Diacarfin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa

Intravascular duban dan tayi (IVUS) gwajin gwaji ne. Wannan gwajin yana amfani da raƙuman sauti don ganin cikin jijiyoyin jini. Yana da amfani don kimanta jijiyoyin jijiyoyin da ke samar da zuciya.

An haɗa ƙaramin sandar ƙaramar duban dan tayi zuwa saman wani siraran bakin ciki. Wannan bututu ana kiransa catheter. An saka catheter a cikin jijiya a cikin yankin ku kuma an motsa zuwa zuciya. Ya bambanta da duban dan tayi na al'ada. Ana yin duplex duban dan tayi daga wajen jikinka ta hanyar sanya transducer akan fatar.

Kwamfuta na auna yadda raƙuman sauti suke nuna tasirin jijiyoyin jini, kuma suna canza raƙuman sauti zuwa hotuna. IVUS yana bawa mai ba da kiwon lafiya duban jijiyoyin jijiyoyinka daga ciki.

Ana yin IVUS kusan koyaushe yayin aiwatarwa. Dalilan da yasa za'a iya yin sa sun hada da:

• Samun bayani game da zuciya ko magudanar jini ko gano ko kana bukatar tiyatar zuciya
• Yin maganin wasu nau'ikan yanayin zuciya

Angiography yana ba da cikakken kallo game da jijiyoyin jijiyoyin jini. Koyaya, ba zai iya nuna bangon jijiyoyin ba. Hotunan IVUS suna nuna bangon jijiyar kuma suna iya bayyana cholesterol da ajiyar mai (plaques). Ginin waɗannan abubuwan ajiya na iya ƙara haɗarin ku don bugun zuciya.

IVUS ya taimaka wa masu samarwa yadda yadda daskararru ke toshewa Wannan shi ake kira stent restenosis.

Ana yin IVUS galibi don tabbatar da sanya sitaci daidai yayin angioplasty. Hakanan za'a iya yi don ƙayyade inda yakamata a sanya sitati.

Hakanan ana iya amfani da IVUS don:

• Duba aorta da tsarin bangon jijiyar, wanda zai iya nuna alamar allo
• Nemo wane jijiyar jini yake cikin rarraba aortic

Akwai ƙananan haɗari don rikitarwa tare da angioplasty da catheterization na zuciya. Koyaya, gwaje-gwajen suna da aminci sosai lokacin da ƙungiyar ƙwararru ta yi su. IVUS yana ƙara ƙarin haɗari kaɗan.

Hadarin maganin sa barci da tiyata gabaɗaya sune:

• Amsawa ga magunguna
• Matsalar numfashi
• Zub da jini, toshewar jini
• Kamuwa da cuta

Sauran haɗarin sun haɗa da:

• Lalacewa ga bawul din zuciya ko jijiyoyin jini
• Ciwon zuciya
• Bugun zuciya ba daidai ba (arrhythmia)
• Rashin koda (haɗari mafi girma ga mutanen da suka riga suna da matsalar koda ko ciwon sukari)
• Bugun jini (wannan ba safai ba)

Bayan gwajin, an cire catheter gaba daya. An sanya bandeji a yankin. Za a umarce ku da ku kwanta kwance a bayanku tare da matsi a yankin ku na foran awanni bayan gwajin don hana zubar jini.

Idan IVUS aka yi yayin:

• Cardiac catheterization: Za ku zauna a asibiti na kimanin 3 zuwa 6 hours.
• Angioplasty: Za ku zauna a cikin asibiti na awanni 12 zuwa 24.

IVUS baya ƙara zuwa lokacin da dole ne ku kasance a asibiti.

BATSA; Duban dan tayi - jijiyoyin jini; Endovascular duban dan tayi; Intravascular echocardiography

• Jijiyoyin zuciya na baya
• Gudanar da tsarin zuciya
• Magungunan jijiyoyin zuciya

Honda Y, Fitzgerald PJ, Yock PG. Intravascular duban dan tayi. A cikin: Topol EJ, Teirstein PS, eds. Littafin rubutu game da cututtukan zuciya. 8th ed. Philadelphia, PA: Elsevier; 2020: babi na 65.

Yammine H, Ballast JK, Arko FR. Intravascular duban dan tayi. A cikin: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery da Endovascular Far. 9th ed. Philadelphia, PA: Elsevier; 2019: babi na 30.