Cerebral angiography

Cerebral angiography hanya ce da ke amfani da rini na musamman (kayan abu mai ban mamaki) da x-ray don ganin yadda jini ke gudana ta cikin kwakwalwa.

Cerebral angiography ana aikatawa a cikin asibiti ko radiology cibiyar.

• Kuna kwance akan teburin x-ray.
• Ana riƙe kai har yanzu ta amfani da madauri, tef, ko jakunkuna, don haka KADA KA motsa shi yayin aikin.
• Kafin gwajin ya fara, ana ba ku ɗan ƙaramin magani wanda zai taimake ku shakatawa.
• Kayan lantarki (ECG) yana lura da aikin zuciyar ka yayin gwajin. Za a ɗora facin faci, da ake kira jagorori, a hannuwanku da ƙafafunku. Wayoyi sun haɗa hanyoyin zuwa na'urar ECG.

Wani yanki na jikin ku, yawanci gwaiwa, ana tsabtace shi kuma a sanya shi tare da maganin nakuda na cikin gida (anestical). An sanya wani sirara, rami mara amfani da ake kira catheter ta cikin jijiya. Ana motsa catheter a hankali ta cikin manyan jijiyoyin jini a yankin ciki da kirji zuwa cikin jijiyar wuya. X-ray yana taimaka wa likita ya jagorantar catheter zuwa madaidaicin matsayi.

Da zarar catheter ya kasance, ana aika fenti ta hanyar catheter. Ana daukar hotunan X-ray don ganin yadda rini take motsawa ta jijiyoyin jini da jijiyoyin kwakwalwa. Rini yana taimakawa wajen haskaka duk wani toshewar jini.

Wani lokaci, kwamfuta na cire kasusuwa da kyallen takarda a kan hotunan da ake kallo, don haka sai jijiyoyin jini da ke cike da fenti kawai ake gani. Wannan ana kiransa ragin angizon hoto na dijital (DSA).

Bayan an dauki x-ray din, an janye catheter din. Ana amfani da matsi a kafa a wurin sakawa tsawon minti 10 zuwa 15 don tsayar da zubar jini ko kuma anyi amfani da wata na'ura don rufe karamar rami. Daga nan sai a sanya wani zaren bandeji. Yakamata a sanya ƙafarka madaidaiciya na awanni 2 zuwa 6 bayan aikin. Dubi yankin don zubar da jini aƙalla awanni 12 masu zuwa. A wasu lokuta ba safai ba, ana amfani da jijiyar wuyan hannu maimakon jijiya.

Angiography tare da catheter ana amfani dashi sau da yawa yanzu. Wannan saboda MRA (yanayin haɓakar maganadisu) da CT angiography suna ba da hotuna bayyanannu.

Kafin aikin, mai ba da sabis ɗinku zai bincika ku kuma yayi odar gwajin jini.

Faɗa wa mai ba da sabis idan ka:

• Kasance da tarihin matsalolin zub da jini ko shan magunguna waɗanda ke rage jini
• Shin rashin lafiyan abu ya shafi fenti mai bambancin x-ray ko wani sinadarin aidin
• Iya zama ciki
• Yi matsalolin aiki na koda

Ana iya gaya maka kada ka ci ko sha wani abu na tsawon awanni 4 zuwa 8 kafin gwajin.

Lokacin da kuka isa wurin gwajin, za a ba ku rigar asibiti da za ku sa. Dole ne ku cire duk kayan ado.

Tebur na x-ray na iya jin zafi da sanyi. Kuna iya neman bargo ko matashin kai.

Wasu mutane suna jin yunwa lokacin da aka ba da magungunan numfashi (anestical). Za ku ji taƙaitaccen, zafi mai zafi da matsin lamba yayin da catheter ke motsa cikin jiki. Da zarar an gama sanya wurin farko, ba za ku ƙara jin catheter ba.

