Coronary angiography

Coronary angiography yog txheej txheem uas siv cov xim tshwj xeeb (cov khoom sib piv) thiab duab xoo hluav taws xob kom pom cov ntshav ntws los ntawm cov hlab ntsha hauv koj lub plawv.

Coronary angiography feem ntau ua nrog mob catheterization. Qhov no yog qhov txheej txheem uas ntsuas kev ntsuas hauv lub siab plawv.

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 (sab caj npab lossis puab tais) yog ntxuav thiab loog nrog lub zos loog tshuaj (tshuaj loog). Tus kws kho plawv hla ib txoj hlab ntsws me, hu ua catheter, dhau ntawm cov leeg ntshav thiab ua tib zoo txav nws mus rau hauv lub siab. Cov duab xoo hluav taws xob pab rau tus kws kho mob tso txoj raj.

Thaum cov catheter tso rau hauv qhov chaw, zas xim (cov khoom sib piv) tau txhaj rau hauv lub raj yas. Cov duab xoo hluav taws xob tau siv los saib seb cov xim txav txav los ntawm leeg. Cov xim tuaj yeem pab ua kom muaj kev cuam tshuam twg hauv cov ntshav khiav.

Cov txheej txheem feem ntau kav 30 mus rau 60 feeb.

Koj yuav tsum tsis txhob noj lossis haus dab tsi rau 8 teev ua ntej qhov kev xeem pib. Koj yuav tsum tau nyob hauv tsev kho mob hmo ua ntej kev ntsuam xyuas. Txwv tsis pub, koj yuav mus rau hauv tsev kho mob thaum sawv ntxov ntawm kev kuaj mob.

Koj yuav hnav ib lub tsho tshaj sab hauv tsev kho mob. Koj yuav tsum kos npe rau daim ntawv tso cai ua ntej kev xeem. Koj tus kws kho mob yuav piav qhia tus txheej txheem thiab nws cov kev pheej hmoo.

Qhia koj tus kws kho mob yog tias koj:

• Nws phiv rau ib yam tshuaj los yog koj muaj qhov tsis zoo rau yav dhau los cov khoom siv sib piv
• Yog noj Viagra
• Tej zaum yuav xeeb tub

Feem ntau, koj yuav tsaug zog thaum qhov kev kuaj ntawd. Koj tuaj yeem hnov ​​qee qhov siab ntawm thaj chaw uas coj cov catheter tso.

Koj tuaj yeem hnov ​​tus neeg tso dej lossis tawm sov tom qab pleev xim tau txhaj.

Tom qab ntsuas, catheter tawm. Koj yuav hnov ​​muaj lub zog khov kho thov ntawm qhov chaw ntxig thaiv kom tsis txhob los ntshav. Yog tias tus kws ntsuas tso rau hauv koj lub puab tais, koj yuav tau hais kom pw ntawm koj sab nraub qaum rau ob peb teev mus rau ntau teev tom qab kev ntsuam xyuas kom tsis txhob los ntshav. Qhov no yuav ua rau qee qhov tsis xis nyob me ntsis.

Yuav muaj kev cuam tshuam txog cov ntshav cov hlab hlwb yog hais tias:

• Koj muaj angina rau thawj zaug.
• Koj lub paj hlwb uas haj yam mob zuj zus, tsis ploj mus, tshwm sim ntau zaus, los yog tshwm sim thaum so (hu ua tsis tsaug zog).
• Koj muaj mob aortic stenosis lossis lwm qhov teeb meem valve.
• Koj muaj mob hauv siab atypical, thaum lwm yam kev ntsuam xyuas yog ib txwm.
• Koj tau ntsuam xyuas qhov txawv txav plawv tsis meej pem.
• Koj yuav mus phais koj lub siab thiab koj muaj feem yuav muaj mob rau txoj kev mob plawv.
• Koj muaj lub plawv tsis ua haujlwm.
• Koj tau hais tias koj muaj mob plawv.

Muaj kev muab ntshav ib txwm rau lub plawv thiab tsis muaj blockages.

