Angiography: i mea, he hōʻike o nā kaʻina hana a me nā hiʻona o

Nā mea maʻi e loaa ana mai ka maʻi o ka ipu naau a me ke koko undergo regular lapaʻau haʻawina. Ka loiloi muaʻike, o ka pathology e leie aku e differentiate, a kau i ka pololeiʻike, a me ka ninaninau ana i naʻano kōkua e möakäka hou i ka moku'āina o ke kino i ka Inc a me ka mea i kāohi ana no ka hooulu ana o complications. A pinepine hoʻohana 'ano o ka hoike ana o na mea'ōnaehana mānowai koko'ōnaehana maʻi - Angiography. He aha ka diagnostically nui e hōʻike manipulation, a pehea ia ua hana, ka mea, ua noʻonoʻo i loko o ka pauku.

Ka lōʻihi o ke

Ma keʻano o ka manaʻo o ka helehelena o ka angiography mea i oi aku mamua o 30 makahiki ma hope o ka mea, e like me ka physiologist Behterev Kupanaha ka manao: ", Inā loaʻa nā pāʻoihana i e ole kekahi, i ka X-Ray kaola, ka mea hiki ke hoopihaia me ke kinowai i na moku a me kiʻi" I ua lilo he ākea a me ka hoʻokō i ka hana manipulation, ka mea, ua eha hou makahiki.

E hoomanawanui i ka poe i hoakaka ia hana, hoihoi: "? Angiography - He aha ka mea" Kēia hana o kaʻike, o ke ano a me ka vascular permeability, a ua lawe mai ka hoʻohana Radio-opaque waiwai. Ke kaʻina hana apono 'e loiloi i ka i kēia mea kiko'î:

• koko kōmi;
• vascular henua;
• i ke alo o congenital anomalies;
• hou;
• ho okumu o ka huakaʻi pele alanui;
• ano o ka moku i hooluolu iho hikoko.

Where ke kaʻina hana ka hana?

PalekanaEND_LINK ioauoa (ololi ole ākea holoʻokoʻa) a me Ho 'Oponopono i hoʻolako pono me ka kūikawā iauaeoia no angiography.

Here a pau ana o ka asepsis. Ma ka pa o ka pono lako a pan.

• Angiography - lima kūlana kiʻekiʻe ka nakeke no radiological loiloi 'ana o ka moku'āina o ka moku (arteries, aa koko, capillaries, lymphatic moku);
• fluorographic māmā pahupaʻiwikiō;
• ka manao, i ka manao o ka i mea e lawe mai X-Ray multishot a me nā wikiō.

Ma ka lahui hana kūikawā PalekanaEND_LINK-oaio? A hoʻokō HI angiography. Kēia kaʻina hana apono 'oe e kiʻi i ka clearer kiʻi o na moku moku'āina (ma ka au mamuli), a nolaila, pono ai ka hana ana o ka mea hope holomua manaʻo.

noiʻi me nā loina

Ma ka moku koko i mea pono, e ninaninau, a noiʻi lawelawe radiopaque waiwai, he derivative o ka iodine. Kēia ka hana ma ka mea o ka catheterization a puncture. Inā ka moku ua aia ma ka pōkole mamao ma lalo o kaʻili, a laila i injected ka pāʻoihana i loko o ia Via 'ohe (puncture).

Catheterization ua hoʻohana 'ia no kaʻoi arteries a me aa koko. Ma ka wānana o ka hoao ana moku i kūloko anesthesia. Ma hope o incision o ka ili a me ka subcutaneous momoma'aʻaʻa i ua kālailai moku i hoʻohuiʻia ia introducer (lahilahi ea şarkı ma kahi o 10 knm ka lōʻihi). Ma ka introducer e hoʻoneʻe i nā kani, a me ka catheter, no laila, ia oe e ole accidentally hanaʻino i nā paia o nā ipu koko. Ma ka catheter hoʻolauna i loko o ka Akä naÿe hope.

Ma hope o ka pāʻoihana komo ka moku, e hohola ma ke kahua. Mua, ua piha arteries a me aa koko, laila arterioles, venules a me capillaries. I keia manawa, a me ke kōkua o ka X-Ray mīkini i kekahi mau kiʻi a pōkole wikiō.

Angiography arteries a me aa koko (study hualoaʻa) ua palapala ma luna o ka mīkini meakino e leie aku oe e hoikeʻikepili manipulation'ē aʻe hoʻomalu.

Where e pili?

