Angiography daga cikin ƙananan extremities: yin?

Jijiyoyin bugun gini cututtuka sukan kamu a manya. Wannan Gaskiya ne, mutane na ci-gaba da shekaru. Har ila yau, akwai jijiyoyin bugun gini cututtuka, waxanda suke da inborn cututtuka da kuma ci gaba a cikin yara. Kamar yadda ka sani, da jijiyoyi da kuma jijiyoyinmu da ake bukata domin ajiya da jini baza a ko'ina cikin jiki. Idan wannan aiki ba a yi, akwai anoxia da ischemia. Mafi sau da yawa rinjayar da jini na zuciya, kwakwalwa da kuma ƙananan wata gabar jiki. A mafi yawan lokuta, akwai rushewa daga jinin samar da dama gabobin. Pathology na tasoshin da ƙananan extremities ne na kowa daga mata. Kamar yadda mai mulkin, akwai varicose veins. Idan ka zargin wani take hakkin da jini daga cikin ƙananan extremities angiography yi a cikin jijiyoyi, ko jijiyoyinmu. Wannan bincike hanya wajibi ne domin sanin da har na lalacewa da kuma ta ruwan dare.

Angiography daga cikin ƙananan extremities - abin da yake da shi?

Domin gano yadda mai tsanani shafi arteries ko jijiyoyinmu daga cikin kafafu, shi wajibi ne don gudanar da wasu bincike. Daya daga cikinsu shi ne angiography daga cikin ƙananan extremities. Yana nufin da radiopaque bincike hanyoyin. Godiya ga wannan Hanyar bincike za a iya hukunta cewa akwai wani wuri inda halaka idan akwai jini clots, kuma stenosis na arteries da jijiyoyinmu. Angiography yana dauke da wani cin zali hanya, tun da aiwatar dole ne ta shiga cikin jini bambanci wakili. Don wannan karshen, da huda aka yi jijiya ko jannayẽnsa. Saboda wannan dalili, bincike ya kamata a gudanar a wani asibiti. Tun da X-haskoki iya cutar da kiwon lafiya, angiography yana da yawan contraindications. Duk da haka, wannan hanya damar mai kyau view na jijiyoyin bugun gini tsarin da kuma gane pathological tafiyar matakai. A halin yanzu, irin wannan binciken ne mafi ladabi, shi ne sau da yawa a hade tare da kwamfuta da kuma Magnetic rawa tomography.

Angiography na ƙananan wata gabar jiki: alamomi ga

Duk da cewa angiography an dauke shi abun dogaro bincike da karatu, shi ne da za'ayi ba ga kowa da kowa. Shan la'akari da radiological nauyi a cikin jiki da kuma invasiveness na hanya, ya kamata a koma ga kawai a lokuta da gaggawa bukatar. Akwai wadannan alamomi ga angiography:

1. Blockage na jini na plaque. A wannan yanayin, akwai wani takaita da lumen na arteries da jijiyoyinmu. Blockage lura a atherosclerotic jijiyoyin bugun gini raunuka. Wannan cuta ne na kowa a mutane da rayuwa ciwo, kiba. Pathology ne sau da yawa bincikar lafiya a mazan mutane. Bugu da kari ga tasoshin da ƙananan extremities, atherosclerosis rinjayar da jijiyoyi da kai da wuya, zuciya da kuma sauran gabobin.
2. Tsari jijiyoyin bugun gini Pathology. Wadannan sun hada da occlusive cuta, Leriche ciwo. A irin cututtuka, akwai wani takaita da tasoshin saboda stenosis na lumen. A tsanani lokuta, da Pathology na data iya kai wa ga wani cikakken rushewa daga jijiya patency.
3. Daban-daban na embolism, thrombosis. Wadannan cuta ci gaba saboda tuntube da lumen na jini gudan jini, cholesterol plaque, da kuma sauran kasashen waje abubuwa (adipose nama, iska kumfa).
4. Anomalies na jijiyoyinmu ko jijiyoyi. Wadannan sun hada da jijiyoyin bugun gini diverticulum, wani aneurysm, gaban pathologic anastomoses.
5. Varicose veins. Halin da pathological jijiyoyin bugun gini tortuosity, fitowan da yankunan da fadada da kuma ƙanƙancewa na lumen.
6. Matsalolin da ciwon sukari. Cutar da ake sau da yawa tare da raunuka na jijiya da kuma jijiyoyinmu daga cikin ƙananan extremities. A tsanani lokuta, shi take kaiwa zuwa cin gaban gangrene.

