Angiography: oko kukuthi, inkcazelo iinkqubo kunye neempawu

Izigulane abaphethwe zizifo iimpahla intliziyo negazi bangenele izifundo zonyango rhoqo. uxilongo lokuqala ngezifo ivumela ukuba umahluko, ubeke uxilongo echanekileyo, kunye noviwo malunga nemiba ukunceda ukucacisa isimo umzimba ngexesha ejonge ngumlinganiselo othintelo kuphuhliso iingxaki. Indlela esetyenziswa rhoqo woviwo sezifo yegazi - angiography. Yintoni ebalulekileyo diagnostically ukubonisa nokuqhathwa kwaye lwenziwa njani, loo nto ithathwa kweli nqaku.

iitotali

Xa ngumfuziselo ingcamango yimbonakalo angiography kwathabatha iminyaka engaphezu kwama-30 emva kokuba enyanisweni, njengoko komzimba Behterev wavakalisa ingcinga: ". Ukuba kukho izisombululo abangalupasanga imiqadi X-ray, oku kuzaliswa ngokolwelo neempahla kwaye ifoto" Ukuze buqhinga iye zande kwaye ngempumelelo ukuyisebenzisa, oko ke engamashumi amane ngaphezulu.

Izigulane na inkqubo emiselweyo, babe nomdla: "? Angiography - yintoni" Le ndlela lokufunyaniswa imeko kunye nemithambo permeability, oluqhutywa ngokusebenzisa izinto radio-ngaphaya kwawo. Inkqubo ivumela ukuvavanya imida zilandelayo:

• isantya sokuqukuqela igazi;
• indawo yegazi;
• ubukho okungahambi bekhubazekile;
• ukuvala;
• ukubunjwa iindlela flow circuitous;
• imeko empahla uqinisa ngamathumba.

Apho lenquba yenzelwa?

Amaziko zokuChonga (iprofayili emxinwa okanye ububanzi) kunye nezibhedlele zixhotyiswe ngezibonelelo ezikhethekileyo angiography.

Apha zonke iimeko asepsis. In maziko izixhobo eziyimfuneko:

• Angiography - isixhobo ukuba izixhobo zokuhlola zeradiyoloji zemeko iimpahla (imithambo, imithambo, emithanjeni, iimpahla emithanjeni);
• fluorographic speed camera;
• device, injongo yazo kukuba ukwenza X-reyi multishot kunye neevidiyo.

Kumaziko ezizodwa kakhulu diagnostic eyenziwa CT angiography. Le nkqubo ikuvumela ukuba ufumane icace kwimikhumbi karhulumente (iinkcukacha), kwaye ngoko ke ifuna ukusetyenziswa izixhobo eliphezulu yakutshanje.

izimiso zophando

Sityeni igazi apho kuyimfuneko ukuhlola kwaye baphande alawulwa into radiopaque, yemvelaphi ayodini. Oku kwenziwa ngokusebenzisa catheterization okanye okuhlatywa. Ukuba inqanawa ibekwe kwi umgama omfutshane phantsi kwesikhumba, kwangoko i- sisombululo eso ungabutofela kuyo nge isirinji (okuhlatywa).

Catheterization lisetyenziswa imithambo ezinzulu okanye mithambo. Xa ezayo isitya kwenza Ukubulawa yasekuhlaleni. Emva imbobo esikhumba kunye ongama okunamafutha inyama kukho isitya zihlalutywe akwenza oko introducer (ityhubhu iplastiki obhityileyo malunga-10 cm ubude). Esebenzisa introducer zihamba nezinye izixhobo kunye catheter, ukuze ningabi ngempazamo umonakalo iindonga imithambo yegazi. Ngokusebenzisa i catheter kuqaliswa kwi-arhente umahluko.

Emva kokuba isisombululo engena isitya, lithe laqhenqetha kwisixokelelwano. Okokuqala, imithambo yegazi imithambo nihluthiyo, ngoko arterioles, venules kunye emithanjeni. Ngeli xesha, encediswa kumatshini X-ray wathabatha imifanekiso embalwa okanye ividiyo emfutshane.

imithambo angiography Gen. (iziphumo study) irekhodwa medium digital ekuvumela ukuba ubonise data nokuqhathwa nezinye iingcali.

isicelo phi?

