Angiography ea pelo e ka ho le letšehali

Angiography ea pelo e ka leqeleng ke mokhoa oa ho sheba likamore tsa pelo tse ka lehlakoreng le letšehali le ts'ebetso ea li-valve tse mahlakore a leqeleng. Ka linako tse ling e kopantsoe le angiography ea coronary.

Pele ho tlhahlobo, o tla fuoa moriana ho u thusa ho phomola. U tla tsoha 'me u tsebe ho latela litaelo nakong ea tlhahlobo.

Ho kenngoa mohala o kenang methapong letsohong la hao. Mofani oa tlhokomelo ea bophelo o hloekisa le ho thethefatsa sebaka letsohong kapa botenng ba hao. Ngaka ea pelo e seha hanyane sebakeng seo, ebe e kenya tube (catheter) e tšesaane e tenyetsehang ka mothapong. A sebelisa X-ray e le tataiso, ngaka e tsamaisa tube e tšesaane (catheter) ka pelong ea hau ka hloko.

Ha phaephe e le teng, dae e entoa ka eona. Dae e phalla ka har'a methapo ea mali, e ba nolofaletsa ho bona. X-ray e nkoa ha dae e feta ka har'a methapo ea mali. Litšoantšo tsena tsa x-ray li theha "baesekopo" ea ventricle e ka letsohong le letšehali ha e ntse e sebetsa ka mokhoa o lumellanang.

Tsamaiso e ka nka hora ho isa ho tse 'maloa.

U tla bolelloa hore u se ke ua ja kapa ua noa lihora tse 6 ho isa ho tse 8 pele ho tlhahlobo. Tsamaiso e etsahala sepetlele. Batho ba bang ba kanna ba hloka ho robala sepetlele bosiung ba pele ho tlhahlobo.

Mofani oa thepa o tla hlalosa tšebetso le likotsi tsa eona. O tlameha ho saena foromo ea tumello bakeng sa ts'ebetso.

U tla utloa ho hlaba 'me u chese ha moriana o thethefatsang kutlo oa lehae o entoa. U ka utloa khatello ha catheter e kentsoe. Ka linako tse ling, ho utloa bohloko kapa ho ikutloa u hloka ho ntša metsi ho hlaha ha dae e entsoe.

Angiography ea pelo e letšehali e etsoa ho lekola phallo ea mali ka lehlakoreng le letšehali la pelo.

Sephetho se tloaelehileng se bontša phallo e tloaelehileng ea mali ka lehlakoreng le letšehali la pelo. Likarolo tsa mali le likhatello le tsona li tloaelehile.

Liphetho tse sa tloaelehang li ka bakoa ke:

• Sekoti ka pelong (sekoli sa seoa sa ventricular)
• Lintho tse sa tloaelehang tsa li-valve tsa pelo tse letšehali
• Anneurysm ea lebota la pelo
• Libaka tsa pelo ha li kenelle ka mokhoa o tloaelehileng
• Mathata a phallo ea mali ka lehlakoreng le letšehali la pelo
• Li-blockages tse amanang le pelo
• Mosebetsi o fokolang oa ho pompa oa ventricle e letšehali

Coriary angiography e kanna ea hlokahala ha ho belaelloa ha methapo ea mali.

Likotsi tse amanang le ts'ebetso ena li kenyelletsa:

• Ho otla ha pelo ka tsela e sa tloaelehang (arrhythmias)
• Allergic reaction ho dae kapa meriana e thetsang
• Tšenyo ea methapo kapa methapo
• Tamponade ea pelo
• Embolism e tsoang ho liphahlo tsa mali ntlheng ea catheter
• Ho hloleha ha pelo ka lebaka la molumo oa dae
• Tšoaetso
• Ho hloleha ha liphio ho dae
• Khatello ea mali e tlase
• Lefu la pelo
• Ho tsoa mali
• Leqeba

Catheterization ea pelo e nepahetseng e ka kopanngoa le ts'ebetso ena.

Angiography ea pelo e ka letsohong le letšehali e na le kotsi hobane ke mokhoa o hlaselang. Mekhoa e meng ea ho nka litšoantšo e ka ba le likotsi tse nyane joalo ka:

• Lisebelisoa tsa CT
• Echocardiography
• Litšoantšo tsa Magnetic resonance (MRI) tsa pelo
• Radionuclide ventriculography

Mofani oa hau a ka etsa qeto ea ho etsa e 'ngoe ea lits'ebetso tsena ho fapana le angiography ea pelo e letšehali.

Angiography - pelo e letšehali; Ventriculography e ka ho le letšehali

Catheterization ea Hermann J. Pelo. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 19.

Patel MR, Bailey SR, Bonow RO, le al. ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 mekhoa e nepahetseng ea ts'ebeliso ea catheterization ea ts'oaetso: tlaleho ea American College of Cardiology Foundation Sesebelisoa se Sebetsang sa Criteria Task, Mokhatlo oa Angiography ea Pelo le Mehato, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Mokhatlo oa Critical Care Medicine, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, le Mokhatlo oa Lingaka tsa Ngaka tsa Thoracic. J Ke Coll Cardiol. 2012; 59 (22): 1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital lefu la pelo ho motho e moholo le mokuli oa bana. Ka: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Lefu la pelo la Braunwald: Buka ea bongaka ea meriana ea pelo. 11th ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 75.