ƙananan extremities angiography wajibi ne a lokacin da bayyanar cututtuka irin su bisa ia abke zafi a cikin shakka daga cikin jijiyoyi da kuma veins, su kumburi ko induration. A cikin wadannan lokuta, nazarin bukatar da za a yi da sauri. Idan ka zargin wani kullum cutar (atherosclerosis, da rikitarwa da ciwon sukari, varicose veins), wanda aka ba tare da bayyane asibiti ãyõyi, wannan hanya ne shawarar routinely in babu contraindications.

Lokacin da angiography tasoshin kafafu bisa ga ICD?

All cututtuka da wasu cipher a cikin International Nau'in Cututtuka (ICD). Saboda haka, likitoci daga dukan ƙasashe sanin abin da kamu da mãsu haƙuri. Babu togiya da Pathology na jijiya da kuma jijiyoyinmu. Godiya ga wani musamman cipher likita san ko akwai alamomi ga wannan bincike Hanyar matsayin ƙananan wata gabar jiki angiography. Code ICD-10 zo bayan da rubuce-rubuce na ganewar asali. Misalan sun ha] da wadannan pathologies:

1. Atherosclerosis na jijiya. I70.2
2. Deep jannayẽnsa thrombosis. I80
3. Angiopathy daga cikin ƙananan extremities a ciwon sukari. E10.5

A cikin shugabanci na bincike wajibi ne don saka ba kawai ganewar asali, amma code a ICD-10. Wannan rarrabuwa da aka kullum yarda a ko'ina cikin duniya.

Contraindications zuwa angiography

Kamar yadda da dukan masu cin zali bincike dabaru, angiography aka yi a gaban takamaiman alamomi. A wasu lokuta, ba shi yiwuwa a gudanar da wannan binciken, ko da idan haƙuri yana da wani Pathology da aka jera a sama. Wannan ake dangantawa da mafi hadarin matsalolin da iya ci gaba saboda radiation daukan hotuna ko gwamnati na da bambanci wakili. Sa'an nan kuma ya bada shawarar a maye gurbin Hanyar jarrabawa. Saboda haka, wanda ya kamata ba auku irin wannan binciken kamar yadda angiography daga cikin ƙananan extremities? Contraindications sun hada da:

1. M cutar zuciya. Wadannan sun hada da m angina da tsokar zuciya infarction.
2. Kullum zuciya maye tsanani digiri.
3. Pregnancy kuma lactation.
4. Yara a karkashin 2 years old.
5. Mai tsanani cututtuka na ciki gabobin. Wannan kungiyar hada da na koda, na numfashi, da kuma hanta gazawar.
6. Rashin lafiyan halayen ga aidin (tun da wannan abu yana a cikin abun da ke ciki na bambanci wakili).
7. Cututtuka na jini. Wannan Gaskiya ne, na pathologies a wadda gaji da damuwa da coagulation. An misali ne hemophilia, hemorrhagic vasculitis, thrombocytopenia.

Iri angiography na ƙananan extremities

Akwai 2 zabin angiography. A cikin farko idan nazari da nufin ganin ƙananan extremities. Shi ne ake kira venography. A wannan yanayin, da bambanci da aka gabatar kawai a cikin venous tsarin, sa'an nan kuma yin jerin radiographs.

