Angiography: ya bụ, a nkọwa nke usoro na atụmatụ nke

Ọrịa na-arịa ọrịa obi na ọbara arịa na-ata mgbe Clinical ọmụmụ. Mbụ nchoputa nke daa ọrịa na-enye ohere ka ọdịiche dị ma na-etinye ihe na-arịa, na nnyocha nke Ọnọdụ enyere dokwuo anya na steeti ahụ n'oge ọgwụ na bụ a mgbochi ụfọdụ maka mmepe nke nsogbu. A ugboro ugboro ji usoro nke ule nke obi usoro ọrịa - Angiography. Gịnị bụ diagnostically mkpa igosi mkpachapụ na otú ọ na-rụrụ, ọ na-atụle n'isiokwu.

totals

Mgbe n'onwe echiche nke ọdịdị angiography ya were ihe karịrị afọ 30 mgbe nke bụ eziokwu, dị ka ndị physiologist Behterev kwupụtara echiche: "Ọ bụrụ na e nwere ihe ngwọta na-adịghị agafe X-ray ibé, ọ nwere ike jupụtara mmiri mmiri dị otú ahụ arịa na foto." Iji mkpachapụ aghọwo ebe nile ma dị irè iji, o nwere anọ ọzọ ọtụtụ iri afọ.

Ọrịa ndị na-kenyere usoro, nwere mmasi: "Angiography - ihe ọ bụ?" Nke a na usoro nke nchoputa nke ọnọdụ na vaskụla permeability, nke a rụrụ site na iji redio-opaque bekee. The usoro na-enye ohere iji chọpụta ihe ndị na-esonụ parameters:

• ọbara eruba ọnụego;
• vaskụla ebe;
• ọnụnọ nke congenital anomalies;
• ibelata;
• guzobere circuitous eruba ụzọ;
• ọnọdụ nke arịa zụọ etuto ahụ.

Ebe usoro a rụrụ?

Diagnostic emmepe (warara ma ọ bụ mbara profaịlụ) na ụlọ ọgwụ onwem na pụrụ iche ụlọ ọrụ maka angiography.

Ebe a niile na ọnọdụ nke asepsis. Ke ogige bụ ndị dị mkpa akụrụngwa:

• Angiography - ngwaọrụ enwe ngwa maka radiological nwale nke ala nke arịa (akwara, veins, capillaries, lymphatic arịa);
• fluorographic ọsọ igwefoto;
• ngwaọrụ, nzube nke nke bụ na-ebu X-ray multishot na videos.

Na ukwuu pụrụ iche na-achọpụta ọrịa emmepe rụrụ CT angiography. Nke a na usoro-enye gị ohere iji nweta a ghọtakwuo arịa ala (na zuru ezu), ya mere na-achọ na ojiji nke ọhụrụ elu ngwaọrụ.

research ụkpụrụ

N'ime ọbara arịa nke bụ mkpa inyocha ihe na ichoputa ndinọ radiopaque umi, a emepụta nke ayodiin. Nke a na-mere site n'aka catheterization ma ọ bụ mgbapu. Ọ bụrụ na arịa na-emi odude na a adịghị anya n'okpuru anụ, mgbe ahụ, ngwọta e agbara n'ime ya site na ntụtụ (mgbapu).

Catheterization na-eji maka miri akwara ma ọ bụ veins. Na ntule nke ule arịa na-eme ka obodo Nkụnwụ. Mgbe mbepụ nke anụ ahụ na subcutaneous abụba anụ ahụ na-nyochaa arịa e kwukwara thereto introducer (mkpa plastic tube banyere 10 cm n'ogologo). Site introducer ha ịkpali ọzọ ngwá na catheter, nke mere na ị bụghị mmadụ na mberede imebi mgbidi ọbara arịa. Site a catheter ẹkenam n'ime iche n'ụlọnga.

Mgbe ihe ngwọta abatakwa arịa, ọ na-agbasa site na usoro. Akpa, akwara ndị gara na veins na-ejupụta, mgbe ahụ, arterioles, venules na capillaries. N'oge a, na-enyemaka nke X-ray igwe were a ole na ole foto ma ọ bụ obere video.

Angiography akwara ma ọ bụ veins (ọmụmụ ihe) na-dere na a digital ajụ na-enye gị ohere na-egosi data mkpachapụ ndị ọkachamara.

Ebe itinye n'ọrụ?

