Uthe ufuna ukubona nemithambo yenhliziyo yakho? Ake sixoxe nge-coronary angiogram!

Mhlawumbe utshelwe udokotela ukuthi udinga i-angiogram ukuhlola imithambo yenhliziyo yakho, akunjalo? Kuvamile ukuzizwa wesaba futhi ukhathazekile uma utshelwa lokho. Kodwa uma usukwazi kahle ukuthi kuyini, kwenziwa kanjani, nokuthi kungani kwenziwa, ukwesaba kwakho nokwesaba kuzoncipha kakhulu. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe namuhla, akunjalo?

Ngakho-ke, iyini i-angiogram yenhliziyo?

Kalula nje, i-coronary angiogram iyisivivinyo esikhethekile esibheka ukugeleza kwegazi emithanjeni yakho yenhliziyo , imithambo yegazi ethwala igazi iye enhliziyweni yakho. Isebenzisa ama-X-ray kanye noketshezi olukhethekile olubizwa ngokuthi idayi yokungafani . Ngezinye izikhathi odokotela bakubiza nangokuthi i-coronary angiography , okuyinto efanayo.

Lokhu kuhlolwa kungabona ngokucacile ukuthi imithambo yenhliziyo yakho ivinjiwe noma inciphile . Ngokuvamile, lokhu kungenxa yesimo esibizwa ngokuthi i-atherosclerosis . Lokhu kusho ukuthi izinto ezifana ne -cholesterol ziyanqwabelana ngaphakathi kwemithambo, okubangela ukuthi izindonga zemithambo ziqine futhi zinciphe, okwenza ukugeleza kwegazi kunciphe.

Uyazi ukuthi imithambo yenhliziyo iyisimiso semithambo yegazi esibaluleke kakhulu enhliziyweni yethu. Ngoba le mithambo ithwala igazi elihlinzeka ngomoya-mpilo kanye nezakhamzimba ezidingekayo ukuze imisipha yenhliziyo iphile futhi isebenze. Ngakho-ke, uma omunye wale mithambo ungasebenzi kahle noma uvalekile, khona-ke isimo esiyingozi njengokuhlaselwa yinhliziyo singavela.

Kungani udokotela angayala le angiogram?

Kunezizathu eziningana ezenza udokotela wakho noma udokotela wenhliziyo angase akuncomele i-coronary angiogram. Ake sibheke ukuthi ziyini:

• Uma kukhona ukukhubazeka ekuhlolweni kwakho kokucindezeleka noma ekuhlolweni kwe-ECG (Electrocardiogram) .
• Uma unesifo se-valve yenhliziyo , ukwehluleka kwenhliziyo , noma uke waba nokuhlaselwa yinhliziyo esikhathini esidlule.
• Uma uhlelelwe ukuhlinzwa kwenhliziyo, futhi udokotela enokungabaza, kufaneleKungenzeka ukuthi unesifo semithambo yegazi yenhliziyo .
• Uma unezinhlungu esifubeni (i-angina) , kungenzeka ukuthi zintsha noma uhlobo lobuhlungu obunalo kungenzeka ukuthi selushintshile.
• Unezinkinga zesifuba ezingavamile noma ubunzima bokuphefumula, kodwa ezinye izivivinyo azitholanga lutho.

Yingakho udokotela encoma lokhu kuhlolwa. Ungesabi ukubuza imibuzo ngakho. Kubaluleke kakhulu ukubuza udokotela wakho noma yini oyicabangayo noma ongayiqondi.

Ngilungiselela kanjani le angiogram?

Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungalungiselela kanjani lolu vivinyo. Uzokhuluma nawe ngemithi oyiphuzayo kanye nomlando wakho wezempilo. Ngokuvamile, udokotela uzosho izinto ezifana nalezi:

• Uzocelwa ukuthi ungadli noma uphuze lutho amahora ayisishiyagalombili ngaphambi kokuhlolwa. Ungaphuza amanzi kuphela. Lokhu sikubiza ngokuthi 'ukuzila', noma ukuzila ukudla.
• Uma uthatha ama-anticoagulant , imithi yesifo sikashukela, ama-diuretics (imithi ekhulisa ukuchama), noma i-sildenafil (njenge-Viagra® noma i-Revatio®), uzonikezwa imiyalelo yokuthi ungazisebenzisa kanjani nokuthi uziyeke yini ezinsukwini ezingaphambi kokuhlolwa.
• Bazokubuza ukuthi wake waba nokusabela kokungezwani komzimba nodayi wokuhlukanisa noma i-anesthesia okukhulunywe ngayo ekuqaleni.
• Uma ungowesifazane okhulelwe, kufanele utshele udokotela wakho .

Enye into ebalulekile ukuthi, ngenxa yokuphepha kwakho, ngeke uvunyelwe ukushayela imoto yakho uye ekhaya ngosuku lokuhlolwa. Ngakho-ke, kungcono ukuhlela ukuthi othile akushayele imoto yakho uye ekhaya usuka esibhedlela ngalolo suku.

Kwenzekani ngesikhathi se-angiogram?

Kulungile, manje ake sibone ukuthi yini evame ukwenzeka phakathi nalesi sifo senhliziyo. Cabanga ngaso njengesigcawu esivela ku-movie.

1. Okokuqala, kuzodingeka ugqoke ingubo ekhethekile yezokwelapha enikezwe yisibhedlela. Ngemuva kwalokho, kuzodingeka ulale embhedeni wokuhlolwa.

2. Ilungu labasebenzi bezokwelapha lizokunikeza umuthi wokudambisa nge-IV (uhlobo lwesisombululo sikasawoti esifakwa emthanjeni osengalweni yakho). Lokhu kuzokwenza uzizwe ukhululekile, kodwa ngeke ulale ngokuphelele. Uzophaphama futhi ukwazi ukulalela imiyalelo kadokotela. Isibonelo, ungase ucelwe ukuba ukhwehlele noma ubambe umoya wakho imizuzwana embalwa.

3. Ukushaya kwenhliziyo yakho kuzoqashwa ngomshini we-ECG (Electrocardiogram) phakathi nokuhlolwa.

4. Dokotela, ikhona indawo lapho ungafinyelela khona umthambo wegazi omkhulu (umthambo wegazi) esinqeni noma engalweni yakho?I-anesthesia yendawo. Lokhu kusho ukuthi uzophelelwa amandla ngomuthi kuphela. Kuleli qophelo, ungase uzizwe umuzwa omncane wokucasuka, kodwa ngeke uzizwe ubuhlungu.

5. Udokotela wenhliziyo ube esesebenzisa inalithi encane ukungena emthanjeni wegazi endaweni lapho kubhotshozwe khona. Ngemuva kwalokho, kufakwa igobolondo , eliyipayipi elincane, phezu kwenalithi bese lingena emthanjeni omkhulu.

6. Okulandelayo, udokotela uzofaka izintambo ezincane kakhulu nama -catheter (amapayipi amancane) ngaleli payipi aye emithanjeni yenhliziyo ebusweni benhliziyo yakho. Ngeke uzwe ipayipi lihamba ngemithambo yegazi yakho.

7. Umshini we-X-ray ujikeleza nxazonke zakho. Lokhu kubizwa ngokuthi i-fluoroscopy . Lokhu kuvumela udokotela ukuthi abone indlela ye-catheter kuzo zonke izinhlangothi.

8. Uma i-catheter isisenhliziyweni yakho noma e-aorta , udokotela uzofaka idayi ekhethekile epayipini. Ngemuva kwalokho, bazosebenzisa ama-X-ray ukuze babone ukuthi idayi igeleza kanjani emithanjeni yegazi. Phakathi nalesi sikhathi, ungase uzizwe ufudumele emzimbeni wakho wonke imizuzwana embalwa, noma ungase uzizwe sengathi udinga ukuchama. Lokhu kuvamile.

9. Uma idayi idlula emithanjeni yenhliziyo, udokotela angabona ngokucacile ukuthi kukhona yini ukwakheka kwe-cholesterol noma i-plaque endaweni ethile ngaphakathi emithanjeni yenhliziyo, okuvimbela ukugeleza kwegazi.

