Lub siab heev angiography

Kev npau taws heev angiography yog qhov siv los saib cov hlab ntsha hauv tes, caj npab, ko taw, lossis ceg. Nws tseem hu ua peripheral angiography.

Angiography siv duab xoo thiab xim zas xim tshwj xeeb kom pom hauv cov hlab ntsha. Arteries yog cov hlab ntshav uas nqa ntshav tawm ntawm lub plawv.

Qhov kev kuaj ntshav no yog ntsuas hauv tsev kho mob. Koj yuav tau pw ntawm ib lub rooj ua pais. Koj tuaj yeem thov tshuaj qee kom ua rau koj tsaug zog thiab so (sedative).

• Tus kws saib xyuas kev noj qab haus huv yuav chais thiab ntxuav thaj chaw, feem ntau nyob hauv puab tais.
• Tshuaj loog (pleev tshuaj loog) txhaj rau hauv daim tawv nqaij hla txoj hlab ntshav.
• Ib rab koob tau tso rau hauv cov ntshav ntawd.
• Lub raj yas me me hu ua catheter kis tau los ntawm rab koob mus rau ntawm cov leeg. Tus kws kho mob txav nws mus rau thaj tsam ntawm lub cev tau kawm. Tus kws kho mob tuaj yeem pom cov duab nyob ntawm thaj chaw hauv TV saib zoo li TV, thiab siv lawv los ua tus qauv coj.
• Dye ntws los ntawm txoj raj thiab mus rau ntawm cov hlab ntshav.
• Cov duab xoo hluav taws xob yog xaj ntawm cov hlab ntsha.

Qee txoj kev kho mob tuaj yeem ua nyob rau hauv cov txheej txheem no. Cov kev kho no suav nrog:

• Dissolving ntshav txhaws nrog tshuaj
• Qhib cov leeg txhaws nrog cov zais ntshav
• Tso lub raj me me hu ua stent rau hauv cov leeg kom pab tuav nws qhib

Cov kws saib xyuas kev noj qab haus huv yuav kuaj xyuas koj cov mem tes (lub plawv dhia), ntshav siab, thiab ua pa thaum tus txheej txheem.

Tus catheter raug tshem tawm thaum ntsuas tas. Siab tso rau thaj tsam li 10 mus rau 15 feeb kom cheem tsis txhob los ntshav. Cov ntaub qhwv cev yog tom qab ntawd muab tso rau ntawm lub qhov txhab.

Caj npab lossis txhais ceg qhov chaw rab koob tau tso yuav tsum cia ncaj rau 6 teev tom qab kev ua tiav. Koj yuav tsum zam qhov kev qoj ib ce, xws li nqa hnyav, li 24 txog 48 teev.

Koj yuav tsum tsis txhob noj lossis haus dab tsi rau 6 rau 8 teev ua ntej ntsuas.

Yuav kom koj tsis txhob noj qee yam tshuaj, xws li tshuaj aspirin los yog lwm cov ntshav ntshav ib ntus ua ntej kev sim. Tsis txhob tsum tsis noj ib qho tshuaj twg tsuas yog koj tus kws kho mob hais kom ua.

Nco ntsoov tias koj tus kws kho mob paub txog txhua yam tshuaj koj noj, nrog rau cov koj yuav yam uas tsis tas yuav tshuaj. Qhov no suav nrog tshuaj ntsuab thiab tshuaj ntxiv.

Qhia koj tus kws kho mob yog tias koj:

• Xeeb tub
• Nws phiv rau ib yam tshuaj
• Koj puas tau muaj qhov tsis haum qhov xoo hluav taws xob zoo tsis zoo xws li cov khoom xoo hluav taws xob, qwj ntses, lossis iodine tshuaj
• Koj puas tau muaj teeb meem los ntshav

Lub rooj xoo hluav taws xob tsis zoo thiab txias. Koj tuaj yeem xav thov kom tau pam vov lossis tog hauv ncoo. Koj tuaj yeem hnov ​​qee qhov plev thaum txhaj tshuaj loog dhau. Koj yuav hnov ​​zoo ib qho siab vim tias lub raj xa dej tawm mus.

Cov xim tuaj yeem ua rau qhov zoo nkaus li ua kom sov thiab ua kom yaug. Qhov no yog qhov qub thiab feem ntau ploj mus nyob hauv ob peb feeb.

