Ake sifunde ngokuhlolwa okubheka ukugeleza kwegazi emithanjeni yakho. Lesi yisilingo se-venogram!

Wake wazibuza ukuthi igazi ligeleza kanjani emithanjeni emzimbeni wethu, nokuthi kukhona yini okungahambi kahle ngalo? Yilokho okwenziwa ukuhlolwa kwe-venogram. Ngezinye izikhathi lokhu kuhlolwa kusiza odokotela ukuthi banqume ukuthi imithambo yakho inamahlule noma ezinye izinto ezivimbayo. Ungakhathazeki, sizokugcina kulula.

Kuyini ngempela ukuhlolwa kwe-venogram?

Kalula nje, i-venogram ukuhlolwa kwe-X-ray okukhethekile okubonisa indlela igazi eligeleza ngayo ngaphakathi kwemithambo yakho. Kulokhu kuhlolwa, uketshezi olukhethekile (udayi wokungafani) lufakwa emithanjeni yakho ngenaliti encane. Lolu ketshezi lwenza imithambo yakho ibonakale ku-X-ray. Udokotela angathola ukuthi kukhona yini ukuvinjelwa ekugelezeni kwegazi, njengokuqhekeka kwegazi.

Lolu vivinyo luvame ukusetshenziswa:

• Bheka imithambo emilenzeni yakho .
• Bheka imithambo esesinqeni.
• Bheka imithambo engxenyeni engenhla yezingalo .

Ngokungafani ne-ultrasound ejwayelekile, lokhu kuyaphazamisa kancane. Okusho ukuthi, inaliti encane ifakwa emthanjeni. Futhi, ngenxa yobuchwepheshe be-X-ray, ubhekene nenani elincane lemisebe. Kodwa ungakhathazeki, abantu abaningi abazizwa bengakhululekile futhi kunemiphumela emibi embalwa. Kodwa-ke, lokhu kungase kungabi yinto efanele ezimweni ezikhethekile, njengalapho ukhulelwe. Ngakho-ke, konke kunqunywa ngemva kokuxoxa ngakho nodokotela wakho kuqala.

Igama elithi "Venography" libhekisela enkambisweni yokuhlola, kanti elithi "venogram" libhekisela ezithombeni ezivela kuyo. Kodwa uma sikhuluma ngayo, simane sibize zombili ngokuthi "ama-venogram."

Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?

Kunezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi wenze i-venogram. Isibonelo:

• Uma usola ukuthi une -deep vein thrombosis (DVT) , futhi ukuhlolwa kwe-ultrasound akuqinisekisi. Ngezinye izikhathi, kungaba nzima ukubona i-ultrasound uma ingalo noma umlenze uvuvukile.
• Hlola izinkinga zokujikeleza kwegazi endaweni yakho ye-pelvic , njengezimo ezifana ne-Pelvic Congestion Syndrome, i-Nutcracker Syndrome, kanye ne-Varicoceles emadodeni.
• Hlola ukuhamba kwegazi lakho ngaphambi kokuhlinzwa okuthile, njenge-Varicose Vein Stripping kanye ne-Ligation, okususa imithambo evuvukele emilenzeni.
• Ukuthwebula izithombe ngesikhathi sangempela kusetshenziselwa ukubuka ingaphakathi lomthambo ngesikhathi sokwelashwa okufana nokwelashwa nge-thrombolytic noma i-thrombectomy.

Isebenza kanjani le venogram? Kulula kakhulu!

I-venogram isebenzisa ama-X-ray ukuthatha izithombe zangaphakathi lomzimba wakho. Kodwa-ke, imithambo yegazi ayivamile ukubonakala ku-X-ray. Yingakho udokotela wakho efaka uketshezi olukhethekile (udayi wokungafani) emthanjeni wakho. Njengoba lolu ketshezi lugeleza emthanjeni, imithambo yegazi ibonakala kakhulu ku-X-ray. Lokhu kukuvumela ukuthi ubone noma yikuphi ukuqhekeka kwegazi noma okunye ukuvinjelwa ngokucacile.

