He Mōrearea kei te Whakaahua o te Ngākau?

I ngā tau tata nei, kua tino piki ake te maha o ngā mate pūnaha toto. He maha ngā wā ka rongo tātou kua tirotirohia te angiography o te ngākau e te hunga e karapoti ana i a tātou. Nō reira, ko wai me tirotirohia te angiography o te ngākau?

1. He aha te angiography o te ngakau?

Ka mahia te angiography ngākau mā te wero i te uaua radial i te ringaringa, i te uaua femoral rānei i te turanga o te huha, ka tukuna he catheter ki te wāhi tirotiro pērā i te uaua coronary, te atrium, te ventricle rānei, kātahi ka werohia he matū whakawhiti ki roto i te catheter kia taea ai e ngā hihi-X te rere o te matū whakawhiti i roto i ngā oko toto. Ka whakaaturia te āhua hei mārama ki te āhua o te ngākau, o ngā uaua coronary rānei hei tautuhi i te mate. He tikanga tirotiro whakaeke tēnei e whakamahia whānuitia ana mō te ngākau i tēnei wā.

2. He aha ngā mea kei roto i te whakamātautau angiography ngākau?

E rua ngā āhuatanga o te angiography ngākau. I tētahi taha, ko te angiography coronary. Ka whakatakotoria te catheter ki te whakatuwheratanga o te uaua coronary, ā, ka werohia he kaihoko rerekē i raro i te hihi-X hei mārama ki te āhua o roto o te uaua coronary, mēnā he stenosis, he plaque, he hapa whanaketanga, me ētahi atu.

I tētahi atu taha, ka taea hoki te whakahaere i te angiography o te atria me ngā ventricles kia mārama ai ki ngā āhuatanga o te atria me ngā ventricles hei tautuhi i te cardiomyopathy kua whānui, te whakanui ngakau kāore i te mārama, me te mate takirere ngakau.

3. I raro i ngā āhuatanga hea e hiahiatia ai te angiography o te ngākau?

Ka taea e te angiography ngākau te whakamārama i te kaha o te mate, te mārama ki te nui o te uaua o te ngākau, me te whakarato i te pūtake e tika ana mō te maimoatanga i muri mai. E tika ana mō ngā āhuatanga e whai ake nei:

1. Mamae uma rerekē: pērā i te mamae uma;

2. Ngā tohu noa o te angina ischemic. Mena kei te whakapaehia he angina pectoris, he angina pectoris kore pumau, he angina pectoris rerekē rānei;

3. Ngā huringa rerekē o te electrocardiogram hihiri;

4. Te arrhythmia kāore i te mārama: pērā i te arrhythmia kino e maha ana;

5. Te ngoikore o te ngākau kāore i te mārama: pērā i te cardiomyopathy whānui;

6. Te angioplasty intracoronary: pērā i te laser, me ētahi atu;

7. Te whakapae mō te mate ngakau; 8. Ētahi atu mate ngakau me whakamārama.

4. He aha ngā mōrearea o te angiography ngākau?

He haumaru te whakamātautau ngakau i te nuinga o te wā, engari nā te mea he whakamātautau whakaekenga, kei reira tonu ētahi mōrearea:

1. Te toto, te hematoma rānei: Me poka te uaua i roto i te angiography ngākau, ā, ka puta pea te toto ā-rohe me te hematoma ira poka.

2. Mate urutā: Mena he hē te pokanga, he mōrearea rānei te tūroro ki te mate urutā, ka pā mai pea te mate urutā.

3. Te totohu: Nā te hiahia ki te whakatakoto i tētahi katitere, ka arahi pea ki te hanganga o te totohu.

4. Te Arrhythmia: Tērā pea ka puta he arrhythmia mā te angiography ngākau, ka taea te whakahaere mā te rongoā.

5. Ngā mate pāwera: He tokoiti noa iho ngā tāngata ka pāngia e te mate pāwera ki te rongoā whakahāngai i whakamahia. I mua i te whakaahua, ka whakahaerehia e te tākuta he whakamātautau mate pāwera hei whakarite i te haumaru.

5. Me aha ahau mēnā ka kitea he rerekētanga i te wā o te angiography cardiac?

Ka taea te rongoā i ngā āhuatanga rerekē ka kitea i te wā o te angiography ngākau i te wā kotahi mēnā e hiahiatia ana ngā tikanga wawaotanga, pērā i te stenosis nui o te uaua ngākau, te mate ngākau atherosclerotic coronary, te infarction myocardial, me ētahi atu, ka taea te rongoā mā te whakauru stent coronary, te tāmi bypass arterial coronary rānei, te whakawhānui i te poihau coronary, me ētahi atu hei rongoā. Mō te hunga kāore e hiahia ana ki te hangarau wawaotanga, ka taea te whakahaere i te maimoatanga rongoā i muri i te pokanga i runga i te āhua.

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