Kune marudzi akawanda akasiyana-siyana ekutsvakurudza kwemuviri kwekuongororwa kwezvirwere. Pakati pavo, CT angiography, iyo inopa mufananidzo wakazara wemidziyo mumutambo wekuongorora kuti yakanyatsoongorora uye kusarudzwa nzira dzekuwedzera kurapwa. Kusiyana nemafungiro akareruka angiography, nzira iyi haina kunetseka uye haina kuora mwoyo.
Angiography - zviratidzo
Computer tomography angiography inoitwa mumamiriro ezvinhu akasiyana-siyana. Kuvonga kushandiswa kwemuitiro uyu wemazuva ano, zvaikwanisika kuderedza kushamwaridzana kwemurwere ne X-ray irradiation, iyo yakashandiswa zvikuru mumakore akapfuura nokuda kwechinangwa chimwe chete. Izvi zvinogonesa kuona mufananidzo wakazara wemidziyo, mitsetse uye capillaries muhutano, mamiriro avo, kuvimbika, kutevedza ropa nekukurumidza uye kuongorora zvimwe zvinokosha zvinokosha. Tsamba yezviratidzo zve CT-angiography:
- aneurysms (dilations) uye stenosis (narrowing) yemarteri;
- ropa inopinza mumidziyo yeropa;
- kunonoka nekudzivirira kuerera kweropa;
- kusagadzikana mukukudziridzwa kwemidziyo yeropa;
- thrombosis yemakumbo pamakumbo;
- kusakanganisika mu lymphatic system.
Uchishandisa mutengesi wepakati akaiswa muhutano hwehutachiona, huchaonekwa pane kombiyuta kuti uone kuti wakaparadzirwa sei panzvimbo yakarongedzwa. Chero kukanganisa uye kukanganisa kunogona kuongororwa nenzira yakakwana zvakakwana uye naizvozvo nzira iyi inonyanya kudzidzisa, kunyanya mumamiriro ezvinhu akaoma. Iyo inotora nguva inenge yemaminiti uye inoitwa pamusana pepfungwa, nekuti haisi kupisa. Izvi zvinoreva, mushure mokunge murwere wacho asina kupinda muchipatara, asi anoenda kumba.
CT angiography yemidziyo yemakumbo
Upenyu hwemuviri wemunhu hunobatanidzwa neimwe nzvimbo-uropi. Sezvimwewo, kune mishonga yakawanda uye mitsipa inofanira kushanda pamwechete. Chero kusvibiswa mumabasa avo kunotungamirira kumigumisiro yakaipa. Kuti uwane chinokonzera chirwere ichi, murwere anotungamirirwa neangiography yeuropi, iyo inopa mukana wekunyatsoziva chikonzero chechirwere uye kupa chirongwa chakanaka, uye pane dzimwe nguva kubatsira mubasa racho. Chiremba acharatidza nzira iyi yezviratidzo zvakadaro:
- ane musoro musoro ( migraine ) uye chirwere;
- kushungurudzika kunokonzera kushungurudzika;
- kurasikirwa kwekufambidzana kwekufamba;
- Kuwedzera kweropa uye kurira munzeve;
- chinoona chiratidzo uye kuwirirana kwezvinhu;
- amnesia (kurasikirwa kwechirangaridzo);
- incongruous speech.
Zviratidzo zvakananga zvekuongorora zvichave:
- kurohwa;
- brain tumor;
- kusava neropa;
- head trauma;
- kuvhiringidza maitiro muuropi (meningitis, encephalitis);
- thrombosis uye kuderedza mishonga yeuropi.
CT angiography yemidziyo yemutsipa
Mukutaurirana zvakananga neuropi kune midziyo yemutsipa, iyo inokonzera kupera nekubuda kweropa. Kuti aone chinokonzera utano husina kunaka, angiography yemidziyo yemutsipa kana CT angiography yemarriocephalic arteri inogona kurongerwa seongororo yakawanda yezvikamu zviviri panguva imwe chete. Izvi zvinoitwa mumamiriro ezvinhu akadaro:
- ruzha uye kuchema munzeve;
- kushaya simba;
- kupera kwemakumbo;
- dhimoni uye musoro;
- kusakwanira kugadzirisa kune zviri kuitika;
- zvinetso zvinononoka nekutaura.
