Ingabe udokotela wakho ukutshelile ukuthi wenze i-CT Angiogram? Kungenzeka ukuthi ube novalo kancane lapho esho lokho. Ungase ube nemibuzo eminingi engqondweni yakho, njengokuthi "Luhlobo luni lokuhlolwa lolu?", "Ingabe kuzobuhlungu?", "Kuzokwenzekani?" Kujwayelekile kakhulu. Ungesabi. Namuhla, sizoxoxa ngale CT Angiogram ngendlela ongayiqonda, kalula.
Kalula nje, iyini i-CT Angiogram?
I-CT Angiogram ukuhlolwa okukhethekile okuthatha izithombe ezinemininingwane zemithambo yegazi yakho kanye nezicubu ezizungezile . Empeleni uhlobo lwe-CT scan. Kodwa lapha, uketshezi olukhethekile olubizwa ngokuthi 'idayi yokungafani' lufakwa emzimbeni wakho. Lolu ketshezi lwenza imithambo yegazi yakho ibonakale "ikhanyisiwe" ezithombeni ze-scan.
Lokhu kuhlolwa kuvame ukwenziwa ukuhlola ukuvaleka noma ukuncishiswa kwemithambo yenhliziyo enhliziyweni. Lesi simo sibizwa ngokuthi i-Coronary Artery Disease . Ngakho-ke, lokhu kuhlolwa ngezinye izikhathi kubizwa ngokuthi i-CCTA.
Kodwa lokhu akulona nje ukuhlolwa kwenhliziyo. Kusetshenziselwa ukuthola izinkinga ngemithambo yegazi noma kuphi emzimbeni.
Yiziphi izizathu zokwenza i-CT Angiogram?
Ngaphezu kwezinkinga ngemithambo yegazi yenhliziyo, lokhu kuhlolwa kubaluleke kakhulu ekuxilongeni ezinye izimo eziningi zezokwelapha. Cabanga nje, udokotela wakho angathatha isithombe semithambo yegazi yakho esinobukhulu obuthathu (3D) bese esiphendula njengemodeli esandleni sakhe ukuze athole indawo eqondile yenkinga.
Nazi ezinye zezimo ezingatholwa yilolu vivinyo:
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Aneurysm | Ukwanda noma ukwanda okungavamile komthambo wegazi (isib. i-aorta, umthambo wobuchopho) njengebhaluni. |
| Ukusikwa kwe-aorta | Ukudabuka odongeni lwangaphakathi lwe-aorta, umthambo wegazi omkhulu kunayo yonke emzimbeni. |
| Ukukhubazeka kwemithambo yegazi | Imithambo yegazi nemithambo yegazi (imithambo yegazi) kuyaphambana njengebhola lentambo endaweni efana nobuchopho. |
| Isifo semithambo ye-carotid | Ukuvaleka kwemithambo yegazi ethwala igazi liye ebuchosheni isuka ezinhlangothini zombili zentamo ngenxa yokugcwala kwamafutha (i-plaque). |
| Isifo semithambo yegazi engaphandle | Amafutha ahlala emithanjeni yezingalo noma yemilenze, okubangela ukuvaleka. |
| I-embolism yamaphaphu | Ihlule legazi elakheke kwenye indawo emzimbeni liyaqhekeka bese lihlala emthanjeni wegazi emaphashini. |
| Ukuhlukaniswa kwemithambo yenhliziyo okuzenzekelayo (SCAD) | Ukudabuka noma ukuhlukana okuzenzakalelayo kodonga lomthambo wenhliziyo enhliziyweni. |
| Ukulimala okubuhlungu | Ukuhlola umonakalo emithanjeni yegazi ngenxa yengozi esifubeni, entanyeni, noma ekhanda. |
Odokotela basebenzisa futhi lolu vivinyo ukuhlela kusenesikhathi ukuhlinzwa okufana nokufakelwa ivalvu yenhliziyo , ukuhlinzwa kwe-heart bypass, noma ukufakwa kwe-stent .
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungakulungiselela kanjani lokhu, kodwa ngokuvamile kufanele wazise udokotela wakho ngalezi zinto.
- Ngitshele ngayo yonke imithi oyithathayo njengamanje .
- Sitshele ngomlando wakho wezokwelapha ophelele , okuhlanganisa noma yisiphi isifo senhliziyo, izinkinga zezinso, kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Okubaluleke kakhulu, qiniseka ukuthi usitshela ukuthi ngabe wake waba nokusabela kokungezwani komzimba nodayi wokungafani owawusetshenziswa ekuskeni kanje ngaphambili .
- Sitshele futhi uma ukhulelwe noma uncelisa .
Udokotela uzokutshela ukuthi:
- Mangaki amahora engidinga ukuwadla (ngaphandle kokudla noma isiphuzo) ukuze ngihlolwe?
- Ingabe udinga ukuyeka ukuthatha noma yimiphi imithi ovame ukuyithatha ngaphambi kokuhlolwa ?
Uma uya kohlolwa, kuzodingeka ugqoke ingubo yasesibhedlela. Kuzodingeka futhi ususe noma yibuphi ubucwebe noma izinto zensimbi ongase uzigqoke, njengoba zingase ziphazamise ukuskena.
Kwenzekani ngempela ngesikhathi sokuhlolwa?