Ukuhlolwa komqathango kunye semithambo permeability ezisetyenziswa emasimini amayeza, ezifana:

• utyando semithambo - ngaphambi kotyando ugqirha lixela indawo kunye nolwakhiwo kwimimandla esebenza;
• Oncology - Indawo intsimi Primary kunye metastases bayaxilongwa ngexesha zolwakhiwo network capillary;
• Pulmonology - ukuhlola vasculature lung, kwakunye ukucacisa indawo ye pop-ukopha;
• Phlebology - iingcali kuqinisekisa ubukho kwizithintelo, ukubonakala aneurysms, egazi igazi, yegazi, isifo semithambo, mgaqweni iziphene yobomi;
• neuroscience - iimpahla ubuchopho angiography ibonisa ubukho i kwemithambo, ukopha, valiweyo, iinkqubo ithumba.

Ukuba ufuna ukuhlola zonke iimpahla kwindawo ethile, ngoko le nkqubo ibizwa ngokuba angiography jikelele. Kwimeko zokuvavanya imo migqomo ngamnye isifundo eso kuthiwa uyakhetha.

angiography ebuchotsheni yegazi

Ukuba balobe into radiopaque nolawulwa imithambo catheter ezifana:

• nomlenze wasekunene;
• negxalaba;
• ulna;
• subclavian.

Le catheter selekhulile ngokusebenzisa olujikeleza ukuya kummandla apho uvavanyo usisitya zamasebe. In isicombululo mithambo elawulwa. Ngoko nangoko enze ikopi uthotho kuqhume ukusuka kwicala kunye phambi entloko. Ukuba kuyimfuneko ukuhlola izakhiwo ezikude, inxalenye yesibini kwezinto ezilawulwa. Kwakhona kulandelwa uthotho imifanekiso projections ezifunekayo. Esi sixhobo kufakwe isusiwe kwaye uxilongo sele kugqityiwe.

angiography ebuchotsheni ifuna ukusetyenziswa lokudoma ukuba ndindisholo indawo apho catheterization. Nangona catheter selekhulile ngomzimba, umguli angacingi ubuhlungu. Kunye nokuqaliswa kwenkqubo ye-zingenzeka emlonyeni sisinyithi ukungcamla, ukugungxula yobuso, ubushushu imvakalelo ndichithe. Effects zinyamalale emva kwemizuzwana embalwa.

Ubungqina obubonakalayo buxela ukuba iimviwo kweenqanawa ingqondo

A Inani iimeko zophendlo lwezifo ezifuna sifo (MRI angiography lwenziwa ukuze ufumane iinkcukacha ezithe vetshe):

• kwemithambo - isitya ukwanda, nto leyo inokukhokelela legazi;
• Angioma - ithumba nemithambo;
• stroke kobuchopho - ugqirha oluvavanya imfuneko thrombolysis;
• sophele enama - ixhomekeke umthombo legazi;
• malformation semithambo - ugqirha elivavanya umgangatho izifo umthombo ukopha;
• TBI - ukumisela impembelelo trauma;
• hematoma - ingcali iqikelela indawo nobukhulu;
• Ithumba - ukuchaza ubukhulu, indawo, imo izitya ubonelelo.

iimpahla angiography intliziyo

angiography Uqhaqho - ntoni na? Le ndlela kwenqanawe yophando kwentliziyo. Catheterization le femoral okanye iphiramidi ebonisa kwimithambo catheter kwaye kuqhutywa ukuya aorta. isisombululo Radiopaque elawulwa yanjalo ngasekunene nangasekhohlo nemithambo yenhliziyo. Uthotho imifanekiso kwenziwa ngephanyazo.

Isigulane usenokukhalaza legqwetha iimpawu ezifana phezu zolawulo neziyobisi:

• ubushushu ebusweni;
• arrhythmia;
• nesiyezi;
• isicaphucaphu, ukugabha;
• isikhohlela.

Le zibonisa ukuba engabalulekanga ukukholwa, isifo semithambo intliziyo, Cardio, mgaqweni ezesifuba iziphene olujikeleza indalo.

