Aia nā pilikia me ke kiʻi cardiac?

I nā makahiki i hala iho nei, ua piʻi nui ka nui o nā maʻi cardiovascular. Lohe pinepine mākou ua loaʻa i nā poʻe a puni mākou i ka angiography cardiac. No laila, ʻo wai ka mea e pono ai e hana i ka angiography cardiac?

1. He aha ka angiography cardiac?

Hana ʻia ka angiography cardiac ma ke kuʻi ʻana i ke aʻaʻa radial ma ka pulima a i ʻole ke aʻa femoral ma ke kumu o ka ʻūhā, e hoʻouna ana i kahi catheter i ke kahua hoʻokolokolo e like me ke aʻa coronary, atrium, a i ʻole ventricle, a laila e hoʻokomo i ka mea hoʻohālikelike i loko o ka catheter. hiki i nā kukui X ke kahe i ka mea ʻokoʻa ma nā kīʻaha koko. Hōʻike ʻia ke ʻano no ka hoʻomaopopo ʻana i ke ʻano o ka puʻuwai a i ʻole ke aʻa coronary e ʻike ai i ka maʻi. ʻO kēia ke ʻano hoʻokolohua invasive maʻamau i kēia manawa no ka puʻuwai.

2. He aha nā mea e pili ana i kahi hoʻokolohua angiography cardiac?

Loaʻa i ka angiography cardiac nā ʻano ʻelua. Ma kekahi ʻaoʻao, he angiography coronary. Hoʻokomo ʻia ka catheter ma ka wehe ʻana o ke aʻa coronary a hoʻokomo ʻia kahi mea ʻokoʻa ma lalo o ka X-ray e hoʻomaopopo i ke ʻano o loko o ke aʻa coronary, inā he stenosis, plaques, abnormalities developmental, etc.

Ma ka ʻaoʻao ʻē aʻe, hiki ke hana ʻia ka angiography o ka atria a me nā ventricles e hoʻomaopopo i nā kūlana o ka atria a me nā ventricle e ʻike i ka cardiomyopathy dilated, ka hoʻonui ʻole ʻia o ka naʻau, a me ka maʻi puʻuwai valvular.

3. He aha nā kūlana e pono ai ka angiography cardiac?

Hiki i ka angiography cardiac ke wehewehe i ke koʻikoʻi o ke ʻano, hoʻomaopopo i ke ʻano o ka stenosis coronary artery, a hāʻawi i ke kumu kūpono no ka mālama ʻana ma hope. Hoʻohana maʻamau ia i kēia mau kūlana:

1. ʻO ka ʻeha umauma atypical: e like me ka maʻi ʻeha o ka umauma;

2. Nā hōʻailona maʻamau o ka ischemic angina. Inā manaʻo ʻia ka angina pectoris, unstable angina pectoris a i ʻole ka ʻano angina pectoris;

3. Nā hoʻololi kūpono ʻole i ka electrocardiogram dynamic;

4. Unexplained arrhythmia: e like me ka arrhythmia malignant pinepine;

5. ʻAʻole i wehewehe ʻia ka hemahema o ka naʻau: e like me ka dilated cardiomyopathy;

6. Intracoronary angioplasty: e like me ka laser, etc.;

7. Manaʻo ʻia he maʻi naʻau coronary; 8. ʻO nā kūlana naʻau ʻē aʻe e pono e wehewehe.

4. He aha nā pilikia o ka angiography cardiac?

Palekana maʻamau ka cardiography, akā no ka mea he hoʻāʻo invasive, aia kekahi mau pilikia:

1. Ke koko a i ʻole ka hematoma: Pono ka angiography cardiac i ka ʻāʻī ʻana o ke koko, a hiki ke hoʻoheheʻe ʻia ke koko kūloko a me ka helu puncture hematoma.

2. Ka ma'i ma'i: Inā 'a'ole pono ka hana 'ana a i 'ole ka ma'i pono'ī i ka ma'i, hiki mai ka ma'i.

3. Thrombosis: Ma muli o ka pono e kau i kahi catheter, hiki ke alakaʻi i ke kūkulu ʻana i ka thrombosis.

4. Arrhythmia: Hiki i ka angiography cardiac ke hoʻoulu i ka arrhythmia, hiki ke hoʻomaluʻia ma o ka lāʻau lapaʻau.

5. Nā hopena maʻi: E loaʻa i kahi heluna liʻiliʻi o nā kānaka ka maʻi maʻi i ka mea hoʻohālikelike i hoʻohana ʻia. Ma mua o ke kiʻi ʻana, e hana ke kauka i kahi hoʻāʻo allergy e hōʻoia i ka palekana.

5. He aha kaʻu e hana ai inā loaʻa nā mea ʻino i ka wā o ka angiography cardiac?

Hiki ke mālama ʻia nā ʻano like ʻole i ka wā o ka angiography cardiac inā pono nā ʻenehana interventional, e like me ka stenosis coronary artery koʻikoʻi, coronary atherosclerotic heart disease, myocardial infarction, etc., hiki ke mālama ʻia me ka coronary stent implantation a i ʻole coronary artery bypass grafting. , ka hoʻonui ʻana i ka baluna coronary, etc. no ka mālama ʻana. No ka poʻe i koi ʻole i ka ʻenehana interventional, hiki ke mālama ʻia ka lāʻau lapaʻau postoperative e like me ke ʻano.

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