Manje cabanga, i-X-ray ithatha isithombe esisodwa. Kodwa ukuphuma kwegazi akuyona into eyenzeka endaweni eyodwa, kuyinqubo eqhubekayo. Yingakho odokotela besebenzisa indlela ekhethekile ebizwa ngokuthi `(Fluoroscopy)`. Okwenzekayo, njengevidiyo, uchungechunge lwezithombe ze-X-ray luthathwa ngokulandelana. Kufana nokuhlanganisa uchungechunge lwezithombe ukwenza ikhathuni. Ngenxa yalezi zithombe ezihambayo, udokotela angabona igazi ligeleza emithanjeni yakho "liphila". Uyaqonda?

Kufanele sizilungiselele kanjani ngaphambi kokuhlolwa?

Udokotela wakho uzokutshela ngqo ukuthi uzilungiselele kanjani. Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi kokuhlolwa. Uzokutshela futhi uma kudingeka uyeke ukuthatha noma yimiphi imithi, uma ikhona.

Kufanele nakanjani utshele udokotela wakho lezi zinto:

• Cishe yonke imithi oyithathayo njengamanje .
• Mayelana nezinye izifo onazo, ikakhulukazi ukungezwani komzimba .
• Kungakhathaliseki ukuthi wake waba nokusabela kokungezwani komzimba noketshezi olukhethekile (udayi ohlukile) olusetshenziswe ekuhlolweni okufana nalokhu ngaphambili.
• Kungakhathaliseki ukuthi unesifo sezinso noma izinkinga zokusebenza kwezinso , njengoba ezinye izinhlobo zombala ohlukile zingathinta izinso.
• Uke wagula muva nje ?
• Uma ukhulelwe, noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe, qiniseka ukuthi uyamtshela.

Ngaphambi kokuqala kokuhlolwa, kuzodingeka ususe zonke izinto zobucwebe nezinsimbi emzimbeni wakho, njengoba zingaphazamisa inqubo ye-X-ray. Gqoka izingubo ezikhululekile nezikhululekile. Ungase futhi unikezwe ingubo esibhedlela.

Ingabe uphapheme ngesikhathi sokuhlolwa?

Yebo, uvame ukuvuka ngesikhathi sokuhlolwa kwe-venogram. Kodwa-ke, ngezinye izikhathi udokotela wakho angakunika umuthi wokudambisa ukuze akusize uphumule.

Kwenzekani ngesikhathi sokuhlolwa? Ake sibone isinyathelo ngesinyathelo

Uchwepheshe Wezobuchwepheshe Bemisebe wenza lolu vivinyo. Nakhu okuvame ukwenzeka:

1. Uzolaliswa etafuleni le-X-ray. Ungase uboshwe ngezintambo zokuphepha ukuze ungazihambisi etafuleni.

2. Ikutshela ukuthi umthambo uya kuphi emzimbeni wakho.Lokhu kuvame ukwenziwa emlenzeni wakho, embotsheni, noma entanyeni. Indawo incike emthanjeni ofuna ukuwubona.

3. Kufakwa umuthi wokubulala izinzwa endaweni lapho kufakwa khona inaliti. Lokhu kuzozwakala njengokubhoboza kwenaliti encane, kodwa ngeke kube buhlungu.

4. Ngemuva kwalokho , idayi yokungafani ifakwa ngomugqa we-IV engalweni yakho. Ungase uzwe umuzwa omncane wokuqaqamba lapho kufakwa khona i-cannula, kodwa akufanele kube buhlungu. Ungase uzizwe ukufudumala noma ukushaqeka okuncane njengoba idayi ingena emzimbeni wakho. Lokhu kuzophela lapho ukuhlolwa sekuqediwe.

