Angiography na zuciya ta hagu
Angiography na zuciya na hagu hanya ce don duban ɗakunan zuciya na hagu da aikin bawul na gefen hagu. Wani lokacin ana haɗa shi tare da angiography na jijiyoyin jini.
Kafin gwajin, za a ba ku magani don taimaka muku shakatawa. Za ku kasance a farke kuma za ku iya bin umarni yayin gwajin.
An sanya layi a cikin hanunka. Mai ba da kiwon lafiya ya tsarkake ya shayar da wani yanki a hannu ko makwancin ku. Wani likitan zuciyar yayi karamar yanka a wurin, sai ya sanya wani siramin sifa mai sassauƙa (catheter) a cikin jijiya. Amfani da x-rays a matsayin jagora, likita a hankali yana matsar da bakin bututun (catheter) a cikin zuciyar ka.
Lokacin da bututun ke wuri, ana yin fenti a ciki ta cikinsa. Rini yana gudana ta hanyoyin jini, yana sauƙaƙa musu gani. Ana daukar rayukan X yayin da fenti ke motsawa ta hanyoyin jini. Waɗannan hotunan na x-ray suna ƙirƙirar "fim" na haɗin hagu yayin da yake kwangila mai daɗi.
Hanyar na iya wucewa daga ɗaya zuwa sa'o'i da yawa.
Za a gaya maka kada ka ci ko sha na awanni 6 zuwa 8 kafin gwajin. Ana yin aikin a cikin asibiti. Wasu mutane na iya buƙatar zama a asibiti daren da za a yi gwajin.
Mai ba da sabis zai yi bayanin aikin da haɗarinsa. Dole ne ku sanya hannu a takardar izini don aikin.
Za ku ji duri da ƙonawa idan aka yi muku allurar rigakafi. Kuna iya jin matsi lokacin da aka saka catheter. Lokaci-lokaci, jin zafi ko jin cewa kana buƙatar fitsari na faruwa lokacin da aka yi allurar fenti.
Angiography na hagu na zuciya ana yin shi don kimanta gudan jini ta gefen hagu na zuciya.
Sakamakon yau da kullun yana nuna gudanawar jini ta al'ada ta gefen hagu na zuciya. Yawan jini da matsin lamba suma al'ada ne.
Sakamakon sakamako mara kyau na iya zama saboda:
- Wani rami a cikin zuciya (nakasar ɓoye)
- Abubuwa marasa kyau na hagu bawul na zuciya
- Wani sabon yanayi na bangon zuciya
- Yankunan zuciya ba sa kwangila kamar yadda ya kamata
- Matsalar gudanawar jini a gefen hagu na zuciya
- Toshewar zuciya
- Aikin yin famfo ya raunana na hagu
Ana iya buƙatar angiography na jijiyoyin jini lokacin da ake tsammanin toshewar jijiyoyin jijiyoyin jini.
Hadarin da ke tattare da wannan aikin sun hada da:
- Bugun zuciya mara kyau (arrhythmias)
- Maganin rashin lafia ga fenti ko sedating magunguna
- Jijiya ko lalacewar jijiyoyin jini
- Diacarfafa zuciya
- Embolism daga yatsin jini a ƙarshen catheter
- Ajiyar zuciya saboda ƙarar fenti
- Kamuwa da cuta
- Rashin koda daga fenti
- Pressureananan hawan jini
- Ciwon zuciya
- Zubar da jini
- Buguwa
Za'a iya haɗuwa da ƙwayar zuciya ta dama tare da wannan aikin.
Angiography na zuciya na hagu yana da haɗari saboda hanya ce ta mamayewa. Sauran fasahohin ɗaukar hoto na iya ɗaukar ƙananan haɗari, kamar:
- Binciken CT
- Echocardiography
- Hanyoyin fuska ta maganadisu (MRI) na zuciya
- Radionuclide ventriculography
Mai ba ku sabis na iya yanke shawarar aiwatar da ɗayan waɗannan hanyoyin a maimakon angiography na zuciyar hagu.
Angiography - zuciyar hagu; Hagu mai kwakwalwa
Hermann J. Cardiac catheterization. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 19.
Patel MR, Bailey SR, Bonow RO, et al. ACCF / SCAI / AATS / AHA / ASE / ASNC / HFSA / HRS / SCCM / SCCT / SCMR / STS 2012 ka'idodin amfani da ƙwarewa don bincikar ƙwayar cuta: rahoto na Kwalejin Kwalejin Kwalejin Kwalejin Kwalejin Kiwon Lafiyar Jama'a Amfani da Ca'idojin Amfani da ritungiyar Amfani da Lafiya, Angungiyar don Angiography da Tsoma baki, Americanungiyar Amurka don Tiyata Tiyata, Heartungiyar Zuciya ta Amurka, Americanungiyar Echocardiography ta Amurka, Americanungiyar Amintacciyar Cardwararriyar clearasa ta Amurka, Americanungiyar Rashin Ciwon Zuciya ta Amurka, Rungiyar Rhythm Society, Society of Critical Care Medicine, ofungiyar Kula da ritwararriyar Societywararriyar ,wararru, ,ungiyar don Magnetic Zuciya Resonance, da kuma ofungiyar Likitocin Thoracic. J Am Coll Cardiol. 2012; 59 (22): 1995-2027. PMID: 22578925 www.ncbi.nlm.nih.gov/pubmed/22578925.
Webb GD, Smallhorn JF, Therrien J, Redington AN. Cutar cututtukan ciki a cikin baligi da haƙuri na yara. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, et al. eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 75.