Mhlawumbe udokotela wakho ukutshelile ukuthi udinga ukuhlolwa okukhethekile emithanjeni yegazi ebuchosheni bakho. Ingabe uzizwe wesaba kancane lapho ekutshela ukuthi igama lokuhlolwa 'yi-Cerebral Angiogram'? Noma ingabe ube nenkinga yokucabanga ukuthi kwakunjani lapho uzwa igama? Asikho isizathu sokwesaba noma sokukhathazeka. Kulesi sihloko, sizoxoxa ngqo nangokulula ngokuthi kuyini ngempela, ukuthi kwenziwa kanjani, nokuthi kungani kwenziwa.
Iyini i-cerebral angiogram?
Kalula nje, i-cerebral angiogram iyisivivinyo esikhethekile esibheka izinkinga ngemithambo yegazi ebuchosheni bakho. Njengemephu yedolobha, lokhu kuhlolwa kuvumela odokotela ukubona isithombe esicacile, esifana nemephu semithambo yegazi ethwala igazi liye ebuchosheni bakho.
Lokhu kuhlolwa kwenziwa odokotela abaqeqeshwe ngokukhethekile, ngokuvamile endaweni efana negumbi lokuhlinza. Nakhu okwenzekayo:
1. Udokotela ufaka ipayipi elincane kakhulu lepulasitiki elibizwa ngokuthi i-catheter emthanjeni omkhulu wegazi esihlakaleni noma esinqeni sakho.
2. Ngemuva kwalokho, kufakwa indwangu yokwehlukanisa , idayi ekhethekile, ngepayipi. Le dayi yenza imithambo yegazi yakho ibonakale ngokucacile ezithombeni ze-X-ray.
3. Ngesikhathi ulele etafuleni lokuhlolwa, udokotela uthatha uchungechunge lwezithombe ze-X-ray njengoba le dayi idlula emithanjeni yakho yegazi.
Izithombe ezithathwe ngale ndlela zinikeza isithombe esinemininingwane eminingi nesicacile semithambo yegazi ebuchosheni kune-CT scan (Computed Tomography) noma i-MRI scan (Magnetic Resonance Imaging) esivame ukuyenza.
Kungani sidinga ukwenza lolu vivinyo?
Ngezinye izikhathi lokhu kuhlolwa kwenziwa ukuze kutholakale ukuthi siyini ngempela isifo. Ngezinye izikhathi, kusetshenziselwa nokwelapha izimo ezithile zezokwelapha. Ngokuyinhloko, kusetshenziselwa ukuqinisekisa ukuthi kukhona yini ukuphazamiseka emithanjeni yegazi ebuchosheni.
| Izimo zokuxilonga | Kalula nje... |
|---|---|
| I-Aneurysm yobuchopho | Thola indawo ebuchosheni lapho umthambo wegazi usuvuvukele futhi ubuthakathaka khona. |
| I-atherosclerosis | Hlola ukuthi amafutha (i-cholesterol) agcwele yini emithanjeni yegazi futhi ayinciphile. |
| Ukukhubazeka kwemithambo yegazi | Hlola ukugoba okungajwayelekile emithanjeni nasemithanjeni (imithambo ethwala igazi elihle negazi elibi) ebuchosheni. |
| I-Vasculitis | Hlola ukuthi izindonga zemithambo yegazi zivuvukile futhi ziyavuvukala yini. |
| Isifo sohlangothi | Ukuthola indawo eqondile lapho kwakheke khona ihlule legazi futhi lavala khona umthambo wegazi ebuchosheni. |
Ngaphezu kwalokho, lolu vivinyo lwenziwa ngezizathu eziningana:
- Hlola isimo semithambo yegazi yakho ngaphambi kokuhlinzwa ekhanda lakho, entanyeni, noma ebuchosheni.
- Uma kukhona isimila sobuchopho, thola ukuthi igazi litholakala kanjani nokuthi livela kuyiphi imithambo yegazi.
- Funda kabanzi mayelana nokungajwayelekile okubonwe kwesinye iskeni (njenge-MRI noma i-CT scan).
Silungiselela kanjani ngaphambi kokuhlolwa?
Ngaphambi kokwenza lokhu kuhlolwa, udokotela wakho uzoqinisekisa ukuthi kufanelekile futhi kuphephile ukuthi ukwenze. Bazokuhlola, mhlawumbe benze ukuhlolwa kwegazi, futhi babuze imibuzo mayelana nomlando wakho wezempilo.
Kufanele nakanjani uxoxe ngalezi zinto ngokucacile nodokotela wakho. Ungafihli lutho.
- Sitshele ngayo yonke imithi oyithathayo njengamanje: Lokhu kufaka phakathi amavithamini, izithasiselo, kanye nemithi ongayithatha ngaphandle kwemithi kadokotela (OTC).
- Sitshele nganoma yiziphi ezinye izifo onazo: ngisho nento efana nomkhuhlane osanda kusha.