5. Ithebula le-X-ray lizohanjiswa liye phambili naphambili, liphakanyiswe futhi lehliswe njengoba kudingeka. Izithombe zemithambo yegazi zizothathwa ngezindlela ezahlukene. Asikho isidingo sokukhathazeka ngoba izintambo zisendaweni yazo. Uma uzizwa ungakhululekile, sitshele ngokushesha.

6. Ngezinye izikhathi uzocelwa ukuba ubambe umoya wakho isikhashana, uhlale unganyakazi, noma wenze "indlela ekhethekile yokuphefumula". Udokotela uzochaza ukuthi ungakwenza kanjani. Lezi zindlela zokuphefumula zisiza ekutholeni izithombe ezisezingeni eliphezulu.

7. Ekugcineni, uketshezi olufana nosawoti ludluliselwa ku-cannula (umugqa we-IV) ukuze kukhishwe idayi yokungafani emithanjeni yakho.

Uma wenza i-venogram ukuze uqondise okunye ukwelashwa (isb., Ukwelashwa Nge-Thrombolytic), kungase kube nezinyathelo ezengeziwe. Udokotela wakho uzokuchazela konke lokhu kusenesikhathi.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

I-venogram ivame ukuthatha imizuzu engama-30 kuya kwengama-90 .

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuhlolwa, abasebenzi bezokwelapha bazokuqapha isikhashana ukuze babone ukuthi unayo yini imiphumela yokungezwani komzimba noma ezinye izinkinga. Bazokutshela ukuthi ungaya nini ekhaya. Ungase futhi utshelwe ukuthi uphuze uketshezi oluningi emahoreni angu-24 alandelayo ukuze usize idayi yokungafani iphume emzimbeni wakho ngokushesha.

Yiziphi izingozi ezingaba khona zokuhlolwa kwe-venogram?

Njengazo zonke izivivinyo zezokwelapha, kunezingozi ezithile ezihilelekile. Kodwa ungakhathazeki, isikhathi esiningi lezi azizimbi kangako.

• Ukuchayeka emisebeni emincane.
• Ubuhlungu, ukudumba, ukopha, noma ukutheleleka endaweni okuhlatshwe kuyo.
• Ukusabela kokungezwani komzimba noketshezi oluthile.
• Ukulimala kwezinso (ikakhulukazi kubantu abanezinkinga zezinso ezikhona kakade).
• Akuvamile ukuthi kube ne-deep vein thrombosis (DVT) .

Ngokuvamile, lezi zingozi ziphansi uma kuqhathaniswa nezinzuzo ze-venogram. Kodwa-ke, uma unesifo esithile esiyimfihlo, njengesifo sezinso esibi, lokhu kuhlolwa kungaba yingozi.Into engcono kakhulu ongayenza ukukhuluma nodokotela wakho ngakho konke lokhu bese ucela iseluleko sakhe.

Iyini imiphumela emibi yalolu vivinyo?

Uma udayi wokungafani ufakwa, ungase uzizwe unesicanucanu esincane noma umuzwa wokuhlanza . Lokhu kuzophela ngokushesha.

Kodwa-ke, ezimweni ezingavamile, abanye abantu bangase babe nokusabela okubambezelekile okuqala ngemva kwamahora noma izinsuku ezimbalwa . Lokhu ngokuvamile akukubi kangako.

• Isicanucanu nokuhlanza
• Ikhanda elibuhlungu
• Isikhumba esilumayo
• Umuzwa wokuhlanza
• Ukuqubuka okuncane noma amaqhubu

Imiphumela emibi emaphakathi ingafaka:

• Ukuqubuka noma amaqhubu akhula kakhulu
• Ukuphefumula
• Ukuphazamiseka kwenhliziyo (i-Arrhythmias)
• Ukwanda noma ukwehla kwengcindezi yegazi ngokuzumayo

Imiphumela emibi kakhulu (lokhu kwenzeka kaningi):

• Ukuphefumula okunenkinga
• Ukuvuvukala komphimbo wakho
• Umfutho wegazi ophansi kakhulu

Uma uhlangabezana nanoma yimiphi imiphumela emibi ngemva kwalokhu kuhlolwa, noma ngabe mincane, shayela udokotela wakho ngokushesha. Uma imiphumela emibi inzima, iya ekamelweni eliphuthumayo ngokushesha. Lokhu kungaba izimpawu zokusabela okukhulu kokungezwani komzimba okudinga ukwelashwa ngokushesha.

