Angiography Mesenteric

Mesenteric angiography kahi hōʻike i hoʻohana ʻia e nānā i nā kīʻaha koko e hāʻawi i nā ʻōpū liʻiliʻi a nui.

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 moe ʻoe ma ka papa ʻaina x-ray. E noi paha ʻoe i ka lāʻau e kōkua ai iā ʻoe e hoʻomaha (sedative) inā pono ʻoe.

• I ka wā o ka hoʻāʻo ʻana, e nānā ʻia kou kaomi koko, ka helu o ka naʻau, a me ka hanu ʻana.
• E ʻoki a hoʻomaʻemaʻe ka mea mālama ola i ke aʻa. Hoʻokomo ʻia kahi lāʻau numbing (anesthetic) i loko o ka ʻili ma luna o kahi aʻa. Hoʻokomo ʻia kahi nila i loko o ke aʻa.
• Hoʻomoe ʻia kahi ʻōpala lahilahi i kapa ʻia he catheter ma ka nila. Hoʻoneʻe ʻia ia i loko o ke aʻa, a ma o nā moku nui o ka ʻōpū a hiki i ke kau pono ʻana i loko o ke aʻa mesenteric. Hoʻohana ke kauka i nā kukuna x i alakaʻi. Hiki i ke kauka ke ʻike i nā kiʻi ola o ia wahi ma kahi kīwī e like me ke kīwī.
• Hoʻokomo ʻia ka wai ʻokoʻa ma o kēia paipu e ʻike inā aia kekahi pilikia me nā kīʻaha koko. Lawe ʻia nā kiʻi X-ray o ke aʻa.

Hiki ke mālama ʻia kekahi mau ʻano lapaʻau i kēia kaʻina hana. Hāʻawi ʻia kēia mau mea i ka catheter i kahi i ke aʻa e pono ai ka lāʻau. Pākuʻi ʻia kēia mau mea:

• 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

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 e nānā ʻia ka ʻāpana a kau ʻia kahi kaula paʻa. Mālama pinepine ka wāwae i nā hola hou 6 ma hope o ke kaʻina hana.

ʻAʻole ʻoe 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 hāʻawi:

• 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 ʻoe i kahi ʻūlū pōkole ke hāʻawi ʻia ka lāʻau numbing. E ʻike ʻoe i kahi ʻeha ʻoi loa a me kekahi kaomi ke kau ʻia ka catheter a neʻe i loko o ke aʻa. I ka hapanui o nā hihia, ʻike wale ʻoe i kahi kaomi o ke kaomi.

Ke kuhi ʻia ka kala, e ʻike ʻoe i kahi ʻano mehana, a me ka huehue. Loaʻa paha iā ʻoe ka palupalu a me ka ʻeha ma ka pūnaewele o ka hoʻokomo catheter ma hope o ka hoʻāʻo.

Hana ʻia kēia hōʻike:

• Ke loaʻa nā ʻōuli o kahi kīʻaha o ke kīʻaha a i ʻole ālai ʻia i loko o nā ʻōpū
• E ʻike i ke kumu o ke kahe ʻana o ke kahe i ka gastrointestinal tract
• E ʻike i ke kumu o ka ʻeha mau o ka ʻōpū a me ka pohō kaumaha ke hiki ʻole ke ʻike ʻia kahi kumu
• Ke hāʻawi ʻole nā ​​haʻawina ʻē aʻe i ka lawa o ka ʻike e pili ana i nā ulu ulu ʻole ma ke kōpū
• E nānā i ka hōʻeha ʻana o ke kīʻaha koko ma hope o kahi ʻeha o ka ʻōpū

Hiki ke hana ʻia kahi angiogram mesenteric ma hope o ka ʻike ʻana o nā scans nuklehea ʻoi aku ka ʻike i ke kahe ʻana o ke kahe. Hiki i ka radiologist ke kuhikuhi a mālama i ke kumuwaiwai.

Kūleʻa nā hopena inā maʻamau nā artery i nānā ʻia i ka helehelena.

ʻO ka loaʻa ʻana o ka ʻike maʻamau ka liʻiliʻi a paʻakikī o nā aʻa e hoʻolako i ka ʻōpū nui a liʻiliʻi. Kāhea ʻia kēia is mesia mesenteric. Kū ka pilikia ke kūkulu ʻia nā mea momona (plaque) ma nā paia o kāu mau aʻa.

ʻO nā hopena kūpono ʻole ma muli o ke kahe ʻana o ke kō i ka liʻiliʻi a me ka ʻōpū nui. ʻO kēia paha ke kumu o:

• Angiodysplasia o ke kolona
• Haki ka ipu koko mai ka ʻeha

Nā hopena ʻē aʻe paha ma muli o:

• Huʻi koko
• Cirrhosis
• Nā Tumors

Aia kekahi pilikia o ka catheter e hōʻino i ke aʻa a i ʻole ke kīkē ʻana i kahi ʻāpana o ka paia aʻa. Hiki i kēia ke hōʻemi a pale paha i ke kahe o ke koko a alakaʻi i ka make ʻana o nā kiko. He mea paʻakikī kēia.

ʻO nā pilikia ʻē aʻe e:

• ʻO ka hopena āpau i ka kala ʻokoʻa
• 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
• Poino i ka ʻōpū inā hoʻemi ʻia ka lako o ke koko

Arteriogram ʻōpū; Arteriogram - ʻōpū; Angiogram Mesenteric

• ʻO ke kiʻi moʻomeheu Mesenteric

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.

ʻO Lo RC, Schermerhorn ML. ʻO ka maʻi arential Mesenteric: epidemiology, pathophysiology, a me ka loiloi loiloi. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 131.

vd Bosch H, Westenberg JJM, d Roos A. Cardiovascular magnetic resonance angiography: carotids, aorta, a me nā moku ākea. I: Manning WJ, Pennell DJ, eds. ʻO Resonance Mākēkiʻi Cardiovascular. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 44.