Qhov tshwm sim txawv txav yuav txhais tau tias koj muaj lub pob txhaws uas thaiv. Qhov ntsuas tuaj yeem ua kom pom ntau npaum li cas cov hlab ntsha cov ntshav txhaws, qhov twg lawv txhaws, thiab qhov mob ntawm qhov blockages.

Txoj kev ntsuas plawv (catheterization) yog ib qho kev pheej hmoo me me ntxiv thaum piv nrog rau lwm cov kev sim plawv. Txawm li cas los xij, kev ntsuam xyuas muaj kev nyab xeeb heev thaum ua los ntawm pawg neeg paub.

Feem ntau, qhov txaus ntshai rau cov kev mob nyhav tshwm sim los ntawm 1 hauv 1,000 txog 1 hauv 500. Kev phom sij ntawm cov txheej txheem suav nrog cov hauv qab no:

• Mob Lub Hlwb
• Lub plawv dhia tsis xwm yeem
• Kev raug mob rau lub plawv leeg
• Cov ntshav siab qis
• Ua xua rau kev sib txawv ntawm cov zas xim lossis ib yam tshuaj noj thaum kuaj
• Mob stroke
• Plawv nres

Cov kev txiav txim siab cuam tshuam nrog ib yam ntawm cov catheterization muaj xws li cov hauv qab no:

• Feem ntau, muaj kev pheej hmoo los ntshav, kis tus mob, thiab mob ntawm IV lossis catheter chaw.
• Yeej ib txwm muaj kev pheej hmoo me me tias cov yas muag muag yuav ua rau cov hlab ntshav lossis cov chaw nyob ib puag ncig.
• Cov ntshav txhaws tuaj yeem tsim rau ntawm tus kws kho lub pob thiab tom qab ntawd thaiv cov hlab ntshav lwm qhov ntawm lub cev.
• Qhov xim tsis zoo yuav ua rau lub raum (tshwj xeeb yog cov neeg muaj ntshav qab zib lossis mob raum ua ntej).

Yog tias pom muaj blockage, koj tus kws kho mob yuav ua lub ntsej muag tiv thaiv txoj hlab ntshav (PCI) los qhib qhov txhaws. Qhov no tuaj yeem ua rau hauv tib qho txheej txheem, tab sis tej zaum yuav raug ncua vim muaj ntau yam.

Mob taub hau; Angiography - lub siab; Angiogram - mob hlab plawv; Kab mob rau cov hlab ntshav - mob hlwb; CAD - angiography; Angina - angiography; Kab mob hauv lub plawv - angiography

• Coronary angiography

Fihn SD, Blankenship JC, Alexander KP, li al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS tau hloov kho cov lus qhia rau kev kuaj mob thiab kev tswj hwm cov neeg mob uas muaj lub plawv mob ischemic ruaj khov: ib tsab ntawv tshaj tawm ntawm Asmeskas College ntawm Cardiology / American Heart Association Task Force ntawm Kev Coj Qhia, thiab Cov Koom Haum Asmeskas rau Thoracic Kev Kho Mob, Kev Tiv Thaiv Kab Mob Hauv Lub Hlwb, Cov Koom Haum Rau Kev Mob Hlwb Plawv thiab Cov Kev Tiv Thaiv, thiab Lub Koom Haum ntawm Thoracic Cov Neeg phais. J Am Coll Cardiol. Xyoo 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. Catheterization thiab angiography. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 51.

Mehran R, Dangas GD. Cov hlab ntsha txoj hlab ntshav thiab lub ntsej muag txhaj tshuaj. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 20.

Werns S. Mob mob ntshav siab syndromes thiab mob myocardial infarction. Hauv: Parrillo JE, Dellinger RP, eds. Cov Tshuaj Kho Mob Nkeeg: Cov hauv paus ntsiab lus ntawm kev kuaj mob thiab Kev Tswj Xyuas hauv Cov Neeg Loj. Thib 5 ed. Philadelphia, PA: Elsevier; 2019: chap 29.