Ọrịa ụbụrụ angiography
Ọrịa ụbụrụ bụ usoro nke na-eji agba pụrụ iche (ihe dị iche) na ụzarị ọkụ iji hụ ka ọbara si agafe na ụbụrụ.
A na-eme ụbụrụ ụbụrụ na ụlọ ọgwụ ma ọ bụ ụlọ ọrụ redio.
- Dinara na tebụl x-ray.
- A na-ejide isi gị na-eji eriri, teepu, ma ọ bụ akpa sandbag, yabụ DOB moveGH move ịkwaga ya n'oge usoro ahụ.
- Tupu ule a amalite, a na-enye gị nwayọ nwayọ iji nyere gị aka izu ike.
- Igwe electrocardiogram (ECG) na - enyocha ihe obi gị na-eme n’oge ule ahụ. A ga-etinye patch ndị raparasịrị, nke a na-akpọ ndu, na aka na ụkwụ gị. Waya jikọọ ụzọ na igwe ECG.
Akụkụ ahụ gị, nke na-abụkarị ọka, na-ehicha ma jiri ọgwụ na-agwụ ike nke mpaghara (anestetiiki) mezie ya. A na-etinye eriri dị warara, oghere nke a na-akpọ catheter site na akwara. A na-eji nlezianya na-ebugharị catheter site na arịa ọbara ndị dị n'ime ime afọ na obi n'ime akwara n'ime olu. X-ray enyere dọkịta aka iduzi catheter ahụ ka ọ dị mma.
Ozugbo catheter dị, a na-eziga agba ahụ site na catheter. A na-ewere ihe oyiyi X-ray iji hụ otú ihe ahụ na-esijiji esi na-esi n'ime eriri afọ na akwara ụbụrụ nke ụbụrụ. Agba ya na-enyere aka igosipụta mgbochi ọ bụla n'ọbara.
Mgbe ụfọdụ, kọmputa na-ewepụ ọkpụkpụ na anụ ahụ dị n’elu onyogho ndị a na-ele anya, nke na ọ bụ naanị arịa ọbara ndị jupụtara na agba ahụ ka a na-ahụ. Nke a ka akpọrọ mwepu dijitalụ angiography (DSA).
Mgbe e nyechara ụzarị ọkụ ọkụ ahụ, a na-ewepụ catheter ahụ. A na-etinye nrụgide na ụkwụ na saịtị nke ntinye maka minit 10 ruo 15 iji kwụsị ọbara ọgbụgba ahụ ma ọ bụ jiri ngwaọrụ mechie obere oghere. A na-etinyezi bandeeji siri ike. Kwụ gị kwesịrị idobe aka elekere abụọ ruo isii mgbe emechara ya. Lelee ebe maka ọbara ọgbụgba ma ọ dịkarịa ala awa 12 na-esote. N'ọnọdụ ndị a na-adịghị ahụkebe, a na-eji akwara aka na-eme ihe kama iji akwara ukwu.
A na-ejikarị angiography na catheter eme ihe ugbu a. Nke a bụ n'ihi na MRA (magnetic resonance angiography) na CT angiography na-enye nkọwa doro anya.
Tupu usoro ahụ, onye na-eweta gị ga-enyocha gị wee nye nyocha ọbara.
Gwa onye na-eweta ya ma ọ bụrụ na:
- Nwee nsogbu banyere ọbara ọgbụgba ma ọ bụ were ọgwụ ndị na-edozi ọbara
- Ndi ihe nfụkasị ahụ na-acha uhie uhie dị iche iche x-ray ma ọ bụ ihe ọ bụla iodine
- Nwere ike ime ime
- Nwee nsogbu nsogbu akụrụ
Enwere ike ịgwa gị ka ị ghara iri nri ma ọ bụ drinkụọ ihe ọ bụla ruo awa 4 ruo 8 tupu ule ahụ.
Mgbe ị rutere ebe nyocha ahụ, a ga-enye gị uwe ụlọ ọgwụ ị ga-eyi. Ga-ewepụ ọla niile.
Okpokoro x-ray nwere ike ịnwe mmetụta siri ike na oyi. Nwere ike ịrịọ maka blanket ma ọ bụ ohiri isi.
Fọdụ ndị mmadụ na-enwe nkụja mgbe a na-enye ọgwụ ahụ na-akụ ahụ (anestetiiki). Ga-enwe nkenke mgbu na nrụgide dị nkenke ka catheter na-abanye n'ime ahụ. Ozugbo nhazi mbu, ị gaghị enwe mmetụta na catheter ọzọ.