Uphononongo kweenqanawa konyawo

esiphelweni angiography ibandakanya inkqubo yoviwo likarhulumente kwemithambo ngemithambo izandla neenyawo. Uxilongo yesiqephu aphezulu kuqhutywa ngokuthi unike izinto radiopaque kwi kwemithambo brachial. Kuba nemilenze - kwi aorta esiswini okanye Umthambo femoral, kuxhomekeke inqanaba na uxilongo kuyimfuneko. Ukuze ukufunda imithambo yegazi yonyawo kunye umzantsi womlenze bachitha okuhlatywa kwemithambo ngomva tibial. Kunye nokuqaliswa nesisombululo isigulane banokuziva kwakhula ubushushu iinyawo.

Izinto ezibonisa ukuba isifundo:

• yamafutha kweqondo asezantsi;
• isifo occlusive;
• thrombosis, thrombophlebitis;
• thromboembolism;
• ukulimala, kunye neempahla discontinuities;
• sokuhlaziya kwemithambo;
• nokuvavanya ukusebenza konyango.

Ukulungiselela ukuba kuyokufunyaniswa isifo

Qiniseka ukuba ukhankanye ukungabikho hypersensitivity ngamnye iodine kunye nezakhi zayo. Ukuba isigulana kukho ukukhulelwa,-X ray azisetyenziswa. Kulo mzekelo, wesuka waba MR angiography.

Kwiiveki ezimbini ngaphandle iziselo ezinxilisayo ngeveki - anticoagulants ( "lweeHedfowuni", "Warfarin", "aspirin"). Kwiintsuku ezimbalwa phambi kokuba uxilongo lwenziwa inani lezifundo ezifana:

• igazi lwezonyango kunye nomchamo iimvavanyo, coagulation, ngamachiza;
• ECG kunye ultrasound intliziyo;
• amaphaphu fluorography;
• uhlobo lwegazi kunye RH factor;
• Uviwo lwezifo (HIV, hepatitis, negcushuwa).

Ngosuku olwandulela angiography lwenziwa kwisampula into radiopaque. Le ndlela ilawulwa 0.1 ml. Kwimeko urticaria, nokuthimliswa negazi, conjunctivitis, ukusetyenziswa arrhythmia iziyobisi akuvumelekanga.

Ngokuhlwa ngaphambi kokuba nkqubo wenziwe a enema yokuhlanjululwa, iinkqubo zisempilweni. Ingcali unikela nadlamkisayo, sivumele isigulane ukhululeke. Ngomhla Ngentsasa examinee ningadli okanye usele phambi yokuntlokothiswa aniswele ukukhupha isinye.

uqeqesho bokuqonda

Kukho eziliqela iimeko zophendlo lwezifo ezifuna indlela ende kwaye ngenyameko ukulungiselela inkqubo enjalo angiography. Yintoni na ke izigulane kufuneka enze ukuba uthole uneventful?

uxinzelelo lwegazi oluphezulu, kuyimfuneko ukuzinzisa na. Ukulungiselela le njongo sebenzisa "Nifedipine", "Dibazol" "Raunatin" okanye nasiphi na isiyobisi umfutho ukuba isigulana unyango rhoqo.

Phambi arrhythmias kwentliziyo ezilawulwa "Panangin" okanye potassium chloride. Kuchaziwe ngugqirha usebenzisa glycosides inhliziyo. Xa isifo okanye syndrome buhlungu intliziyo usebenzisa "Nitroglycerin" "Ernits" "Sustak".

kidney ephilayo sifo zifuna saturation amanzi. Ukusetyenziswa kweziyobisi radiopaque iya kuba isenzo ngaphantsi njenge-arhente esahlala kwaye kwizondlo ngokukhawuleza kwi yokuchama.

Ukuba unayo imithombo ezingapheliyo zosulelo (sinusitis, iphika), zeengcali umisela antibiotics okanye sulfonamides of iiveki ezi-2 phambi sifundo.

Izimo ukuba angiography

Le nkqubo diagnostic singàphunyezwa xa kukho uloyiko lokuba iwonga kunye nempilo yesigulane. Oku kwenzeka kwiimeko ezifana:

• izifo arhabaxa olunamandla;
• abagula ngengqondo;
• ukusilela kwezintso;
• nesifo sentliziyo decompensation;
• Andidibani iodine kunye nezakhi zayo;
• izifo kunye nokopha ukuphazamiseka;
• ukukhulelwa.

Angiography - esebenzayo ngokubanzi kusetyenziswa izifundo inkqubo indlela semithambo, ukuba eziluncedo ezininzi ngaphezu kwezinye iinkqubo yoxilongo.