Nnyocha nke a ọnọdụ na vaskụla permeability eji na ubi nke na nkà mmụta ọgwụ, dị ka:

• vaskụla ịwa - tupu ịwa ahụ dibịa ezipụta ebe na Ọdịdị nke ejikwara ebe;
• Oncology - Primary ubi ọnọdụ na metastases enyocha n'oge na-ewu nke capillary network;
• Pulmonology - inwale akpa ume vasculature, nakwa dị ka chọpụta ọnọdụ nke pop-ọbara ọgbụgba;
• Phlebology - ọkachamara chọpụta na ịdị adị nke mgbochi, ọdịdị aneurysms, ọbara-egbochi mkpụkọ, atherosclerosis, vaskụla ọrịa, congenital anomalies nke okike;
• neuroscience - ụbụrụ arịa angiography egosi ọnụnọ nke ihe aneurysm, na-agba ọbara na ibelata, akpụ Filiks.

Ọ bụrụ na ị chọrọ inyocha ihe nile nke a na-ebe, mgbe ahụ, a na usoro a na-akpọ a n'ozuzu angiography. N'ihe banyere adabere na ala nke onye agbanye ịmụ ihe otú ahụ a na-akpọ nhọrọ.

ọrịa ụbụrụ vaskụla angiography

Iji na-elegharị radiopaque umi na-ndinọ site a catheter akwara dị ka:

• nri apata;
• n'ubu;
• ulna;
• subclavian.

The catheter emewokwa site vaskụla usoro n'ógbè ebe ule bụ alaka arịa. Na lumen ndinọ ngwọta. Ozugbo-eme ka a na usoro nke gbaa si n'akụkụ na n'ihu isi. Ọ bụrụ na ọ dị mkpa na-enyocha ihe anya akụkụ, a abụọ òkè nke ndinọ bekee. Ọzọ sochiri a usoro nke foto na chọrọ projections. The ntinye ngwá ọrụ a na-ewepụ na nchoputa na dechara.

ọrịa ụbụrụ angiography achọ na ojiji nke a anestetiiki na irè ka ebe ahụ na-catheterization. Ezie na catheter emewokwa site ahụ, onye ọrịa na-adịghị ala. Na iwebata ihe ngwọta nwere ike ime ọnụ dara uto, ọdịdị ihu flushing, okpomọkụ sensashion kwafuru. Mmetụta akwụsị mgbe a nkeji ole na ole.

Egosi maka nnyocha nke ụbụrụ arịa

A ọnụ ọgụgụ nke enweghị nchịkwa ọnọdụ chọrọ ka nchoputa (MRI angiography a rụrụ maka inwekwu nkọwa):

• aneurysm - mgbasa arịa, bụ nke pụrụ iduga hemorrhage;
• Angioma - vaskụla akpụ;
• ischemic strok - dọkịta atụlekwa mkpa thrombolysis;
• hemorrhagic ọrịa strok - kpebisiri ike site na isi iyi nke hemorrhage;
• vaskụla malformation - a dọkịta atụlekwa larịị nke ọrịa na isi iyi nke ọbara ọgbụgba;
• TBI - iji chọpụta mmetụta nke trauma;
• hematoma - ọkachamara na-eme atụmatụ na ọnọdụ na size;
• akpụ - kọwaa size, ọnọdụ, ọnọdụ ọkọnọ arịa.

Angiography arịa nke obi

Akwara angiography - ihe ọ bụ? Nke a na usoro nke nnyocha arịa nke obi. Catheterization nke femoral ma ọ bụ radial akwara catheter na mụụrụ na aorta. Radiopaque ngwọta ndinọ alternately na nri na-ekpe akwara akwara. A usoro nke ihe oyiyi a na-eme ozugbo.

Onye ọrịa pụrụ ime mkpesa nke ọdịdị dị otú ahụ ihe mgbaàmà n'elu ochichi nke ọgwụ ndị dị ka:

• okpomọkụ na ihu;
• arrhythmia;
• dizziness;
• ọgbụgbọ, vomiting;
• ụkwara.

The egosi maka myocardial kwere, ịrịa ọrịa obi, cardio, gbasara obi anomalies congenital vaskụla okike.