CT angiography inoitwa nezvirwere zvakadai zvakatoonekwa kuti zvinzwisise kuongororwa uye kusarudza nzira dzokurapa:
- kuderedza uye kuvhara kwemidziyo yemukati;
- thrombosis ye arteri uye mitsipa;
- kurira mumutsipa;
- kushungurudzika kumutsipa uye kukuvadza kune vasculature;
- kuwedzera mumunda we carotid arteri;
- kinking-syndrome (convoluted blood meter).
CT angiography yemidziyo yemiganhu yakadzika
Kuona maitiro ekufamba kwepachirwere muhutano hwechirwere ichi, CT ingiography yemagumisiro akadzika yakanga ichiwedzera kuitwa. Iyi nzira inopa mukana pamatangi ekutanga kuziva zvirwere kuburikidza nekunyatsodzidza kwe 2D uye 3D mifananidzo yakatorwa ne scanner. Heano mamwe matambudziko anogona kuva chiratidzo kune chinangwa chekudzidza:
- varicose leg disease;
- thrombophlebitis yemidziyo;
- arterial thromboembolism;
- midziyo yakasikwa isina kururama.
Kana murwere ane zviratidzo zvakadaro, zvinoenderana nezviratidzo, CT angiography inoitwa:
- kurwadziwa mumakumbo pazororo;
- chirwere chekujekesa mukati;
- kuzvimba kwemakumbo;
- zvironda pamakumbo ezasi.
CT angiography yedumbu remuviri
Kuti uone zvirwere zvepachiviri mumudumbu wepamuviri uye thrombosis yeropa guru, kupa ropa mukati memuviri, CT aniography ye aorta inoshandiswa uchishandisa iodine-ine zvinhu zvakasiyana. Mushure mekugadziriswa, izvo zvinonzi kuvakwa kunoitwa pamakombiyuta ekucherechedza, izvo nenzira yakaoma zvichiita kuti zvikwanise kuona ropa rose rese re peritoneum. Nokuda kweiitiro pane zviratidzo zvakadaro:
- kuwedzera kukuru mubhokisi;
- matumbo anokonzera aorta nemimwe midziyo;
- kuberekwa kwekubvisa pamuviri kwepamuviri;
- peripheral artery disease;
- kushungurudzika kune aorta.
CT angiography yemidziyo yemwoyo
Cardiology yakagara iine yakaoma kwazvo, yakaoma bazi remishonga - hazvisi nyore kubata "motokari" yemunhu ari kutakura zvinhu zvakawanda zuva rega rega. Pamusana pekuti CT coronary artery angiography kana coronary angiography yakaitwa, zvatova nyore zvikuru kuvanachiremba kuti vaongorore zvirwere zvakakomba, kunyange pamatanho ekutanga. Kuvonga kuongororwa kwemazuva ano, kubudirira kwekuchengetedza huwandu hwehupenyu. Iyi kuongororwa inorayirwa apo:
- zvakajeka kurwadziwa mumoyo;
- iyo inogona kugadziriswa yesarudzo ye aorta;
- kudikanwa kwekuedzwa kwemasimba, kuderedza kana kuwedzera;
- kunyunyuta kwakakwana kweappendicitis.
CT angiography yemapapu
Pazvipembenene zvakasiyana-siyana zvepermonary pathologies kune mukana wepamusoro-kunyatsoongorora nekushandisa nzira yeKT-angiography yemidziyo. Iyi kuongororwa inoshandiswa uchishandisa chirwere chakaderera che X-ray irradiation, iyo inobatsira chaizvo zvinokonzerwa nechirwere chemurwere. Ita computed tomography yemidziyo yeplmmonary ne:
- anofungidzirwa mutsa wemapapu;
- nguva refu kusvuta pazera remakore anopfuura 55;
- chinokonzera TB;
- pneumonia.
