Venogram - wāwae

ʻO ka Venography no nā wāwae kahi hōʻike i hoʻohana ʻia e ʻike i nā veins i ka wāwae.

ʻO nā kukuna X kahi ʻano o ka uila uila, e like me ke kukui i ʻike ʻia. Eia nō naʻe, ʻoi aku ka ikaika o kēia mau kukuna. No laila, hiki iā lākou ke hele ma waena o ke kino e hana i kiʻi ma ke kiʻi ʻoniʻoni. E ʻike keʻokeʻo nā ʻano pālahalaha (e like me ka iwi), ʻeleʻele ka lewa, a me nā ʻano ʻē aʻe he hina o ka hina.

ʻAʻole ʻike pinepine ʻia nā veins i kahi x-ray, no laila hoʻohana ʻia kahi kala kūikawā e hoʻokalakupua iā lākou. Kapa ʻia kēia kala, ʻokoʻa.

Hana pinepine ʻia kēia hōʻike ma ka haukapila. E noi ʻia ʻoe e moe ma ka papa ʻaina x-ray. Hoʻopili ʻia kahi lāʻau numbing i kahi. E noi paha ʻoe no kahi lāʻau hoʻohiamoe inā ʻoe e hopohopo e pili ana i ka hoʻāʻo.

Hoʻokomo ka mea mālama ola i kahi nila i loko o ka aa i ka wāwae o ka wāwae e nānā ʻia. Hoʻokomo ʻia kahi laina intravenous (IV) ma o ka nila. Kahe ka pena ʻokoʻa ma o kēia laina i loko o ke aa koko. Hiki ke kau i kahi hoʻokūkū ma kou wāwae no laila e kahe ana ka kala i nā aa hohonu.

Lawe ʻia nā kukuna X ke kahe ka kala ma ka wāwae.

Lawe ʻia ka catheter, a hoʻopaʻa ʻia ka pūnaewele puncture.

E komo ʻoe i ka lole mai ka haukapila i kēia kaʻina hana. E noi ʻia ʻoe e kau inoa i kahi palapala ʻae no ke kaʻina hana. Wehe i nā mea hoʻonaninani āpau mai kahi i kiʻi ʻia.

E haʻi i ka mea hāʻawi:

• Inā hāpai ʻoe
• Inā loaʻa ʻoe i nā maʻi āpau i nā lāʻau
• ʻO nā lāʻau āu e lawe nei (me nā hoʻomākaukau lāʻau)
• Inā ua loaʻa ʻoe i kekahi hopena maʻi ʻaʻai i ka x-ray ʻokoʻa a mea iodine paha

He paʻakikī a anuanu hoʻi ka pākaukau x-ray. E makemake paha ʻoe e noi i kahi kapa moe a uluna paha. E ʻike ʻoe i kahi poke ʻoi loa ke hoʻokomo ʻia ka catheter intravenous. Ke kuhi ʻia ka wai kala, ʻike paha ʻoe i kahi naʻau wela.

Loaʻa paha ka palupalu a me ka ʻeha ma ka pūnaewele o ka hoʻopili ʻana ma hope o ka hoʻāʻo.

Hoʻohana ʻia kēia hoʻokolohua e ʻike a loaʻa i nā pehu koko i nā aa o nā wāwae.

ʻO ke kahe manuahi o ke koko ma o ka aa he mea maʻamau.

Loaʻa paha nā hopena maʻamau ma muli o ka paʻa ʻana. Hiki ke kumu ʻia ka paʻa ʻana e:

• Pūʻulu koko
• Tumo
• Hoʻonā

ʻO nā pilikia o kēia hoʻāʻo:

• ʻO ka hopena āpau i ka kala ʻokoʻa
• ʻO ka maikaʻi ʻole o nā hakuʻala, keu hoʻi i nā mākua a i ʻole nā ​​kānaka me ka maʻi kō e lawe i ka metformin lāʻau (Glucophage)
• Wensening o kahi ʻōpala i ka wāwae o ka wāwae

Aia ka hōʻike radiation haʻahaʻa. Eia nō naʻe, manaʻo ka hapanui o ka poʻe loea i ka makaʻu o ka hapanui o nā kukuna x he mea liʻiliʻi ia ma mua o nā pilikia ʻē aʻe o kēlā me kēia lā. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā makaʻu o ka x-ray.

Hoʻohana pinepine ʻia ʻo Ultrasound ma mua o kēia hōʻike no ka mea ʻoi aku ka liʻiliʻi o nā pilikia a me nā hopena ʻaoʻao. Hiki ke hoʻohana ʻia ka MRI a me ka CT scans e nānā ai i nā veins i ka wāwae.

Phlebogram - wāwae; Venography - wāwae; Angiogram - wāwae

• Hōʻike kiʻi wāwae

Ameli-Renani S, Belli A-M, Chun J-Y, Morgan RA. Hoʻopili ka maʻi maʻi maʻi peripheral. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 80.

Pin RH, Ayad MT, Gillespie D. Venography. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 26.