Angiography: ke hore, tlhaloso ya mekgwa ya tshebetso le litšobotsi tsa

Bakuli ba nang le mafu a ea methapo ea pelo le mali feta kamehla lithuto tsa tleleniki. Ka lekhetlo la pele phumano ya bolwetse ba lumella ho phapang le beha tepelletse maikutlong nepahetse, 'me hlahloba dipharologanyo ea thusa ho hlakisa boemo ba' mele nakong ea phekolo 'me ke e thibelang e ka tekanyo e itseng bakeng sa ntshetsopele ya mathata. A mokhoa sebelisoa hangata ba hlahloba mafu a pelo le methapo oona tsamaisong - Angiography. Se diagnostically bohlokoa ho bontša mellwane le hore na e li entseng, e tšohloa sehloohong se.

dipalogotlhe

Ka mothofatso oa khopolo ea ponahalo ea angiography ho ile ha nka lilemo tse fetang 30 ka mor'a ha e le hantle, e le physiologist le Behterev ile a bolela mohopolo: ". Ha ho na le ditharollo hore u se ke ua feta ka X-ray libalaka, e ka tlala sephalli lijana joalo le foto" Ho mellwane fetohile atile le e sebetsang ea ho sebelisa, ho ne ka lilemo tse mashome a mane ho feta.

Bakuli ba beuweng Tsamaiso, Thahasellang: "? Angiography - se e" mokhoa ona oa ho fumanoe la boemo bo le vascular e lumellang metsi ho kena, e leng e atlehe ho sebelisa lintho tse-le-moea-opaque. Tsamaiso e lumella ho hlahloba entsprechen latelang:

• sekhahla phallo ea mali;
• vascular sebaka;
• ho ba teng ha anomalies congenital;
• narrowing;
• sebopeho sa litsela tsa circuitous phallo;
• boemo ba lijana hore matlafatsa lihlahala.

Moo ka mokhoa o le o etsoa?

Diagnostic litsi (moqotetsane kapa lohle profil) le lipetlele hlomelloa le mehaho e khethehileng bakeng sa angiography.

Mona tsohle dipehelo tsa asepsis. Ka jareteng ke thepa hlokahalang:

• Angiography - sesebediswa le sethusathuto bakeng radiological hlahlobo ya puso ya lijana (methapo, methapong, methapong, lymphatic lijana);
• fluorographic lebelo khamera;
• sesebediswa, morero oa seo ka sona ke ho phetha X-ray multishot le livideo.

Ka litsi tse khethehileng haholo tekotshupo phethile CT angiography. Tsamaiso ena lumella u ho fumana e le e hlakileng haholoanyane setshwantsho tsa methapo ea boemo (ka ho qaqileng), 'me ka hona hloka tšebeliso ea disebediswsa morao-rao e tsoetseng pele.

melao-motheo ea ho etsa lipatlisiso

Ka sejana mali tseo ke ke ho hlokahala hore re hlahlobe le ho fuputsa laolwa radiopaque ntho, e leng sehlahisoa sa iodine litareng e. Sena se etsoa ka ho catheterization kapa puncture. Ha sekepe e teng ka nako e khutšoanyane hole ka tlas'a letlalo, joale tharollo ile tshelwa ka ho sona ka tsela ente (puncture).

Catheterization e sebediswa bakeng sa methapo tebileng kapa methapong. Ka boqapi ba ea teko sejana etsa thethebatso moo. Mora incision ea letlalo le subcutaneous mafura dinama tse nyenyane tse ba li hlahlobisisa sejana ile a phaella e amanang le yona introducer (tšesaane polasetiki tube, ka 10 cm e bolelele). Ka introducer eo ba neng ba susumelletsa hore liletsa tse ling tse le catheter, e le hore u se ke ua ka phoso senya marako a methapo ea mali. Ka catheter ya hlahiswa ka moemeli lehlakoreng le leng.

Ka mor'a hore tharollo kena sekepe, ho ata ka ho tsamaiso. Ntlha ea pele, methapo ea pelo le methapong tletse, joale arterioles, venules le methapong. Ka nako ena, ka thuso ea X-ray mochine o ile a nka litšoantšo tse 'maloa kapa tse kgutshwanyane video.

methapo Angiography kapa methapong (diphetho ithuta) e tlalehiloe ka mahareng tsa digital eo lumella u ho bontša ya data mellwane ditsebi tse ling.