- Uma unezinkinga zokopha noma uthatha imithi yokunciphisa igazi: Khuluma futhi nganoma yimiphi imithi efana nemithi yokunciphisa izinhlungu (ama-NSAID).
- Mayelana nokungezwani komzimba kwakho: Qiniseka ukuthi usitshela uma une-allergies, ikakhulukazi kuma-anesthetics, ama-contrast dyes, noma yini equkethe i-iodine.
- Uma ukhulelwe noma usola ukuthi kungenzeka ukuthi ukhulelwe:Nami ngidinga ukutshela udokotela lokho.
Uma unikezwa umuthi wokudambisa ukuze uhlale uphumule ngesikhathi sokuhlolwa, uzoyalwa ukuba ungadli noma uphuze amahora amane kuya kwayisishiyagalombili ngaphambi kokuhlolwa. Futhi, uma unikezwa umuthi wokudambisa ubuhlungu, uzocelwa ukuthi ulethe othile ozokuthatha akuyise ekhaya ngemva kokuhlolwa. Landela yonke le miyalelo ngokucophelela.
Kwenzekani ngesikhathi sokuhlolwa?
Kulungile, manje ake sibone ukuthi lokhu kwenzeka kanjani isinyathelo ngesinyathelo. Ungakhathazeki, konke kuzokwenziwa ngokucophelela okukhulu futhi ngaphandle kokuphazamiseka kuwe.
1. Okokuqala, uzonikezwa ingubo ekhethekile yesibhedlela ozoyigqoka.
2. Umhlengikazi noma udokotela we-X-ray uzofaka i-cannula (umugqa we-IV) emthanjeni ongalweni yakho. Yilapho uzonikezwa khona umuthi wokukusiza uphumule, uma kudingeka. Lokhu kuzozwakala njengokuzwa okuncane kokuhlaba kwentuthwane. Abanye abantu, ikakhulukazi izingane kanye nabantu abadala abasebasha, banganikwa nomthamo ogcwele we-anesthesia.
3. Amadivayisi azonamathiselwa emzimbeni wakho ukuze aqaphe izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi phakathi nokuhlolwa.
4. Uzobekwa etafuleni lokuhlolwa. Ikhanda lakho lizovinjwa ngentambo noma ngesekelo le-foam.
5. Indawo lapho kuzofakwa khona i-catheter (esiswini noma engalweni) ihlanzwa kahle ngesisombululo se-antiseptic.
6. Ngemuva kwalokho , kufakwa umuthi oqeda izinhlungu endaweni. Uma lokhu kujovwa, ungase uzwe umuzwa omncane wokushisa imizuzwana embalwa, kodwa-ke indawo izoqala ukuzizwa indikindiki.
7. Udokotela wenza imbobo encane kakhulu esikhumbeni ukuze afake i-catheter.
8. Ngemuva kwalokho, ngaphansi kwesiqondiso se-X-ray, i-catheter ifakwa emthanjeni wegazi ngembobo encane kakhulu eyenziwe ngenaliti. Uzozwa ukusunduzwa okuncane ngalesi sikhathi, kodwa ngeke kube buhlungu.
9. Manje udokotela uzoqondisa ngokucophelela i-catheter ngemithambo yakho bese ingena emthanjeni osentanyeni yakho. Ngeke uyizwe i-catheter idlula emzimbeni wakho.
10. Uma i-catheter isikhona, idayi yokungafani ifakwa ngayo. Ungase uzizwe ukufudumala okuncane njengoba idayi ihamba emzimbeni wakho, kodwa lokhu kuzonyamalala ngokushesha.
11. Uma idayi isingene emithanjeni yegazi ebuchosheni bakho, udokotela uzothatha izithombe eziningana ze-X-ray. Phakathi nalesi sikhathi, kufanele ubambe umoya wakho futhi uhlale unganyakazi . Lena yindlela kuphela yokuthola izithombe ezicacile.
12. Ngemva kokuthatha zonke izithombe ezidingekayo, udokotela ususa ngokucophelela i-catheter.
13. Ukuze umise ukuphuma kwegazi endaweni yokufaka i-catheter, faka ingcindezi endaweni okwesikhashana. Kungase kudingeke futhi usebenzise idivayisi yokuvala ukuze uvale imbobo encane.
14. Ekugcineni, kuzofakwa iplasta encane endaweni bese kususwa i-cannula esandleni sakho.
Kuthatha isikhathi esingakanani lokhu?
Isivivinyo sonke sivame ukuthatha cishe ihora elilodwa kuya kwamathathu . Ngaphezu kwalokho, kungase kube nesikhathi esengeziwe sokulungiselela isivivinyo kanye nokubuka ngemva kwesivivinyo.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngemva kokuhlolwa, uzogcinwa egumbini lokululama amahora ambalwa. Uma konke kuhamba kahle, ungaya ekhaya. Udokotela wakho uzokunikeza imiyalelo yokuthi ungazinakekela kanjani ekhaya. Zilandele kahle.
- Ungadla ngendlela evamile.
