Izintso zezinye zezitho ezibalulekileyo emzimbeni wethu. Zifana nezihluzo ezibini emzimbeni wethu. Zicoca igazi lethu kwaye zisusa izinto ezingafunekiyo njengomchamo . Ngoko ke, kubaluleke kakhulu ukuba inkqubo encinci yegazi ehambisa igazi ezintsoni isebenze ngokufanelekileyo. Ngamanye amaxesha ugqirha unokukrokrela ukuba kukho into engalunganga ngale mithambo yegazi. Ngelo xesha, kwenziwa uvavanyo olukhethekileyo olubizwa ngokuba yi-'Renal Arteriography' ukuze luhlolwe. Musa ukoyika xa usiva eli gama, siza kuthetha ngayo yonke into ngokulula namhlanje.
Ngamafutshane, yintoni i-Renal Arteriography?
Olu lukwaluhlobo lovavanyo lwe -X-ray . Kodwa alufani ne-X-ray eqhelekileyo. Khawuthelekelele uhamba esitalatweni ongasiqhelanga, kwaye udinga imephu, akunjalo? Kaloku, olu vavanyo lunceda ugqirha ukuba abone imephu, okanye umfanekiso ocacileyo, wemithambo yegazi kwizintso zakho.
Oku kukwabizwa ngokuba yi-'Renal Angiogram'. Oku kusebenzisa indlela ekhethekileyo ye-X-ray ebizwa ngokuba yi- 'Fluoroscopy '. Oku kuthetha ukuba endaweni yokuthatha ifoto enye, ungabukela ukuhamba kwegazi kwizintso kuphila, uthatha imifanekiso ye-X-ray eqhubekayo njengevidiyo. Oku kukuvumela ukuba ubone imithambo yegazi kunye nezinye izitho kunye namathambo angaphakathi.
Kutheni kufuneka senze olu hlobo lovavanyo?
Ugqirha wakho angacebisa olu vavanyo ukuba ukrokrela ukuba kukho ingxaki kwimithambo yegazi kwizintso zakho. Olu vavanyo ludla ngokucelwa ukuba imithambo yegazi ayibonakali kakuhle kwi -CT scan okanye kwi-MRI scan .
Jonga le theyibhile ingezantsi ukuze ufumane iimeko eziphambili zempilo ezinokufunyaniswa ngolu vavanyo.
| Imeko yezonyango | Kalula nje… |
|---|---|
| I-Aneurysm | Udonga lwemithambo yegazi ebuthathaka luyavuthuluka njengebhaluni. Oku kungaqhuma. |
| I-Renal Artery Stenosis | Ukuvaleka okanye ukuncitshiswa komthambo wegazi oyintloko othwala igazi ukuya kwizintso. Oku kunokubangela uxinzelelo lwegazi oluphezulu. |
| I-Thrombosis okanye i-Occlusion | Ukuvaleka ngokupheleleyo okanye okuncinci komthambo wegazi ngenxa yokuqhekeka kwegazi. |
| Ukukhubazeka kwemithambo yegazi | Ukuxinana okungaqhelekanga kwemithambo yegazi kunye nemithambo. |
| Ukopha igazi | Ukopha emzimbeni kusuka kwimithambo yegazi. |
| Ezinye izizathu | Jonga ithumba kwizintso, okanye ufumane iingxaki emva kokufakelwa izintso. |
Ungayenza njani le vavanyo? Masiyijonge inyathelo ngenyathelo.
Ukwazi ngolu vavanyo kuya kunceda ukunciphisa uloyiko lwakho. Makhe sibone ukuba kwenzeka ntoni koku.
Izinto ekufuneka uzazi ngaphambi kovavanyo
- Xelela ugqirha yonke into: Qiniseka ukuba uyamxelela ukuba unayo nayiphi na i-allergies , ingakumbi kwiidayi ezisetyenziswa kwi-X-ray , kwi-iodine , okanye kumayeza.
- Ukuba ukhulelwe , uzama ukukhulelwa, okanye uncancisa, kufuneka wazise ugqirha wakho ngale nto.
- Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo. Oku akubandakanyi nje kuphela lawo ugqirha wakho akunike wona, kodwa nazo naziphi na izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha ezifana ne-ibuprofen kunye ne-aspirin, iivithamini, kunye namayeza emveli. Ugqirha wakho angakucela ukuba uyeke ukusebenzisa amayeza athile kwiintsuku ezimbalwa ngaphambi kovavanyo.
- Ukuba unezinye izifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, sixelele ngazo.
Kwenzeka ntoni ngexesha lovavanyo?
Olu vavanyo lwenziwa ngugqirha okhethekileyo (`Interventional Radiologist`). Ngoko ke khumbula ukuba usezandleni ezikhuselekileyo.
1. Okokuqala, isibhedlele siza kukunika ilokhwe oza kuyinxiba. Emva koko uza kulaliswa ebhedini ekhethekileyo enomatshini we-X-ray.