Siyithola kanjani imiphumela yokuhlolwa?

Izithombe ezivela ku-venogram zihlolwa ngokucophelela ngudokotela we-radiology. Uzobe esebhala umbiko bese ewuthumela kudokotela oye wayala ukuhlolwa. Udokotela wakho uzobe esexoxa nawe ngemiphumela bese echaza ukuthi isho ukuthini. Isibonelo, uma izithombe zibonisa ukuthi une-blood clot emthanjeni ojulile emlenzeni wakho, udokotela wakho uzokutshela ukuthi yiluphi ukwelashwa okudingekayo.

Ngezinye izikhathi i-venogram isetshenziswa ukuqondisa ukuhlinzwa. Ezimweni ezinjalo, udokotela angase angaxoxi nawe ngemiphumela ngokwehlukana. Uzosebenzisa izithombe ekwelapheni ngaleso sikhathi. Uma kunenkinga, uzokwazisa.

Ngingashayela nini ucingo ngibuze udokotela wami?

Unganqikazi ukukhuluma nodokotela wakho kulezi zimo:

• Uma unemibuzo noma ukukhathazeka ngokuthi kungani ufuna ukwenza lolu vivinyo, ukuthi ungazilungiselela kanjani, noma ukuthi yini ongayilindela .
• Uma kuvela imiphumela emibi emahoreni ambalwa noma ezinsukwini ngemuva kokuhlolwa.
• EsivivinyweniUma unemibuzo mayelana nemiphumela noma uhlelo lokwelashwa olulandelayo.

Uyini umehluko phakathi kwe-venogram ne-angiogram?

Zombili lezi zivivinyo zisebenzisa ubuchwepheshe be-X-ray kanye noketshezi olukhethekile (udayi wokungafani) ukuze kubhekwe indlela igazi eligeleza ngayo ngaphakathi kwemithambo yegazi yakho. Umehluko ukuthi i-venogram ibheka imithambo yegazi kuphela. Kodwa-ke, i-angiogram ingabheka imithambo yegazi kanye nemithambo yegazi. I-angiogram ibhekwa njengendinganiso yegolide yokuthola ukuvinjelwa kwemithambo yegazi. Ngezinye izikhathi, ukwelashwa okufana ne-angioplasty kwenziwa ngesikhathi esifanayo ne-angiogram.

Ukuze bathole ukuvaleka kwemithambo yegazi, odokotela manje sebesebenzisa ezinye izindlela, njenge-ultrasound, esikhundleni se-venograms.

Ekugcineni, isikhumbuzo esincane (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma sizwa ngokuhlolwa kwezokwelapha. Ungase uzibuze ukuthi ukuhlolwa kuzokucasula yini noma imiphumela izoba njani. Kodwa khumbula, udokotela wakho ukhona ukuze aphendule imibuzo yakho futhi akusize. Mbuze nganoma yini onayo engqondweni, noma yikuphi ukungabaza ongase ube nakho. Khona-ke uzokwazi ukunciphisa ukwesaba kwakho nokukhathazeka ngale nqubo yonke futhi ubhekane nayo kalula. Khumbula ukuthi lezi zivivinyo zenzelwe ukusiza ekuxilongeni isimo sakho futhi zikunikeze ukwelashwa okudingayo.

I- Venogram, i-Venogram, Ukuhlolwa kwemithambo yegazi, i-X-ray, idayi yokuhlukanisa, i-Deep vein thrombosis, i-DVT