Angiography e feteletseng
Extremity angiography ke teko e sebelisetsoang ho bona methapo matsohong, matsohong, maotong kapa maotong. E boetse e bitsoa pherekano angiography.
Angiography e sebelisa x-ray le dae e khethehileng ho bona kahare ho methapo. Metsing ke methapo ea mali e tsamaisang mali hole le pelo.
Teko ena e etsoa sepetlele. U tla robala holim'a tafole ea x-ray. U kanna ua kopa moriana o tla u robala le ho phomola (sedative).
- Mofani oa tlhokomelo ea bophelo o tla kuta le ho hloekisa sebaka, hangata haholo mpeng.
- Moriana o thethefatsang (moriana o thethefatsang) o enteloa letlalong ka mothapo.
- Ho kenngoa nale ho eona mothapong oo.
- Phala e tšesaane ea polasetiki e bitsoang catheter e fetisoa ka nale ho kena mothapong. Ngaka e e fetisetsa sebakeng sa 'mele o ithutoang. Ngaka e ka bona litšoantšo tse phelang tsa sebaka seo ka leihlo le kang la TV, 'me ea li sebelisa e le tataiso.
- Dae e phalla ka har'a catheter ebe e kenella methapong.
- Litšoantšo tsa X-ray li nkuoa methapong.
Kalafo e itseng e ka etsoa nakong ea ts'ebetso ena. Litlhare tsena li kenyelletsa:
- Ho qhala mali a mali le moriana
- Ho bula mothapo o koetsoeng hanyane ka balune
- Ho beha tube e nyane e bitsoang stent ka mothapong ho thusa ho e bula
Sehlopha sa tlhokomelo ea bophelo se tla hlahloba ho otla ha pelo (ho otla ha pelo), khatello ea mali le ho hema nakong ea ts'ebetso.
Catheter e tlosoa ha tlhahlobo e etsoa. Khatello e beoa sebakeng seo metsotso e 10 ho isa ho e 15 ho emisa ho tsoa mali. Joale ho tlamisoa bandage leqebeng.
Letsoho kapa leoto moo nale e behiloeng teng li lokela ho bolokoa li otlolohile bakeng sa lihora tse 6 kamora ts'ebetso. U lokela ho qoba mosebetsi o boima, joalo ka ho phahamisa lintho tse boima, lihora tse 24 ho isa ho tse 48.
Ha ua lokela ho ja kapa ho noa letho lihora tse 6 ho isa ho tse 8 pele ho tlhahlobo.
U kanna oa bolelloa hore u khaotse ho noa meriana e itseng, e kang aspirin kapa lipilisi tse ling tse fokotsang mali nakoana pele ho tlhahlobo. Le ka mohla u se khaotse ho noa meriana ntle le haeba mofani oa hau a u joetse joalo.
Etsa bonnete ba hore mofani oa thepa ea hau o tseba ka meriana eohle eo u e nkang, ho kenyeletsoa le eo u e rekileng ntle le lengolo la ngaka. Sena se kenyelletsa litlama le litlatsetso.
Bolella mofani oa hau haeba u:
- Ba imme
- Li alejiki ho meriana efe kapa efe
- O kile oa ba le khatello ea maikutlo ho lintho tse fapaneng tsa x-ray, shellfish kapa lintho tsa iodine
- Ho kile ha ba le mathata a tsoang mali
Tafole ea x-ray e thata ebile ea bata. U kanna ua batla ho kopa kobo kapa mosamo. U kanna oa utloa bohloko ha moriana o thethefatsang o entoa. U kanna oa utloa khatello ha catheter e ntse e sisinyeha.
Dae e ka baka maikutlo a mofuthu le ho fofa. Sena se tloaelehile 'me hangata se fela ka metsotsoana e seng mekae.
U kanna oa ba le bonolo le matetetso sebakeng sa kenyelletso ea catheter kamora tlhahlobo. Batla thuso ea bongaka hanghang haeba u na le:
- Ho ruruha
- Ho tsoa mali a sa tloheng
- Bohloko bo boholo letsohong kapa leotong
U kanna oa hloka tlhahlobo ena haeba u na le matšoao a methapo ea mali e patisaneng kapa e koetsoeng matsohong, matsohong, maotong kapa maotong.
Teko e kanna ea etsoa ho fumana:
- Ho tsoa mali
- Ho ruruha kapa ho ruruha ha methapo ea mali (vasculitis)
X-ray e bontša meaho e tloaelehileng bakeng sa lilemo tsa hau.
Sephetho se sa tloaelehang hangata se bakoa ke ho fokola le ho thatafala ha methapo e matsohong kapa maotong a tsoang ho plaque buildup (ho thatafala ha methapo) maboteng a methapo.
X-ray e kanna ea bontša ho koaloa ha lijana tse bakiloeng ke:
- Li -neurysms (ho holisa ka mokhoa o sa tloaelehang kapa ho etsa balloon ea karolo ea mothapo)
- Ho koala mali
- Mafu a mang a methapo
Liphetho tse sa tloaelehang li kanna tsa bakoa ke:
- Ho ruruha ha methapo ea mali
- Ho lematsa methapo ea mali
- Thromboangiitis obliterans (Boloetse ba Buerger)
- Lefu la Takayasu
Mathata a ka kenyelletsa:
- Allergic reaction ho dae e fapaneng
- Tšenyo ea methapo ea mali ha nale le catheter li kenngoa
- Ho tsoa mali a mangata kapa ho koala mali moo catheter e kenngoang teng, e ka fokotsang phallo ea mali leotong
- Lefu la pelo kapa stroke
- Hematoma, pokello ea mali sebakeng sa nale
- Ho lematsa methapo e sebakeng sa ho phunya nale
- Tšenyo ea liphio ho dae
- Ho lematsa methapo ea mali e ntseng e lekoa
- Ho lahleheloa ke maoto le matsoho ka lebaka la ts'ebetso
Ho na le mahlaseli a kotsi a boemo bo tlase. Leha ho le joalo, litsebi tse ngata li na le maikutlo a hore kotsi ea boholo ba x-ray e tlase ha e bapisoa le melemo. Bakhachane le bana ba amehile haholo ka likotsi tsa x-ray.
Angiography ea pheletsong; Ponahalo angiography; Angiogram ea pheletsong e tlase; Pheriferale angiogram; Arteriography ea pheletsong; PAD - angiography; Pheriferale mothapo lefu - angiography
Webosaete ea American Heart Association. Angiogram pheriferale. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. E ntlafalitsoe ka Mphalane 2016. E fihlile ka la 18 Pherekhong 2019.
Desai SS, Hodgson KJ. Mokhoa oa ho hlahloba methapo ea methapo ea methapo. Ka: Sidawy AN, Perler BA, bahlophisi. Rutherford's Vasculry and Endovascular Therapy. La 9th. Philadelphia, PA: Elsevier; 2019: khaolo ea 60.
Harisinghani MG, Chen JW, Weissleder R. Litšoantšo tsa Vascular. Ho: Harisinghani MG, Chen JW, Weissleder R, bahlophisi. Ntho ea pele ea ho nka litšoantšo. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 8.
Monghali Jackson JE, Meaney JFM. Angiography: melao-motheo, mekhoa le mathata. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 84.