Bambancin na iya haifar da dumi ko ƙonewa na fatar fuska ko kai. Wannan al'ada ne kuma yawanci yana wucewa cikin secondsan daƙiƙu kaɗan.

Kuna iya samun ɗan taushi da rauni a wurin allurar bayan gwajin.

An fi amfani da angiography ta kwakwalwa don gano ko tabbatar da matsaloli tare da jijiyoyin jini a cikin kwakwalwa.

Mai ba ku sabis na iya yin odan wannan gwajin idan kuna da alamomi ko alamun:

• Vesselsananan jijiyoyin jini a cikin kwakwalwa (lalacewar jijiyoyin jini)
• Bulging jijiyoyin jini a cikin kwakwalwa (aneurysm)
• Kunkuntar jijiyoyin cikin kwakwalwa
• Kumburin jijiyoyin jini a kwakwalwa (vasculitis)

Wani lokaci ana amfani dashi don:

• Dubi gudan jini zuwa ƙari.
• Kimanta jijiyoyin kai da wuya kafin ayi tiyata.
• Nemo gudan jini wanda wataƙila ya haifar da bugun jini.

A wasu lokuta, ana iya amfani da wannan hanyar don samun cikakken bayani bayan an gano wani abu mara kyau ta MRI ko CT scan na kai.

Hakanan ana iya yin wannan gwajin a cikin shiri don magani na likita (hanyoyin maganin rediyo mai shiga tsakani) ta wasu jijiyoyin jini.

Rin shafawa mai banbanci wanda ke fitowa daga jijiyoyin jini na iya zama alamar jini.

Karkataccen ko toshe jijiyoyin na iya bayar da shawarar:

• Adadin cholesterol
• Sashin ƙwayar jijiyoyin kwakwalwa
• Rashin lafiya na gado
• Jinin jini yana haifar da bugun jini

Daga cikin wuraren jijiyoyin jini na iya zama saboda:

• Ciwon kwakwalwa
• Zuban jini a cikin kwanyar
• Rashin abinci
• Haɗin mahaɗa tsakanin jijiyoyi da jijiyoyin cikin kwakwalwa (mummunar cuta)

Sakamakon da ba na al'ada ba na iya zama sanadin cutar kansa wanda ya fara a wani sashin jiki kuma ya bazu zuwa kwakwalwa (ƙwayar ƙwayar ƙwayar ƙwayar cuta).

Matsaloli na iya haɗawa da:

• Maganin rashin lafia ga bambancin rini
• Jinin jini ko zub da jini a inda aka saka catheter, wanda zai iya toshe jini zuwa kafa ko hannu (ba safai ba)
• Lalacewa ga jijiya ko bangon jijiya daga catheter, wanda zai iya toshe magudanar jini da haifar da bugun jini (ba safai ba)
• Lalacewa ga kodan daga bambancin IV

Faɗa wa mai ba da sabis kai tsaye idan kana da:

• Rauni a cikin tsokoki na fuskarka
• Nunawa a cikin ƙafarka yayin ko bayan aikin
• Yankakken magana yayin ko bayan aikin
• Matsalar hangen nesa yayin aiki ko bayan aiwatarwa

Magungunan maganin ƙwaƙwalwa; Angiography - kai; Carotid angiogram; Cervicocerebral catheter-tushen angiography; Hanyoyin zane-zane na intra-arterial dijital; IADSA

• Brain
• Carotid stenosis - X-ray na jijiyoyin hagu
• Carotid stenosis - X-ray na jijiyar dama

Adamczyk P, Liebeskind DS. Hannun jijiyoyin jijiyoyin jiki: ƙididdigar haɓakaccen yanayi, haɓakar maganadisu, da duban dan tayi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 40.

Barras CD, Bhattacharya JJ. Halin halin yanzu na hotunan kwakwalwa da sifofin jikin mutum. A cikin: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Tsarin Rigakafin Hikimar Grainger & Allison. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 53.

Chernecky CC, Berger BJ. Cerebral angiography (kwakwalwa angiogram) - bincike. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 309-310.