Angiography Coronary

ʻO Coronary angiography kahi hana e hoʻohana ai i kahi kala kūikawā (ʻokoʻa mea) a me nā x-ray e ʻike pehea e kahe ai ke koko ma o nā aʻa i loko o kou puʻuwai.

Hana pinepine ʻia ka angiography coronary me ka catheterization puʻuwai. He hana kēia e ana i nā kaomi ma nā keʻena puʻuwai.

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.

Hoʻomaʻemaʻe ʻia kahi ʻāpana o kou kino (ka lima a ʻeha paha) a hamo pū ʻia me kahi lāʻau numbing kūloko (anesthetic). Hoʻoholo ka cardiologist i kahi puʻupuʻu hollow lahilahi, i kapa ʻia he catheter, ma o ke aʻa a hoʻoneʻe pono iā ia i loko o ka puʻuwai. Kōkua nā kiʻi X-ray i ke kauka e hoʻonohonoho i ka catheter.

I ka manawa e paʻa ai ka catheter, hoʻokomo ʻia ke kala (ʻokoʻa ʻokoʻa) i loko o ka catheter. Lawe ʻia nā kiʻi X-ray e ʻike pehea e neʻe ai ke kala ma o ke aʻa. Kōkua ka wai kala i kahi kahakaha ʻana i ke kahe o ke koko.

ʻO ke kaʻina hana mau pinepine i 30 a 60 mau minuke.

ʻAʻole ʻoe e ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka hoʻomaka ʻana o ka hoʻāʻo. Pono ʻoe e noho i ka haukapila i ka pō ma mua o ka hoʻāʻo. Inā ʻole, e nānā ʻoe i ka haukapila i ke kakahiaka o ka hoʻāʻo.

E komo ʻoe i ke kapa komo haukapila. Pono ʻoe e kau inoa i kahi palapala ʻae ma mua o ka hoʻāʻo. E wehewehe kāu mea mālama ola i ke kaʻina hana a me kona mau pilikia.

E haʻi i kāu mea hāʻawi inā ʻoe:

• Pāleʻa i nā lāʻau a i ʻole inā loaʻa iā ʻoe kahi hopena maikaʻi ʻole e hoʻohālikelike i nā mea i hala
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• E hāpai paha

I ka hapanui o nā hihia, e ala ʻoe i ka wā o ka hoʻāʻo. ʻIke paha ʻoe i kekahi kaomi ma ka pūnaewele kahi e waiho ai ka catheter.

Hiki paha iā ʻoe ke noʻonoʻo i kahi pīhoihoi a i ʻole mahana wela ma hope o ka hoʻouka ʻia ʻana o ke kala.

Ma hope o ka hoʻāʻo, hemo ka catheter. Manaʻo paha ʻoe i kahi kaomi paʻa e kau ʻia ma ka pūnaewele hoʻokomo e pale ai i ke kahe ʻana o ke kahe. Inā hoʻokomo ʻia ka catheter i loko o kou ʻūlū, e noi ʻia ʻoe e moe palahalaha ma kou kua no kekahi mau hola i kekahi mau hola ma hope o ka hoʻāʻo e pale i ke kahe ʻana o ke kahe. Hiki paha i kēia ke hōʻoluʻolu i ke kua i hope.

E hana ʻia ka angiography coronary inā:

• ʻO ka angina ʻoe no ka manawa mua.
• ʻO kou angina e lilo nei i mea ʻoi aku ka maikaʻi ʻole, hele ʻole, hana pinepine ʻia, a i ʻole ke hana ʻana i kahi maha (i kapa ʻia ʻo angina paʻa ʻole).
• Loaʻa iā ʻoe kahi stortosis aortic a i ʻole kahi pilikia valve.
• He ʻeha umauma atypical ʻoe, ke maʻamau nā hōʻike ʻē aʻe.
• Loaʻa iā ʻoe kahi hoʻokolohua koʻikoʻi koʻikoʻi puʻuwai.
• E ʻoki ʻana ʻoe ma kou puʻuwai a nui kou makaʻu no ka maʻi o ke aʻa coronary.
• Loaʻa ʻole ʻoe i ka puʻuwai.
• Ua ʻike ʻia ʻoe me ka hōʻeha puʻuwai.

