Ingabe udokotela wakho ukutshelile ukuthi udinga ukuhlolwa kwe-angiogram? Kungenzeka ukuthi uzizwe wesaba futhi wethukile kancane lapho uzwa igama. "Kuyini lokhu? Ingabe ukuhlinzwa okukhulu? Ingabe kuzolimaza?" Imibuzo eminingi kungenzeka ukuthi ifike engqondweni. Kodwa lokhu akuyona into okufanele uyesabe ngempela. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Iyini ngempela i-angiogram?
Kalula nje, i-angiogram iyi -X-ray ekhethekile yemithambo yegazi yakho ( imithambo yegazi ) . Njengokubuka izimoto zishayela emgwaqweni, kuvumela odokotela ukuthi babone ukuthi igazi ligeleza kanjani emzimbeni wakho. Ikakhulukazi, ingasiza ekunqumeni ukuthi ngabe kukhona yini imithambo yegazi evalekile, encishisiwe, noma enezinye izinkinga.
Cabanga ngakho njengokuhlola ukuthi kukhona yini 'ukuphazamiseka kwethrafikhi' endaweni ethile emithanjeni eyinhloko (imithambo yegazi) ethwala igazi liye enhliziyweni yakho, ebuchosheni nasemilenzeni. Lokhu kuhlolwa kungasiza udokotela wakho ukuthi ahlole futhi ahlele ukwelashwa kwezimo ezifana nalezi:
- Isifo semithambo yenhliziyo: Lokhu ukuvaleka noma ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni.
- Isifo semithambo yegazi engaphandle: Ukuvaleka kwemithambo yegazi ethwala igazi, ikakhulukazi emilenzeni.
- Amahlule egazi: Amahlule egazi akheka ngaphakathi kwemithambo yegazi.
- I-Aneurysm: Ubuthakathaka bodonga lomthambo wegazi, okubangela ukuba luvuvuke njengebhaluni.
Ulungiselela kanjani i-angiogram?
Unelungiselelo elincane okufanele ulenze ngaphambi kwalolu vivinyo. Kubaluleke kakhulu ukulandela lezi zinto ngqo.
| Izinyathelo zokulungiselela | Incazelo nezinto okufanele uzikhumbule |
|---|---|
| Ukukhuluma nodokotela ngemithi | Tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi (isib. i-clopidogrel, i-warfarin ). Udokotela wakho uzokutshela ukuthi kufanele uyeke ukuyithatha izinsuku ezingaki ngaphambi kokuhlolwa. Ungalokothi uyeke ukuthatha noma yimiphi imithi ngaphandle kokubuza udokotela wakho kuqala. |
| Uma unesifo sikashukela | Uma unesifo sikashukela, buza udokotela wakho ukuthi ungayithatha kanjani kahle imithi ye-insulin noma yesifo sikashukela. |
| Ukuzila ukudla | Ungadli noma uphuze lutho ngemva kwamabili ebusuku ngaphambi kokuhlolwa. Ekuseni kokuhlolwa, uzovunyelwa ukuphuza uketshezi olufana namanzi kuphela. Buza ngalokho ngokucophelela. |
| Ngosuku lokuhlolwa | - Shiya izinto zakho eziyigugu, njengobucwebe nemali, ekhaya. - Hlela kusenesikhathi ukuthi othile akubuyisele ekhaya. - Letha uhlu lwemithi oyithathayo kanye nombhalo mayelana nanoma yikuphi ukungezwani komzimba onakho. |
Kwenzekani ngesikhathi se-angiogram?
Indlela yokwenza lokhu ilula kakhulu. Akukho okufanele ukhathazeke ngakho.
1. Ukupholisa: Okokuqala, uzonikezwa umuthi wokukuphumuza nokukuthulisa. Ngezinye izikhathi, ungase ulale ngokuphelele. Ngakho ngeke uzizwe ungakhululekile.
2. Ukulungisa indawo: Okokuqala, udokotela uzokonakalisa isikhumba esinqeni sakho noma esihlakaleni ukuze ungezwa ubuhlungu.
3. Ukufakwa kwe-catheter: Okulandelayo, kufakwa idivayisi encane, ende efana nethubhu (lokhu kubizwa ngokuthi i-catheter) ngokucophelela emthanjeni wegazi ngokusebenzisa i-incision. Ungase uzizwe ucindezelekile kancane lapho ufakwa, kodwa akufanele kube buhlungu.
4. Umjovo Wodayi Ohlukile: Ngale catheter, kufakwa idayi ekhethekile emthanjeni wegazi ukuze ihlolwe. Uma lo mjovo usuqediwe, ungase uzizwe umuzwa omncane wokucasuka noma umuzwa wokudinga ukuchama imizuzwana embalwa. Lokhu kuvamile kakhulu, ungakhathazeki.