The ọmụmụ nke N'ịdị arịa

nsọtụ angiography agụnye usoro nnyocha nke ala nke akwara ndị gara na veins nke aka na ụkwụ. Diagnosis elu nsọtụ ekenịmde ewebata a radiopaque ihe onwunwe n'ime brachial akwara. N'ihi na ala ụkwụ - na abdominal aorta ma ọ bụ femoral akwara, dabere na ihe larịị dị mkpa nchọpụta nsogbu. Na-amụ ọbara arịa nke ụkwụ na ala ụkwụ na-emefu a mgbapu nke posterior tibial akwara. Na iwebata a ngwọta nke onye ọrịa pụrụ iche na a anya nke okpomọkụ na ụkwụ.

Egosi maka ọmụmụ:

• atherosclerosis nke ala na nsọtụ;
• occlusive ọrịa;
• thrombosis, thrombophlebitis;
• thromboembolism;
• mmerụ, Bilie discontinuities arịa;
• ịtụle aneurysm;
• nwale nke irè nke ọgwụgwọ.

Nkwadebe maka nchoputa

Jide n'aka ezipụta na enweghị onye hypersensitivity na ayodiin na-eji ya emepụta. Ọ bụrụ na onye ọrịa nwere a ime, X-ụzarị na-adịghị mee ihe. Na nke a, họọrọ MR angiography.

Izu abụọ ewepu mmịn kwa izu - anticoagulants ( "Heparin", "Warfarin", "Ọgwụ Aspirin"). A ụbọchị ole na ole tupu nchoputa a rụrụ ọtụtụ ọmụmụ dị ka:

• Clinical ọbara na mmamịrị ule, coagulation, n'ihi mmiri ọgwụ;
• ECG na ultrasound nke obi;
• fluorography akpa ume;
• ụdị ọbara na RH-akpata;
• nnyocha maka na-efe efe (HIV, ịba ọcha n'anya, syphilis).

Na eve nke angiography a rụrụ na a sample nke radiopaque umi. Akwara na-ndinọ 0,1 ml. N'ihe banyere urticaria, imi nsụchi, conjunctivitis, arrhythmia ọgwụ amachibidoro.

Na mgbede tupu usoro a rụrụ a ọcha enema, mma usoro. Specialist nyere sedatives, ikwe onye ọrịa zuru ike. On n'ụtụtụ nke examinee erila ma ọ bụ na-aṅụ n'ihu mkpachapụ mkpa efu eriri afo.

nuances ọzụzụ

E nwere ọnụ ọgụgụ nke enweghị nchịkwa ọnọdụ nke na-achọ a ogologo na-akpachara anya obibia nke nkwadebe nke ndị dị otú ahụ a usoro angiography. Gịnị bụ ọrịa ga-eme nchoputa bụ uneventful?

Ọbara mgbali elu, ọ dị mkpa ime ka iku. N'ihi nke a na-eji "Nifedipine", "Dibazol" "Raunatin" ma ọ bụ ihe ọ bụla ọzọ antihypertensive ọgwụ na onye ọrịa bụ na mgbe niile ọgwụ.

Na ọnụnọ nke gbasara obi arrhythmias ndinọ "Panangin" ma ọ bụ potassium chloride. Kenyere onye dọkịta na-eji gbasara obi glycosides. Na CHD ma ọ bụ obi mgbu syndrome eji "nitroglycerin" "Ernits" "Sustak".

akụrụ ọrịa organism achọ mmiri saturation. Ojiji radiopaque umi ga-erughị-eme omume dị ka ihe irritant gị n'ụlọnga na-ngwa ngwa anyụpụ na mmamịrị.

Ọ bụrụ na ị nwere a-adịghị ala ala na isi mmalite nke ibute ọrịa (Sinusitis, bronchitis), ọkachamara-edepụta ọgwụ nje ma ọ bụ sulfonamides of 2 izu tupu ọmụmụ.

Contraindications angiography

The na-achọpụta ọrịa usoro a adịghị rụrụ mgbe e nwere ihe iyi egwu ahụ ọnọdụ na ahụ ike nke onye ọrịa. Nke a pụtara na ọnọdụ ndị dị otú ahụ dị ka:

• nnukwu mkpali oria;
• ọrịa uche;
• gbasara akụrụ odida;
• obi odida decompensation;
• anabata ayodiin na-eji ya emepụta;
• ọrịa so site na-agba ọbara ọrịa;
• ime.

Angiography - irè na ọtụtụ-eji usoro vaskụla usoro ọmụmụ, na-enwe ọtụtụ uru ndị ọzọ na-achọpụta ọrịa usoro.