Angiography nke ala na nsọtụ: ịrụ?

Vaskụla ọrịa na-emekarị chọpụtara na ndị okenye. Nke a bụ eziokwu karịsịa ndị mmadụ nká. Ọzọkwa, e nwere vaskụla ọrịa, nke na-pụta ụwa nke ọrịa na ịzụlite ụmụ. Dị ka ị maara, akwara ndị gara na veins mkpa maka nkwụnye ego na ọbara mgbasa ofụri idem. Ọ bụrụ na ọrụ a na-adịghị rụrụ, e nwere anoxia na ischemia. Ọtụtụ mgbe na-emetụta ọbara arịa nke obi, ụbụrụ na ala ụkwụ. N'ọnọdụ ka ukwuu, e nwere emeghasịkwa nke ọbara esenyịn na ọtụtụ akụkụ. Pathology arịa nke ala na nsọtụ na-nkịtị n'etiti ndị inyom. Dị ka a na-achị, e nwere varicose veins. Ọ bụrụ na ị na-enyo a mebiri nke ọbara arịa nke ala na nsọtụ angiography rụrụ ke akwara ma ọ bụ veins. Nke a na-achọpụta ọrịa usoro dị mkpa iji chọpụta na-ruo n'ókè nke mebiri na ya njupụta.

Angiography nke ala na nsọtụ - ihe ọ bụ?

Iji chọpụta otú kpara akwara ma ọ bụ veins nke ụkwụ, ọ dị mkpa iji na-eduzi nnyocha ụfọdụ. Otu n'ime ha bụ angiography nke ala na nsọtụ. Ọ na-ezo aka radiopaque achọpụta ọrịa usoro. N'ihi nke a na usoro nke analysis nwere ike ikpe na e nwere ebe a na mbibi ma ọ bụrụ na e nwere ọbara na-akpụkọ, na stenosis nke akwara ndị gara na veins. Angiography na-atụle ihe invasive usoro, ebe ọ bụ na ya, mmejuputa iwu aghaghị ịbanye n'ọbara iche n'ụlọnga. Iji mezuo nke a, na mgbapu na rụrụ akwara ma ọ bụ akwara. N'ihi nke a, nnyocha ga-mụụrụ na a ọgwụ. Ebe ọ bụ na X-ụzarị nwere ike imerụ ahụ ike, angiography nwere ọtụtụ contraindications. Otú ọ dị, usoro a na-enye ohere a ọma anya nke vaskụla usoro na ịchọpụta enweghị nchịkwa Filiks. Ugbu a, ndị dị otú ahụ a na-amụ bụ ihe a nụchara anụcha, ọ na-emekarị jikọtara na kọmputa na magnetik resonance tomography.

Angiography nke ala ụkwụ: egosi maka

N'agbanyeghị eziokwu na angiography a na-ewere a pụrụ ịdabere na-achọpụta ọrịa ọmụmụ, ọ rụrụ abụghị maka mmadụ nile. Ewere n'ime akaụntụ radiological ibu arọ ahụ na invasiveness nke usoro, ọ ga-malitere naanị na ikpe nke oké mkpa. E nwere ndị na-esonụ na-egosi maka angiography:

1. Mkpọchi nke ọbara arịa nke ihe e dere ede. Na nke a, na e nwere a ibelata nke lumen nke akwara ndị gara na veins. Mkpọchi hụrụ atherosclerotic vaskụla ọnya. Nke a na ọrịa a na-efekarị ndị mmadụ na metabolic syndrome, ibu oké ibu. Pathology a na-chọpụtara na ndị agadi. Na mgbakwunye na arịa nke ala na nsọtụ, atherosclerosis emetụta akwara nke isi na olu, obi na ndị ọzọ na akụkụ.
2. Systemic vaskụla daa ọrịa. Ndị a gụnyere occlusive ọrịa, Leriche syndrome. Na ndị dị otú ahụ ọrịa, e nwere a ibelata nke arịa ruru stenosis nke lumen. Na oké ikpe, na daa ọrịa nke data nwere ike ime ka a zuru-emeghasịkwa nke ọbara patency.
3. Dị iche iche nke embolism, thrombosis. Ndị a na-anaghị ekwe ịzụlite n'ihi na kọntaktị na lumen nke ọbara clot, cholesterol ihe e dere ede, na ndị ọzọ si mba ọzọ bekee (adipose anụ ahụ, ikuku egosipụta).
4. Anomalies nke veins ma ọ bụ akwara. Ndị a gụnyere ndị vaskụla diverticulum, ihe aneurysm, ọnụnọ nke pathologic anastomoses.
5. Varicose veins. Ji enweghị nchịkwa vaskụla tortuosity, ntoputa nke ebe nke mgbasa na mkpi nke lumen.
6. Nsogbu nke ọrịa shuga. The ọrịa a na-esokarị site na ọnya nke akwara ndị gara na veins nke ala na nsọtụ. Na oké ikpe, ọ na-eduga ná mmepe nke ure anụ ahụ.