2. Ityhubhu encinci (umgca we-IV) iya kufakwa emthanjeni ongalweni yakho apho uya kunikwa khona ulwelo kunye namayeza okukugcina uzolile.
3. Okulandelayo, ugqirha uza kuyivala indawo apho i-catheter ifakwe khona. Le catheter yityhubhu encinci kakhulu, eguquguqukayo. Idla ngokufakwa nge-groin okanye ngamanye amaxesha ngemithambo engalweni . Awuyi kuva ntlungu ngenxa yokuvaleka.
4. Emva koko, ngenaliti encinci, i-catheter ifakwa ngononophelo emthanjeni.
5. Le catheter ikhokelwa ngononophelo kwi-renal artery, enika igazi kwizintso, ngelixa ijonga imifanekiso ye-X-ray.
6. Nje ukuba i-catheter ibekwe endaweni yayo, kufakwa idayi ekhethekileyo (idayi yokwahlulahlula) ngayo. Le dayi yenza imithambo yegazi ibonakale icacile kwaye imhlophe kwimifanekiso ye-X-ray. Usenokuziva ubushushu obuncinci emzimbeni wakho ngeli xesha, nto leyo eqhelekileyo.
7. Ngeli xesha, ugqirha uza kukuxelela ukuba ubambe umphefumlo wakho okwethutyana . Thatha loo mifanekiso ngokucacileyo. Kubaluleke kakhulu nokuba ungashukumi.
8. Inqaku elikhethekileyo: Ngamanye amaxesha, ukuba ugqirha ufumana umthambo wegazi ovalekileyo ngexesha lovavanyo, angawunyanga. Oku kubizwa ngokuba yi-'Renal Artery Angioplasty'. Kule meko, ibhaluni encinci idlula kwi-catheter kwaye indawo evalekileyo iyavuthwa, ibuyisele ukuhamba kwegazi.
Ndingenza ntoni emva kovavanyo?
Nje ukuba uvavanyo lugqityiwe, i-catheter isuswa ngononophelo. Emva koko i-catheter icinezelwa malunga nemizuzu eli-15 ukunqanda ukopha kwindawo efakwe kuyo.
- Emva koko, kuya kufuneka ulale ebhedini iiyure ezimbalwa , ingakumbi ukugcina umlenze apho i-catheter ifakwe khona ungashukumi.
- Kwiimeko ezininzi, ugqirha unokukucebisa ukuba uhlale esibhedlele ngobo busuku ukuqinisekisa ukuba yonke into ihamba kakuhle. Oku kungenxa yokhuseleko lwakho.
- Sela amanzi amaninzi. Oku kubaluleke kakhulu kuba idayi esetyenzisiweyo emzimbeni kufuneka ikhutshwe ngokukhawuleza ngomchamo.
- Kuya kufuneka unyamekele indawo yokufaka i-catheter kangangeentsuku ezimbalwa emva kokuba ubuyele ekhaya. Ugqirha wakho uza kukunika iingcebiso ngale nto.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Njengakwezinye iimvavanyo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo. Kodwa khumbula ukuba ezi azixhaphakanga kakhulu . Kwaye oogqirha abenza uvavanyo balumkile kakhulu ngale nto.
| Umngcipheko onokwenzeka |
|---|
| Ukopha okanye ukukrwela (i-hematoma) kwindawo yokufaka i-catheter |
| Ukonakala komthambo wegazi okanye udonga lwawo. |
| Ukuqunjelwa kwegazi. |
| Isiphumo sokunganyamezelani nedayi esetyenzisiweyo. |
| Amaxesha amaninzi, iziphumo zexeshana kwizintso zinokwenzeka. |
| Umonakalo wemithambo-luvo. |
Lo mngcipheko unokwahluka kancinci ngokuxhomekeke kwezinye iimeko zempilo onazo. Yiyo loo nto sitshilo ngaphambili ukuba kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho epheleleyo yempilo .
Umyalezo Wokuya Ekhaya
- I-Renal Arteriography luvavanyo olukhethekileyo lwe-X-ray olujonga imeko yemithambo yegazi kwizintso zakho. Olu luvavanyo oluhlala lukhuselekile.
- Ngaphambi kovavanyo, qiniseka ukuba uxelela ugqirha wakho malunga ne-allergies yakho, onke amayeza owasebenzisayo, kunye nokuba ukhulelwe na.
- Olu vavanyo lusebenzisa ityhubhu encinci (i-catheter) kunye nedayi ekhethekileyo ukuze ibone kakuhle imithambo yegazi.
- Emva kovavanyo, kubaluleke kakhulu ukuphumla kakuhle ngokwemiyalelo kagqirha nokusela amanzi amaninzi ukunceda ukususa idayi emzimbeni wakho.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga noku, thetha ngayo nogqirha wakho ngaphandle kokuthandabuza.
I-Renal Arteriography, i-Renal Angiogram, izintso, iimvavanyo zonyango, imithambo yegazi, i-catheter, i-X-ray, uvavanyo lwezintso i-sinhala, i-angioplasty sinhala
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