Aia kahi lako maʻamau o ke koko i ka puʻuwai a ʻaʻohe wahi paʻa.

ʻO ka hopena maʻamau e loaʻa paha iā ʻoe kahi aʻa i ālai ʻia. Hiki i ke hōʻike ke hōʻike i ka nui o nā aʻa coronary i ālai ʻia, kahi i ālai ʻia ai lākou, a me ke koʻikoʻi o nā ālai.

Hāpai ka catheterization Cardiac i kahi makaʻu liʻiliʻi ke hoʻohālikelike ʻia me nā hoʻokolohua puʻuwai ʻē aʻe. Eia naʻe, palekana loa ka hoʻāʻo ke hana ʻia e kahi kime ʻike.

ʻO ka maʻamau, ʻo ka makaʻu no nā pilikia koʻikoʻi mai 1 a 1,000 a 1 i 500. ʻO nā pilikia o ke kaʻina hana nā mea penei:

• ʻO tamponade Cardiac
• Nā puʻuwai puʻuwai ʻole
• Hoʻopilikia i kahi aʻa puʻuwai
• Kaomi haʻahaʻa
• ʻO ka hopena āpau e hoʻohālikelike i ka kala a i ʻole kahi lāʻau i lawelawe ʻia i ka wā o ka hoʻokolokolo
• Hahau
• Maʻi hohola

Nā manaʻo e pili ana i nā ʻano catheterization me kēia:

• Ma ka laulaha, aia ka makaʻu o ke kahe ʻana i ka maʻi, ka maʻi, a me ka ʻeha ma ka pae IV a i ʻole ka catheter.
• Aia kekahi wahi liʻiliʻi liʻiliʻi e hiki ai i nā catheters palupalu ke hōʻino i nā kīʻaha koko a i ʻole nā ​​kūkulu e pili ana.
• Hiki ke hana i nā clots koko ma luna o nā catheters a ma hope e ālai i nā kīʻaha koko ma nā wahi ʻē aʻe o ke kino.
• Hiki i ka kala kala ke hōʻino i nā puʻupaʻa (ʻo ia hoʻi i ka poʻe me ka maʻi diabetes a i ʻole nā ​​pilikia o nā puʻupaʻa ma mua).

Inā loaʻa kahi paʻa, hiki i kāu mea hāʻawi ke hana i kahi interon coronary percutaneous (PCI) e wehe i ka paʻa. Hiki ke hana i kēia ma ke kaʻina like, akā lohi paha no nā kumu like ʻole.

Cardiac angiography; Angiography - puʻuwai; Angiogram - coronary; Maʻi maʻi ʻaʻa Coronary - angiography; CAD - angiography; Angina - angiography; Maʻi maʻi puʻuwai - angiography

• Angiography Coronary

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS nānā nui i ka papa kuhikuhi no ka ʻike a me ka mālama ʻana i nā mea maʻi me ka maʻi puʻuwai ischemic paʻa: kahi hōʻike o ka American College of Cardiology / American Heart Association Task Force ma nā Kūlana Kūpono, a me ka ʻAmelika Hui Pū ʻIa no ka ʻoki kino Thoracic, ʻAhahui kahu maʻi Cardiovascular Preventive, ʻAhahui no ka Angiography a me nā hana a Cardiovascular, a me ka Society of Thoracic Surgeons. ʻO J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. Catheterization a me ka angiography. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 51.

Mehran R, Dangas GD. ʻO ka arteriography coronary a me ke kiʻi intravaskular. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 20.

ʻO Werns S. Huʻi syndromes coronary a me ka infarction myocardial koʻikoʻi. I: Parrillo JE, Dellinger RP, eds. Lapaʻau mālama koʻikoʻi: nā loina o ka ʻike a me ka hoʻokele i ka makua. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 29.