Kukho ezininzi iintlobo ezahlukeneyo zophando lomzimba zokuxilongwa kwezifo. Phakathi kwabo, i-CT engiography, enika umfanekiso opheleleyo weempahla kwindawo yokuvavanya ukuxilongwa ngokuchanekileyo kunye nokukhetha iindlela zokwenza unyango olungaphezulu. Ngokungafani ne-angiographie elula, le nkqubo ayinabuhlungu kwaye ingabandezeli.
Iimpawu zengqondo
I-computer ye-tomography engiography iyenziwa kwiimeko ezahlukeneyo. Ndiyabulela ekusebenziseni le ndlela yanamhlanje, kwakunokwenzeka ukunciphisa kakhulu umnxibelelwano wesigulane kunye ne-X ray ray irradiation, eyasetyenziswa kakhulu kwiminyaka edlulileyo ngenjongo efanayo. Olu hlobo lokuxilongwa lwenza kube lula ukubona umfanekiso opheleleyo weempahla, iimvini kunye nama-capillary kwilungu, isimo sabo, intembeko, ukujikeleza kwegazi kunye nokuphonononga ezinye iimpawu ezibalulekileyo. Uluhlu lwezibonakaliso ze-CT-angiography:
- ii-aneurysms (dilations) kunye ne-stenosis (ukunciphisa) kwemithambo;
- Amacwecwe egazi kwimithambo yegazi;
- ukucotha nokuyeka ukuhamba kwegazi;
- ukungaqhelekanga ekuveliseni imilambo yegazi;
- i-thrombosis yeemvini emilenzeni;
- ukungaqhelekanga kwi-lymphatic system.
Ukusebenzisa i-ejenti eyahlukileyo ifakwe kwinethiwekhi yomonakalo, iya kubonakala kwikhompyutheni ukuba ipapashwa njani kwisayithi ehlolisisiweyo. Nakuphi na ukuphambuka nokuphulwa kunokuqwalaselwa ngokuchanekileyo ngokugqithiseleyo kwaye ke le ndlela ikwazisa kakhulu, ngakumbi kwiimeko ezibucayi. Inkqubo ihlala malunga nomzuzu kwaye iyenziwa ngesigulana, ngenxa yokuba ayinangxaki. Oko kukuthi, emva kokuba isiguli asibhedlele, kodwa uya ekhaya.
I-CT engiography yeenqwelo ze-cerebral
Ubomi bomzimba womntu ludibaniswa liziko elinye - ingqondo. Njengakwezinye iindawo, kukho imithambo emininzi kunye neemvini ezimele zisebenze kunye. Nakuphi na ukuphulwa kwimisebenzi yabo kubangela ukuba kube nemiphumo emibi. Ukufumana isizathu sesifo, isigulane siholwa ngumbono wengqondo, esinika ithuba lokufumana ngokuchanekileyo imbangela yesifo kunye nokumisela unyango olungileyo, kwaye kwezinye iimeko ukukunceda ekusebenzeni. Ugqirha uya kuphakamisa le nkqubo malunga neempawu ezinjalo:
- intloko ephezulu ( migraine ) kunye nesisu;
- ukuxhamla ngokukhawuleza;
- ukulahleka kokulungelelaniswa kwezinto ezihambayo;
- Uxinzelelo lwegazi oluphezulu nokukhalisa ezindlebeni;
- Umbono onamafu kunye nokuphindwe kabini kwezinto;
- u-amnesia (ukulahlekelwa kwememori);
- intetho engathethekiyo.
Izibonakaliso ezizodwa zolu vavanyo ziya kuba:
- ukubetha;
- ubuhlungu beengqondo;
- ukuphuma kwegazi;
- intlungu;
- iinkqubo ezivuthayo kwingqondo (meningitis, encephalitis);
- i-thrombosis kunye nokunciphisa imithambo yeengqondo.
I-CT engiography yeempahla zentamo
Ukusebenzisana ngqo kunye nengqondo kukho iinqwelo zentamo, ezijongene nokuphuma nokuphuma kwegazi. Ukuchonga imbangela yempilo ephosakeleyo, i-angiography yeempahla zentamo okanye i-CT engiography yeerriyocephalic iirridwe inokumiselwa njengoluhlolo jikelele kwiimimandla ezimbini ngelo xesha. Oku kwenziwa phantsi kwezi meko:
- ingxolo kunye nokukhala ezindlebeni;
- buthathaka;
- ukugada kwamalungu;
- utywala kunye nentloko;
- ukungaphelelanga okwaneleyo kwinto eyenzekayo;
- iingxaki ngokukhawuleza ngentetho.
