Magungunan jijiyoyin zuciya

Maganin jijiyoyin jijiyoyin jiki wata hanya ce da ke amfani da rini na musamman (kayan da ya bambanta su) da kuma x-ray don ganin yadda jini ke gudana ta jijiyoyin da ke zuciyar ku.

Magungunan jijiyoyin jini sau da yawa ana yin su tare da haɓakar zuciya. Wannan hanya ce wacce ke auna matsin lamba a ɗakunan zuciya.

Kafin gwajin ya fara, za a ba ka ɗan ƙaramin magani wanda zai taimake ka ka shakata.

Wani yanki na jikin ku (hannu ko kumburi) an tsabtace shi kuma an sanya shi da magani mai sanya numfashi na gida (anestical). Likitan zuciyar ya wuce da wani bututun bakin ciki, wanda ake kira catheter, ta cikin jijiyoyin kuma a hankali yana motsa shi har cikin zuciya. Hotunan X-ray suna taimakawa likitanci sanya catheter.

Da zarar catheter ya kasance a wurin, ana saka fenti (abu mai banbanci) a cikin catheter din. Ana daukar hotunan X-ray don ganin yadda rini ke motsawa ta jijiyar. Rini yana taimakawa wajen haskaka duk wani toshewar jini.

Hanyar galibi takan dauki minti 30 zuwa 60.

Bai kamata ku ci ko sha wani abu ba har tsawon awanni 8 kafin fara gwajin. Kila iya buƙatar kasancewa a cikin asibitin dare kafin gwajin. In ba haka ba, za ku iya shiga asibiti da safe gwajin.

Za ku sa rigar asibiti. Dole ne ku sanya hannu a takardar izinin kafin gwajin. Mai ba ku kiwon lafiya zai yi bayanin aikin da haɗarin sa.

Faɗa wa mai ba ka idan ka:

• Shin rashin lafiyan kowane magani ne ko kuma idan kun sami mummunan aiki don bambanta abubuwa a baya
• Ana shan Viagra
• Zai iya zama ciki

A mafi yawan lokuta, za ka kasance a farke yayin gwajin. Kuna iya jin ɗan matsi a wurin da aka sanya catheter.

Kuna iya jin zafin ruwa ko dumi bayan allurar da aka yi da fenti.

Bayan gwajin, an cire catheter. Kuna iya jin ana amfani da matsa lamba mai ƙarfi a wurin sakawa don hana zubar jini. Idan an sanya catheter a cikin daka, za'a umarce ka da ka kwanta a bayan ka na wasu hoursan awanni zuwa awowi da yawa bayan gwajin don kaucewar zubar jini. Wannan na iya haifar da rashin kwanciyar hankali.

Za a iya yin angiography na jijiyoyin zuciya idan:

• Kuna da angina a karon farko.
• Angin naku wanda yake zama mafi muni, baya tafiya, faruwa sau da yawa, ko faruwa a hutawa (wanda ake kira angina maras tabbas).
• Kuna da rashin ƙarfi aortic ko wata matsalar bawul.
• Kuna da ciwon kirji mara azanci, lokacin da sauran gwaje-gwaje suka kasance na al'ada.
• Kuna da gwajin damuwa na zuciya mara kyau.
• Za a yi maka tiyata a cikin zuciyarka kuma kana cikin haɗarin kamuwa da cututtukan jijiyoyin zuciya.
• Kuna da gazawar zuciya.
• An gano cewa kuna da ciwon zuciya.

Akwai wadataccen jini ga zuciya kuma babu toshewar abubuwa.

Wani sakamako mara kyau na iya nufin cewa ka sami toshewar jijiya. Gwajin na iya nuna yadda jijiyoyin jijiyoyi da yawa suke toshe, inda aka toshe su, da kuma tsananin toshewar hanyoyin.

Cardiac catheterization yana ɗauke da haɗarin haɗari kaɗan idan aka gwada shi da sauran gwajin zuciya. Koyaya, gwajin yana da aminci sosai lokacin da ƙungiyar ƙwararru ta yi shi.

Gabaɗaya, haɗarin mummunan rikitarwa ya fara ne daga 1 a cikin 1,000 zuwa 1 a cikin 500. Haɗarin aikin ya haɗa da masu zuwa:

• Diacarfafa zuciya
• Bugun zuciya mara tsari
• Rauni ga jijiyoyin zuciya
• Pressureananan hawan jini
• Maganin rashin lafia ga bambancin rini ko magani wanda aka gudanar yayin gwajin
• Buguwa
• Ciwon zuciya

Shawarwarin da ke da alaƙa da kowane irin ƙwayar cuta sun haɗa da masu zuwa:

• Gabaɗaya, akwai haɗarin zubar da jini, kamuwa da cuta, da ciwo a wurin IV ko catheter site.
• A koyaushe akwai ƙaramin haɗari cewa catheters na roba masu laushi na iya lalata jijiyoyin jini ko abubuwan kewaye.
• Magungunan jini zai iya samuwa a kan catheters kuma daga baya ya toshe magudanar jini a wani wuri a cikin jiki.
• Bambancin fenti na iya lalata kodan (musamman a cikin mutanen da ke fama da ciwon sukari ko kuma matsalolin koda).

Idan aka sami toshewa, mai ba da sabis naka na iya yin kutse kai tsaye (PCI) don buɗe toshewar. Ana iya yin wannan yayin aikin iri ɗaya, amma na iya jinkirta saboda dalilai daban-daban.

Tsarin zuciya na zuciya; Angiography - zuciya; Angiogram - jijiyoyin zuciya; Ciwan jijiyoyin zuciya - angiography; CAD - angiography; Angina - angiography; Ciwon zuciya - angiography

• Magungunan jijiyoyin zuciya

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS sun ƙaddamar da sabuntawa game da jagora don ganewar asali da kula da marasa lafiya tare da kwanciyar hankali na cututtukan zuciya: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka kan Sharuɗɗan Aiki, da Americanungiyar (asar Amirka game da Tiyata Thoracic, Nungiyar Magunguna na Nakasassu na Jiji, Angungiyar Kula da Magungunan Zuciya da Ayyuka, da ofungiyar Likitocin Thoracic J Am Coll Cardiol. 2014; 64 (18): 1929-1949. PMID: 25077860 pubmed.ncbi.nlm.nih.gov/25077860.

Kern MJ Kirtane, AJ. Hearfafawa da angiography. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 51.

Mehran R, Dangas GD. Hanyoyin jijiyoyin jini da hoton intravascular. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald ta Cutar Cutar: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 20.

Werns S. Ciwon cututtukan jijiyoyin zuciya da ƙananan ciwon zuciya. A cikin: Parrillo JE, Dellinger RP, eds. Magungunan Kulawa mai mahimmanci: Ka'idojin bincikowa da Gudanarwa a cikin Matasa. 5th ed. Philadelphia, PA: Elsevier; 2019: babi na 29.