Moo ho sebetsa?

Tlhahlobo ea boemo bo le vascular e lumellang metsi ho kena sebediswa masimong a moriana, tse kang:

• vascular opereishene - pele ho buuoa ngaka totobatsa lefelo le sebōpeho sa libakeng tse sa sebetsa;
• Oncology - tšimo Primary sebaka le metastases hlahloba nakong ea kaho ea marangrang capillary;
• Pulmonology - ho hlahloba matšoafo vasculature, hammoho le hore na sebaka seo ba Pop-mali;
• Phlebology - ditsebi fumana ho ba teng ha lithibelo, ponahalo ea aneurysms, clots mali, atherosclerosis, lefu vascular, congenital anomalies ea tlhaho;
• neuroscience - lijana boko angiography bontša ho ba teng ha aneurysm e, tsoa mali, narrowing, dithulaganyo hlahala.

Haeba u batla ho tseba lijana tsohle tsa sebakeng se itseng, ka nako eo mokhoa ona o bitsoa angiography kakaretso. Tabeng ea lekola boemo ba tšelang motho thuto e joalo e bitsoa khetha.

bokong vascular angiography

Ho Survey radiopaque ntho e laolwa ke methapo catheter e kang:

• serope le letona;
• mahetla;
• ulna;
• subclavian.

The catheter e tsoetse pele ka tsamaiso ea vascular a ea sebakeng se moo teko e ea lekala sejana. Ka lumen laolwa tharollo. Hang-hang ho etsa letoto la Shots ho tloha lehlakoreng le pel'a hlooho. Haeba ho ke ke ho hlokahala hore ho hlahloba dibopeho tse hōle, karolo e itseng ea bobeli ea dintho tsamaisoa. Hape lateloa ke letoto la litšoantšo tse dipeakanyo hlokahalang. The sesebelisoa kenyeletswa e tlosoa le phumano e phethoa.

angiography bokong hloka tšebeliso ea ka thethefatsa ea moo ho ke matla sebakeng seo catheterization. Ha catheter e tsoetse pele ka 'mele, ho ba le mamello ha a ikutloe boemong bo sa thabiseng. Le selelekela ea tharollo ka 'na etsahala ka molomo metallic tatso, e phallang ea sefahleho, mocheso boikutlo tšolloa. Litla nyamela ka mor'a metsotso e seng mekae.

Ho bonahala ho itlhahloba likepe boko

ba bangata ba maemo a pathological hlokang tepelletse maikutlong (MRI angiography o etsoa bakeng sa lintlha tse ling):

• aneurysm - sejana katoloso ya, e leng ho ka etsa hore hemorrhage;
• Angioma - vascular hlahala;
• ischemic leqeba - ngaka e lekola hore ho hlokahala hore thrombolysis;
• hemorrhagic leqeba - e laolwang ke mohloli oa hemorrhage;
• vascular malformation - ngaka e lekola boemo ba lefu le mohloli oa mali;
• TBI - ho fumana hore na liphello tsa ho sithabela ho;
• hematoma - setsebi hakanya lefelo le boholo;
• hlahala - hlalosa boholo, tulo, profinseng ea methapo ea phepelo.

lijana Angiography ba pelo

Gogoga angiography - ke eng? mokhoa ona oa ho lijana ho etsa lipatlisiso tsa pelo. Catheterization tsa femoral kapa radial mothapo catheter le khanna ho aorta ena. Radiopaque tharollo laolwa alternately ka le letona 'me a setse methapo gogoga. Letoto la litšoantšo e etsoa hang-hang.

Mokuli a ka ba tletleba ba ponahalo ea matšoao ao a holim 'a tsamaiso ea moriana e le:

• mocheso ka sefahleho;
• arrhythmia;
• ho tsekela;
• ho nyekoa ke pelo, ho hlatsa;
• khohlela.

The bontšang bakeng sa myocardial lumela, gogoga lefu la pelo, cardio, anomalies cardiac congenital vascular tlhaho.

