Angiography: cewa shi ne, a description na kuma hanyoyin da siffofin

Marasa lafiya fama da cututtuka na zuciya da jini sha yau da kullum na asibiti karatu. Harufan ganewar asali na Pathology damar bambance da kuma sa daidai ganewar asali, da kuma jarrabawa masu kuzarin kawo cikas taimaka don bayyana jihar na jiki a lokacin far kuma shi ne mai m gwargwado ga ci gaban da rikitarwa. A akai-akai amfani da hanyar na jarrabawa na zuciya da jijiyoyin jini tsarin cututtuka - Angiography. Mene ne diagnostically muhimmanci don nuna magudi da kuma yadda aka yi, an dauke a cikin labarin.

TOTALS

A embodiment na da ra'ayin bayyanar angiography shi ya dauki fiye da shekaru 30 bayan da gaskiya, a matsayin physiologist Behterev bayyana cikin tunani: "Idan akwai mafita cewa ba wuce da X-ray bim, shi za a iya cike da taya irin wannan tasoshin da kuma m." Don magudi ya zama tartsatsi da tasiri don amfani, shi ya hudu mafi shekarun da suka gabata.

Marasa lafiya da suke wajabta hanya, sha'awar: "Angiography - abin da yake da shi?" Wannan hanya na ganewar asali da yanayin da jijiyoyin bugun gini permeability, wanda aka za'ayi amfani da rediyo-opaque abubuwa. A hanya damar kimanta wadannan sigogi:

• jini ya kwarara kudi.
• jijiyoyin bugun gini wuri.
• gaban nakasar anomalies.
• takaita.
• samuwar circuitous kwarara hanyoyi.
• yanayin kayayyakin da ciyad da siffofin maruran.

Ina da hanya da aka yi?

Bincike cibiyoyin (kunkuntar ko fadi da profile) da kuma asibitoci sanye take da musamman wuraren for angiography.

Ga dukkan yanayi na asepsis. A gabatarwa ne dole kayan aiki:

• Angiography - na'urar da ciwon inji for radiological kimantawa da jihar na tasoshin (arteries, veins, capillaries, lymphatic tasoshin).
• fluorographic gudun kyamara;
• na'urar, manufar wanda shi ne a gudanar da X-ray multishot da kuma bidiyo.

A sosai na musamman bincike cibiyoyin yi CT angiography. Wannan hanya ba ka damar samun wani bayarda hoto na tasoshin jihar (a cikin daki-daki), sabili da haka na bukatar yin amfani da latest ci-gaba da na'urorin.

bincike ka'idodin

A cikin jini jirgin ruwa wanda wajibi ne a yi nazari da kuma gudanar da bincike a gudanar radiopaque abu, wani wanda aka samu na aidin. Wannan ne yake aikata ta hanyar catheterization ko huda. Idan da jirgin ruwa da aka located a takaice nesa karkashin fata, sa'an nan da bayani da aka allura a cikin shi via sirinji (huda).

Catheterization da ake amfani da zurfi arteries ko jijiyoyinmu. A tsinkaya daga cikin gwajin jirgin ruwa da ke sa maganin sa barci. Bayan incision na fata da kuma subcutaneous m nama ana bincikar jirgin ruwa da aka kara a cikinta introducer (bakin ciki roba tube game da 10 cm a tsawon). Ta hanyar introducer suka matsawa da sauran kayan bushe da catheter, don haka da cewa ba ka ba da gangan lalata ganuwar jini. Ta catheter gabatar a cikin bambanci wakili.

Bayan da mafita shiga cikin jirgin ruwa, shi shimfidawa ta hanyar tsarin. Da farko, jijiyoyi da kuma jijiyoyinmu suna cike, sa'an nan arterioles, venules da capillaries. A wannan lokaci, tare da taimakon X-ray inji dauki 'yan hotuna ko short video.

Angiography na jijiyoyinmu ko arteries (binciken sakamakon) da aka rubuta a kan wani dijital matsakaici cewa ba ka damar nuna data magudi sauran kwararru.

