Ngesikhathi uya kudokotela ngoba umlenze wakho wawuvuvukele futhi ubuhlungu, ingabe wakutshela ukuthi wenze i-'venogram' ukuze uhlole ukuthi igazi ligobile yini emthanjeni wakho? Noma ingabe lokhu kuhlolwa kwakuyalelwe enye inkinga yomthambo? Uma uzwa igama elinjengaleli, ungase uzizwe wesaba kancane. "Kuyini lokhu, njenge-X-ray? Ingabe kuyahlaba?" Kumelwe ukuba kwafika imibuzo eminingi engqondweni. Kuvamile. Kodwa asikho isizathu sokwesaba. Namuhla, sizoxoxa ngalokhu kuhlolwa kwe-venogram ngendlela elula kakhulu, ngendlela ongayiqonda.
Kalula nje, iyini i-venogram?
I-venogram iyisivivinyo se-X-ray esikhethekile esibheka indlela igazi eligeleza ngayo emithanjeni yomzimba wakho. Ngokuvamile, uma sithatha i-X-ray, singabona izinto eziqinile njengamathambo ngokucacile. Izicubu ezithambile njengemithambo azibonakali kahle.
Ngakho-ke ukuze abone ukuthi yini engaphakathi kwemithambo yakho ngokucacile, udokotela wakho uzofaka uketshezi olukhethekile olubizwa ngokuthi idayi yokungafani emthanjeni wakho ngenaliti encane. Njengoba idayi ihamba emithanjeni yakho negazi lakho, imithambo igqanyiswa ku-X-ray, okwenza ibukeke njengemephu ecacile. Kufana nokuhamba emgwaqweni omnyama unethoshi. Lokhu kuzosiza udokotela wakho ukuthi abone ukuthi kukhona yini ihlule legazi emthanjeni wakho, umthambo onciphile, noma enye inkinga.
Ngokuvamile, kwenziwa i-ultrasound scan ukuze kubhekwe amahlule egazi emithanjeni. Kodwa-ke, ngezinye izikhathi, uma i-scan inganikezi isithombe esicacile, isibonelo lapho ingalo noma umlenze uvuvukele kakhulu, kwenziwa i-venogram njengenye indlela.
Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?
Kunezizathu eziningana zokuthi kungani udokotela angase aku-ode lokhu kuhlolwa. Eziyinhloko yilezi:
- Thola i-Deep Vein Thrombosis (DVT): Lena imbangela eyinhloko. Uma kwakheka ihlule legazi emithanjeni , ikakhulukazi emithanjeni ejulile yemilenze, silibiza ngokuthi i-DVT. Uma i-ultrasound scan ingakwazi ukukubona ngokucacile lokhu, i-venogram ingakuqinisekisa ngokuqinisekile.
- Thola izinkinga ngemithambo yegazi endaweni ye-pelvic: Ngezinye izikhathi, ukuhamba kwegazi emithanjeni esiswini esingezansi kungavimbeka. Lokhu kuhlolwa kungasiza ekutholeni imbangela eqondile yalezo zimo (njenge-`pelvic congestion syndrome`, i-`nutcracker syndrome`).
- Ngaphambi kokuhlinzwa okuthile: Isibonelo, ngaphambi kokuhlinzwa kwemithambo evuvukele emilenzeni, lokhu kuhlolwa kwenziwa ukuze kutholakale isimo esiqondile semithambo.
- Njengesiqondiso ngesikhathi sokwelashwa:Lapho kunikezwa ukwelashwa okufana nokwelashwa nge-thrombolytic, lobu buchwepheshe be-X-ray busetshenziswa futhi ukuqinisekisa ukuthi umuthi ufinyelela endaweni eqondile lapho kuqhekeke khona igazi futhi uncibilikisa ihlule legazi.
Kusebenza kanjani lokhu? Kwenzekani ngempela?
I-venogram isebenzisa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i-fluoroscopy . Cabanga nge-X-ray evamile njengesithombe osithatha ngokuchofoza kanye. Kodwa ukugeleza kwegazi akuyona into eyeka endaweni eyodwa, kuyinqubo eqhubekayo.
Ubuchwepheshe be-Fluoroscopy busebenzisa ukusakaza okuqhubekayo kwe-X-ray, okufana nekhamera yevidiyo, ukuze kuthwetshulwe uchungechunge lwezithombe ze-X-ray ezihambayo. Njengoba nje ikhathuni idalwa ngokubonisa uchungechunge lwezithombe ngokulandelana okusheshayo, kulokhu, izithombe ze-X-ray zithwetshulwa njalo futhi ziboniswe esikrinini njengevidiyo.