I-CT Angiogram ivame ukuba ukuhlolwa okusheshayo nokungenabuhlungu . Nokho, kungase kube nokungakhululeki okuthile, njengoba kufakwa i-catheter ye-IV engalweni yakho. Akudingeki ukuthi ulaliswe (uzizwe ungakhululekile), futhi uzobe uphapheme.
Ulala embhedeni, bese udokotela ehambahamba eyisiyingi esikhulu esifana nedonathi. Ayidluli ngepayipi elivaliwe ngokuphelele njenge-MRI scan, ngakho abantu abaningi abazizwa bexinekile.
Kubaluleke kakhulu ukuthi uhlale unganyakazi phakathi nokuhlolwa. Lena yindlela ongathola ngayo izithombe ezicacile. Lokhu kuhlolwa kwenziwa nguchwepheshe we-radiologic oqeqeshwe ngokukhethekile. Uzokuchazela konke futhi akutshele ukuthi wenzeni (isibonelo, ukuthi kufanele ubambe nini umoya wakho). Nakhu okuvame ukwenzeka:
1. Uzolaliswa embhedeni wesikena. Ungasebenzisa imicamelo namabhande ukuze uhlale ukhululekile.
2. I-cannula (IV) ifakwa emthanjeni engalweni noma esandleni ukuze kufakwe idayi yokungafani emzimbeni.
3. Ungase uzizwe ukufudumala okuncane lapho udayi ufakwa. Lokhu kuvamile, ungakhathazeki. Kuzophela ngemva kwesikhashana.
4. Uma ukuhlolwa kusemithanjeni yenhliziyo yakho, kuzonamatheliswa amabala amancane esifubeni sakho. Lawa abizwa ngokuthi (ama-EKG leads) . Lokhu kuvumela ukuthi kuthathwe izithombe ezinembile zokushaya kwenhliziyo yakho.
5. Uma konke sekulungile, uchwepheshe uzoya ekamelweni elihlukile. Uzokwazi ukukubona futhi akhulume nawe nge-intercom.
6. Isiguli sibe sesifakwa kusikena esimise okwedonathi. Kuleli qophelo, umshini uthatha amakhulu ezithombe. Ungase uzwe umsindo omncane wokubhonga noma wokuchofoza .
7. Uma uchwepheshe ekutshela ukuthi "bamba umoya wakho," yenza kanjalo. Ngisho nokuthuthumela okuncane kungathinta ikhwalithi yezithombe.
8. Ngemva kokuba zonke izithombe ezidingekayo sezithathwe, i-cannula izosuswa bese kufakwa ibhande elincane endaweni. Uzobe ususizwa ukuthi uphume embhedeni. Ukuhlolwa kuzobe sekuphelile.
Isivivinyo sonke singathatha imizuzu engama-20 kuya kwengama-60, kufaka phakathi isikhathi sokulungiselela. Kodwa-ke, ungaphakathi kwesikena isikhathi esifushane kakhulu, cishe umzuzu owodwa noma emibili .
Ingabe kukhona okungalungile ngalolu vivinyo?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane ezihilelekile, kodwa lezi zingozi ngokuvamile zincane kakhulu uma ziqhathaniswa nezinzuzo zokuhlolwa.
- Ukungezwani Nokudaya Okuhlukile: Lokhu akuyona inkinga kubantu abaningi. Kodwa-ke, akuvamile kakhulu, umuntu angaba nokungezwani nomzimba. Uma uke waba nakho lokhu ngaphambili, udokotela wakho angakunika umuthi wokukuvimbela noma ancome okunye ukuhlolwa.
- Ukuchayeka emisebeni: Lokhu kuhilela umthamo omncane kakhulu wemisebe. Udokotela wakho uzocabangela konke lokhu bese enquma ukuthi akwenze yini lokhu ngemva kokulinganisa izinzuzo nezingozi zokuhlolwa.
Kwenzekani ngemva kokuhlolwa?
Uma ukuhlolwa sekuphelile, ungabuyela emisebenzini yakho evamile. Into ebaluleke kakhulu ukuphuza amanzi amaningi kanye noketshezi . Lokhu kuzosiza idayi yokungafani emzimbeni wakho ukuthi ikhishwe ngokushesha nomchamo wakho.
Udokotela we-X-ray uzobuyekeza ama-scan akho, abhale umbiko, bese ewuthumela kudokotela o-ode ukuhlolwa kwakho. Udokotela wakho uzobe esekulethela futhi akuchazele ukuthi umbiko uthini nokuthi yini okudingeka yenziwe ngokulandelayo. Ungesabi ukubuza noma yimiphi imibuzo ongase ube nayo ngalesi sikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-CT Angiogram iyi-CT scan ekhethekile ebheka imithambo yegazi ngokuningiliziwe.
- Lokhu kusebenzisa uketshezi olukhethekile olubizwa ngokuthi idayi yokungafani, ukuze imithambo yegazi ibonakale kahle.
- Lokhu kuvame ukuba ukuhlolwa okusheshayo, okungenabuhlungu, nokuphephile.
- Qiniseka ukuthi utshela udokotela wakho ngezimo zakho zezokwelapha, imithi oyiphuzayo, kanye nokungezwani komzimba ngaphambi kokuhlolwa.
- Ngemva kokuhlolwa, phuza amanzi amaningi ukuze usize idayi yokuhlukanisa iphume emzimbeni wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka onakho. Uzokuchazela konke.
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