Ina zuwa nema?

Dubawa na wani yanayin da jijiyoyin bugun gini permeability amfani a fannonin magani, kamar:

• jijiyoyin bugun gini tiyata - kafin tiyata likita na ƙayyade wurin da kuma tsarin da sarrafa yankunan.
• Oncology - Primary filin wuri da kuma metastases nazari a lokacin da gine na capillary cibiyar sadarwa.
• Pulmonology - kimanta huhu vasculature, kazalika da sanin wurin da pop-zub da jini;
• Phlebology - kwararru ƙayyade da wanzuwar hane-hane, bayyanar aneurysms, jini clots, atherosclerosis, jijiyoyin bugun gini cuta, nakasar anomalies yanayi.
• neuroscience - kwakwalwa tasoshin angiography nuna gaban wani aneurysm, zubar da jini, takaita, ƙari tafiyar matakai.

Idan kana so ka bincika dukan kayayyakin da takamaiman wuri, to, wannan hanya ake kira a general angiography. A cikin hali na kimantawa da jihar mutum receptacles irin wannan binciken da aka kira zabe.

cerebral jijiyoyin bugun gini angiography

Don duba radiopaque abu ne gudanar da wani catheter arteries kamar:

• cinyar dama.
• kafada.
• ulna.
• subclavian.

A catheter aka ci gaba ta hanyar da jijiyoyin bugun gini tsarin da yankin inda da gwajin ne reshe jirgin ruwa. A lumen gudanar bayani. Nan da nan yin jerin Shots daga gefen kuma gaban kai. Idan ya zama dole, don su bincika mafi m Tsarin, mai biyu rabo daga gudanar abubuwa. Sake bi ta a jerin hotuna a bukata tsinkaya. A sa kayan aiki da an cire da ganewar asali da aka kammala.

cerebral angiography bukatar yin amfani da wani gida m zuwa kangararre da wuri a cikin abin da catheterization. Yayin da catheter aka ci gaba ta hanyar jiki, da mãsu haƙuri ba ji daɗi. Tare da gabatarwar da mafita na iya faruwa a bakin ƙarfe dandano, fuska yankin Flushing, zafi abin mamaki da ya zube. Gurbin bace bayan 'yan mintoci.

Alamomi ga jarrabawa daga kwakwalwa tasoshin

A yawan pathological yanayi bukata ganewar asali (MRI angiography aka yi domin karin bayani):

• aneurysm - fadada jirgin ruwa, wanda za a iya kai wa ga hemorrhage.
• Angioma - jijiyoyin bugun gini ƙari.
• ischemic bugun jini - likita assesses da bukatar thrombolysis.
• hemorrhagic bugun jini - ne m da tushen hemorrhage.
• jijiyoyin bugun gini malformation - likita assesses da matakin da cutar da kuma tushen zub da jini;
• TBI - domin sanin da sakamakon da rauni.
• hematoma - gwani ƙiyasta da wuri da kuma size.
• ƙari - ayyana girman, wuri, Jihar wadata tasoshin.

Angiography tasoshin zuciya

Jijiyoyin zuciya angiography - abin da yake da shi? Wannan hanya na bincike da tasoshi da tukwane na zuciya. Catheterization na femoral ko radial jijiya catheter da kuma gudanar da lakã. Radiopaque bayani gudanar alternately a dama da hagu jijiyoyin zuciya jijiyoyi. A jerin hotunan da aka yi nan take.

A haƙuri iya koka bayyanar wannan bayyanar cututtuka a kan gwamnati da miyagun ƙwayoyi a matsayin:

• zafi a fuskar.
• arrhythmia.
• dizziness.
• tashin zuciya, amai.
• tari.

The alamomi ga tsokar yi imani, jijiyoyin zuciya da cututtukan zuciya, cardio, cardiac anomalies nakasar jijiyoyin bugun gini yanayi.