Wani bambance-bambancen da nazari - shi arteriography. jijiyoyin bugun gini Dabarar manufa ne guda. A rare lokuta shi wajibi ne don ganin da biyu da jijiyoyinmu kuma jijiyoyi da ƙananan extremities. Bugu da kari, da bincike ba za a iya za'ayi kawai karkashin iko da X-ray, amma tare da yin amfani da CT da MRI inji. A cikin wadannan lokuta da mafi m (cikakken) angiography daga cikin ƙananan extremities tasoshin. Photos (hotuna), sanya ta X-ray machine, ne dan kadan daban-daban daga cikin hotunan dauka da CT da MRI.

Shirya domin angiography daga cikin ƙananan extremities

Ganin cewa hanya da dangantaka da masu cin zali hanyoyin, da mãsu haƙuri dole ne a shirya domin wannan binciken. dole ne ka wuce jerin dakin gwaje-gwaje gwaje-gwaje kafin a yi angiography. Daga cikin su: da KLA, OAM, coagulation, jini sunadarai. Yana da muhimmanci ga bayyana ga mutum me ya sa muke bukatar wannan hanya da kuma abin da su ne kasada. Kafin angiography, shi wajibi ne don soke antiplatelet far ( 'yan kwanaki kafin nazarin). Shiri ga jarrabawa ya hada da:

1. ruwa liyafar tauyewa.
2. Ƙin abinci ci ga dama hours kafin binciken. A bu mai kyau ba ci da dare kafin da kuma da safe da bincike hanya.
3. Gabatarwa na antihistamines a marasa lafiya tare da predisposition zuwa rashin lafiyan halayen.
4. Kudin shiga magani mai kantad da hankali kafin gwajin bada shawarar a gaban haƙuri da wani tunanin lability.

M angiography daga cikin ƙananan extremities

Don ganin da canje-canje na jijiyoyinmu ko arteries da kafafu, shi wajibi ne angiography daga cikin ƙananan extremities. Ta yaya ne wannan hanya? A mataki na farko shi ne mu bi da fata sama da gwajin jirgin ruwa tare da wani maganin antiseptik bayani. Bayan nan, da jijiya, ko jijiya huda. A jirgin ruwa shiga introducer - musamman na'urar da abin da jini ba daga ƙarƙashinsu a baya shugabanci. Cigaba da bincike a cikin jijiya ko jannayẽnsa catheter aka sanya. A cewar shi, a wani jirgin ruwa mai shiga bambanci wakili. Bayan nan, da X-ray ko CT scan na jijiya shafukan (jijiyoyinmu).

Reading da sakamakon angiography

A sakamakon X-ray angiography image gabatar, wanda ya nuna receptacles hõre contrasting. A ƙarshe sa Likita ko likita katako bincikowa. A cewar X-haskoki iya tantance ci gaba arteries ko jijiyoyinmu, gaban ko babu jini clots, da mataki na takaita na lumen, da kuma ainihin sarrafawa na lalace yankin. A al'ada jijiyoyin bugun gini m contours da kuma m, a kafafuwansa biyu.

Zai yiwu rikitarwa na angiography

Kamar yadda da wani cin zali hanyoyin, ƙananan reshe jijiyoyin bugun gini angiography hadarin tasowa rikitarwa. Suna lura a rare lokuta (kasa da kashi 5%). Matsalolin sun hada da:

1. Zub da jini daga huda site da jirgin ruwa.
2. Rauni kamuwa da cuta.
3. A bayyanar kumburi da bruising.
4. A rare lokuta, na iya samar da m zuciya ko koda gazawar.

Doctors game hanya

Mutanen da ake zargin m Sistem sakulasan cuta a cikin jijiyoyi, ko jijiyoyinmu daga cikin kafafu, kuma babu contraindications misalta angiography daga cikin ƙananan extremities. Doctors game da wannan tabbatacce tsari. Likitoci suka ce da inganci da tasiri na angiography a cikin ganewar asali thrombosis da stenosis na jini daga cikin ƙananan extremities. A abũbuwan amfãni daga wannan hanya ya kamata sun hada da gudun da aiwatar (game da minti 15), kuma wata kananan hadarin rikitarwa.