho ngokucacileyo, ugqirha wakho uza kufaka ulwelo olukhethekileyo olubizwa ngokuba yidayi yokungafani emthanjeni wakho ngenaliti encinci. Njengoko idayi ihamba ngemithambo yakho ngegazi lakho, imithambo iyagqanyiswa kwi-X-ray, nto leyo eyenza ibonakale njengemephu ecacileyo. Kufana nokuhamba esitalatweni esimnyama unethotshi. Oku kuya kunceda ugqirha wakho abone ukuba kukho ihlwili legazi emthanjeni wakho, umthambo onciphileyo, okanye enye ingxaki.

Amaxesha amaninzi, kwenziwa i-ultrasound scan ukujonga amahlwili egazi kwimithambo yegazi. Nangona kunjalo, ngamanye amaxesha, ukuba i-scan ayiniki mfanekiso ucacileyo, umzekelo xa ingalo okanye umlenze uvuvukile kakhulu, kwenziwa i-venogram njengenye indlela.

Kweziphi iimeko apho olu vavanyo lwenziwa khona?

Kukho izizathu ezahlukeneyo zokuba ugqirha angayiyalela olu vavanyo. Ezona ziphambili zezi:

• Chonga iDeep Vein Thrombosis (DVT): Le yeyona nto ibangela oku. Xa igazi liqhekeka emithanjeni , ingakumbi kwimithambo enzulu yemilenze, silibiza ngokuba yiDVT. Ukuba iskeni ye-ultrasound ayikwazi ukuyibona ngokucacileyo le nto, i-venogram ingakuqinisekisa ngokuqinisekileyo.
• Chonga iingxaki ngemithambo ekwindawo ye-pelvic: Ngamanye amaxesha, ukuhamba kwegazi kwimithambo esezantsi kwesisu kunokuthintelwa. Olu vavanyo lunokunceda ekufumaneni unobangela ochanekileyo wezo meko (ezifana ne-`pelvic congestion syndrome`, `nutcracker syndrome`).
• Ngaphambi kotyando oluthile: Umzekelo, ngaphambi kotyando lwemithambo eyomileyo emilenzeni, olu vavanyo lwenziwa ukuze kuchongwe imeko echanekileyo yemithambo.
• Njengesikhokelo ngexesha lonyango:Xa kunikwa unyango olufana nonyango lwe-thrombolytic, obu buchwephesha be-X-ray bukwasetyenziswa ukuqinisekisa ukuba iyeza lifikelela kwindawo echanekileyo apho igazi liqhekekileyo khona kwaye linyibilikise igazi eliqhekekileyo.

Isebenza njani le nto? Kwenzeka ntoni ngokwenene?

I-venogram isebenzisa indlela ekhethekileyo ye-X-ray ebizwa ngokuba yi -fluoroscopy . Cinga nge-X-ray eqhelekileyo njengefoto oyithatha ngokucofa kube kanye. Kodwa ukuhamba kwegazi akuyonto ehlala ihleli, yinkqubo eqhubekayo.

Itekhnoloji ye-Fluoroscopy isebenzisa uthotho oluqhubekayo lwe-X-rays, olufana nekhamera yevidiyo, ukuthwebula uthotho lwemifanekiso ye-X-ray ehambayo. Kanye njengokuba ikhathuni yenziwa ngokubonisa uthotho lwemifanekiso ngokulandelelana ngokukhawuleza, kule meko, imifanekiso ye-X-ray ibanjwa rhoqo kwaye iboniswe kwisikrini njengevidiyo.

Xa idayi yomahluko ifakwa kumthambo wakho, ugqirha angayibona idlula kumthambo ngexesha langempela, oko kuthetha ukuba iphila. Emva koko, ukuba kukho naluphi na uthintelo ekuphumeni kwegazi, iya kubonakala ngokucacileyo.

Ufanele uzilungiselele njani ngaphambi kovavanyo?

Ugqirha wakho uza kukunika imiyalelo ngaphambi kovavanyo. Badla ngokuthi:

• Ungacelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kovavanyo. Buza ugqirha wakho ukuba uvumelekile na ukusela amanzi kuphela.
• Usenokucelwa ukuba uyeke okwethutyana ukusebenzisa amayeza athile .

Ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngezi zinto zilandelayo.

Ngaphambi kovavanyo, uza kucelwa ukuba ukhuphe zonke izinto zobucwebe kunye nezinto zesinyithi ozinxibileyo. Uza kucelwa nokuba unxibe ilokhwe ekhethekileyo enikezelwe sisibhedlele.

Kwenzeka ntoni ngexesha lovavanyo?

Olu vavanyo ludla ngokuthatha imizuzu engama-30 ukuya kwengama-90. Lwenziwa yingcali ye-radiologic. Awuyi kuba ungekho zingqondweni, uya kuba uphaphile ngokupheleleyo. Nangona kunjalo, ngamanye amaxesha unokunikwa isithomalalisi esithambileyo ukukunceda uphumle.

Nazi iindlela:

1. Ukulala etafileni ye-X-reyi: Uza kunyanzelwa ukuba ulale etafileni ekhethekileyo apho kukho umatshini we-X-reyi. Usenokunikwa neebhanti zokhuseleko ukuze ungashukumi.