A binciken da na reshe tasoshin

iyakar angiography ya shafi aiwatar da jarrabawa na jihar na arteries da jijiyoyinmu daga cikin hannuwansa da ƙafafunsa. Ganewar asali babba extremities gudanar da gabatar da wani radiopaque abu a cikin brachial jijiya. Domin da ƙananan wata gabar jiki - a ciki lakã ko femoral jijiya, dangane da abin da matakin zama dole bincikowa. Don nazarin jini na da ƙafãfu da kuma ƙananan kafa ciyar huda na na baya tibial jijiya. Tare da gabatarwar da wani bayani na haƙuri iya jin wata karuwa zafi a cikin ƙafa.

Alamomi ga nazari:

• atherosclerosis daga cikin ƙananan extremities.
• occlusive cuta.
• thrombosis, thrombophlebitis.
• thromboembolism.
• rauni, tare da discontinuities tasoshin.
• dissecting aneurysm.
• kimantawa da tasiri na magani.

Shiri ga ganewar asali

Tabbata a saka babu mutum hypersensitivity zuwa aidin Irinta. Idan haƙuri yana da wani ciki, X-haskoki ba amfani. A wannan yanayin, fĩfĩta MR angiography.

Makonni biyu da ware giya da mako - anticoagulants ( "Heparin", "Warfarin", "asfirin"). A 'yan kwanaki kafin ganewar asali ne da za'ayi a yawan karatu kamar:

• Clinical jini da fitsari gwaje-gwaje, coagulation, Biochemistry.
• ECG da kuma duban dan tayi na zuciya;
• fluorography huhu.
• jini irin da RH factor.
• jarrabawa ga cututtuka (HIV, hepatitis, syphilis).

A kan Hauwa'u na angiography ne da za'ayi a kan wani samfurin na radiopaque abu. Jijiya da aka gudanar 0.1 ml. A cikin hali na urticaria, rashin lafiyan rhinitis, conjunctivitis, arrhythmia amfani da miyagun ƙwayoyi da aka haramta.

A yamma kafin hanya ne da za'ayi a tsarkakewa enema, hygienic hanyoyin. Specialist sanya sedatives, da barin haƙuri shakata. A safiyar na examinee dole ba ci ko sha a gaban magudi bukatar komai cikin mafitsara.

nuances horo

Akwai da dama daga pathological yanayi wanda ya bukatar wani dogon da hankali tsarin kula da shirye-shiryen da irin wannan hanya ne angiography. Mene ne marasa lafiya ya kamata ka yi to ganewar asali ya uneventful?

Hawan jini, shi wajibi ne don daidaita. A saboda wannan dalili amfani da "Nifedipine", "Dibazol" "Raunatin" ko wani antihypertensive miyagun ƙwayoyi da cewa haƙuri ne a akai far.

A gaban cardiac arrhythmias gudanar "Panangin" ko potassium chloride. Wajabta ta likita yana amfani da cardiac glycosides. A CHD ko zuciya zafi ciwo ta amfani da "Nitroglycerin" "Ernits" "Sustak".

koda cuta kwayoyin bukatar ruwa jikewa. Anfani radiopaque abu zai zama kasa yi a matsayin wani irritant wakili da aka hanzari excreted a cikin fitsari.

Idan kana da wani kullum kafofin kamuwa da cuta (sinusitis, mashako), gwani ya furta maganin rigakafi ko sulfonamides na 2 makonni kafin binciken.

Contraindications zuwa angiography

The bincike hanya ba za'ayi idan akwai barazana ga matsayi, kuma kiwon lafiya na haƙuri. Wannan na faruwa a cikin yanayi irin su:

• m kumburi cututtuka.
• shafi tunanin mutum da cuta.
• koda gazawar.
• zuciya rashin cin nasara decompensation.
• rashin lafiyan aidin Irinta.
• cututtuka tare da zub da jini cuta.
• ciki.

Angiography - tasiri da kuma yadu amfani Hanyar jijiyoyin bugun gini tsarin karatu, da ciwon da yawa abũbuwan amfãni a kan sauran bincike hanyoyin.