CT angiography yemidziyo midzi
Angiography yemapuraneti emvura kana renal angiography inzira inowanzojairika yekuongororwa munyika yanhasi. Zvinosuruvarisa, hazvibviri kuitisa tsvakurudzo yakadaro mumutambo wepolyclinic chaiwo, uye naizvozvo iyo inobhadhara basa inofanira kutarisirwa kune kliniki yega yega yakagadzirwa nemichina yakakosha. Kuongororwa kunorondedzerwa apo:
- atherosclerosis ;
- munguva yekushanda uye pakugadzirira kushanda;
- nzvimbo isingawanzoiti yemishonga yeropa.
CT angiography yechiropa
Apo ultrasound kana kuti computed tomography haigoni kuona chirwere chepachiropa (oncology), chiremba anorayira chiropa angiography senzira inoshanda uye inodzidzisa. Zviratidzo zvekutsvakurudza uku zvichave:
- kuora pamuviri uye kuchiropa;
- anofungidzirwa kuti cirrhosis;
- chiremera chechiropa kana kunyunyuta;
- atherosclerosis ye hepatic vessels.
Nzira yekugadzirira sei angiography?
Kunyange zvazvo nzira yacho isiri kupindira kwekuvhiya, inoramba ichinyatsogadzirirwa kugadzirira angiography isati yaitwa. Chiremba uyo anogadzirira murwere kuti aongorore, anoona zvirwere zvose zviri mu anamnesis, nokuti zvimwe zvacho zvinogona kukonzera kusapindira kune angiography. Nokuti izvo zvakasiyana-siyana zvine iodine, zvinokonzera kuitika zvinogona kuitika. Kuti udzivise izvi, mamwe magetsi anowanikwa, uye kana zvichidikanwa, imwe nzira ye antihistamines inorayirwa. 4 maawa asati aedzwa, zvokudya hazvibvumirwi.
Mafiro angiography anoitwa sei?
Pasinei nokuti rudzi rwekuongorora hupi huchashandiswa - CT angiography yeuropi, mwoyo, itsvo kana zvikamu, shanduro yevashandi inenge yakafanana. Zvinoratidzika seizvi:
- Murwere haasi kuiswa tafura yepamusoro yefoni tomograph.
- Pamusoro pechipfuva, catheter inosungirirwa kune imwe chigadzirwa chakasanganiswa - injector yekugadzirisa mhinduro mumhuka yakasiyana.
- Mushure meizvozvo, vashandi vanoenda kune imwe imba uye vanowedzera kutaura neye murwere vanoitwa kuburikidza ne speakerphonephone.
- Izvo zvinhu zvinoshandiswa mujinga pane imwe chiyero. Zvose zvinowanzoitika. Murwere anogona kunzwa kunzwa kupisa, muzviitiko zvisingawanzoitiki, kushungurudzika, izvo zvinowanzoitika.
- Tafura pamwe nemurwere inononoka kupinda mumukamuri iyo radiator ye X-rays iripo, iyo inotanga kushanyira munzvimbo yakatsvakurudzwa, kutumira chiratidzo kumakombiyuta.
- Panguva yekufamba, murwere anorayirwa kubata kufema kwake kwechinguva kuti ave nekunyatsoongorora, sezvo kunyange kushandiswa kuduku kunogona kugadzirisa mufananidzo.
- Pakupedzisira, murwere haapfuuri maminitsi makumi matatu mumasero uye haanzwi kurwadziwa.
Contraindications kune angiography
Mune zvimwe zviitiko, izvi zvakanyanya-kunyatsoongorora chirwere hazvibviri. Semuenzaniso, kungiography yemidziyo yeropa yemwoyo inogona kubviswa nekuda kwebasa risina kugadzikana remuviri uye kusakwanisa kugona tachycardia yakasimba, iyo inodzivisa kugadziriswa kwekuputsa mumutsipa wemwoyo. Mukuwedzera, kuongorora uku hakuna kuiswa apo:
- pamuviri kana kunyunyuta;
- renal failure;
- utano hwakanyanya kune iodine, zvekudya zvegungwa kana kukwira kumusoro kune chero mishonga;
- chirwere cheshuga mellitus;
- thyroid disease;
- mwoyo kukanganisa.