Izinso zingenye yezitho ezibaluleke kakhulu emzimbeni wethu. Zifana nezihlungi ezimbili emzimbeni wethu. Zihlanza igazi lethu futhi zisuse izinto ezingafuneki njengomchamo . Ngakho-ke, kubaluleke kakhulu ukuthi uhlelo lwemithambo yegazi emincane oluhlinzeka ngegazi ezinso lusebenze kahle. Ngezinye izikhathi udokotela angase asole ukuthi kukhona okungahambi kahle ngale mithambo yegazi. Ngaleso sikhathi, kwenziwa ukuhlolwa okukhethekile okubizwa ngokuthi 'i-Renal Arteriography' ukuze kuhlolwe. Ungesabi uma uzwa leli gama, sizoxoxa ngakho konke ngamagama alula namuhla.
Kalula nje, iyini i-Renal Arteriography?
Lolu futhi uhlobo lokuhlolwa kwe -X-ray . Kodwa akufani ne-X-ray evamile. Cabanga uhamba emgwaqweni ongawujwayele, futhi udinga imephu, akunjalo? Nokho, lokhu kuhlolwa kusiza udokotela ukubona imephu, noma isithombe esicacile, semithambo yegazi ezinso zakho.
Lokhu kubizwa nangokuthi i-'Renal Angiogram'. Lokhu kusebenzisa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i- 'Fluoroscopy '. Lokhu kusho ukuthi esikhundleni sokuthatha isithombe esisodwa, ungabuka ukugeleza kwegazi ezinso kuphila, uthatha izithombe ze-X-ray eziqhubekayo njengevidiyo. Lokhu kukuvumela ukuthi ubone imithambo yegazi kanye nezinye izitho namathambo ngaphakathi.
Kungani sidinga ukwenza lolu hlobo lokuhlolwa?
Udokotela wakho angase akuncome lokhu kuhlolwa uma esola ukuthi kunenkinga ngemithambo yegazi ezinso zakho. Lokhu kuhlolwa kuvame ukucelwa uma imithambo yegazi ingabonakali kahle ku -CT scan noma ku-MRI scan .
Bheka ithebula elingezansi ukuthola izimo zezokwelapha eziyinhloko ezingatholakala ngalesi sivivinyo.
| Isimo sezokwelapha | Kalula nje… |
|---|---|
| I-Aneurysm | Udonga lomthambo wegazi olubuthakathaka luyavuvukala njengebhaluni. Lokhu kungaqhuma. |
| I-Renal Artery Stenosis | Ukuvaleka noma ukuncishiswa komthambo wegazi oyinhloko othwala igazi liye ezinso. Lokhu kungabangela umfutho wegazi ophakeme. |
| I-Thrombosis noma Ukuvaleka | Ukuvaleka okuphelele noma okuyingxenye komthambo wegazi ngenxa yokuqhekeka kwegazi. |
| Ukukhubazeka kwemithambo yegazi | Ukuhlangana okungajwayelekile kwemithambo yegazi nemithambo yegazi. |
| Ukopha kwegazi | Ukopha emzimbeni kusuka emthanjeni wegazi. |
| Ezinye izizathu | Hlola isimila ezinso, noma uthole izinkinga ngemva kokufakelwa izinso. |
Ungakwenza kanjani lokhu kuhlolwa? Ake sikubheke kancane kancane.
Ukwazi ngalesi sivivinyo kuzokusiza ukunciphisa ukwesaba kwakho. Ake sibone ukuthi kwenzekani kulokhu.
Izinto okudingeka uzazi ngaphambi kokuhlolwa
- Tshela udokotela konke: Qiniseka ukuthi uyamtshela uma une -allergies , ikakhulukazi kumadayi asetshenziswa kuma-X-ray , i-iodine , noma imithi.
- Uma ukhulelwe , uzama ukukhulelwa, noma uncelisa, kufanele wazise udokotela wakho ngalokhu.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo. Lokhu akubandakanyi nje kuphela leyo udokotela wakho ayikunikezile, kodwa nanoma yimiphi imithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela efana ne-ibuprofen ne-aspirin, amavithamini, kanye nemithi yendabuko. Udokotela wakho angase akucele ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Uma unezinye izimo zezokwelapha ezifana nesifo sikashukela noma umfutho wegazi ophakeme, sitshele ngazo futhi.
Kwenzekani ngesikhathi sokuhlolwa?
Lokhu kuhlolwa kwenziwa udokotela ochwepheshe (`Interventional Radiologist`). Ngakho khumbula ukuthi usezandleni eziphephile.
1. Okokuqala, isibhedlela sizokunikeza ingubo ozoyigqoka. Ngemuva kwalokho uzolaliswa embhedeni okhethekile onomshini we-X-ray.
2. Ipayipi elincane (umugqa we-IV) lizofakwa emthanjeni ongalweni yakho lapho uzonikezwa khona uketshezi kanye nemithi yokukugcina uzolile.