Cabanga ngalokhu, kufana nokusebenzisa ikhamera yedrone ukuze ubone ukuthi kukhona yini ukuminyana kwezimoto emgwaqweni nokuthi kukuphi.

Ngezinye izikhathi, uma udokotela ebona ukuthi umthambo wegazi uvalekile, angafutha ibhaluni ukuze avule indawo evalekile. Lokhu kubizwa ngokuthi i-angioplasty . Ngemuva kwalokho, i -stent , ithuluzi elincane elifana ne-mesh, lingafakwa emthanjeni ukuze lingaliwi futhi.

Kodwa-ke, uma lokho kungenzeki, noma uma udokotela ecabanga ukuthi kungcono ukwenza enye indlela yokwelapha kamuva, khona-ke i-coronary angiogram izoqedwa lapho.

Isivivinyo sonke sivame ukuthatha imizuzu engama-30 kuya kwengama-50 , kodwa ngezinye izikhathi singaba side noma sibe sifushane.

Kwenzekani ngemva kwe-angiogram?

Ngemva kokuhlolwa okuqediwe, udokotela ususa i-catheter. Ngemuva kwalokho omunye wabasebenzi bezokwelapha ubamba inaliti ngokuqinile ukuze amise ukopha.

Iningi labantu lingaya ekhaya ngosuku olufanayo lapho kwenziwa khona ukuhlolwa, emahoreni amabili kuya kwamane kamuva.

Kodwa-ke, uma ukuhlolwa kwakho kuyinkimbinkimbi kakhulu, noma uma ukuhlolwa kwenziwe emini, kungcono ukulindela ukuhlala esibhedlela ngalobo busuku.

Ungase uzizwe ukhathele kancane ngemva kokuhlolwa kwe-angiogram. Indawo lapho inaliti ifakwe khona (inxeba) izoba buhlungu cishe isonto lonke.Ungase ube nomuzwa wokuzwela futhi ube luhlaza okwesibhakabhaka, njengokulimala. Udokotela wakho angase futhi akutshele ukuthi unciphise imisebenzi yakho izinsuku ezimbalwa ngemva kokuba ubuyele ekhaya.

Ingabe zikhona izingozi zalolu vivinyo?

Kungcono ukwenza lokhu kuhlolwa esikhungweni esinomthamo omkhulu lapho udokotela onolwazi ekwenza khona njalo. Esikhathini esiningi, lokhu kuhlolwa kuphephile. Kodwa-ke, uma kuqhathaniswa nezinye izivivinyo, njenge -ultrasound, lokhu kuwukuhlolwa okuhlaselayo ngandlela thile. Izinkinga ezinkulu azivamile.

Nokho, kuhle ukwazi ukuthi yiziphi izingozi ezingaba khona ze-angiogram:

• Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia) .
• Ukungezwani komzimba nodayi noma umuthi wokubulala izinzwa.
• Ukulimala emthanjeni wegazi.
• Ukwakheka kwamahlule egazi .
• Uketshezi luqoqana luzungeze inhliziyo bese lubeka ingcindezi enhliziyweni (i-cardiac tamponade) .
• Isifo senhliziyo .
• Ukulimala kwezinso, okungenzeka kudinge i-dialysis ukuze kuhlanzwe igazi.
• Umfutho wegazi ophansi.
• Ubuhlungu, ukopha, noma ukutheleleka endaweni lapho kufakwa khona inalithi noma i-catheter.
• Isifo sohlangothi .

Abantu abalandelayo bangase babe sengozini enkulu yokuthola lezi zinkinga:

• Kulabo abaneminyaka engaphezu kwengu-65 ubudala.
• Kulabo abanesifo sikashukela .
• Kulabo abanesifo sezinso .

Uma uneminye imibuzo mayelana nalezi zingozi, khuluma nodokotela wakho.

Ngizoyazi nini imiphumela yokuhlolwa?

