Umehluko phakathi kwe-Angioplasty ne-Angiography

Izifo zenhliziyo ziyaqhubeka nokuba yimbangela yokufa kwabantu emhlabeni wonke. Ngenhlanhla, ukuthuthuka kwezobuchwepheshe nezinqubo zezokwelapha kuye kwathuthukisa kakhulu ukuhlonzwa nokwelashwa kwalezi zimo. Amasu amabili abalulekile endaweni yokunakekelwa kwenhliziyo i-angioplasty kanye ne-angiography, evame ukusetshenziswa ndawonye ekuxilongeni nasekwelapheni izindaba ezihlobene nenhliziyo. Nakuba babelana ngokufana ngokwenhloso namathuluzi abo, bafeza indima ehlukile ekulawuleni izinkinga zenhliziyo nemithambo yegazi.

Iyini i-Angiography?

I-Angiography yigama elisetshenziselwa ukuchaza inqubo yokubheka imithambo yegazi ukuze kuhlolwe izithiyo zokugeleza kwegazi. Inhloso eyinhloko yale nqubo ukuthola izithombe ezinemininingwane yohlelo lokujikeleza kwegazi ukuze kubonakale ukuvinjelwa, ama-aneurysms, nokunye okungavamile. Le nqubo ihlinzeka ngezithombe zesikhathi sangempela ezingasiza ukukhomba noma yikuphi ukuncipha noma ukuvaleka kwemithambo yenhliziyo. Izithombe noma ukufundwa okuvela kule ndlela kubizwa ngokuthi ama-angiogram.

I-Angiography isebenza ngokuyinhloko njengethuluzi lokuxilonga. Isiza ochwepheshe bezokwelapha ekuhloleni isimo semithambo yenhliziyo yesiguli kanye nokwenza uhlelo lokwelapha.

Iyini i-Angioplasty?

I-Angioplasty iyindlela yokungenelela eyenzelwe ukwelapha ukuvinjelwa kwemithambo yenhliziyo ngokwandisa imithambo yegazi emincane noma evimbekile. Uhlobo oluvame kakhulu lwe-angioplasty lwaziwa nge-Percutaneous Transluminal Coronary Angioplasty (PTCA), evame ukubizwa ngokuthi i-balloon angioplasty. Umgomo oyinhloko we-angioplasty ukubuyisela ukugeleza kwegazi ngomthambo ovalekile. Nakuba i-angioplasty ingaqinisekisa ubukhona kanye nendawo yokuvaleka kwemithambo yenhliziyo, umsebenzi wayo oyinhloko ukwelapha lokhu kuvinjelwa kunokuxilonga.

I-Angioplasty yindlela yokwelapha yokungenelela esetshenziselwa ukudambisa izimpawu ze-angioplasty isifo se-artery coronary nokunciphisa ingozi yokuhlaselwa yinhliziyo. Ibhekana ngqo nendaba yokuvinjwa kwemithambo ngokwandisa ngokomzimba umkhumbi onciphile.

Umehluko phakathi kwe-Angioplasty ne-Angiography

Izinqubo ze-angiography kanye ne-angioplasty ziyaqhathaniswa ezicini ezithile. Nokho, kunomehluko ngoba ngamunye uhlose ukubhekana nokukhathazeka okuthile kwezempilo.

Udokotela Uncoma Nini?

Angiography  

Ezimweni ezilandelayo, udokotela angase asikisele i-angiography:

• Ukuba khona kwezinto eziyingozi zesifo senhliziyo, umfutho wegazi ophakeme, isifo sikashukela, ukubhema, kanye a umlando womndeni wesifo senhliziyo.
• Udinga ukubheka umsuka wezimpawu ezingachazwanga noma ulandele ukuthuthukiswa kwenkinga ekhona ye-vascular.
• Ukuklama isu lokwelapha elifanelekile, izinga kanye nobukhulu bokuvinjwa kwemithambo noma okudidayo kufanele kuhlolwe.
• Lapho ukuhlolwa okungahlaseli, njenge-ECG noma ukuhlolwa kokucindezeleka, kuphakamisa ubungozi bokuvinjwa kwemithambo noma ukuminyana.

Angioplasty

Ezimweni ezilandelayo, udokotela angase asikisele i-angioplasty:

• Isiguli sibonisa izimpawu, ezinjengobuhlungu besifuba, ezikhomba ukuncipha kokunikezwa kwegazi emisipha yenhliziyo.
• I-Angiography yembula izinkomba zokuvaleka okukhulu noma ukuncipha kwemithambo ye-coronary yenhliziyo noma eminye imithambo eseceleni.
• Isiguli siye sahlaselwa isifo senhliziyo noma i-angina engazinzile, okusikisela ukuthi kunesidingo esengeziwe sokubuyiselwa kokugeleza kwegazi.

