Ọkpụkpụ akwara

Coronary angiography bụ usoro nke na-eji akwa pụrụ iche (ihe dị iche) yana ụzarị ọkụ iji hụ ka ọbara si agafe akwara obi gị.

A na-ejikarị ụbụrụ ụbụrụ eme ihe na ọrịa obi. Nke a bụ usoro nke na-etinye nrụgide n'ime ime ụlọ obi.

Tupu ule a amalite, a ga-enye gị nwayọ nwayọ iji nyere gị aka izu ike.

Akụkụ nke ahụ gị (ogwe aka ma ọ bụ ukwu) na-ehicha ma jiri ọgwụ na-agwụ ike nke mpaghara (anestetiiki) kpochaa. Ọkammụta banyere obi na-esi n’oghere akwara warara tubọọlị dị omimi, nke ana-akpọ catheter, ma jiri nlezianya kpalie ya n’ime obi. Ihe oyiyi X-ray na-enyere dọkịta aka idozi catheter ahụ.

Ozugbo catheter dị, a na-agbanye akwa (ihe dị iche) na catheter. A na-ewere ihe onyonyo X-ray iji hụ otú esi esiji esijiji esiji esi aga. Agba ya na-enyere aka igosipụta mgbochi ọ bụla n'ọbara.

Usoro a na - ewekarị iri atọ rue iri isii.

Ekwesighi iri nri ma obu inu ihe obula rue elekere asatọ tupu ule ahu amalite. Ikwesiri ịnọ n'ụlọ ọgwụ n'abalị ahụ tupu ule ahụ. Ma ọ bụghị ya, ị ga-enyocha ụlọ ọgwụ n'ụtụtụ ule ahụ.

Ga-eyi akwa ụlọ ọgwụ. Ga-ebinye aha nnabata tupu ule ahụ. Onye nlekọta ahụike gị ga-akọwa usoro ahụ yana ihe egwu ya.

Gwa onye na - eweta ọrụ gị ma ọ bụrụ n ’

• Ọgwụ ọ bụla na-arịa gị nfụkasị ma ọ bụ ọ bụrụ na ị nwere mmeghachi omume na-adịghị mma n'ihe dịgasị iche n'oge gara aga
• Na-ewere Viagra
• Nwere ike ime

Ọtụtụ mgbe, ị ga-eteta n’oge ule ahụ. I nwere ike nwetụ nrụgide na saịtị ebe etinyere catheter.

I nwere ike inwe mmetụta nke iwe ma ọ bụ mmetụta na-ekpo ọkụ mgbe agbachara agba.

Mgbe ule ahụ gasịrị, ewepụrụ catheter ahụ. Nwere ike ịnwe nrụgide siri ike na-etinye na saịtị ntinye iji gbochie ọbara ọgbụgba. Ọ bụrụ na etinyere catheter ahụ n'apata gị, a ga-agwa gị ka ị dinara ala n'azụ gị ruo awa ole na ole ruo ọtụtụ awa mgbe ule ahụ gachara iji zere ọbara ọgbụgba. Nke a nwere ike ibute ahụ erughị ala azụ.

Enwere ike ime ọhụụ ma ọ bụrụ na:

• Have nwere angina maka oge mbụ.
• Angina gị nke na-akawanye njọ, ịgaghị apụ, na-eme ọtụtụ mgbe, ma ọ bụ na-eme izu ike (akpọghị angina akwụghị).
• Have nwere stenosis aortic ma ọ bụ nsogbu valvụ ọzọ.
• Have nwere onypical obi mgbu, mgbe ule ndị ọzọ bụ ihe nkịtị.
• Had nwere ule mgbakasị ahụ nke obi.
• Na-aga ịwa ahụ na obi gị ma ị nọ n'ọnọdụ dị elu maka ọrịa akwara obi.
• I nwere obi ida.
• Achọpụtala na ị nwere ọrịa obi.

Onyinye ọbara na-adịkarị n'obi, o nweghịkwa ihe mgbochi.

Nsonaazụ na-adịghị mma nwere ike ịpụta na ị nwere ikuku akwara egbochi. Nnwale ahụ nwere ike igosi ọtụtụ akwara akwara na-egbochi, ebe a na-egbochi ha, na oke nke mkpọchi ahụ.

Cardiac catheterization na-ebute obere ihe ize ndụ ma e jiri ya tụnyere ule obi ndị ọzọ. Otú ọ dị, ule ahụ dị nchebe ma ọ bụrụ na ndị otu ahụmahụ nwere ahụmahụ.

N'ozuzu, ihe ize ndụ maka nnukwu nsogbu sitere na 1 na 1,000 ruo 1 na 500. Ihe ize ndụ nke usoro ahụ gụnyere ihe ndị a:

• Gbasara obi
• Oge ufodu obi
• Mmebi nke akwara obi
• Ọbara mgbali elu
• Ihe nfụkasị ahụ dị iche iche ma ọ bụ ọgwụ e nyere n'oge ule ahụ
• Ọkụ
• Obi nkolopu

Ntụle ndị metụtara ụdị catheterization gụnyere ihe ndị a:

• N'ozuzu, enwere ihe ize ndụ nke ọbara ọgbụgba, ọrịa, na ihe mgbu na saịtị IV ma ọ bụ catheter.
• A na - enwekarị obere ihe egwu na catheters plastik dị nro nwere ike imebi arịa ọbara ma ọ bụ akụkụ ndị gbara ya gburugburu.
• Mgbochi ọbara nwere ike ịmalite na ndị na-ekpo ọkụ ma mechaa mechie akwara ọbara n'akụkụ ndị ọzọ nke ahụ.
• Ihe dị iche iche na-acha odo odo nwere ike imebi akụrụ (ọkachasị ndị nwere ọrịa shuga ma ọ bụ nwee nsogbu akụrụ).

Ọ bụrụ na achọtara ihe mgbochi, onye na-eweta gị nwere ike ịrụ ọrụ mmebi iwu (PCI) iji mepee mkpọchi ahụ. Enwere ike ịme nke a n'otu usoro ahụ, mana enwere ike igbu oge maka ọtụtụ ebumnuche.

Ihe gbasara obi; Angiography - obi; Angiogram - akwara; Ọrịa akwara ọbara - angiography; CAD - angiography; Angina - angiography; Ọrịa obi - angiography

• Ọkpụkpụ akwara

Fihn SD, Blankenship JC, Alexander KP, et al. Ọgwụgwọ 2014 ACC / AHA / AATS / PCNA / SCAI / STS lekwasịrị anya melite nke ntuziaka maka nyocha na njikwa nke ndị ọrịa nwere ọrịa obi obi ala: akụkọ nke kọleji American Cardiology / American Heart Association Task Force on Practice Guidelines, na Associationtù Na-ahụ Maka Ọrịa Na-ahụ Maka Ahụhụ nke America, Association nke Nọọsụ Na-egbochi Ọrịa, Society for Cardiovascular Angiography and Intercepts, na Society of Thoracic Surgeons. J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. Nchịkọta catheterization na angiography. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi nke 51.

Mehran R, Dangas GD. Ihe omuma ihe omuma na ihe omimi. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 20.

Werns S. Nnukwu ọrịa nkwonkwo akwara na nnukwu infarction myocardial. Na: Parrillo JE, Dellinger RP, eds. Ọgwụ Nlekọta Ahụ Ike: ofkpụrụ nke Nyocha na Nchịkwa na Okenye. Nke 5. Philadelphia, PA: Elsevier; 2019: isi 29.