Uma idayi yokungafani ifakwa emthanjeni wakho, udokotela angayibona igeleza emthanjeni ngesikhathi sangempela, okusho ukuthi iphila. Ngemuva kwalokho, uma kukhona ukuphazamiseka kokugeleza kwegazi, kuzobonakala ngokucacile.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokunikeza imiyalelo ngaphambi kokuhlolwa. Ngokuvamile bazokusho izinto ezifana nalezi:
- Ungase ucelwe ukuthi uzile ukudla amahora ambalwa ngaphambi kokuhlolwa. Buza udokotela wakho uma uvunyelwe ukuphuza amanzi kuphela.
- Ungase futhi ucelwe ukuthi uyeke okwesikhashana ukuthatha imithi ethile .
Into ebaluleke kakhulu ukutshela udokotela wakho ngesimo sakho sempilo ngaphandle kokufihla lutho.
Kufanele nakanjani utshele udokotela wakho ngalezi zinto ezilandelayo.
| Okudingeka ukusho | Kungani lokho kubalulekile? |
|---|---|
| Yonke imithi oyithathayo njengamanje | Eminye imithi ingathinta ukuhlolwa, ngakho udokotela uzonquma ukuthi kukhona yini okudingeka kuyekwe. |
| Ukungezwani komzimba onakho | Kubaluleke kakhulu ukusho lokhu uma uke waba nokungezwani komzimba nodayi wokwehlukanisa umbala njengalona ngaphambili. |
| Noma yisiphi isifo sezinso | Lolu hlobo lwedayi lukhishwa emzimbeni ngezinso. Ngakho-ke uma unenkinga yezinso, kubaluleke kakhulu ukuthi udokotela wakho ayiqaphele. |
| Uma ukhulelwe noma usola ukuthi kungenzeka ukuthi ukhulelwe | Lokhu kumele kushiwo ngoba ama-X-ray awafanele ingane esibelethweni. |
| Uma uke waba nesifo muva nje | Noma ngabe unomkhuhlane noma umkhuhlane, sazise. |
Ngaphambi kokuhlolwa, uzocelwa ukuthi ukhumule zonke izinto zobucwebe nezinsimbi ozigqokile. Uzocelwa futhi ukuthi ugqoke ingubo ekhethekile ehlinzekwe yisibhedlela.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kuvame ukuthatha imizuzu engama-30 kuya kwengama-90. Kwenziwa nguchwepheshe we-radiologic. Ngeke uquleke, uzobe uqaphile ngokuphelele. Kodwa-ke, ngezinye izikhathi unganikezwa umuthi wokudambisa omnene ukuze uphumule.
Nazi izinyathelo:
1. Ukulala etafuleni le-X-ray: Uzobekwa etafuleni elikhethekile lapho kukhona khona umshini we-X-ray. Ungase unikezwe nezintambo zokuphepha ukuze zikuvimbele ukuthi unganyakazi.
2. Ukufaka izinombolo endaweni lapho kufakwa khona inaliti: Kufakwa umuthi wokubulala izinzwa wendawo (umuthi wokufaka izinombolo) endaweni ekhethelwe ukufakwa inaliti (ngokuvamile umlenze, imbobo, noma intamo). Lokhu kuzozwakala njengokulunywa yintuthwane, kodwa ngeke kube buhlungu ngoba indawo izophelelwa amandla ngemva kwalokho.
3. Umjovo wedayi: Kube sekufakwa umugqa we-intravenous (IV) , ofana nomjovo we-saline, lapho kufakwa khona idayi ekhethekile emthanjeni. Uzozwa ukucindezeleka okuncane kuleli qophelo, kodwa ngeke kube buhlungu. Ungase uzizwe ukufudumala okuncane noma umuzwa wokucasuka njengoba idayi ihamba emzimbeni wakho. Lokhu kuvamile futhi kuzophela ngemva kwesikhashana.
4. Ukuhambisa itafula:Ukuze uthole izithombe zemithambo yegazi ngezindlela ezahlukene, itafula olele kulo lingahanjiswa liye phambili naphambili, phezulu naphansi. Ungakhathazeki, ngeke uwe ngenxa yebhande lokuphepha.
5. Ukubamba umoya: Ngezinye izikhathi, ukuze uthole izithombe ezicacile, uzocelwa ukuba ubambe umoya wakho imizuzwana embalwa noma uhlale uthule kakhulu . Noma ungase ucelwe ukuthi wenze indlela ekhethekile yokuphefumula, njenge -Valsalva maneuver . Abasebenzi bazochaza konke lokhu kuwe.
6. Ukususwa kodayi: Ekupheleni kokuhlolwa, kuthunyelwa usawoti ojwayelekile (uketshezi) emzimbeni nge-IV ukuze kukhishwe udayi emithanjeni.
Wenzani ngemva kokuhlolwa?
