ʻOihana arenalography

ʻO Renal arteriography kahi x-ray kūikawā o nā kīʻaha koko o nā puʻupaʻa.

Hana ʻia kēia hōʻike ma ka haukapila a i ʻole ke keʻena maʻi. E moe ʻoe ma ka papa ʻaina x-ray.

Hoʻohana pinepine nā mea mālama ola i kahi artery kokoke i ke aʻa no ka hoʻāʻo. I kekahi manawa, hiki i ka mea hāʻawi ke hoʻohana i kahi aʻa i ka lima.

E hāʻawi kāu mea hoʻolako:

• E hoʻomaʻemaʻe a kahi i kahi.
• E noi i kahi lāʻau numbing i kahi.
• E kau i kahi nila i loko o ke aʻa.
• E hele i kahi uea lahilahi ma waena o ke kui kele i ke aʻa aʻa.
• Lawe i ka nila.
• Hoʻokomo i kahi paipu lōʻihi, ololi, maʻalahi hoʻi i kapa ʻia he catheter ma kona wahi.

Kuhikuhi ke kauka i ka catheter i ke kūlana kūpono me ka hoʻohana ʻana i nā kiʻi x-ray o ke kino. Hoʻouna kekahi mea kani i kapa ʻia ʻo fluoroscope i nā kiʻi i kahi kīwī TV, kahi a ka mea hāʻawi e ʻike ai.

Hoʻokomo ʻia ka catheter ma mua o ka uea i loko o ke aorta (moku koko nui mai ka puʻuwai). Komo ia i loko o ke aʻa koko. Hoʻohana ka hoʻokolohua i kahi kala make (i kapa ʻia he ʻokoʻa) e kōkua i nā aʻa e hōʻike ma ka x-ray. ʻAʻole ʻike ʻia nā kīʻaha koko o nā puʻupaʻa me nā kukuna x maʻamau. Holo ka kala i loko o ka catheter i loko o ke aʻa puʻuwai.

Lawe ʻia nā kiʻi X-Ray i ka neʻe ʻana o ka kala ma o nā kīʻaha koko. Hiki ke hoʻouna ʻia i ka saline (wai paʻakai sterile) i loaʻa i kahi mea lahilahi o ke koko ma o ka catheter e mālama i ke koko i ka wahi mai ke kāpili ʻana.

Lawe ʻia ka catheter ma hope o ke kiʻi ʻana o nā kukuna x. Hoʻokomo ʻia kahi hāmeʻa pani i ka aʻa a i ʻole kaomi ʻia i ka wahi e hōʻoki i ke kahe ʻana. Nānā ʻia ka wahi ma hope o 10 a 15 mau minuke a kau ʻia ka bandage. Noi paha ʻoe e mālama pololei i kou wāwae no 4 a 6 mau hola ma hope o ke kaʻina hana.

E haʻi i ka mea hāʻawi inā:

• Hāpai ʻoe
• Ua loaʻa iā ʻoe nā pilikia hoʻokahe koko
• Lawe ʻoe i kēia manawa i nā mea lahilahi koko, me aspirin i kēlā me kēia lā
• Ua loaʻa ʻoe i kekahi hopena maʻi ʻaʻai, ʻo ia hoʻi nā mea e pili ana i ka x-ray ʻokoʻa a i nā mea iodine paha
• Ua kuhi ʻia ʻoe me ke kōpaʻa ʻole a maikaʻi ʻole paha nā puʻupaʻa

Pono ʻoe e kau inoa i kahi palapala ʻae. Mai ʻai a inu paha i kekahi mea no 6 a 8 mau hola ma mua o ka hoʻāʻo. Hāʻawi ʻia iā ʻoe kahi kapa komo no ka haukapila e komo a noi aku iā ʻoe e hemo i nā mea hoʻonaninani āpau. Hāʻawi ʻia ʻoe i kahi ʻeha ʻeha (sedative) ma mua o ke kaʻina hana a i ʻole nā ​​mea hoʻohiamoe IV i ka wā o ke kaʻina hana.

E moe pā ʻoe ma ka papa ʻaina x-ray. Aia kahi maʻa mau kahi cushion, akā ʻaʻole ʻoluʻolu e like me kahi moena. Hiki paha iā ʻoe ke ʻūlū ke hāʻawi ʻia ka lāʻau anesthesia. ʻIke paha ʻoe i kekahi kaomi a me ka hōʻoluʻolu ʻole e like me ke kau ʻana o ka catheter.

Manaʻo kekahi poʻe i kahi ʻano mehana i ka wā e injected ai ka kala, akā ʻaʻole hiki i ka hapanui o nā kānaka ke haha ​​aku. ʻAʻole ʻoe e ʻike i ka catheter i loko o kou kino.