Ho ithuta lijana leoto

pheletsong angiography kenyeletsa tshebetso ya ho hlahloba boemo ba methapo le methapong tsa matsoho le maoto. Tepelletse maikutlong lipheletsong holimo entsoeng ke kenyelletsa tse bonahalang radiopaque ka mothapo ho brachial. Bakeng sa maoto le matsoho e ka tlaase - ka aorta mpeng kapa femoral mothapo, ho itšetlehile ka e se boemong ba hlokahala tlhathoba. Ho ithuta methapo ea mali le ea maoto le leoto tlaase qeta puncture tsa mothapo kamorao tibial. Ha ho qaloa ho tharollo ea mamello e ka ikutloa ikutloe ba mocheso ka maoto.

Ho bonahala ho ithuta e reng:

• atherosclerosis ea lipheletsong tse tlaase;
• occlusive lefu;
• thrombosis, thrombophlebitis;
• thromboembolism;
• mo ntša kotsi, a tsamaea le lijana discontinuities;
• dissecting aneurysm;
• hlahlobo ya katleho ea phekolo.

Ho lokisetsa bakeng sa fumanoe

Ba bonnete ba hore ka ho toba ho ba sieo ha hypersensitivity motho ho iodine litareng e le derivatives lona. Ha Mokuli o bokhachane e, X-ray li se sebelisoa. Tabeng ena, ba rata Mr angiography.

Libeke tse peli tsa kgetholla lino tse tahang ka beke - anticoagulants ( "Heparin", "Warfarin", "aspirini"). A matsatsi a seng makae pele ho fumanoe e atlehe 'maloa tsa lithuto tse kang:

• Clinical mali le moroto le liteko, coagulation, Biochemistry;
• ECG le tsa ultrasound ba pelo;
• fluorography matšoafo;
• mofuta mali le RH Ntlha e;
• ho hlahloba ka ho tšoaetsoa mafu (HIV, lefu la sebete, mokaola).

Bosiung ba angiography o etsoang tsoe ho ea sampole ea ntho radiopaque. The mothapo o laolwa 0,1 di ml. Tabeng ea urticaria, alejiki rhinitis, conjunctivitis, tšebeliso arrhythmia lithethefatsi e thibetsoe.

Mantsiboea pele Tsamaiso e etsoa ka tlhoekiso enema, mekgwa ea bohloeki. Setsebi abela sedatives, e le hore mokuli a phutholoha. Hoseng ha la examinee le se ke la ja kapa ho noa ka pel'a mellwane lokela ho feela senya.

koetliso ea ho makolopetso

Ho na le a 'maloa a maemo pathological eo hlokang ka tsela e telele le ele hloko ho oa ho lokisetsa joalo ka mokhoa o sa e angiography. Se bakuli ba lokela ho etsa'ng e le hore tepelletse maikutlong e ne e uneventful?

Phahameng khatello ea mali, ho ke ke ho hlokahala hore ho tsitsisa. Bakeng sa morero ona sebelisa "Nifedipine", "Dibazol" "Raunatin" kapa tse ling tse leha e le efe antihypertensive lithethefatsi tseo mokuli ka phekolo kamehla.

Ka ho ba teng ha arrhythmias cardiac laolwa "Panangin" kapa chloride potassium. Balletsweng ke ngaka sebedisa glycosides cardiac. Ka CHD kapa bohloko pelo lefu sebelisa "nitroglycerin ho" "Ernits" "Sustak".

lefu liphio phelang hloka metsi ho tlala. Tšebeliso radiopaque ntho e tla tlase ketso e le moemeli halefisang le ka potlako excreted ka moroto wa.

Haeba o na le mehloli e sa foleng a tshwaetso (sinusitis, la bronchitis), setsebi alakisi lithibela-mafu kapa sulfonamides ea libeke tse 2 pele ho ithuta.

Contraindications ho angiography

Tsamaiso e tekotshupo e sa atlehe ha ho na le ke le kotsi ho boemo ba le bophelo bo botle ba mokuli. O hlahellang teng maemo a kang:

• hlabang mafu a hlobaetsang le;
• mafu a kelello;
• renal ho hloleha;
• pelo ea ho hloleha decompensation;
• alejiki ho iodine litareng e le derivatives lona;
• mafu a tsamaea le tsoa mali mafu a;
• ho ima.

Angiography - e atlehang le ho pharaletseng sebediswa lithuto mokhoa vascular tsamaiso, le menyetla tse ngata tse fetang mekgwatshebetso ya ho tse ling tekotshupo.