I-CT engiography iyenziwa ngezifo ezinjalo sele zifumene ukuba zicacise ukuxilongwa nokukhetha iindlela zokonyango:
- ukunciphisa nokukhutshwa kweenqanawa zomlomo wesibeleko;
- i-thrombosis yamathambo kunye neemvini;
- ukuvuvuka entanyeni;
- uxinzelelo entanyeni kunye nomonakalo kwi-vasculature;
- ukwandiswa kwintsimi yeetriyeri ze-carotid;
- i-kinking-syndrome (imilambo yegazi ene-convoluted).
I-CT engiography yeempahla zecala eliphantsi
Ukujonga ngeso lengxaki inkqubo yokujikeleza kwesi sifo, i-CT engiography yamacandelo angaphantsi yayisenziwa. Le nkqubo inika ithuba kumanqanaba okuqala ukufumanisa izifo ngokusebenzisa uphando olunzulu lweemifanekiso ezi-2D kunye ne-3D ezithathwe ngu-scanner. Nazi ezinye iingxaki ezingabonakalisa ngenjongo yale sifundo:
- isifo somlenze we-varicose;
- thrombophlebitis yeempahla;
- thromboembolism;
- izithuthi eziphuhliswa ngokungalunganga.
Ukuba isigulane sinempawu ezinjalo, ngoko ngokwemiqondiso, i-CT engiography yenza:
- intlungu emilenzeni ngokuphumla;
- isifo soqhawulo oluphakathi;
- ukuvuvuka kwemilenze;
- izilonda kwizitho ezingaphantsi.
I-CT engiography yesigxina somzimba
Ukufumana iintsholongwane zamathambo kwisisu esiswini kunye ne-thrombosis ye-artery ephambili, ukuhambisa igazi emzimbeni wonke, i-CT engiography ye-aorta yenziwa ngokusebenzisa i-i-containing-containing containing substance. Emva kwenkqubo, oko kuthiwa kwakhiwa kwakhona kwenziwa kwi-monitor yekhompyutheni, ehamba ngendlela evulekileyo yenza kube lula ukubona inethiwekhi yegazi ye-peritoneum. Kule nkqubo kukho izibonakaliso:
- ukunyuka kwentlungu kwisifuba;
- iifom echaphazela i-aorta nezinye iinqanawa;
- Ukukhupha isisu somzimba wesisu;
- yesifo somgubo;
- intlungu kwi-aorta.
I-CT engiography yeenqwelo zentliziyo
I-cardiology isoloko iyinkampani enzima kakhulu, nzima nzima - akulula kakhulu ukuphatha "imoto" yomntu ojongene nemithwalo eninzi imihla ngemihla. Ngenxa yokuba i-CT coronary artery engiographie okanye i-coronary angiography iye yaqhutyelwa, kuye kwaba lula kakhulu oogqirha ukuba baxilonge izifo ezinzulu, kwanezigaba zokuqala. Ndiyabulela ukuxilongwa kwamhlanje, impumelelo yokulondoloza inani elikhulu lobomi. Lo mviwo ukhankanywe xa:
- iintlungu ezingaqhelekanga entliziyweni;
- ukungahambi kakuhle kwesakhiwo se-aorta;
- isidingo sokuvavanya i-vascular, ukunciphisa okanye ukwandisa;
- ukusola ngokucacileyo kwe-appendicitis.
I-CT engiography yemiphunga
Kwiintlobo ezahlukeneyo zepulmatory pathologies kukho amathuba okufumanisa ngokuchanekileyo ngokusetyenziswa kweendlela ze-KT-angiography zeempahla. Olu vavanyo luyenziwa ngokusebenzisa umthamo ophantsi we-X-ray irradiation, echaphazela ngokuqinisekileyo imeko yesigulane. Ukwenza i-tomography yeempahla zamapulmoni nge:
- krokra umhlaza womphunga;
- ukutshaya ixesha elide kwiminyaka engama-55;
- isifo sofuba;
- pneumonia.