Ihe dị iche nwere ike ime ka anụ ahụ ihu ma ọ bụ isi na-ekpo ọkụ ma ọ bụ na-ere ọkụ. Nke a dị njọ ma na-apụkarị n'ime sekọnd ole na ole.
Nwere ike ịnwe obere nro na nchihịa na saịtị nke ogwu ahụ mgbe ule ahụ gachara.
A na-ejikarị ụbụrụ ụbụrụ ụbụrụ amata ma ọ bụ gosipụta nsogbu dị na arịa ọbara na ụbụrụ.
Onye na-eweta gị nwere ike ịtụ ule a ma ọ bụrụ na ị nwere mgbaàmà ma ọ bụ akara nke:
- Vesselsdị arịa ọbara na-adịghị ahụkebe na ụbụrụ (nkwarụ vaskụla)
- Bulging arịa ọbara n'ime ụbụrụ (aneurysm)
- Na-agbachi akwara na ụbụrụ
- Mbufụt nke arịa ọbara n'ime ụbụrụ (vasculitis)
Mgbe ụfọdụ a na-eji ya:
- Lelee ọbara ka ọ na-etuto.
- Nyochaa akwara ndị isi na olu tupu ịwa ahụ.
- Chọta eriri ọbara nke nwere ike ịkpata ọrịa strok.
N'ọnọdụ ụfọdụ, enwere ike iji usoro a nweta ihe ọmụma zuru ezu mgbe ihe ma ọ bụ MRI ma ọ bụ CT chọpụtara nke ọma.
Enwere ike ime ule a na nkwadebe maka ọgwụgwọ (usoro rediology) site na ụfọdụ arịa ọbara.
Akpụcha dị iche nke na-esite na arịa ọbara nwere ike ịbụ ihe ịrịba ama nke ọbara ọgbụgba.
Warara ma ọ bụ egbochi egbochi akwara nwere ike na-atụ aro:
- Ntọala cholesterol
- A spasm nke ụbụrụ akwara
- Nsogbu eketa
- Ọbara ọbara na-eme ka ọrịa strok
N’ebe arịa ọbara nwere ike ịbụ n’ihi:
- Orsbụrụ ụbụrụ
- Ọbara ọgbụgba n'ime okpokoro isi
- Aneurysm
- Mmekọrịta na-adịghị mma dị n'etiti akwara na akwara na ụbụrụ (arteriovenous malformation)
Nsonaazụ na-adịghị mma nwere ike ịbụ n'ihi ọrịa kansa malitere na akụkụ ọzọ nke ahụ wee gbasaa ruo ụbụrụ (ụbụrụ ụbụrụ metastatic).
Nsogbu nwere ike ịgụnye:
- Ihe nfụkasị ahụ dị iche iche na agba
- Ọbara ma ọ bụ ọbara ọgbụgba ebe etinyere catheter ahụ, nke nwere ike igbochi ọbara na-agba ụkwụ ma ọ bụ aka (obere)
- Mmebi dị na akwara ma ọ bụ mgbidi ikuku site na catheter, nke nwere ike igbochi ọbara na-akpata ọrịa strok (obere)
- Mmebi nke akụrụ site na ọdịiche nke IV
Gwa onye na - enye gị ọrụ ozugbo ọ bụrụ na inwere:
- Adịghị ike na akwara gị
- Ọnụ ọgụgụ na ụkwụ gị n'oge usoro ma ọ bụ mgbe emechara ya
- Okwu na-adịghị mma n’oge usoro ahụ ma ọ bụ mgbe emechara ya
- Ọhụụ ọhụụ n'oge usoro ma ọ bụ mgbe emechara ya
Ọkpụkpụ angiogram; Angiography - isi; Carotid angiogram; Cervicocerebral catheter nke dabeere na angiography; Intra-arterial dijitalụ mwepu angiography; IADSA
- Inbụrụ
- Carotid stenosis - X-ray nke akwara aka ekpe
- Carotid stenosis - X-ray nke akwara aka nri
Adamczyk P, Liebeskind DS. Ihe omimi vascular: ihe omimi nke ihe omimi, na ihe ndi ozo. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 40.
Barras CD, Bhattacharya JJ. Ọnọdụ onyonyo nke ụbụrụ na atụmatụ anatomical ugbu a. Na: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Ngwunye Radiology Diagnostic nke Grainger & Allison. Nke 7. Philadelphia, PA: Elsevier; 2021: Isi nke 53.
Chernecky CC, Berger BJ. Ọrịa ụbụrụ ụbụrụ (ụbụrụ ụbụrụ) - nyocha. Na: Chernecky CC, Berger BJ, eds. Nnwale Laboratory na Usoro Nyocha. Nke isii. St Louis, MO: Elsevier Saunders; 2013: 309-310.