3. Okulandelayo, udokotela uzoyiqeda i-catheter endaweni lapho kufakwa khona i-catheter . Le catheter iyipayipi elincane kakhulu neliguquguqukayo. Ivame ukufakwa nge-groin noma ngezinye izikhathi ngemithambo engalweni . Ngeke uzwe ubuhlungu ngenxa yokungakhululeki.
4. Ngemuva kwalokho, ngenaliti encane, i-catheter ifakwa ngokucophelela emthanjeni.
5. Le catheter iqondiswa ngokucophelela emthanjeni wezinso, ohlinzeka ngegazi ezinso, ngenkathi ibuka izithombe ze-X-ray.
6. Uma i-catheter isikhona, kufakwa idayi ekhethekile (idayi yokungafani) ngayo. Le dayi yenza imithambo yegazi ibonakale icacile futhi imhlophe ezithombeni ze-X-ray. Ungase uzizwe ukufudumala okuncane emzimbeni wakho ngalesi sikhathi, okuyinto evamile.
7. Kuleli qophelo, udokotela uzokutshela ukuthi ubambe umoya wakho isikhashana . Thatha lezo zithombe ngokucacile. Kubaluleke kakhulu futhi ukuthi unganyakazi.
8. Inothi elikhethekile: Ngezinye izikhathi, uma udokotela ethola umthambo wegazi ovalekile phakathi nalolu vivinyo, angawelapha. Lokhu kubizwa ngokuthi 'i-Renal Artery Angioplasty'. Kulokhu, ibhaluni elincane lidlula ku-catheter bese indawo evalekile igcwala umoya, okubuyisela ukugeleza kwegazi.
Yini okufanele ngiyenze ngemva kokuhlolwa?
Uma ukuhlolwa sekuqediwe, i-catheter isuswa ngokucophelela. I-catheter icindezelwa cishe imizuzu eyi-15 ukuze kumiswe ukopha endaweni yokufaka.
- Ngemva kwalokho, kuzodingeka ulale embhedeni amahora ambalwa , ikakhulukazi ugcine umlenze lapho kufakwe khona i-catheter ungashukumi.
- Ezimweni eziningi, udokotela angase akucebise ukuthi uhlale esibhedlela ngalobo busuku ukuqinisekisa ukuthi konke kuhamba kahle. Lokhu kungenxa yokuphepha kwakho.
- Phuza amanzi amaningi. Lokhu kubaluleke kakhulu ngoba udayi osetshenziswe emzimbeni udinga ukukhishwa ngokushesha ngomchamo.
- Kuzodingeka unakekele indawo yokufaka i-catheter izinsuku ezimbalwa ngemva kokuba ubuyele ekhaya. Udokotela wakho uzokweluleka ngalokhu.
Ingabe zikhona izingozi ngalolu vivinyo?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane kakhulu ezihilelekile. Kodwa khumbula ukuthi lezi azivamile . Futhi odokotela abenza ukuhlolwa bayaqaphela kakhulu ngalokhu.
| Ingozi Engaba Khona |
|---|
| Ukopha noma ukuphuka (i-hematoma) kusuka endaweni yokufaka i-catheter |
| Ukulimala komthambo wegazi noma odongeni lwawo. |
| Ukujiya kwegazi. |
| Ukusabela kokungezwani komzimba nodayi osetshenzisiwe. |
| Akuvamile ukuthi kube nemiphumela yesikhashana ezinso. |
| Ukulimala kwemizwa. |
Le ngozi ingahluka kancane kuye ngezinye izimo zezokwelapha onazo. Yingakho sishilo ngaphambilini ukuthi kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele .
Umlayezo Wokuya Nawe Ekhaya
- I-Renal Arteriography ukuhlolwa okukhethekile kwe-X-ray okuhlola isimo semithambo yegazi ezinso zakho. Lokhu kuvame ukuba ukuhlolwa okuphephile.
- Ngaphambi kokuhlolwa, qiniseka ukuthi utshela udokotela wakho ngezinkinga zakho zokungezwani komzimba, yonke imithi oyithathayo, nokuthi ukhulelwe yini.
- Lokhu kuhlola kusebenzisa ipayipi elincane (i-catheter) kanye nodayi okhethekile ukuze kubonakale kahle imithambo yegazi.
- Ngemva kokuhlolwa, kubaluleke kakhulu ukuphumula kahle ngokwemiyalelo kadokotela nokuphuza amanzi amaningi ukusiza ukususa udayi emzimbeni wakho.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalokhu, xoxa ngakho nodokotela wakho ngaphandle kokungabaza.
I-Renal Arteriography, i-Renal Angiogram, izinso, ukuhlolwa kwezokwelapha, imithambo yegazi, i-catheter, i-X-ray, ukuhlolwa kwezinso i-sinhala, i-angioplasty i-sinhala
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