Angiography loa

Hōʻike ka angiography ʻoi loa e ʻike i nā aʻa i nā lima, nā lima, nā wāwae, a me nā wāwae. Kāhea ʻia ia he peripheral angiography.

Hoʻohana ka Angiography i nā kukuna x a me kahi kala kūikawā e ʻike ai i loko o nā aʻa. ʻO nā aʻa ke kīʻaha koko e lawe aku i ke koko mai ka puʻuwai.

Hana ʻia kēia hōʻike ma kahi haukapila. E moe ʻoe ma ka papa ʻaina x-ray. Hiki iā ʻoe ke noi i kahi lāʻau e hiamoe ai a hoʻomaha ai (hoʻomaha).

• E ʻoki a hoʻomaʻemaʻe ka mea mālama ola i kahi, pinepine i ka ʻūlū.
• Hoʻokomo ʻia kahi lāʻau numbing (anesthetic) i loko o ka ʻili ma luna o kahi aʻa.
• Hoʻokomo ʻia kahi nila i loko o kēlā aʻa.
• Hāʻawi ʻia kahi ʻōmole palapū lahilahi i kapa ʻia he catheter ma o ka nila i loko o ke aʻa. Neʻe ke kauka iā ia i kahi o ke kino e aʻo ʻia ana. Hiki i ke kauka ke ʻike i nā kiʻi ola o ka wahi ma kahi kīwī e like me ke kīwī, a hoʻohana iā lākou ma ke ʻano he alakaʻi.
• Kahe ka kala ma loko o ka catheter a i loko o nā aʻa.
• Lawe ʻia nā kiʻi X-ray o nā aʻa.

Hiki ke mālama ʻia kekahi mau ʻano lapaʻau i kēia kaʻina hana. ʻO kēia mau ʻano mālama ʻana:

• Hoʻomaʻemaʻe ʻana i kahi kīʻaha koko me ka lāʻau
• Ke wehe nei i kahi aʻa i ālai hapa ʻia me kahi baluna
• Ke kau nei i kahi ʻōmole i kapa ʻia he stent i loko o ke aʻa e kōkua ai e wehe

E nānā ka pūʻulu mālama ola i kāu pulse (ka helu o ka puʻuwai), ke kahe o ke koko, a me ka hanu i ke kaʻina hana.

Lawe ʻia ka catheter ke pau ka hoʻāʻo. Kau ʻia ke kaomi ma ia wahi no 10 a 15 mau minuke e kāpae ai i ke kahe ʻana o ke kahe. Hoʻokomo ʻia kahi bandage ma luna o ka ʻeha.

ʻO ka lima a ʻo ka wāwae paha i hoʻokau ʻia ka nila ku pono e mālama pono ʻia no 6 mau hola ma hope o ke kaʻina hana. Pono ʻoe e hōʻalo i ka hana ikaika, e like me ka hāpai hāpai ʻana, no 24 a 48 mau hola.

ʻAʻole ʻoe e ʻai a inu paha i kekahi mea no 6 a 8 mau hola ma mua o ka hoʻāʻo.

ʻ toldlelo ʻia paha ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau, e like me ka aspirin a i ʻole nā ​​mea wīwī o ke koko no kahi manawa pōkole ma mua o ka hoʻāʻo. Mai hōʻoki i ka lawe ʻana i nā lāʻau āpau ke ʻole i haʻi ʻia e kāu mea hāʻawi.

E ʻike pono i ka ʻike o kāu mea lawelawe e pili ana i nā lāʻau āpau āu e lawe ai, me nā mea āu i kūʻai ai me ka ʻole o ka lāʻau. Hoʻopili kēia i nā mea kanu a me nā mea hoʻopiha.

E haʻi i kāu mea hāʻawi inā ʻoe:

• Hāpai lākou
• Pākuʻi i nā lāʻau
• Ua loaʻa i kahi hopena maʻi ʻaʻai i ka x-ray ʻokoʻa mea, shellfish, a iodine paha
• Ua loaʻa i nā pilikia kahe ke kahe

He paʻakikī a anuanu hoʻi ka pākaukau x-ray. E makemake paha ʻoe e noi i kahi kapa moe a uluna paha. ʻIke paha ʻoe i kahi ʻūlū ke kuhi ʻia ka lāʻau numbing. Hoʻomaopopo paha ʻoe i kahi kaomi ke hoʻoneʻe ʻia ka catheter.