Tej zaum koj yuav muaj kev sib tw thiab ua pob rau ntawm thaj chaw catheter ntxig tom qab kuaj. Nrhiav kev pab kho mob sai sai yog tias koj muaj:

• O o
• Los ntshav uas tsis ploj mus
• Mob mob ntawm caj npab lossis txhais ceg

Koj tuaj yeem xav tau qhov kev ntsuas no yog tias koj muaj cov tsos mob nqaim lossis thaiv cov hlab ntsha hauv caj npab, txhais tes, ceg, lossis ko taw.

Txoj kev kuaj mob kuj tseem yuav ua rau kev kuaj mob:

• Ntshav
• O o lossis mob rau hauv cov hlab ntshav (vasculitis)

Qhov xoo hluav taws xob qhia cov qauv zoo li qub rau koj lub hnub nyoog.

Qhov tshwm sim txawv txav yog feem ntau vim qhov nqaim thiab lub cev ntawm cov hlab ntsha hauv caj npab lossis ceg los ntawm cov quav hniav buildup (tawv ntawm cov hlab ntsha) hauv cov hlab ntsha.

Qhov xoo hluav taws xob tej zaum yuav pom kev thaiv cov hlab ntsha los ntawm:

• Aneurysms (txawv txav lossis zais pob ntawm feem ntawm cov leeg)
• Cov ntshav txhaws
• Lwm yam kab mob ntawm cov hlab ntsha

Cov txiaj ntsig tsis meej kuj tseem yog vim:

• Kev o ntawm cov hlab ntshav
• Kev raug mob rau cov hlab ntshav
• Thromboangiitis obliterans (Tus kab mob Buerger)
• Takayasu kab mob

Teeb meem yuav suav nrog:

• Kev tsis haum cov tshuaj pleev rau cov xim sib txawv
• Kev puas tsuaj rau cov hlab ntshav raws li cov koob thiab lub raj yas tau ntxig
• Los ntshav ntau dhau los los ntshav txhaws qhov uas tus tso qhov ntswg tso rau, uas tuaj yeem txo cov ntshav mus rau ceg
• Lub plawv nres lossis hlab ntsha tawg
• Hematoma, ib phau cov ntshav ntawm lub xaib ntawm cov koob txhaj tshuaj
• Kev raug mob rau cov hlab ntshav ntawm qhov chaw hno koob hno
• Raum puas tsuaj los ntawm cov zas
• Kev raug mob rau cov hlab ntshav tau raug kuaj
• Caj npab tsis muaj teeb meem nrog cov txheej txheem

Muaj feem tsawg-tawg raug hluav taws xob. Txawm li cas los xij, feem ntau cov kws tshaj lij xav tias qhov kev pheej hmoo rau cov xoo hluav taws xob tsawg dua piv nrog txiaj ntsig. Cov poj niam cev xeeb tub thiab menyuam yaus yuav nkag siab ntau dua rau cov kev pheej hmoo ntawm kev xoo hluav taws xob.

Angiography ntawm qhov kawg; Cov Ntawv Phaj Xwm Peripheral; Sab qis dua angiogram; Sab Nruab Nrab angiogram; Arteriography ntawm qhov kawg; PAD - angiography; Mob peripheral leeg - angiography

American Heart Association lub vev xaib. Sab saum toj angiogram. www.heart.org/en/health-topics/peripheral-loog-pob-asease/symos-and-diagnosis-of-pad/peripheral-angiogram#.WFkD__l97IV. Hloov kho thaum Lub Kaum Hlis 2016. Mus siv Lub Ib Hlis 18, 2019.

Desai SS, Hodgson KJ. Cov txheej txheem kuaj mob endovascular. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 60.

Harisinghani MG, Chen JW, Weissleder R. Vascular cov duab. Hauv: Harisinghani MG, Chen JW, Weissleder R, eds. Primer ntawm Diagnostic ImagingCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 8.

Jackson JE, Meaney JFM. Angiography: cov qauv, cov txuj ci thiab cov nyom. Hauv: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology: Phau Ntawv Qhia Txog Kev Kho MobCov. 6 tus ed. Philadelphia, PA: Elsevier Churchill Livingstone; Xyoo 2015: chap 84.