2. Ukufaka iinombolo kwindawo apho inaliti iza kufakwa khona: Kufakwa i-anesthetic yendawo (iyeza lokufaka iinombolo) kwindawo ekhethiweyo ukuba inaliti ifakwe kuyo (ngesiqhelo umlenze, i-groin, okanye intamo). Oku kuya kuvakala ngathi kukulunywa ziimbovane, kodwa akuyi kuba buhlungu kuba indawo iya kuba yi-hayindwi emva koko.

3. Inaliti yedayi: Emva koko kufakwa umgca we-intravenous (IV) , ofana ne-saline drip, apho kufakwa khona idayi ekhethekileyo emthanjeni. Uza kuziva uxinzelelo oluncinci ngeli xesha, kodwa aluyi kuba buhlungu. Usenokuziva ubushushu obuncinci okanye imvakalelo yokurhawuzelela njengoko idayi ihamba emzimbeni wakho. Oku kuqhelekile kwaye kuya kuphela emva kwexesha elithile.

4. Ukuhambisa itafile:Ukuze ufumane imifanekiso yemithambo yegazi kwiikona ezahlukeneyo, itafile olele kuyo ingashukunyiswa iye phambili nangasemva, phezulu nasezantsi. Ungakhathazeki, awuyi kuwa ngenxa yebhanti yokhuseleko.

5. Ukubamba umoya: Ngamanye amaxesha, ukuze ufumane imifanekiso ecacileyo, uya kucelwa ukuba ubambe umoya wakho imizuzwana embalwa okanye uhlale ungashukumi . Okanye ungacelwa ukuba wenze indlela ekhethekileyo yokuphefumla, efana neValsalva maneuver . Abasebenzi baya kukuchazela konke oku.

6. Ukususwa kwedayi: Ekupheleni kovavanyo, ityuwa eqhelekileyo (ulwelo) ithunyelwa emzimbeni nge-IV ukuze ikhuphe idayi emithanjeni.

Wenza ntoni emva kovavanyo?

Emva kokuba uvavanyo lugqityiwe, abasebenzi bezonyango baza kukujonga okwethutyana ukuze babone ukuba ngaba unesifo sokunganyamezelani okanye ezinye iingxaki. Ukuba yonke into ilungile, uya kuvunyelwa ukuba uye ekhaya. Emva kokuba uye ekhaya, uya kucetyiswa ukuba usele amanzi amaninzi iiyure ezingama-24 ukuze uncede ekukhupheni idayi emzimbeni wakho ngomchamo wakho.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga koku?

Njengakuyo nayiphi na uvavanyo lwezonyango, kukho iingozi ezincinci, kodwa kwiimeko ezininzi, ezi ngozi zincinci kakhulu xa kuthelekiswa neenzuzo zolu vavanyo.

• Ukuvezwa kwimitha: Ii-X-ray zikubeka kwindawo encinci kakhulu yemitha.
• Iingxaki kwindawo ehlatywe kuyo inaliti: Kusenokuba kukho ubuhlungu, ukudumba, ukopha kancinci, okanye usulelo kwindawo ehlatywe kuyo inaliti.
• Ukusabela kwi-allergy kwidayi: Abanye abantu banokuba ne-allergy kule dayi yokwahlulahlula. Yiyo loo nto sikubuza kwangaphambili ukuba ngaba unayo nayiphi na i-allergy.
• Ukonakala kwezintso: Le dayi inokuba nefuthe elithile kumntu osele enezintso ezibuthathaka.
• I-Deep Vein Thrombosis (DVT): Le yinto engaqhelekanga kakhulu.

Masikwazi nangeziphumo ebezingalindelekanga.

Kuqhelekile ukuba nesiyezi okanye isicaphucaphu xa ufaka idayi. Iya kuphela ngokukhawuleza.

Nangona kunjalo, ngamanye amaxesha impendulo ebambezelekileyo inokwenzeka kwiiyure okanye kwaneentsuku emva kovavanyo.

Iziphumo ebezingalindelekanga ezincinci:

• Isicaphucaphu nokuhlanza
• Intloko ebuhlungu
• Ulusu olurhawuzelelayo
• Ukuziva ubushushu
• Ukuqhambuka kwesikhumba okanye imiphunga

Iziphumo ebezingalindelekanga eziphakathi ekufuneka zixelwe kugqirha ngoko nangoko:

• Ukuba izilonda okanye amadyungudyungu eluswini ayanda
• Ukuba wenza isandi sokukhala xa uphefumla (uphefumula)
• Ukuphazamiseka kwentliziyo
• Ukunyuka okanye ukwehla kakhulu koxinzelelo lwegazi

Yintoni umahluko phakathi kweVenogram kunye neAngiogram?

Zombini ezi zii-X-ray tests ezijonga imithambo yegazi. Umahluko ukho kuhlobo lwemithambo yegazi ehlolwayo.

• I-Venogram: Oku kujonga kuphela imithambo yegazi , eyimithambo yegazi ethwala igazi lisuka emzimbeni liye entliziyweni.
• I-Angiogram: Oku kungajonga zombini imithambo yegazi , eziziityhubhu ezithwala igazi lisuka entliziyweni ukuya emzimbeni, kunye nemithambo yegazi. I-Angiogram ithathwa njengovavanyo oluphambili lokufumanisa ukuvaleka kwemithambo yegazi.

Kuqhelekile ukuba uzive usoyika kwaye unexhala xa uxelelwa ngovavanyo lwezonyango. Kodwa thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onazo. Ngale ndlela, uya kuyiqonda ngcono le nkqubo kwaye uloyiko lwakho luya kuphela.