ala na nsọtụ angiography dị mkpa mgbe mgbaàmà ndị dị otú ahụ dị ka a na mberede mgbu ke N'ezie nke akwara ndị gara na veins, ha ọkọ ma ọ bụ induration. Na ndị a, ọmụmụ mkpa ka a mere dị ka ngwa ngwa o kwere omume. Ọ bụrụ na ị na-enyo a-adịghị ala ala na ọrịa (atherosclerosis, nsogbu nke ọrịa shuga, varicose veins), nke na-adịghị esonyere site na ihe doro anya na-adakarị ịrịba ama, a na usoro a na-atụ aro routinely na enweghị contraindications.

Mgbe angiography nile nke ụkwụ dị ka ICD?

All ọrịa nwere ihe ụfọdụ na cipher na International nhazi ọkwa nke Diseases (ICD). N'ihi ya, ndị dọkịta si mba chọpụta nke chọpụtara ọrịa ahụ. Ọ dịghị ma e wezụga na daa ọrịa nke akwara ndị gara na veins. N'ihi a pụrụ iche cipher dọkịta na-amụta ma na e nwere na-egosi maka nnyocha dị otú usoro dị ka ala ụkwụ angiography. Usoro ICD-10-abịa mgbe odide nke nchoputa. Ihe Nlereanya gunyere pathologies:

1. Atherosclerosis nke akwara. I70.2
2. Deep akwara thrombosis. I80
3. Angiopathy nke ala na nsọtụ na-arịa ọrịa shuga. E10.5

Na ntụziaka nke research dị mkpa iji dee bụghị naanị nchoputa, ma koodu na ICD-10. Nke a nhazi ọkwa bụ ihe onyeọbụla nabatara n'ụwa nile.

Contraindications angiography

Dị ka niile invasive achọpụta ọrịa usoro, angiography a rụrụ n'ime ọnụnọ nke kpọmkwem na-egosi. Mgbe ụfọdụ, ọ gaghị ekwe omume na-ebu a na-amụ, ọbụna ma ọ bụrụ na onye ọrịa nwere a daa ọrịa depụtara n'elu. Nke a na-ejikọta ya na a n'ihe ize ndụ nke nsogbu na nwere ike ịzụlite n'ihi radieshon ikpughe ma ọ bụ ochichi nke iche n'ụlọnga. Mgbe ahụ, ọ na-atụ aro iji dochie usoro nnyocha. Ya mere, bụ ndị kwesịrị agaghị agabiga dị otú ahụ a na-amụ dị ka angiography nke ala na nsọtụ? Contraindications na-agụnye:

1. Nnukwu ọrịa obi. Ndị a gụnyere ndị na-ejighị n'aka rịaworo na myocardial infarction.
2. Ala ala obi odida oké ogo.
3. Pregnancy na lactation.
4. Children n'okpuru 2 afọ.
5. Oké ọrịa nke esịtidem akụkụ. Nke a na-agụnye ndị gbasara akụrụ, akụkụ okuku ume na, na hepatic ọdịda.
6. Nfụkasị Jeremaya ka ayodiin (ebe a umi nwere na ihe ndị mejupụtara nke iche gị n'ụlọnga).
7. Ọrịa nke ọbara. Nke a bụ eziokwu karịsịa banyere pathologies nke nsogbu coagulation. Otu ihe atụ bụ hemophilia, hemorrhagic vasculitis, thrombocytopenia.

Iche angiography nke ala na nsọtụ

Enwere 2 nhọrọ angiography. Ke akpa idaha ọmụmụ Aims iji anya nke uche na ala na nsọtụ. Ọ na-akpọ venography. Na nke a, na iche na ẹkenam naanị na venous usoro, na-eme ka ahụ a na usoro nke radiographs.

