Lub paj hlwb angiography

Mob ntsws ntsws Ntshav yog ib txoj kev ntsuas kom pom ntshav ntws mus rau hauv lub ntsws.

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

Qhov kev kuaj mob no tau ua nyob hauv tsev kho mob. Yuav kom koj mus pw rau ntawm kab xoo hluav taws xob.

• Ua ntej qhov kev kuaj pib, koj yuav tau muab cov tshuaj loog me me los pab koj so kom txaus.
• Ib thaj chaw ntawm koj lub cev, feem ntau ua rau sab caj npab lossis puab tais, yog ntxuav thiab loog nrog lub zos loog tshuaj (tshuaj loog).
• Tus kws phais hluav taws xob ntxig ib rab koob lossis txiav me me ua leeg ntshav ntawm thaj chaw uas tau ntxuav huv lawm. Lub raj khoob hollow hu ua catheter yog ntxig.
• Txoj raj yas muab tso rau ntawm txoj hlab ntshav thiab ua tib zoo txav mus rau hauv thiab los ntawm txoj cai lub plawv txoj leeg thiab mus rau hauv cov hlab ntsws, uas ua rau lub ntsws. Tus kws kho mob tuaj yeem pom cov duab xoo nyob ntawm thaj chaw hauv TV saib zoo li TV, thiab siv lawv los ua qhov taw qhia.
• Thaum cov catheter tso rau hauv qhov chaw, zas xim yuav txhaj rau hauv lub raj yas. Cov duab xoo hluav taws xob tau xyuas kom pom kev zas xim hloov mus rau hauv lub ntsws cov hlab ntsha. Zas xim pab kom kuaj xyuas tej blockages kom ntshav txaus.

Koj li ntshav siab, ntshav siab, thiab ua pa tau kuaj nyob rau hauv cov txheej txheem. Cov tshuaj Electrocardiogram (ECG) ua rau coj mus rau koj txhais tes thiab txhais ceg kom saib xyuas koj lub plawv.

Tom qab xoo hluav taws xob tas, rab koob thiab catheter raug tshem tawm.

Siab nias rau qhov chaw puncture li 20 rau 45 feeb kom cheem los ntshav. Tom qab lub sijhawm ntawd thaj chaw tau tshawb xyuas thiab ib daim ntaub qhwv nruj. Koj yuav tsum khaws koj txhais ceg ncaj rau 6 teev tom qab tus txheej txheem.

Tsis tshua muaj, tshuaj tau muab xa mus rau lub ntsws yog tias pom muaj ntshav txhaws thaum cov txheej txheem.

Lawv yuav hais kom koj tsis txhob noj lossis haus dab tsi rau 6 rau 8 teev ua ntej qhov kev kuaj ntawd.

Lawv yuav kom koj hnav lub tsho tshaj sab hauv tsev kho mob thiab kos npe rau ib daim ntawv tso cai rau txoj kev. Tshem cov hniav nyiaj hniav kub tawm ntawm qhov chaw tab tom ua.

Qhia koj tus kws kho mob:

• Yog koj xeeb tub
• Yog hais tias koj tau muaj kev fab tshuaj tsis haum dhau los ntawm kev siv duab xoo hluav taws xob, qwj ntses, lossis iodine tshuaj
• Yog koj fab rau tej yam tshuaj
• Yam tshuaj twg koj noj (suav nrog tshuaj ntsuab)
• Yog koj tau muaj teeb meem los ntshav ib zaug

Lub rooj xoo hluav taws xob tej zaum yuav txias. Hais txog daim pam los yog tog hauv ncoo yog tias koj tsis xis nyob Koj yuav hnov ​​zoo li qog thaum muab cov tshuaj loog thiab muab luv, ntse, lo ib yam li ntxig txoj raj.