Inqubo

• I-Angiography - Isiguli sizonikezwa umuthi wokulalisa ukuze sisize siphumule futhi izinzwa zendawo ukuze zenze ndikindiki indawo yokusikwa. Ukuze ufinyelele umthambo wesifazane, udokotela uzokwenza imbobo encane endaweni ye-groin yangaphandle. I-catheter encane eyenziwe ngeshubhu yezinga lezokwelapha ifakwa emithanjeni ngudokotela, bese ewuxhuma endaweni okufanele ihlolwe. Udokotela ube esejova udayi we-iodine kushubhu ukuze ubonakale emithanjeni yegazi abafuna ukuyiphenya. Umshini we-X ray usetshenziswa udokotela ukuze enze uchungechunge lwezithombe ezibonisa ukusebenza kwenhliziyo, umfutho wegazi, namazinga komoyampilo egazini. Lapho inqubo isiqediwe, i-catheter iyasuswa.
• I-Angioplasty - Udokotela ohlinza imithambo uzokwenza ukusika futhi afake ithubhu le-catheter endaweni lapho kuvimbe khona noma umthambo omncane ongaphakathi komthambo wesifazane. Nokho, ichopho laleli catheter linebhaluni elincane. Udokotela ohlinzayo ufutha ibhaluni ngokulandelayo, esunduza okuvimbile odongeni lomthambo. Ngemva kokunciphisa ibhaluni, udokotela ujova udayi we-iodine ukuze ahlole ukuthi ukugeleza kwegazi kuye kwaba ngcono yini. Lapho eqinisekisa ukuthi isimo sesingcono, udokotela ukhipha ibhaluni ne-catheter emthanjeni.

Injongo

• I-Angiography - I-Angiography ngokuyinhloko inqubo yokuxilonga ukuze ubone ngeso lengqondo futhi uhlonze ukuvinjelwa noma okungavamile emithanjeni yegazi.
• I-Angioplasty - I-Angioplasty iyindlela yokungenelela eklanyelwe ukwelapha nokunciphisa ukuvinjelwa ngokunweba ngokomzimba umthambo ocinene.

Ubude besikhathi

• I-Angiography - Ubude be-angiography ngayinye buyahlukahluka ngokusekelwe endaweni kanye nanoma yikuphi ukuvinjelwa noma okungaqondakali udokotela angase akuthole. I-Angiography ivame ukuthatha noma yikuphi ukusuka emaminithini angu-15 kuya emahoreni ama-2 noma ngaphezulu. I-angiography ngokuvamile inqubo yokulaliswa ngaphandle, okusho ukuthi isiguli singabuyela ekhaya ngalo lolo suku.
• I-Angioplasty - Ubude be-angioplasty bungasukela emizuzwini engama-30 kuye emahoreni amathathu noma ngaphezulu, kuye ngohlobo. Isiguli sivame ukuhlala esibhedlela ngemva kwe-angioplasty ukuze abahlengikazi bakwazi ukubheka inhlalakahle yaso futhi baqinisekise ukuthi ukuhlinzwa kusebenza ngempumelelo.

Isikhathi sokubuyisela

• I-Angiography - Umuntu angaba nobuhlungu endaweni yokusikwa usuku olulodwa kuya kwezimbili kulandela i-angiography. Isiguli singase futhi sibe nemihuzuko isonto elilodwa kuya kwamabili ubude. Udokotela uzokweluleka ngokumelene nokuzibandakanya kunoma yikuphi ukuvivinya umzimba ngamandla okungenani isonto.
• I-Angioplasty - Isiguli sizodedelwa esibhedlela izinsuku ezi-1-2 kulandela i-angioplasty. Bangase bathole imihuzuko nobuhlungu obuvamile. Cishe isonto lonke, udokotela uzokweluleka ngokumelene nokuzibandakanya kunoma yikuphi ukuvivinya umzimba ngamandla. Umuntu ngamunye ululama ngesivinini esihlukile.

Isiphetho

I-angiography kanye ne-angioplasty yizingxenye ezimbili ezibalulekile zokunakekelwa kwenhliziyo nemithambo yegazi, ngayinye inendima yayo nenjongo yayo ehlukile. I-Angiography ngokuyinhloko iyithuluzi lokuxilonga, elivumela ochwepheshe bezokunakekelwa kwempilo ukuthi babone ngeso lengqondo ukuvinjelwa futhi bahlele ukwelashwa, kuyilapho i-angioplasty iyindlela yokungenelela egxile ekuvuleni imithambo yegazi emincane nokubuyisela ukugeleza kwegazi okufanele enhliziyweni. Zombili izinqubo zibalulekile ekulawuleni isifo se-coronary artery kanye nezinye izimo zenhliziyo, esebenza ngokuhambisana ukuze inikeze ukuxilonga okunembile kanye nokwelashwa okusebenzayo kweziguli ezinezinkinga ezihlobene nenhliziyo.