Pulimaʻi angiography

ʻO ka angiography pulmonary kahi hōʻike e ʻike ai i ke kahe ʻana o ke koko ma waena o ka māmā.

ʻO Angiography kahi hōʻike kiʻi e hoʻohana 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 noi ʻia ʻoe e moe ma ka papa ʻaina x-ray.

• Ma mua o ka hoʻomaka ʻana o ka hoʻāʻo, e hāʻawi ʻia ʻoe i kahi lāʻau hoʻomālie mālie e kōkua ai iā ʻoe e hoʻomaha.
• ʻO kahi o kou kino, ka lima pinepine a i ka ʻūlū paha, hoʻomaʻemaʻe a hoʻopili ʻia me kahi lāʻau numbing kūloko (anesthetic).
• Hoʻokomo ka radiologist i kahi nila a hana paha i kahi ʻoki liʻiliʻi i kahi aa i kahi i hoʻomaʻemaʻe ʻia. Hoʻokomo ʻia kahi paipu hollow lahilahi i kapa ʻia he catheter.
• Hoʻokomo ʻia ka catheter ma o ka aa a neʻe pono ʻia i loko a ma loko o nā keʻena puʻuwai ʻaoʻao ʻākau a i loko o ke aʻa o ka pulmonary, e hiki ai i nā ake māmā. Hiki i ke kauka ke ʻike i nā kiʻi x-ray ola o ka wahi ma kahi kīwī e like me TV, a hoʻohana iā lākou ma ke ʻano he alakaʻi.
• I ka manawa e paʻa ai ka catheter, hoʻokomo ʻia ka kala i loko o ka catheter. Lawe ʻia nā kiʻi X-ray e ʻike pehea e neʻe ai ke kala ma o nā aʻa māmā. Kōkua ka wai kala i nā ālai o ke kahe o ke koko.

Nānā ʻia kou pulse, kaomi koko, a me ka hanu i ke kaʻina hana. Hoʻopili ʻia nā alakaʻi o Electrocardiogram (ECG) i kou mau lima a me kou mau wāwae e nānā i kou puʻuwai.

Ma hope o ka lawe ʻia o nā kukuna x, hemo ka nila a me ka catheter.

Hoʻohana ʻia ka pihi ma ka pūnaewele puncture no 20 a 45 mau minuke e hoʻōki i ke kahe ʻana o ke kahe. Ma hope o kēlā manawa e nānā ʻia ka ʻāpana a kau ʻia kahi kaula paʻa. E mālama pono ʻoe i kou wāwae no 6 mau hola ma hope o ke kaʻina hana.

Kākaʻikahi wale nō, hāʻawi ʻia nā lāʻau i nā akemāhā inā loaʻa kahi kōkō koko i ka wā o ke kaʻina hana.

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

E noi ʻia ʻoe e komo i kaʻaʻahu hōkele a kau inoa i kahi palapala ʻae no ke kaʻina hana. Wehe i nā mea hoʻonaninani mai kahi i kiʻi ʻia.

E haʻi i kāu mea mālama ola:

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

ʻIke paha ka pākaukau x-ray. Noi i kahi pale a uluna paha inā ʻoluʻolu ʻole ʻoe Hiki paha ʻoe i kahi ʻūlū pōkole ke hāʻawi ʻia ka lāʻau numbing a me kahi pōkole, ʻoi hoʻi, lāʻau i ka hoʻokomo ʻia ʻana o ka catheter.

ʻIke paha ʻoe i kahi kaomi ke neʻe ka catheter i loko o nā akemāmā. Hiki i ka kala ke hoʻohālikelike ke kumu o ka mehana a me ka flush. He maʻamau kēia a hele mau i loko o kekona kekona.

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

Hoʻohana ʻia ka hoʻāʻo e ʻike i nā huʻa koko (pulmonary embolism) a me nā ālai ʻē aʻe i ke kahe o ke koko i ka akemāmā. ʻO ka hapanui o ka manawa, ua hoʻāʻo kāu mea hāʻawi i nā hoʻokolohua ʻē aʻe e kuhikuhi i ke kōkō ʻana o ke koko i nā akemāmā.

Hoʻohana ʻia paha ka angiography pulmonary e kōkua i ke kuhi:

• Nā malformations AV o ka akemāmā
• ʻO ka congenital (mai ka wā hānau) ka hoʻopili ʻana o nā moku pulmonary
• Nā aneurysms artery pulmonary
• ʻO ke kiʻekiʻe o ka pulmonary, ke koko kiʻekiʻe ma nā aʻa o nā akemāmā

E hōʻike ka x-ray i nā hanana maʻamau no ka makahiki o ke kanaka.

Nā hopena kūpono ʻole ma muli o:

• ʻO nā aneurysms o nā moku pulmonary
• Koko koko i nā akemāmā (pulmonary embolism)
• Kahe koko liʻiliʻi
• ʻO ke kiʻekiʻe o ka pulmonary hypertension
• Tumor i ka hāhā

Hiki i kekahi kanaka ke hoʻomohala i kahi puʻuwai puʻuwai maʻamau i kēia hoʻokolohua. E nānā ka pūʻulu mālama olakino i kou puʻuwai a hiki ke mālama i nā rhythm abnormal e ulu.

ʻO nā pilikia ʻē aʻe e:

• 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
• Hele ke koko i nā māmā, e hoʻoulu ai i ka embolism
• 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
• Hematoma (kahi hōʻiliʻili o ke koko ma ke kahua o ka kui kuikui)
• Ka hōʻeha i nā aʻalolo ma ka pūnaewele puncture
• Poino nā hakuʻala mai ke kala
• Ka hōʻeha i nā kīʻaha koko i ka hāhā
• Ke hele nei i loko o ka māmā
• ʻApu ʻana i ke koko
• Hoʻoikaika hanu ʻole
• Make

Aia ka hōʻike radiation haʻahaʻa. E nānā a hoʻokele kāu mea hāʻawi i nā kukuna x e hāʻawi i ka liʻiliʻi o ka hōʻike radiation. Manaʻo ka hapanui o ka poʻe loea he haʻahaʻa ka pilikia inā hoʻohālikelike ʻia me nā keu pono. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā pilikia no nā kukuna x.

Ua panai nui ʻia kēia ʻano hōʻike i ka tomography compute (CT) angiography o ka umauma.

Pulmonary arteriography; Pulmonary angiogram; Angiogram o nā ake māmā

• Nā aʻa pulmonary

Chernecky CC, Berger BJ. P. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 842-951.

Hartmann IJC, Schaefer-Prokop CM. ʻO ka holo ʻana o ka pulmonary a me ka thromboembolism pulmonary. 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 23.

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.

Nazeef M, Sheehan JP. ʻO thromboembolism Venous. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 858-868.