Ngemva kokuhlolwa sekuqediwe, abasebenzi bezokwelapha bazokuqapha isikhashana ukuze babone ukuthi unesifo sokungezwani komzimba noma ezinye izinkinga. Uma konke kulungile, uzovunyelwa ukuya ekhaya. Ngemva kokubuyela ekhaya, uzokwaziswa ukuthi uphuze amanzi amaningi amahora angama-24 ukuze usize ekukhipheni udayi emzimbeni wakho ngomchamo wakho.
Ingabe kukhona izingozi noma imiphumela emibi kulokhu?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane, kodwa ezimweni eziningi, lezi zingozi zincane kakhulu uma kuqhathaniswa nezinzuzo zalolu vivinyo.
- Ukuchayeka emisebeni: Ama-X-ray akuveza emithanjeni emincane kakhulu.
- Izinkinga endaweni yokujova: Kungase kube nobuhlungu, ukudumba, ukopha okuncane, noma ukutheleleka endaweni yokujova.
- Ukusabela kokungezwani nodayi: Abanye abantu bangase babe nokungezwani nodayi wokuqhathanisa. Yingakho sikubuza kusengaphambili ukuthi unanoma yikuphi ukungezwani nodayi.
- Ukulimala kwezinso: Lo dayi ungase ube nomthelela othile kumuntu osevele enezinso ezibuthakathaka.
- I-Deep Vein Thrombosis (DVT): Lokhu kuyinto engavamile kakhulu.
Ake sazi futhi ngemiphumela emibi.
Kuvamile ukuzizwa unesiyezi noma unesicanucanu lapho ufaka idayi. Izophela ngokushesha.
Kodwa-ke, ngezinye izikhathi ukusabela okubambezelekile kungenzeka emahoreni noma ngisho nasezinsukwini ngemva kokuhlolwa.
Imiphumela emibi emincane:
- Isicanucanu nokuhlanza
- Ikhanda elibuhlungu
- Isikhumba esilumayo
- Umuzwa wokufudumala
- Ukuqhuma kwesikhumba noma ama-hives
Imiphumela emibi emaphakathi okufanele ibikwe kudokotela ngokushesha:
- Uma izilonda zesikhumba noma amabhamuza anda
- Uma wenza umsindo wokushaya ikhwela lapho uphefumula (uphefumula kanzima)
- Ukuphazamiseka kwenhliziyo
- Ukwanda noma ukwehla ngokweqile komfutho wegazi
Uma uhlangabezana nalezi zimpawu ezinzima, ungalibali. Lezi kungaba izimpawu zokusabela okukhulu kokungezwani komzimba. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
* Ubunzima bokuphefumula
* Ukuvuvukala komphimbo
* Umfutho wegazi wehla kakhulu
Uyini umehluko phakathi kwe-Venogram ne-Angiogram?
Zombili lezi yizivivinyo ze-X-ray ezibheka imithambo yegazi. Umehluko usehlotsheni lwemithambo yegazi ehlolwayo.
- I-Venogram: Lokhu kubheka kuphela imithambo yegazi , okuyimithambo yegazi ethwala igazi lisuka emzimbeni liye enhliziyweni.
- I-Angiogram: Lokhu kungabheka imithambo yomibili, okuyimibhobho ethwala igazi lisuka enhliziyweni liye emzimbeni, kanye nemithambo. I-Angiogram ibhekwa njengesivivinyo esiyinhloko sokuthola ukuvaleka kwemithambo.
Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile uma utshelwa ngokuhlolwa kwezokwelapha. Kodwa khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Ngaleyo ndlela, uzoba nokuqonda okungcono kwenqubo futhi ukwesaba kwakho kuzophela.
Umlayezo Wokuya Nawe Ekhaya
- I-venogram ukuhlolwa kwe-X-ray okusebenzisa idayi ekhethekile (idayi yokungafani) ukubheka ukugeleza kwegazi ngaphakathi kwemithambo yegazi.
- Lokhu kwenziwa kakhulu ukuthola izimo ezifana ne-deep vein thrombosis (DVT).
- Ngaphambi kokuhlolwa, qiniseka ukuthi utshela udokotela wakho nganoma yikuphi ukungezwani komzimba, isifo sezinso, kanye nemithi oyiphuzayo.
- Lokhu kuhlolwa ngokuvamile kuphephile. Ungase uzizwe ungakhululekile lapho kufakwa inaliti bese kufakwa udayi.
- Nakuba imiphumela emibi kakhulu njengobunzima bokuphefumula kanye nokuvuvukala komphimbo ingavamile kakhulu, uma kwenzeka, kufanele uye e-Emergency Treatment Unit (ETU) ngokushesha.
- Ungalokothi unqikaze ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka onakho.
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