5. Ukuthatha i-X-ray: Ngemva kokufakwa kwe-catheter emzimbeni, izithombe zithathwa kusetshenziswa umshini we-X-ray. Le catheter ivumela udokotela ukuthi abone kahle ukugeleza kwegazi ngaphakathi kwemithambo yegazi kanye nanoma yikuphi ukuvaleka kwesikrini se-TV.
Yonke inqubo ingathatha imizuzu eyi-15 kuya emahoreni amaningana, kuye ngesimo sakho nokuthi udinga ukwelashwa endaweni, uma kudingeka.
Uma kukhona ukuvaleka, uzokwelapha khona lapho?
Yebo, ngezinye izikhathi bayakwenza lokho. Uma udokotela ebona ukuvaleka kwemithambo yegazi ngesikhathi sokuhlolwa kwe-angiogram, angakwelapha ngokushesha.
- I-Angioplasty: Lokhu kuhilela ukufaka ibhaluni elincane emthanjeni ovalekile bese ulifutha ukuze landise umthambo ovalekile.
- Ukubekwa kwe-stent: Ngemva kwe-angioplasty, kufakwa ithubhu elincane elifana ne-mesh (stent) emthanjeni ovulekile ukuze ungaphinde uvaleke.
Uma kukhona ukuvinjelwa okukhulu, udokotela angase futhi ancome ukuhlinzwa kwe-bypass ngosuku oluhlukile.
Yini okufanele ngiyenze ngemva kokuhlolwa nokuthi ngiya nini ekhaya?
Uma ukuhlolwa sekuqediwe, kufakwa ibhandishi phezu kwendawo yokufaka i-catheter bese kufakwa ingcindezi cishe imizuzu eyi-15 ukuze kumiswe ukopha.
- Ukuphumula: Uma i-catheter ifakiwe ngomlenze wakho, uzocelwa ukuba ulale embhedeni cishe amahora angu-4-6.
- Ukubuyela ekhaya: Ungaya ekhaya ngalolo suku noma ngakusasa. Kodwa-ke, ngenxa yokuthi unikezwe imithi, awukwazi ukushayela . Kufanele ube nomuntu ozokuhambisa ekhaya.
- Ekhaya: Gwema ukuphakamisa noma ukugoba izinto ezisindayo izinsuku ezimbili ngemuva kokubuyela ekhaya. Kungcono ukuba nomuntu ohamba nawe ngobusuku bokuqala.
- Phuza amanzi: Phuza amanzi amaningi ukuze ugeze ngokushesha idayi efakwe emzimbeni wakho.
- Abanesifo sikashukela: Uma uthatha umuthi othi 'Metformin' wesifo sikashukela, udokotela uzokutshela ukuthi ungawuthathi amahora angu-48 ngemva kokuhlolwa.
Ingabe kukhona izingozi kulokhu?
I-angiogram inqubo enobungozi obuphansi kakhulu . Izinkinga zenzeka ngaphansi kwe-1% yamacala. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu.
| Inkinga engaba khona | Incazelo |
|---|---|
| Imivimbo | Lokhu kuyinto evamile futhi kuzoxazululeka ngokwako zingakapheli amasonto angu-1-3. |
| Ukopha/ukutheleleka | Kungase kube nokopha okuncane noma ukutheleleka endaweni yokufakwa kwe-catheter. |
| Ukungezwani nodayi | Akuvamile kakhulu ukuthi abanye abantu babe nomzimba ongezwani nalolu hlobo lwedayi. |
| Umphumela ezinso | Akuvamile kakhulu ukuthi la madayi angathinta izinso, ikakhulukazi kubantu abanesifo sezinso esivele sikhona. |
| Ezinye izingozi ezinkulu | Ingozi yokuba nesifo senhliziyo noma isifo sohlangothi iphansi kakhulu. |
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha.
Ngemva kokubuyela ekhaya, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, ungalibali bese ushayela udokotela wakho noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma kukhona ukopha okuvela endaweni yokufaka i-catheter.
- Uma indawo ivuvukele, ibuhlungu, noma izwakala sengathi iqhubu .
- Uma uzizwa uthukuthele, ubuthakathaka, noma ukufudumala okukhulu engalweni noma emlenzeni lapho kufakwe khona i-catheter.
- Uma uthola umkhuhlane .
- Uma ukuthola kunzima ukukhuluma noma ukumamatheka .
- Uma ubuhlungu bungapheli ngisho nangemva kokuthatha imithi.
Umlayezo Wokuya Nawe Ekhaya
- I-angiogram iyisivivinyo se-X-ray esikhethekile , esinobungozi obuphansi esihlola isimo semithambo yegazi yakho.
- Lokhu akusilo ukuhlinzwa okukhulu. Ngeke uzwe ubuhlungu obukhulu.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa, ikakhulukazi mayelana nemithi nokuzila ukudla.
- Kubaluleke kakhulu ukuphumula kahle nokuphuza amanzi amaningi ngemva kokuhlolwa.
- Uma kuvela izimpawu eziyingozi, funa iseluleko sezokwelapha ngokushesha.
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