- Ngemva kokuhlolwa, kufanele uphumule kahle amahora angu-8 kuya kwangu-12 . Kulapho-ke kuphela lapho kufanele uqale khona omunye umsebenzi.
- Uma ungumama oncelisayo, gwema ukuncelisa ingane yakho amahora angama-24 ngemuva kokufaka idayi.
Ingabe zikhona izingozi zalolu vivinyo?
Njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu ezihilelekile ekufakweni kwe-catheter emthanjeni wegazi. Kodwa-ke, kufanele ukhumbule ukuthi lezi azivamile futhi odokotela bayaqaphela kakhulu ngalokhu.
| Ingozi | Incazelo kanye nalokho okufanele ukwazi |
|---|---|
| Umonakalo wemithambo yegazi | Kungase kube nokuklwebheka, ukopha, noma ukutheleleka endaweni ye-catheter. Lokhu ngokuvamile kuncane. |
| Ukusabela kokungezwani komzimba kudayi wokungafani | Lokhu kwenzeka kaningi kakhulu. Uma kwenzeka, udokotela we-radiologist uyazi ukuthi angakwelapha kanjani. |
| Umphumela ezinso | Uma unesifo sikashukela noma isifo sezinso, idayi ingaba nomthelela omncane ezinso zakho. Kodwa-ke, imvamisa ibuyela esimweni sayo esijwayelekile zingakapheli izinsuku ezingu-5-7. |
| Isifo sohlangothi | I-catheter ingabangela ukuthi ucezu lwe-plaque luqhekeke odongeni lomthambo wegazi futhi luvimbe umthambo ebuchosheni. Amathuba okuthi lokhu kwenzeke aphansi kakhulu (ngaphansi kuka-1%). |
Udokotela wakho uzoxoxa nawe ngalezi zingozi ngaphambi kokuhlolwa. Unganqikazi ukubuza noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngaleso sikhathi.
Ithini imiphumela yokuhlolwa?
Udokotela we-X-ray uzohlola ngokucophelela izithombe zakho ze-X-ray bese edala umbiko. Lapho udokotela oye wayala ukuhlolwa ethola umbiko, uzoxoxa nawe ngokucacile.
- Uma kubonakala sengathi idayi ivuza emthanjeni wegazi, kungaba ukopha .
- Uma imithambo yegazi incishisiwe noma ivalekile, imbangela ingaba ukufakwa kwe-cholesterol (i-plaque) noma ukuqhekeka kwegazi .
- Uma imithambo yegazi ivuvukala noma ezindaweni ezingavamile, kungaba yi-aneurysm , isimila sobuchopho , noma okunye ukukhubazeka.
Uma kwenzeka into efana nale ngemva kokuhlolwa, shayela udokotela ngokushesha!
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokubuyela ekhaya uvela ekuhlolweni, yazisa udokotela wakho ngokushesha.
- Ubuthakathaka bemisipha noma ukuqaqamba ebusweni, ezingalweni, noma emilenzeni.
- Ukungakhulumi kahle noma ukungakhulumi kahle .
- Izinkinga zokubona .
- Izimpawu zokutheleleka, njengokufudumala , ukubomvu, noma ukuvuvukala endaweni yokufaka i-catheter.
- Isiyezi.
- Ubuhlungu besifuba.
- Ubunzima bokuphefumula.
- Ukuqhuma kwesikhumba.
Uma lezi zimpawu zinzima, hamba uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha okukhulu.
Ingabe lokhu ukuhlinzwa?
Cha. I-cerebral angiogram akuyona inqubo yokuhlinzwa. Kuwukuhlolwa kokuxilonga okungenasidingo. Inqubo yokuhlinzwa inqubo lapho udokotela ohlinzayo esika futhi ashintshe izicubu emzimbeni wakho. Le nqubo ihilela kuphela ukwenza imbobo encane kakhulu yokufaka i-catheter. Ayishintshi noma yiziphi izicubu emzimbeni wakho.
I-cerebral angiogram iyisivivinyo esibaluleke kakhulu nesiwusizo sokuhlonza izifo ezihlobene nemithambo yegazi ebuchosheni. Uma uhlelelwe ukwenza lokhu kuhlolwa, ungesabi ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- I-cerebral angiogram iyisivivinyo se-X-ray esikhethekile esihlola impilo yemithambo yegazi ebuchosheni, hhayi ukuhlinzwa okukhulu.
- Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyiphuzayo, ukungezwani komzimba okunakho, kanye nezinye izimo zezokwelapha ngaphambi kokuhlolwa.
- Le nqubo yenziwa kusetshenziswa ipayipi elincane (i-catheter) kanye nodayi okhethekile, futhi yenziwa ngokucophelela kakhulu odokotela abangochwepheshe.
- Izingozi zalokhu kuhlolwa ziphansi kakhulu, kodwa ziqaphele futhi ungesabi ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
- Uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso ngemva kokuhlolwa, njengobuthakathaka noma ubunzima bokukhuluma, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) oseduze.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment