CT angiography - kirji

CT angiography ya haɗu da CT scan tare da allurar fenti. Wannan dabarar tana iya ƙirƙirar hotunan jijiyoyin jini a kirji da na ciki na sama. CT tana tsaye ne don kyan gani.

Za a umarce ku da ku kwanta a kan kunkuntun teburin da ke zamewa zuwa tsakiyar na'urar daukar hotan takardu na CT.

Duk da yake a cikin na'urar daukar hotan takardu, katakon x-ray na injin yana juyawa kusa da kai.

Kwamfuta tana ƙirƙirar hotuna daban-daban na ɓangaren jikin, wanda ake kira yanka. Waɗannan hotunan ana iya adana su, duba su a kan allo, ko kuma a buga su a fim. Za'a iya ƙirƙirar samfura masu girma uku-uku na yankin kirji ta hanyar tsinke sassan tare.

Dole ne ku kasance har yanzu yayin gwajin, saboda motsi yana haifar da hotuna marasa haske. Ana iya gaya maka ka riƙe numfashinka na ɗan gajeren lokaci.

Cikakken sikanin yakan ɗauki 'yan mintoci kaɗan. Sabbin hotunansu na hoto zasu iya ɗaukar hoton jikinku duka, kai har zuwa ƙafa, a ƙasa da sakan 30.

Wasu jarabawa suna buƙatar fenti na musamman, wanda ake kira bambanci, don kawo shi cikin jiki kafin fara gwajin. Bambanci yana taimaka wa wasu yankuna da su nuna mafi kyau a kan x-haskoki.

• Za a iya bayar da bambance-bambancen ta jijiya (IV) a hannunka ko kuma a gaban goshinka. Idan ana amfani da bambanci, ana iya tambayarka kada ku ci ko sha wani abu na awanni 4 zuwa 6 kafin gwajin.
• Bari mai kula da lafiyarku ya sani idan kun taɓa samun amsa ga bambanci. Kuna iya buƙatar shan magunguna kafin gwajin don karɓar ku cikin aminci.
• Kafin karɓar bambancin, gaya wa mai ba ka idan ka sha maganin ciwon sukari na metformin (Glucophage). Kuna iya buƙatar yin ƙarin kariya.

Bambancin na iya kara matsalolin aikin koda a cikin mutanen da ke aiki da koda. Yi magana da mai ba ka idan kana da tarihin matsalolin koda.

Yawan nauyi da yawa na iya lalata na'urar daukar hotan takardu. Idan ka auna sama da fam 300 (kilo 135), yi magana da mai baka game da iyakar nauyi kafin gwajin.

Za a umarce ku da cire kayan ado da sanya rigar asibiti yayin nazarin.

X-ray da aka samu ta CT scan ba shi da ciwo. Wasu mutane na iya samun rashin kwanciyar hankali daga kwance kan tebur mai wahala.

Idan kuna da bambanci ta wata jijiya, kuna iya samun:

• Feelingan ji ƙona kadan
• Tastearfe ƙarfe a bakinka
• Dumi yana watsa jikinki

Wannan al'ada ne kuma yawanci yana wucewa cikin secondsan daƙiƙu kaɗan.

Za'a iya yin maganin angizon CT na kirji:

• Ga alamomin da ke nuna ɗigon jini a cikin huhu, kamar ciwon kirji, saurin numfashi, ko ƙarancin numfashi
• Bayan raunin kirji ko rauni
• Kafin ayi tiyata a cikin huhu ko kirji
• Don neman shafi mai yuwuwa don saka catheter don hemodialysis
• Don kumburin fuska ko na sama wanda ba za a iya bayanin sa ba
• Don neman lalatacciyar haihuwar haihuwa ta aorta ko wasu jijiyoyin jini a kirji
• Don neman yaduwar jijiyar balanbala na jijiya (aneurysm)
• Don neman hawaye a cikin jijiya (rarrabawa)

Sakamako ana ɗaukarsu na al'ada ne idan ba a ga matsaloli ba.

Kirjin CT na iya nuna cuta da yawa na zuciya, huhu, ko yankin kirji, gami da:

• Zaton toshewar babbar jijiya: Wannan babbar jijiya tana motsa jini daga saman rabin jiki zuwa zuciya.
• Rigar jini a cikin huhu.
• Abubuwa marasa kyau na jijiyoyin jini a cikin huhu ko kirji, kamar su ciwon mara na baka.
• Aortic aneurysm (a cikin yankin kirji).
• Rage wani bangare na babban jijiyoyin da ke fita daga zuciya (aorta).
• Hawaye a bangon jijiya (rarrabawa).
• Kumburin bangon jijiyoyin jini (vasculitis).

Hadarin binciken CT sun hada da:

• Kasancewa ga radiation
• Maganin rashin lafia ga bambancin rini
• Lalacewa ga koda daga bambancin rini

CT scans suna amfani da radiation fiye da na yau da kullun. Samun hotuna masu yawa ko CT scans akan lokaci na iya ƙara haɗarin kamuwa da cutar kansa. Koyaya, haɗarin daga kowane sikan ɗaya karami ne. Ku da mai ba ku sabis ya kamata ku auna wannan haɗarin daga fa'idodi na samun ingantaccen ganewar asali don matsalar likita. Yawancin sikanan zamani suna amfani da fasahohi don amfani da ƙananan radiation.

Wasu mutane suna da rashin lafiyan bambanci dye. Bari mai ba da sabis ya san idan kun taɓa samun rashin lafiyan abu don allurar bambanci ta allura.

• Mafi yawan nau'ikan bambancin da aka bayar a jijiya yana dauke da iodine. Idan kana da rashin lafiyar iodine, zaka iya samun tashin zuciya ko amai, atishawa, ƙaiƙayi, ko amya idan ka sami irin wannan bambancin.
• Idan lallai ne a ba ku irin wannan bambanci, mai ba ku sabis na iya ba ku antihistamines (kamar Benadryl) da / ko steroids kafin gwajin.
• Kodan na taimakawa cire iodine daga jiki. Waɗanda ke da cutar koda ko ciwon sukari na iya buƙatar samun ƙarin ruwa bayan gwajin don taimakawa fitar da iodine daga jiki.

Ba da daɗewa ba, fenti zai iya haifar da amsa mai barazanar rai wanda ake kira anafilaxis. Idan kuna fuskantar matsalar numfashi yayin gwajin, yakamata ku sanar da mai aikin sikanin nan da nan. Scanners sun zo tare da intercom da masu magana, don haka wani zai iya jin ku a kowane lokaci.

Utedididdigar yanayin halittar angiography - thorax; CTA - huhu; Pulmonary embolism - CTA kirji; Thoracic aortic aneurysm - CTA kirji; Venous thromboembolism - CTA huhu; Jigilar jini - CTA huhu; Embolus - CTA huhu; CT cutar huhu ta angiogram

Gilman M. Haɗuwa da cututtukan ci gaba na huhu da hanyoyin iska. A cikin: Digumarthy SR, Abbara S, Chung JH, eds. Magance Matsala a Hoton Kirji. Philadelphia, PA: Elsevier; 2020: babi na 15.

Martin RS, Meredith JW. Gudanar da mummunan rauni. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 16.

Ma'aikatan JA. Angiography: ka'idoji, dabaru da rikitarwa. A cikin: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Tsarin Rigakafin Hikimar Grainger & Allison: Littafin rubutu na likitancin hoto. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 78.