Nana o ke ano a me ka vascular permeability hoʻohana i loko o nā kula o ka lapaau, e like me:

• vascularʻoki kino - muaʻoki kino kauka hoʻomōakaaka i ka wahi a me ka 'ole o ka hoʻohana wahi;
• Oncology - helu kahua wahi a metastases hookolokolo aku la ia i ka manawa o ke kūkulu o ka capillary pukapuka;
• Pulmonology - e loiloi i akemāmā vasculature, e like me ka hoʻoholo 'ana i ka wahi o ka Pop-kahe ana ke koko;
• Phlebology - hoʻomalu ho oholo i ke ola ana o ke kapu, keʻano o nā aneurysms, koko clots, atherosclerosis, vascular maʻi, congenital anomalies o keʻano;
• neuroscience - ka lolo ipu angiography hōʻike i ke alo o ka aneurysm, kahe ana ke koko, hou,ʻeho keʻano o ka hanaʻana.

Inā 'oe makemake e makaikai i na ipu o ka kekahi wahi, a laila, ua kapaʻia kēia kaʻina hana he mau angiography. Ma ka hihia o ke kālailaiʻana i ka moku'āina o kanaka wahi ia study ua kapaia e wae.

cerebral vascular angiography

E ana manaʻo radiopaque waiwai ua lawelawe ia e kekahi catheter arteries e like me:

• ka'ākau'ūhā;
• poohiwi;
• ulna;
• subclavian.

Ke catheter Ua nui nō ma ka vascular'ōnaehana i ka māhele 'āina ma ka hoao ana o ka lālā moku. Ma ka lumen lawelawe pāʻoihana. Koke e i ka moʻo o ka pana pua aku makou, mai kaʻaoʻao a me ke alo o ke poʻo. Inā he mea pono e nana hou aku ke kaawale ana o nā hale, he hapa lua o ka lawelawe 'ona. Hou ukali ma ka moʻo o nā kiʻi i loko o ke koi 'ia nā wānana waiwai. Ka hookomo paahana Ua wehe a me kaʻike, ua ana.

cerebral angiography pono ai i ka hoʻohana 'ana o kekahi kūloko anesthetic e numb i ka wahi i loko o a ka catheterization. Oiai ka catheter ua mua ma ke kino, i ka hoʻomanawanui 'aʻole i haha aku discomfort. Me ka hoike ana o ka pāʻoihana kānāwai i loko o ka waha mea hao ono, lehalehu t flushing, wela ka waiʻona ma kikī ihola. nalo waiwai ma hope o kekahi mau minuke.

Nāʻikepili no ka ninaninau o ka lolo moku

A helu o pathological olelo noiʻike, (MRI angiography ua hana no hou lāliʻi):

• aneurysm -? anoe? moku, a hiki alakai i ka hemorrhage;
• Angioma - vascularʻeho;
• ischemic mapuna - ke kauka assesses i ka pono no ka thrombolysis;
• hemorrhagic mapuna - ua nānā 'ana i ke kumu o ka hemorrhage;
• vascular malformation - he kauka assesses i ka nui o ka maʻi a me ke kumu o ke kahe ana ke koko;
• TBI - e hooholo i ka ona o ka trauma;
• hematoma - akamai koho i ka wahi a me ka nui;
• ʻeho - hoakaka i ka nui, wahi, moku'āina o ka lako hou moku.

Angiography moku o ka naau

Coronary angiography - He aha ka mea? Kēia hana o na moku noiʻi ana o ka naau. Catheterization o ka femoral a kahahānai artery catheter, a mālama 'ia ai i ka aorta. Radiopaque pāʻoihana lawelawe alternately ma ka akau a me ka haʻalele coronary arteries. A moʻo o nā kiʻi i ua hana nei.

Ke hoomanawanui i ohumu o ka helehelena o ka symptoms ma luna hooponopono o ka lāʻau 'like:

• ka wela i loko o ka maka;
• arrhythmia;
• pōniuniu;
• nausea, ka luaʻi;
• cough.

ʻO nāʻikepili no ka myocardial manaoio, coronary naau maʻi, cardio, cardiac anomalies congenital vascular ano.