Ngezinye izikhathi udokotela angakukhombisa izithombe ze-X-ray ngesikhathi sokuhlolwa. Kodwa-ke, ngemva kokuqeda i-angiogram, udokotela uzokuchazela ukuthi imiphumela isho ukuthini.

Udokotela wakho angase athi imiphumela yakho ye-angiogram 'ijwayelekile' noma 'ayijwayelekile'.

• Umphumela ojwayelekile usho ukuthi azikho izithiyo emithanjeni yakho yenhliziyo nokuthi inhliziyo yakho ithola igazi elanele. Kodwa-ke, uma usenezimpawu, kungase kudingeke ukuhlolwa okwengeziwe ukuthola imbangela.
• Uma imiphumela ingajwayelekile , kungase kube nokuvaleka endaweni ethile emithanjeni yakho yenhliziyo. Udokotela wakho uzokutshela ukuthi yimiphi imithambo evalekile nokuthi kuphi. Uzochaza nokuthi kukhulu kangakanani. Bangase bakutshele nokuthi kungakanani ukuvaleka.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma imiphumela yakho ingajwayelekile, udokotela wakho uzochaza nokuthi yiziphi izindlela zokwelapha ezinconywayo kuwe. Ezinye zalezi zindlela zifaka:

• I-Angioplasty noma i-stenting (ukufaka ibhaluni elishiwo ngenhla bese ubeka i-stent).
• Ukwenza izinguquko empilweni yakho yansuku zonke, isiboneloUkuzivocavoca umzimba kakhudlwana nokwenza izinguquko emikhubeni yakho yokudla.
• Ukuhlinzwa kwe-Coronary artery bypass (CABG) .
• Ukusebenzisa imithi.

Kunini lapho udinga ukukhuluma nodokotela ?

Ngemva kokuhlolwa, uma ubona noma yikuphi okulandelayo endaweni lapho kufakwe khona i-catheter, shayela udokotela wakho ngokushesha:

• Uma kukhona ukopha ngokweqile lokho akupheli.
• Uma leyo ndawo ivuvukele .
• Uma kunezimpawu zokutheleleka (isib., ukushintsha kombala wesikhumba, ubomvu).

Futhi, uma unenkinga yokujikeleza kwegazi ezingalweni noma emilenzeni yakho, tshela udokotela wakho ngalokho.

Ingabe i-angiogram ibuhlungu?

Ngokuvamile, i-coronary angiogram ayibuhlungu kakhulu. Ungase ube nobuhlungu besikhashana, obuncane ngesikhathi:

• Uma befaka umugqa we-IV ukuze bakunike lowo muthi wokulala okhanyayo.
• Uma ufaka i-anesthesia yendawo.

Ngeke uzwe ubuhlungu ngesikhathi sokuhlolwa ngenxa ye-catheter. Futhi, ngeke uzizwe njengoba zihamba emithanjeni yakho nasemithanjeni.

Ngemva kokuhlolwa, ungase uzwe ubuhlungu lapho kufakwa khona i-IV futhi kwafakwa i-catheter. Lokhu kuzophela ngemva kwesonto elilodwa.

Uma uzwa ubuhlungu obungabekezeleleki ngesikhathi sokuhlolwa, tshela udokotela ngokushesha.

Ekugcineni...

Kuvamile ukuzizwa ukhathazekile kancane uma utshelwa ukuthi udinga ukwenza i-coronary angiogram. Ungase uzibuze nokuthi imiphumela izoba yini engajwayelekile. Kodwa khumbula, ulwazi udokotela wakho aluthola kulolu vivinyo luzomsiza ukuthi ahlole isimo sakho futhi athuthukise uhlelo lokwelashwa olufanele wena. Ngakho-ke, khuluma nodokotela wakho nganoma yini ongayiqondi noma onemibuzo ngayo. Ukhona ukuzokusiza.

I- Coronary angiogram, isifo senhliziyo, imithambo yenhliziyo, i-angioplasty, i-stent, ubuhlungu besifuba, ukuhlaselwa yinhliziyo, i-ECG, ukuhlolwa kwenhliziyo, ukuxilongwa kwesifo senhliziyo