Tej zaum koj yuav hnov ​​ib co kua siab thaum lub raj xa dej tawm mus rau hauv lub ntsws. Qhov zas xim tsis zoo yuav ua rau zoo nkaus li muaj qhov sov sov thiab ua rau yaug. Qhov no ib txwm ua thiab feem ntau yuav ploj mus li ntawm ob peb feeb.

Tej zaum koj yuav muaj qee qhov khaus thiab tawv nqaij ntawm qhov chaw ntawm kev txhaj tshuaj tom qab kuaj.

Kev ntsuam xyuas yog siv txhawm rau kuaj ntshav txhaws (pulmonary embolism) thiab lwm yam kev txhaws ntawm cov ntshav ntws hauv lub ntsws. Feem ntau, koj tus kws kho mob yuav sim sim lwm qhov kev kuaj mob txhawm rau paub kev mob ntshav hauv lub ntsws.

Kev siv tshuaj pulmonary angiography kuj tseem siv los pab ntsuas:

• AV malformations ntawm lub ntsws
• Congenital (tam sim no txij thaum yug los) txoj kev nqaim ntawm cov hlab ntsha
• Mob ntsws txoj hlab ntshav hlab ntsws
• Mob ntsws pulmonary tawg, ntshav siab nyob rau hauv cov hlab ntsha ntawm lub ntsws

Qhov xoo hluav taws xob yuav qhia cov qauv zoo li qub rau lub hnub nyoog ntawm tus neeg.

Qhov ntsuas tsis zoo yuav yog vim:

• Aneurysms ntawm cov hlab ntsha cov hlab ntsha
• Cov ntshav txhaws hauv lub ntsws (pulmonary embolism)
• Cov hlab ntshav nqaim
• Thawj lub plawv ntsws
• Cov hlav nyob rau hauv lub ntsws

Ib tus neeg yuav pib ua lub plawv dhia tsis zoo thaum lub sijhawm kuaj no. Cov kws saib xyuas kev noj qab haus huv yuav saib xyuas koj lub siab thiab tuaj yeem kho cov suab lus tsis meej uas tau tsim muaj.

Lwm cov kev pheej hmoo muaj xws li:

• 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
• Cov ntshav txhaws taug kev mus rau lub ntsws, ua rau mob ntshav khov
• 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 (sau ntawm cov ntshav nyob ntawm thaj chaw ntawm lub koob txhaj tshuaj)
• Kev raug mob rau cov hlab ntshav ntawm qhov chaw puncture
• Raum puas tsuaj los ntawm cov zas
• Kev raug mob rau cov hlab ntshav hauv lub ntsws
• Los ntshav mus rau hauv lub ntsws
• Kev hnoos ntshav
• Kev ua pa tsis ua haujlwm
• Kev Tuag

Muaj hluav taws xob hluav taws xob tsawg tsawg. Koj tus kws kho mob yuav soj ntsuam thiab saib xyuas cov duab xoo hluav taws xob kom tsawg los ntawm kev raug hluav taws xob ntau. Feem ntau ntawm cov kws tshaj lij xav tias qhov kev pheej hmoo tsawg dua piv nrog cov txiaj ntsig. Cov poj niam cev xeeb tub thiab menyuam yaus yuav nkag siab ntau dua rau cov kev pheej hmoo rau xoo hluav taws xob.

Kev suav tomography (CT) cov duab ntawm lub hauv siab feem ntau hloov qhov kev ntsuas no.

Pulmonary arteriography; Pulmonary angiogram; Angiogram ntawm lub ntsws

• Mob ntsws ntsig

Chernecky CC, Berger BJ. P. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 842-951.

Hartmann IJC, Schaefer-Prokop CM. Kev mob ntsws ntsig thiab mob ntsws ntsig. 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 23.

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.

Nazeef M, Sheehan JP. Venous thromboembolism. Hauv: Kellerman RD, Rakel DP, eds. Conn's Suab Nkauj Kho Siab Tawm Tshiab 2019Cov. Philadelphia, PA: Elsevier; 2019: 858-868.