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

Pono pinepine ʻia ka arteriography Renal e kōkua i ka hoʻoholo ʻana i ka lāʻau maikaʻi loa ma hope o ka hana mua ʻia ʻana o nā hoʻokolohua ʻē aʻe. Hoʻopili kēia i ka ultrasound duplex, CT ʻōpū, CT angiogram, MRI ʻōpū, a i ʻole MRI angiogram. Hōʻike paha kēia mau hoʻāʻo i kēia mau pilikia.

• Hoʻonui ākea o kahi aʻa, i kapa ʻia he aneurysm
• Nā pilina maʻamau ma waena o nā uaua a me nā aʻa (fistulas)
• ʻO ke kīpē koko e ālai ana i kahi aʻa e hāʻawi ana i ka puʻupaʻa
• ʻO ke kahe koko kiʻekiʻe kiʻekiʻe ʻole i manaʻo ʻia ma muli o ka hoʻopili ʻana o nā kīʻaha koko o nā puʻupaʻa
• Nā maʻi puʻupuʻu Benign a me nā maʻi ʻaʻai e pili ana i nā puʻupaʻa
• Kahe koko ʻana mai ka hakuʻala

Hoʻohana ʻia kēia hoʻokolohua e nānā ai i nā mea hāʻawi a me nā mea i loaʻa ma mua o kahi transplant kidney.

E loli paha nā hopena. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

Hōʻike ka angiography ʻo Renal i ke kū ʻana o nā tumors, ka hoʻopili ʻana o ke aʻa a i ʻole ke anurysms (ka hoʻonui ʻia ʻana o ke aa a me nā aʻa), nā kīʻaha koko, nā fistula, a i ʻole ke kahe ʻana o ke kīʻaha.

E hana ʻia ka hōʻike me nā ʻano aʻe:

• ʻO ka paʻa ʻana o ke aʻa e ke kōkuʻu koko
• Stenosis
• Kanesa maʻi ʻaʻa puʻuwai
• Angiomyolipomas (noncancerous tumors of the kidney)

Hiki ke mālama ʻia kekahi o kēia mau pilikia me nā ʻenehana i hana ʻia i ka manawa like e hana ʻia ai ka arteriogram.

• ʻO Angioplasty kahi kaʻina hana e wehe i kahi kīnā a i ʻole nā ​​kīʻaha koko e hāʻawi i ke koko i kāu mau puʻupaʻa.
• ʻO kahi stent kahi pahu liʻiliʻi, hao hao e hāmama ai ke aʻa. Hoʻonoho ʻia paha e wehe i kahi ākea o ke ākea.
• Hiki ke mālama ʻia i nā maʻi hōʻino a me nā tumc noncancerous me ke kaʻina i kapa ʻia ʻo embolization. Hoʻopili kēia i ka hoʻohana ʻana i nā mea e ālai i ke kahe o ke koko i mea e make ai a hōʻemi ai i ka tumo. I kekahi manawa, hana ʻia kēia me ka hui pū ʻana.
• Hiki ke mālama ʻia ke kahe ʻana me ka embolization.
  

Palekana pinepine ke kaʻina hana. Aia paha kekahi mau pilikia, e like me:

• ʻO ka hopena āpau i ka wai kala (medium medium)
• Poino arterial
• Hoʻopōʻino i ka aʻa a me ka paia ākea, hiki ke alakaʻi i ke kahe o ke koko
• ʻO ka hōʻino ʻana o ka hakuʻala mai ka hōʻino ʻana i ke aʻa a mai ka kala

Aia ka hōʻike radiation haʻahaʻa. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā pilikia e pili ana i nā kukuna x.

ʻAʻole pono e hana i ka hōʻoia inā hāpai ʻoe a i ʻole pilikia koʻikoʻi ke kahe.

Hiki ke hana ma kahi o ka angiography resonance ʻume mākenēki (MRA) a i ʻole CT angiography (CTA). Noninvasive ka MRA a me ka CTA a hiki ke hoʻolako i nā kiʻi like o nā aʻa puʻupaʻa, ʻoiai ʻaʻole hiki ke hoʻohana ʻia no ka mālama ʻana.

Renal angiogram; Angiography - hakuʻala; Renal angiography; Renal stenosis - arteriography

• Anatomia hakuʻala
• ʻO nā ʻaʻa kōkā

Azarbal AF, Mclafferty RB. Palapala Kahiko. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 25.

Duddalwar VA, Jadvar H, Palmer SL. ʻO ke kiʻi diagnostic kidney. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 25.

ʻO Textor SC. ʻO ka hanu hypergension a me ka nephropathy ischemic. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 47.