I ka like o ka lala moku

welau angiography komo ai i ke kaʻina hana o ka hookolokolo ana o ka moku'āina o na arteries a me aa koko o na lima a me na wawae. ʻike, lunaʻaoʻao lawelawe 'ia e kekahi radiopaque mea i hoʻolaunaʻia ma loko o ka brachial artery. No ka mea lalo lala - i loko o ka abdominal aorta a femoral artery, ke kaumaha ma muli ka 'ilikai mea pono lapaʻau. E hoʻopaʻa haʻawina i nā ipu koko o ka wāwae, a malalo uha mua pana aku au i ka puncture o ka posterior tibial artery. Me ka hoike ana o ka pāʻoihana o ke hoʻomanawanui i haha aku i kēia o ka wela i loko o ka wawae.

Nāʻikepili no ka hoʻopaʻa 'ana i:

• atherosclerosis o ka laloʻaoʻao;
• occlusive maʻi;
• thrombosis, thrombophlebitis;
• thromboembolism;
• eha, pu ma discontinuities na moku;
• dissecting aneurysm;
• loiloi 'ana i ka laulā o ka lapaau.

Makaukau no kaʻike,

Mai poina i ke koho 'ia i ka wa e kaawale aku o kanaka hypersensitivity i ka iodine a me kona nā mea loaʻa. Inā ke hoʻomanawanui i ka hāpai keiki, X-kukuna ka mea,ʻaʻole i hoʻohana. Ma keia hihia, he makemake ko MR angiography.

Mau pule hookaawale ia kanakaʻona mau inu no hebedoma - anticoagulants ( "Heparin", "Warfarin", "Aspirin"). A mau lā ma mua o kaʻike, ua lawe mai i ka helu o nā haʻawina e like me:

• Lapaʻau koko a me ka mimi ho'āʻo ma, coagulation, biochemistry;
• ECG a me ultrasound o ka naau;
• fluorography maʻiʻaʻai;
• kokoʻano a me RH ololi;
• keia hookolokolo ana no nā mea palahēhē (HIV, hepatitis, syphilis).

Ma ka Ewa o ka angiography ua lawe mai ma luna o ka hāpana o radiopaque waiwai. Ke aa koko Ua lawelawe 0,1 ml. Ma ka hihia o ka urticaria, allergic rhinitis, conjunctivitis, arrhythmia lāʻau hoʻohana 'ia kēia.

I ke ahiahi ma mua o ka kaʻina hana ua lawe mai i ka huikala enema, hygienic kaʻina hana. Hoʻomalu waihona kiaha dala, hiki i ka hoʻomanawanui hoʻonānea. Ma ke kakahiaka o ka examinee pono ole ai a inu i ke alo o ka manipulation e pono ai, e ninini i ka bladder.

nuances aʻo

Aia nō i ka helu o ka pathological olelo i kauoha i ka lōʻihi, a akahele hiki i ka makaukau ana o ia i ke kaʻina hana no ka angiography. He aha mea na nā mea maʻi e hana i kaʻike, heʻano uneventful?

High ke koko, ia mea pono e stabilize. No kēia mea hoʻohana "Nifedipine", "Dibazol" "Raunatin" 'ole kekahi' ē antihypertensive lāʻau i ka hoʻomanawanui i loko o mau Inc.

Ma ke alo o cardiac arrhythmias lawelawe "Panangin" a potasiuma koloriside. I hoakaka ia ma kekahi kauka hoʻohana cardiac glycosides. I CHD ole naau eha maʻi pale me ka hoʻohana ' "Nitroglycerin" "Ernits" "Sustak".

hakuʻala maʻi meaola e noi mai ana i ka wai saturation. 'Āpana radiopaque waiwai e e emi hana me ka irritant Agena, a ua hoʻomaka koke excreted i loko o ka mimi.

Inā 'oe i kekahi maʻi kumu o ka maʻiʻaʻai (sinusitis, bronchitis), hoʻomalu prescribes antibiotics a me sulfonamides o 2 pule ma mua i ka mahele.

Contraindications e angiography

ua i lawe mai i ka lapaʻau 'ana i ke kaʻina hana ka wā ma laila mea i hoʻoweliweli' ana i ke kūlana a me ka ola o ka hoʻomanawanui. Kēia ia lŘlŘ i kumu e like me:

• huʻi hoʻoʻino maʻi;
• ka noʻonoʻo 'kāna hana;
• ʻaʻa puʻuwai ole;
• naau ole decompensation;
• allergic i ka iodine a me kona nā mea loaʻa;
• maʻi pu e kahe ana ke koko kāna hana;
• hāpai keiki.

Angiography - pono a me ka hoʻomano hoʻohana iaoia vascular'ōnaehana haʻawina, e loaa ana na pono ma luna o nā PalekanaEND_LINK kaʻina hana.