Angiography ʻaʻano

ʻO ke aortic angiography kahi hana e hoʻohana ai i ka kala make kūikawā a me nā kukuna x e ʻike ai i ke kahe ʻana o ke koko ma o ka aorta. ʻO ke aorta ka aʻa nui. Hāpai ia i ke koko mai ka puʻuwai, a ma o kou ʻōpū a i ʻole kou ʻōpū.

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. 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, ʻo ka pinepine i kou lima a i ʻole ka ʻūlū, hoʻomaʻemaʻe ʻia a nū ʻia me kahi lāʻau numbing kūloko (anesthetic).
• E hoʻokau kahi radiologist a i ʻole cardiologist i kahi nila i loko o ke kīʻaha koko. E hele ʻia kahi alakaʻi a me kahi paipu lōʻihi (catheter) ma o kēia nila.
• Hoʻoneʻe ʻia ka catheter i loko o ka aorta. Hiki i ke kauka ke ʻike i nā kiʻi ola o ka aorta ma kahi kīwī e like me ke kīwī. Hoʻohana ʻia nā kukuna X e alakaʻi i ka catheter i ke kūlana kūpono.
• I ka manawa e paʻa ai ka catheter, hoʻokomo ʻia ka kala i loko. Lawe ʻia nā kiʻi X-ray e ʻike pehea e neʻe ai ke kala ma o ka aorta. Kōkua ka wai kala i nā ālai o ke kahe o ke koko.

Ma hope o ka pau ʻana o nā kukuna a i ʻole nā ​​mālama ʻana, hemo 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, nānā ʻia ka ʻāpana a hoʻopili ʻia kahi kaula paʻa. Mālama pinepine ka wāwae i nā hola hou 6 ma hope 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 komo ʻoe i kaʻaʻahu haukapila a kau inoa i kahi palapala ʻae no ke kaʻina hana. Wehe i nā mea hoʻonaninani mai kahi e aʻo 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

E ala ana ʻoe i ka wā o ka hoʻāʻo. ʻIke paha ʻoe i kahi ʻūlū e like me ka hāʻawi ʻia ʻana o ka lāʻau numbing a me kekahi kaomi ke hoʻokomo ʻia ka catheter. Hiki paha iā ʻoe ke noʻonoʻo i kahi flush mahana ke kahe ka kala ʻokoʻa ma waena o ka catheter. He maʻamau kēia a hele pinepine aku i kekahi mau kekona.

Loaʻa paha iā ʻoe kahi ʻoluʻolu ʻole mai ka moe ʻana ma ka papa ʻaina o ka haukapila a noho mālie no kekahi manawa lōʻihi.

I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻomau i ka hana maʻamau i ka lā ma hope o ke kaʻina hana.

E noi paha kāu mea hāʻawi i kēia hoʻāʻo inā he hōʻailona a hōʻailona paha o kahi pilikia me ka aorta a i ʻole nā ​​lālā, e like me:

• Aneurysm ʻaʻano
• Dissection ʻaʻano
• Nā pilikia Congenital (mai ka wā hānau)
• Hana hewa AV
• ʻAukā ʻaukā pāpālua
• Coarctation o ka aorta
• Kaha vaskular
• Ka hōʻeha i ka aorta
• Takayasu arteritis

Nā hopena kūpono ʻole ma muli o:

• Aneurysm aorta ʻōpū
• Dissection ʻaʻano
• Regurgitation ʻaʻa
• Nā pilikia Congenital (mai ka wā hānau)
• ʻAukā ʻaukā pāpālua
• Coarctation o ka aorta
• Kaha vaskular
• Ka hōʻeha i ka aorta
• Ischemia Mesenteric
• Maʻi maʻi peripheral artery
• Stenosis
• Takayasu arteritis

ʻO nā pōʻino no ka aortic angiography me:

• ʻO ka hopena āpau i ka kala ʻokoʻa
• Ka paʻa ʻana o ke aʻa
• ʻO ke kīʻaha koko e hele i nā māmā
• ʻO ka ʻeha ma ka pūnaewele o ka hoʻokomo catheter
• Poino i ka ipu koko kahi i hoʻokomo ʻia ai 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
• Maʻi kīnā
• Hoʻopilikia i nā aʻalolo ma ka pūnaewele kui kuikele
• Poino nā hakuʻala mai ke kala

Hiki ke hana i kēia kaʻina hana me ka catheterization puʻuwai hema e nānā no ka maʻi o ke aʻa coronary.

Ua hoʻololi ʻia ka angiography aortic e ka tomography compute (CT) angiography a i ʻole ka resonance magnet (MR) angiography.

Angiography - aorta; Aortography; ʻAi aorta ʻōpū; Ateric arteriogram; ʻO Aneurysm - arteriogram aortic

• Hoʻoponopono aneurysm aorta ʻōpū - wehe - hoʻokuʻu
• Aortic aneurysm hana hou - endovascular - hoʻokuʻu

• Cardiac arteriogram

Chernecky CC, Berger BJ. C. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 266-432.

Fattori R, Lovato L. ʻO ke aorta thoracic: nā ʻano diagnostics. 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; 2014: chap 24.

Grant LA, Griffin N. ʻO ke aorta. I: Grant LA, Griffin N, nā hua. Grainger & Allison's Diagnostic Radiology Pono. ʻElua ed. Piladelapia, PA: Elsevier; 2019: chap 2.4.

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; 2014: chap 84.