I-CT engiography yemikhumbi yeentso
I-Angiography yamathambo e-renal okanye i-renal angiography iyindlela eqhelekileyo yokuxilongwa kwihlabathi lanamhlanje. Ngelishwa, akunakwenzeka ukuqhuba uphando olunjalo kwi-polyclinic evamile, kwaye ngoko le ntlawulo ehlawulwayo iya kuthunyelwa kwiklinikhi yangasese enezixhobo zokusebenza zakutshanje. Ukuxilongwa kumiselwe xa:
- i-atherosclerosis ;
- kwixesha lokugqibela emva kokulungiselela ukusebenza;
- indawo engavumelekanga yamarridi enqabileyo.
I-CT engiography yesibindi
Xa i-ultrasound okanye i-tomography ekhompyutheni engabonakali isifo sesibindi (i-oncology), ugqirha ugunyazisa i-angiography yesibindi njengendlela esebenzayo kwaye ifundisa. Iingcaciso zolu vavanyo ziya kuba:
- Ukulimala kwesisu kunye nesibindi;
- krokrasi;
- isifo sesibindi okanye ukusola;
- i-atherosclerosis yeenqanawa ze-hepatic.
Indlela yokulungiselela i-angiography?
Nangona le nkqubo ayikho ukungenelela kokungenelela, kusadingeka ukulungiswa ngokucophelela kwi-angiography ngaphambi kokuba kwenziwe. Ugqirha olungiselela isigulane ukuhlolwa, ufumanisa zonke izifo ezise-anamnesis, kuba ezinye zazo zingabangela ukungenakwamkelwa kwi-angiography. Kungenxa yokuba izinto ezifaniyo ziqukethe iodine, ukuphendula okuthe tye kwenzeka. Ukuze ugweme oku, ukwenziwa kwezixhobo ezongezelelweyo zenziwa, kwaye ukuba kuyimfuneko, ikhosi yama-antihistamine imiselwe. Iiyure ezingama-4 phambi kovavanyo, ukutya akuvunyelwe.
Njani i-angiography?
Kungakhathaliseki ukuba luhlobo luni lokuxilongwa luya kusetyenziswa - i-CT engiography yolwazi, intliziyo, iintso okanye izitho, i-algorithm yonyango ifana ngokufanayo. Kubonakala ngathi:
- Isigulane asifakwe kwitafile ekhethekileyo yesitampu yeselula.
- Kwifowuni ye-ulnar, i-catheter efakwe kuyo ifowuni ekhethekileyo ixhunyiwe-injector yokusondeza isisombululo kumzimba ohlukileyo.
- Emva koko, abasebenzi bezonyango baya kwelinye igumbi kwaye iintetho eziqhubekayo kunye nesigulane zenziwa nge-sophonephone.
- Inkunkuma ifakwe kwi-vein ngesilinganiso esithile. Konke kwenzeka ngokuzenzekelayo. Isigulana sinokuziva ukufudumala, kwiimeko ezinqabileyo, isisongela, esiqhelekileyo.
- Itafile kunye nesigulane ngokukhawuleza igxininiswe ekamelweni apho i-radiator ye-X-rays ikhona, eqala ukujikeleza malunga nommandla wophando, ukuthumela umqondiso kwikhompyutha.
- Ngethuba le nkqubo, isigulane sinconywa ukuba sibambe ukuphefumula kwithuba elithile ukuxilongwa ngokuchanekileyo, kuba kwanokuba ukunyakaza okuncinci kunako ukugcoba umfanekiso.
- Ngokwezizonke, isigulane asichithe ngaphezu kwemizuzwana engama-30 kwiseli kwaye ayinakuvakalelwa.
Ukuchasana kwi-angiography
Kwezinye iimeko, ukuxilongwa okuchanekileyo okuchanekileyo akunakwenzeka. Ngokomzekelo, i-angiography yemithambo yegazi yentliziyo inokukhanselwa ngenxa yomsebenzi ongaqinisekiyo wequmrhu kunye nokungakwazi ukufumana i-tachycardia eqinile, okuthintela ukulungiswa kwemisipha yentliziyo. Ukongezelela, le mviwo ayimiselweyo xa:
- ukukhulelwa okanye ukukhankanywa kwayo;
- ukuhluleka komntu;
- ukunyuka kwamanzi ukuya kwiimodeli, ukutya kwezilwanyana zasemanzini okanye ukukhupha okuphezulu kunamaphi amayeza;
- isifo sikashukela;
- isifo se-thyroid;
- ukuhluleka kwentliziyo.