Hiki i ke kala ke hoʻonā i kahi mehana a me ka flush. He maʻamau kēia a hele pinepine aku i kekahi mau kekona.

Loaʻa paha iā ʻoe ka palupalu a me ka ʻeha ma ka pūnaewele o ka hoʻokomo catheter ma hope o ka hoʻāʻo. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe:

• ʻŌhū
• Hele ʻole ke koko
• ʻEha nui ma ka lima a me ka wāwae

Pono paha ʻoe i kēia hoʻokolohua inā loaʻa nā ʻōuli o kahi kīʻaha a i ʻole ālai ʻia i kahi kīʻaha koko i nā lima, nā lima, nā wāwae, a me nā wāwae.

E hana ʻia paha ka hōʻike e hōʻoia ai:

• Kahena
• ʻO ka pehu a me ka mumū o nā kīʻaha koko (vasculitis)

Hōʻike ka x-ray i nā hanana maʻamau no kou mau makahiki.

ʻO kahi hopena maʻamau ma muli o ka hoʻopili ʻana a me ka paʻakikī o nā aʻa i nā lima a i ʻole nā ​​wāwae mai ka hoʻoulu ʻana o ka pā (paʻakikī o nā aʻa) i nā paia o ke aʻa.

Hōʻike ka x-ray i kahi paʻa i nā moku i hoʻokumu ʻia e:

• Aneurysms (hoʻonui ākea a i ʻole ballooning o kahi ʻāpana o ke aʻa)
• Huʻi koko
• Nā maʻi ʻē aʻe o nā aʻa

Nā hualoaʻa kūpono ʻole paha ma muli o:

• ʻO ka hoʻowahāwahā o nā kīʻaha koko
• Ka hōʻeha i nā kīʻaha koko
• ʻO Thromboangiitis obliterans (maʻi Buerger)
• Maʻi Takayasu

Komo pū nā pilikia:

• ʻO ka hopena āpau i ka kala ʻokoʻa
• Poino i ka ipu koko i ka hoʻokomo ʻia ʻana o ka nila a me ka catheter
• ʻO ke kahe nui ʻana a i ʻole ke kōkō o ke koko kahi i hoʻokomo ʻia ai ka catheter, kahi e hōʻemi ai i ke kahe o ke koko i ka wāwae
• Ka hōʻeha puʻuwai a i ʻole hōʻeha
• ʻO Hematoma, kahi hōʻiliʻili o ke koko ma ke kahua o ke kui kui
• Hoʻopilikia i nā aʻalolo ma ka pūnaewele kui kuikele
• Poino nā hakuʻala mai ke kala
• Ka hōʻeha i nā kīʻaha koko e hoʻāʻo ʻia
• Lalo ka nalowale mai nā pilikia me ke kaʻina hana

Aia kahi pae pāhawewe pae haʻahaʻa. Eia nō naʻe, manaʻo ka hapa nui o nā loea he haʻahaʻa ka makaʻu no ka nui o nā kukuna x ke hoʻohālikelike ʻia me nā pono. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā pilikia no ka x-ray.

Angiography o ka hopena; Peripheral angiography; Angiogram ma lalo loa; Angiogram peripheral; Arteriography o ka welau; PAD - angiography; Maʻi maʻi peripheral artery - angiography

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Angiogram peripheral. www.heart.org/en/health-topics/peripheral-artery-disease/symptoms-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Hoʻohou ʻia ʻOkakopa 2016. Loaʻa iā Ianuali 18, 2019.

ʻO Desai SS, Hodgson KJ. ʻOihana diagnostical Endovascular. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 60.

Harisinghani MG, Chen JW, Weissleder R. kiʻi kiʻi. I: Harisinghani MG, Chen JW, Weissleder R, eds. ʻO ka Primer o ke kiʻi Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 8.

ʻO Jackson JE, ʻo meaney JFM. Angiography: nā loina, nā ʻenehana a me nā pilikia. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 84.