Ọzọ variant nke ọmụmụ - ya arteriography. vaskụla Onyonyo ụkpụrụ bụ otu ihe. Na obere okwu, ọ dị mkpa iji anya nke uche ma ndị veins na akwara nke ala na nsọtụ. Ke adianade do, nnyocha na-apụghị rụrụ naanị n'okpuru akara nke X-ray, ma na ihe CT na MRI ígwè ọrụ. Na ndị a ihe ezi (zuru ezu) angiography nke ala na nsọtụ arịa. Photos (oyiyi), mere X-ray igwe, bụ ubé dị iche iche si oyiyi e site CT na MRI.

Na-akwadebe maka angiography nke ala na nsọtụ

Nyere na usoro na-akọ na invasive ụzọ, onye ọrịa ga-kwadebere maka ọmụmụ a. ị ga-agabiga a usoro nke laabu ule n'ihu n'ịrụ angiography. Otu n'ime ha: ndị KLA, OAM, coagulation, ọbara onwu. Ọ dịkwa mkpa ka ọ kọwaara onye mere anyị mkpa a usoro na ihe bụ ihe ize ndụ. Tupu angiography, ọ dị mkpa iji kagbuo antiplatelet ọgwụ (a ụbọchị ole na ole tupu ọmụmụ). Nkwadebe maka ule na-agụnye:

1. mmiri mmiri n'ikuku mgbochi.
2. Ịjụ nri oriri ruo ọtụtụ awa tupu ọmụmụ. Ọ bụ ihe amamihe ghara iri abalị tupu na ụtụtụ nke na-achọpụta ọrịa usoro.
3. Okwu Mmalite nke Antihistamines na ọrịa na a pụrụ ịrịa nfụkasị Jeremaya.
4. Admission ogwuura tupu ule na-atụ aro na ọnụnọ nke ọrịa obi lability.

Usoro angiography nke ala na nsọtụ

Iji anya nke uche mgbanwe nke veins ma ọ bụ akwara nke ụkwụ, ọ dị mkpa angiography nke ala na nsọtụ. Olee otú a usoro? Nzọụkwụ mbụ bụ na-emeso akpụkpọ n'elu ule arịa na ihe antiseptik ngwọta. Mgbe nke ahụ gasịrị, ndị akwara ma ọ bụ akwara mgbapu. The arịa banyere introducer - a pụrụ iche ngwaọrụ site na nke ọbara adịghị ịsọ agbara direction. Ọzọkwa nchoputa n'ime akwara ma ọ bụ akwara catheter-etinye. Dị ka ya, na a arịa abatakwa iche n'ụlọnga. Mgbe nke ahụ gasịrị, ndị X-ray ma ọ bụ CT Doppler nke akwara saịtị (veins).

Ịgụ ihe angiography

The N'ihi nke X-ray angiography image ọkọnọ, nke na-egosi na agbanye doro iche. Ọgwụgwụ na-eme ka dọkịta na-awa ma ọ bụ dọkịta doo nchọpụta nsogbu. Dị ka X-ụzarị ike amata ọganihu akwara ma ọ bụ veins, ọnụnọ ọ bụ enweghị egbochi mkpụkọ nke ọbara, ogo ibelata nke lumen, na kpọmkwem orunótu nke mebiri emebi ebe. The nkịtị vaskụla ezigbo contours na yiri na ụkwụ abụọ.

Ekwe Omume nsogbu nke angiography

Dịka ọ dị na invasive usoro, ala N'ịdị vaskụla angiography ize ndụ nke na-emepe emepe nsogbu. Ha na-hụrụ na obere okwu (erughị 5%). Nsogbu ndị ahụ gụnyere:

1. Agba ọbara si mgbapu saịtị nke arịa.
2. Emerụ ọrịa.
3. Ọdịdị nke ọkọ na ichihịa.
4. Na obere okwu, nwere ike ịzụlite nnukwu obi ma ọ bụ akụrụ odida.

Dọkịta banyere usoro

N'ihi na-enyo enyo na nnukwu ọbara ọrịa na akwara ma ọ bụ veins nke ụkwụ, na enweghị contraindications egosi angiography nke ala na nsọtụ. Dọkịta banyere nke a nke oma usoro. Dọkịta na-ekwu na àgwà na irè nke angiography na nchoputa nke thrombosis na stenosis nke ọbara arịa nke ala na nsọtụ. The uru nke a usoro kwesịrị ịgụnye ọsọ nke ya, mmejuputa iwu (banyere minit 15) na a obere ihe ize ndụ nke nsogbu.